hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number | [state] ,,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",financial_aid_policy,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Taylorville Memorial Hospital ,1/1/2024,2.0.0,"Taylorville, IL","201 Pleasant Street, Taylorville, IL 62568",0005447 (IL),,TRUE,"Memorial Health provides medical care regardless of the patient's ability to pay. If a patient cannot pay for care and is also not able to access resources from state or federal programs, we work with the patient find a financial solution, to know their options and get help from state or federal programs if they qualify. Visit https://memorial.health/financial/assistance/ for more information on financial assistance. ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,code|2,code|2|type,modifiers,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge | gross,standard_charge | discounted_cash,standard_charge | min,standard_charge | max,standard_charge|BCBS PPO (IP)|negotiated_dollar,standard_charge |BCBS PPO (IP) | methodology,standard_charge|BCBS PPO (OP)|negotiated_dollar,standard_charge |BCBS PPO (OP) | methodology,standard_charge|BCBS HMO (IP)|negotiated_dollar,standard_charge |BCBS HMO (IP) | methodology,standard_charge|BCBS HMO (OP)|negotiated_dollar,standard_charge |BCBS HMO (OP) | methodology,standard_charge|BCBS BlueChoice (IP)|negotiated_dollar,standard_charge |BCBS BlueChoice (IP) | methodology,standard_charge|BCBS BlueChoice (OP)|negotiated_dollar,standard_charge |BCBS BlueChoice (OP) | methodology,standard_charge|BCBS Indemnity (IP) |negotiated_dollar,standard_charge |BCBS Indemnity (IP)  | methodology,standard_charge|BCBS Indemnity (OP) |negotiated_dollar,standard_charge |BCBS Indemnity (OP)  | methodology,standard_charge|Aetna PPO (IP)|negotiated_dollar,standard_charge |Aetna PPO (IP) | methodology,standard_charge|Aetna PPO (OP)|negotiated_dollar,standard_charge |Aetna PPO (OP) | methodology,standard_charge|Coventry Aetna First Health (IP)|negotiated_dollar,standard_charge |Coventry Aetna First Health (IP) | methodology,standard_charge|Coventry Aetna First Health (OP)|negotiated_dollar,standard_charge |Coventry Aetna First Health (OP) | methodology,standard_charge|Aetna/Coventry One PPO/ASA/ACA (IP)|negotiated_dollar,standard_charge |Aetna/Coventry One PPO/ASA/ACA (IP) | methodology,standard_charge|Aetna/Coventry One PPO/AS)/ACA (OP)|negotiated_dollar,standard_charge |Aetna/Coventry One PPO/AS)/ACA (OP) | methodology,standard_charge|Cigna (IP) |negotiated_dollar,standard_charge |Cigna (IP)  | methodology,standard_charge|Cigna (OP) |negotiated_dollar,standard_charge |Cigna (OP)  | methodology,standard_charge |Corvel/CoreCare (IP)  | negotiated_dollar,standard_charge |Corvel/CoreCare (IP)  | methodology,standard_charge |Corvel/CoreCare (OP)  | negotiated_dollar,standard_charge |Corvel/CoreCare (OP)  | methodology,standard_charge|UHC (IP)|negotiated_dollar,standard_charge |UHC (IP) | methodology,standard_charge|UHC (OP)|negotiated_dollar,standard_charge |UHC (OP) | methodology,standard_charge|Health Alliance Fully Insured and Self Funded (IP)|negotiated_dollar,standard_charge|Health Alliance Fully Insured and Self Funded (IP)|methodology,standard_charge|Health Alliance Fully Insured and Self Funded (OP)|negotiated_dollar,standard_charge|Health Alliance Fully Insured and Self Funded (OP)|methodology,standard_charge|HealthLink PPO (IP)|negotiated_dollar,standard_charge |HealthLink PPO (IP) | methodology,standard_charge|HealthLink PPO (OP)|negotiated_dollar,standard_charge |HealthLink PPO (OP) | methodology,standard_charge|HealthLink HMO (IP)|negotiated_dollar,standard_charge |HealthLink HMO (IP) | methodology,standard_charge|HealthLink HMO (OP)|negotiated_dollar,standard_charge |HealthLink HMO (OP) | methodology,standard_charge|HFN (IP)|negotiated_dollar,standard_charge |HFN (IP) | methodology,standard_charge|HFN (OP)|negotiated_dollar,standard_charge |HFN (OP) | methodology,standard_charge|Humana Choice Care (IP)|negotiated_dollar,standard_charge |Humana Choice Care (IP) | methodology,standard_charge|Humana Choice Care (OP)|negotiated_dollar,standard_charge |Humana Choice Care (OP) | methodology,standard_charge|MultiPlan (IP)|negotiated_dollar,standard_charge |MultiPlan (IP) | methodology,standard_charge|MultiPlan (OP)|negotiated_dollar,standard_charge |MultiPlan (OP) | methodology,standard_charge|PHCS Savility (IP)|negotiated_dollar,standard_charge |PHCS Savility (IP)| methodology,standard_charge|PHCS Savility (OP)|negotiated_dollar,standard_charge |PHCS Savility (OP)| methodology,standard_charge|IL  Workers Compensation Standard (IP)|negotiated_dollar,standard_charge |IL  Workers Compensation Standard (IP) | methodology,standard_charge|IL  Workers Compensation Trauma (IP)|negotiated_dollar,standard_charge |IL  Workers Compensation Trauma (IP) | methodology,standard_charge|IL  Workers Compensation  (OP)|negotiated_dollar,standard_charge |IL  Workers Compensation  (OP) | methodology,standard_charge|Corvel Workers Compensation Standard (IP)|negotiated_dollar,standard_charge |Corvel Workers Compensation Standard (IP) | methodology,standard_charge|Corvel Workers Compensation Trauma (IP)|negotiated_dollar,standard_charge |Corvel Workers Compensation Trauma (IP) | methodology,standard_charge|Corvel Workers Compensation Trauma (OP)|negotiated_dollar,standard_charge |Corvel Workers Compensation Trauma (OP) | methodology,standard_charge|Meridian Medicaid Managed Care (IP) |negotiated_dollar,standard_charge |Meridian Medicaid Managed Care (IP)  | methodology,standard_charge|Meridian Medicaid Managed Care OP)|negotiated_dollar,standard_charge |Meridian Medicaid Managed Care OP) | methodology,standard_charge|IlliniCare Medicaid Managed Care (IP) |negotiated_dollar,standard_charge |IlliniCare Medicaid Managed Care (IP)  | methodology,standard_charge|IlliniCare Medicaid Managed Care (OP) |negotiated_dollar,standard_charge |IlliniCare Medicaid Managed Care (OP)  | methodology,standard_charge|BCBS Medicaid Managed Care (IP)|negotiated_dollar,standard_charge |BCBS Medicaid Managed Care (IP) | methodology,standard_charge|BCBS Medicaid Managed Care (OP)|negotiated_dollar,standard_charge |BCBS Medicaid Managed Care (OP) | methodology,standard_charge|Molina Medicaid Managed Care (IP) |negotiated_dollar,standard_charge |Molina Medicaid Managed Care (IP)  | methodology,standard_charge|Molina Medicaid Managed Care (OP) |negotiated_dollar,standard_charge |Molina Medicaid Managed Care (OP)  | methodology,standard_charge|HealthAlliance Medicare Advantage (IP)|negotiated_dollar,standard_charge |HealthAlliance Medicare Advantage (IP) | methodology,standard_charge|HealthAlliance Medicare Advantage (OP)|negotiated_dollar,standard_charge |HealthAlliance Medicare Advantage (OP) | methodology,standard_charge|Aetna/Coventry Medicare Advantage (IP)|negotiated_dollar,standard_charge |Aetna/Coventry Medicare Advantage (IP) | methodology,standard_charge|Aetna/Coventry Medicare Advantage (OP)|negotiated_dollar,standard_charge |Aetna/Coventry Medicare Advantage (OP) | methodology,standard_charge|Humana PPO Medicare Advantage (IP)|negotiated_dollar,standard_charge |Humana PPO Medicare Advantage (IP) | methodology,standard_charge|Humana PPO Medicare Advantage (OP)|negotiated_dollar,standard_charge |Humana PPO Medicare Advantage (OP) | methodology,standard_charge|UHC PPO Medicare Advantage (IP)|negotiated_dollar,standard_charge |UHC PPO Medicare Advantage (IP) | methodology,standard_charge|UHC PPO Medicare Advantage (OP)|negotiated_dollar,standard_charge |UHC PPO Medicare Advantage (OP) | methodology,standard_charge|BCBS PPO/HMO Medicare Advantage (IP)|negotiated_dollar,standard_charge |BCBS PPO/HMO Medicare Advantage (IP) | methodology,standard_charge|BCBS PPO/HMO Medicare Advantage (OP)|negotiated_dollar,standard_charge |BCBS PPO/HMO Medicare Advantage (OP) | methodology,standard_charge|WellCare Medicare Advantage (IP)|negotiated_dollar,standard_charge |WellCare Medicare Advantage (IP) | methodology,standard_charge|WellCare Medicare Advantage (OP)|negotiated_dollar,standard_charge |WellCare Medicare Advantage (OP) | methodology,standard_charge|Tricare (IP)|negotiated_dollar,standard_charge |Tricare (IP) | methodology,standard_charge|Tricare (OP)|negotiated_dollar,standard_charge |Tricare (OP) | methodology,standard_charge|Veterans Administration (IP)|negotiated_dollar,standard_charge |Veterans Administration (IP) | methodology,standard_charge|Veterans Administration (OP)|negotiated_dollar,standard_charge |Veterans Administration (OP) | methodology,standard_charge|BCBS  MMAI (IP)|negotiated_dollar,standard_charge |BCBS  MMAI (IP) | methodology,standard_charge|BCBS MMAI (OP)|negotiated_dollar,standard_charge |BCBS MMAI (OP) | methodology,standard_charge|Meridian Complete MMAI (IP)|negotiated_dollar,standard_charge |Meridian Complete MMAI (IP) | methodology,standard_charge|Meridian Complete MMAI (OP)|negotiated_dollar,standard_charge |Meridian Complete MMAI (OP) | methodology,standard_charge|Non-Contracted Payor (IP)|negotiated_dollar,standard_charge |Non-Contracted Payor (IP) | methodology,standard_charge|Non-Contracted  Payor (OP)|negotiated_dollar,standard_charge |Non-Contracted  Payor (OP) | methodology,additional_generic_notes
Acute Care Private,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Acute Care/Isolation,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Acute Care/Telemetry,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Acute Care/Isol/Tel,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Swing Private,Local ,Local ,,,,both,,,"1,105.00","1,105.00",558.47,"2,419.85","1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,817.7,percent of total billed charges,817.7,percent of total billed charges,884,percent of total billed charges,884,percent of total billed charges,,,795.6,percent of total billed charges ,"$3,056; $3,704",per diem,,,928.2,percent of total billed charges ,928.2,percent of total billed charges ,861.9,percent of total billed charges ,861.9,percent of total billed charges ,884,percent of total billed charges ,884,percent of total billed charges ,773.5,percent of total billed charges ,773.5,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,,,,,587.86,percent of total billed charges ,,,,,558.47,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Swing/Isolation,Local ,Local ,,,,both,,,"1,105.00","1,105.00",558.47,"2,419.85","1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,817.7,percent of total billed charges,817.7,percent of total billed charges,884,percent of total billed charges,884,percent of total billed charges,,,795.6,percent of total billed charges ,"$3,056; $3,704",per diem,,,928.2,percent of total billed charges ,928.2,percent of total billed charges ,861.9,percent of total billed charges ,861.9,percent of total billed charges ,884,percent of total billed charges ,884,percent of total billed charges ,773.5,percent of total billed charges ,773.5,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,,,,,587.86,percent of total billed charges ,,,,,558.47,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Swing/Telemetry,Local ,Local ,,,,both,,,"1,105.00","1,105.00",558.47,"2,419.85","1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,817.7,percent of total billed charges,817.7,percent of total billed charges,884,percent of total billed charges,884,percent of total billed charges,,,795.6,percent of total billed charges ,"$3,056; $3,704",per diem,,,928.2,percent of total billed charges ,928.2,percent of total billed charges ,861.9,percent of total billed charges ,861.9,percent of total billed charges ,884,percent of total billed charges ,884,percent of total billed charges ,773.5,percent of total billed charges ,773.5,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,,,,,587.86,percent of total billed charges ,,,,,558.47,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Swing/Isol/Tel,Local ,Local ,,,,both,,,"1,105.00","1,105.00",558.47,"2,419.85","1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,817.7,percent of total billed charges,817.7,percent of total billed charges,884,percent of total billed charges,884,percent of total billed charges,,,795.6,percent of total billed charges ,"$3,056; $3,704",per diem,,,928.2,percent of total billed charges ,928.2,percent of total billed charges ,861.9,percent of total billed charges ,861.9,percent of total billed charges ,884,percent of total billed charges ,884,percent of total billed charges ,773.5,percent of total billed charges ,773.5,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,,,,,587.86,percent of total billed charges ,,,,,558.47,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Respite Private,Local ,Local ,,,,both,,,945,945,477.6,"2,419.85",945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,699.3,percent of total billed charges,699.3,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,,,680.4,percent of total billed charges ,"$3,056; $3,704",per diem,,,793.8,percent of total billed charges ,793.8,percent of total billed charges ,737.1,percent of total billed charges ,737.1,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,661.5,percent of total billed charges ,661.5,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,,,,,502.74,percent of total billed charges ,,,,,477.6,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Respite/Isolation,Local ,Local ,,,,both,,,945,945,477.6,"2,419.85",945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,945,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,680.4,percent of total billed charges,699.3,percent of total billed charges,699.3,percent of total billed charges,756,percent of total billed charges,756,percent of total billed charges,,,680.4,percent of total billed charges ,"$3,056; $3,704",per diem,,,793.8,percent of total billed charges ,793.8,percent of total billed charges ,737.1,percent of total billed charges ,737.1,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,661.5,percent of total billed charges ,661.5,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,,,,,502.74,percent of total billed charges ,,,,,477.6,percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Observation Hours,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
Observation Hours,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
OBSETRVATION W.TELE,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
OBSETRVATION W.TELE,Local ,Local ,,,,both,,,"2,105.00","2,105.00","1,063.87","2,419.85","2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"2,105.00",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,515.60",percent of total billed charges,"1,557.70",percent of total billed charges,"1,557.70",percent of total billed charges,"1,684.00",percent of total billed charges,"1,684.00",percent of total billed charges,,,"1,515.60",percent of total billed charges ,"$3,056; $3,704",per diem,,,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,641.90",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,684.00",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,473.50",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,"1,263.00",percent of total billed charges ,,,,,"1,119.86",percent of total billed charges ,,,,,"1,063.87",percent of total billed charges ,,,,,,,,,,,,,,,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,"2,419.85",per diem ,,,
cloZAPine (NF) ORAL TABLET 100MG,250,RC,60687-04-1501,NDC,,both,1,each,4.75,4.75,1.33,4.75,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.52,percent of total billed charges,3.52,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,,,3.42,percent of total billed charges ,,,,,3.99,percent of total billed charges ,3.99,percent of total billed charges ,3.71,percent of total billed charges ,3.71,percent of total billed charges ,3.8,percent of total billed charges ,3.8,percent of total billed charges ,3.33,percent of total billed charges ,3.33,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,2.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,
NF-BIOTIN ORAL TABLET 5MG,250,RC,10542-00-9512,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,,,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-BIOTIN ORAL TABLET 1000MCG,250,RC,88395-00-2481,NDC,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,,,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
NF-MYRBETRIQ ORAL TABLET 25MG,259,RC,46926-01-0190,NDC,,both,1,each,65.41,65.41,18.31,65.41,65.41,percent of total billed charges,65.41,percent of total billed charges,65.41,percent of total billed charges,65.41,percent of total billed charges,65.41,percent of total billed charges,65.41,percent of total billed charges,65.41,percent of total billed charges,65.41,percent of total billed charges,47.1,percent of total billed charges,47.1,percent of total billed charges,47.1,percent of total billed charges,47.1,percent of total billed charges,47.1,percent of total billed charges,47.1,percent of total billed charges,48.4,percent of total billed charges,48.4,percent of total billed charges,52.33,percent of total billed charges,52.33,percent of total billed charges,,,47.1,percent of total billed charges ,,,,,54.94,percent of total billed charges ,54.94,percent of total billed charges ,51.02,percent of total billed charges ,51.02,percent of total billed charges ,52.33,percent of total billed charges ,52.33,percent of total billed charges ,45.79,percent of total billed charges ,45.79,percent of total billed charges ,39.25,percent of total billed charges ,39.25,percent of total billed charges ,39.25,percent of total billed charges ,39.25,percent of total billed charges ,,,,,34.8,percent of total billed charges ,,,,,33.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,
NF-CO Q-10 LIQUID CAPSULE 100MG,250,RC,30768-00-4053,NDC,,both,1,each,2.68,2.68,0.75,2.68,2.68,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,,,1.93,percent of total billed charges ,,,,,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,2.14,percent of total billed charges ,2.14,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,,,,,1.43,percent of total billed charges ,,,,,1.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,
NF-MAGNESIUM GLUCONATE TABLET 500MG,259,RC,64727-88-0101,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,,,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-GLEEVEC ORAL TABLET 400MG,259,RC,78064-93-4930,NDC,,both,1,each,"2,293.04","2,293.04",642.05,"2,293.04","2,293.04",percent of total billed charges,"2,293.04",percent of total billed charges,"2,293.04",percent of total billed charges,"2,293.04",percent of total billed charges,"2,293.04",percent of total billed charges,"2,293.04",percent of total billed charges,"2,293.04",percent of total billed charges,"2,293.04",percent of total billed charges,"1,650.99",percent of total billed charges,"1,650.99",percent of total billed charges,"1,650.99",percent of total billed charges,"1,650.99",percent of total billed charges,"1,650.99",percent of total billed charges,"1,650.99",percent of total billed charges,"1,696.85",percent of total billed charges,"1,696.85",percent of total billed charges,"1,834.43",percent of total billed charges,"1,834.43",percent of total billed charges,,,"1,650.99",percent of total billed charges ,,,,,"1,926.15",percent of total billed charges ,"1,926.15",percent of total billed charges ,"1,788.57",percent of total billed charges ,"1,788.57",percent of total billed charges ,"1,834.43",percent of total billed charges ,"1,834.43",percent of total billed charges ,"1,605.13",percent of total billed charges ,"1,605.13",percent of total billed charges ,"1,375.82",percent of total billed charges ,"1,375.82",percent of total billed charges ,"1,375.82",percent of total billed charges ,"1,375.82",percent of total billed charges ,,,,,"1,219.90",percent of total billed charges ,,,,,"1,158.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,,,642.05,percent of total billed charges,
"NF-MYRBETRIQ 25MG ORAL TABLET, EXTENDED",250,RC,46926-01-0130,NDC,,both,1,each,89.32,89.32,25.01,89.32,89.32,percent of total billed charges,89.32,percent of total billed charges,89.32,percent of total billed charges,89.32,percent of total billed charges,89.32,percent of total billed charges,89.32,percent of total billed charges,89.32,percent of total billed charges,89.32,percent of total billed charges,64.31,percent of total billed charges,64.31,percent of total billed charges,64.31,percent of total billed charges,64.31,percent of total billed charges,64.31,percent of total billed charges,64.31,percent of total billed charges,66.1,percent of total billed charges,66.1,percent of total billed charges,71.46,percent of total billed charges,71.46,percent of total billed charges,,,64.31,percent of total billed charges ,,,,,75.03,percent of total billed charges ,75.03,percent of total billed charges ,69.67,percent of total billed charges ,69.67,percent of total billed charges ,71.46,percent of total billed charges ,71.46,percent of total billed charges ,62.52,percent of total billed charges ,62.52,percent of total billed charges ,53.59,percent of total billed charges ,53.59,percent of total billed charges ,53.59,percent of total billed charges ,53.59,percent of total billed charges ,,,,,47.52,percent of total billed charges ,,,,,45.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,,,25.01,percent of total billed charges,
NF-CO-Q-10 ORAL LIQUID CAPSULE 100MG,250,RC,88395-00-8241,NDC,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,,,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
NF-CRANBERRY CONCENTRATE CAPSULE 500MG,250,RC,54629-00-0020,NDC,,both,1,each,0.13,0.13,0.04,0.13,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.1,percent of total billed charges,0.1,percent of total billed charges,0.1,percent of total billed charges,0.1,percent of total billed charges,,,0.09,percent of total billed charges ,,,,,0.11,percent of total billed charges ,0.11,percent of total billed charges ,0.1,percent of total billed charges ,0.1,percent of total billed charges ,0.1,percent of total billed charges ,0.1,percent of total billed charges ,0.09,percent of total billed charges ,0.09,percent of total billed charges ,0.08,percent of total billed charges ,0.08,percent of total billed charges ,0.08,percent of total billed charges ,0.08,percent of total billed charges ,,,,,0.07,percent of total billed charges ,,,,,0.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,
NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC,250,RC,17308-59-5914,NDC,,both,1,each,509.43,509.43,142.64,509.43,509.43,percent of total billed charges,509.43,percent of total billed charges,509.43,percent of total billed charges,509.43,percent of total billed charges,509.43,percent of total billed charges,509.43,percent of total billed charges,509.43,percent of total billed charges,509.43,percent of total billed charges,366.79,percent of total billed charges,366.79,percent of total billed charges,366.79,percent of total billed charges,366.79,percent of total billed charges,366.79,percent of total billed charges,366.79,percent of total billed charges,376.98,percent of total billed charges,376.98,percent of total billed charges,407.54,percent of total billed charges,407.54,percent of total billed charges,,,366.79,percent of total billed charges ,,,,,427.92,percent of total billed charges ,427.92,percent of total billed charges ,397.36,percent of total billed charges ,397.36,percent of total billed charges ,407.54,percent of total billed charges ,407.54,percent of total billed charges ,356.6,percent of total billed charges ,356.6,percent of total billed charges ,305.66,percent of total billed charges ,305.66,percent of total billed charges ,305.66,percent of total billed charges ,305.66,percent of total billed charges ,,,,,271.02,percent of total billed charges ,,,,,257.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,,,142.64,percent of total billed charges,
NF-Breo Ellipta Inh Pwd 100MCG/25,259,RC,17308-59-5914,NDC,,both,1,each,974.28,974.28,272.8,974.28,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,720.97,percent of total billed charges,720.97,percent of total billed charges,779.42,percent of total billed charges,779.42,percent of total billed charges,,,701.48,percent of total billed charges ,,,,,818.4,percent of total billed charges ,818.4,percent of total billed charges ,759.94,percent of total billed charges ,759.94,percent of total billed charges ,779.42,percent of total billed charges ,779.42,percent of total billed charges ,682,percent of total billed charges ,682,percent of total billed charges ,584.57,percent of total billed charges ,584.57,percent of total billed charges ,584.57,percent of total billed charges ,584.57,percent of total billed charges ,,,,,518.32,percent of total billed charges ,,,,,492.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,
NF-DULERA INH AER PWD 5MCG-200MCG/ACT,259,RC,85461-00-1005,NDC,,both,1,each,484.5,484.5,135.66,484.5,484.5,percent of total billed charges,484.5,percent of total billed charges,484.5,percent of total billed charges,484.5,percent of total billed charges,484.5,percent of total billed charges,484.5,percent of total billed charges,484.5,percent of total billed charges,484.5,percent of total billed charges,348.84,percent of total billed charges,348.84,percent of total billed charges,348.84,percent of total billed charges,348.84,percent of total billed charges,348.84,percent of total billed charges,348.84,percent of total billed charges,358.53,percent of total billed charges,358.53,percent of total billed charges,387.6,percent of total billed charges,387.6,percent of total billed charges,,,348.84,percent of total billed charges ,,,,,406.98,percent of total billed charges ,406.98,percent of total billed charges ,377.91,percent of total billed charges ,377.91,percent of total billed charges ,387.6,percent of total billed charges ,387.6,percent of total billed charges ,339.15,percent of total billed charges ,339.15,percent of total billed charges ,290.7,percent of total billed charges ,290.7,percent of total billed charges ,290.7,percent of total billed charges ,290.7,percent of total billed charges ,,,,,257.75,percent of total billed charges ,,,,,244.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,,,135.66,percent of total billed charges,
NF-OSTEO BI-FLEX ORAL TABLET 200MG-250MG,259,RC,30768-00-3136,NDC,,both,1,each,3.12,3.12,0.87,3.12,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,,,2.25,percent of total billed charges ,,,,,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,1.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,
NF-INVOKANA ORAL TABLET 300MG,250,RC,50458-01-4130,NDC,,both,1,each,99.09,99.09,27.75,99.09,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,73.33,percent of total billed charges,73.33,percent of total billed charges,79.27,percent of total billed charges,79.27,percent of total billed charges,,,71.34,percent of total billed charges ,,,79.27,percent of total billed charges ,83.24,percent of total billed charges ,83.24,percent of total billed charges ,77.29,percent of total billed charges ,77.29,percent of total billed charges ,79.27,percent of total billed charges ,79.27,percent of total billed charges ,69.36,percent of total billed charges ,69.36,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,,,,,52.72,percent of total billed charges ,,,,,50.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,
NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act,259,RC,85720-60-0601,NDC,,both,1,each,615,615,172.2,615,615,percent of total billed charges,615,percent of total billed charges,615,percent of total billed charges,615,percent of total billed charges,615,percent of total billed charges,615,percent of total billed charges,615,percent of total billed charges,615,percent of total billed charges,442.8,percent of total billed charges,442.8,percent of total billed charges,442.8,percent of total billed charges,442.8,percent of total billed charges,442.8,percent of total billed charges,442.8,percent of total billed charges,455.1,percent of total billed charges,455.1,percent of total billed charges,492,percent of total billed charges,492,percent of total billed charges,,,442.8,percent of total billed charges ,,,492,percent of total billed charges ,516.6,percent of total billed charges ,516.6,percent of total billed charges ,479.7,percent of total billed charges ,479.7,percent of total billed charges ,492,percent of total billed charges ,492,percent of total billed charges ,430.5,percent of total billed charges ,430.5,percent of total billed charges ,369,percent of total billed charges ,369,percent of total billed charges ,369,percent of total billed charges ,369,percent of total billed charges ,,,,,327.18,percent of total billed charges ,,,,,310.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,,,172.2,percent of total billed charges,
**NF-DRONABINOL CAP 2.5MG,259,RC,54868-30-8400,NDC,,both,1,each,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
NF-VITRASE SUBCUTANEOUS SOLUTION 200U/1M,250,RC,24208-00-0202,NDC,,both,1,each,679,679,190.12,679,679,percent of total billed charges,679,percent of total billed charges,679,percent of total billed charges,679,percent of total billed charges,679,percent of total billed charges,679,percent of total billed charges,679,percent of total billed charges,679,percent of total billed charges,488.88,percent of total billed charges,488.88,percent of total billed charges,488.88,percent of total billed charges,488.88,percent of total billed charges,488.88,percent of total billed charges,488.88,percent of total billed charges,502.46,percent of total billed charges,502.46,percent of total billed charges,543.2,percent of total billed charges,543.2,percent of total billed charges,,,488.88,percent of total billed charges ,,,543.2,percent of total billed charges ,570.36,percent of total billed charges ,570.36,percent of total billed charges ,529.62,percent of total billed charges ,529.62,percent of total billed charges ,543.2,percent of total billed charges ,543.2,percent of total billed charges ,475.3,percent of total billed charges ,475.3,percent of total billed charges ,407.4,percent of total billed charges ,407.4,percent of total billed charges ,407.4,percent of total billed charges ,407.4,percent of total billed charges ,,,,,361.23,percent of total billed charges ,,,,,343.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,,,190.12,percent of total billed charges,
NF-EPSOM SALT POWDER,250,RC,43072-00-0547,NDC,,both,1,each,24.51,24.51,6.86,24.51,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,,,17.65,percent of total billed charges ,,,19.61,percent of total billed charges ,20.59,percent of total billed charges ,20.59,percent of total billed charges ,19.12,percent of total billed charges ,19.12,percent of total billed charges ,19.61,percent of total billed charges ,19.61,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,14.71,percent of total billed charges ,14.71,percent of total billed charges ,14.71,percent of total billed charges ,14.71,percent of total billed charges ,,,,,13.04,percent of total billed charges ,,,,,12.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,
NF-FAMOTIDINE 10 ORAL TABLET 10MG,259,RC,68001-04-9404,NDC,,both,1,each,0.6,0.6,0.17,0.6,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,,,0.43,percent of total billed charges ,,,0.48,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
NF-LEFLUNOMIDE ORAL TABLET 20MG,259,RC,60505-25-0303,NDC,,both,1,each,8.9,8.9,2.49,8.9,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,6.41,percent of total billed charges,6.41,percent of total billed charges,6.41,percent of total billed charges,6.41,percent of total billed charges,6.41,percent of total billed charges,6.41,percent of total billed charges,6.59,percent of total billed charges,6.59,percent of total billed charges,7.12,percent of total billed charges,7.12,percent of total billed charges,,,6.41,percent of total billed charges ,,,7.12,percent of total billed charges ,7.48,percent of total billed charges ,7.48,percent of total billed charges ,6.94,percent of total billed charges ,6.94,percent of total billed charges ,7.12,percent of total billed charges ,7.12,percent of total billed charges ,6.23,percent of total billed charges ,6.23,percent of total billed charges ,5.34,percent of total billed charges ,5.34,percent of total billed charges ,5.34,percent of total billed charges ,5.34,percent of total billed charges ,,,,,4.73,percent of total billed charges ,,,,,4.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,
NF-CEFPODOXIME PROXETIL ORAL TAB 100MG,259,RC,78154-38-3820,NDC,,both,1,each,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
NF-Bromocriptine Mesylate Tablet 2.5MG,250,RC,78153-25-2531,NDC,,both,1,each,30.18,30.18,8.45,30.18,30.18,percent of total billed charges,30.18,percent of total billed charges,30.18,percent of total billed charges,30.18,percent of total billed charges,30.18,percent of total billed charges,30.18,percent of total billed charges,30.18,percent of total billed charges,30.18,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,22.33,percent of total billed charges,22.33,percent of total billed charges,24.14,percent of total billed charges,24.14,percent of total billed charges,,,21.73,percent of total billed charges ,,,24.14,percent of total billed charges ,25.35,percent of total billed charges ,25.35,percent of total billed charges ,23.54,percent of total billed charges ,23.54,percent of total billed charges ,24.14,percent of total billed charges ,24.14,percent of total billed charges ,21.13,percent of total billed charges ,21.13,percent of total billed charges ,18.11,percent of total billed charges ,18.11,percent of total billed charges ,18.11,percent of total billed charges ,18.11,percent of total billed charges ,,,,,16.06,percent of total billed charges ,,,,,15.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,,,8.45,percent of total billed charges,
NF-COENZYME Q-10 LIQ CAP 100MG,250,RC,90458-82-8246,NDC,,both,1,each,1.44,1.44,0.4,1.44,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,,,1.04,percent of total billed charges ,,,1.15,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,0.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,
NF-SODIUM CHLORIDE TABLET 1GM,250,RC,22317-60-6001,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-DESIPRAMINE HCL ORAL TABLET 25MG,259,RC,35356-03-8530,NDC,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
NF-CALCIUM MAGNESIUM ZINC W/VITAMIN D TA,259,RC,31604-00-1893,NDC,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
NF-FLUNISOLIDE SPRAY 0.025MG/ACT,259,RC,24208-03-4425,NDC,,both,1,each,342.43,342.43,95.88,342.43,342.43,percent of total billed charges,342.43,percent of total billed charges,342.43,percent of total billed charges,342.43,percent of total billed charges,342.43,percent of total billed charges,342.43,percent of total billed charges,342.43,percent of total billed charges,342.43,percent of total billed charges,246.55,percent of total billed charges,246.55,percent of total billed charges,246.55,percent of total billed charges,246.55,percent of total billed charges,246.55,percent of total billed charges,246.55,percent of total billed charges,253.4,percent of total billed charges,253.4,percent of total billed charges,273.94,percent of total billed charges,273.94,percent of total billed charges,,,246.55,percent of total billed charges ,,,273.94,percent of total billed charges ,287.64,percent of total billed charges ,287.64,percent of total billed charges ,267.1,percent of total billed charges ,267.1,percent of total billed charges ,273.94,percent of total billed charges ,273.94,percent of total billed charges ,239.7,percent of total billed charges ,239.7,percent of total billed charges ,205.46,percent of total billed charges ,205.46,percent of total billed charges ,205.46,percent of total billed charges ,205.46,percent of total billed charges ,,,,,182.17,percent of total billed charges ,,,,,173.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,,,95.88,percent of total billed charges,
NF-TEGRETOL TAB 200MG,250,RC,78050-90-0905,NDC,,both,1,each,13.87,13.87,3.88,13.87,13.87,percent of total billed charges,13.87,percent of total billed charges,13.87,percent of total billed charges,13.87,percent of total billed charges,13.87,percent of total billed charges,13.87,percent of total billed charges,13.87,percent of total billed charges,13.87,percent of total billed charges,9.99,percent of total billed charges,9.99,percent of total billed charges,9.99,percent of total billed charges,9.99,percent of total billed charges,9.99,percent of total billed charges,9.99,percent of total billed charges,10.26,percent of total billed charges,10.26,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,,,9.99,percent of total billed charges ,,,11.1,percent of total billed charges ,11.65,percent of total billed charges ,11.65,percent of total billed charges ,10.82,percent of total billed charges ,10.82,percent of total billed charges ,11.1,percent of total billed charges ,11.1,percent of total billed charges ,9.71,percent of total billed charges ,9.71,percent of total billed charges ,8.32,percent of total billed charges ,8.32,percent of total billed charges ,8.32,percent of total billed charges ,8.32,percent of total billed charges ,,,,,7.38,percent of total billed charges ,,,,,7.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,,,3.88,percent of total billed charges,
NF-DEPAKOTE DR ORAL TAB DR 500MG,250,RC,74621-51-1513,NDC,,both,1,each,35.21,35.21,9.86,35.21,35.21,percent of total billed charges,35.21,percent of total billed charges,35.21,percent of total billed charges,35.21,percent of total billed charges,35.21,percent of total billed charges,35.21,percent of total billed charges,35.21,percent of total billed charges,35.21,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,26.06,percent of total billed charges,26.06,percent of total billed charges,28.17,percent of total billed charges,28.17,percent of total billed charges,,,25.35,percent of total billed charges ,,,28.17,percent of total billed charges ,29.58,percent of total billed charges ,29.58,percent of total billed charges ,27.46,percent of total billed charges ,27.46,percent of total billed charges ,28.17,percent of total billed charges ,28.17,percent of total billed charges ,24.65,percent of total billed charges ,24.65,percent of total billed charges ,21.13,percent of total billed charges ,21.13,percent of total billed charges ,21.13,percent of total billed charges ,21.13,percent of total billed charges ,,,,,18.73,percent of total billed charges ,,,,,17.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,,,9.86,percent of total billed charges,
NF-NAMZARIC CAP ER 28MG-10MG,259,RC,45612-28-2830,NDC,,both,1,each,92.52,92.52,25.91,92.52,92.52,percent of total billed charges,92.52,percent of total billed charges,92.52,percent of total billed charges,92.52,percent of total billed charges,92.52,percent of total billed charges,92.52,percent of total billed charges,92.52,percent of total billed charges,92.52,percent of total billed charges,66.61,percent of total billed charges,66.61,percent of total billed charges,66.61,percent of total billed charges,66.61,percent of total billed charges,66.61,percent of total billed charges,66.61,percent of total billed charges,68.46,percent of total billed charges,68.46,percent of total billed charges,74.02,percent of total billed charges,74.02,percent of total billed charges,,,66.61,percent of total billed charges ,,,74.02,percent of total billed charges ,77.72,percent of total billed charges ,77.72,percent of total billed charges ,72.17,percent of total billed charges ,72.17,percent of total billed charges ,74.02,percent of total billed charges ,74.02,percent of total billed charges ,64.76,percent of total billed charges ,64.76,percent of total billed charges ,55.51,percent of total billed charges ,55.51,percent of total billed charges ,55.51,percent of total billed charges ,55.51,percent of total billed charges ,,,,,49.22,percent of total billed charges ,,,,,46.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,,,25.91,percent of total billed charges,
NF-Voriconazole Oral Tablet 200MG,259,RC,60687-02-7321,NDC,,both,1,each,67.71,67.71,18.96,67.71,67.71,percent of total billed charges,67.71,percent of total billed charges,67.71,percent of total billed charges,67.71,percent of total billed charges,67.71,percent of total billed charges,67.71,percent of total billed charges,67.71,percent of total billed charges,67.71,percent of total billed charges,48.75,percent of total billed charges,48.75,percent of total billed charges,48.75,percent of total billed charges,48.75,percent of total billed charges,48.75,percent of total billed charges,48.75,percent of total billed charges,50.11,percent of total billed charges,50.11,percent of total billed charges,54.17,percent of total billed charges,54.17,percent of total billed charges,,,48.75,percent of total billed charges ,,,54.17,percent of total billed charges ,56.88,percent of total billed charges ,56.88,percent of total billed charges ,52.81,percent of total billed charges ,52.81,percent of total billed charges ,54.17,percent of total billed charges ,54.17,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,40.63,percent of total billed charges ,40.63,percent of total billed charges ,40.63,percent of total billed charges ,40.63,percent of total billed charges ,,,,,36.02,percent of total billed charges ,,,,,34.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,,,18.96,percent of total billed charges,
NF-Simbrinza Ophthalmic Suspension 0.2%-,250,RC,65414-72-4727,NDC,,both,1,each,483.85,483.85,135.48,483.85,483.85,percent of total billed charges,483.85,percent of total billed charges,483.85,percent of total billed charges,483.85,percent of total billed charges,483.85,percent of total billed charges,483.85,percent of total billed charges,483.85,percent of total billed charges,483.85,percent of total billed charges,348.37,percent of total billed charges,348.37,percent of total billed charges,348.37,percent of total billed charges,348.37,percent of total billed charges,348.37,percent of total billed charges,348.37,percent of total billed charges,358.05,percent of total billed charges,358.05,percent of total billed charges,387.08,percent of total billed charges,387.08,percent of total billed charges,,,348.37,percent of total billed charges ,,,387.08,percent of total billed charges ,406.43,percent of total billed charges ,406.43,percent of total billed charges ,377.4,percent of total billed charges ,377.4,percent of total billed charges ,387.08,percent of total billed charges ,387.08,percent of total billed charges ,338.7,percent of total billed charges ,338.7,percent of total billed charges ,290.31,percent of total billed charges ,290.31,percent of total billed charges ,290.31,percent of total billed charges ,290.31,percent of total billed charges ,,,,,257.41,percent of total billed charges ,,,,,244.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,,,135.48,percent of total billed charges,
NF-AXIRON SOLN 30MG/1.5ML,259,RC,69097-03-6344,NDC,,both,1,each,"1,619.08","1,619.08",453.34,"1,619.08","1,619.08",percent of total billed charges,"1,619.08",percent of total billed charges,"1,619.08",percent of total billed charges,"1,619.08",percent of total billed charges,"1,619.08",percent of total billed charges,"1,619.08",percent of total billed charges,"1,619.08",percent of total billed charges,"1,619.08",percent of total billed charges,"1,165.74",percent of total billed charges,"1,165.74",percent of total billed charges,"1,165.74",percent of total billed charges,"1,165.74",percent of total billed charges,"1,165.74",percent of total billed charges,"1,165.74",percent of total billed charges,"1,198.12",percent of total billed charges,"1,198.12",percent of total billed charges,"1,295.26",percent of total billed charges,"1,295.26",percent of total billed charges,,,"1,165.74",percent of total billed charges ,,,"1,295.26",percent of total billed charges ,"1,360.03",percent of total billed charges ,"1,360.03",percent of total billed charges ,"1,262.88",percent of total billed charges ,"1,262.88",percent of total billed charges ,"1,295.26",percent of total billed charges ,"1,295.26",percent of total billed charges ,"1,133.36",percent of total billed charges ,"1,133.36",percent of total billed charges ,971.45,percent of total billed charges ,971.45,percent of total billed charges ,971.45,percent of total billed charges ,971.45,percent of total billed charges ,,,,,861.35,percent of total billed charges ,,,,,818.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,,,453.34,percent of total billed charges,
NF-Invokana Oral Tablet 300MG,259,RC,50458-01-4130,NDC,,both,1,each,85.32,85.32,23.89,85.32,85.32,percent of total billed charges,85.32,percent of total billed charges,85.32,percent of total billed charges,85.32,percent of total billed charges,85.32,percent of total billed charges,85.32,percent of total billed charges,85.32,percent of total billed charges,85.32,percent of total billed charges,61.43,percent of total billed charges,61.43,percent of total billed charges,61.43,percent of total billed charges,61.43,percent of total billed charges,61.43,percent of total billed charges,61.43,percent of total billed charges,63.14,percent of total billed charges,63.14,percent of total billed charges,68.26,percent of total billed charges,68.26,percent of total billed charges,,,61.43,percent of total billed charges ,,,68.26,percent of total billed charges ,71.67,percent of total billed charges ,71.67,percent of total billed charges ,66.55,percent of total billed charges ,66.55,percent of total billed charges ,68.26,percent of total billed charges ,68.26,percent of total billed charges ,59.72,percent of total billed charges ,59.72,percent of total billed charges ,51.19,percent of total billed charges ,51.19,percent of total billed charges ,51.19,percent of total billed charges ,51.19,percent of total billed charges ,,,,,45.39,percent of total billed charges ,,,,,43.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,,,23.89,percent of total billed charges,
NF-GABAPENTIN ORAL SOLUTION 250MG/5ML,259,RC,50383-03-1147,NDC,,both,1,each,2.39,2.39,0.67,2.39,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,,,1.72,percent of total billed charges ,,,1.91,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
NF-Co Q-10 Liquid Capsule 100MG,250,RC,30768-00-4053,NDC,,both,1,each,2.46,2.46,0.69,2.46,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,,,1.77,percent of total billed charges ,,,1.97,percent of total billed charges ,2.07,percent of total billed charges ,2.07,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,,,,,1.31,percent of total billed charges ,,,,,1.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,
NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio,250,RC,17308-59-5910,NDC,,both,1,each,974.28,974.28,272.8,974.28,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,974.28,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,701.48,percent of total billed charges,720.97,percent of total billed charges,720.97,percent of total billed charges,779.42,percent of total billed charges,779.42,percent of total billed charges,,,701.48,percent of total billed charges ,,,779.42,percent of total billed charges ,818.4,percent of total billed charges ,818.4,percent of total billed charges ,759.94,percent of total billed charges ,759.94,percent of total billed charges ,779.42,percent of total billed charges ,779.42,percent of total billed charges ,682,percent of total billed charges ,682,percent of total billed charges ,584.57,percent of total billed charges ,584.57,percent of total billed charges ,584.57,percent of total billed charges ,584.57,percent of total billed charges ,,,,,518.32,percent of total billed charges ,,,,,492.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,,,272.8,percent of total billed charges,
NF-Estrace Vaginal Cream 0.1MG/1GM,250,RC,43037-54-5414,NDC,,both,1,each,101.88,101.88,28.53,101.88,101.88,percent of total billed charges,101.88,percent of total billed charges,101.88,percent of total billed charges,101.88,percent of total billed charges,101.88,percent of total billed charges,101.88,percent of total billed charges,101.88,percent of total billed charges,101.88,percent of total billed charges,73.35,percent of total billed charges,73.35,percent of total billed charges,73.35,percent of total billed charges,73.35,percent of total billed charges,73.35,percent of total billed charges,73.35,percent of total billed charges,75.39,percent of total billed charges,75.39,percent of total billed charges,81.5,percent of total billed charges,81.5,percent of total billed charges,,,73.35,percent of total billed charges ,,,81.5,percent of total billed charges ,85.58,percent of total billed charges ,85.58,percent of total billed charges ,79.47,percent of total billed charges ,79.47,percent of total billed charges ,81.5,percent of total billed charges ,81.5,percent of total billed charges ,71.32,percent of total billed charges ,71.32,percent of total billed charges ,61.13,percent of total billed charges ,61.13,percent of total billed charges ,61.13,percent of total billed charges ,61.13,percent of total billed charges ,,,,,54.2,percent of total billed charges ,,,,,51.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,,,28.53,percent of total billed charges,
NF-AndroGel Topical Gel 1.62%,250,RC,51846-23-6230,NDC,,both,1,each,"1,238.74","1,238.74",346.85,"1,238.74","1,238.74",percent of total billed charges,"1,238.74",percent of total billed charges,"1,238.74",percent of total billed charges,"1,238.74",percent of total billed charges,"1,238.74",percent of total billed charges,"1,238.74",percent of total billed charges,"1,238.74",percent of total billed charges,"1,238.74",percent of total billed charges,891.89,percent of total billed charges,891.89,percent of total billed charges,891.89,percent of total billed charges,891.89,percent of total billed charges,891.89,percent of total billed charges,891.89,percent of total billed charges,916.67,percent of total billed charges,916.67,percent of total billed charges,990.99,percent of total billed charges,990.99,percent of total billed charges,,,891.89,percent of total billed charges ,,,990.99,percent of total billed charges ,"1,040.54",percent of total billed charges ,"1,040.54",percent of total billed charges ,966.22,percent of total billed charges ,966.22,percent of total billed charges ,990.99,percent of total billed charges ,990.99,percent of total billed charges ,867.12,percent of total billed charges ,867.12,percent of total billed charges ,743.24,percent of total billed charges ,743.24,percent of total billed charges ,743.24,percent of total billed charges ,743.24,percent of total billed charges ,,,,,659.01,percent of total billed charges ,,,,,626.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,,,346.85,percent of total billed charges,
NF-Apriso ER 0.375 GM  CAP,637,RC,65649-01-0302,NDC,,both,1,each,13.02,13.02,3.65,13.02,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,10.42,percent of total billed charges,10.42,percent of total billed charges,,,9.37,percent of total billed charges ,,,10.42,percent of total billed charges ,10.94,percent of total billed charges ,10.94,percent of total billed charges ,10.16,percent of total billed charges ,10.16,percent of total billed charges ,10.42,percent of total billed charges ,10.42,percent of total billed charges ,9.11,percent of total billed charges ,9.11,percent of total billed charges ,7.81,percent of total billed charges ,7.81,percent of total billed charges ,7.81,percent of total billed charges ,7.81,percent of total billed charges ,,,,,6.93,percent of total billed charges ,,,,,6.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,
NF-Rytary Extended Release Cap 23.75MG-9,637,RC,64896-06-6101,NDC,,both,1,each,5.42,5.42,1.52,5.42,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,4.01,percent of total billed charges,4.01,percent of total billed charges,4.34,percent of total billed charges,4.34,percent of total billed charges,,,3.9,percent of total billed charges ,,,4.34,percent of total billed charges ,4.55,percent of total billed charges ,4.55,percent of total billed charges ,4.23,percent of total billed charges ,4.23,percent of total billed charges ,4.34,percent of total billed charges ,4.34,percent of total billed charges ,3.79,percent of total billed charges ,3.79,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,,,,,2.88,percent of total billed charges ,,,,,2.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,
NF-Rytary Extended Release Cap 23.75MG-9,250,RC,64896-06-6101,NDC,,both,1,each,5.42,5.42,1.52,5.42,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,4.01,percent of total billed charges,4.01,percent of total billed charges,4.34,percent of total billed charges,4.34,percent of total billed charges,,,3.9,percent of total billed charges ,,,4.34,percent of total billed charges ,4.55,percent of total billed charges ,4.55,percent of total billed charges ,4.23,percent of total billed charges ,4.23,percent of total billed charges ,4.34,percent of total billed charges ,4.34,percent of total billed charges ,3.79,percent of total billed charges ,3.79,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,,,,,2.88,percent of total billed charges ,,,,,2.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,
NF-Itraconazole Capsule 100MG,637,RC,18505-50-5083,NDC,,both,1,each,9.1,9.1,2.55,9.1,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.73,percent of total billed charges,6.73,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,,,6.55,percent of total billed charges ,,,7.28,percent of total billed charges ,7.64,percent of total billed charges ,7.64,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,6.37,percent of total billed charges ,6.37,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,,,,,4.84,percent of total billed charges ,,,,,4.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,
NF-Itraconazole Capsule 100MG,637,RC,18505-50-5030,NDC,,both,1,each,9.1,9.1,2.55,9.1,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.73,percent of total billed charges,6.73,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,,,6.55,percent of total billed charges ,,,7.28,percent of total billed charges ,7.64,percent of total billed charges ,7.64,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,6.37,percent of total billed charges ,6.37,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,,,,,4.84,percent of total billed charges ,,,,,4.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,
NF-MESALAMINE DELAYED RELEASE TABLET 1.2,637,RC,59122-45-4522,NDC,,both,1,each,45.77,45.77,12.82,45.77,45.77,percent of total billed charges,45.77,percent of total billed charges,45.77,percent of total billed charges,45.77,percent of total billed charges,45.77,percent of total billed charges,45.77,percent of total billed charges,45.77,percent of total billed charges,45.77,percent of total billed charges,32.95,percent of total billed charges,32.95,percent of total billed charges,32.95,percent of total billed charges,32.95,percent of total billed charges,32.95,percent of total billed charges,32.95,percent of total billed charges,33.87,percent of total billed charges,33.87,percent of total billed charges,36.62,percent of total billed charges,36.62,percent of total billed charges,,,32.95,percent of total billed charges ,,,36.62,percent of total billed charges ,38.45,percent of total billed charges ,38.45,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,36.62,percent of total billed charges ,36.62,percent of total billed charges ,32.04,percent of total billed charges ,32.04,percent of total billed charges ,27.46,percent of total billed charges ,27.46,percent of total billed charges ,27.46,percent of total billed charges ,27.46,percent of total billed charges ,,,,,24.35,percent of total billed charges ,,,,,23.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,
NF-Mesalamine Delayed Release Tablet 1.2,637,RC,59122-45-4522,NDC,,both,1,each,24.15,24.15,6.76,24.15,24.15,percent of total billed charges,24.15,percent of total billed charges,24.15,percent of total billed charges,24.15,percent of total billed charges,24.15,percent of total billed charges,24.15,percent of total billed charges,24.15,percent of total billed charges,24.15,percent of total billed charges,17.39,percent of total billed charges,17.39,percent of total billed charges,17.39,percent of total billed charges,17.39,percent of total billed charges,17.39,percent of total billed charges,17.39,percent of total billed charges,17.87,percent of total billed charges,17.87,percent of total billed charges,19.32,percent of total billed charges,19.32,percent of total billed charges,,,17.39,percent of total billed charges ,,,19.32,percent of total billed charges ,20.29,percent of total billed charges ,20.29,percent of total billed charges ,18.84,percent of total billed charges ,18.84,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,16.91,percent of total billed charges ,16.91,percent of total billed charges ,14.49,percent of total billed charges ,14.49,percent of total billed charges ,14.49,percent of total billed charges ,14.49,percent of total billed charges ,,,,,12.85,percent of total billed charges ,,,,,12.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,,,6.76,percent of total billed charges,
NF-Mesalamine Delayed-Release Tablet 1.2,637,RC,54092-01-0001,NDC,,both,1,each,20.8,20.8,5.82,20.8,20.8,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,15.39,percent of total billed charges,15.39,percent of total billed charges,16.64,percent of total billed charges,16.64,percent of total billed charges,,,14.98,percent of total billed charges ,,,16.64,percent of total billed charges ,17.47,percent of total billed charges ,17.47,percent of total billed charges ,16.22,percent of total billed charges ,16.22,percent of total billed charges ,16.64,percent of total billed charges ,16.64,percent of total billed charges ,14.56,percent of total billed charges ,14.56,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,,,,,11.07,percent of total billed charges ,,,,,10.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,,,5.82,percent of total billed charges,
"NF-ITRACONAZOLE ORAL SOLN 10MG/ML, 20ML",637,RC,51927-49-2100,NDC,,both,1,each,72.12,72.12,20.19,72.12,72.12,percent of total billed charges,72.12,percent of total billed charges,72.12,percent of total billed charges,72.12,percent of total billed charges,72.12,percent of total billed charges,72.12,percent of total billed charges,72.12,percent of total billed charges,72.12,percent of total billed charges,51.93,percent of total billed charges,51.93,percent of total billed charges,51.93,percent of total billed charges,51.93,percent of total billed charges,51.93,percent of total billed charges,51.93,percent of total billed charges,53.37,percent of total billed charges,53.37,percent of total billed charges,57.7,percent of total billed charges,57.7,percent of total billed charges,,,51.93,percent of total billed charges ,,,57.7,percent of total billed charges ,60.58,percent of total billed charges ,60.58,percent of total billed charges ,56.25,percent of total billed charges ,56.25,percent of total billed charges ,57.7,percent of total billed charges ,57.7,percent of total billed charges ,50.48,percent of total billed charges ,50.48,percent of total billed charges ,43.27,percent of total billed charges ,43.27,percent of total billed charges ,43.27,percent of total billed charges ,43.27,percent of total billed charges ,,,,,38.37,percent of total billed charges ,,,,,36.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,,,20.19,percent of total billed charges,
NF-Atovaquone (MEPRON) O/S 750MG/5ML,250,RC,65162-06-9388,NDC,,both,1,each,80.16,80.16,22.44,80.16,80.16,percent of total billed charges,80.16,percent of total billed charges,80.16,percent of total billed charges,80.16,percent of total billed charges,80.16,percent of total billed charges,80.16,percent of total billed charges,80.16,percent of total billed charges,80.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,59.32,percent of total billed charges,59.32,percent of total billed charges,64.13,percent of total billed charges,64.13,percent of total billed charges,,,57.72,percent of total billed charges ,,,64.13,percent of total billed charges ,67.33,percent of total billed charges ,67.33,percent of total billed charges ,62.52,percent of total billed charges ,62.52,percent of total billed charges ,64.13,percent of total billed charges ,64.13,percent of total billed charges ,56.11,percent of total billed charges ,56.11,percent of total billed charges ,48.1,percent of total billed charges ,48.1,percent of total billed charges ,48.1,percent of total billed charges ,48.1,percent of total billed charges ,,,,,42.65,percent of total billed charges ,,,,,40.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,
NF-MISOPROST ORAL TABLET 100MCG,637,RC,33358-02-4760,NDC,,both,1,each,4.05,4.05,1.13,4.05,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,,,2.92,percent of total billed charges ,,,3.24,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,,,,,2.15,percent of total billed charges ,,,,,2.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,
NF-buPROPion HCl Oral Tab ER 100MG,250,RC,68084-06-9701,NDC,,both,1,each,4.05,4.05,1.13,4.05,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,,,2.92,percent of total billed charges ,,,3.24,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,,,,,2.15,percent of total billed charges ,,,,,2.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,
NF-Amoxapine Tablet 50mg,637,RC,59157-14-1401,NDC,,both,1,each,3.78,3.78,1.06,3.78,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,,,2.72,percent of total billed charges ,,,3.02,percent of total billed charges ,3.18,percent of total billed charges ,3.18,percent of total billed charges ,2.95,percent of total billed charges ,2.95,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,,,,,2.01,percent of total billed charges ,,,,,1.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,
NF-Clarithromycin Oral Tablet 250MG,637,RC,78119-61-6160,NDC,,both,1,each,2.08,2.08,0.58,2.08,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,,,1.5,percent of total billed charges ,,,1.66,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,
NF-Chlorpheniramine Maleate Oral Tablet,250,RC,90400-12-1280,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-CHLORPHENIRAMINE MALEATE ORAL TABLET,250,RC,63629-27-4502,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-Adcirca Oral Tablet 20MG,636,RC,66302-04-6760,NDC,,both,1,each,368.34,368.34,103.14,368.34,368.34,percent of total billed charges,368.34,percent of total billed charges,368.34,percent of total billed charges,368.34,percent of total billed charges,368.34,percent of total billed charges,368.34,percent of total billed charges,368.34,percent of total billed charges,368.34,percent of total billed charges,265.2,percent of total billed charges,265.2,percent of total billed charges,265.2,percent of total billed charges,265.2,percent of total billed charges,265.2,percent of total billed charges,265.2,percent of total billed charges,272.57,percent of total billed charges,272.57,percent of total billed charges,294.67,percent of total billed charges,294.67,percent of total billed charges,,,265.2,percent of total billed charges ,,,294.67,percent of total billed charges ,309.41,percent of total billed charges ,309.41,percent of total billed charges ,287.31,percent of total billed charges ,287.31,percent of total billed charges ,294.67,percent of total billed charges ,294.67,percent of total billed charges ,257.84,percent of total billed charges ,257.84,percent of total billed charges ,221,percent of total billed charges ,221,percent of total billed charges ,221,percent of total billed charges ,221,percent of total billed charges ,,,,,195.96,percent of total billed charges ,,,,,186.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,,,103.14,percent of total billed charges,
NF-Tarceva Tablet 100MG,250,RC,50242-00-6301,NDC,,both,1,each,"1,373.40","1,373.40",384.55,"1,373.40","1,373.40",percent of total billed charges,"1,373.40",percent of total billed charges,"1,373.40",percent of total billed charges,"1,373.40",percent of total billed charges,"1,373.40",percent of total billed charges,"1,373.40",percent of total billed charges,"1,373.40",percent of total billed charges,"1,373.40",percent of total billed charges,988.85,percent of total billed charges,988.85,percent of total billed charges,988.85,percent of total billed charges,988.85,percent of total billed charges,988.85,percent of total billed charges,988.85,percent of total billed charges,"1,016.32",percent of total billed charges,"1,016.32",percent of total billed charges,"1,098.72",percent of total billed charges,"1,098.72",percent of total billed charges,,,988.85,percent of total billed charges ,,,"1,098.72",percent of total billed charges ,"1,153.66",percent of total billed charges ,"1,153.66",percent of total billed charges ,"1,071.25",percent of total billed charges ,"1,071.25",percent of total billed charges ,"1,098.72",percent of total billed charges ,"1,098.72",percent of total billed charges ,961.38,percent of total billed charges ,961.38,percent of total billed charges ,824.04,percent of total billed charges ,824.04,percent of total billed charges ,824.04,percent of total billed charges ,824.04,percent of total billed charges ,,,,,730.65,percent of total billed charges ,,,,,694.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,,,384.55,percent of total billed charges,
NF-Cranberry Oral Capsule 500MG,250,RC,11822-05-8236,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-Modafinil Oral Tablet 100MG,259,RC,37855-73-7305,NDC,,both,1,each,28.48,28.48,7.97,28.48,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,21.08,percent of total billed charges,21.08,percent of total billed charges,22.78,percent of total billed charges,22.78,percent of total billed charges,,,20.51,percent of total billed charges ,,,22.78,percent of total billed charges ,23.92,percent of total billed charges ,23.92,percent of total billed charges ,22.21,percent of total billed charges ,22.21,percent of total billed charges ,22.78,percent of total billed charges ,22.78,percent of total billed charges ,19.94,percent of total billed charges ,19.94,percent of total billed charges ,17.09,percent of total billed charges ,17.09,percent of total billed charges ,17.09,percent of total billed charges ,17.09,percent of total billed charges ,,,,,15.15,percent of total billed charges ,,,,,14.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,
NF-Toviaz Oral Extended Release Tablet 4,259,RC,69024-23-4230,NDC,,both,1,each,60.95,60.95,17.07,60.95,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,43.88,percent of total billed charges,43.88,percent of total billed charges,43.88,percent of total billed charges,43.88,percent of total billed charges,43.88,percent of total billed charges,43.88,percent of total billed charges,45.1,percent of total billed charges,45.1,percent of total billed charges,48.76,percent of total billed charges,48.76,percent of total billed charges,,,43.88,percent of total billed charges ,,,48.76,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,47.54,percent of total billed charges ,47.54,percent of total billed charges ,48.76,percent of total billed charges ,48.76,percent of total billed charges ,42.67,percent of total billed charges ,42.67,percent of total billed charges ,36.57,percent of total billed charges ,36.57,percent of total billed charges ,36.57,percent of total billed charges ,36.57,percent of total billed charges ,,,,,32.43,percent of total billed charges ,,,,,30.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,,,17.07,percent of total billed charges,
NF-ZANAFLEX CAP 2MG,250,RC,10144-06-0215,NDC,,both,1,each,3.39,3.39,0.95,3.39,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,,,2.44,percent of total billed charges ,,,2.71,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.64,percent of total billed charges ,2.64,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,,,,,1.8,percent of total billed charges ,,,,,1.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,
NF-Livalo Oral Tablet 1MG,259,RC,66869-01-0490,NDC,,both,1,each,54.34,54.34,15.22,54.34,54.34,percent of total billed charges,54.34,percent of total billed charges,54.34,percent of total billed charges,54.34,percent of total billed charges,54.34,percent of total billed charges,54.34,percent of total billed charges,54.34,percent of total billed charges,54.34,percent of total billed charges,39.12,percent of total billed charges,39.12,percent of total billed charges,39.12,percent of total billed charges,39.12,percent of total billed charges,39.12,percent of total billed charges,39.12,percent of total billed charges,40.21,percent of total billed charges,40.21,percent of total billed charges,43.47,percent of total billed charges,43.47,percent of total billed charges,,,39.12,percent of total billed charges ,,,43.47,percent of total billed charges ,45.65,percent of total billed charges ,45.65,percent of total billed charges ,42.39,percent of total billed charges ,42.39,percent of total billed charges ,43.47,percent of total billed charges ,43.47,percent of total billed charges ,38.04,percent of total billed charges ,38.04,percent of total billed charges ,32.6,percent of total billed charges ,32.6,percent of total billed charges ,32.6,percent of total billed charges ,32.6,percent of total billed charges ,,,,,28.91,percent of total billed charges ,,,,,27.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,,,15.22,percent of total billed charges,
NF-Ferrous Sulfate Oral Solution 15MG/1M,250,RC,50383-06-2750,NDC,,both,1,each,41.45,41.45,11.61,41.45,41.45,percent of total billed charges,41.45,percent of total billed charges,41.45,percent of total billed charges,41.45,percent of total billed charges,41.45,percent of total billed charges,41.45,percent of total billed charges,41.45,percent of total billed charges,41.45,percent of total billed charges,29.84,percent of total billed charges,29.84,percent of total billed charges,29.84,percent of total billed charges,29.84,percent of total billed charges,29.84,percent of total billed charges,29.84,percent of total billed charges,30.67,percent of total billed charges,30.67,percent of total billed charges,33.16,percent of total billed charges,33.16,percent of total billed charges,,,29.84,percent of total billed charges ,,,33.16,percent of total billed charges ,34.82,percent of total billed charges ,34.82,percent of total billed charges ,32.33,percent of total billed charges ,32.33,percent of total billed charges ,33.16,percent of total billed charges ,33.16,percent of total billed charges ,29.02,percent of total billed charges ,29.02,percent of total billed charges ,24.87,percent of total billed charges ,24.87,percent of total billed charges ,24.87,percent of total billed charges ,24.87,percent of total billed charges ,,,,,22.05,percent of total billed charges ,,,,,20.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,,,11.61,percent of total billed charges,
NF-Pristiq Oral Tablet ER 25MG,250,RC,81210-30-1030,NDC,,both,1,each,42.97,42.97,12.03,42.97,42.97,percent of total billed charges,42.97,percent of total billed charges,42.97,percent of total billed charges,42.97,percent of total billed charges,42.97,percent of total billed charges,42.97,percent of total billed charges,42.97,percent of total billed charges,42.97,percent of total billed charges,30.94,percent of total billed charges,30.94,percent of total billed charges,30.94,percent of total billed charges,30.94,percent of total billed charges,30.94,percent of total billed charges,30.94,percent of total billed charges,31.8,percent of total billed charges,31.8,percent of total billed charges,34.38,percent of total billed charges,34.38,percent of total billed charges,,,30.94,percent of total billed charges ,,,34.38,percent of total billed charges ,36.09,percent of total billed charges ,36.09,percent of total billed charges ,33.52,percent of total billed charges ,33.52,percent of total billed charges ,34.38,percent of total billed charges ,34.38,percent of total billed charges ,30.08,percent of total billed charges ,30.08,percent of total billed charges ,25.78,percent of total billed charges ,25.78,percent of total billed charges ,25.78,percent of total billed charges ,25.78,percent of total billed charges ,,,,,22.86,percent of total billed charges ,,,,,21.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,
NF-Janumet Oral Tablet 50MG-500MG,250,RC,60575-01-7501,NDC,,both,1,each,37.32,37.32,10.45,37.32,37.32,percent of total billed charges,37.32,percent of total billed charges,37.32,percent of total billed charges,37.32,percent of total billed charges,37.32,percent of total billed charges,37.32,percent of total billed charges,37.32,percent of total billed charges,37.32,percent of total billed charges,26.87,percent of total billed charges,26.87,percent of total billed charges,26.87,percent of total billed charges,26.87,percent of total billed charges,26.87,percent of total billed charges,26.87,percent of total billed charges,27.62,percent of total billed charges,27.62,percent of total billed charges,29.86,percent of total billed charges,29.86,percent of total billed charges,,,26.87,percent of total billed charges ,,,29.86,percent of total billed charges ,31.35,percent of total billed charges ,31.35,percent of total billed charges ,29.11,percent of total billed charges ,29.11,percent of total billed charges ,29.86,percent of total billed charges ,29.86,percent of total billed charges ,26.12,percent of total billed charges ,26.12,percent of total billed charges ,22.39,percent of total billed charges ,22.39,percent of total billed charges ,22.39,percent of total billed charges ,22.39,percent of total billed charges ,,,,,19.85,percent of total billed charges ,,,,,18.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,,,10.45,percent of total billed charges,
NF-Ferrous Sulfate Oral Solution 15MG/1M,250,RC,53611-54-5480,NDC,,both,1,each,17.64,17.64,4.94,17.64,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,13.05,percent of total billed charges,13.05,percent of total billed charges,14.11,percent of total billed charges,14.11,percent of total billed charges,,,12.7,percent of total billed charges ,,,14.11,percent of total billed charges ,14.82,percent of total billed charges ,14.82,percent of total billed charges ,13.76,percent of total billed charges ,13.76,percent of total billed charges ,14.11,percent of total billed charges ,14.11,percent of total billed charges ,12.35,percent of total billed charges ,12.35,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,,,,,9.38,percent of total billed charges ,,,,,8.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,
NF-Ferrous Sulfate Oral Solution 15MG/1M,259,RC,50383-06-2750,NDC,,both,1,each,17.64,17.64,4.94,17.64,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,12.7,percent of total billed charges,13.05,percent of total billed charges,13.05,percent of total billed charges,14.11,percent of total billed charges,14.11,percent of total billed charges,,,12.7,percent of total billed charges ,,,14.11,percent of total billed charges ,14.82,percent of total billed charges ,14.82,percent of total billed charges ,13.76,percent of total billed charges ,13.76,percent of total billed charges ,14.11,percent of total billed charges ,14.11,percent of total billed charges ,12.35,percent of total billed charges ,12.35,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,,,,,9.38,percent of total billed charges ,,,,,8.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,,,4.94,percent of total billed charges,
NF-Itraconazole Capsule 100MG,250,RC,60887-02-9995,NDC,,both,1,each,9.1,9.1,2.55,9.1,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.73,percent of total billed charges,6.73,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,,,6.55,percent of total billed charges ,,,7.28,percent of total billed charges ,7.64,percent of total billed charges ,7.64,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,6.37,percent of total billed charges ,6.37,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,,,,,4.84,percent of total billed charges ,,,,,4.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,
NF-Itraconazole Capsule 100MG,259,RC,60687-02-9995,NDC,,both,1,each,9.1,9.1,2.55,9.1,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,6.73,percent of total billed charges,6.73,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,,,6.55,percent of total billed charges ,,,7.28,percent of total billed charges ,7.64,percent of total billed charges ,7.64,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,6.37,percent of total billed charges ,6.37,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,,,,,4.84,percent of total billed charges ,,,,,4.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,
NF-IVERMECTIN 3MG TAB,250,RC,42799-08-0601,NDC,,both,1,each,19.51,19.51,5.46,19.51,19.51,percent of total billed charges,19.51,percent of total billed charges,19.51,percent of total billed charges,19.51,percent of total billed charges,19.51,percent of total billed charges,19.51,percent of total billed charges,19.51,percent of total billed charges,19.51,percent of total billed charges,14.05,percent of total billed charges,14.05,percent of total billed charges,14.05,percent of total billed charges,14.05,percent of total billed charges,14.05,percent of total billed charges,14.05,percent of total billed charges,14.44,percent of total billed charges,14.44,percent of total billed charges,15.61,percent of total billed charges,15.61,percent of total billed charges,,,14.05,percent of total billed charges ,,,15.61,percent of total billed charges ,16.39,percent of total billed charges ,16.39,percent of total billed charges ,15.22,percent of total billed charges ,15.22,percent of total billed charges ,15.61,percent of total billed charges ,15.61,percent of total billed charges ,13.66,percent of total billed charges ,13.66,percent of total billed charges ,11.71,percent of total billed charges ,11.71,percent of total billed charges ,11.71,percent of total billed charges ,11.71,percent of total billed charges ,,,,,10.38,percent of total billed charges ,,,,,9.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,,,5.46,percent of total billed charges,
NF-Sarna Sensitive Anti-Itch Topical Lot,250,RC,14506-30-3005,NDC,,both,1,each,55.98,55.98,15.67,55.98,55.98,percent of total billed charges,55.98,percent of total billed charges,55.98,percent of total billed charges,55.98,percent of total billed charges,55.98,percent of total billed charges,55.98,percent of total billed charges,55.98,percent of total billed charges,55.98,percent of total billed charges,40.31,percent of total billed charges,40.31,percent of total billed charges,40.31,percent of total billed charges,40.31,percent of total billed charges,40.31,percent of total billed charges,40.31,percent of total billed charges,41.43,percent of total billed charges,41.43,percent of total billed charges,44.78,percent of total billed charges,44.78,percent of total billed charges,,,40.31,percent of total billed charges ,,,44.78,percent of total billed charges ,47.02,percent of total billed charges ,47.02,percent of total billed charges ,43.66,percent of total billed charges ,43.66,percent of total billed charges ,44.78,percent of total billed charges ,44.78,percent of total billed charges ,39.19,percent of total billed charges ,39.19,percent of total billed charges ,33.59,percent of total billed charges ,33.59,percent of total billed charges ,33.59,percent of total billed charges ,33.59,percent of total billed charges ,,,,,29.78,percent of total billed charges ,,,,,28.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,,,15.67,percent of total billed charges,
NF-Auryxia Oral Tablet 1GM,259,RC,59922-06-3101,NDC,,both,1,each,18.33,18.33,5.13,18.33,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.56,percent of total billed charges,13.56,percent of total billed charges,14.66,percent of total billed charges,14.66,percent of total billed charges,,,13.2,percent of total billed charges ,,,14.66,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,14.3,percent of total billed charges ,14.3,percent of total billed charges ,14.66,percent of total billed charges ,14.66,percent of total billed charges ,12.83,percent of total billed charges ,12.83,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,,,,,9.75,percent of total billed charges ,,,,,9.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,
NF-Auryxia Oral Tablet 1GM,259,RC,59922-06-3101,NDC,,both,1,each,18.33,18.33,5.13,18.33,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,18.33,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.2,percent of total billed charges,13.56,percent of total billed charges,13.56,percent of total billed charges,14.66,percent of total billed charges,14.66,percent of total billed charges,,,13.2,percent of total billed charges ,,,14.66,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,14.3,percent of total billed charges ,14.3,percent of total billed charges ,14.66,percent of total billed charges ,14.66,percent of total billed charges ,12.83,percent of total billed charges ,12.83,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,,,,,9.75,percent of total billed charges ,,,,,9.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,,,5.13,percent of total billed charges,
NF-Pantoprazole Sodium Tablet DR 20MG,250,RC,50268-06-3615,NDC,,both,1,each,1.04,1.04,0.29,1.04,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,,,0.75,percent of total billed charges ,,,0.83,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,
NF-Itraconazole Oral Solution 10MG/ML,250,RC,10147-01-5001,NDC,,both,1,each,231.42,231.42,64.8,231.42,231.42,percent of total billed charges,231.42,percent of total billed charges,231.42,percent of total billed charges,231.42,percent of total billed charges,231.42,percent of total billed charges,231.42,percent of total billed charges,231.42,percent of total billed charges,231.42,percent of total billed charges,166.62,percent of total billed charges,166.62,percent of total billed charges,166.62,percent of total billed charges,166.62,percent of total billed charges,166.62,percent of total billed charges,166.62,percent of total billed charges,171.25,percent of total billed charges,171.25,percent of total billed charges,185.14,percent of total billed charges,185.14,percent of total billed charges,,,166.62,percent of total billed charges ,,,185.14,percent of total billed charges ,194.39,percent of total billed charges ,194.39,percent of total billed charges ,180.51,percent of total billed charges ,180.51,percent of total billed charges ,185.14,percent of total billed charges ,185.14,percent of total billed charges ,161.99,percent of total billed charges ,161.99,percent of total billed charges ,138.85,percent of total billed charges ,138.85,percent of total billed charges ,138.85,percent of total billed charges ,138.85,percent of total billed charges ,,,,,123.12,percent of total billed charges ,,,,,116.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,,,64.8,percent of total billed charges,
NF-Itraconazole Oral Solution 10MG/ML,250,RC,65162-00-8774,NDC,,both,1,each,146.65,146.65,41.06,146.65,146.65,percent of total billed charges,146.65,percent of total billed charges,146.65,percent of total billed charges,146.65,percent of total billed charges,146.65,percent of total billed charges,146.65,percent of total billed charges,146.65,percent of total billed charges,146.65,percent of total billed charges,105.59,percent of total billed charges,105.59,percent of total billed charges,105.59,percent of total billed charges,105.59,percent of total billed charges,105.59,percent of total billed charges,105.59,percent of total billed charges,108.52,percent of total billed charges,108.52,percent of total billed charges,117.32,percent of total billed charges,117.32,percent of total billed charges,,,105.59,percent of total billed charges ,,,117.32,percent of total billed charges ,123.19,percent of total billed charges ,123.19,percent of total billed charges ,114.39,percent of total billed charges ,114.39,percent of total billed charges ,117.32,percent of total billed charges ,117.32,percent of total billed charges ,102.66,percent of total billed charges ,102.66,percent of total billed charges ,87.99,percent of total billed charges ,87.99,percent of total billed charges ,87.99,percent of total billed charges ,87.99,percent of total billed charges ,,,,,78.02,percent of total billed charges ,,,,,74.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,,,41.06,percent of total billed charges,
NF-Potassium Citrate Oral Tablet ER 10ME,250,RC,68084-08-5032,NDC,,both,1,each,11.28,11.28,3.16,11.28,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,8.12,percent of total billed charges,8.12,percent of total billed charges,8.12,percent of total billed charges,8.12,percent of total billed charges,8.12,percent of total billed charges,8.12,percent of total billed charges,8.35,percent of total billed charges,8.35,percent of total billed charges,9.02,percent of total billed charges,9.02,percent of total billed charges,,,8.12,percent of total billed charges ,,,9.02,percent of total billed charges ,9.48,percent of total billed charges ,9.48,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,9.02,percent of total billed charges ,9.02,percent of total billed charges ,7.9,percent of total billed charges ,7.9,percent of total billed charges ,6.77,percent of total billed charges ,6.77,percent of total billed charges ,6.77,percent of total billed charges ,6.77,percent of total billed charges ,,,,,6,percent of total billed charges ,,,,,5.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,,,3.16,percent of total billed charges,
NF-Viread Oral Tablet 300MG (Tenofovir),250,RC,54569-53-3400,NDC,,both,1,each,19.9,19.9,5.57,19.9,19.9,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,14.33,percent of total billed charges,14.33,percent of total billed charges,14.33,percent of total billed charges,14.33,percent of total billed charges,14.33,percent of total billed charges,14.33,percent of total billed charges,14.73,percent of total billed charges,14.73,percent of total billed charges,15.92,percent of total billed charges,15.92,percent of total billed charges,,,14.33,percent of total billed charges ,,,15.92,percent of total billed charges ,16.72,percent of total billed charges ,16.72,percent of total billed charges ,15.52,percent of total billed charges ,15.52,percent of total billed charges ,15.92,percent of total billed charges ,15.92,percent of total billed charges ,13.93,percent of total billed charges ,13.93,percent of total billed charges ,11.94,percent of total billed charges ,11.94,percent of total billed charges ,11.94,percent of total billed charges ,11.94,percent of total billed charges ,,,,,10.59,percent of total billed charges ,,,,,10.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,,,5.57,percent of total billed charges,
NF-Dexilant Delayed-Release Capsule 60MG,250,RC,54868-61-5200,NDC,,both,1,each,51.28,51.28,14.36,51.28,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,37.95,percent of total billed charges,37.95,percent of total billed charges,41.02,percent of total billed charges,41.02,percent of total billed charges,,,36.92,percent of total billed charges ,,,41.02,percent of total billed charges ,43.08,percent of total billed charges ,43.08,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,41.02,percent of total billed charges ,41.02,percent of total billed charges ,35.9,percent of total billed charges ,35.9,percent of total billed charges ,30.77,percent of total billed charges ,30.77,percent of total billed charges ,30.77,percent of total billed charges ,30.77,percent of total billed charges ,,,,,27.28,percent of total billed charges ,,,,,25.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,
NF-rOPINIRole Oral Extended Release Tab,250,RC,78157-80-8031,NDC,,both,1,each,4.05,4.05,1.13,4.05,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,4.05,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,,,2.92,percent of total billed charges ,,,3.24,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.16,percent of total billed charges ,3.16,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,,,,,2.15,percent of total billed charges ,,,,,2.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,
NF-Aranesp Injection Solution 60 MCG/1ML,J0882,CDM,00023-42-9003,NDC,,both,1,each,"1,757.55","1,757.55",492.11,"1,757.55","1,757.55",percent of total billed charges,"1,757.55",percent of total billed charges,"1,757.55",percent of total billed charges,"1,757.55",percent of total billed charges,"1,757.55",percent of total billed charges,"1,757.55",percent of total billed charges,"1,757.55",percent of total billed charges,"1,757.55",percent of total billed charges,"1,265.44",percent of total billed charges,"1,265.44",percent of total billed charges,"1,265.44",percent of total billed charges,"1,265.44",percent of total billed charges,"1,265.44",percent of total billed charges,"1,265.44",percent of total billed charges,"1,300.59",percent of total billed charges,"1,300.59",percent of total billed charges,"1,406.04",percent of total billed charges,"1,406.04",percent of total billed charges,,,"1,265.44",percent of total billed charges ,,,"1,406.04",percent of total billed charges ,"1,476.34",percent of total billed charges ,"1,476.34",percent of total billed charges ,"1,370.89",percent of total billed charges ,"1,370.89",percent of total billed charges ,"1,406.04",percent of total billed charges ,"1,406.04",percent of total billed charges ,"1,230.29",percent of total billed charges ,"1,230.29",percent of total billed charges ,"1,054.53",percent of total billed charges ,"1,054.53",percent of total billed charges ,"1,054.53",percent of total billed charges ,"1,054.53",percent of total billed charges ,,,,,935.02,percent of total billed charges ,,,,,888.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,,,492.11,percent of total billed charges,
NF-Coenzyme Q-10 Liq Cap 100MG,250,RC,90458-82-8246,NDC,,both,1,each,1.94,1.94,0.54,1.94,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,,,1.4,percent of total billed charges ,,,1.55,percent of total billed charges ,1.63,percent of total billed charges ,1.63,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,,,,,1.03,percent of total billed charges ,,,,,0.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,
NF-Neupro TD Patch ER 4MG/24HR,250,RC,50474-08-0403,NDC,,both,1,each,123.3,123.3,34.52,123.3,123.3,percent of total billed charges,123.3,percent of total billed charges,123.3,percent of total billed charges,123.3,percent of total billed charges,123.3,percent of total billed charges,123.3,percent of total billed charges,123.3,percent of total billed charges,123.3,percent of total billed charges,88.78,percent of total billed charges,88.78,percent of total billed charges,88.78,percent of total billed charges,88.78,percent of total billed charges,88.78,percent of total billed charges,88.78,percent of total billed charges,91.24,percent of total billed charges,91.24,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,,,88.78,percent of total billed charges ,,,98.64,percent of total billed charges ,103.57,percent of total billed charges ,103.57,percent of total billed charges ,96.17,percent of total billed charges ,96.17,percent of total billed charges ,98.64,percent of total billed charges ,98.64,percent of total billed charges ,86.31,percent of total billed charges ,86.31,percent of total billed charges ,73.98,percent of total billed charges ,73.98,percent of total billed charges ,73.98,percent of total billed charges ,73.98,percent of total billed charges ,,,,,65.6,percent of total billed charges ,,,,,62.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,,,34.52,percent of total billed charges,
NF-rivastigmine TD Patch ER 13.3MG/24HR,250,RC,37890-72-7293,NDC,,both,1,each,29.71,29.71,8.32,29.71,29.71,percent of total billed charges,29.71,percent of total billed charges,29.71,percent of total billed charges,29.71,percent of total billed charges,29.71,percent of total billed charges,29.71,percent of total billed charges,29.71,percent of total billed charges,29.71,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.99,percent of total billed charges,21.99,percent of total billed charges,23.77,percent of total billed charges,23.77,percent of total billed charges,,,21.39,percent of total billed charges ,,,23.77,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,23.17,percent of total billed charges ,23.17,percent of total billed charges ,23.77,percent of total billed charges ,23.77,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,17.83,percent of total billed charges ,17.83,percent of total billed charges ,17.83,percent of total billed charges ,17.83,percent of total billed charges ,,,,,15.81,percent of total billed charges ,,,,,15.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,,,8.32,percent of total billed charges,
NF-Avelox Oral Tablet 400MG,250,RC,13411-01-0802,NDC,,both,1,each,26.47,26.47,7.41,26.47,26.47,percent of total billed charges,26.47,percent of total billed charges,26.47,percent of total billed charges,26.47,percent of total billed charges,26.47,percent of total billed charges,26.47,percent of total billed charges,26.47,percent of total billed charges,26.47,percent of total billed charges,19.06,percent of total billed charges,19.06,percent of total billed charges,19.06,percent of total billed charges,19.06,percent of total billed charges,19.06,percent of total billed charges,19.06,percent of total billed charges,19.59,percent of total billed charges,19.59,percent of total billed charges,21.18,percent of total billed charges,21.18,percent of total billed charges,,,19.06,percent of total billed charges ,,,21.18,percent of total billed charges ,22.23,percent of total billed charges ,22.23,percent of total billed charges ,20.65,percent of total billed charges ,20.65,percent of total billed charges ,21.18,percent of total billed charges ,21.18,percent of total billed charges ,18.53,percent of total billed charges ,18.53,percent of total billed charges ,15.88,percent of total billed charges ,15.88,percent of total billed charges ,15.88,percent of total billed charges ,15.88,percent of total billed charges ,,,,,14.08,percent of total billed charges ,,,,,13.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,
NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT,250,RC,17308-73-7310,NDC,,both,1,each,291.9,291.9,81.73,291.9,291.9,percent of total billed charges,291.9,percent of total billed charges,291.9,percent of total billed charges,291.9,percent of total billed charges,291.9,percent of total billed charges,291.9,percent of total billed charges,291.9,percent of total billed charges,291.9,percent of total billed charges,210.17,percent of total billed charges,210.17,percent of total billed charges,210.17,percent of total billed charges,210.17,percent of total billed charges,210.17,percent of total billed charges,210.17,percent of total billed charges,216.01,percent of total billed charges,216.01,percent of total billed charges,233.52,percent of total billed charges,233.52,percent of total billed charges,,,210.17,percent of total billed charges ,,,233.52,percent of total billed charges ,245.2,percent of total billed charges ,245.2,percent of total billed charges ,227.68,percent of total billed charges ,227.68,percent of total billed charges ,233.52,percent of total billed charges ,233.52,percent of total billed charges ,204.33,percent of total billed charges ,204.33,percent of total billed charges ,175.14,percent of total billed charges ,175.14,percent of total billed charges ,175.14,percent of total billed charges ,175.14,percent of total billed charges ,,,,,155.29,percent of total billed charges ,,,,,147.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,,,81.73,percent of total billed charges,
NF-DIFLUNISAL ORAL TABLET 500MG,259,RC,93075-50-5506,NDC,,both,1,each,12.91,12.91,3.61,12.91,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,9.3,percent of total billed charges,9.3,percent of total billed charges,9.3,percent of total billed charges,9.3,percent of total billed charges,9.3,percent of total billed charges,9.3,percent of total billed charges,9.55,percent of total billed charges,9.55,percent of total billed charges,10.33,percent of total billed charges,10.33,percent of total billed charges,,,9.3,percent of total billed charges ,,,10.33,percent of total billed charges ,10.84,percent of total billed charges ,10.84,percent of total billed charges ,10.07,percent of total billed charges ,10.07,percent of total billed charges ,10.33,percent of total billed charges ,10.33,percent of total billed charges ,9.04,percent of total billed charges ,9.04,percent of total billed charges ,7.75,percent of total billed charges ,7.75,percent of total billed charges ,7.75,percent of total billed charges ,7.75,percent of total billed charges ,,,,,6.87,percent of total billed charges ,,,,,6.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,,,3.61,percent of total billed charges,
NF-Alendronate Sodium Oral Tablet 70MG,259,RC,93517-12-7129,NDC,,both,1,each,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
NF-Breo Ellipta Inhalation Powder,250,RC,17308-82-8210,NDC,,both,1,each,595.56,595.56,166.76,595.56,595.56,percent of total billed charges,595.56,percent of total billed charges,595.56,percent of total billed charges,595.56,percent of total billed charges,595.56,percent of total billed charges,595.56,percent of total billed charges,595.56,percent of total billed charges,595.56,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,440.71,percent of total billed charges,440.71,percent of total billed charges,476.45,percent of total billed charges,476.45,percent of total billed charges,,,428.8,percent of total billed charges ,,,476.45,percent of total billed charges ,500.27,percent of total billed charges ,500.27,percent of total billed charges ,464.54,percent of total billed charges ,464.54,percent of total billed charges ,476.45,percent of total billed charges ,476.45,percent of total billed charges ,416.89,percent of total billed charges ,416.89,percent of total billed charges ,357.34,percent of total billed charges ,357.34,percent of total billed charges ,357.34,percent of total billed charges ,357.34,percent of total billed charges ,,,,,316.84,percent of total billed charges ,,,,,301,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,,,166.76,percent of total billed charges,
NF-Methocarbamol  Tab  750MG,637,RC,43547-02-2610,NDC,,both,1,each,0.6,0.6,0.17,0.6,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,,,0.43,percent of total billed charges ,,,0.48,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
NF-ZANAFLEX ORAL TABLET 2MG,250,RC,55289-07-1612,NDC,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
NF-Jardiance Oral Tablet 10MG,250,RC,59701-52-5237,NDC,,both,1,each,81.19,81.19,22.73,81.19,81.19,percent of total billed charges,81.19,percent of total billed charges,81.19,percent of total billed charges,81.19,percent of total billed charges,81.19,percent of total billed charges,81.19,percent of total billed charges,81.19,percent of total billed charges,81.19,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,60.08,percent of total billed charges,60.08,percent of total billed charges,64.95,percent of total billed charges,64.95,percent of total billed charges,,,58.46,percent of total billed charges ,,,64.95,percent of total billed charges ,68.2,percent of total billed charges ,68.2,percent of total billed charges ,63.33,percent of total billed charges ,63.33,percent of total billed charges ,64.95,percent of total billed charges ,64.95,percent of total billed charges ,56.83,percent of total billed charges ,56.83,percent of total billed charges ,48.71,percent of total billed charges ,48.71,percent of total billed charges ,48.71,percent of total billed charges ,48.71,percent of total billed charges ,,,,,43.19,percent of total billed charges ,,,,,41.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,,,22.73,percent of total billed charges,
NF-Invokana Oral Tablet 100MG,250,RC,50458-01-4030,NDC,,both,1,each,99.09,99.09,27.75,99.09,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,73.33,percent of total billed charges,73.33,percent of total billed charges,79.27,percent of total billed charges,79.27,percent of total billed charges,,,71.34,percent of total billed charges ,,,79.27,percent of total billed charges ,83.24,percent of total billed charges ,83.24,percent of total billed charges ,77.29,percent of total billed charges ,77.29,percent of total billed charges ,79.27,percent of total billed charges ,79.27,percent of total billed charges ,69.36,percent of total billed charges ,69.36,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,,,,,52.72,percent of total billed charges ,,,,,50.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,
NF-Exelon TD Patch ER 13.3MG/24HR,250,RC,78050-31-0315,NDC,,both,1,each,29.64,29.64,8.3,29.64,29.64,percent of total billed charges,29.64,percent of total billed charges,29.64,percent of total billed charges,29.64,percent of total billed charges,29.64,percent of total billed charges,29.64,percent of total billed charges,29.64,percent of total billed charges,29.64,percent of total billed charges,21.34,percent of total billed charges,21.34,percent of total billed charges,21.34,percent of total billed charges,21.34,percent of total billed charges,21.34,percent of total billed charges,21.34,percent of total billed charges,21.93,percent of total billed charges,21.93,percent of total billed charges,23.71,percent of total billed charges,23.71,percent of total billed charges,,,21.34,percent of total billed charges ,,,23.71,percent of total billed charges ,24.9,percent of total billed charges ,24.9,percent of total billed charges ,23.12,percent of total billed charges ,23.12,percent of total billed charges ,23.71,percent of total billed charges ,23.71,percent of total billed charges ,20.75,percent of total billed charges ,20.75,percent of total billed charges ,17.78,percent of total billed charges ,17.78,percent of total billed charges ,17.78,percent of total billed charges ,17.78,percent of total billed charges ,,,,,15.77,percent of total billed charges ,,,,,14.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,,,8.3,percent of total billed charges,
NF-Effer-K Oral Tab Eff 20MEQ,637,RC,51801-00-1130,NDC,,both,1,each,2.56,2.56,0.72,2.56,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,2.05,percent of total billed charges,2.05,percent of total billed charges,,,1.84,percent of total billed charges ,,,2.05,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,,,,,1.36,percent of total billed charges ,,,,,1.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,
NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT,637,RC,17308-73-7310,NDC,,both,1,each,291.06,291.06,81.5,291.06,291.06,percent of total billed charges,291.06,percent of total billed charges,291.06,percent of total billed charges,291.06,percent of total billed charges,291.06,percent of total billed charges,291.06,percent of total billed charges,291.06,percent of total billed charges,291.06,percent of total billed charges,209.56,percent of total billed charges,209.56,percent of total billed charges,209.56,percent of total billed charges,209.56,percent of total billed charges,209.56,percent of total billed charges,209.56,percent of total billed charges,215.38,percent of total billed charges,215.38,percent of total billed charges,232.85,percent of total billed charges,232.85,percent of total billed charges,,,209.56,percent of total billed charges ,,,232.85,percent of total billed charges ,244.49,percent of total billed charges ,244.49,percent of total billed charges ,227.03,percent of total billed charges ,227.03,percent of total billed charges ,232.85,percent of total billed charges ,232.85,percent of total billed charges ,203.74,percent of total billed charges ,203.74,percent of total billed charges ,174.64,percent of total billed charges ,174.64,percent of total billed charges ,174.64,percent of total billed charges ,174.64,percent of total billed charges ,,,,,154.84,percent of total billed charges ,,,,,147.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,,,81.5,percent of total billed charges,
NF-Orphenadrine Citrate Oral Tab ER 100M,637,RC,10544-02-8320,NDC,,both,1,each,4.94,4.94,1.38,4.94,4.94,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,,,3.56,percent of total billed charges ,,,3.95,percent of total billed charges ,4.15,percent of total billed charges ,4.15,percent of total billed charges ,3.85,percent of total billed charges ,3.85,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,3.46,percent of total billed charges ,3.46,percent of total billed charges ,2.96,percent of total billed charges ,2.96,percent of total billed charges ,2.96,percent of total billed charges ,2.96,percent of total billed charges ,,,,,2.63,percent of total billed charges ,,,,,2.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,,,1.38,percent of total billed charges,
NF-MICONAZOLE 3 VAGINAL CREAM 4%-2%,250,RC,30142-09-8200,NDC,,both,1,each,100.98,100.98,28.27,100.98,100.98,percent of total billed charges,100.98,percent of total billed charges,100.98,percent of total billed charges,100.98,percent of total billed charges,100.98,percent of total billed charges,100.98,percent of total billed charges,100.98,percent of total billed charges,100.98,percent of total billed charges,72.71,percent of total billed charges,72.71,percent of total billed charges,72.71,percent of total billed charges,72.71,percent of total billed charges,72.71,percent of total billed charges,72.71,percent of total billed charges,74.73,percent of total billed charges,74.73,percent of total billed charges,80.78,percent of total billed charges,80.78,percent of total billed charges,,,72.71,percent of total billed charges ,,,80.78,percent of total billed charges ,84.82,percent of total billed charges ,84.82,percent of total billed charges ,78.76,percent of total billed charges ,78.76,percent of total billed charges ,80.78,percent of total billed charges ,80.78,percent of total billed charges ,70.69,percent of total billed charges ,70.69,percent of total billed charges ,60.59,percent of total billed charges ,60.59,percent of total billed charges ,60.59,percent of total billed charges ,60.59,percent of total billed charges ,,,,,53.72,percent of total billed charges ,,,,,51.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,,,28.27,percent of total billed charges,
NF-TELMISARTAN ORAL TABLET 20MG,250,RC,68462-01-9930,NDC,,both,1,each,1.65,1.65,0.46,1.65,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,,,1.19,percent of total billed charges ,,,1.32,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,,,,,0.88,percent of total billed charges ,,,,,0.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
NF-Cranberry Concentrate Capsule 500MG,250,RC,54629-00-0020,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-MEMANTINE HCL ORAL CAPSULE ER 7MG,250,RC,37854-35-3593,NDC,,both,1,each,6.63,6.63,1.86,6.63,6.63,percent of total billed charges,6.63,percent of total billed charges,6.63,percent of total billed charges,6.63,percent of total billed charges,6.63,percent of total billed charges,6.63,percent of total billed charges,6.63,percent of total billed charges,6.63,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.91,percent of total billed charges,4.91,percent of total billed charges,5.3,percent of total billed charges,5.3,percent of total billed charges,,,4.77,percent of total billed charges ,,,5.3,percent of total billed charges ,5.57,percent of total billed charges ,5.57,percent of total billed charges ,5.17,percent of total billed charges ,5.17,percent of total billed charges ,5.3,percent of total billed charges ,5.3,percent of total billed charges ,4.64,percent of total billed charges ,4.64,percent of total billed charges ,3.98,percent of total billed charges ,3.98,percent of total billed charges ,3.98,percent of total billed charges ,3.98,percent of total billed charges ,,,,,3.53,percent of total billed charges ,,,,,3.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,
NF-Telmisartan Oral Tablet 20MG,637,RC,68462-01-9913,NDC,,both,1,each,4.36,4.36,1.22,4.36,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,,,3.14,percent of total billed charges ,,,3.49,percent of total billed charges ,3.66,percent of total billed charges ,3.66,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,,,,,2.32,percent of total billed charges ,,,,,2.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,
NF-Lialda Oral Delayed-Release Tablet 1.,637,RC,54092-04-7612,NDC,,both,1,each,58.5,58.5,16.38,58.5,58.5,percent of total billed charges,58.5,percent of total billed charges,58.5,percent of total billed charges,58.5,percent of total billed charges,58.5,percent of total billed charges,58.5,percent of total billed charges,58.5,percent of total billed charges,58.5,percent of total billed charges,42.12,percent of total billed charges,42.12,percent of total billed charges,42.12,percent of total billed charges,42.12,percent of total billed charges,42.12,percent of total billed charges,42.12,percent of total billed charges,43.29,percent of total billed charges,43.29,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,,,42.12,percent of total billed charges ,,,46.8,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,45.63,percent of total billed charges ,45.63,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,40.95,percent of total billed charges ,40.95,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,,,,,31.12,percent of total billed charges ,,,,,29.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,,,16.38,percent of total billed charges,
NF-Super B50 Complex Capsule,250,RC,76108-39-3920,NDC,,both,1,each,0.56,0.56,0.16,0.56,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,,,0.4,percent of total billed charges ,,,0.45,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,
NF-Noxafil Intravenous Solution 18MG/1ML,250,RC,85433-10-3101,NDC,,both,1,each,"2,085.97","2,085.97",584.07,"2,085.97","2,085.97",percent of total billed charges,"2,085.97",percent of total billed charges,"2,085.97",percent of total billed charges,"2,085.97",percent of total billed charges,"2,085.97",percent of total billed charges,"2,085.97",percent of total billed charges,"2,085.97",percent of total billed charges,"2,085.97",percent of total billed charges,"1,501.90",percent of total billed charges,"1,501.90",percent of total billed charges,"1,501.90",percent of total billed charges,"1,501.90",percent of total billed charges,"1,501.90",percent of total billed charges,"1,501.90",percent of total billed charges,"1,543.62",percent of total billed charges,"1,543.62",percent of total billed charges,"1,668.78",percent of total billed charges,"1,668.78",percent of total billed charges,,,"1,501.90",percent of total billed charges ,,,"1,668.78",percent of total billed charges ,"1,752.21",percent of total billed charges ,"1,752.21",percent of total billed charges ,"1,627.06",percent of total billed charges ,"1,627.06",percent of total billed charges ,"1,668.78",percent of total billed charges ,"1,668.78",percent of total billed charges ,"1,460.18",percent of total billed charges ,"1,460.18",percent of total billed charges ,"1,251.58",percent of total billed charges ,"1,251.58",percent of total billed charges ,"1,251.58",percent of total billed charges ,"1,251.58",percent of total billed charges ,,,,,"1,109.74",percent of total billed charges ,,,,,"1,054.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,,,584.07,percent of total billed charges,
NF-Pazeo Ophthalmic Solution 0.7%,250,RC,65427-32-7325,NDC,,both,1,each,"1,107.50","1,107.50",310.1,"1,107.50","1,107.50",percent of total billed charges,"1,107.50",percent of total billed charges,"1,107.50",percent of total billed charges,"1,107.50",percent of total billed charges,"1,107.50",percent of total billed charges,"1,107.50",percent of total billed charges,"1,107.50",percent of total billed charges,"1,107.50",percent of total billed charges,797.4,percent of total billed charges,797.4,percent of total billed charges,797.4,percent of total billed charges,797.4,percent of total billed charges,797.4,percent of total billed charges,797.4,percent of total billed charges,819.55,percent of total billed charges,819.55,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,,,797.4,percent of total billed charges ,,,886,percent of total billed charges ,930.3,percent of total billed charges ,930.3,percent of total billed charges ,863.85,percent of total billed charges ,863.85,percent of total billed charges ,886,percent of total billed charges ,886,percent of total billed charges ,775.25,percent of total billed charges ,775.25,percent of total billed charges ,664.5,percent of total billed charges ,664.5,percent of total billed charges ,664.5,percent of total billed charges ,664.5,percent of total billed charges ,,,,,589.19,percent of total billed charges ,,,,,559.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,,,310.1,percent of total billed charges,
NF-PRALUENT SUBCUTANEOUS SOLUTION 75MG/1,250,RC,24590-30-0301,NDC,,both,1,each,"2,723.72","2,723.72",762.64,"2,723.72","2,723.72",percent of total billed charges,"2,723.72",percent of total billed charges,"2,723.72",percent of total billed charges,"2,723.72",percent of total billed charges,"2,723.72",percent of total billed charges,"2,723.72",percent of total billed charges,"2,723.72",percent of total billed charges,"2,723.72",percent of total billed charges,"1,961.08",percent of total billed charges,"1,961.08",percent of total billed charges,"1,961.08",percent of total billed charges,"1,961.08",percent of total billed charges,"1,961.08",percent of total billed charges,"1,961.08",percent of total billed charges,"2,015.55",percent of total billed charges,"2,015.55",percent of total billed charges,"2,178.98",percent of total billed charges,"2,178.98",percent of total billed charges,,,"1,961.08",percent of total billed charges ,,,"2,178.98",percent of total billed charges ,"2,287.92",percent of total billed charges ,"2,287.92",percent of total billed charges ,"2,124.50",percent of total billed charges ,"2,124.50",percent of total billed charges ,"2,178.98",percent of total billed charges ,"2,178.98",percent of total billed charges ,"1,906.60",percent of total billed charges ,"1,906.60",percent of total billed charges ,"1,634.23",percent of total billed charges ,"1,634.23",percent of total billed charges ,"1,634.23",percent of total billed charges ,"1,634.23",percent of total billed charges ,,,,,"1,449.02",percent of total billed charges ,,,,,"1,376.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,,,762.64,percent of total billed charges,
NF-Moxifloxacin HCl AvPak Tablet 400MG,250,RC,50268-05-7613,NDC,,both,1,each,27.57,27.57,7.72,27.57,27.57,percent of total billed charges,27.57,percent of total billed charges,27.57,percent of total billed charges,27.57,percent of total billed charges,27.57,percent of total billed charges,27.57,percent of total billed charges,27.57,percent of total billed charges,27.57,percent of total billed charges,19.85,percent of total billed charges,19.85,percent of total billed charges,19.85,percent of total billed charges,19.85,percent of total billed charges,19.85,percent of total billed charges,19.85,percent of total billed charges,20.4,percent of total billed charges,20.4,percent of total billed charges,22.06,percent of total billed charges,22.06,percent of total billed charges,,,19.85,percent of total billed charges ,,,22.06,percent of total billed charges ,23.16,percent of total billed charges ,23.16,percent of total billed charges ,21.5,percent of total billed charges ,21.5,percent of total billed charges ,22.06,percent of total billed charges ,22.06,percent of total billed charges ,19.3,percent of total billed charges ,19.3,percent of total billed charges ,16.54,percent of total billed charges ,16.54,percent of total billed charges ,16.54,percent of total billed charges ,16.54,percent of total billed charges ,,,,,14.67,percent of total billed charges ,,,,,13.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,,,7.72,percent of total billed charges,
NF-Dexilant Delayed-Release Capsule 60MG,250,RC,64764-01-7530,NDC,,both,1,each,51.28,51.28,14.36,51.28,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,51.28,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,37.95,percent of total billed charges,37.95,percent of total billed charges,41.02,percent of total billed charges,41.02,percent of total billed charges,,,36.92,percent of total billed charges ,,,41.02,percent of total billed charges ,43.08,percent of total billed charges ,43.08,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,41.02,percent of total billed charges ,41.02,percent of total billed charges ,35.9,percent of total billed charges ,35.9,percent of total billed charges ,30.77,percent of total billed charges ,30.77,percent of total billed charges ,30.77,percent of total billed charges ,30.77,percent of total billed charges ,,,,,27.28,percent of total billed charges ,,,,,25.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,,,14.36,percent of total billed charges,
NF-Dexilant Delayed-Release Capsule 60MG,250,RC,64764-01-7530,NDC,,both,1,each,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
NF-Farxiga Oral Tablet 5MG,250,RC,31062-05-0530,NDC,,both,1,each,96.35,96.35,26.98,96.35,96.35,percent of total billed charges,96.35,percent of total billed charges,96.35,percent of total billed charges,96.35,percent of total billed charges,96.35,percent of total billed charges,96.35,percent of total billed charges,96.35,percent of total billed charges,96.35,percent of total billed charges,69.37,percent of total billed charges,69.37,percent of total billed charges,69.37,percent of total billed charges,69.37,percent of total billed charges,69.37,percent of total billed charges,69.37,percent of total billed charges,71.3,percent of total billed charges,71.3,percent of total billed charges,77.08,percent of total billed charges,77.08,percent of total billed charges,,,69.37,percent of total billed charges ,,,77.08,percent of total billed charges ,80.93,percent of total billed charges ,80.93,percent of total billed charges ,75.15,percent of total billed charges ,75.15,percent of total billed charges ,77.08,percent of total billed charges ,77.08,percent of total billed charges ,67.45,percent of total billed charges ,67.45,percent of total billed charges ,57.81,percent of total billed charges ,57.81,percent of total billed charges ,57.81,percent of total billed charges ,57.81,percent of total billed charges ,,,,,51.26,percent of total billed charges ,,,,,48.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,,,26.98,percent of total billed charges,
NF-Vitamin C Oral Tablet ER 500MG,250,RC,11822-08-8027,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-Cefpodoxime Proxetil Oral Tab 100MG,250,RC,42043-01-2001,NDC,,both,1,each,18.75,18.75,5.25,18.75,18.75,percent of total billed charges,18.75,percent of total billed charges,18.75,percent of total billed charges,18.75,percent of total billed charges,18.75,percent of total billed charges,18.75,percent of total billed charges,18.75,percent of total billed charges,18.75,percent of total billed charges,13.5,percent of total billed charges,13.5,percent of total billed charges,13.5,percent of total billed charges,13.5,percent of total billed charges,13.5,percent of total billed charges,13.5,percent of total billed charges,13.88,percent of total billed charges,13.88,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,,,13.5,percent of total billed charges ,,,15,percent of total billed charges ,15.75,percent of total billed charges ,15.75,percent of total billed charges ,14.63,percent of total billed charges ,14.63,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,13.13,percent of total billed charges ,13.13,percent of total billed charges ,11.25,percent of total billed charges ,11.25,percent of total billed charges ,11.25,percent of total billed charges ,11.25,percent of total billed charges ,,,,,9.98,percent of total billed charges ,,,,,9.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,,,5.25,percent of total billed charges,
NF-Rytary ExtendedRelease Cap 61.25MG-24,250,RC,64896-06-6401,NDC,,both,1,each,19.79,19.79,5.54,19.79,19.79,percent of total billed charges,19.79,percent of total billed charges,19.79,percent of total billed charges,19.79,percent of total billed charges,19.79,percent of total billed charges,19.79,percent of total billed charges,19.79,percent of total billed charges,19.79,percent of total billed charges,14.25,percent of total billed charges,14.25,percent of total billed charges,14.25,percent of total billed charges,14.25,percent of total billed charges,14.25,percent of total billed charges,14.25,percent of total billed charges,14.64,percent of total billed charges,14.64,percent of total billed charges,15.83,percent of total billed charges,15.83,percent of total billed charges,,,14.25,percent of total billed charges ,,,15.83,percent of total billed charges ,16.62,percent of total billed charges ,16.62,percent of total billed charges ,15.44,percent of total billed charges ,15.44,percent of total billed charges ,15.83,percent of total billed charges ,15.83,percent of total billed charges ,13.85,percent of total billed charges ,13.85,percent of total billed charges ,11.87,percent of total billed charges ,11.87,percent of total billed charges ,11.87,percent of total billed charges ,11.87,percent of total billed charges ,,,,,10.53,percent of total billed charges ,,,,,10,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,,,5.54,percent of total billed charges,
NF-Cranberry Oral Capsule 500MG,250,RC,11822-05-8236,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-JANUVIA ORAL TABLET 50MG,637,RC,60112-54-1254,NDC,,both,1,each,43.54,43.54,12.19,43.54,43.54,percent of total billed charges,43.54,percent of total billed charges,43.54,percent of total billed charges,43.54,percent of total billed charges,43.54,percent of total billed charges,43.54,percent of total billed charges,43.54,percent of total billed charges,43.54,percent of total billed charges,31.35,percent of total billed charges,31.35,percent of total billed charges,31.35,percent of total billed charges,31.35,percent of total billed charges,31.35,percent of total billed charges,31.35,percent of total billed charges,32.22,percent of total billed charges,32.22,percent of total billed charges,34.83,percent of total billed charges,34.83,percent of total billed charges,,,31.35,percent of total billed charges ,,,34.83,percent of total billed charges ,36.57,percent of total billed charges ,36.57,percent of total billed charges ,33.96,percent of total billed charges ,33.96,percent of total billed charges ,34.83,percent of total billed charges ,34.83,percent of total billed charges ,30.48,percent of total billed charges ,30.48,percent of total billed charges ,26.12,percent of total billed charges ,26.12,percent of total billed charges ,26.12,percent of total billed charges ,26.12,percent of total billed charges ,,,,,23.16,percent of total billed charges ,,,,,22.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,,,12.19,percent of total billed charges,
NF-Co-Q-10 Oral Liquid Capsule 100MG,250,RC,88395-00-8240,NDC,,both,1,each,1.93,1.93,0.54,1.93,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,,,1.39,percent of total billed charges ,,,1.54,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,,,,,1.03,percent of total billed charges ,,,,,0.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,
NF-REMEDY W/OLIVAMINE SKIN REPAIR CREAM,250,RC,53329-01-6113,NDC,,both,1,each,40.45,40.45,11.33,40.45,40.45,percent of total billed charges,40.45,percent of total billed charges,40.45,percent of total billed charges,40.45,percent of total billed charges,40.45,percent of total billed charges,40.45,percent of total billed charges,40.45,percent of total billed charges,40.45,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.93,percent of total billed charges,29.93,percent of total billed charges,32.36,percent of total billed charges,32.36,percent of total billed charges,,,29.12,percent of total billed charges ,,,32.36,percent of total billed charges ,33.98,percent of total billed charges ,33.98,percent of total billed charges ,31.55,percent of total billed charges ,31.55,percent of total billed charges ,32.36,percent of total billed charges ,32.36,percent of total billed charges ,28.32,percent of total billed charges ,28.32,percent of total billed charges ,24.27,percent of total billed charges ,24.27,percent of total billed charges ,24.27,percent of total billed charges ,24.27,percent of total billed charges ,,,,,21.52,percent of total billed charges ,,,,,20.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,,,11.33,percent of total billed charges,
NF-OLANZAPINE DISINTEGRATING TAB 15MG,250,RC,24455-85-5585,NDC,,both,1,each,4.68,4.68,1.31,4.68,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,,,3.37,percent of total billed charges ,,,3.74,percent of total billed charges ,3.93,percent of total billed charges ,3.93,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.28,percent of total billed charges ,3.28,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,,,,,2.49,percent of total billed charges ,,,,,2.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,
NF-BIOTIN CAP 5000MCG,259,RC,52569-14-1408,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-Pantoprazole Sodium Oral Tablet EC 20,250,RC,65162-06-3609,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-Estradiol Vaginal Cream 0.1MG/1GM,259,RC,37887-70-7035,NDC,,both,1,each,430.56,430.56,120.56,430.56,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,318.61,percent of total billed charges,318.61,percent of total billed charges,344.45,percent of total billed charges,344.45,percent of total billed charges,,,310,percent of total billed charges ,,,344.45,percent of total billed charges ,361.67,percent of total billed charges ,361.67,percent of total billed charges ,335.84,percent of total billed charges ,335.84,percent of total billed charges ,344.45,percent of total billed charges ,344.45,percent of total billed charges ,301.39,percent of total billed charges ,301.39,percent of total billed charges ,258.34,percent of total billed charges ,258.34,percent of total billed charges ,258.34,percent of total billed charges ,258.34,percent of total billed charges ,,,,,229.06,percent of total billed charges ,,,,,217.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,,,120.56,percent of total billed charges,
NF-aMILoride HCl AvPak Tablet 5MG,250,RC,50268-00-7111,NDC,,both,1,each,1.16,1.16,0.32,1.16,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,,,0.84,percent of total billed charges ,,,0.93,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,
NF-Selenium Capsule 200mcg,250,RC,88395-00-5280,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-Dibucaine Ointment 1%,250,RC,16800-46-4631,NDC,,both,1,each,30,30,8.4,30,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,,,21.6,percent of total billed charges ,,,24,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,,,,,15.96,percent of total billed charges ,,,,,15.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,
NF-Coenzyme Q-10 Liquid Capsule 100MG,250,RC,11822-01-1958,NDC,,both,1,each,1.93,1.93,0.54,1.93,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,,,1.39,percent of total billed charges ,,,1.54,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,,,,,1.03,percent of total billed charges ,,,,,0.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,
NF-Cranberry Concentrate Capsule 500MG,250,RC,54629-00-0020,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-Xyzal Allergy 24HR Oral Tablet 5MG,259,RC,41167-35-1000,NDC,,both,1,each,4,4,1.12,4,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.96,percent of total billed charges,2.96,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,,,2.88,percent of total billed charges ,,,3.2,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,,,,,2.13,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
NF-Tadalafil Oral Tablet 5MG,250,RC,13668-05-6630,NDC,,both,1,each,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
NF-First-Omeprazole Pwd for Susp 2MG/1ML,250,RC,65628-00-7003,NDC,,both,1,each,2.19,2.19,0.61,2.19,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,,,1.58,percent of total billed charges ,,,1.75,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.71,percent of total billed charges ,1.71,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,
NF-GABAPENTIN SOLN 500MG/10ML,259,RC,42192-06-0816,NDC,,both,1,each,2.39,2.39,0.67,2.39,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,,,1.72,percent of total billed charges ,,,1.91,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
NF-Cranberry Oral Capsule 500MG,250,RC,50428-04-3133,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-Nuplazid Oral Capsule 34MG,259,RC,63090-03-4030,NDC,,both,1,each,679.6,679.6,190.29,679.6,679.6,percent of total billed charges,679.6,percent of total billed charges,679.6,percent of total billed charges,679.6,percent of total billed charges,679.6,percent of total billed charges,679.6,percent of total billed charges,679.6,percent of total billed charges,679.6,percent of total billed charges,489.31,percent of total billed charges,489.31,percent of total billed charges,489.31,percent of total billed charges,489.31,percent of total billed charges,489.31,percent of total billed charges,489.31,percent of total billed charges,502.9,percent of total billed charges,502.9,percent of total billed charges,543.68,percent of total billed charges,543.68,percent of total billed charges,,,489.31,percent of total billed charges ,,,543.68,percent of total billed charges ,570.86,percent of total billed charges ,570.86,percent of total billed charges ,530.09,percent of total billed charges ,530.09,percent of total billed charges ,543.68,percent of total billed charges ,543.68,percent of total billed charges ,475.72,percent of total billed charges ,475.72,percent of total billed charges ,407.76,percent of total billed charges ,407.76,percent of total billed charges ,407.76,percent of total billed charges ,407.76,percent of total billed charges ,,,,,361.55,percent of total billed charges ,,,,,343.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,,,190.29,percent of total billed charges,
NF-Rasagiline Mesylate Oral Tablet 1MG,259,RC,42571-02-2130,NDC,,both,1,each,166.28,166.28,46.56,166.28,166.28,percent of total billed charges,166.28,percent of total billed charges,166.28,percent of total billed charges,166.28,percent of total billed charges,166.28,percent of total billed charges,166.28,percent of total billed charges,166.28,percent of total billed charges,166.28,percent of total billed charges,119.72,percent of total billed charges,119.72,percent of total billed charges,119.72,percent of total billed charges,119.72,percent of total billed charges,119.72,percent of total billed charges,119.72,percent of total billed charges,123.05,percent of total billed charges,123.05,percent of total billed charges,133.02,percent of total billed charges,133.02,percent of total billed charges,,,119.72,percent of total billed charges ,,,133.02,percent of total billed charges ,139.68,percent of total billed charges ,139.68,percent of total billed charges ,129.7,percent of total billed charges ,129.7,percent of total billed charges ,133.02,percent of total billed charges ,133.02,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,99.77,percent of total billed charges ,99.77,percent of total billed charges ,99.77,percent of total billed charges ,99.77,percent of total billed charges ,,,,,88.46,percent of total billed charges ,,,,,84.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,,,46.56,percent of total billed charges,
NF-Rytary ExtendedRelease Cap 48.75MG-19,259,RC,64896-06-6301,NDC,,both,1,each,28.14,28.14,7.88,28.14,28.14,percent of total billed charges,28.14,percent of total billed charges,28.14,percent of total billed charges,28.14,percent of total billed charges,28.14,percent of total billed charges,28.14,percent of total billed charges,28.14,percent of total billed charges,28.14,percent of total billed charges,20.26,percent of total billed charges,20.26,percent of total billed charges,20.26,percent of total billed charges,20.26,percent of total billed charges,20.26,percent of total billed charges,20.26,percent of total billed charges,20.82,percent of total billed charges,20.82,percent of total billed charges,22.51,percent of total billed charges,22.51,percent of total billed charges,,,20.26,percent of total billed charges ,,,22.51,percent of total billed charges ,23.64,percent of total billed charges ,23.64,percent of total billed charges ,21.95,percent of total billed charges ,21.95,percent of total billed charges ,22.51,percent of total billed charges ,22.51,percent of total billed charges ,19.7,percent of total billed charges ,19.7,percent of total billed charges ,16.88,percent of total billed charges ,16.88,percent of total billed charges ,16.88,percent of total billed charges ,16.88,percent of total billed charges ,,,,,14.97,percent of total billed charges ,,,,,14.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,
NF-Ingrezza Oral Capsule 80MG,250,RC,70370-10-8001,NDC,,both,1,each,"1,346.60","1,346.60",377.05,"1,346.60","1,346.60",percent of total billed charges,"1,346.60",percent of total billed charges,"1,346.60",percent of total billed charges,"1,346.60",percent of total billed charges,"1,346.60",percent of total billed charges,"1,346.60",percent of total billed charges,"1,346.60",percent of total billed charges,"1,346.60",percent of total billed charges,969.55,percent of total billed charges,969.55,percent of total billed charges,969.55,percent of total billed charges,969.55,percent of total billed charges,969.55,percent of total billed charges,969.55,percent of total billed charges,996.48,percent of total billed charges,996.48,percent of total billed charges,"1,077.28",percent of total billed charges,"1,077.28",percent of total billed charges,,,969.55,percent of total billed charges ,,,"1,077.28",percent of total billed charges ,"1,131.14",percent of total billed charges ,"1,131.14",percent of total billed charges ,"1,050.35",percent of total billed charges ,"1,050.35",percent of total billed charges ,"1,077.28",percent of total billed charges ,"1,077.28",percent of total billed charges ,942.62,percent of total billed charges ,942.62,percent of total billed charges ,807.96,percent of total billed charges ,807.96,percent of total billed charges ,807.96,percent of total billed charges ,807.96,percent of total billed charges ,,,,,716.39,percent of total billed charges ,,,,,680.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,,,377.05,percent of total billed charges,
NF-Alendronate Sod Oral Tablet 35MG,250,RC,54868-58-6000,NDC,,both,1,each,10.29,10.29,2.88,10.29,10.29,percent of total billed charges,10.29,percent of total billed charges,10.29,percent of total billed charges,10.29,percent of total billed charges,10.29,percent of total billed charges,10.29,percent of total billed charges,10.29,percent of total billed charges,10.29,percent of total billed charges,7.41,percent of total billed charges,7.41,percent of total billed charges,7.41,percent of total billed charges,7.41,percent of total billed charges,7.41,percent of total billed charges,7.41,percent of total billed charges,7.61,percent of total billed charges,7.61,percent of total billed charges,8.23,percent of total billed charges,8.23,percent of total billed charges,,,7.41,percent of total billed charges ,,,8.23,percent of total billed charges ,8.64,percent of total billed charges ,8.64,percent of total billed charges ,8.03,percent of total billed charges ,8.03,percent of total billed charges ,8.23,percent of total billed charges ,8.23,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.17,percent of total billed charges ,6.17,percent of total billed charges ,6.17,percent of total billed charges ,6.17,percent of total billed charges ,,,,,5.47,percent of total billed charges ,,,,,5.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,,,2.88,percent of total billed charges,
NF-Daliresp Oral Tablet 250MCG,250,RC,31000-88-8828,NDC,,both,1,each,64.2,64.2,17.98,64.2,64.2,percent of total billed charges,64.2,percent of total billed charges,64.2,percent of total billed charges,64.2,percent of total billed charges,64.2,percent of total billed charges,64.2,percent of total billed charges,64.2,percent of total billed charges,64.2,percent of total billed charges,46.22,percent of total billed charges,46.22,percent of total billed charges,46.22,percent of total billed charges,46.22,percent of total billed charges,46.22,percent of total billed charges,46.22,percent of total billed charges,47.51,percent of total billed charges,47.51,percent of total billed charges,51.36,percent of total billed charges,51.36,percent of total billed charges,,,46.22,percent of total billed charges ,,,51.36,percent of total billed charges ,53.93,percent of total billed charges ,53.93,percent of total billed charges ,50.08,percent of total billed charges ,50.08,percent of total billed charges ,51.36,percent of total billed charges ,51.36,percent of total billed charges ,44.94,percent of total billed charges ,44.94,percent of total billed charges ,38.52,percent of total billed charges ,38.52,percent of total billed charges ,38.52,percent of total billed charges ,38.52,percent of total billed charges ,,,,,34.15,percent of total billed charges ,,,,,32.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,,,17.98,percent of total billed charges,
NF-Psyllium Oral Capsule,259,RC,88395-00-8534,NDC,,both,1,each,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
NF-PSYLLIUM HUSK CAPSULE,250,RC,46352-00-0106,NDC,,both,1,each,0.65,0.65,0.18,0.65,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,,,0.47,percent of total billed charges ,,,0.52,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
NF-rOPINIRole HCL ER Oral Tab 2MG,250,RC,54011-92-1925,NDC,,both,1,each,3.86,3.86,1.08,3.86,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,,,2.78,percent of total billed charges ,,,3.09,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,3.01,percent of total billed charges ,3.01,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,,,,,2.05,percent of total billed charges ,,,,,1.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,
NF-Leflunomide Oral Tablet 20MG,250,RC,95517-37-3730,NDC,,both,1,each,31.25,31.25,8.75,31.25,31.25,percent of total billed charges,31.25,percent of total billed charges,31.25,percent of total billed charges,31.25,percent of total billed charges,31.25,percent of total billed charges,31.25,percent of total billed charges,31.25,percent of total billed charges,31.25,percent of total billed charges,22.5,percent of total billed charges,22.5,percent of total billed charges,22.5,percent of total billed charges,22.5,percent of total billed charges,22.5,percent of total billed charges,22.5,percent of total billed charges,23.13,percent of total billed charges,23.13,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,,,22.5,percent of total billed charges ,,,25,percent of total billed charges ,26.25,percent of total billed charges ,26.25,percent of total billed charges ,24.38,percent of total billed charges ,24.38,percent of total billed charges ,25,percent of total billed charges ,25,percent of total billed charges ,21.88,percent of total billed charges ,21.88,percent of total billed charges ,18.75,percent of total billed charges ,18.75,percent of total billed charges ,18.75,percent of total billed charges ,18.75,percent of total billed charges ,,,,,16.63,percent of total billed charges ,,,,,15.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,,,8.75,percent of total billed charges,
NF-Blink Gel Tears Ophth Soln 0.25%,250,RC,29943-00-0410,NDC,,both,1,each,43.75,43.75,12.25,43.75,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,31.5,percent of total billed charges,31.5,percent of total billed charges,31.5,percent of total billed charges,31.5,percent of total billed charges,31.5,percent of total billed charges,31.5,percent of total billed charges,32.38,percent of total billed charges,32.38,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,,,31.5,percent of total billed charges ,,,35,percent of total billed charges ,36.75,percent of total billed charges ,36.75,percent of total billed charges ,34.13,percent of total billed charges ,34.13,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30.63,percent of total billed charges ,30.63,percent of total billed charges ,26.25,percent of total billed charges ,26.25,percent of total billed charges ,26.25,percent of total billed charges ,26.25,percent of total billed charges ,,,,,23.28,percent of total billed charges ,,,,,22.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,,,12.25,percent of total billed charges,
NF-Requip XL Oral Tab ER 2MG,637,RC,22836-58-5803,NDC,,both,1,each,17.1,17.1,4.79,17.1,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.65,percent of total billed charges,12.65,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,,,12.31,percent of total billed charges ,,,13.68,percent of total billed charges ,14.36,percent of total billed charges ,14.36,percent of total billed charges ,13.34,percent of total billed charges ,13.34,percent of total billed charges ,13.68,percent of total billed charges ,13.68,percent of total billed charges ,11.97,percent of total billed charges ,11.97,percent of total billed charges ,10.26,percent of total billed charges ,10.26,percent of total billed charges ,10.26,percent of total billed charges ,10.26,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,8.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,
NF-Requip XL Oral Tab ER 2MG,250,RC,54868-60-9300,NDC,,both,1,each,17.1,17.1,4.79,17.1,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,17.1,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.31,percent of total billed charges,12.65,percent of total billed charges,12.65,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,,,12.31,percent of total billed charges ,,,13.68,percent of total billed charges ,14.36,percent of total billed charges ,14.36,percent of total billed charges ,13.34,percent of total billed charges ,13.34,percent of total billed charges ,13.68,percent of total billed charges ,13.68,percent of total billed charges ,11.97,percent of total billed charges ,11.97,percent of total billed charges ,10.26,percent of total billed charges ,10.26,percent of total billed charges ,10.26,percent of total billed charges ,10.26,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,8.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,,,4.79,percent of total billed charges,
NF-Clobetasol Propionate Shampoo 0.05%,250,RC,47204-03-0394,NDC,,both,1,each,354.33,354.33,99.21,354.33,354.33,percent of total billed charges,354.33,percent of total billed charges,354.33,percent of total billed charges,354.33,percent of total billed charges,354.33,percent of total billed charges,354.33,percent of total billed charges,354.33,percent of total billed charges,354.33,percent of total billed charges,255.12,percent of total billed charges,255.12,percent of total billed charges,255.12,percent of total billed charges,255.12,percent of total billed charges,255.12,percent of total billed charges,255.12,percent of total billed charges,262.2,percent of total billed charges,262.2,percent of total billed charges,283.46,percent of total billed charges,283.46,percent of total billed charges,,,255.12,percent of total billed charges ,,,283.46,percent of total billed charges ,297.64,percent of total billed charges ,297.64,percent of total billed charges ,276.38,percent of total billed charges ,276.38,percent of total billed charges ,283.46,percent of total billed charges ,283.46,percent of total billed charges ,248.03,percent of total billed charges ,248.03,percent of total billed charges ,212.6,percent of total billed charges ,212.6,percent of total billed charges ,212.6,percent of total billed charges ,212.6,percent of total billed charges ,,,,,188.5,percent of total billed charges ,,,,,179.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,,,99.21,percent of total billed charges,
NF-Aspercreme Topical Cream 4%,250,RC,41167-00-5820,NDC,,both,1,each,33.15,33.15,9.28,33.15,33.15,percent of total billed charges,33.15,percent of total billed charges,33.15,percent of total billed charges,33.15,percent of total billed charges,33.15,percent of total billed charges,33.15,percent of total billed charges,33.15,percent of total billed charges,33.15,percent of total billed charges,23.87,percent of total billed charges,23.87,percent of total billed charges,23.87,percent of total billed charges,23.87,percent of total billed charges,23.87,percent of total billed charges,23.87,percent of total billed charges,24.53,percent of total billed charges,24.53,percent of total billed charges,26.52,percent of total billed charges,26.52,percent of total billed charges,,,23.87,percent of total billed charges ,,,26.52,percent of total billed charges ,27.85,percent of total billed charges ,27.85,percent of total billed charges ,25.86,percent of total billed charges ,25.86,percent of total billed charges ,26.52,percent of total billed charges ,26.52,percent of total billed charges ,23.21,percent of total billed charges ,23.21,percent of total billed charges ,19.89,percent of total billed charges ,19.89,percent of total billed charges ,19.89,percent of total billed charges ,19.89,percent of total billed charges ,,,,,17.64,percent of total billed charges ,,,,,16.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,,,9.28,percent of total billed charges,
NF-Bethanechol Chloride Oral Tablet 10MG,250,RC,52713-40-4001,NDC,,both,1,each,3.1,3.1,0.87,3.1,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,,,2.23,percent of total billed charges ,,,2.48,percent of total billed charges ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.42,percent of total billed charges ,2.42,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,,,,,1.65,percent of total billed charges ,,,,,1.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,
NF-Ramelteon Oral Tablet 8MG,250,RC,59121-91-9101,NDC,,both,1,each,10.98,10.98,3.07,10.98,10.98,percent of total billed charges,10.98,percent of total billed charges,10.98,percent of total billed charges,10.98,percent of total billed charges,10.98,percent of total billed charges,10.98,percent of total billed charges,10.98,percent of total billed charges,10.98,percent of total billed charges,7.91,percent of total billed charges,7.91,percent of total billed charges,7.91,percent of total billed charges,7.91,percent of total billed charges,7.91,percent of total billed charges,7.91,percent of total billed charges,8.13,percent of total billed charges,8.13,percent of total billed charges,8.78,percent of total billed charges,8.78,percent of total billed charges,,,7.91,percent of total billed charges ,,,8.78,percent of total billed charges ,9.22,percent of total billed charges ,9.22,percent of total billed charges ,8.56,percent of total billed charges ,8.56,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,7.69,percent of total billed charges ,7.69,percent of total billed charges ,6.59,percent of total billed charges ,6.59,percent of total billed charges ,6.59,percent of total billed charges ,6.59,percent of total billed charges ,,,,,5.84,percent of total billed charges ,,,,,5.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,,,3.07,percent of total billed charges,
NF-Myrbetriq Oral Tablet ER 25MG,250,RC,46926-01-0130,NDC,,both,1,each,74.02,74.02,20.73,74.02,74.02,percent of total billed charges,74.02,percent of total billed charges,74.02,percent of total billed charges,74.02,percent of total billed charges,74.02,percent of total billed charges,74.02,percent of total billed charges,74.02,percent of total billed charges,74.02,percent of total billed charges,53.29,percent of total billed charges,53.29,percent of total billed charges,53.29,percent of total billed charges,53.29,percent of total billed charges,53.29,percent of total billed charges,53.29,percent of total billed charges,54.77,percent of total billed charges,54.77,percent of total billed charges,59.22,percent of total billed charges,59.22,percent of total billed charges,,,53.29,percent of total billed charges ,,,59.22,percent of total billed charges ,62.18,percent of total billed charges ,62.18,percent of total billed charges ,57.74,percent of total billed charges ,57.74,percent of total billed charges ,59.22,percent of total billed charges ,59.22,percent of total billed charges ,51.81,percent of total billed charges ,51.81,percent of total billed charges ,44.41,percent of total billed charges ,44.41,percent of total billed charges ,44.41,percent of total billed charges ,44.41,percent of total billed charges ,,,,,39.38,percent of total billed charges ,,,,,37.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,
NF-K-Phos Neutral Tablet,250,RC,48611-25-2501,NDC,,both,1,each,3.71,3.71,1.04,3.71,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.75,percent of total billed charges,2.75,percent of total billed charges,2.97,percent of total billed charges,2.97,percent of total billed charges,,,2.67,percent of total billed charges ,,,2.97,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,2.89,percent of total billed charges ,2.89,percent of total billed charges ,2.97,percent of total billed charges ,2.97,percent of total billed charges ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.23,percent of total billed charges ,2.23,percent of total billed charges ,2.23,percent of total billed charges ,2.23,percent of total billed charges ,,,,,1.97,percent of total billed charges ,,,,,1.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,
NF-Fluorometholone Ophth Suspension 0.1%,250,RC,54868-40-1200,NDC,,both,1,each,402.41,402.41,112.67,402.41,402.41,percent of total billed charges,402.41,percent of total billed charges,402.41,percent of total billed charges,402.41,percent of total billed charges,402.41,percent of total billed charges,402.41,percent of total billed charges,402.41,percent of total billed charges,402.41,percent of total billed charges,289.74,percent of total billed charges,289.74,percent of total billed charges,289.74,percent of total billed charges,289.74,percent of total billed charges,289.74,percent of total billed charges,289.74,percent of total billed charges,297.78,percent of total billed charges,297.78,percent of total billed charges,321.93,percent of total billed charges,321.93,percent of total billed charges,,,289.74,percent of total billed charges ,,,321.93,percent of total billed charges ,338.02,percent of total billed charges ,338.02,percent of total billed charges ,313.88,percent of total billed charges ,313.88,percent of total billed charges ,321.93,percent of total billed charges ,321.93,percent of total billed charges ,281.69,percent of total billed charges ,281.69,percent of total billed charges ,241.45,percent of total billed charges ,241.45,percent of total billed charges ,241.45,percent of total billed charges ,241.45,percent of total billed charges ,,,,,214.08,percent of total billed charges ,,,,,203.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,,,112.67,percent of total billed charges,
NF-Veltassa PowderforSuspension 8.4GM/1P,250,RC,53436-00-8401,NDC,,both,1,each,219.27,219.27,61.4,219.27,219.27,percent of total billed charges,219.27,percent of total billed charges,219.27,percent of total billed charges,219.27,percent of total billed charges,219.27,percent of total billed charges,219.27,percent of total billed charges,219.27,percent of total billed charges,219.27,percent of total billed charges,157.87,percent of total billed charges,157.87,percent of total billed charges,157.87,percent of total billed charges,157.87,percent of total billed charges,157.87,percent of total billed charges,157.87,percent of total billed charges,162.26,percent of total billed charges,162.26,percent of total billed charges,175.42,percent of total billed charges,175.42,percent of total billed charges,,,157.87,percent of total billed charges ,,,175.42,percent of total billed charges ,184.19,percent of total billed charges ,184.19,percent of total billed charges ,171.03,percent of total billed charges ,171.03,percent of total billed charges ,175.42,percent of total billed charges ,175.42,percent of total billed charges ,153.49,percent of total billed charges ,153.49,percent of total billed charges ,131.56,percent of total billed charges ,131.56,percent of total billed charges ,131.56,percent of total billed charges ,131.56,percent of total billed charges ,,,,,116.65,percent of total billed charges ,,,,,110.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,,,61.4,percent of total billed charges,
NF-Biotin Oral Tablet 5MG,250,RC,10542-00-9512,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-Praluent Subcutaneous Solution 75MG/1,250,RC,24590-10-0101,NDC,,both,1,each,955.86,955.86,267.64,955.86,955.86,percent of total billed charges,955.86,percent of total billed charges,955.86,percent of total billed charges,955.86,percent of total billed charges,955.86,percent of total billed charges,955.86,percent of total billed charges,955.86,percent of total billed charges,955.86,percent of total billed charges,688.22,percent of total billed charges,688.22,percent of total billed charges,688.22,percent of total billed charges,688.22,percent of total billed charges,688.22,percent of total billed charges,688.22,percent of total billed charges,707.34,percent of total billed charges,707.34,percent of total billed charges,764.69,percent of total billed charges,764.69,percent of total billed charges,,,688.22,percent of total billed charges ,,,764.69,percent of total billed charges ,802.92,percent of total billed charges ,802.92,percent of total billed charges ,745.57,percent of total billed charges ,745.57,percent of total billed charges ,764.69,percent of total billed charges ,764.69,percent of total billed charges ,669.1,percent of total billed charges ,669.1,percent of total billed charges ,573.52,percent of total billed charges ,573.52,percent of total billed charges ,573.52,percent of total billed charges ,573.52,percent of total billed charges ,,,,,508.52,percent of total billed charges ,,,,,483.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,,,267.64,percent of total billed charges,
NF-Arixtra SubQ Solution 2.5MG/0.5ML,250,RC,67457-05-9200,NDC,,both,1,each,199.26,199.26,55.79,199.26,199.26,percent of total billed charges,199.26,percent of total billed charges,199.26,percent of total billed charges,199.26,percent of total billed charges,199.26,percent of total billed charges,199.26,percent of total billed charges,199.26,percent of total billed charges,199.26,percent of total billed charges,143.47,percent of total billed charges,143.47,percent of total billed charges,143.47,percent of total billed charges,143.47,percent of total billed charges,143.47,percent of total billed charges,143.47,percent of total billed charges,147.45,percent of total billed charges,147.45,percent of total billed charges,159.41,percent of total billed charges,159.41,percent of total billed charges,,,143.47,percent of total billed charges ,,,159.41,percent of total billed charges ,167.38,percent of total billed charges ,167.38,percent of total billed charges ,155.42,percent of total billed charges ,155.42,percent of total billed charges ,159.41,percent of total billed charges ,159.41,percent of total billed charges ,139.48,percent of total billed charges ,139.48,percent of total billed charges ,119.56,percent of total billed charges ,119.56,percent of total billed charges ,119.56,percent of total billed charges ,119.56,percent of total billed charges ,,,,,106.01,percent of total billed charges ,,,,,100.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,,,55.79,percent of total billed charges,
NF-Alendronate Sod Oral Tablet 70MG,250,RC,54868-58-6100,NDC,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
NF-Namenda XR Oral Capsule ER 7MG,250,RC,45634-07-0733,NDC,,both,1,each,9.48,9.48,2.65,9.48,9.48,percent of total billed charges,9.48,percent of total billed charges,9.48,percent of total billed charges,9.48,percent of total billed charges,9.48,percent of total billed charges,9.48,percent of total billed charges,9.48,percent of total billed charges,9.48,percent of total billed charges,6.83,percent of total billed charges,6.83,percent of total billed charges,6.83,percent of total billed charges,6.83,percent of total billed charges,6.83,percent of total billed charges,6.83,percent of total billed charges,7.02,percent of total billed charges,7.02,percent of total billed charges,7.58,percent of total billed charges,7.58,percent of total billed charges,,,6.83,percent of total billed charges ,,,7.58,percent of total billed charges ,7.96,percent of total billed charges ,7.96,percent of total billed charges ,7.39,percent of total billed charges ,7.39,percent of total billed charges ,7.58,percent of total billed charges ,7.58,percent of total billed charges ,6.64,percent of total billed charges ,6.64,percent of total billed charges ,5.69,percent of total billed charges ,5.69,percent of total billed charges ,5.69,percent of total billed charges ,5.69,percent of total billed charges ,,,,,5.04,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,,,2.65,percent of total billed charges,
NF-LOKELMA ORAL PWD FOR SUSP 10GM/1PACKE,250,RC,31011-10-1030,NDC,,both,1,each,102.26,102.26,28.63,102.26,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,75.67,percent of total billed charges,75.67,percent of total billed charges,81.81,percent of total billed charges,81.81,percent of total billed charges,,,73.63,percent of total billed charges ,,,81.81,percent of total billed charges ,85.9,percent of total billed charges ,85.9,percent of total billed charges ,79.76,percent of total billed charges ,79.76,percent of total billed charges ,81.81,percent of total billed charges ,81.81,percent of total billed charges ,71.58,percent of total billed charges ,71.58,percent of total billed charges ,61.36,percent of total billed charges ,61.36,percent of total billed charges ,61.36,percent of total billed charges ,61.36,percent of total billed charges ,,,,,54.4,percent of total billed charges ,,,,,51.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,
NF-fluvoxaMINE Maleate Tablet 50MG,250,RC,37804-12-1201,NDC,,both,1,each,1.38,1.38,0.39,1.38,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,,,0.99,percent of total billed charges ,,,1.1,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,,,,,0.73,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,
NF-HUMIRA SUBCUTANEOUS SOLUTION 40MG/0.4,250,RC,74055-40-5402,NDC,,both,1,each,"17,884.20","17,884.20","5,007.58","17,884.20","17,884.20",percent of total billed charges,"17,884.20",percent of total billed charges,"17,884.20",percent of total billed charges,"17,884.20",percent of total billed charges,"17,884.20",percent of total billed charges,"17,884.20",percent of total billed charges,"17,884.20",percent of total billed charges,"17,884.20",percent of total billed charges,"12,876.62",percent of total billed charges,"12,876.62",percent of total billed charges,"12,876.62",percent of total billed charges,"12,876.62",percent of total billed charges,"12,876.62",percent of total billed charges,"12,876.62",percent of total billed charges,"13,234.31",percent of total billed charges,"13,234.31",percent of total billed charges,"14,307.36",percent of total billed charges,"14,307.36",percent of total billed charges,,,"12,876.62",percent of total billed charges ,,,"14,307.36",percent of total billed charges ,"15,022.73",percent of total billed charges ,"15,022.73",percent of total billed charges ,"13,949.68",percent of total billed charges ,"13,949.68",percent of total billed charges ,"14,307.36",percent of total billed charges ,"14,307.36",percent of total billed charges ,"12,518.94",percent of total billed charges ,"12,518.94",percent of total billed charges ,"10,730.52",percent of total billed charges ,"10,730.52",percent of total billed charges ,"10,730.52",percent of total billed charges ,"10,730.52",percent of total billed charges ,,,,,"9,514.39",percent of total billed charges ,,,,,"9,038.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,,,"5,007.58",percent of total billed charges,
NF-SPRYCEL ORAL TABLET 50MG,250,RC,30528-11-2811,NDC,,both,1,each,542,542,151.76,542,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,401.08,percent of total billed charges,401.08,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,,,390.24,percent of total billed charges ,,,433.6,percent of total billed charges ,455.28,percent of total billed charges ,455.28,percent of total billed charges ,422.76,percent of total billed charges ,422.76,percent of total billed charges ,433.6,percent of total billed charges ,433.6,percent of total billed charges ,379.4,percent of total billed charges ,379.4,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,,,,,288.34,percent of total billed charges ,,,,,273.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,
NF-VALACYCLOVIR HCL ORAL TABLET 1GM,250,RC,68084-03-0921,NDC,,both,1,each,2.39,2.39,0.67,2.39,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,,,1.72,percent of total billed charges ,,,1.91,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
NF-Lokelma PwdforSusp 10GM/1Packet,250,RC,31011-10-1001,NDC,,both,1,each,102.26,102.26,28.63,102.26,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,102.26,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,73.63,percent of total billed charges,75.67,percent of total billed charges,75.67,percent of total billed charges,81.81,percent of total billed charges,81.81,percent of total billed charges,,,73.63,percent of total billed charges ,,,81.81,percent of total billed charges ,85.9,percent of total billed charges ,85.9,percent of total billed charges ,79.76,percent of total billed charges ,79.76,percent of total billed charges ,81.81,percent of total billed charges ,81.81,percent of total billed charges ,71.58,percent of total billed charges ,71.58,percent of total billed charges ,61.36,percent of total billed charges ,61.36,percent of total billed charges ,61.36,percent of total billed charges ,61.36,percent of total billed charges ,,,,,54.4,percent of total billed charges ,,,,,51.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,,,28.63,percent of total billed charges,
NF-Tacrolimus Oral Capsule 5MG,250,RC,37820-47-4701,NDC,,both,1,each,8.27,8.27,2.32,8.27,8.27,percent of total billed charges,8.27,percent of total billed charges,8.27,percent of total billed charges,8.27,percent of total billed charges,8.27,percent of total billed charges,8.27,percent of total billed charges,8.27,percent of total billed charges,8.27,percent of total billed charges,5.95,percent of total billed charges,5.95,percent of total billed charges,5.95,percent of total billed charges,5.95,percent of total billed charges,5.95,percent of total billed charges,5.95,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,6.62,percent of total billed charges,6.62,percent of total billed charges,,,5.95,percent of total billed charges ,,,6.62,percent of total billed charges ,6.95,percent of total billed charges ,6.95,percent of total billed charges ,6.45,percent of total billed charges ,6.45,percent of total billed charges ,6.62,percent of total billed charges ,6.62,percent of total billed charges ,5.79,percent of total billed charges ,5.79,percent of total billed charges ,4.96,percent of total billed charges ,4.96,percent of total billed charges ,4.96,percent of total billed charges ,4.96,percent of total billed charges ,,,,,4.4,percent of total billed charges ,,,,,4.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,,,2.32,percent of total billed charges,
NF-Asenapine Sublingual Tablet 10MG,250,RC,42794-00-1710,NDC,,both,1,each,18.16,18.16,5.08,18.16,18.16,percent of total billed charges,18.16,percent of total billed charges,18.16,percent of total billed charges,18.16,percent of total billed charges,18.16,percent of total billed charges,18.16,percent of total billed charges,18.16,percent of total billed charges,18.16,percent of total billed charges,13.08,percent of total billed charges,13.08,percent of total billed charges,13.08,percent of total billed charges,13.08,percent of total billed charges,13.08,percent of total billed charges,13.08,percent of total billed charges,13.44,percent of total billed charges,13.44,percent of total billed charges,14.53,percent of total billed charges,14.53,percent of total billed charges,,,13.08,percent of total billed charges ,,,14.53,percent of total billed charges ,15.25,percent of total billed charges ,15.25,percent of total billed charges ,14.16,percent of total billed charges ,14.16,percent of total billed charges ,14.53,percent of total billed charges ,14.53,percent of total billed charges ,12.71,percent of total billed charges ,12.71,percent of total billed charges ,10.9,percent of total billed charges ,10.9,percent of total billed charges ,10.9,percent of total billed charges ,10.9,percent of total billed charges ,,,,,9.66,percent of total billed charges ,,,,,9.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,,,5.08,percent of total billed charges,
NF-Myrbetriq Oral Tablet ER 25MG,250,RC,55154-87-1208,NDC,,both,1,each,76.11,76.11,21.31,76.11,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,60.89,percent of total billed charges,60.89,percent of total billed charges,,,54.8,percent of total billed charges ,,,60.89,percent of total billed charges ,63.93,percent of total billed charges ,63.93,percent of total billed charges ,59.37,percent of total billed charges ,59.37,percent of total billed charges ,60.89,percent of total billed charges ,60.89,percent of total billed charges ,53.28,percent of total billed charges ,53.28,percent of total billed charges ,45.67,percent of total billed charges ,45.67,percent of total billed charges ,45.67,percent of total billed charges ,45.67,percent of total billed charges ,,,,,40.49,percent of total billed charges ,,,,,38.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,
NF-Myrbetriq Oral Tablet ER 25MG,250,RC,55154-87-1208,NDC,,both,1,each,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
NF-SULFACETAMIDE SOD/SULFUR TOP SOAP 10%,250,RC,54295-03-0723,NDC,,both,1,each,225.29,225.29,63.08,225.29,225.29,percent of total billed charges,225.29,percent of total billed charges,225.29,percent of total billed charges,225.29,percent of total billed charges,225.29,percent of total billed charges,225.29,percent of total billed charges,225.29,percent of total billed charges,225.29,percent of total billed charges,162.21,percent of total billed charges,162.21,percent of total billed charges,162.21,percent of total billed charges,162.21,percent of total billed charges,162.21,percent of total billed charges,162.21,percent of total billed charges,166.71,percent of total billed charges,166.71,percent of total billed charges,180.23,percent of total billed charges,180.23,percent of total billed charges,,,162.21,percent of total billed charges ,,,180.23,percent of total billed charges ,189.24,percent of total billed charges ,189.24,percent of total billed charges ,175.73,percent of total billed charges ,175.73,percent of total billed charges ,180.23,percent of total billed charges ,180.23,percent of total billed charges ,157.7,percent of total billed charges ,157.7,percent of total billed charges ,135.17,percent of total billed charges ,135.17,percent of total billed charges ,135.17,percent of total billed charges ,135.17,percent of total billed charges ,,,,,119.85,percent of total billed charges ,,,,,113.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,,,63.08,percent of total billed charges,
NF-hydroCHLOROthiazide Oral Tab 12.5MG,250,RC,69315-01-5501,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-Myrbetriq Oral Tablet ER 25MG,250,RC,55154-87-1208,NDC,,both,1,each,76.11,76.11,21.31,76.11,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,54.8,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,60.89,percent of total billed charges,60.89,percent of total billed charges,,,54.8,percent of total billed charges ,,,60.89,percent of total billed charges ,63.93,percent of total billed charges ,63.93,percent of total billed charges ,59.37,percent of total billed charges ,59.37,percent of total billed charges ,60.89,percent of total billed charges ,60.89,percent of total billed charges ,53.28,percent of total billed charges ,53.28,percent of total billed charges ,45.67,percent of total billed charges ,45.67,percent of total billed charges ,45.67,percent of total billed charges ,45.67,percent of total billed charges ,,,,,40.49,percent of total billed charges ,,,,,38.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,
NF-Galantamine HBr Capsule ER 8MG,250,RC,65862-07-4430,NDC,,both,1,each,7.72,7.72,2.16,7.72,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.71,percent of total billed charges,5.71,percent of total billed charges,6.18,percent of total billed charges,6.18,percent of total billed charges,,,5.56,percent of total billed charges ,,,6.18,percent of total billed charges ,6.48,percent of total billed charges ,6.48,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,6.18,percent of total billed charges ,6.18,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,,,,,4.11,percent of total billed charges ,,,,,3.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,
NF-BIKTARVY ORAL TAB 50MG-200MG-25MG,637,RC,61958-25-0101,NDC,,both,1,each,645.31,645.31,180.69,645.31,645.31,percent of total billed charges,645.31,percent of total billed charges,645.31,percent of total billed charges,645.31,percent of total billed charges,645.31,percent of total billed charges,645.31,percent of total billed charges,645.31,percent of total billed charges,645.31,percent of total billed charges,464.62,percent of total billed charges,464.62,percent of total billed charges,464.62,percent of total billed charges,464.62,percent of total billed charges,464.62,percent of total billed charges,464.62,percent of total billed charges,477.53,percent of total billed charges,477.53,percent of total billed charges,516.25,percent of total billed charges,516.25,percent of total billed charges,,,464.62,percent of total billed charges ,,,516.25,percent of total billed charges ,542.06,percent of total billed charges ,542.06,percent of total billed charges ,503.34,percent of total billed charges ,503.34,percent of total billed charges ,516.25,percent of total billed charges ,516.25,percent of total billed charges ,451.72,percent of total billed charges ,451.72,percent of total billed charges ,387.19,percent of total billed charges ,387.19,percent of total billed charges ,387.19,percent of total billed charges ,387.19,percent of total billed charges ,,,,,343.3,percent of total billed charges ,,,,,326.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,,,180.69,percent of total billed charges,
NF-Lutein Tablet 20MG,250,RC,58487-08-0020,NDC,,both,1,each,1.47,1.47,0.41,1.47,1.47,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,,,1.06,percent of total billed charges ,,,1.18,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,,,,,0.78,percent of total billed charges ,,,,,0.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,
NF-Dakin's Solution Full Strength Soluti,250,RC,43609-46-4616,NDC,,both,1,each,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
NF-Methocarbamol Oral Tablet 750MG,250,RC,43547-02-2610,NDC,,both,1,each,0.6,0.6,0.17,0.6,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,,,0.43,percent of total billed charges ,,,0.48,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
NF-Cevimeline Hydrochloride Capsule 30MG,250,RC,54033-42-3425,NDC,,both,1,each,2.67,2.67,0.75,2.67,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,2.67,percent of total billed charges,1.92,percent of total billed charges,1.92,percent of total billed charges,1.92,percent of total billed charges,1.92,percent of total billed charges,1.92,percent of total billed charges,1.92,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,,,1.92,percent of total billed charges ,,,2.14,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,2.14,percent of total billed charges ,2.14,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,,,,,1.42,percent of total billed charges ,,,,,1.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,
NF-Mason Natural B-12 SL Tablet 5000MCG,250,RC,50428-04-3476,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-Latuda Oral Tablet 80MG,250,RC,63402-03-0804,NDC,,both,1,each,321.38,321.38,89.99,321.38,321.38,percent of total billed charges,321.38,percent of total billed charges,321.38,percent of total billed charges,321.38,percent of total billed charges,321.38,percent of total billed charges,321.38,percent of total billed charges,321.38,percent of total billed charges,321.38,percent of total billed charges,231.39,percent of total billed charges,231.39,percent of total billed charges,231.39,percent of total billed charges,231.39,percent of total billed charges,231.39,percent of total billed charges,231.39,percent of total billed charges,237.82,percent of total billed charges,237.82,percent of total billed charges,257.1,percent of total billed charges,257.1,percent of total billed charges,,,231.39,percent of total billed charges ,,,257.1,percent of total billed charges ,269.96,percent of total billed charges ,269.96,percent of total billed charges ,250.68,percent of total billed charges ,250.68,percent of total billed charges ,257.1,percent of total billed charges ,257.1,percent of total billed charges ,224.97,percent of total billed charges ,224.97,percent of total billed charges ,192.83,percent of total billed charges ,192.83,percent of total billed charges ,192.83,percent of total billed charges ,192.83,percent of total billed charges ,,,,,170.97,percent of total billed charges ,,,,,162.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,,,89.99,percent of total billed charges,
NF-Valerian Oral Capsule 450MG,250,RC,74312-03-3390,NDC,,both,1,each,0.65,0.65,0.18,0.65,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,,,0.47,percent of total billed charges ,,,0.52,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
NF-buPROPion HCL SR Tab ER 12Hr 200MG,250,RC,70436-00-6001,NDC,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF-tiZANidine HCl AvPak Tablet 2MG,250,RC,50268-07-5911,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-Vitamin B2 Tablet 50MG,250,RC,10432-00-6501,NDC,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-VItron-C Tab 125MG-65MG,259,RC,63736-01-2301,NDC,,both,1,each,1.01,1.01,0.28,1.01,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,,,0.73,percent of total billed charges ,,,0.81,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
NF-Linzess Oral Capsule 145MCG,250,RC,45612-01-0130,NDC,,both,1,each,85.34,85.34,23.9,85.34,85.34,percent of total billed charges,85.34,percent of total billed charges,85.34,percent of total billed charges,85.34,percent of total billed charges,85.34,percent of total billed charges,85.34,percent of total billed charges,85.34,percent of total billed charges,85.34,percent of total billed charges,61.44,percent of total billed charges,61.44,percent of total billed charges,61.44,percent of total billed charges,61.44,percent of total billed charges,61.44,percent of total billed charges,61.44,percent of total billed charges,63.15,percent of total billed charges,63.15,percent of total billed charges,68.27,percent of total billed charges,68.27,percent of total billed charges,,,61.44,percent of total billed charges ,,,68.27,percent of total billed charges ,71.69,percent of total billed charges ,71.69,percent of total billed charges ,66.57,percent of total billed charges ,66.57,percent of total billed charges ,68.27,percent of total billed charges ,68.27,percent of total billed charges ,59.74,percent of total billed charges ,59.74,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,,,,,45.4,percent of total billed charges ,,,,,43.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,,,23.9,percent of total billed charges,
NF-Corlanor Oral Tablet 5MG,250,RC,55513-08-0060,NDC,,both,1,each,49.15,49.15,13.76,49.15,49.15,percent of total billed charges,49.15,percent of total billed charges,49.15,percent of total billed charges,49.15,percent of total billed charges,49.15,percent of total billed charges,49.15,percent of total billed charges,49.15,percent of total billed charges,49.15,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,36.37,percent of total billed charges,36.37,percent of total billed charges,39.32,percent of total billed charges,39.32,percent of total billed charges,,,35.39,percent of total billed charges ,,,39.32,percent of total billed charges ,41.29,percent of total billed charges ,41.29,percent of total billed charges ,38.34,percent of total billed charges ,38.34,percent of total billed charges ,39.32,percent of total billed charges ,39.32,percent of total billed charges ,34.41,percent of total billed charges ,34.41,percent of total billed charges ,29.49,percent of total billed charges ,29.49,percent of total billed charges ,29.49,percent of total billed charges ,29.49,percent of total billed charges ,,,,,26.15,percent of total billed charges ,,,,,24.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,,,13.76,percent of total billed charges,
Myrbetriq (NF) Oral Tablet ER 25MG,250,RC,55154-87-1208,NDC,,both,1,each,101.24,101.24,28.35,101.24,101.24,percent of total billed charges,101.24,percent of total billed charges,101.24,percent of total billed charges,101.24,percent of total billed charges,101.24,percent of total billed charges,101.24,percent of total billed charges,101.24,percent of total billed charges,101.24,percent of total billed charges,72.89,percent of total billed charges,72.89,percent of total billed charges,72.89,percent of total billed charges,72.89,percent of total billed charges,72.89,percent of total billed charges,72.89,percent of total billed charges,74.92,percent of total billed charges,74.92,percent of total billed charges,80.99,percent of total billed charges,80.99,percent of total billed charges,,,72.89,percent of total billed charges ,,,80.99,percent of total billed charges ,85.04,percent of total billed charges ,85.04,percent of total billed charges ,78.97,percent of total billed charges ,78.97,percent of total billed charges ,80.99,percent of total billed charges ,80.99,percent of total billed charges ,70.87,percent of total billed charges ,70.87,percent of total billed charges ,60.74,percent of total billed charges ,60.74,percent of total billed charges ,60.74,percent of total billed charges ,60.74,percent of total billed charges ,,,,,53.86,percent of total billed charges ,,,,,51.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,,,28.35,percent of total billed charges,
NF-Yuvafem Vaginal Tablet 10MCG,250,RC,42291-09-6208,NDC,,both,1,each,106.34,106.34,29.78,106.34,106.34,percent of total billed charges,106.34,percent of total billed charges,106.34,percent of total billed charges,106.34,percent of total billed charges,106.34,percent of total billed charges,106.34,percent of total billed charges,106.34,percent of total billed charges,106.34,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,78.69,percent of total billed charges,78.69,percent of total billed charges,85.07,percent of total billed charges,85.07,percent of total billed charges,,,76.56,percent of total billed charges ,,,85.07,percent of total billed charges ,89.33,percent of total billed charges ,89.33,percent of total billed charges ,82.95,percent of total billed charges ,82.95,percent of total billed charges ,85.07,percent of total billed charges ,85.07,percent of total billed charges ,74.44,percent of total billed charges ,74.44,percent of total billed charges ,63.8,percent of total billed charges ,63.8,percent of total billed charges ,63.8,percent of total billed charges ,63.8,percent of total billed charges ,,,,,56.57,percent of total billed charges ,,,,,53.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,,,29.78,percent of total billed charges,
NF-Olumiant Oral Tablet 1MG,250,RC,24732-30-3230,NDC,,both,1,each,491.95,491.95,137.75,491.95,491.95,percent of total billed charges,491.95,percent of total billed charges,491.95,percent of total billed charges,491.95,percent of total billed charges,491.95,percent of total billed charges,491.95,percent of total billed charges,491.95,percent of total billed charges,491.95,percent of total billed charges,354.2,percent of total billed charges,354.2,percent of total billed charges,354.2,percent of total billed charges,354.2,percent of total billed charges,354.2,percent of total billed charges,354.2,percent of total billed charges,364.04,percent of total billed charges,364.04,percent of total billed charges,393.56,percent of total billed charges,393.56,percent of total billed charges,,,354.2,percent of total billed charges ,,,393.56,percent of total billed charges ,413.24,percent of total billed charges ,413.24,percent of total billed charges ,383.72,percent of total billed charges ,383.72,percent of total billed charges ,393.56,percent of total billed charges ,393.56,percent of total billed charges ,344.37,percent of total billed charges ,344.37,percent of total billed charges ,295.17,percent of total billed charges ,295.17,percent of total billed charges ,295.17,percent of total billed charges ,295.17,percent of total billed charges ,,,,,261.72,percent of total billed charges ,,,,,248.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,,,137.75,percent of total billed charges,
NF-Revlimid Oral Capsule 15MG,250,RC,59572-04-1500,NDC,,both,1,each,"5,857.57","5,857.57","1,640.12","5,857.57","5,857.57",percent of total billed charges,"5,857.57",percent of total billed charges,"5,857.57",percent of total billed charges,"5,857.57",percent of total billed charges,"5,857.57",percent of total billed charges,"5,857.57",percent of total billed charges,"5,857.57",percent of total billed charges,"5,857.57",percent of total billed charges,"4,217.45",percent of total billed charges,"4,217.45",percent of total billed charges,"4,217.45",percent of total billed charges,"4,217.45",percent of total billed charges,"4,217.45",percent of total billed charges,"4,217.45",percent of total billed charges,"4,334.60",percent of total billed charges,"4,334.60",percent of total billed charges,"4,686.06",percent of total billed charges,"4,686.06",percent of total billed charges,,,"4,217.45",percent of total billed charges ,,,"4,686.06",percent of total billed charges ,"4,920.36",percent of total billed charges ,"4,920.36",percent of total billed charges ,"4,568.90",percent of total billed charges ,"4,568.90",percent of total billed charges ,"4,686.06",percent of total billed charges ,"4,686.06",percent of total billed charges ,"4,100.30",percent of total billed charges ,"4,100.30",percent of total billed charges ,"3,514.54",percent of total billed charges ,"3,514.54",percent of total billed charges ,"3,514.54",percent of total billed charges ,"3,514.54",percent of total billed charges ,,,,,"3,116.23",percent of total billed charges ,,,,,"2,960.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,,,"1,640.12",percent of total billed charges,
NF-DIFLUPREDNATE OPHTH EMUL 0.05%,250,RC,69097-03-4135,NDC,,both,1,each,"1,094.29","1,094.29",306.4,"1,094.29","1,094.29",percent of total billed charges,"1,094.29",percent of total billed charges,"1,094.29",percent of total billed charges,"1,094.29",percent of total billed charges,"1,094.29",percent of total billed charges,"1,094.29",percent of total billed charges,"1,094.29",percent of total billed charges,"1,094.29",percent of total billed charges,787.89,percent of total billed charges,787.89,percent of total billed charges,787.89,percent of total billed charges,787.89,percent of total billed charges,787.89,percent of total billed charges,787.89,percent of total billed charges,809.77,percent of total billed charges,809.77,percent of total billed charges,875.43,percent of total billed charges,875.43,percent of total billed charges,,,787.89,percent of total billed charges ,,,875.43,percent of total billed charges ,919.2,percent of total billed charges ,919.2,percent of total billed charges ,853.55,percent of total billed charges ,853.55,percent of total billed charges ,875.43,percent of total billed charges ,875.43,percent of total billed charges ,766,percent of total billed charges ,766,percent of total billed charges ,656.57,percent of total billed charges ,656.57,percent of total billed charges ,656.57,percent of total billed charges ,656.57,percent of total billed charges ,,,,,582.16,percent of total billed charges ,,,,,553.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,,,306.4,percent of total billed charges,
NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML,250,RC,21433-80-3380,NDC,,both,1,each,"1,422.64","1,422.64",398.34,"1,422.64","1,422.64",percent of total billed charges,"1,422.64",percent of total billed charges,"1,422.64",percent of total billed charges,"1,422.64",percent of total billed charges,"1,422.64",percent of total billed charges,"1,422.64",percent of total billed charges,"1,422.64",percent of total billed charges,"1,422.64",percent of total billed charges,"1,024.30",percent of total billed charges,"1,024.30",percent of total billed charges,"1,024.30",percent of total billed charges,"1,024.30",percent of total billed charges,"1,024.30",percent of total billed charges,"1,024.30",percent of total billed charges,"1,052.75",percent of total billed charges,"1,052.75",percent of total billed charges,"1,138.11",percent of total billed charges,"1,138.11",percent of total billed charges,,,"1,024.30",percent of total billed charges ,,,"1,138.11",percent of total billed charges ,"1,195.02",percent of total billed charges ,"1,195.02",percent of total billed charges ,"1,109.66",percent of total billed charges ,"1,109.66",percent of total billed charges ,"1,138.11",percent of total billed charges ,"1,138.11",percent of total billed charges ,995.85,percent of total billed charges ,995.85,percent of total billed charges ,853.58,percent of total billed charges ,853.58,percent of total billed charges ,853.58,percent of total billed charges ,853.58,percent of total billed charges ,,,,,756.84,percent of total billed charges ,,,,,719,percent of total billed charges ,,,,,,,,,,,,,,,,,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,,,398.34,percent of total billed charges,
NF-BUPROPION HCL ORAL TAB ER 12HR 100MG,250,RC,18504-10-1060,NDC,,both,1,each,4,4,1.12,4,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.96,percent of total billed charges,2.96,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,,,2.88,percent of total billed charges ,,,3.2,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,,,,,2.13,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
NF-Cefadroxil Capsule 500MG,250,RC,45865-05-0330,NDC,,both,1,each,0.7,0.7,0.2,0.7,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,,,0.5,percent of total billed charges ,,,0.56,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
NF-ANALPRAM HC CRM 2.5%-1%,250,RC,54766-07-9904,NDC,,both,1,each,294.54,294.54,82.47,294.54,294.54,percent of total billed charges,294.54,percent of total billed charges,294.54,percent of total billed charges,294.54,percent of total billed charges,294.54,percent of total billed charges,294.54,percent of total billed charges,294.54,percent of total billed charges,294.54,percent of total billed charges,212.07,percent of total billed charges,212.07,percent of total billed charges,212.07,percent of total billed charges,212.07,percent of total billed charges,212.07,percent of total billed charges,212.07,percent of total billed charges,217.96,percent of total billed charges,217.96,percent of total billed charges,235.63,percent of total billed charges,235.63,percent of total billed charges,,,212.07,percent of total billed charges ,,,235.63,percent of total billed charges ,247.41,percent of total billed charges ,247.41,percent of total billed charges ,229.74,percent of total billed charges ,229.74,percent of total billed charges ,235.63,percent of total billed charges ,235.63,percent of total billed charges ,206.18,percent of total billed charges ,206.18,percent of total billed charges ,176.72,percent of total billed charges ,176.72,percent of total billed charges ,176.72,percent of total billed charges ,176.72,percent of total billed charges ,,,,,156.7,percent of total billed charges ,,,,,148.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,,,82.47,percent of total billed charges,
NF-Methylphenidate HCl Oral Tab ER 27MG,250,RC,60687-05-4321,NDC,,both,1,each,34.4,34.4,9.63,34.4,34.4,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,24.77,percent of total billed charges,24.77,percent of total billed charges,24.77,percent of total billed charges,24.77,percent of total billed charges,24.77,percent of total billed charges,24.77,percent of total billed charges,25.46,percent of total billed charges,25.46,percent of total billed charges,27.52,percent of total billed charges,27.52,percent of total billed charges,,,24.77,percent of total billed charges ,,,27.52,percent of total billed charges ,28.9,percent of total billed charges ,28.9,percent of total billed charges ,26.83,percent of total billed charges ,26.83,percent of total billed charges ,27.52,percent of total billed charges ,27.52,percent of total billed charges ,24.08,percent of total billed charges ,24.08,percent of total billed charges ,20.64,percent of total billed charges ,20.64,percent of total billed charges ,20.64,percent of total billed charges ,20.64,percent of total billed charges ,,,,,18.3,percent of total billed charges ,,,,,17.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,
***PERFLUTREN PROTEIN-TYPEA(OPTISON) 3mL,Q9956,CDM,00023-42-9003,NDC,,both,1,each,825.6,825.6,231.17,825.6,825.6,percent of total billed charges,825.6,percent of total billed charges,825.6,percent of total billed charges,825.6,percent of total billed charges,825.6,percent of total billed charges,825.6,percent of total billed charges,825.6,percent of total billed charges,825.6,percent of total billed charges,594.43,percent of total billed charges,594.43,percent of total billed charges,594.43,percent of total billed charges,594.43,percent of total billed charges,594.43,percent of total billed charges,594.43,percent of total billed charges,610.94,percent of total billed charges,610.94,percent of total billed charges,660.48,percent of total billed charges,660.48,percent of total billed charges,,,594.43,percent of total billed charges ,,,660.48,percent of total billed charges ,693.5,percent of total billed charges ,693.5,percent of total billed charges ,643.97,percent of total billed charges ,643.97,percent of total billed charges ,660.48,percent of total billed charges ,660.48,percent of total billed charges ,577.92,percent of total billed charges ,577.92,percent of total billed charges ,495.36,percent of total billed charges ,495.36,percent of total billed charges ,495.36,percent of total billed charges ,495.36,percent of total billed charges ,,,,,439.22,percent of total billed charges ,,,,,417.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,,,231.17,percent of total billed charges,
NF-Descovy Oral Tablet 200MG-25MG,250,RC,61958-20-0201,NDC,,both,1,each,435.82,435.82,122.03,435.82,435.82,percent of total billed charges,435.82,percent of total billed charges,435.82,percent of total billed charges,435.82,percent of total billed charges,435.82,percent of total billed charges,435.82,percent of total billed charges,435.82,percent of total billed charges,435.82,percent of total billed charges,313.79,percent of total billed charges,313.79,percent of total billed charges,313.79,percent of total billed charges,313.79,percent of total billed charges,313.79,percent of total billed charges,313.79,percent of total billed charges,322.51,percent of total billed charges,322.51,percent of total billed charges,348.66,percent of total billed charges,348.66,percent of total billed charges,,,313.79,percent of total billed charges ,,,348.66,percent of total billed charges ,366.09,percent of total billed charges ,366.09,percent of total billed charges ,339.94,percent of total billed charges ,339.94,percent of total billed charges ,348.66,percent of total billed charges ,348.66,percent of total billed charges ,305.07,percent of total billed charges ,305.07,percent of total billed charges ,261.49,percent of total billed charges ,261.49,percent of total billed charges ,261.49,percent of total billed charges ,261.49,percent of total billed charges ,,,,,231.86,percent of total billed charges ,,,,,220.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,,,122.03,percent of total billed charges,
NF-Tivicay Oral Tablet 50MG,250,RC,49702-02-2813,NDC,,both,1,each,429.95,429.95,120.39,429.95,429.95,percent of total billed charges,429.95,percent of total billed charges,429.95,percent of total billed charges,429.95,percent of total billed charges,429.95,percent of total billed charges,429.95,percent of total billed charges,429.95,percent of total billed charges,429.95,percent of total billed charges,309.56,percent of total billed charges,309.56,percent of total billed charges,309.56,percent of total billed charges,309.56,percent of total billed charges,309.56,percent of total billed charges,309.56,percent of total billed charges,318.16,percent of total billed charges,318.16,percent of total billed charges,343.96,percent of total billed charges,343.96,percent of total billed charges,,,309.56,percent of total billed charges ,,,343.96,percent of total billed charges ,361.16,percent of total billed charges ,361.16,percent of total billed charges ,335.36,percent of total billed charges ,335.36,percent of total billed charges ,343.96,percent of total billed charges ,343.96,percent of total billed charges ,300.97,percent of total billed charges ,300.97,percent of total billed charges ,257.97,percent of total billed charges ,257.97,percent of total billed charges ,257.97,percent of total billed charges ,257.97,percent of total billed charges ,,,,,228.73,percent of total billed charges ,,,,,217.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,,,120.39,percent of total billed charges,
NF-VICTOZA SUBCUTANEOUS SOLUTION 6MG/1ML,250,RC,16940-60-6012,NDC,,both,1,each,"2,275.72","2,275.72",637.2,"2,275.72","2,275.72",percent of total billed charges,"2,275.72",percent of total billed charges,"2,275.72",percent of total billed charges,"2,275.72",percent of total billed charges,"2,275.72",percent of total billed charges,"2,275.72",percent of total billed charges,"2,275.72",percent of total billed charges,"2,275.72",percent of total billed charges,"1,638.52",percent of total billed charges,"1,638.52",percent of total billed charges,"1,638.52",percent of total billed charges,"1,638.52",percent of total billed charges,"1,638.52",percent of total billed charges,"1,638.52",percent of total billed charges,"1,684.03",percent of total billed charges,"1,684.03",percent of total billed charges,"1,820.58",percent of total billed charges,"1,820.58",percent of total billed charges,,,"1,638.52",percent of total billed charges ,,,"1,820.58",percent of total billed charges ,"1,911.60",percent of total billed charges ,"1,911.60",percent of total billed charges ,"1,775.06",percent of total billed charges ,"1,775.06",percent of total billed charges ,"1,820.58",percent of total billed charges ,"1,820.58",percent of total billed charges ,"1,593.00",percent of total billed charges ,"1,593.00",percent of total billed charges ,"1,365.43",percent of total billed charges ,"1,365.43",percent of total billed charges ,"1,365.43",percent of total billed charges ,"1,365.43",percent of total billed charges ,,,,,"1,210.68",percent of total billed charges ,,,,,"1,150.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,,,637.2,percent of total billed charges,
NF-Rhopressa Ophthalmic Solution 0.02%,250,RC,70727-04-9725,NDC,,both,1,each,"1,905.27","1,905.27",533.48,"1,905.27","1,905.27",percent of total billed charges,"1,905.27",percent of total billed charges,"1,905.27",percent of total billed charges,"1,905.27",percent of total billed charges,"1,905.27",percent of total billed charges,"1,905.27",percent of total billed charges,"1,905.27",percent of total billed charges,"1,905.27",percent of total billed charges,"1,371.79",percent of total billed charges,"1,371.79",percent of total billed charges,"1,371.79",percent of total billed charges,"1,371.79",percent of total billed charges,"1,371.79",percent of total billed charges,"1,371.79",percent of total billed charges,"1,409.90",percent of total billed charges,"1,409.90",percent of total billed charges,"1,524.22",percent of total billed charges,"1,524.22",percent of total billed charges,,,"1,371.79",percent of total billed charges ,,,"1,524.22",percent of total billed charges ,"1,600.43",percent of total billed charges ,"1,600.43",percent of total billed charges ,"1,486.11",percent of total billed charges ,"1,486.11",percent of total billed charges ,"1,524.22",percent of total billed charges ,"1,524.22",percent of total billed charges ,"1,333.69",percent of total billed charges ,"1,333.69",percent of total billed charges ,"1,143.16",percent of total billed charges ,"1,143.16",percent of total billed charges ,"1,143.16",percent of total billed charges ,"1,143.16",percent of total billed charges ,,,,,"1,013.60",percent of total billed charges ,,,,,962.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,,,533.48,percent of total billed charges,
NF-Simbrinza Ophthalmic Susp 0.2%-1%,250,RC,65414-72-4727,NDC,,both,1,each,"1,216.96","1,216.96",340.75,"1,216.96","1,216.96",percent of total billed charges,"1,216.96",percent of total billed charges,"1,216.96",percent of total billed charges,"1,216.96",percent of total billed charges,"1,216.96",percent of total billed charges,"1,216.96",percent of total billed charges,"1,216.96",percent of total billed charges,"1,216.96",percent of total billed charges,876.21,percent of total billed charges,876.21,percent of total billed charges,876.21,percent of total billed charges,876.21,percent of total billed charges,876.21,percent of total billed charges,876.21,percent of total billed charges,900.55,percent of total billed charges,900.55,percent of total billed charges,973.57,percent of total billed charges,973.57,percent of total billed charges,,,876.21,percent of total billed charges ,,,973.57,percent of total billed charges ,"1,022.25",percent of total billed charges ,"1,022.25",percent of total billed charges ,949.23,percent of total billed charges ,949.23,percent of total billed charges ,973.57,percent of total billed charges ,973.57,percent of total billed charges ,851.87,percent of total billed charges ,851.87,percent of total billed charges ,730.18,percent of total billed charges ,730.18,percent of total billed charges ,730.18,percent of total billed charges ,730.18,percent of total billed charges ,,,,,647.42,percent of total billed charges ,,,,,615.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,,,340.75,percent of total billed charges,
NF-clonazePAM ODT 0.25MG,250,RC,57664-07-8486,NDC,,both,1,each,3.04,3.04,0.85,3.04,3.04,percent of total billed charges,3.04,percent of total billed charges,3.04,percent of total billed charges,3.04,percent of total billed charges,3.04,percent of total billed charges,3.04,percent of total billed charges,3.04,percent of total billed charges,3.04,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,,,2.19,percent of total billed charges ,,,2.43,percent of total billed charges ,2.55,percent of total billed charges ,2.55,percent of total billed charges ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.13,percent of total billed charges ,2.13,percent of total billed charges ,1.82,percent of total billed charges ,1.82,percent of total billed charges ,1.82,percent of total billed charges ,1.82,percent of total billed charges ,,,,,1.62,percent of total billed charges ,,,,,1.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,
NF- Moxifloxacin HCl Oral Tablet 400MG,250,RC,93738-75-8756,NDC,,both,1,each,78.24,78.24,21.91,78.24,78.24,percent of total billed charges,78.24,percent of total billed charges,78.24,percent of total billed charges,78.24,percent of total billed charges,78.24,percent of total billed charges,78.24,percent of total billed charges,78.24,percent of total billed charges,78.24,percent of total billed charges,56.33,percent of total billed charges,56.33,percent of total billed charges,56.33,percent of total billed charges,56.33,percent of total billed charges,56.33,percent of total billed charges,56.33,percent of total billed charges,57.9,percent of total billed charges,57.9,percent of total billed charges,62.59,percent of total billed charges,62.59,percent of total billed charges,,,56.33,percent of total billed charges ,,,62.59,percent of total billed charges ,65.72,percent of total billed charges ,65.72,percent of total billed charges ,61.03,percent of total billed charges ,61.03,percent of total billed charges ,62.59,percent of total billed charges ,62.59,percent of total billed charges ,54.77,percent of total billed charges ,54.77,percent of total billed charges ,46.94,percent of total billed charges ,46.94,percent of total billed charges ,46.94,percent of total billed charges ,46.94,percent of total billed charges ,,,,,41.62,percent of total billed charges ,,,,,39.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,,,21.91,percent of total billed charges,
NF-Dofetilide Oral Capsule 125MCG,250,RC,59651-01-1860,NDC,,both,1,each,10.87,10.87,3.04,10.87,10.87,percent of total billed charges,10.87,percent of total billed charges,10.87,percent of total billed charges,10.87,percent of total billed charges,10.87,percent of total billed charges,10.87,percent of total billed charges,10.87,percent of total billed charges,10.87,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,8.04,percent of total billed charges,8.04,percent of total billed charges,8.7,percent of total billed charges,8.7,percent of total billed charges,,,7.83,percent of total billed charges ,,,8.7,percent of total billed charges ,9.13,percent of total billed charges ,9.13,percent of total billed charges ,8.48,percent of total billed charges ,8.48,percent of total billed charges ,8.7,percent of total billed charges ,8.7,percent of total billed charges ,7.61,percent of total billed charges ,7.61,percent of total billed charges ,6.52,percent of total billed charges ,6.52,percent of total billed charges ,6.52,percent of total billed charges ,6.52,percent of total billed charges ,,,,,5.78,percent of total billed charges ,,,,,5.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,
NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML,250,RC,16947-72-7212,NDC,,both,1,each,"2,839.95","2,839.95",795.19,"2,839.95","2,839.95",percent of total billed charges,"2,839.95",percent of total billed charges,"2,839.95",percent of total billed charges,"2,839.95",percent of total billed charges,"2,839.95",percent of total billed charges,"2,839.95",percent of total billed charges,"2,839.95",percent of total billed charges,"2,839.95",percent of total billed charges,"2,044.76",percent of total billed charges,"2,044.76",percent of total billed charges,"2,044.76",percent of total billed charges,"2,044.76",percent of total billed charges,"2,044.76",percent of total billed charges,"2,044.76",percent of total billed charges,"2,101.56",percent of total billed charges,"2,101.56",percent of total billed charges,"2,271.96",percent of total billed charges,"2,271.96",percent of total billed charges,,,"2,044.76",percent of total billed charges ,,,"2,271.96",percent of total billed charges ,"2,385.56",percent of total billed charges ,"2,385.56",percent of total billed charges ,"2,215.16",percent of total billed charges ,"2,215.16",percent of total billed charges ,"2,271.96",percent of total billed charges ,"2,271.96",percent of total billed charges ,"1,987.97",percent of total billed charges ,"1,987.97",percent of total billed charges ,"1,703.97",percent of total billed charges ,"1,703.97",percent of total billed charges ,"1,703.97",percent of total billed charges ,"1,703.97",percent of total billed charges ,,,,,"1,510.85",percent of total billed charges ,,,,,"1,435.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,,,795.19,percent of total billed charges,
NF-Voriconazole Oral Tablet 200MG,250,RC,37816-40-4093,NDC,,both,1,each,11.87,11.87,3.32,11.87,11.87,percent of total billed charges,11.87,percent of total billed charges,11.87,percent of total billed charges,11.87,percent of total billed charges,11.87,percent of total billed charges,11.87,percent of total billed charges,11.87,percent of total billed charges,11.87,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.78,percent of total billed charges,8.78,percent of total billed charges,9.5,percent of total billed charges,9.5,percent of total billed charges,,,8.55,percent of total billed charges ,,,9.5,percent of total billed charges ,9.97,percent of total billed charges ,9.97,percent of total billed charges ,9.26,percent of total billed charges ,9.26,percent of total billed charges ,9.5,percent of total billed charges ,9.5,percent of total billed charges ,8.31,percent of total billed charges ,8.31,percent of total billed charges ,7.12,percent of total billed charges ,7.12,percent of total billed charges ,7.12,percent of total billed charges ,7.12,percent of total billed charges ,,,,,6.31,percent of total billed charges ,,,,,6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,
NF-Trulicity SubQ Soln 1.5MG/0.5ML,250,RC,21434-61-3461,NDC,,both,1,each,"1,421.34","1,421.34",397.98,"1,421.34","1,421.34",percent of total billed charges,"1,421.34",percent of total billed charges,"1,421.34",percent of total billed charges,"1,421.34",percent of total billed charges,"1,421.34",percent of total billed charges,"1,421.34",percent of total billed charges,"1,421.34",percent of total billed charges,"1,421.34",percent of total billed charges,"1,023.36",percent of total billed charges,"1,023.36",percent of total billed charges,"1,023.36",percent of total billed charges,"1,023.36",percent of total billed charges,"1,023.36",percent of total billed charges,"1,023.36",percent of total billed charges,"1,051.79",percent of total billed charges,"1,051.79",percent of total billed charges,"1,137.07",percent of total billed charges,"1,137.07",percent of total billed charges,,,"1,023.36",percent of total billed charges ,,,"1,137.07",percent of total billed charges ,"1,193.93",percent of total billed charges ,"1,193.93",percent of total billed charges ,"1,108.65",percent of total billed charges ,"1,108.65",percent of total billed charges ,"1,137.07",percent of total billed charges ,"1,137.07",percent of total billed charges ,994.94,percent of total billed charges ,994.94,percent of total billed charges ,852.8,percent of total billed charges ,852.8,percent of total billed charges ,852.8,percent of total billed charges ,852.8,percent of total billed charges ,,,,,756.15,percent of total billed charges ,,,,,718.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,,,397.98,percent of total billed charges,
NF-Lialda Oral Delayed-Release Tablet 1.,250,RC,60687-03-9795,NDC,,both,1,each,57.66,57.66,16.14,57.66,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,42.67,percent of total billed charges,42.67,percent of total billed charges,46.13,percent of total billed charges,46.13,percent of total billed charges,,,41.52,percent of total billed charges ,,,46.13,percent of total billed charges ,48.43,percent of total billed charges ,48.43,percent of total billed charges ,44.97,percent of total billed charges ,44.97,percent of total billed charges ,46.13,percent of total billed charges ,46.13,percent of total billed charges ,40.36,percent of total billed charges ,40.36,percent of total billed charges ,34.6,percent of total billed charges ,34.6,percent of total billed charges ,34.6,percent of total billed charges ,34.6,percent of total billed charges ,,,,,30.68,percent of total billed charges ,,,,,29.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,,,16.14,percent of total billed charges,
NF-Selenium Sulfide Topical Shampoo 2.25,250,RC,16477-04-2206,NDC,,both,1,each,228.86,228.86,64.08,228.86,228.86,percent of total billed charges,228.86,percent of total billed charges,228.86,percent of total billed charges,228.86,percent of total billed charges,228.86,percent of total billed charges,228.86,percent of total billed charges,228.86,percent of total billed charges,228.86,percent of total billed charges,164.78,percent of total billed charges,164.78,percent of total billed charges,164.78,percent of total billed charges,164.78,percent of total billed charges,164.78,percent of total billed charges,164.78,percent of total billed charges,169.36,percent of total billed charges,169.36,percent of total billed charges,183.09,percent of total billed charges,183.09,percent of total billed charges,,,164.78,percent of total billed charges ,,,183.09,percent of total billed charges ,192.24,percent of total billed charges ,192.24,percent of total billed charges ,178.51,percent of total billed charges ,178.51,percent of total billed charges ,183.09,percent of total billed charges ,183.09,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,137.32,percent of total billed charges ,137.32,percent of total billed charges ,137.32,percent of total billed charges ,137.32,percent of total billed charges ,,,,,121.75,percent of total billed charges ,,,,,115.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,,,64.08,percent of total billed charges,
NF-Entacapone Oral Tablet 200MG,250,RC,37890-80-8001,NDC,,both,1,each,3.65,3.65,1.02,3.65,3.65,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,3.65,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,,,2.63,percent of total billed charges ,,,2.92,percent of total billed charges ,3.07,percent of total billed charges ,3.07,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,,,,,1.94,percent of total billed charges ,,,,,1.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,
NF-Medihoney Topical Gel 100%,250,RC,99580-03-3351,NDC,,both,1,each,96.4,96.4,26.99,96.4,96.4,percent of total billed charges,96.4,percent of total billed charges,96.4,percent of total billed charges,96.4,percent of total billed charges,96.4,percent of total billed charges,96.4,percent of total billed charges,96.4,percent of total billed charges,96.4,percent of total billed charges,69.41,percent of total billed charges,69.41,percent of total billed charges,69.41,percent of total billed charges,69.41,percent of total billed charges,69.41,percent of total billed charges,69.41,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,77.12,percent of total billed charges,77.12,percent of total billed charges,,,69.41,percent of total billed charges ,,,77.12,percent of total billed charges ,80.98,percent of total billed charges ,80.98,percent of total billed charges ,75.19,percent of total billed charges ,75.19,percent of total billed charges ,77.12,percent of total billed charges ,77.12,percent of total billed charges ,67.48,percent of total billed charges ,67.48,percent of total billed charges ,57.84,percent of total billed charges ,57.84,percent of total billed charges ,57.84,percent of total billed charges ,57.84,percent of total billed charges ,,,,,51.28,percent of total billed charges ,,,,,48.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,,,26.99,percent of total billed charges,
NF-Sarna Topical Lotion,250,RC,31602-29-2975,NDC,,both,1,each,44.63,44.63,12.5,44.63,44.63,percent of total billed charges,44.63,percent of total billed charges,44.63,percent of total billed charges,44.63,percent of total billed charges,44.63,percent of total billed charges,44.63,percent of total billed charges,44.63,percent of total billed charges,44.63,percent of total billed charges,32.13,percent of total billed charges,32.13,percent of total billed charges,32.13,percent of total billed charges,32.13,percent of total billed charges,32.13,percent of total billed charges,32.13,percent of total billed charges,33.03,percent of total billed charges,33.03,percent of total billed charges,35.7,percent of total billed charges,35.7,percent of total billed charges,,,32.13,percent of total billed charges ,,,35.7,percent of total billed charges ,37.49,percent of total billed charges ,37.49,percent of total billed charges ,34.81,percent of total billed charges ,34.81,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,31.24,percent of total billed charges ,31.24,percent of total billed charges ,26.78,percent of total billed charges ,26.78,percent of total billed charges ,26.78,percent of total billed charges ,26.78,percent of total billed charges ,,,,,23.74,percent of total billed charges ,,,,,22.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,,,12.5,percent of total billed charges,
NF-Methenamine Hippurate 1GM Tablet,250,RC,64720-01-3910,NDC,,both,1,each,22.01,22.01,6.16,22.01,22.01,percent of total billed charges,22.01,percent of total billed charges,22.01,percent of total billed charges,22.01,percent of total billed charges,22.01,percent of total billed charges,22.01,percent of total billed charges,22.01,percent of total billed charges,22.01,percent of total billed charges,15.85,percent of total billed charges,15.85,percent of total billed charges,15.85,percent of total billed charges,15.85,percent of total billed charges,15.85,percent of total billed charges,15.85,percent of total billed charges,16.29,percent of total billed charges,16.29,percent of total billed charges,17.61,percent of total billed charges,17.61,percent of total billed charges,,,15.85,percent of total billed charges ,,,17.61,percent of total billed charges ,18.49,percent of total billed charges ,18.49,percent of total billed charges ,17.17,percent of total billed charges ,17.17,percent of total billed charges ,17.61,percent of total billed charges ,17.61,percent of total billed charges ,15.41,percent of total billed charges ,15.41,percent of total billed charges ,13.21,percent of total billed charges ,13.21,percent of total billed charges ,13.21,percent of total billed charges ,13.21,percent of total billed charges ,,,,,11.71,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
NF-Amantadine HCl Syrup 50MG/5ML,250,RC,12106-46-4616,NDC,,both,1,each,0.13,0.13,0.04,0.13,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.13,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.09,percent of total billed charges,0.1,percent of total billed charges,0.1,percent of total billed charges,0.1,percent of total billed charges,0.1,percent of total billed charges,,,0.09,percent of total billed charges ,,,0.1,percent of total billed charges ,0.11,percent of total billed charges ,0.11,percent of total billed charges ,0.1,percent of total billed charges ,0.1,percent of total billed charges ,0.1,percent of total billed charges ,0.1,percent of total billed charges ,0.09,percent of total billed charges ,0.09,percent of total billed charges ,0.08,percent of total billed charges ,0.08,percent of total billed charges ,0.08,percent of total billed charges ,0.08,percent of total billed charges ,,,,,0.07,percent of total billed charges ,,,,,0.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,,,0.04,percent of total billed charges,
NF-CARIPRAZINE (VRAYLAR) 4.5MG CAP,250,RC,61874-01-4530,NDC,,both,1,each,311.93,311.93,87.34,311.93,311.93,percent of total billed charges,311.93,percent of total billed charges,311.93,percent of total billed charges,311.93,percent of total billed charges,311.93,percent of total billed charges,311.93,percent of total billed charges,311.93,percent of total billed charges,311.93,percent of total billed charges,224.59,percent of total billed charges,224.59,percent of total billed charges,224.59,percent of total billed charges,224.59,percent of total billed charges,224.59,percent of total billed charges,224.59,percent of total billed charges,230.83,percent of total billed charges,230.83,percent of total billed charges,249.54,percent of total billed charges,249.54,percent of total billed charges,,,224.59,percent of total billed charges ,,,249.54,percent of total billed charges ,262.02,percent of total billed charges ,262.02,percent of total billed charges ,243.31,percent of total billed charges ,243.31,percent of total billed charges ,249.54,percent of total billed charges ,249.54,percent of total billed charges ,218.35,percent of total billed charges ,218.35,percent of total billed charges ,187.16,percent of total billed charges ,187.16,percent of total billed charges ,187.16,percent of total billed charges ,187.16,percent of total billed charges ,,,,,165.95,percent of total billed charges ,,,,,157.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,,,87.34,percent of total billed charges,
NF-TEDIZOLID (SIVEXTRO) 200 MG TAB,250,RC,72000-03-1006,NDC,,both,1,each,"2,283.72","2,283.72",639.44,"2,283.72","2,283.72",percent of total billed charges,"2,283.72",percent of total billed charges,"2,283.72",percent of total billed charges,"2,283.72",percent of total billed charges,"2,283.72",percent of total billed charges,"2,283.72",percent of total billed charges,"2,283.72",percent of total billed charges,"2,283.72",percent of total billed charges,"1,644.28",percent of total billed charges,"1,644.28",percent of total billed charges,"1,644.28",percent of total billed charges,"1,644.28",percent of total billed charges,"1,644.28",percent of total billed charges,"1,644.28",percent of total billed charges,"1,689.95",percent of total billed charges,"1,689.95",percent of total billed charges,"1,826.98",percent of total billed charges,"1,826.98",percent of total billed charges,,,"1,644.28",percent of total billed charges ,,,"1,826.98",percent of total billed charges ,"1,918.32",percent of total billed charges ,"1,918.32",percent of total billed charges ,"1,781.30",percent of total billed charges ,"1,781.30",percent of total billed charges ,"1,826.98",percent of total billed charges ,"1,826.98",percent of total billed charges ,"1,598.60",percent of total billed charges ,"1,598.60",percent of total billed charges ,"1,370.23",percent of total billed charges ,"1,370.23",percent of total billed charges ,"1,370.23",percent of total billed charges ,"1,370.23",percent of total billed charges ,,,,,"1,214.94",percent of total billed charges ,,,,,"1,154.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,,,639.44,percent of total billed charges,
NF-Estradiol Vaginal Insert 10MCG,250,RC,68462-07-1171,NDC,,both,1,each,75.24,75.24,21.07,75.24,75.24,percent of total billed charges,75.24,percent of total billed charges,75.24,percent of total billed charges,75.24,percent of total billed charges,75.24,percent of total billed charges,75.24,percent of total billed charges,75.24,percent of total billed charges,75.24,percent of total billed charges,54.17,percent of total billed charges,54.17,percent of total billed charges,54.17,percent of total billed charges,54.17,percent of total billed charges,54.17,percent of total billed charges,54.17,percent of total billed charges,55.68,percent of total billed charges,55.68,percent of total billed charges,60.19,percent of total billed charges,60.19,percent of total billed charges,,,54.17,percent of total billed charges ,,,60.19,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,58.69,percent of total billed charges ,58.69,percent of total billed charges ,60.19,percent of total billed charges ,60.19,percent of total billed charges ,52.67,percent of total billed charges ,52.67,percent of total billed charges ,45.14,percent of total billed charges ,45.14,percent of total billed charges ,45.14,percent of total billed charges ,45.14,percent of total billed charges ,,,,,40.03,percent of total billed charges ,,,,,38.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,,,21.07,percent of total billed charges,
NF-Tagrisso Oral Tablet 80MG,250,RC,31013-50-5030,NDC,,both,1,each,"4,006.76","4,006.76","1,121.89","4,006.76","4,006.76",percent of total billed charges,"4,006.76",percent of total billed charges,"4,006.76",percent of total billed charges,"4,006.76",percent of total billed charges,"4,006.76",percent of total billed charges,"4,006.76",percent of total billed charges,"4,006.76",percent of total billed charges,"4,006.76",percent of total billed charges,"2,884.87",percent of total billed charges,"2,884.87",percent of total billed charges,"2,884.87",percent of total billed charges,"2,884.87",percent of total billed charges,"2,884.87",percent of total billed charges,"2,884.87",percent of total billed charges,"2,965.00",percent of total billed charges,"2,965.00",percent of total billed charges,"3,205.41",percent of total billed charges,"3,205.41",percent of total billed charges,,,"2,884.87",percent of total billed charges ,,,"3,205.41",percent of total billed charges ,"3,365.68",percent of total billed charges ,"3,365.68",percent of total billed charges ,"3,125.27",percent of total billed charges ,"3,125.27",percent of total billed charges ,"3,205.41",percent of total billed charges ,"3,205.41",percent of total billed charges ,"2,804.73",percent of total billed charges ,"2,804.73",percent of total billed charges ,"2,404.06",percent of total billed charges ,"2,404.06",percent of total billed charges ,"2,404.06",percent of total billed charges ,"2,404.06",percent of total billed charges ,,,,,"2,131.60",percent of total billed charges ,,,,,"2,025.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,,,"1,121.89",percent of total billed charges,
NF-Theophylline Oral Solution 80MG/15ML,250,RC,12108-20-2016,NDC,,both,1,each,9.6,9.6,2.69,9.6,9.6,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,7.1,percent of total billed charges,7.1,percent of total billed charges,7.68,percent of total billed charges,7.68,percent of total billed charges,,,6.91,percent of total billed charges ,,,7.68,percent of total billed charges ,8.06,percent of total billed charges ,8.06,percent of total billed charges ,7.49,percent of total billed charges ,7.49,percent of total billed charges ,7.68,percent of total billed charges ,7.68,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,5.76,percent of total billed charges ,5.76,percent of total billed charges ,5.76,percent of total billed charges ,5.76,percent of total billed charges ,,,,,5.11,percent of total billed charges ,,,,,4.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,,,2.69,percent of total billed charges,
NF-Voriconazole Oral Tablet 50MG,250,RC,60687-02-9421,NDC,,both,1,each,87.66,87.66,24.54,87.66,87.66,percent of total billed charges,87.66,percent of total billed charges,87.66,percent of total billed charges,87.66,percent of total billed charges,87.66,percent of total billed charges,87.66,percent of total billed charges,87.66,percent of total billed charges,87.66,percent of total billed charges,63.12,percent of total billed charges,63.12,percent of total billed charges,63.12,percent of total billed charges,63.12,percent of total billed charges,63.12,percent of total billed charges,63.12,percent of total billed charges,64.87,percent of total billed charges,64.87,percent of total billed charges,70.13,percent of total billed charges,70.13,percent of total billed charges,,,63.12,percent of total billed charges ,,,70.13,percent of total billed charges ,73.63,percent of total billed charges ,73.63,percent of total billed charges ,68.37,percent of total billed charges ,68.37,percent of total billed charges ,70.13,percent of total billed charges ,70.13,percent of total billed charges ,61.36,percent of total billed charges ,61.36,percent of total billed charges ,52.6,percent of total billed charges ,52.6,percent of total billed charges ,52.6,percent of total billed charges ,52.6,percent of total billed charges ,,,,,46.64,percent of total billed charges ,,,,,44.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,
NF-Mesalamine Rectal Suppository 1000MG,250,RC,70710-13-0207,NDC,,both,1,each,15.42,15.42,4.32,15.42,15.42,percent of total billed charges,15.42,percent of total billed charges,15.42,percent of total billed charges,15.42,percent of total billed charges,15.42,percent of total billed charges,15.42,percent of total billed charges,15.42,percent of total billed charges,15.42,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,11.41,percent of total billed charges,11.41,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,,,11.1,percent of total billed charges ,,,12.34,percent of total billed charges ,12.95,percent of total billed charges ,12.95,percent of total billed charges ,12.03,percent of total billed charges ,12.03,percent of total billed charges ,12.34,percent of total billed charges ,12.34,percent of total billed charges ,10.79,percent of total billed charges ,10.79,percent of total billed charges ,9.25,percent of total billed charges ,9.25,percent of total billed charges ,9.25,percent of total billed charges ,9.25,percent of total billed charges ,,,,,8.2,percent of total billed charges ,,,,,7.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,,,4.32,percent of total billed charges,
NF-Creon Oral Cap DR 36000U-114000U-1800,250,RC,32301-61-1612,NDC,,both,1,each,80.62,80.62,22.57,80.62,80.62,percent of total billed charges,80.62,percent of total billed charges,80.62,percent of total billed charges,80.62,percent of total billed charges,80.62,percent of total billed charges,80.62,percent of total billed charges,80.62,percent of total billed charges,80.62,percent of total billed charges,58.05,percent of total billed charges,58.05,percent of total billed charges,58.05,percent of total billed charges,58.05,percent of total billed charges,58.05,percent of total billed charges,58.05,percent of total billed charges,59.66,percent of total billed charges,59.66,percent of total billed charges,64.5,percent of total billed charges,64.5,percent of total billed charges,,,58.05,percent of total billed charges ,,,64.5,percent of total billed charges ,67.72,percent of total billed charges ,67.72,percent of total billed charges ,62.88,percent of total billed charges ,62.88,percent of total billed charges ,64.5,percent of total billed charges ,64.5,percent of total billed charges ,56.43,percent of total billed charges ,56.43,percent of total billed charges ,48.37,percent of total billed charges ,48.37,percent of total billed charges ,48.37,percent of total billed charges ,48.37,percent of total billed charges ,,,,,42.89,percent of total billed charges ,,,,,40.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,,,22.57,percent of total billed charges,
NF-Lacosamide Oral Solution 10MG/1ML,250,RC,67877-07-3295,NDC,,both,1,each,1.08,1.08,0.3,1.08,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,,,0.78,percent of total billed charges ,,,0.86,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
NF-Mexiletine HCl Capsule 250MG,250,RC,93874-10-4101,NDC,,both,1,each,4.5,4.5,1.26,4.5,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,,,3.24,percent of total billed charges ,,,3.6,percent of total billed charges ,3.78,percent of total billed charges ,3.78,percent of total billed charges ,3.51,percent of total billed charges ,3.51,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.15,percent of total billed charges ,3.15,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,,,,,2.39,percent of total billed charges ,,,,,2.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,
NF-Rasuvo Subcutaneous Solution 15MG/0.3,250,RC,59137-05-2000,NDC,,both,1,each,921,921,257.88,921,921,percent of total billed charges,921,percent of total billed charges,921,percent of total billed charges,921,percent of total billed charges,921,percent of total billed charges,921,percent of total billed charges,921,percent of total billed charges,921,percent of total billed charges,663.12,percent of total billed charges,663.12,percent of total billed charges,663.12,percent of total billed charges,663.12,percent of total billed charges,663.12,percent of total billed charges,663.12,percent of total billed charges,681.54,percent of total billed charges,681.54,percent of total billed charges,736.8,percent of total billed charges,736.8,percent of total billed charges,,,663.12,percent of total billed charges ,,,736.8,percent of total billed charges ,773.64,percent of total billed charges ,773.64,percent of total billed charges ,718.38,percent of total billed charges ,718.38,percent of total billed charges ,736.8,percent of total billed charges ,736.8,percent of total billed charges ,644.7,percent of total billed charges ,644.7,percent of total billed charges ,552.6,percent of total billed charges ,552.6,percent of total billed charges ,552.6,percent of total billed charges ,552.6,percent of total billed charges ,,,,,489.97,percent of total billed charges ,,,,,465.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,,,257.88,percent of total billed charges,
NF-Besivance Ophthalmic Suspension 0.6%,250,RC,24208-04-4605,NDC,,both,1,each,"1,447.91","1,447.91",405.41,"1,447.91","1,447.91",percent of total billed charges,"1,447.91",percent of total billed charges,"1,447.91",percent of total billed charges,"1,447.91",percent of total billed charges,"1,447.91",percent of total billed charges,"1,447.91",percent of total billed charges,"1,447.91",percent of total billed charges,"1,447.91",percent of total billed charges,"1,042.50",percent of total billed charges,"1,042.50",percent of total billed charges,"1,042.50",percent of total billed charges,"1,042.50",percent of total billed charges,"1,042.50",percent of total billed charges,"1,042.50",percent of total billed charges,"1,071.45",percent of total billed charges,"1,071.45",percent of total billed charges,"1,158.33",percent of total billed charges,"1,158.33",percent of total billed charges,,,"1,042.50",percent of total billed charges ,,,"1,158.33",percent of total billed charges ,"1,216.24",percent of total billed charges ,"1,216.24",percent of total billed charges ,"1,129.37",percent of total billed charges ,"1,129.37",percent of total billed charges ,"1,158.33",percent of total billed charges ,"1,158.33",percent of total billed charges ,"1,013.54",percent of total billed charges ,"1,013.54",percent of total billed charges ,868.75,percent of total billed charges ,868.75,percent of total billed charges ,868.75,percent of total billed charges ,868.75,percent of total billed charges ,,,,,770.29,percent of total billed charges ,,,,,731.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,,,405.41,percent of total billed charges,
NF-Rifabutin Oral Capsule 150MG,250,RC,70954-00-4110,NDC,,both,1,each,46.02,46.02,12.89,46.02,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,34.05,percent of total billed charges,34.05,percent of total billed charges,36.82,percent of total billed charges,36.82,percent of total billed charges,,,33.13,percent of total billed charges ,,,36.82,percent of total billed charges ,38.66,percent of total billed charges ,38.66,percent of total billed charges ,35.9,percent of total billed charges ,35.9,percent of total billed charges ,36.82,percent of total billed charges ,36.82,percent of total billed charges ,32.21,percent of total billed charges ,32.21,percent of total billed charges ,27.61,percent of total billed charges ,27.61,percent of total billed charges ,27.61,percent of total billed charges ,27.61,percent of total billed charges ,,,,,24.48,percent of total billed charges ,,,,,23.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,
NF-Teriflunomide Oral Tablet 14MG,250,RC,31722-02-4730,NDC,,both,1,each,7.5,7.5,2.1,7.5,7.5,percent of total billed charges,7.5,percent of total billed charges,7.5,percent of total billed charges,7.5,percent of total billed charges,7.5,percent of total billed charges,7.5,percent of total billed charges,7.5,percent of total billed charges,7.5,percent of total billed charges,5.4,percent of total billed charges,5.4,percent of total billed charges,5.4,percent of total billed charges,5.4,percent of total billed charges,5.4,percent of total billed charges,5.4,percent of total billed charges,5.55,percent of total billed charges,5.55,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,,,5.4,percent of total billed charges ,,,6,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.85,percent of total billed charges ,5.85,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,5.25,percent of total billed charges ,5.25,percent of total billed charges ,4.5,percent of total billed charges ,4.5,percent of total billed charges ,4.5,percent of total billed charges ,4.5,percent of total billed charges ,,,,,3.99,percent of total billed charges ,,,,,3.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,,,2.1,percent of total billed charges,
ORTHOPOXVIRUS,87498,CDM,,,,both,1,each,484,484,135.52,484,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,358.16,percent of total billed charges,358.16,percent of total billed charges,387.2,percent of total billed charges,387.2,percent of total billed charges,,,348.48,percent of total billed charges ,,,387.2,percent of total billed charges ,406.56,percent of total billed charges ,406.56,percent of total billed charges ,377.52,percent of total billed charges ,377.52,percent of total billed charges ,387.2,percent of total billed charges ,387.2,percent of total billed charges ,338.8,percent of total billed charges ,338.8,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,,,,,257.49,percent of total billed charges ,,,,,244.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,
**WEEKLY WEIGHT CHECK MONITOR,500,RC,0--0,NDC,,both,1,each,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
**ADVANTAGE 55 MEMBERSHIP,271,RC,0--0,NDC,,both,1,each,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
VACCINE ADMIN-PNEUMOCOCCAL,G0009,CDM,,,,both,1,each,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
VACCINE ADMIN-INFLUENZA,G0008,CDM,,,,both,1,each,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
**INTRAVENOUS INJ THERAP OR DX CPT,96374,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**INTRAVENOUS INJ SEQ THERAPY OR DX CPT,96375,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**IV INFUS HYDRATION UP TO 1 HOUR CPT,96360,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUSION HYDRATE ADD ON,96361,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INF THER/PROPH/DG ADD ON,96366,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS THERAPY SEQ UP TO 1HR CPT,96367,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS THERAPY CON UP TO 1HR CPT,96368,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**RBC ANTIBODY ELUTION,86860,CDM,,,,both,1,each,265,265,74.2,265,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,196.1,percent of total billed charges,196.1,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,,,190.8,percent of total billed charges ,,,212,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,206.7,percent of total billed charges ,206.7,percent of total billed charges ,212,percent of total billed charges ,212,percent of total billed charges ,185.5,percent of total billed charges ,185.5,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,,,,,140.98,percent of total billed charges ,,,,,133.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,
NEBIVOLOL (BYSTOLIC) 10MG TAB,637,RC,45614-10-1030,NDC,,both,1,each,19.73,19.73,5.52,19.73,19.73,percent of total billed charges,19.73,percent of total billed charges,19.73,percent of total billed charges,19.73,percent of total billed charges,19.73,percent of total billed charges,19.73,percent of total billed charges,19.73,percent of total billed charges,19.73,percent of total billed charges,14.21,percent of total billed charges,14.21,percent of total billed charges,14.21,percent of total billed charges,14.21,percent of total billed charges,14.21,percent of total billed charges,14.21,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,15.78,percent of total billed charges,15.78,percent of total billed charges,,,14.21,percent of total billed charges ,,,15.78,percent of total billed charges ,16.57,percent of total billed charges ,16.57,percent of total billed charges ,15.39,percent of total billed charges ,15.39,percent of total billed charges ,15.78,percent of total billed charges ,15.78,percent of total billed charges ,13.81,percent of total billed charges ,13.81,percent of total billed charges ,11.84,percent of total billed charges ,11.84,percent of total billed charges ,11.84,percent of total billed charges ,11.84,percent of total billed charges ,,,,,10.5,percent of total billed charges ,,,,,9.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,,,5.52,percent of total billed charges,
inFLIXimab (REMICADE) 100MG/10ML,J1745,CDM,,,,both,1,each,"3,922.88","3,922.88","1,098.41","3,922.88","3,922.88",percent of total billed charges,"3,922.88",percent of total billed charges,"3,922.88",percent of total billed charges,"3,922.88",percent of total billed charges,"3,922.88",percent of total billed charges,"3,922.88",percent of total billed charges,"3,922.88",percent of total billed charges,"3,922.88",percent of total billed charges,"2,824.47",percent of total billed charges,"2,824.47",percent of total billed charges,"2,824.47",percent of total billed charges,"2,824.47",percent of total billed charges,"2,824.47",percent of total billed charges,"2,824.47",percent of total billed charges,"2,902.93",percent of total billed charges,"2,902.93",percent of total billed charges,"3,138.30",percent of total billed charges,"3,138.30",percent of total billed charges,,,"2,824.47",percent of total billed charges ,,,"3,138.30",percent of total billed charges ,"3,295.22",percent of total billed charges ,"3,295.22",percent of total billed charges ,"3,059.85",percent of total billed charges ,"3,059.85",percent of total billed charges ,"3,138.30",percent of total billed charges ,"3,138.30",percent of total billed charges ,"2,746.02",percent of total billed charges ,"2,746.02",percent of total billed charges ,"2,353.73",percent of total billed charges ,"2,353.73",percent of total billed charges ,"2,353.73",percent of total billed charges ,"2,353.73",percent of total billed charges ,,,,,"2,086.97",percent of total billed charges ,,,,,"1,982.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,,,"1,098.41",percent of total billed charges,
LOSARTAN (COZAAR) 100MG: TAB,250,RC,54868-23-3500,NDC,,both,1,each,2.16,2.16,0.6,2.16,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,1.56,percent of total billed charges,1.56,percent of total billed charges,1.56,percent of total billed charges,1.56,percent of total billed charges,1.56,percent of total billed charges,1.56,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,,,1.56,percent of total billed charges ,,,1.73,percent of total billed charges ,1.81,percent of total billed charges ,1.81,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,,,,,1.15,percent of total billed charges ,,,,,1.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,
IMIPENEM (PRIMAXIN) 250 MG/100ML MB+,J0743,CDM,,,,both,1,each,84.27,84.27,23.6,84.27,84.27,percent of total billed charges,84.27,percent of total billed charges,84.27,percent of total billed charges,84.27,percent of total billed charges,84.27,percent of total billed charges,84.27,percent of total billed charges,84.27,percent of total billed charges,84.27,percent of total billed charges,60.67,percent of total billed charges,60.67,percent of total billed charges,60.67,percent of total billed charges,60.67,percent of total billed charges,60.67,percent of total billed charges,60.67,percent of total billed charges,62.36,percent of total billed charges,62.36,percent of total billed charges,67.42,percent of total billed charges,67.42,percent of total billed charges,,,60.67,percent of total billed charges ,,,67.42,percent of total billed charges ,70.79,percent of total billed charges ,70.79,percent of total billed charges ,65.73,percent of total billed charges ,65.73,percent of total billed charges ,67.42,percent of total billed charges ,67.42,percent of total billed charges ,58.99,percent of total billed charges ,58.99,percent of total billed charges ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,50.56,percent of total billed charges ,,,,,44.83,percent of total billed charges ,,,,,42.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,,,23.6,percent of total billed charges,
**AMOXICILLIN SUSP 200 MG:,250,RC,63304-09-6903,NDC,,both,1,each,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
AMOXICILLIN ORAL SUSP 400MG/5ML: 50 ML,250,RC,65862-00-7150,NDC,,both,1,each,19.36,19.36,5.42,19.36,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,13.94,percent of total billed charges,13.94,percent of total billed charges,13.94,percent of total billed charges,13.94,percent of total billed charges,13.94,percent of total billed charges,13.94,percent of total billed charges,14.33,percent of total billed charges,14.33,percent of total billed charges,15.49,percent of total billed charges,15.49,percent of total billed charges,,,13.94,percent of total billed charges ,,,15.49,percent of total billed charges ,16.26,percent of total billed charges ,16.26,percent of total billed charges ,15.1,percent of total billed charges ,15.1,percent of total billed charges ,15.49,percent of total billed charges ,15.49,percent of total billed charges ,13.55,percent of total billed charges ,13.55,percent of total billed charges ,11.62,percent of total billed charges ,11.62,percent of total billed charges ,11.62,percent of total billed charges ,11.62,percent of total billed charges ,,,,,10.3,percent of total billed charges ,,,,,9.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,
**IBUPROFEN(MOTRIN) SUSP: 100MG,250,RC,45044-80-4804,NDC,,both,1,each,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**INFLUENZA VACCINE (FLUMIST) 2016 - 17,90672,CDM,,,,both,1,each,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
**IV INFUS HYDRATION UP TO 8HRS CPT,96361,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**NURSING SERVICES CHEST TUBE INSERTION,LOCAL,LOCAL,,,,both,1,each,318,318,89.04,318,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,235.32,percent of total billed charges,235.32,percent of total billed charges,254.4,percent of total billed charges,254.4,percent of total billed charges,,,228.96,percent of total billed charges ,,,254.4,percent of total billed charges ,267.12,percent of total billed charges ,267.12,percent of total billed charges ,248.04,percent of total billed charges ,248.04,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,,,,,169.18,percent of total billed charges ,,,,,160.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,
**INTRAVENOUS INJ TH OR DX SEQ CPT,96375,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**ICU RN TRANSFER PER HR,LOCAL,LOCAL,,,,both,1,each,504,504,141.12,504,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,,,362.88,percent of total billed charges ,,,403.2,percent of total billed charges ,423.36,percent of total billed charges ,423.36,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,,,,,268.13,percent of total billed charges ,,,,,254.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,
**ICU LPN TRANSFER PER HR,LOCAL,LOCAL,,,,both,1,each,379,379,106.12,379,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,280.46,percent of total billed charges,280.46,percent of total billed charges,303.2,percent of total billed charges,303.2,percent of total billed charges,,,272.88,percent of total billed charges ,,,303.2,percent of total billed charges ,318.36,percent of total billed charges ,318.36,percent of total billed charges ,295.62,percent of total billed charges ,295.62,percent of total billed charges ,303.2,percent of total billed charges ,303.2,percent of total billed charges ,265.3,percent of total billed charges ,265.3,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,,,,,201.63,percent of total billed charges ,,,,,191.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,
"**TRANSBROCHIAL LUNG BIOPSY, 1 LOBE",31628,CDM,,,,both,1,each,"2,450.00","2,450.00",686,"2,450.00","2,450.00",percent of total billed charges,"2,450.00",percent of total billed charges,"2,450.00",percent of total billed charges,"2,450.00",percent of total billed charges,"2,450.00",percent of total billed charges,"2,450.00",percent of total billed charges,"2,450.00",percent of total billed charges,"2,450.00",percent of total billed charges,"1,764.00",percent of total billed charges,"1,764.00",percent of total billed charges,"1,764.00",percent of total billed charges,"1,764.00",percent of total billed charges,"1,764.00",percent of total billed charges,"1,764.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,960.00",percent of total billed charges,"1,960.00",percent of total billed charges,,,"1,764.00",percent of total billed charges ,,,"1,960.00",percent of total billed charges ,"2,058.00",percent of total billed charges ,"2,058.00",percent of total billed charges ,"1,911.00",percent of total billed charges ,"1,911.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,715.00",percent of total billed charges ,"1,715.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,,,,,"1,303.40",percent of total billed charges ,,,,,"1,238.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,,,686,percent of total billed charges,
**CAPNOGRAPHY MOUTHPIECE-DISP,LOCAL,LOCAL,,,,both,1,each,345,345,96.6,345,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,255.3,percent of total billed charges,255.3,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,,,248.4,percent of total billed charges ,,,276,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,269.1,percent of total billed charges ,269.1,percent of total billed charges ,276,percent of total billed charges ,276,percent of total billed charges ,241.5,percent of total billed charges ,241.5,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,,,,,183.54,percent of total billed charges ,,,,,174.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,
**CAPNOGRAPHY MONITOR PROCEDURE,94799,CDM,,,,both,1,each,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
**MONITOR FOR TRANSFER,93236,CDM,,,,both,1,each,822,822,230.16,822,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,608.28,percent of total billed charges,608.28,percent of total billed charges,657.6,percent of total billed charges,657.6,percent of total billed charges,,,591.84,percent of total billed charges ,,,657.6,percent of total billed charges ,690.48,percent of total billed charges ,690.48,percent of total billed charges ,641.16,percent of total billed charges ,641.16,percent of total billed charges ,657.6,percent of total billed charges ,657.6,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,493.2,percent of total billed charges ,493.2,percent of total billed charges ,493.2,percent of total billed charges ,493.2,percent of total billed charges ,,,,,437.3,percent of total billed charges ,,,,,415.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,
**CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,1,each,530,530,148.4,530,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,392.2,percent of total billed charges,392.2,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,,,381.6,percent of total billed charges ,,,424,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,413.4,percent of total billed charges ,413.4,percent of total billed charges ,424,percent of total billed charges ,424,percent of total billed charges ,371,percent of total billed charges ,371,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,,,,,281.96,percent of total billed charges ,,,,,267.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,
**PACER ELECTRODES-DISP,LOCAL,LOCAL,,,,both,1,each,540,540,151.2,540,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,432,percent of total billed charges,432,percent of total billed charges,,,388.8,percent of total billed charges ,,,432,percent of total billed charges ,453.6,percent of total billed charges ,453.6,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,432,percent of total billed charges ,432,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,,,,,287.28,percent of total billed charges ,,,,,272.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,
TRANSCUTANEOUS PACEMAKER,92953,CDM,,,,both,1,each,462,462,129.36,462,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,341.88,percent of total billed charges,341.88,percent of total billed charges,369.6,percent of total billed charges,369.6,percent of total billed charges,,,332.64,percent of total billed charges ,,,369.6,percent of total billed charges ,388.08,percent of total billed charges ,388.08,percent of total billed charges ,360.36,percent of total billed charges ,360.36,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,,,,,245.78,percent of total billed charges ,,,,,233.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,
**TRANSVENOUS PACEMAKER INSERTION,33210,CDM,,,,both,1,each,458,458,128.24,458,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,338.92,percent of total billed charges,338.92,percent of total billed charges,366.4,percent of total billed charges,366.4,percent of total billed charges,,,329.76,percent of total billed charges ,,,366.4,percent of total billed charges ,384.72,percent of total billed charges ,384.72,percent of total billed charges ,357.24,percent of total billed charges ,357.24,percent of total billed charges ,366.4,percent of total billed charges ,366.4,percent of total billed charges ,320.6,percent of total billed charges ,320.6,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,,,,,243.66,percent of total billed charges ,,,,,231.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,
**HARDWIRE SET UP,LOCAL,LOCAL,,,,both,1,each,471,471,131.88,471,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,348.54,percent of total billed charges,348.54,percent of total billed charges,376.8,percent of total billed charges,376.8,percent of total billed charges,,,339.12,percent of total billed charges ,,,376.8,percent of total billed charges ,395.64,percent of total billed charges ,395.64,percent of total billed charges ,367.38,percent of total billed charges ,367.38,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,329.7,percent of total billed charges ,329.7,percent of total billed charges ,282.6,percent of total billed charges ,282.6,percent of total billed charges ,282.6,percent of total billed charges ,282.6,percent of total billed charges ,,,,,250.57,percent of total billed charges ,,,,,238.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,
**HARDWIRE MONITORING-DAILY,93041,CDM,,,,both,1,each,897,897,251.16,897,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,663.78,percent of total billed charges,663.78,percent of total billed charges,717.6,percent of total billed charges,717.6,percent of total billed charges,,,645.84,percent of total billed charges ,,,717.6,percent of total billed charges ,753.48,percent of total billed charges ,753.48,percent of total billed charges ,699.66,percent of total billed charges ,699.66,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,627.9,percent of total billed charges ,627.9,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,,,,,477.2,percent of total billed charges ,,,,,453.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,
**FAST PATCH DEFIB PADS-DISP,LOCAL,LOCAL,,,,both,1,each,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
**CARDIOVERSION,92960,CDM,,,,both,1,each,949,949,265.72,949,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,702.26,percent of total billed charges,702.26,percent of total billed charges,759.2,percent of total billed charges,759.2,percent of total billed charges,,,683.28,percent of total billed charges ,,,759.2,percent of total billed charges ,797.16,percent of total billed charges ,797.16,percent of total billed charges ,740.22,percent of total billed charges ,740.22,percent of total billed charges ,759.2,percent of total billed charges ,759.2,percent of total billed charges ,664.3,percent of total billed charges ,664.3,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,,,,,504.87,percent of total billed charges ,,,,,479.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,
**WAKE UP (1ST HOUR),LOCAL,LOCAL,,,,both,1,each,"1,105.00","1,105.00",309.4,"1,105.00","1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,"1,105.00",percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,795.6,percent of total billed charges,817.7,percent of total billed charges,817.7,percent of total billed charges,884,percent of total billed charges,884,percent of total billed charges,,,795.6,percent of total billed charges ,,,884,percent of total billed charges ,928.2,percent of total billed charges ,928.2,percent of total billed charges ,861.9,percent of total billed charges ,861.9,percent of total billed charges ,884,percent of total billed charges ,884,percent of total billed charges ,773.5,percent of total billed charges ,773.5,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,663,percent of total billed charges ,,,,,587.86,percent of total billed charges ,,,,,558.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,,,309.4,percent of total billed charges,
**WAKE UP (15 MIN),LOCAL,LOCAL,,,,both,1,each,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
**TELEMETRY SET UP,LOCAL,LOCAL,,,,both,1,each,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
**HOURLY TELEMETRY,93012,CDM,,,,both,1,each,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
**OXIMETRY-SINGLE,94760,CDM,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
**OXIMETRY PROBE-DISP,LOCAL,LOCAL,,,,both,1,each,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
**OXIMETRY CONTINUOUS OVERNIGHT (IP),94762,CDM,,,,both,1,each,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
**CONT/INTER SUCTION SETUP,LOCAL,LOCAL,,,,both,1,each,255,255,71.4,255,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,188.7,percent of total billed charges,188.7,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,,,183.6,percent of total billed charges ,,,204,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,198.9,percent of total billed charges ,198.9,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,178.5,percent of total billed charges ,178.5,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,,,,,135.66,percent of total billed charges ,,,,,128.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,
**CONT/INTER SUCTION DISP SUPPLIES,LOCAL,LOCAL,,,,both,1,each,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
**PORTABLE SUCTION,E0600,CDM,,,,both,1,each,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
**ART CATH PRO INSERTION,36620,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
**PRESSURE MONITORING,LOCAL,LOCAL,,,,both,1,each,823,823,230.44,823,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,609.02,percent of total billed charges,609.02,percent of total billed charges,658.4,percent of total billed charges,658.4,percent of total billed charges,,,592.56,percent of total billed charges ,,,658.4,percent of total billed charges ,691.32,percent of total billed charges ,691.32,percent of total billed charges ,641.94,percent of total billed charges ,641.94,percent of total billed charges ,658.4,percent of total billed charges ,658.4,percent of total billed charges ,576.1,percent of total billed charges ,576.1,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,,,,,437.84,percent of total billed charges ,,,,,415.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,
**ART CATH PRO 1ST HOUR,36620,CDM,,,,both,1,each,"1,276.00","1,276.00",357.28,"1,276.00","1,276.00",percent of total billed charges,"1,276.00",percent of total billed charges,"1,276.00",percent of total billed charges,"1,276.00",percent of total billed charges,"1,276.00",percent of total billed charges,"1,276.00",percent of total billed charges,"1,276.00",percent of total billed charges,"1,276.00",percent of total billed charges,918.72,percent of total billed charges,918.72,percent of total billed charges,918.72,percent of total billed charges,918.72,percent of total billed charges,918.72,percent of total billed charges,918.72,percent of total billed charges,944.24,percent of total billed charges,944.24,percent of total billed charges,"1,020.80",percent of total billed charges,"1,020.80",percent of total billed charges,,,918.72,percent of total billed charges ,,,"1,020.80",percent of total billed charges ,"1,071.84",percent of total billed charges ,"1,071.84",percent of total billed charges ,995.28,percent of total billed charges ,995.28,percent of total billed charges ,"1,020.80",percent of total billed charges ,"1,020.80",percent of total billed charges ,893.2,percent of total billed charges ,893.2,percent of total billed charges ,765.6,percent of total billed charges ,765.6,percent of total billed charges ,765.6,percent of total billed charges ,765.6,percent of total billed charges ,,,,,678.83,percent of total billed charges ,,,,,644.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,,,357.28,percent of total billed charges,
**BABY MAGIC BABY BATH,LOCAL,LOCAL,,,,both,1,each,19,19,5.32,19,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,15.2,percent of total billed charges,15.2,percent of total billed charges,,,13.68,percent of total billed charges ,,,15.2,percent of total billed charges ,15.96,percent of total billed charges ,15.96,percent of total billed charges ,14.82,percent of total billed charges ,14.82,percent of total billed charges ,15.2,percent of total billed charges ,15.2,percent of total billed charges ,13.3,percent of total billed charges ,13.3,percent of total billed charges ,11.4,percent of total billed charges ,11.4,percent of total billed charges ,11.4,percent of total billed charges ,11.4,percent of total billed charges ,,,,,10.11,percent of total billed charges ,,,,,9.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,
PEDS RN TRANSFER PER HR,LOCAL,LOCAL,,,,both,1,each,504,504,141.12,504,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,,,362.88,percent of total billed charges ,,,403.2,percent of total billed charges ,423.36,percent of total billed charges ,423.36,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,,,,,268.13,percent of total billed charges ,,,,,254.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,
PEDS LPN TRANSFER PER HR,LOCAL,LOCAL,,,,both,1,each,360,360,100.8,360,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,,,259.2,percent of total billed charges ,,,288,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,288,percent of total billed charges ,288,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,,,,,191.52,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,
**Y-SENSOR APPLIC NEONATAL SIZE,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**Y-SENSOR APPLIC PED SIZE,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**OX PROBE DISP NOVAMETRIX,LOCAL,LOCAL,,,,both,1,each,246,246,68.88,246,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,182.04,percent of total billed charges,182.04,percent of total billed charges,196.8,percent of total billed charges,196.8,percent of total billed charges,,,177.12,percent of total billed charges ,,,196.8,percent of total billed charges ,206.64,percent of total billed charges ,206.64,percent of total billed charges ,191.88,percent of total billed charges ,191.88,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,,,,,130.87,percent of total billed charges ,,,,,124.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,
**PEDIALYTE 4 OUNCE SIZE,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
NASAL WASHING - RSV,86756,CDM,,,,both,1,each,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
**CARDIAC MONITOR,93224,CDM,,,,both,1,each,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
APNEA MONITOR SETUP,LOCAL,LOCAL,,,,both,1,each,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
APNEA MONITOR PER HOUR,LOCAL,LOCAL,,,,both,1,each,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
IV HYDR 31 MIN TO 1 HOUR,96360,CDM,,,,both,1,each,640,640,179.2,640,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,473.6,percent of total billed charges,473.6,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,,,460.8,percent of total billed charges ,,,512,percent of total billed charges ,537.6,percent of total billed charges ,537.6,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,512,percent of total billed charges ,512,percent of total billed charges ,448,percent of total billed charges ,448,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,,,,,340.48,percent of total billed charges ,,,,,323.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,
ISOLATION STERILE SUPPLIES,LOCAL,LOCAL,,,,both,1,each,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
**INTRAMUSCULAR/SUBCU INJECT  THERAP DX,96372,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,,both,1,each,340,340,95.2,340,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,251.6,percent of total billed charges,251.6,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,,,244.8,percent of total billed charges ,,,272,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,265.2,percent of total billed charges ,265.2,percent of total billed charges ,272,percent of total billed charges ,272,percent of total billed charges ,238,percent of total billed charges ,238,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,,,,,180.88,percent of total billed charges ,,,,,171.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,
MED/SURG RN TRANSFER PER HR,LOCAL,LOCAL,,,,both,1,each,504,504,141.12,504,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,,,362.88,percent of total billed charges ,,,403.2,percent of total billed charges ,423.36,percent of total billed charges ,423.36,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,,,,,268.13,percent of total billed charges ,,,,,254.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,
MED/SURG LPN TRANSFER PER HR,LOCAL,LOCAL,,,,both,1,each,379,379,106.12,379,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,280.46,percent of total billed charges,280.46,percent of total billed charges,303.2,percent of total billed charges,303.2,percent of total billed charges,,,272.88,percent of total billed charges ,,,303.2,percent of total billed charges ,318.36,percent of total billed charges ,318.36,percent of total billed charges ,295.62,percent of total billed charges ,295.62,percent of total billed charges ,303.2,percent of total billed charges ,303.2,percent of total billed charges ,265.3,percent of total billed charges ,265.3,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,,,,,201.63,percent of total billed charges ,,,,,191.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,
**NURSING SERVICE O/P,LOCAL,LOCAL,,,,both,1,each,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**TRACTION BOOT- DISP,LOCAL,LOCAL,,,,both,1,each,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
**IV INFUS HYDRATION UP TO 8HRS CPT,96361,CDM,,,,both,1,each,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
IV PUSH OR IV SEQ 15 MIN OR LESS,96375,CDM,,,,both,1,each,298,298,83.44,298,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,220.52,percent of total billed charges,220.52,percent of total billed charges,238.4,percent of total billed charges,238.4,percent of total billed charges,,,214.56,percent of total billed charges ,,,238.4,percent of total billed charges ,250.32,percent of total billed charges ,250.32,percent of total billed charges ,232.44,percent of total billed charges ,232.44,percent of total billed charges ,238.4,percent of total billed charges ,238.4,percent of total billed charges ,208.6,percent of total billed charges ,208.6,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,,,,,158.54,percent of total billed charges ,,,,,150.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,
.DAVITA HEMODIALYSIS,90999,CDM,,,,both,1,each,"5,611.00","5,611.00","1,571.08","5,611.00","5,611.00",percent of total billed charges,"5,611.00",percent of total billed charges,"5,611.00",percent of total billed charges,"5,611.00",percent of total billed charges,"5,611.00",percent of total billed charges,"5,611.00",percent of total billed charges,"5,611.00",percent of total billed charges,"5,611.00",percent of total billed charges,"4,039.92",percent of total billed charges,"4,039.92",percent of total billed charges,"4,039.92",percent of total billed charges,"4,039.92",percent of total billed charges,"4,039.92",percent of total billed charges,"4,039.92",percent of total billed charges,"4,152.14",percent of total billed charges,"4,152.14",percent of total billed charges,"4,488.80",percent of total billed charges,"4,488.80",percent of total billed charges,,,"4,039.92",percent of total billed charges ,,,"4,488.80",percent of total billed charges ,"4,713.24",percent of total billed charges ,"4,713.24",percent of total billed charges ,"4,376.58",percent of total billed charges ,"4,376.58",percent of total billed charges ,"4,488.80",percent of total billed charges ,"4,488.80",percent of total billed charges ,"3,927.70",percent of total billed charges ,"3,927.70",percent of total billed charges ,"3,366.60",percent of total billed charges ,"3,366.60",percent of total billed charges ,"3,366.60",percent of total billed charges ,"3,366.60",percent of total billed charges ,,,,,"2,985.05",percent of total billed charges ,,,,,"2,835.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,,,"1,571.08",percent of total billed charges,
IV INFUS THERAPY UP TO 1 HOUR,96365,CDM,,,,both,1,each,730,730,204.4,730,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,540.2,percent of total billed charges,540.2,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,,,525.6,percent of total billed charges ,,,584,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,584,percent of total billed charges ,584,percent of total billed charges ,511,percent of total billed charges ,511,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,,,,,388.36,percent of total billed charges ,,,,,368.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,
IV INFUS THERAPY UP TO 8 HOURS CPT,96366,CDM,,,,both,1,each,280,280,78.4,280,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,,,201.6,percent of total billed charges ,,,224,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,224,percent of total billed charges ,224,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,,,,,148.96,percent of total billed charges ,,,,,141.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,
**OUTPATIENT ENEMA,99211,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
IV INFUS THERAPY UP TO 1 HOUR,96365,CDM,,,59,both,1,each,730,730,204.4,730,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,540.2,percent of total billed charges,540.2,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,,,525.6,percent of total billed charges ,,,584,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,584,percent of total billed charges ,584,percent of total billed charges ,511,percent of total billed charges ,511,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,,,,,388.36,percent of total billed charges ,,,,,368.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,
IV INFUS THERAPY SEQ NEW DRUG,96367,CDM,,,,both,1,each,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
IV INFUS THERAPY CONCURENT INFUSION,96368,CDM,,,,both,1,each,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
THEROMOMETER-ACUTE CARE DISP,LOCAL,LOCAL,,,,both,1,each,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**CAT 18 BONE MARROW ASPIRATION ONLY,38220,CDM,,,,both,1,each,885,885,247.8,885,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,654.9,percent of total billed charges,654.9,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,,,637.2,percent of total billed charges ,,,708,percent of total billed charges ,743.4,percent of total billed charges ,743.4,percent of total billed charges ,690.3,percent of total billed charges ,690.3,percent of total billed charges ,708,percent of total billed charges ,708,percent of total billed charges ,619.5,percent of total billed charges ,619.5,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,,,,,470.82,percent of total billed charges ,,,,,447.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,
IV INJ ADD SEQ IVP SAME DRUG,96376,CDM,,,,both,1,each,273,273,76.44,273,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,202.02,percent of total billed charges,202.02,percent of total billed charges,218.4,percent of total billed charges,218.4,percent of total billed charges,,,196.56,percent of total billed charges ,,,218.4,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,212.94,percent of total billed charges ,212.94,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,,,,,145.24,percent of total billed charges ,,,,,137.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,
CHEMO ADMIN IV INFUS UP TO 1 HR,96413,CDM,,,,both,1,each,"1,089.00","1,089.00",304.92,"1,089.00","1,089.00",percent of total billed charges,"1,089.00",percent of total billed charges,"1,089.00",percent of total billed charges,"1,089.00",percent of total billed charges,"1,089.00",percent of total billed charges,"1,089.00",percent of total billed charges,"1,089.00",percent of total billed charges,"1,089.00",percent of total billed charges,784.08,percent of total billed charges,784.08,percent of total billed charges,784.08,percent of total billed charges,784.08,percent of total billed charges,784.08,percent of total billed charges,784.08,percent of total billed charges,805.86,percent of total billed charges,805.86,percent of total billed charges,871.2,percent of total billed charges,871.2,percent of total billed charges,,,784.08,percent of total billed charges ,,,871.2,percent of total billed charges ,914.76,percent of total billed charges ,914.76,percent of total billed charges ,849.42,percent of total billed charges ,849.42,percent of total billed charges ,871.2,percent of total billed charges ,871.2,percent of total billed charges ,762.3,percent of total billed charges ,762.3,percent of total billed charges ,653.4,percent of total billed charges ,653.4,percent of total billed charges ,653.4,percent of total billed charges ,653.4,percent of total billed charges ,,,,,579.35,percent of total billed charges ,,,,,550.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,,,304.92,percent of total billed charges,
IV INFUS/HYDRATION EACH ADDT'L HR,96361,CDM,,,,both,1,each,322,322,90.16,322,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,238.28,percent of total billed charges,238.28,percent of total billed charges,257.6,percent of total billed charges,257.6,percent of total billed charges,,,231.84,percent of total billed charges ,,,257.6,percent of total billed charges ,270.48,percent of total billed charges ,270.48,percent of total billed charges ,251.16,percent of total billed charges ,251.16,percent of total billed charges ,257.6,percent of total billed charges ,257.6,percent of total billed charges ,225.4,percent of total billed charges ,225.4,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,,,,,171.3,percent of total billed charges ,,,,,162.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,
CHEMO ADMIN IV INFUS ADD HOUR,96415,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
IV INFUS THERP EA ADDT'L HR,96366,CDM,,,,both,1,each,268,268,75.04,268,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,198.32,percent of total billed charges,198.32,percent of total billed charges,214.4,percent of total billed charges,214.4,percent of total billed charges,,,192.96,percent of total billed charges ,,,214.4,percent of total billed charges ,225.12,percent of total billed charges ,225.12,percent of total billed charges ,209.04,percent of total billed charges ,209.04,percent of total billed charges ,214.4,percent of total billed charges ,214.4,percent of total billed charges ,187.6,percent of total billed charges ,187.6,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,,,,,142.58,percent of total billed charges ,,,,,135.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,
IV HYDR 31 MIN TO 1 HOUR SEP SITE,96360,CDM,,,59,both,1,each,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
IMMUNIZATION ADMINISTRATION,90471,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
CONT/INTER SUCTION DISP SUPPLIES,LOCAL,LOCAL,,,,both,1,each,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
**TELEMETRY SET UP,LOCAL,LOCAL,,,,both,1,each,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
**CONT/INTER SUCTION SETUP,LOCAL,LOCAL,,,,both,1,each,255,255,71.4,255,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,188.7,percent of total billed charges,188.7,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,,,183.6,percent of total billed charges ,,,204,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,198.9,percent of total billed charges ,198.9,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,178.5,percent of total billed charges ,178.5,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,,,,,135.66,percent of total billed charges ,,,,,128.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,
EXTENDED RECOVERY,LOCAL,LOCAL,,,,both,1,each,827,827,231.56,827,827,percent of total billed charges,827,percent of total billed charges,827,percent of total billed charges,827,percent of total billed charges,827,percent of total billed charges,827,percent of total billed charges,827,percent of total billed charges,827,percent of total billed charges,595.44,percent of total billed charges,595.44,percent of total billed charges,595.44,percent of total billed charges,595.44,percent of total billed charges,595.44,percent of total billed charges,595.44,percent of total billed charges,611.98,percent of total billed charges,611.98,percent of total billed charges,661.6,percent of total billed charges,661.6,percent of total billed charges,,,595.44,percent of total billed charges ,,,661.6,percent of total billed charges ,694.68,percent of total billed charges ,694.68,percent of total billed charges ,645.06,percent of total billed charges ,645.06,percent of total billed charges ,661.6,percent of total billed charges ,661.6,percent of total billed charges ,578.9,percent of total billed charges ,578.9,percent of total billed charges ,496.2,percent of total billed charges ,496.2,percent of total billed charges ,496.2,percent of total billed charges ,496.2,percent of total billed charges ,,,,,439.96,percent of total billed charges ,,,,,417.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,,,231.56,percent of total billed charges,
**POST OP OBSERVATION 1ST HOUR,LOCAL,LOCAL,,,,both,1,each,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
**POST OP OBSERVATION ADD'L HOUR,LOCAL,LOCAL,,,,both,1,each,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
**SPINAL PUNCTURE LUMBAR DIAGNOSTIC,62270,CDM,,,,both,1,each,394,394,110.32,394,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,291.56,percent of total billed charges,291.56,percent of total billed charges,315.2,percent of total billed charges,315.2,percent of total billed charges,,,283.68,percent of total billed charges ,,,315.2,percent of total billed charges ,330.96,percent of total billed charges ,330.96,percent of total billed charges ,307.32,percent of total billed charges ,307.32,percent of total billed charges ,315.2,percent of total billed charges ,315.2,percent of total billed charges ,275.8,percent of total billed charges ,275.8,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,,,,,209.61,percent of total billed charges ,,,,,199.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,
OXIMETRY-PROBE DISP,LOCAL,LOCAL,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
**OXIMETRY CONTINUOUS OVERNIGHT (IP),94762,CDM,,,,both,1,each,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
COLLECT BLOOD INFUSAPORT,36591,CDM,,,,both,1,each,236,236,66.08,236,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,174.64,percent of total billed charges,174.64,percent of total billed charges,188.8,percent of total billed charges,188.8,percent of total billed charges,,,169.92,percent of total billed charges ,,,188.8,percent of total billed charges ,198.24,percent of total billed charges ,198.24,percent of total billed charges ,184.08,percent of total billed charges ,184.08,percent of total billed charges ,188.8,percent of total billed charges ,188.8,percent of total billed charges ,165.2,percent of total billed charges ,165.2,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,,,,,125.55,percent of total billed charges ,,,,,119.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,
COLLECT BLOOD PICC LINE,36592,CDM,,,,both,1,each,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
TRACHEOTOMY TUBE CHANGE,31502,CDM,,,,both,1,each,565,565,158.2,565,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,418.1,percent of total billed charges,418.1,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,,,406.8,percent of total billed charges ,,,452,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,440.7,percent of total billed charges ,440.7,percent of total billed charges ,452,percent of total billed charges ,452,percent of total billed charges ,395.5,percent of total billed charges ,395.5,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,,,,,300.58,percent of total billed charges ,,,,,285.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,
BLADDER SCAN,51798,CDM,,,,both,1,each,280,280,78.4,280,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,,,201.6,percent of total billed charges ,,,224,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,224,percent of total billed charges ,224,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,,,,,148.96,percent of total billed charges ,,,,,141.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,
**HEMOCULT,82270,CDM,,,,both,1,each,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
FLUSH INFUSAPORT,96523,CDM,,,,both,1,each,249,249,69.72,249,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,184.26,percent of total billed charges,184.26,percent of total billed charges,199.2,percent of total billed charges,199.2,percent of total billed charges,,,179.28,percent of total billed charges ,,,199.2,percent of total billed charges ,209.16,percent of total billed charges ,209.16,percent of total billed charges ,194.22,percent of total billed charges ,194.22,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,174.3,percent of total billed charges ,174.3,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,,,,,132.47,percent of total billed charges ,,,,,125.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,
TR PICC REMOVAL,99211,CDM,,,,both,1,each,265,265,74.2,265,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,196.1,percent of total billed charges,196.1,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,,,190.8,percent of total billed charges ,,,212,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,206.7,percent of total billed charges ,206.7,percent of total billed charges ,212,percent of total billed charges ,212,percent of total billed charges ,185.5,percent of total billed charges ,185.5,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,,,,,140.98,percent of total billed charges ,,,,,133.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,
TREATMENT ROOM LEVEL 1,99211,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
OBSERVATION DIRECT ADMIT,G0379,CDM,,,,both,1,each,556,556,155.68,556,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,411.44,percent of total billed charges,411.44,percent of total billed charges,444.8,percent of total billed charges,444.8,percent of total billed charges,,,400.32,percent of total billed charges ,,,444.8,percent of total billed charges ,467.04,percent of total billed charges ,467.04,percent of total billed charges ,433.68,percent of total billed charges ,433.68,percent of total billed charges ,444.8,percent of total billed charges ,444.8,percent of total billed charges ,389.2,percent of total billed charges ,389.2,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,,,,,295.79,percent of total billed charges ,,,,,281,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,
STRAIGHT CATH URINE SPECIMEN,99211,CDM,,,,both,1,each,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,1,each,"1,457.00","1,457.00",407.96,"1,457.00","1,457.00",percent of total billed charges,"1,457.00",percent of total billed charges,"1,457.00",percent of total billed charges,"1,457.00",percent of total billed charges,"1,457.00",percent of total billed charges,"1,457.00",percent of total billed charges,"1,457.00",percent of total billed charges,"1,457.00",percent of total billed charges,"1,049.04",percent of total billed charges,"1,049.04",percent of total billed charges,"1,049.04",percent of total billed charges,"1,049.04",percent of total billed charges,"1,049.04",percent of total billed charges,"1,049.04",percent of total billed charges,"1,078.18",percent of total billed charges,"1,078.18",percent of total billed charges,"1,165.60",percent of total billed charges,"1,165.60",percent of total billed charges,,,"1,049.04",percent of total billed charges ,,,"1,165.60",percent of total billed charges ,"1,223.88",percent of total billed charges ,"1,223.88",percent of total billed charges ,"1,136.46",percent of total billed charges ,"1,136.46",percent of total billed charges ,"1,165.60",percent of total billed charges ,"1,165.60",percent of total billed charges ,"1,019.90",percent of total billed charges ,"1,019.90",percent of total billed charges ,874.2,percent of total billed charges ,874.2,percent of total billed charges ,874.2,percent of total billed charges ,874.2,percent of total billed charges ,,,,,775.12,percent of total billed charges ,,,,,736.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,,,407.96,percent of total billed charges,
BLOOD TRANSFUSION  2 - 4 HRS,36430,CDM,,,,both,1,each,"1,498.00","1,498.00",419.44,"1,498.00","1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,108.52",percent of total billed charges,"1,108.52",percent of total billed charges,"1,198.40",percent of total billed charges,"1,198.40",percent of total billed charges,,,"1,078.56",percent of total billed charges ,,,"1,198.40",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,048.60",percent of total billed charges ,"1,048.60",percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,,,,,796.94,percent of total billed charges ,,,,,757.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,
BLOOD TRANSFUSION  > 4 HRS,36430,CDM,,,,both,1,each,"1,498.00","1,498.00",419.44,"1,498.00","1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,108.52",percent of total billed charges,"1,108.52",percent of total billed charges,"1,198.40",percent of total billed charges,"1,198.40",percent of total billed charges,,,"1,078.56",percent of total billed charges ,,,"1,198.40",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,048.60",percent of total billed charges ,"1,048.60",percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,,,,,796.94,percent of total billed charges ,,,,,757.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,
TEMPORARY TRANCUTANEOUS PACING,92953,CDM,,,,both,1,each,"1,211.00","1,211.00",339.08,"1,211.00","1,211.00",percent of total billed charges,"1,211.00",percent of total billed charges,"1,211.00",percent of total billed charges,"1,211.00",percent of total billed charges,"1,211.00",percent of total billed charges,"1,211.00",percent of total billed charges,"1,211.00",percent of total billed charges,"1,211.00",percent of total billed charges,871.92,percent of total billed charges,871.92,percent of total billed charges,871.92,percent of total billed charges,871.92,percent of total billed charges,871.92,percent of total billed charges,871.92,percent of total billed charges,896.14,percent of total billed charges,896.14,percent of total billed charges,968.8,percent of total billed charges,968.8,percent of total billed charges,,,871.92,percent of total billed charges ,,,968.8,percent of total billed charges ,"1,017.24",percent of total billed charges ,"1,017.24",percent of total billed charges ,944.58,percent of total billed charges ,944.58,percent of total billed charges ,968.8,percent of total billed charges ,968.8,percent of total billed charges ,847.7,percent of total billed charges ,847.7,percent of total billed charges ,726.6,percent of total billed charges ,726.6,percent of total billed charges ,726.6,percent of total billed charges ,726.6,percent of total billed charges ,,,,,644.25,percent of total billed charges ,,,,,612.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,,,339.08,percent of total billed charges,
**PICC LINE INSERTION,36573,CDM,,,,both,1,each,"4,423.00","4,423.00","1,238.44","4,423.00","4,423.00",percent of total billed charges,"4,423.00",percent of total billed charges,"4,423.00",percent of total billed charges,"4,423.00",percent of total billed charges,"4,423.00",percent of total billed charges,"4,423.00",percent of total billed charges,"4,423.00",percent of total billed charges,"4,423.00",percent of total billed charges,"3,184.56",percent of total billed charges,"3,184.56",percent of total billed charges,"3,184.56",percent of total billed charges,"3,184.56",percent of total billed charges,"3,184.56",percent of total billed charges,"3,184.56",percent of total billed charges,"3,273.02",percent of total billed charges,"3,273.02",percent of total billed charges,"3,538.40",percent of total billed charges,"3,538.40",percent of total billed charges,,,"3,184.56",percent of total billed charges ,,,"3,538.40",percent of total billed charges ,"3,715.32",percent of total billed charges ,"3,715.32",percent of total billed charges ,"3,449.94",percent of total billed charges ,"3,449.94",percent of total billed charges ,"3,538.40",percent of total billed charges ,"3,538.40",percent of total billed charges ,"3,096.10",percent of total billed charges ,"3,096.10",percent of total billed charges ,"2,653.80",percent of total billed charges ,"2,653.80",percent of total billed charges ,"2,653.80",percent of total billed charges ,"2,653.80",percent of total billed charges ,,,,,"2,353.04",percent of total billed charges ,,,,,"2,235.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,,,"1,238.44",percent of total billed charges,
US GUIDED PERIPHERAL IV,36000,CDM,,,,both,1,each,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
BLOOD TRANSFUSION  < 2 hrs,36430,CDM,,,,both,1,each,"1,498.00","1,498.00",419.44,"1,498.00","1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,108.52",percent of total billed charges,"1,108.52",percent of total billed charges,"1,198.40",percent of total billed charges,"1,198.40",percent of total billed charges,,,"1,078.56",percent of total billed charges ,,,"1,198.40",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,048.60",percent of total billed charges ,"1,048.60",percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,,,,,796.94,percent of total billed charges ,,,,,757.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,
**UNILATERAL BUCKS,LOCAL,LOCAL,,,,both,1,each,547,547,153.16,547,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,404.78,percent of total billed charges,404.78,percent of total billed charges,437.6,percent of total billed charges,437.6,percent of total billed charges,,,393.84,percent of total billed charges ,,,437.6,percent of total billed charges ,459.48,percent of total billed charges ,459.48,percent of total billed charges ,426.66,percent of total billed charges ,426.66,percent of total billed charges ,437.6,percent of total billed charges ,437.6,percent of total billed charges ,382.9,percent of total billed charges ,382.9,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,,,,,291,percent of total billed charges ,,,,,276.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,
**BILATERAL BUCKS,LOCAL,LOCAL,,,,both,1,each,872,872,244.16,872,872,percent of total billed charges,872,percent of total billed charges,872,percent of total billed charges,872,percent of total billed charges,872,percent of total billed charges,872,percent of total billed charges,872,percent of total billed charges,872,percent of total billed charges,627.84,percent of total billed charges,627.84,percent of total billed charges,627.84,percent of total billed charges,627.84,percent of total billed charges,627.84,percent of total billed charges,627.84,percent of total billed charges,645.28,percent of total billed charges,645.28,percent of total billed charges,697.6,percent of total billed charges,697.6,percent of total billed charges,,,627.84,percent of total billed charges ,,,697.6,percent of total billed charges ,732.48,percent of total billed charges ,732.48,percent of total billed charges ,680.16,percent of total billed charges ,680.16,percent of total billed charges ,697.6,percent of total billed charges ,697.6,percent of total billed charges ,610.4,percent of total billed charges ,610.4,percent of total billed charges ,523.2,percent of total billed charges ,523.2,percent of total billed charges ,523.2,percent of total billed charges ,523.2,percent of total billed charges ,,,,,463.9,percent of total billed charges ,,,,,440.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,,,244.16,percent of total billed charges,
**OVERHEAD,LOCAL,LOCAL,,,,both,1,each,437,437,122.36,437,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,323.38,percent of total billed charges,323.38,percent of total billed charges,349.6,percent of total billed charges,349.6,percent of total billed charges,,,314.64,percent of total billed charges ,,,349.6,percent of total billed charges ,367.08,percent of total billed charges ,367.08,percent of total billed charges ,340.86,percent of total billed charges ,340.86,percent of total billed charges ,349.6,percent of total billed charges ,349.6,percent of total billed charges ,305.9,percent of total billed charges ,305.9,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,,,,,232.48,percent of total billed charges ,,,,,220.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,
**PELVIC BELT,LOCAL,LOCAL,,,,both,1,each,378,378,105.84,378,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,279.72,percent of total billed charges,279.72,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,,,272.16,percent of total billed charges ,,,302.4,percent of total billed charges ,317.52,percent of total billed charges ,317.52,percent of total billed charges ,294.84,percent of total billed charges ,294.84,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,,,,,201.1,percent of total billed charges ,,,,,191.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,
**CRADLE BOOT,LOCAL,LOCAL,,,,both,1,each,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
**OB RN TRANSFER,LOCAL,LOCAL,,,,both,1,each,504,504,141.12,504,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,,,362.88,percent of total billed charges ,,,403.2,percent of total billed charges ,423.36,percent of total billed charges ,423.36,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,,,,,268.13,percent of total billed charges ,,,,,254.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,
**INTRAMUSCULAR/SUBCU INJECT THERAPY OR,96372,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**LACTATION CONSULTATION 15MIN,LOCAL,LOCAL,,,,both,1,each,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
**LACTATION CONSULTATION 30 MIN,LOCAL,LOCAL,,,,both,1,each,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
**LACTATION CONSULTATION 45 MIN,LOCAL,LOCAL,,,,both,1,each,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
**LACTATION CONSULTATION 60 MIN,LOCAL,LOCAL,,,,both,1,each,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
**UNIVERSAL PUMPING SYSTEM DISP,LOCAL,LOCAL,,,,both,1,each,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**BURETTE PUMP SET-OL NONVENTED,LOCAL,LOCAL,,,,both,1,each,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
**MESH BRIEF-DISP,LOCAL,LOCAL,,,,both,1,each,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**NURSERY,LOCAL,LOCAL,,,,both,1,each,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
**BETADINE WING GRIP SPONGES,LOCAL,LOCAL,,,,both,1,each,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**INTRAVENOUS INJ TH OR DX SEQ CPT,96375,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**REMVL OF FECAL IMPCTN OR FOREIGN BDY,45915,CDM,,,,both,1,each,443,443,124.04,443,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,327.82,percent of total billed charges,327.82,percent of total billed charges,354.4,percent of total billed charges,354.4,percent of total billed charges,,,318.96,percent of total billed charges ,,,354.4,percent of total billed charges ,372.12,percent of total billed charges ,372.12,percent of total billed charges ,345.54,percent of total billed charges ,345.54,percent of total billed charges ,354.4,percent of total billed charges ,354.4,percent of total billed charges ,310.1,percent of total billed charges ,310.1,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,,,,,235.68,percent of total billed charges ,,,,,223.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,
**IV INFUS HYDRATION UP TO 1 HOUR CPT,96360,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS HYDRATION UP TO 8HRS CPT,96361,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**AMNIOINFUSION,LOCAL,LOCAL,,,,both,1,each,464,464,129.92,464,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,343.36,percent of total billed charges,343.36,percent of total billed charges,371.2,percent of total billed charges,371.2,percent of total billed charges,,,334.08,percent of total billed charges ,,,371.2,percent of total billed charges ,389.76,percent of total billed charges ,389.76,percent of total billed charges ,361.92,percent of total billed charges ,361.92,percent of total billed charges ,371.2,percent of total billed charges ,371.2,percent of total billed charges ,324.8,percent of total billed charges ,324.8,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,,,,,246.85,percent of total billed charges ,,,,,234.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS THERAPY UP TO 8 HOUR CPT,96366,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS THERAPY SEQ UP TO 1 HOUR CPT,96367,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS THERAPY CON UP TO 1 HOUR CPT,96368,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**O/P EVALUATION - 1ST 6 HRS,LOCAL,LOCAL,,,,both,1,each,805,805,225.4,805,805,percent of total billed charges,805,percent of total billed charges,805,percent of total billed charges,805,percent of total billed charges,805,percent of total billed charges,805,percent of total billed charges,805,percent of total billed charges,805,percent of total billed charges,579.6,percent of total billed charges,579.6,percent of total billed charges,579.6,percent of total billed charges,579.6,percent of total billed charges,579.6,percent of total billed charges,579.6,percent of total billed charges,595.7,percent of total billed charges,595.7,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,,,579.6,percent of total billed charges ,,,644,percent of total billed charges ,676.2,percent of total billed charges ,676.2,percent of total billed charges ,627.9,percent of total billed charges ,627.9,percent of total billed charges ,644,percent of total billed charges ,644,percent of total billed charges ,563.5,percent of total billed charges ,563.5,percent of total billed charges ,483,percent of total billed charges ,483,percent of total billed charges ,483,percent of total billed charges ,483,percent of total billed charges ,,,,,428.26,percent of total billed charges ,,,,,406.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,,,225.4,percent of total billed charges,
**DELIVERY ROOM SERVICE,LOCAL,LOCAL,,,,both,1,each,"2,152.00","2,152.00",602.56,"2,152.00","2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,592.48",percent of total billed charges,"1,592.48",percent of total billed charges,"1,721.60",percent of total billed charges,"1,721.60",percent of total billed charges,,,"1,549.44",percent of total billed charges ,,,"1,721.60",percent of total billed charges ,"1,807.68",percent of total billed charges ,"1,807.68",percent of total billed charges ,"1,678.56",percent of total billed charges ,"1,678.56",percent of total billed charges ,"1,721.60",percent of total billed charges ,"1,721.60",percent of total billed charges ,"1,506.40",percent of total billed charges ,"1,506.40",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,,,,,"1,144.86",percent of total billed charges ,,,,,"1,087.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,
**RECOVERY,LOCAL,LOCAL,,,,both,1,each,"1,172.00","1,172.00",328.16,"1,172.00","1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,867.28,percent of total billed charges,867.28,percent of total billed charges,937.6,percent of total billed charges,937.6,percent of total billed charges,,,843.84,percent of total billed charges ,,,937.6,percent of total billed charges ,984.48,percent of total billed charges ,984.48,percent of total billed charges ,914.16,percent of total billed charges ,914.16,percent of total billed charges ,937.6,percent of total billed charges ,937.6,percent of total billed charges ,820.4,percent of total billed charges ,820.4,percent of total billed charges ,703.2,percent of total billed charges ,703.2,percent of total billed charges ,703.2,percent of total billed charges ,703.2,percent of total billed charges ,,,,,623.5,percent of total billed charges ,,,,,592.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,
**IMPERVIOUS DOCTOR'S GOWN,LOCAL,LOCAL,,,,both,1,each,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
**PMR BAG,LOCAL,LOCAL,,,,both,1,each,177,177,49.56,177,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,130.98,percent of total billed charges,130.98,percent of total billed charges,141.6,percent of total billed charges,141.6,percent of total billed charges,,,127.44,percent of total billed charges ,,,141.6,percent of total billed charges ,148.68,percent of total billed charges ,148.68,percent of total billed charges ,138.06,percent of total billed charges ,138.06,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,123.9,percent of total billed charges ,123.9,percent of total billed charges ,106.2,percent of total billed charges ,106.2,percent of total billed charges ,106.2,percent of total billed charges ,106.2,percent of total billed charges ,,,,,94.16,percent of total billed charges ,,,,,89.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,
**02 TUBING,LOCAL,LOCAL,,,,both,1,each,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
**CANISTER-WARMER,LOCAL,LOCAL,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
**BIRTHING ROOM SERVICE,LOCAL,LOCAL,,,,both,1,each,"2,152.00","2,152.00",602.56,"2,152.00","2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"2,152.00",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,549.44",percent of total billed charges,"1,592.48",percent of total billed charges,"1,592.48",percent of total billed charges,"1,721.60",percent of total billed charges,"1,721.60",percent of total billed charges,,,"1,549.44",percent of total billed charges ,,,"1,721.60",percent of total billed charges ,"1,807.68",percent of total billed charges ,"1,807.68",percent of total billed charges ,"1,678.56",percent of total billed charges ,"1,678.56",percent of total billed charges ,"1,721.60",percent of total billed charges ,"1,721.60",percent of total billed charges ,"1,506.40",percent of total billed charges ,"1,506.40",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,,,,,"1,144.86",percent of total billed charges ,,,,,"1,087.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,,,602.56,percent of total billed charges,
**MECONIUM ASPIRATORS,LOCAL,LOCAL,,,,both,1,each,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
**DELIVERY PACK-DISP,LOCAL,LOCAL,,,,both,1,each,536,536,150.08,536,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,396.64,percent of total billed charges,396.64,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,,,385.92,percent of total billed charges ,,,428.8,percent of total billed charges ,450.24,percent of total billed charges ,450.24,percent of total billed charges ,418.08,percent of total billed charges ,418.08,percent of total billed charges ,428.8,percent of total billed charges ,428.8,percent of total billed charges ,375.2,percent of total billed charges ,375.2,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,,,,,285.15,percent of total billed charges ,,,,,270.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,
**PARA CERVICAL BLOCK DISP,LOCAL,LOCAL,,,,both,1,each,219,219,61.32,219,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,162.06,percent of total billed charges,162.06,percent of total billed charges,175.2,percent of total billed charges,175.2,percent of total billed charges,,,157.68,percent of total billed charges ,,,175.2,percent of total billed charges ,183.96,percent of total billed charges ,183.96,percent of total billed charges ,170.82,percent of total billed charges ,170.82,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,153.3,percent of total billed charges ,153.3,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,,,,,116.51,percent of total billed charges ,,,,,110.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,
**AMNIOTOMY SET-DISP,LOCAL,LOCAL,,,,both,1,each,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**I V PUMP,LOCAL,LOCAL,,,,both,1,each,175,175,49,175,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,129.5,percent of total billed charges,129.5,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,,,126,percent of total billed charges ,,,140,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,136.5,percent of total billed charges ,136.5,percent of total billed charges ,140,percent of total billed charges ,140,percent of total billed charges ,122.5,percent of total billed charges ,122.5,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,,,,,93.1,percent of total billed charges ,,,,,88.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,
**C SECTION,LOCAL,LOCAL,,,,both,1,each,740,740,207.2,740,740,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,740,percent of total billed charges,532.8,percent of total billed charges,532.8,percent of total billed charges,532.8,percent of total billed charges,532.8,percent of total billed charges,532.8,percent of total billed charges,532.8,percent of total billed charges,547.6,percent of total billed charges,547.6,percent of total billed charges,592,percent of total billed charges,592,percent of total billed charges,,,532.8,percent of total billed charges ,,,592,percent of total billed charges ,621.6,percent of total billed charges ,621.6,percent of total billed charges ,577.2,percent of total billed charges ,577.2,percent of total billed charges ,592,percent of total billed charges ,592,percent of total billed charges ,518,percent of total billed charges ,518,percent of total billed charges ,444,percent of total billed charges ,444,percent of total billed charges ,444,percent of total billed charges ,444,percent of total billed charges ,,,,,393.68,percent of total billed charges ,,,,,374,percent of total billed charges ,,,,,,,,,,,,,,,,,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,,,207.2,percent of total billed charges,
**PUDENDAL BLOCK KIT-DISP,LOCAL,LOCAL,,,,both,1,each,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
**INTERNAL FETAL MONIT-DISP,LOCAL,LOCAL,,,,both,1,each,444,444,124.32,444,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,328.56,percent of total billed charges,328.56,percent of total billed charges,355.2,percent of total billed charges,355.2,percent of total billed charges,,,319.68,percent of total billed charges ,,,355.2,percent of total billed charges ,372.96,percent of total billed charges ,372.96,percent of total billed charges ,346.32,percent of total billed charges ,346.32,percent of total billed charges ,355.2,percent of total billed charges ,355.2,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,,,,,236.21,percent of total billed charges ,,,,,224.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,
**INTERNAL UTERINE PRESSURE CATH,LOCAL,LOCAL,,,,both,1,each,333,333,93.24,333,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,246.42,percent of total billed charges,246.42,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,,,239.76,percent of total billed charges ,,,266.4,percent of total billed charges ,279.72,percent of total billed charges ,279.72,percent of total billed charges ,259.74,percent of total billed charges ,259.74,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,233.1,percent of total billed charges ,233.1,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,,,,,177.16,percent of total billed charges ,,,,,168.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,
**CIRCUMCISION,LOCAL,LOCAL,,,,both,1,each,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
**CARDIOPULMONARY RESUSCITATION INFA,92950,CDM,,,,both,1,each,893,893,250.04,893,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,660.82,percent of total billed charges,660.82,percent of total billed charges,714.4,percent of total billed charges,714.4,percent of total billed charges,,,642.96,percent of total billed charges ,,,714.4,percent of total billed charges ,750.12,percent of total billed charges ,750.12,percent of total billed charges ,696.54,percent of total billed charges ,696.54,percent of total billed charges ,714.4,percent of total billed charges ,714.4,percent of total billed charges ,625.1,percent of total billed charges ,625.1,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,,,,,475.08,percent of total billed charges ,,,,,451.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,
**NEWBORN HEARING SCREENING (1 EAR),92586,CDM,,,52,both,1,each,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
**NEWBORN HEARING SCREENING (2 EARS),92586,CDM,,,,both,1,each,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
**WALLABY BILI LIGHT,LOCAL,LOCAL,,,,both,1,each,382,382,106.96,382,382,percent of total billed charges,382,percent of total billed charges,382,percent of total billed charges,382,percent of total billed charges,382,percent of total billed charges,382,percent of total billed charges,382,percent of total billed charges,382,percent of total billed charges,275.04,percent of total billed charges,275.04,percent of total billed charges,275.04,percent of total billed charges,275.04,percent of total billed charges,275.04,percent of total billed charges,275.04,percent of total billed charges,282.68,percent of total billed charges,282.68,percent of total billed charges,305.6,percent of total billed charges,305.6,percent of total billed charges,,,275.04,percent of total billed charges ,,,305.6,percent of total billed charges ,320.88,percent of total billed charges ,320.88,percent of total billed charges ,297.96,percent of total billed charges ,297.96,percent of total billed charges ,305.6,percent of total billed charges ,305.6,percent of total billed charges ,267.4,percent of total billed charges ,267.4,percent of total billed charges ,229.2,percent of total billed charges ,229.2,percent of total billed charges ,229.2,percent of total billed charges ,229.2,percent of total billed charges ,,,,,203.22,percent of total billed charges ,,,,,193.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,,,106.96,percent of total billed charges,
**LAVAGE,LOCAL,LOCAL,,,,both,1,each,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
**NEO NATAL MONITOR 0,93041,CDM,,,,both,1,each,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
**NEO NATAL MONITOR PER HOUR,93041,CDM,,,,both,1,each,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**DRAW PKU T4,LOCAL,LOCAL,,,,both,1,each,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
**RADIANT WARMER,LOCAL,LOCAL,,,,both,1,each,510,510,142.8,510,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,377.4,percent of total billed charges,377.4,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,,,367.2,percent of total billed charges ,,,408,percent of total billed charges ,428.4,percent of total billed charges ,428.4,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,408,percent of total billed charges ,408,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,,,,,271.32,percent of total billed charges ,,,,,257.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,
**ISOLETTE 4 HRS,LOCAL,LOCAL,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
**I V PUMP,LOCAL,LOCAL,,,,both,1,each,175,175,49,175,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,129.5,percent of total billed charges,129.5,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,,,126,percent of total billed charges ,,,140,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,136.5,percent of total billed charges ,136.5,percent of total billed charges ,140,percent of total billed charges ,140,percent of total billed charges ,122.5,percent of total billed charges ,122.5,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,,,,,93.1,percent of total billed charges ,,,,,88.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,
**SOFT CUP INFANT FEEDER-DISP,LOCAL,LOCAL,,,,both,1,each,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**UMBILICAL CATH TRAY,LOCAL,LOCAL,,,,both,1,each,907,907,253.96,907,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,671.18,percent of total billed charges,671.18,percent of total billed charges,725.6,percent of total billed charges,725.6,percent of total billed charges,,,653.04,percent of total billed charges ,,,725.6,percent of total billed charges ,761.88,percent of total billed charges ,761.88,percent of total billed charges ,707.46,percent of total billed charges ,707.46,percent of total billed charges ,725.6,percent of total billed charges ,725.6,percent of total billed charges ,634.9,percent of total billed charges ,634.9,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,,,,,482.52,percent of total billed charges ,,,,,458.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,
**LANCET TENDERFOOT,LOCAL,LOCAL,,,,both,1,each,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
**DATASCOPE SENSOR DISPOSABLE,LOCAL,LOCAL,,,,both,1,each,688,688,192.64,688,688,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,495.36,percent of total billed charges,495.36,percent of total billed charges,495.36,percent of total billed charges,495.36,percent of total billed charges,495.36,percent of total billed charges,495.36,percent of total billed charges,509.12,percent of total billed charges,509.12,percent of total billed charges,550.4,percent of total billed charges,550.4,percent of total billed charges,,,495.36,percent of total billed charges ,,,550.4,percent of total billed charges ,577.92,percent of total billed charges ,577.92,percent of total billed charges ,536.64,percent of total billed charges ,536.64,percent of total billed charges ,550.4,percent of total billed charges ,550.4,percent of total billed charges ,481.6,percent of total billed charges ,481.6,percent of total billed charges ,412.8,percent of total billed charges ,412.8,percent of total billed charges ,412.8,percent of total billed charges ,412.8,percent of total billed charges ,,,,,366.02,percent of total billed charges ,,,,,347.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,,,192.64,percent of total billed charges,
**OXYHOOD,LOCAL,LOCAL,,,,both,1,each,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
"DIALATOR WIRE BALLOON 15,16.5-18",LOCAL,LOCAL,,,,both,1,each,"1,759.00","1,759.00",492.52,"1,759.00","1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,301.66",percent of total billed charges,"1,301.66",percent of total billed charges,"1,407.20",percent of total billed charges,"1,407.20",percent of total billed charges,,,"1,266.48",percent of total billed charges ,,,"1,407.20",percent of total billed charges ,"1,477.56",percent of total billed charges ,"1,477.56",percent of total billed charges ,"1,372.02",percent of total billed charges ,"1,372.02",percent of total billed charges ,"1,407.20",percent of total billed charges ,"1,407.20",percent of total billed charges ,"1,231.30",percent of total billed charges ,"1,231.30",percent of total billed charges ,"1,055.40",percent of total billed charges ,"1,055.40",percent of total billed charges ,"1,055.40",percent of total billed charges ,"1,055.40",percent of total billed charges ,,,,,935.79,percent of total billed charges ,,,,,889,percent of total billed charges ,,,,,,,,,,,,,,,,,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,
**OCCUCOAT,LOCAL,LOCAL,,,,both,1,each,437,437,122.36,437,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,323.38,percent of total billed charges,323.38,percent of total billed charges,349.6,percent of total billed charges,349.6,percent of total billed charges,,,314.64,percent of total billed charges ,,,349.6,percent of total billed charges ,367.08,percent of total billed charges ,367.08,percent of total billed charges ,340.86,percent of total billed charges ,340.86,percent of total billed charges ,349.6,percent of total billed charges ,349.6,percent of total billed charges ,305.9,percent of total billed charges ,305.9,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,,,,,232.48,percent of total billed charges ,,,,,220.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,
RESOLUTION CLIP,LOCAL,LOCAL,,,,both,1,each,"1,482.00","1,482.00",414.96,"1,482.00","1,482.00",percent of total billed charges,"1,482.00",percent of total billed charges,"1,482.00",percent of total billed charges,"1,482.00",percent of total billed charges,"1,482.00",percent of total billed charges,"1,482.00",percent of total billed charges,"1,482.00",percent of total billed charges,"1,482.00",percent of total billed charges,"1,067.04",percent of total billed charges,"1,067.04",percent of total billed charges,"1,067.04",percent of total billed charges,"1,067.04",percent of total billed charges,"1,067.04",percent of total billed charges,"1,067.04",percent of total billed charges,"1,096.68",percent of total billed charges,"1,096.68",percent of total billed charges,"1,185.60",percent of total billed charges,"1,185.60",percent of total billed charges,,,"1,067.04",percent of total billed charges ,,,"1,185.60",percent of total billed charges ,"1,244.88",percent of total billed charges ,"1,244.88",percent of total billed charges ,"1,155.96",percent of total billed charges ,"1,155.96",percent of total billed charges ,"1,185.60",percent of total billed charges ,"1,185.60",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,889.2,percent of total billed charges ,889.2,percent of total billed charges ,889.2,percent of total billed charges ,889.2,percent of total billed charges ,,,,,788.42,percent of total billed charges ,,,,,749,percent of total billed charges ,,,,,,,,,,,,,,,,,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,,,414.96,percent of total billed charges,
**TUBING OUT FLOW AQL 111S,LOCAL,LOCAL,,,,both,1,each,208,208,58.24,208,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,153.92,percent of total billed charges,153.92,percent of total billed charges,166.4,percent of total billed charges,166.4,percent of total billed charges,,,149.76,percent of total billed charges ,,,166.4,percent of total billed charges ,174.72,percent of total billed charges ,174.72,percent of total billed charges ,162.24,percent of total billed charges ,162.24,percent of total billed charges ,166.4,percent of total billed charges ,166.4,percent of total billed charges ,145.6,percent of total billed charges ,145.6,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,,,,,110.66,percent of total billed charges ,,,,,105.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,
**TUBING IN FLOW AQL 110S,LOCAL,LOCAL,,,,both,1,each,981,981,274.68,981,981,percent of total billed charges,981,percent of total billed charges,981,percent of total billed charges,981,percent of total billed charges,981,percent of total billed charges,981,percent of total billed charges,981,percent of total billed charges,981,percent of total billed charges,706.32,percent of total billed charges,706.32,percent of total billed charges,706.32,percent of total billed charges,706.32,percent of total billed charges,706.32,percent of total billed charges,706.32,percent of total billed charges,725.94,percent of total billed charges,725.94,percent of total billed charges,784.8,percent of total billed charges,784.8,percent of total billed charges,,,706.32,percent of total billed charges ,,,784.8,percent of total billed charges ,824.04,percent of total billed charges ,824.04,percent of total billed charges ,765.18,percent of total billed charges ,765.18,percent of total billed charges ,784.8,percent of total billed charges ,784.8,percent of total billed charges ,686.7,percent of total billed charges ,686.7,percent of total billed charges ,588.6,percent of total billed charges ,588.6,percent of total billed charges ,588.6,percent of total billed charges ,588.6,percent of total billed charges ,,,,,521.89,percent of total billed charges ,,,,,495.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,,,274.68,percent of total billed charges,
**MYOSURE 10-401,LOCAL,LOCAL,,,,both,1,each,"8,960.00","8,960.00","2,508.80","8,960.00","8,960.00",percent of total billed charges,"8,960.00",percent of total billed charges,"8,960.00",percent of total billed charges,"8,960.00",percent of total billed charges,"8,960.00",percent of total billed charges,"8,960.00",percent of total billed charges,"8,960.00",percent of total billed charges,"8,960.00",percent of total billed charges,"6,451.20",percent of total billed charges,"6,451.20",percent of total billed charges,"6,451.20",percent of total billed charges,"6,451.20",percent of total billed charges,"6,451.20",percent of total billed charges,"6,451.20",percent of total billed charges,"6,630.40",percent of total billed charges,"6,630.40",percent of total billed charges,"7,168.00",percent of total billed charges,"7,168.00",percent of total billed charges,,,"6,451.20",percent of total billed charges ,,,"7,168.00",percent of total billed charges ,"7,526.40",percent of total billed charges ,"7,526.40",percent of total billed charges ,"6,988.80",percent of total billed charges ,"6,988.80",percent of total billed charges ,"7,168.00",percent of total billed charges ,"7,168.00",percent of total billed charges ,"6,272.00",percent of total billed charges ,"6,272.00",percent of total billed charges ,"5,376.00",percent of total billed charges ,"5,376.00",percent of total billed charges ,"5,376.00",percent of total billed charges ,"5,376.00",percent of total billed charges ,,,,,"4,766.72",percent of total billed charges ,,,,,"4,528.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,,,"2,508.80",percent of total billed charges,
OPTICAL 11MM PORT B11STF,LOCAL,LOCAL,,,,both,1,each,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
OPTICAL 5MM PORT ONB5STF,LOCAL,LOCAL,,,,both,1,each,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
50-601XL MYOSURE XL FOR FLUENT TISSUE,LOCAL,LOCAL,,,,both,1,each,"8,648.00","8,648.00","2,421.44","8,648.00","8,648.00",percent of total billed charges,"8,648.00",percent of total billed charges,"8,648.00",percent of total billed charges,"8,648.00",percent of total billed charges,"8,648.00",percent of total billed charges,"8,648.00",percent of total billed charges,"8,648.00",percent of total billed charges,"8,648.00",percent of total billed charges,"6,226.56",percent of total billed charges,"6,226.56",percent of total billed charges,"6,226.56",percent of total billed charges,"6,226.56",percent of total billed charges,"6,226.56",percent of total billed charges,"6,226.56",percent of total billed charges,"6,399.52",percent of total billed charges,"6,399.52",percent of total billed charges,"6,918.40",percent of total billed charges,"6,918.40",percent of total billed charges,,,"6,226.56",percent of total billed charges ,,,"6,918.40",percent of total billed charges ,"7,264.32",percent of total billed charges ,"7,264.32",percent of total billed charges ,"6,745.44",percent of total billed charges ,"6,745.44",percent of total billed charges ,"6,918.40",percent of total billed charges ,"6,918.40",percent of total billed charges ,"6,053.60",percent of total billed charges ,"6,053.60",percent of total billed charges ,"5,188.80",percent of total billed charges ,"5,188.80",percent of total billed charges ,"5,188.80",percent of total billed charges ,"5,188.80",percent of total billed charges ,,,,,"4,600.74",percent of total billed charges ,,,,,"4,370.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,,,"2,421.44",percent of total billed charges,
AQL-110 INFLOW TUBESET AQUILEX,LOCAL,LOCAL,,,,both,1,each,668,668,187.04,668,668,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,480.96,percent of total billed charges,480.96,percent of total billed charges,480.96,percent of total billed charges,480.96,percent of total billed charges,480.96,percent of total billed charges,480.96,percent of total billed charges,494.32,percent of total billed charges,494.32,percent of total billed charges,534.4,percent of total billed charges,534.4,percent of total billed charges,,,480.96,percent of total billed charges ,,,534.4,percent of total billed charges ,561.12,percent of total billed charges ,561.12,percent of total billed charges ,521.04,percent of total billed charges ,521.04,percent of total billed charges ,534.4,percent of total billed charges ,534.4,percent of total billed charges ,467.6,percent of total billed charges ,467.6,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,,,,,355.38,percent of total billed charges ,,,,,337.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,,,187.04,percent of total billed charges,
AQL-111 OUTFLOW TUBESET AQUILEX,LOCAL,LOCAL,,,,both,1,each,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
**SHORT STAY SURGERY 1 HOUR,LOCAL,LOCAL,,,,both,1,each,266,266,74.48,266,266,percent of total billed charges,266,percent of total billed charges,266,percent of total billed charges,266,percent of total billed charges,266,percent of total billed charges,266,percent of total billed charges,266,percent of total billed charges,266,percent of total billed charges,191.52,percent of total billed charges,191.52,percent of total billed charges,191.52,percent of total billed charges,191.52,percent of total billed charges,191.52,percent of total billed charges,191.52,percent of total billed charges,196.84,percent of total billed charges,196.84,percent of total billed charges,212.8,percent of total billed charges,212.8,percent of total billed charges,,,191.52,percent of total billed charges ,,,212.8,percent of total billed charges ,223.44,percent of total billed charges ,223.44,percent of total billed charges ,207.48,percent of total billed charges ,207.48,percent of total billed charges ,212.8,percent of total billed charges ,212.8,percent of total billed charges ,186.2,percent of total billed charges ,186.2,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,,,,,141.51,percent of total billed charges ,,,,,134.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,,,74.48,percent of total billed charges,
EXTENDED RECOVERY,LOCAL,LOCAL,,,,both,1,each,390,390,109.2,390,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,288.6,percent of total billed charges,288.6,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,,,280.8,percent of total billed charges ,,,312,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,304.2,percent of total billed charges ,304.2,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,,,,,207.48,percent of total billed charges ,,,,,197.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,
PHASE II RECOVERY PER MINUTE,LOCAL,LOCAL,,,,both,1,each,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
BIOC ACHILLES SPEEDBUMP W/JUMP,C1713,CDM,,,,both,1,each,"18,576.00","18,576.00","5,201.28","18,576.00","18,576.00",percent of total billed charges,"18,576.00",percent of total billed charges,"18,576.00",percent of total billed charges,"18,576.00",percent of total billed charges,"18,576.00",percent of total billed charges,"18,576.00",percent of total billed charges,"18,576.00",percent of total billed charges,"18,576.00",percent of total billed charges,"13,374.72",percent of total billed charges,"13,374.72",percent of total billed charges,"13,374.72",percent of total billed charges,"13,374.72",percent of total billed charges,"13,374.72",percent of total billed charges,"13,374.72",percent of total billed charges,"13,746.24",percent of total billed charges,"13,746.24",percent of total billed charges,"14,860.80",percent of total billed charges,"14,860.80",percent of total billed charges,,,"13,374.72",percent of total billed charges ,,,"14,860.80",percent of total billed charges ,"15,603.84",percent of total billed charges ,"15,603.84",percent of total billed charges ,"14,489.28",percent of total billed charges ,"14,489.28",percent of total billed charges ,"14,860.80",percent of total billed charges ,"14,860.80",percent of total billed charges ,"13,003.20",percent of total billed charges ,"13,003.20",percent of total billed charges ,"11,145.60",percent of total billed charges ,"11,145.60",percent of total billed charges ,"11,145.60",percent of total billed charges ,"11,145.60",percent of total billed charges ,,,,,"9,882.43",percent of total billed charges ,,,,,"9,388.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,,,"5,201.28",percent of total billed charges,
PHASE I RECOVERY MINUTES,LOCAL,LOCAL,,,,both,1,each,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
**MODERATE (CONSCIOUS) SED 1ST 30 MIN IN,99144,CDM,,,,both,1,each,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
**MODERATE(CONSCIOUS)SEDATION 1ST 30  OU,99144,CDM,,,,both,1,each,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
VENIPUNCTURE UNDER AGE 3 (SCALPVEIN),36405,CDM,,,,both,1,each,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
VENIPUNCTURE UNDER AGE 3 (OTHER VEIN),36406,CDM,,,,both,1,each,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
PLACEMENT OF INTRAOSSEOUS NEEDLE,36680,CDM,,,,both,1,each,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
COLLECTION OF VENOUS BLOOD BY VENIPUNCT,36415,CDM,,,,both,1,each,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
COLLTN BLOOD FRM CMPLT INPLANTAL DEVICE,36415,CDM,,,,both,1,each,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
**DECLOTNG BY THROMBOLYTC AGNT INPLNT CA,36550,CDM,,,,both,1,each,175,175,49,175,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,129.5,percent of total billed charges,129.5,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,,,126,percent of total billed charges ,,,140,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,136.5,percent of total billed charges ,136.5,percent of total billed charges ,140,percent of total billed charges ,140,percent of total billed charges ,122.5,percent of total billed charges ,122.5,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,,,,,93.1,percent of total billed charges ,,,,,88.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,
SPINAL CANAL INJ,62322,CDM,,,,both,1,each,"1,297.00","1,297.00",363.16,"1,297.00","1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,959.78,percent of total billed charges,959.78,percent of total billed charges,"1,037.60",percent of total billed charges,"1,037.60",percent of total billed charges,,,933.84,percent of total billed charges ,,,"1,037.60",percent of total billed charges ,"1,089.48",percent of total billed charges ,"1,089.48",percent of total billed charges ,"1,011.66",percent of total billed charges ,"1,011.66",percent of total billed charges ,"1,037.60",percent of total billed charges ,"1,037.60",percent of total billed charges ,907.9,percent of total billed charges ,907.9,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,,,,,690,percent of total billed charges ,,,,,655.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,
**SHORT STAY 30 MIN,LOCAL,LOCAL,,,,both,1,each,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
**MODERATE(CONSCIOUS)EA ADDITL 15MIN IN,99145,CDM,,,,both,1,each,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
**MOD(CONSCIOUS)SED EA ADDTL 15MIN OUT,99145,CDM,,,,both,1,each,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
"VENIPUNCTURE, AGE 3+",36410,CDM,,,,both,1,each,264,264,73.92,264,264,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,190.08,percent of total billed charges,190.08,percent of total billed charges,190.08,percent of total billed charges,190.08,percent of total billed charges,190.08,percent of total billed charges,190.08,percent of total billed charges,195.36,percent of total billed charges,195.36,percent of total billed charges,211.2,percent of total billed charges,211.2,percent of total billed charges,,,190.08,percent of total billed charges ,,,211.2,percent of total billed charges ,221.76,percent of total billed charges ,221.76,percent of total billed charges ,205.92,percent of total billed charges ,205.92,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,158.4,percent of total billed charges ,158.4,percent of total billed charges ,158.4,percent of total billed charges ,158.4,percent of total billed charges ,,,,,140.45,percent of total billed charges ,,,,,133.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,,,73.92,percent of total billed charges,
**SURGERY 1 UNIT,LOCAL,LOCAL,,,,both,1,each,"1,054.00","1,054.00",295.12,"1,054.00","1,054.00",percent of total billed charges,"1,054.00",percent of total billed charges,"1,054.00",percent of total billed charges,"1,054.00",percent of total billed charges,"1,054.00",percent of total billed charges,"1,054.00",percent of total billed charges,"1,054.00",percent of total billed charges,"1,054.00",percent of total billed charges,758.88,percent of total billed charges,758.88,percent of total billed charges,758.88,percent of total billed charges,758.88,percent of total billed charges,758.88,percent of total billed charges,758.88,percent of total billed charges,779.96,percent of total billed charges,779.96,percent of total billed charges,843.2,percent of total billed charges,843.2,percent of total billed charges,,,758.88,percent of total billed charges ,,,843.2,percent of total billed charges ,885.36,percent of total billed charges ,885.36,percent of total billed charges ,822.12,percent of total billed charges ,822.12,percent of total billed charges ,843.2,percent of total billed charges ,843.2,percent of total billed charges ,737.8,percent of total billed charges ,737.8,percent of total billed charges ,632.4,percent of total billed charges ,632.4,percent of total billed charges ,632.4,percent of total billed charges ,632.4,percent of total billed charges ,,,,,560.73,percent of total billed charges ,,,,,532.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,,,295.12,percent of total billed charges,
**SURGERY CLASS 1,LOCAL,LOCAL,,,,both,1,each,"1,736.00","1,736.00",486.08,"1,736.00","1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,284.64",percent of total billed charges,"1,284.64",percent of total billed charges,"1,388.80",percent of total billed charges,"1,388.80",percent of total billed charges,,,"1,249.92",percent of total billed charges ,,,"1,388.80",percent of total billed charges ,"1,458.24",percent of total billed charges ,"1,458.24",percent of total billed charges ,"1,354.08",percent of total billed charges ,"1,354.08",percent of total billed charges ,"1,388.80",percent of total billed charges ,"1,388.80",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,,,,,923.55,percent of total billed charges ,,,,,877.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,
**PROCTOSCOPY - PROCEDURE,LOCAL,LOCAL,,,,both,1,each,678,678,189.84,678,678,percent of total billed charges,678,percent of total billed charges,678,percent of total billed charges,678,percent of total billed charges,678,percent of total billed charges,678,percent of total billed charges,678,percent of total billed charges,678,percent of total billed charges,488.16,percent of total billed charges,488.16,percent of total billed charges,488.16,percent of total billed charges,488.16,percent of total billed charges,488.16,percent of total billed charges,488.16,percent of total billed charges,501.72,percent of total billed charges,501.72,percent of total billed charges,542.4,percent of total billed charges,542.4,percent of total billed charges,,,488.16,percent of total billed charges ,,,542.4,percent of total billed charges ,569.52,percent of total billed charges ,569.52,percent of total billed charges ,528.84,percent of total billed charges ,528.84,percent of total billed charges ,542.4,percent of total billed charges ,542.4,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,406.8,percent of total billed charges ,406.8,percent of total billed charges ,406.8,percent of total billed charges ,406.8,percent of total billed charges ,,,,,360.7,percent of total billed charges ,,,,,342.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,,,189.84,percent of total billed charges,
**SURGERY 2 UNITS,LOCAL,LOCAL,,,,both,1,each,"1,344.00","1,344.00",376.32,"1,344.00","1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,994.56,percent of total billed charges,994.56,percent of total billed charges,"1,075.20",percent of total billed charges,"1,075.20",percent of total billed charges,,,967.68,percent of total billed charges ,,,"1,075.20",percent of total billed charges ,"1,128.96",percent of total billed charges ,"1,128.96",percent of total billed charges ,"1,048.32",percent of total billed charges ,"1,048.32",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,940.8,percent of total billed charges ,940.8,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,,,,,715.01,percent of total billed charges ,,,,,679.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,
**SURGERY CLASS 2,LOCAL,LOCAL,,,,both,1,each,"2,013.00","2,013.00",563.64,"2,013.00","2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,489.62",percent of total billed charges,"1,489.62",percent of total billed charges,"1,610.40",percent of total billed charges,"1,610.40",percent of total billed charges,,,"1,449.36",percent of total billed charges ,,,"1,610.40",percent of total billed charges ,"1,690.92",percent of total billed charges ,"1,690.92",percent of total billed charges ,"1,570.14",percent of total billed charges ,"1,570.14",percent of total billed charges ,"1,610.40",percent of total billed charges ,"1,610.40",percent of total billed charges ,"1,409.10",percent of total billed charges ,"1,409.10",percent of total billed charges ,"1,207.80",percent of total billed charges ,"1,207.80",percent of total billed charges ,"1,207.80",percent of total billed charges ,"1,207.80",percent of total billed charges ,,,,,"1,070.92",percent of total billed charges ,,,,,"1,017.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,
**SURGERY 3 UNITS,LOCAL,LOCAL,,,,both,1,each,"1,793.00","1,793.00",502.04,"1,793.00","1,793.00",percent of total billed charges,"1,793.00",percent of total billed charges,"1,793.00",percent of total billed charges,"1,793.00",percent of total billed charges,"1,793.00",percent of total billed charges,"1,793.00",percent of total billed charges,"1,793.00",percent of total billed charges,"1,793.00",percent of total billed charges,"1,290.96",percent of total billed charges,"1,290.96",percent of total billed charges,"1,290.96",percent of total billed charges,"1,290.96",percent of total billed charges,"1,290.96",percent of total billed charges,"1,290.96",percent of total billed charges,"1,326.82",percent of total billed charges,"1,326.82",percent of total billed charges,"1,434.40",percent of total billed charges,"1,434.40",percent of total billed charges,,,"1,290.96",percent of total billed charges ,,,"1,434.40",percent of total billed charges ,"1,506.12",percent of total billed charges ,"1,506.12",percent of total billed charges ,"1,398.54",percent of total billed charges ,"1,398.54",percent of total billed charges ,"1,434.40",percent of total billed charges ,"1,434.40",percent of total billed charges ,"1,255.10",percent of total billed charges ,"1,255.10",percent of total billed charges ,"1,075.80",percent of total billed charges ,"1,075.80",percent of total billed charges ,"1,075.80",percent of total billed charges ,"1,075.80",percent of total billed charges ,,,,,953.88,percent of total billed charges ,,,,,906.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,,,502.04,percent of total billed charges,
**SURGERY CLASS 3,LOCAL,LOCAL,,,,both,1,each,"2,583.00","2,583.00",723.24,"2,583.00","2,583.00",percent of total billed charges,"2,583.00",percent of total billed charges,"2,583.00",percent of total billed charges,"2,583.00",percent of total billed charges,"2,583.00",percent of total billed charges,"2,583.00",percent of total billed charges,"2,583.00",percent of total billed charges,"2,583.00",percent of total billed charges,"1,859.76",percent of total billed charges,"1,859.76",percent of total billed charges,"1,859.76",percent of total billed charges,"1,859.76",percent of total billed charges,"1,859.76",percent of total billed charges,"1,859.76",percent of total billed charges,"1,911.42",percent of total billed charges,"1,911.42",percent of total billed charges,"2,066.40",percent of total billed charges,"2,066.40",percent of total billed charges,,,"1,859.76",percent of total billed charges ,,,"2,066.40",percent of total billed charges ,"2,169.72",percent of total billed charges ,"2,169.72",percent of total billed charges ,"2,014.74",percent of total billed charges ,"2,014.74",percent of total billed charges ,"2,066.40",percent of total billed charges ,"2,066.40",percent of total billed charges ,"1,808.10",percent of total billed charges ,"1,808.10",percent of total billed charges ,"1,549.80",percent of total billed charges ,"1,549.80",percent of total billed charges ,"1,549.80",percent of total billed charges ,"1,549.80",percent of total billed charges ,,,,,"1,374.16",percent of total billed charges ,,,,,"1,305.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,,,723.24,percent of total billed charges,
**SURGERY 4 UNITS,LOCAL,LOCAL,,,,both,1,each,"1,805.00","1,805.00",505.4,"1,805.00","1,805.00",percent of total billed charges,"1,805.00",percent of total billed charges,"1,805.00",percent of total billed charges,"1,805.00",percent of total billed charges,"1,805.00",percent of total billed charges,"1,805.00",percent of total billed charges,"1,805.00",percent of total billed charges,"1,805.00",percent of total billed charges,"1,299.60",percent of total billed charges,"1,299.60",percent of total billed charges,"1,299.60",percent of total billed charges,"1,299.60",percent of total billed charges,"1,299.60",percent of total billed charges,"1,299.60",percent of total billed charges,"1,335.70",percent of total billed charges,"1,335.70",percent of total billed charges,"1,444.00",percent of total billed charges,"1,444.00",percent of total billed charges,,,"1,299.60",percent of total billed charges ,,,"1,444.00",percent of total billed charges ,"1,516.20",percent of total billed charges ,"1,516.20",percent of total billed charges ,"1,407.90",percent of total billed charges ,"1,407.90",percent of total billed charges ,"1,444.00",percent of total billed charges ,"1,444.00",percent of total billed charges ,"1,263.50",percent of total billed charges ,"1,263.50",percent of total billed charges ,"1,083.00",percent of total billed charges ,"1,083.00",percent of total billed charges ,"1,083.00",percent of total billed charges ,"1,083.00",percent of total billed charges ,,,,,960.26,percent of total billed charges ,,,,,912.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,,,505.4,percent of total billed charges,
**SURGERY CLASS 4,LOCAL,LOCAL,,,,both,1,each,"3,021.00","3,021.00",845.88,"3,021.00","3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,235.54",percent of total billed charges,"2,235.54",percent of total billed charges,"2,416.80",percent of total billed charges,"2,416.80",percent of total billed charges,,,"2,175.12",percent of total billed charges ,,,"2,416.80",percent of total billed charges ,"2,537.64",percent of total billed charges ,"2,537.64",percent of total billed charges ,"2,356.38",percent of total billed charges ,"2,356.38",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,114.70",percent of total billed charges ,"2,114.70",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,,,,,"1,607.17",percent of total billed charges ,,,,,"1,526.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,
**SURGERY 5 UNITS,LOCAL,LOCAL,,,,both,1,each,"2,013.00","2,013.00",563.64,"2,013.00","2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"2,013.00",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,449.36",percent of total billed charges,"1,489.62",percent of total billed charges,"1,489.62",percent of total billed charges,"1,610.40",percent of total billed charges,"1,610.40",percent of total billed charges,,,"1,449.36",percent of total billed charges ,,,"1,610.40",percent of total billed charges ,"1,690.92",percent of total billed charges ,"1,690.92",percent of total billed charges ,"1,570.14",percent of total billed charges ,"1,570.14",percent of total billed charges ,"1,610.40",percent of total billed charges ,"1,610.40",percent of total billed charges ,"1,409.10",percent of total billed charges ,"1,409.10",percent of total billed charges ,"1,207.80",percent of total billed charges ,"1,207.80",percent of total billed charges ,"1,207.80",percent of total billed charges ,"1,207.80",percent of total billed charges ,,,,,"1,070.92",percent of total billed charges ,,,,,"1,017.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,,,563.64,percent of total billed charges,
**SURGERY CLASS 5,LOCAL,LOCAL,,,,both,1,each,"3,524.00","3,524.00",986.72,"3,524.00","3,524.00",percent of total billed charges,"3,524.00",percent of total billed charges,"3,524.00",percent of total billed charges,"3,524.00",percent of total billed charges,"3,524.00",percent of total billed charges,"3,524.00",percent of total billed charges,"3,524.00",percent of total billed charges,"3,524.00",percent of total billed charges,"2,537.28",percent of total billed charges,"2,537.28",percent of total billed charges,"2,537.28",percent of total billed charges,"2,537.28",percent of total billed charges,"2,537.28",percent of total billed charges,"2,537.28",percent of total billed charges,"2,607.76",percent of total billed charges,"2,607.76",percent of total billed charges,"2,819.20",percent of total billed charges,"2,819.20",percent of total billed charges,,,"2,537.28",percent of total billed charges ,,,"2,819.20",percent of total billed charges ,"2,960.16",percent of total billed charges ,"2,960.16",percent of total billed charges ,"2,748.72",percent of total billed charges ,"2,748.72",percent of total billed charges ,"2,819.20",percent of total billed charges ,"2,819.20",percent of total billed charges ,"2,466.80",percent of total billed charges ,"2,466.80",percent of total billed charges ,"2,114.40",percent of total billed charges ,"2,114.40",percent of total billed charges ,"2,114.40",percent of total billed charges ,"2,114.40",percent of total billed charges ,,,,,"1,874.77",percent of total billed charges ,,,,,"1,781.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,,,986.72,percent of total billed charges,
GASTRO LEVEL 1  1.0 HR,LOCAL,LOCAL,,,,both,1,each,"5,814.00","5,814.00","1,627.92","5,814.00","5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"4,186.08",percent of total billed charges,"4,186.08",percent of total billed charges,"4,186.08",percent of total billed charges,"4,186.08",percent of total billed charges,"4,186.08",percent of total billed charges,"4,186.08",percent of total billed charges,"4,302.36",percent of total billed charges,"4,302.36",percent of total billed charges,"4,651.20",percent of total billed charges,"4,651.20",percent of total billed charges,,,"4,186.08",percent of total billed charges ,,,"4,651.20",percent of total billed charges ,"4,883.76",percent of total billed charges ,"4,883.76",percent of total billed charges ,"4,534.92",percent of total billed charges ,"4,534.92",percent of total billed charges ,"4,651.20",percent of total billed charges ,"4,651.20",percent of total billed charges ,"4,069.80",percent of total billed charges ,"4,069.80",percent of total billed charges ,"3,488.40",percent of total billed charges ,"3,488.40",percent of total billed charges ,"3,488.40",percent of total billed charges ,"3,488.40",percent of total billed charges ,,,,,"3,093.05",percent of total billed charges ,,,,,"2,938.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,,,"1,627.92",percent of total billed charges,
GASTRO LEVEL 2  1.5 HR,LOCAL,LOCAL,,,,both,1,each,"7,911.00","7,911.00","2,215.08","7,911.00","7,911.00",percent of total billed charges,"7,911.00",percent of total billed charges,"7,911.00",percent of total billed charges,"7,911.00",percent of total billed charges,"7,911.00",percent of total billed charges,"7,911.00",percent of total billed charges,"7,911.00",percent of total billed charges,"7,911.00",percent of total billed charges,"5,695.92",percent of total billed charges,"5,695.92",percent of total billed charges,"5,695.92",percent of total billed charges,"5,695.92",percent of total billed charges,"5,695.92",percent of total billed charges,"5,695.92",percent of total billed charges,"5,854.14",percent of total billed charges,"5,854.14",percent of total billed charges,"6,328.80",percent of total billed charges,"6,328.80",percent of total billed charges,,,"5,695.92",percent of total billed charges ,,,"6,328.80",percent of total billed charges ,"6,645.24",percent of total billed charges ,"6,645.24",percent of total billed charges ,"6,170.58",percent of total billed charges ,"6,170.58",percent of total billed charges ,"6,328.80",percent of total billed charges ,"6,328.80",percent of total billed charges ,"5,537.70",percent of total billed charges ,"5,537.70",percent of total billed charges ,"4,746.60",percent of total billed charges ,"4,746.60",percent of total billed charges ,"4,746.60",percent of total billed charges ,"4,746.60",percent of total billed charges ,,,,,"4,208.65",percent of total billed charges ,,,,,"3,998.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,,,"2,215.08",percent of total billed charges,
GASTRO LEVEL 3  2.5 HR,LOCAL,LOCAL,,,,both,1,each,"9,124.00","9,124.00","2,554.72","9,124.00","9,124.00",percent of total billed charges,"9,124.00",percent of total billed charges,"9,124.00",percent of total billed charges,"9,124.00",percent of total billed charges,"9,124.00",percent of total billed charges,"9,124.00",percent of total billed charges,"9,124.00",percent of total billed charges,"9,124.00",percent of total billed charges,"6,569.28",percent of total billed charges,"6,569.28",percent of total billed charges,"6,569.28",percent of total billed charges,"6,569.28",percent of total billed charges,"6,569.28",percent of total billed charges,"6,569.28",percent of total billed charges,"6,751.76",percent of total billed charges,"6,751.76",percent of total billed charges,"7,299.20",percent of total billed charges,"7,299.20",percent of total billed charges,,,"6,569.28",percent of total billed charges ,,,"7,299.20",percent of total billed charges ,"7,664.16",percent of total billed charges ,"7,664.16",percent of total billed charges ,"7,116.72",percent of total billed charges ,"7,116.72",percent of total billed charges ,"7,299.20",percent of total billed charges ,"7,299.20",percent of total billed charges ,"6,386.80",percent of total billed charges ,"6,386.80",percent of total billed charges ,"5,474.40",percent of total billed charges ,"5,474.40",percent of total billed charges ,"5,474.40",percent of total billed charges ,"5,474.40",percent of total billed charges ,,,,,"4,853.97",percent of total billed charges ,,,,,"4,611.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,,,"2,554.72",percent of total billed charges,
GASTRO LEVEL 4  2.0 HR,LOCAL,LOCAL,,,,both,1,each,"14,495.00","14,495.00","4,058.60","14,495.00","14,495.00",percent of total billed charges,"14,495.00",percent of total billed charges,"14,495.00",percent of total billed charges,"14,495.00",percent of total billed charges,"14,495.00",percent of total billed charges,"14,495.00",percent of total billed charges,"14,495.00",percent of total billed charges,"14,495.00",percent of total billed charges,"10,436.40",percent of total billed charges,"10,436.40",percent of total billed charges,"10,436.40",percent of total billed charges,"10,436.40",percent of total billed charges,"10,436.40",percent of total billed charges,"10,436.40",percent of total billed charges,"10,726.30",percent of total billed charges,"10,726.30",percent of total billed charges,"11,596.00",percent of total billed charges,"11,596.00",percent of total billed charges,,,"10,436.40",percent of total billed charges ,,,"11,596.00",percent of total billed charges ,"12,175.80",percent of total billed charges ,"12,175.80",percent of total billed charges ,"11,306.10",percent of total billed charges ,"11,306.10",percent of total billed charges ,"11,596.00",percent of total billed charges ,"11,596.00",percent of total billed charges ,"10,146.50",percent of total billed charges ,"10,146.50",percent of total billed charges ,"8,697.00",percent of total billed charges ,"8,697.00",percent of total billed charges ,"8,697.00",percent of total billed charges ,"8,697.00",percent of total billed charges ,,,,,"7,711.34",percent of total billed charges ,,,,,"7,325.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,,,"4,058.60",percent of total billed charges,
ENT LEVEL 1  0.5 HR,LOCAL,LOCAL,,,,both,1,each,"5,275.00","5,275.00","1,477.00","5,275.00","5,275.00",percent of total billed charges,"5,275.00",percent of total billed charges,"5,275.00",percent of total billed charges,"5,275.00",percent of total billed charges,"5,275.00",percent of total billed charges,"5,275.00",percent of total billed charges,"5,275.00",percent of total billed charges,"5,275.00",percent of total billed charges,"3,798.00",percent of total billed charges,"3,798.00",percent of total billed charges,"3,798.00",percent of total billed charges,"3,798.00",percent of total billed charges,"3,798.00",percent of total billed charges,"3,798.00",percent of total billed charges,"3,903.50",percent of total billed charges,"3,903.50",percent of total billed charges,"4,220.00",percent of total billed charges,"4,220.00",percent of total billed charges,,,"3,798.00",percent of total billed charges ,,,"4,220.00",percent of total billed charges ,"4,431.00",percent of total billed charges ,"4,431.00",percent of total billed charges ,"4,114.50",percent of total billed charges ,"4,114.50",percent of total billed charges ,"4,220.00",percent of total billed charges ,"4,220.00",percent of total billed charges ,"3,692.50",percent of total billed charges ,"3,692.50",percent of total billed charges ,"3,165.00",percent of total billed charges ,"3,165.00",percent of total billed charges ,"3,165.00",percent of total billed charges ,"3,165.00",percent of total billed charges ,,,,,"2,806.30",percent of total billed charges ,,,,,"2,665.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,,,"1,477.00",percent of total billed charges,
ENT LEVEL 2  1.0 HR,LOCAL,LOCAL,,,,both,1,each,"6,194.00","6,194.00","1,734.32","6,194.00","6,194.00",percent of total billed charges,"6,194.00",percent of total billed charges,"6,194.00",percent of total billed charges,"6,194.00",percent of total billed charges,"6,194.00",percent of total billed charges,"6,194.00",percent of total billed charges,"6,194.00",percent of total billed charges,"6,194.00",percent of total billed charges,"4,459.68",percent of total billed charges,"4,459.68",percent of total billed charges,"4,459.68",percent of total billed charges,"4,459.68",percent of total billed charges,"4,459.68",percent of total billed charges,"4,459.68",percent of total billed charges,"4,583.56",percent of total billed charges,"4,583.56",percent of total billed charges,"4,955.20",percent of total billed charges,"4,955.20",percent of total billed charges,,,"4,459.68",percent of total billed charges ,,,"4,955.20",percent of total billed charges ,"5,202.96",percent of total billed charges ,"5,202.96",percent of total billed charges ,"4,831.32",percent of total billed charges ,"4,831.32",percent of total billed charges ,"4,955.20",percent of total billed charges ,"4,955.20",percent of total billed charges ,"4,335.80",percent of total billed charges ,"4,335.80",percent of total billed charges ,"3,716.40",percent of total billed charges ,"3,716.40",percent of total billed charges ,"3,716.40",percent of total billed charges ,"3,716.40",percent of total billed charges ,,,,,"3,295.21",percent of total billed charges ,,,,,"3,130.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,,,"1,734.32",percent of total billed charges,
ENDO LEVEL 1,LOCAL,LOCAL,,,,both,1,each,"3,685.00","3,685.00","1,031.80","3,685.00","3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,726.90",percent of total billed charges,"2,726.90",percent of total billed charges,"2,948.00",percent of total billed charges,"2,948.00",percent of total billed charges,,,"2,653.20",percent of total billed charges ,,,"2,948.00",percent of total billed charges ,"3,095.40",percent of total billed charges ,"3,095.40",percent of total billed charges ,"2,874.30",percent of total billed charges ,"2,874.30",percent of total billed charges ,"2,948.00",percent of total billed charges ,"2,948.00",percent of total billed charges ,"2,579.50",percent of total billed charges ,"2,579.50",percent of total billed charges ,"2,211.00",percent of total billed charges ,"2,211.00",percent of total billed charges ,"2,211.00",percent of total billed charges ,"2,211.00",percent of total billed charges ,,,,,"1,960.42",percent of total billed charges ,,,,,"1,862.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,
ENDO LEVEL 2,LOCAL,LOCAL,,,,both,1,each,"4,668.00","4,668.00","1,307.04","4,668.00","4,668.00",percent of total billed charges,"4,668.00",percent of total billed charges,"4,668.00",percent of total billed charges,"4,668.00",percent of total billed charges,"4,668.00",percent of total billed charges,"4,668.00",percent of total billed charges,"4,668.00",percent of total billed charges,"4,668.00",percent of total billed charges,"3,360.96",percent of total billed charges,"3,360.96",percent of total billed charges,"3,360.96",percent of total billed charges,"3,360.96",percent of total billed charges,"3,360.96",percent of total billed charges,"3,360.96",percent of total billed charges,"3,454.32",percent of total billed charges,"3,454.32",percent of total billed charges,"3,734.40",percent of total billed charges,"3,734.40",percent of total billed charges,,,"3,360.96",percent of total billed charges ,,,"3,734.40",percent of total billed charges ,"3,921.12",percent of total billed charges ,"3,921.12",percent of total billed charges ,"3,641.04",percent of total billed charges ,"3,641.04",percent of total billed charges ,"3,734.40",percent of total billed charges ,"3,734.40",percent of total billed charges ,"3,267.60",percent of total billed charges ,"3,267.60",percent of total billed charges ,"2,800.80",percent of total billed charges ,"2,800.80",percent of total billed charges ,"2,800.80",percent of total billed charges ,"2,800.80",percent of total billed charges ,,,,,"2,483.38",percent of total billed charges ,,,,,"2,359.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,,,"1,307.04",percent of total billed charges,
ENDO LEVEL 3,LOCAL,LOCAL,,,,both,1,each,"6,110.00","6,110.00","1,710.80","6,110.00","6,110.00",percent of total billed charges,"6,110.00",percent of total billed charges,"6,110.00",percent of total billed charges,"6,110.00",percent of total billed charges,"6,110.00",percent of total billed charges,"6,110.00",percent of total billed charges,"6,110.00",percent of total billed charges,"6,110.00",percent of total billed charges,"4,399.20",percent of total billed charges,"4,399.20",percent of total billed charges,"4,399.20",percent of total billed charges,"4,399.20",percent of total billed charges,"4,399.20",percent of total billed charges,"4,399.20",percent of total billed charges,"4,521.40",percent of total billed charges,"4,521.40",percent of total billed charges,"4,888.00",percent of total billed charges,"4,888.00",percent of total billed charges,,,"4,399.20",percent of total billed charges ,,,"4,888.00",percent of total billed charges ,"5,132.40",percent of total billed charges ,"5,132.40",percent of total billed charges ,"4,765.80",percent of total billed charges ,"4,765.80",percent of total billed charges ,"4,888.00",percent of total billed charges ,"4,888.00",percent of total billed charges ,"4,277.00",percent of total billed charges ,"4,277.00",percent of total billed charges ,"3,666.00",percent of total billed charges ,"3,666.00",percent of total billed charges ,"3,666.00",percent of total billed charges ,"3,666.00",percent of total billed charges ,,,,,"3,250.52",percent of total billed charges ,,,,,"3,087.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,,,"1,710.80",percent of total billed charges,
ORTHO-ARTHRO LEVEL 1    1.5 HR,LOCAL,LOCAL,,,,both,1,each,"9,429.00","9,429.00","2,640.12","9,429.00","9,429.00",percent of total billed charges,"9,429.00",percent of total billed charges,"9,429.00",percent of total billed charges,"9,429.00",percent of total billed charges,"9,429.00",percent of total billed charges,"9,429.00",percent of total billed charges,"9,429.00",percent of total billed charges,"9,429.00",percent of total billed charges,"6,788.88",percent of total billed charges,"6,788.88",percent of total billed charges,"6,788.88",percent of total billed charges,"6,788.88",percent of total billed charges,"6,788.88",percent of total billed charges,"6,788.88",percent of total billed charges,"6,977.46",percent of total billed charges,"6,977.46",percent of total billed charges,"7,543.20",percent of total billed charges,"7,543.20",percent of total billed charges,,,"6,788.88",percent of total billed charges ,,,"7,543.20",percent of total billed charges ,"7,920.36",percent of total billed charges ,"7,920.36",percent of total billed charges ,"7,354.62",percent of total billed charges ,"7,354.62",percent of total billed charges ,"7,543.20",percent of total billed charges ,"7,543.20",percent of total billed charges ,"6,600.30",percent of total billed charges ,"6,600.30",percent of total billed charges ,"5,657.40",percent of total billed charges ,"5,657.40",percent of total billed charges ,"5,657.40",percent of total billed charges ,"5,657.40",percent of total billed charges ,,,,,"5,016.23",percent of total billed charges ,,,,,"4,765.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,,,"2,640.12",percent of total billed charges,
ORTHO-ARTHRO LEVEL 2    2.5 HR,LOCAL,LOCAL,,,,both,1,each,"13,953.00","13,953.00","3,906.84","13,953.00","13,953.00",percent of total billed charges,"13,953.00",percent of total billed charges,"13,953.00",percent of total billed charges,"13,953.00",percent of total billed charges,"13,953.00",percent of total billed charges,"13,953.00",percent of total billed charges,"13,953.00",percent of total billed charges,"13,953.00",percent of total billed charges,"10,046.16",percent of total billed charges,"10,046.16",percent of total billed charges,"10,046.16",percent of total billed charges,"10,046.16",percent of total billed charges,"10,046.16",percent of total billed charges,"10,046.16",percent of total billed charges,"10,325.22",percent of total billed charges,"10,325.22",percent of total billed charges,"11,162.40",percent of total billed charges,"11,162.40",percent of total billed charges,,,"10,046.16",percent of total billed charges ,,,"11,162.40",percent of total billed charges ,"11,720.52",percent of total billed charges ,"11,720.52",percent of total billed charges ,"10,883.34",percent of total billed charges ,"10,883.34",percent of total billed charges ,"11,162.40",percent of total billed charges ,"11,162.40",percent of total billed charges ,"9,767.10",percent of total billed charges ,"9,767.10",percent of total billed charges ,"8,371.80",percent of total billed charges ,"8,371.80",percent of total billed charges ,"8,371.80",percent of total billed charges ,"8,371.80",percent of total billed charges ,,,,,"7,423.00",percent of total billed charges ,,,,,"7,051.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,,,"3,906.84",percent of total billed charges,
ORTHO-ARTHRO LEVEL 3    2.5 HR,LOCAL,LOCAL,,,,both,1,each,"17,690.00","17,690.00","4,953.20","17,690.00","17,690.00",percent of total billed charges,"17,690.00",percent of total billed charges,"17,690.00",percent of total billed charges,"17,690.00",percent of total billed charges,"17,690.00",percent of total billed charges,"17,690.00",percent of total billed charges,"17,690.00",percent of total billed charges,"17,690.00",percent of total billed charges,"12,736.80",percent of total billed charges,"12,736.80",percent of total billed charges,"12,736.80",percent of total billed charges,"12,736.80",percent of total billed charges,"12,736.80",percent of total billed charges,"12,736.80",percent of total billed charges,"13,090.60",percent of total billed charges,"13,090.60",percent of total billed charges,"14,152.00",percent of total billed charges,"14,152.00",percent of total billed charges,,,"12,736.80",percent of total billed charges ,,,"14,152.00",percent of total billed charges ,"14,859.60",percent of total billed charges ,"14,859.60",percent of total billed charges ,"13,798.20",percent of total billed charges ,"13,798.20",percent of total billed charges ,"14,152.00",percent of total billed charges ,"14,152.00",percent of total billed charges ,"12,383.00",percent of total billed charges ,"12,383.00",percent of total billed charges ,"10,614.00",percent of total billed charges ,"10,614.00",percent of total billed charges ,"10,614.00",percent of total billed charges ,"10,614.00",percent of total billed charges ,,,,,"9,411.08",percent of total billed charges ,,,,,"8,940.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,,,"4,953.20",percent of total billed charges,
**SURGERY STANDBY VBAC - HOURLY,LOCAL,LOCAL,,,,both,1,each,256,256,71.68,256,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,189.44,percent of total billed charges,189.44,percent of total billed charges,204.8,percent of total billed charges,204.8,percent of total billed charges,,,184.32,percent of total billed charges ,,,204.8,percent of total billed charges ,215.04,percent of total billed charges ,215.04,percent of total billed charges ,199.68,percent of total billed charges ,199.68,percent of total billed charges ,204.8,percent of total billed charges ,204.8,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,,,,,136.19,percent of total billed charges ,,,,,129.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,
ORTHO-BONE LEVEL 2    1.0 HR,LOCAL,LOCAL,,,,both,1,each,"7,939.00","7,939.00","2,222.92","7,939.00","7,939.00",percent of total billed charges,"7,939.00",percent of total billed charges,"7,939.00",percent of total billed charges,"7,939.00",percent of total billed charges,"7,939.00",percent of total billed charges,"7,939.00",percent of total billed charges,"7,939.00",percent of total billed charges,"7,939.00",percent of total billed charges,"5,716.08",percent of total billed charges,"5,716.08",percent of total billed charges,"5,716.08",percent of total billed charges,"5,716.08",percent of total billed charges,"5,716.08",percent of total billed charges,"5,716.08",percent of total billed charges,"5,874.86",percent of total billed charges,"5,874.86",percent of total billed charges,"6,351.20",percent of total billed charges,"6,351.20",percent of total billed charges,,,"5,716.08",percent of total billed charges ,,,"6,351.20",percent of total billed charges ,"6,668.76",percent of total billed charges ,"6,668.76",percent of total billed charges ,"6,192.42",percent of total billed charges ,"6,192.42",percent of total billed charges ,"6,351.20",percent of total billed charges ,"6,351.20",percent of total billed charges ,"5,557.30",percent of total billed charges ,"5,557.30",percent of total billed charges ,"4,763.40",percent of total billed charges ,"4,763.40",percent of total billed charges ,"4,763.40",percent of total billed charges ,"4,763.40",percent of total billed charges ,,,,,"4,223.55",percent of total billed charges ,,,,,"4,012.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,,,"2,222.92",percent of total billed charges,
ORTHO-BONE LEVEL 1    .75 HR,LOCAL,LOCAL,,,,both,1,each,"6,472.00","6,472.00","1,812.16","6,472.00","6,472.00",percent of total billed charges,"6,472.00",percent of total billed charges,"6,472.00",percent of total billed charges,"6,472.00",percent of total billed charges,"6,472.00",percent of total billed charges,"6,472.00",percent of total billed charges,"6,472.00",percent of total billed charges,"6,472.00",percent of total billed charges,"4,659.84",percent of total billed charges,"4,659.84",percent of total billed charges,"4,659.84",percent of total billed charges,"4,659.84",percent of total billed charges,"4,659.84",percent of total billed charges,"4,659.84",percent of total billed charges,"4,789.28",percent of total billed charges,"4,789.28",percent of total billed charges,"5,177.60",percent of total billed charges,"5,177.60",percent of total billed charges,,,"4,659.84",percent of total billed charges ,,,"5,177.60",percent of total billed charges ,"5,436.48",percent of total billed charges ,"5,436.48",percent of total billed charges ,"5,048.16",percent of total billed charges ,"5,048.16",percent of total billed charges ,"5,177.60",percent of total billed charges ,"5,177.60",percent of total billed charges ,"4,530.40",percent of total billed charges ,"4,530.40",percent of total billed charges ,"3,883.20",percent of total billed charges ,"3,883.20",percent of total billed charges ,"3,883.20",percent of total billed charges ,"3,883.20",percent of total billed charges ,,,,,"3,443.10",percent of total billed charges ,,,,,"3,270.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,,,"1,812.16",percent of total billed charges,
ORTHO-BONE LEVEL 3    2.0 HR,LOCAL,LOCAL,,,,both,1,each,"8,323.00","8,323.00","2,330.44","8,323.00","8,323.00",percent of total billed charges,"8,323.00",percent of total billed charges,"8,323.00",percent of total billed charges,"8,323.00",percent of total billed charges,"8,323.00",percent of total billed charges,"8,323.00",percent of total billed charges,"8,323.00",percent of total billed charges,"8,323.00",percent of total billed charges,"5,992.56",percent of total billed charges,"5,992.56",percent of total billed charges,"5,992.56",percent of total billed charges,"5,992.56",percent of total billed charges,"5,992.56",percent of total billed charges,"5,992.56",percent of total billed charges,"6,159.02",percent of total billed charges,"6,159.02",percent of total billed charges,"6,658.40",percent of total billed charges,"6,658.40",percent of total billed charges,,,"5,992.56",percent of total billed charges ,,,"6,658.40",percent of total billed charges ,"6,991.32",percent of total billed charges ,"6,991.32",percent of total billed charges ,"6,491.94",percent of total billed charges ,"6,491.94",percent of total billed charges ,"6,658.40",percent of total billed charges ,"6,658.40",percent of total billed charges ,"5,826.10",percent of total billed charges ,"5,826.10",percent of total billed charges ,"4,993.80",percent of total billed charges ,"4,993.80",percent of total billed charges ,"4,993.80",percent of total billed charges ,"4,993.80",percent of total billed charges ,,,,,"4,427.84",percent of total billed charges ,,,,,"4,206.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,,,"2,330.44",percent of total billed charges,
ORTHO-BONE LEVEL 4    3.0 HR,LOCAL,LOCAL,,,,both,1,each,"9,071.00","9,071.00","2,539.88","9,071.00","9,071.00",percent of total billed charges,"9,071.00",percent of total billed charges,"9,071.00",percent of total billed charges,"9,071.00",percent of total billed charges,"9,071.00",percent of total billed charges,"9,071.00",percent of total billed charges,"9,071.00",percent of total billed charges,"9,071.00",percent of total billed charges,"6,531.12",percent of total billed charges,"6,531.12",percent of total billed charges,"6,531.12",percent of total billed charges,"6,531.12",percent of total billed charges,"6,531.12",percent of total billed charges,"6,531.12",percent of total billed charges,"6,712.54",percent of total billed charges,"6,712.54",percent of total billed charges,"7,256.80",percent of total billed charges,"7,256.80",percent of total billed charges,,,"6,531.12",percent of total billed charges ,,,"7,256.80",percent of total billed charges ,"7,619.64",percent of total billed charges ,"7,619.64",percent of total billed charges ,"7,075.38",percent of total billed charges ,"7,075.38",percent of total billed charges ,"7,256.80",percent of total billed charges ,"7,256.80",percent of total billed charges ,"6,349.70",percent of total billed charges ,"6,349.70",percent of total billed charges ,"5,442.60",percent of total billed charges ,"5,442.60",percent of total billed charges ,"5,442.60",percent of total billed charges ,"5,442.60",percent of total billed charges ,,,,,"4,825.77",percent of total billed charges ,,,,,"4,584.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,,,"2,539.88",percent of total billed charges,
EYE LEVEL 1  0.5HR,LOCAL,LOCAL,,,,both,1,each,"4,468.00","4,468.00","1,251.04","4,468.00","4,468.00",percent of total billed charges,"4,468.00",percent of total billed charges,"4,468.00",percent of total billed charges,"4,468.00",percent of total billed charges,"4,468.00",percent of total billed charges,"4,468.00",percent of total billed charges,"4,468.00",percent of total billed charges,"4,468.00",percent of total billed charges,"3,216.96",percent of total billed charges,"3,216.96",percent of total billed charges,"3,216.96",percent of total billed charges,"3,216.96",percent of total billed charges,"3,216.96",percent of total billed charges,"3,216.96",percent of total billed charges,"3,306.32",percent of total billed charges,"3,306.32",percent of total billed charges,"3,574.40",percent of total billed charges,"3,574.40",percent of total billed charges,,,"3,216.96",percent of total billed charges ,,,"3,574.40",percent of total billed charges ,"3,753.12",percent of total billed charges ,"3,753.12",percent of total billed charges ,"3,485.04",percent of total billed charges ,"3,485.04",percent of total billed charges ,"3,574.40",percent of total billed charges ,"3,574.40",percent of total billed charges ,"3,127.60",percent of total billed charges ,"3,127.60",percent of total billed charges ,"2,680.80",percent of total billed charges ,"2,680.80",percent of total billed charges ,"2,680.80",percent of total billed charges ,"2,680.80",percent of total billed charges ,,,,,"2,376.98",percent of total billed charges ,,,,,"2,258.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,,,"1,251.04",percent of total billed charges,
EYE LEVEL 2  0.5HR,LOCAL,LOCAL,,,,both,1,each,"6,208.00","6,208.00","1,738.24","6,208.00","6,208.00",percent of total billed charges,"6,208.00",percent of total billed charges,"6,208.00",percent of total billed charges,"6,208.00",percent of total billed charges,"6,208.00",percent of total billed charges,"6,208.00",percent of total billed charges,"6,208.00",percent of total billed charges,"6,208.00",percent of total billed charges,"4,469.76",percent of total billed charges,"4,469.76",percent of total billed charges,"4,469.76",percent of total billed charges,"4,469.76",percent of total billed charges,"4,469.76",percent of total billed charges,"4,469.76",percent of total billed charges,"4,593.92",percent of total billed charges,"4,593.92",percent of total billed charges,"4,966.40",percent of total billed charges,"4,966.40",percent of total billed charges,,,"4,469.76",percent of total billed charges ,,,"4,966.40",percent of total billed charges ,"5,214.72",percent of total billed charges ,"5,214.72",percent of total billed charges ,"4,842.24",percent of total billed charges ,"4,842.24",percent of total billed charges ,"4,966.40",percent of total billed charges ,"4,966.40",percent of total billed charges ,"4,345.60",percent of total billed charges ,"4,345.60",percent of total billed charges ,"3,724.80",percent of total billed charges ,"3,724.80",percent of total billed charges ,"3,724.80",percent of total billed charges ,"3,724.80",percent of total billed charges ,,,,,"3,302.66",percent of total billed charges ,,,,,"3,137.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,,,"1,738.24",percent of total billed charges,
EYE LEVEL 4,LOCAL,LOCAL,,,,both,1,each,"6,702.00","6,702.00","1,876.56","6,702.00","6,702.00",percent of total billed charges,"6,702.00",percent of total billed charges,"6,702.00",percent of total billed charges,"6,702.00",percent of total billed charges,"6,702.00",percent of total billed charges,"6,702.00",percent of total billed charges,"6,702.00",percent of total billed charges,"6,702.00",percent of total billed charges,"4,825.44",percent of total billed charges,"4,825.44",percent of total billed charges,"4,825.44",percent of total billed charges,"4,825.44",percent of total billed charges,"4,825.44",percent of total billed charges,"4,825.44",percent of total billed charges,"4,959.48",percent of total billed charges,"4,959.48",percent of total billed charges,"5,361.60",percent of total billed charges,"5,361.60",percent of total billed charges,,,"4,825.44",percent of total billed charges ,,,"5,361.60",percent of total billed charges ,"5,629.68",percent of total billed charges ,"5,629.68",percent of total billed charges ,"5,227.56",percent of total billed charges ,"5,227.56",percent of total billed charges ,"5,361.60",percent of total billed charges ,"5,361.60",percent of total billed charges ,"4,691.40",percent of total billed charges ,"4,691.40",percent of total billed charges ,"4,021.20",percent of total billed charges ,"4,021.20",percent of total billed charges ,"4,021.20",percent of total billed charges ,"4,021.20",percent of total billed charges ,,,,,"3,565.46",percent of total billed charges ,,,,,"3,387.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,,,"1,876.56",percent of total billed charges,
**COLONOSCOPY - PROCEDURE,LOCAL,LOCAL,,,,both,,,"1,454.00","1,454.00",407.12,"1,454.00","1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,075.96",percent of total billed charges,"1,075.96",percent of total billed charges,"1,163.20",percent of total billed charges,"1,163.20",percent of total billed charges,,,"1,046.88",percent of total billed charges ,,,"1,163.20",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,017.80",percent of total billed charges ,"1,017.80",percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,,,,,773.53,percent of total billed charges ,,,,,734.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,
VITRECTOMY - PROCEDURE,LOCAL,LOCAL,,,,both,1,each,"1,410.00","1,410.00",394.8,"1,410.00","1,410.00",percent of total billed charges,"1,410.00",percent of total billed charges,"1,410.00",percent of total billed charges,"1,410.00",percent of total billed charges,"1,410.00",percent of total billed charges,"1,410.00",percent of total billed charges,"1,410.00",percent of total billed charges,"1,410.00",percent of total billed charges,"1,015.20",percent of total billed charges,"1,015.20",percent of total billed charges,"1,015.20",percent of total billed charges,"1,015.20",percent of total billed charges,"1,015.20",percent of total billed charges,"1,015.20",percent of total billed charges,"1,043.40",percent of total billed charges,"1,043.40",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,,,"1,015.20",percent of total billed charges ,,,"1,128.00",percent of total billed charges ,"1,184.40",percent of total billed charges ,"1,184.40",percent of total billed charges ,"1,099.80",percent of total billed charges ,"1,099.80",percent of total billed charges ,"1,128.00",percent of total billed charges ,"1,128.00",percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,846,percent of total billed charges ,846,percent of total billed charges ,846,percent of total billed charges ,846,percent of total billed charges ,,,,,750.12,percent of total billed charges ,,,,,712.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,,,394.8,percent of total billed charges,
**GASTROSCOPY-PROCEDURE,LOCAL,LOCAL,,,,both,1,each,"2,026.00","2,026.00",567.28,"2,026.00","2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,499.24",percent of total billed charges,"1,499.24",percent of total billed charges,"1,620.80",percent of total billed charges,"1,620.80",percent of total billed charges,,,"1,458.72",percent of total billed charges ,,,"1,620.80",percent of total billed charges ,"1,701.84",percent of total billed charges ,"1,701.84",percent of total billed charges ,"1,580.28",percent of total billed charges ,"1,580.28",percent of total billed charges ,"1,620.80",percent of total billed charges ,"1,620.80",percent of total billed charges ,"1,418.20",percent of total billed charges ,"1,418.20",percent of total billed charges ,"1,215.60",percent of total billed charges ,"1,215.60",percent of total billed charges ,"1,215.60",percent of total billed charges ,"1,215.60",percent of total billed charges ,,,,,"1,077.83",percent of total billed charges ,,,,,"1,023.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,
DENTAL - 1ST 1/2 HOUR,LOCAL,LOCAL,,,,both,1,each,656,656,183.68,656,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,485.44,percent of total billed charges,485.44,percent of total billed charges,524.8,percent of total billed charges,524.8,percent of total billed charges,,,472.32,percent of total billed charges ,,,524.8,percent of total billed charges ,551.04,percent of total billed charges ,551.04,percent of total billed charges ,511.68,percent of total billed charges ,511.68,percent of total billed charges ,524.8,percent of total billed charges ,524.8,percent of total billed charges ,459.2,percent of total billed charges ,459.2,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,,,,,348.99,percent of total billed charges ,,,,,331.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,
DENTAL UNITS - 15 MIN,LOCAL,LOCAL,,,,both,1,each,656,656,183.68,656,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,485.44,percent of total billed charges,485.44,percent of total billed charges,524.8,percent of total billed charges,524.8,percent of total billed charges,,,472.32,percent of total billed charges ,,,524.8,percent of total billed charges ,551.04,percent of total billed charges ,551.04,percent of total billed charges ,511.68,percent of total billed charges ,511.68,percent of total billed charges ,524.8,percent of total billed charges ,524.8,percent of total billed charges ,459.2,percent of total billed charges ,459.2,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,,,,,348.99,percent of total billed charges ,,,,,331.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,
ORTHO-COMPLEX LEVEL 1  1.5 HR,LOCAL,LOCAL,,,,both,1,each,"9,371.00","9,371.00","2,623.88","9,371.00","9,371.00",percent of total billed charges,"9,371.00",percent of total billed charges,"9,371.00",percent of total billed charges,"9,371.00",percent of total billed charges,"9,371.00",percent of total billed charges,"9,371.00",percent of total billed charges,"9,371.00",percent of total billed charges,"9,371.00",percent of total billed charges,"6,747.12",percent of total billed charges,"6,747.12",percent of total billed charges,"6,747.12",percent of total billed charges,"6,747.12",percent of total billed charges,"6,747.12",percent of total billed charges,"6,747.12",percent of total billed charges,"6,934.54",percent of total billed charges,"6,934.54",percent of total billed charges,"7,496.80",percent of total billed charges,"7,496.80",percent of total billed charges,,,"6,747.12",percent of total billed charges ,,,"7,496.80",percent of total billed charges ,"7,871.64",percent of total billed charges ,"7,871.64",percent of total billed charges ,"7,309.38",percent of total billed charges ,"7,309.38",percent of total billed charges ,"7,496.80",percent of total billed charges ,"7,496.80",percent of total billed charges ,"6,559.70",percent of total billed charges ,"6,559.70",percent of total billed charges ,"5,622.60",percent of total billed charges ,"5,622.60",percent of total billed charges ,"5,622.60",percent of total billed charges ,"5,622.60",percent of total billed charges ,,,,,"4,985.37",percent of total billed charges ,,,,,"4,736.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,,,"2,623.88",percent of total billed charges,
ORTHO-COMPLEX LEVEL 2,LOCAL,LOCAL,,,,both,1,each,"14,405.00","14,405.00","4,033.40","14,405.00","14,405.00",percent of total billed charges,"14,405.00",percent of total billed charges,"14,405.00",percent of total billed charges,"14,405.00",percent of total billed charges,"14,405.00",percent of total billed charges,"14,405.00",percent of total billed charges,"14,405.00",percent of total billed charges,"14,405.00",percent of total billed charges,"10,371.60",percent of total billed charges,"10,371.60",percent of total billed charges,"10,371.60",percent of total billed charges,"10,371.60",percent of total billed charges,"10,371.60",percent of total billed charges,"10,371.60",percent of total billed charges,"10,659.70",percent of total billed charges,"10,659.70",percent of total billed charges,"11,524.00",percent of total billed charges,"11,524.00",percent of total billed charges,,,"10,371.60",percent of total billed charges ,,,"11,524.00",percent of total billed charges ,"12,100.20",percent of total billed charges ,"12,100.20",percent of total billed charges ,"11,235.90",percent of total billed charges ,"11,235.90",percent of total billed charges ,"11,524.00",percent of total billed charges ,"11,524.00",percent of total billed charges ,"10,083.50",percent of total billed charges ,"10,083.50",percent of total billed charges ,"8,643.00",percent of total billed charges ,"8,643.00",percent of total billed charges ,"8,643.00",percent of total billed charges ,"8,643.00",percent of total billed charges ,,,,,"7,663.46",percent of total billed charges ,,,,,"7,280.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,,,"4,033.40",percent of total billed charges,
DEPUY P/S FEMORAL COMPONENT,C1776,CDM,,,,both,1,each,"14,263.00","14,263.00","3,993.64","14,263.00","14,263.00",percent of total billed charges,"14,263.00",percent of total billed charges,"14,263.00",percent of total billed charges,"14,263.00",percent of total billed charges,"14,263.00",percent of total billed charges,"14,263.00",percent of total billed charges,"14,263.00",percent of total billed charges,"14,263.00",percent of total billed charges,"10,269.36",percent of total billed charges,"10,269.36",percent of total billed charges,"10,269.36",percent of total billed charges,"10,269.36",percent of total billed charges,"10,269.36",percent of total billed charges,"10,269.36",percent of total billed charges,"10,554.62",percent of total billed charges,"10,554.62",percent of total billed charges,"11,410.40",percent of total billed charges,"11,410.40",percent of total billed charges,,,"10,269.36",percent of total billed charges ,,,"11,410.40",percent of total billed charges ,"11,980.92",percent of total billed charges ,"11,980.92",percent of total billed charges ,"11,125.14",percent of total billed charges ,"11,125.14",percent of total billed charges ,"11,410.40",percent of total billed charges ,"11,410.40",percent of total billed charges ,"9,984.10",percent of total billed charges ,"9,984.10",percent of total billed charges ,"8,557.80",percent of total billed charges ,"8,557.80",percent of total billed charges ,"8,557.80",percent of total billed charges ,"8,557.80",percent of total billed charges ,,,,,"7,587.92",percent of total billed charges ,,,,,"7,208.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,,,"3,993.64",percent of total billed charges,
TIBAL INSERT DEPUY STABILIZED,C1776,CDM,,,,both,1,each,"5,845.00","5,845.00","1,636.60","5,845.00","5,845.00",percent of total billed charges,"5,845.00",percent of total billed charges,"5,845.00",percent of total billed charges,"5,845.00",percent of total billed charges,"5,845.00",percent of total billed charges,"5,845.00",percent of total billed charges,"5,845.00",percent of total billed charges,"5,845.00",percent of total billed charges,"4,208.40",percent of total billed charges,"4,208.40",percent of total billed charges,"4,208.40",percent of total billed charges,"4,208.40",percent of total billed charges,"4,208.40",percent of total billed charges,"4,208.40",percent of total billed charges,"4,325.30",percent of total billed charges,"4,325.30",percent of total billed charges,"4,676.00",percent of total billed charges,"4,676.00",percent of total billed charges,,,"4,208.40",percent of total billed charges ,,,"4,676.00",percent of total billed charges ,"4,909.80",percent of total billed charges ,"4,909.80",percent of total billed charges ,"4,559.10",percent of total billed charges ,"4,559.10",percent of total billed charges ,"4,676.00",percent of total billed charges ,"4,676.00",percent of total billed charges ,"4,091.50",percent of total billed charges ,"4,091.50",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,,,,,"3,109.54",percent of total billed charges ,,,,,"2,954.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,,,"1,636.60",percent of total billed charges,
TIBAL TRAY DEPUY C MOD,C1776,CDM,,,,both,1,each,"5,093.00","5,093.00","1,426.04","5,093.00","5,093.00",percent of total billed charges,"5,093.00",percent of total billed charges,"5,093.00",percent of total billed charges,"5,093.00",percent of total billed charges,"5,093.00",percent of total billed charges,"5,093.00",percent of total billed charges,"5,093.00",percent of total billed charges,"5,093.00",percent of total billed charges,"3,666.96",percent of total billed charges,"3,666.96",percent of total billed charges,"3,666.96",percent of total billed charges,"3,666.96",percent of total billed charges,"3,666.96",percent of total billed charges,"3,666.96",percent of total billed charges,"3,768.82",percent of total billed charges,"3,768.82",percent of total billed charges,"4,074.40",percent of total billed charges,"4,074.40",percent of total billed charges,,,"3,666.96",percent of total billed charges ,,,"4,074.40",percent of total billed charges ,"4,278.12",percent of total billed charges ,"4,278.12",percent of total billed charges ,"3,972.54",percent of total billed charges ,"3,972.54",percent of total billed charges ,"4,074.40",percent of total billed charges ,"4,074.40",percent of total billed charges ,"3,565.10",percent of total billed charges ,"3,565.10",percent of total billed charges ,"3,055.80",percent of total billed charges ,"3,055.80",percent of total billed charges ,"3,055.80",percent of total billed charges ,"3,055.80",percent of total billed charges ,,,,,"2,709.48",percent of total billed charges ,,,,,"2,574.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,,,"1,426.04",percent of total billed charges,
PATELLA DUAL DOME DEPUY,C1776,CDM,,,,both,1,each,"3,262.00","3,262.00",913.36,"3,262.00","3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,413.88",percent of total billed charges,"2,413.88",percent of total billed charges,"2,609.60",percent of total billed charges,"2,609.60",percent of total billed charges,,,"2,348.64",percent of total billed charges ,,,"2,609.60",percent of total billed charges ,"2,740.08",percent of total billed charges ,"2,740.08",percent of total billed charges ,"2,544.36",percent of total billed charges ,"2,544.36",percent of total billed charges ,"2,609.60",percent of total billed charges ,"2,609.60",percent of total billed charges ,"2,283.40",percent of total billed charges ,"2,283.40",percent of total billed charges ,"1,957.20",percent of total billed charges ,"1,957.20",percent of total billed charges ,"1,957.20",percent of total billed charges ,"1,957.20",percent of total billed charges ,,,,,"1,735.38",percent of total billed charges ,,,,,"1,648.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,
GLBL UNT STD STEM SZ 16 DEPUY 110016100,C1776,CDM,,,,both,1,each,"15,580.00","15,580.00","4,362.40","15,580.00","15,580.00",percent of total billed charges,"15,580.00",percent of total billed charges,"15,580.00",percent of total billed charges,"15,580.00",percent of total billed charges,"15,580.00",percent of total billed charges,"15,580.00",percent of total billed charges,"15,580.00",percent of total billed charges,"15,580.00",percent of total billed charges,"11,217.60",percent of total billed charges,"11,217.60",percent of total billed charges,"11,217.60",percent of total billed charges,"11,217.60",percent of total billed charges,"11,217.60",percent of total billed charges,"11,217.60",percent of total billed charges,"11,529.20",percent of total billed charges,"11,529.20",percent of total billed charges,"12,464.00",percent of total billed charges,"12,464.00",percent of total billed charges,,,"11,217.60",percent of total billed charges ,,,"12,464.00",percent of total billed charges ,"13,087.20",percent of total billed charges ,"13,087.20",percent of total billed charges ,"12,152.40",percent of total billed charges ,"12,152.40",percent of total billed charges ,"12,464.00",percent of total billed charges ,"12,464.00",percent of total billed charges ,"10,906.00",percent of total billed charges ,"10,906.00",percent of total billed charges ,"9,348.00",percent of total billed charges ,"9,348.00",percent of total billed charges ,"9,348.00",percent of total billed charges ,"9,348.00",percent of total billed charges ,,,,,"8,288.56",percent of total billed charges ,,,,,"7,874.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,,,"4,362.40",percent of total billed charges,
GLBL UNT HD 52X18 ECC 110052610 DEPUY,C1776,CDM,,,,both,1,each,"10,522.00","10,522.00","2,946.16","10,522.00","10,522.00",percent of total billed charges,"10,522.00",percent of total billed charges,"10,522.00",percent of total billed charges,"10,522.00",percent of total billed charges,"10,522.00",percent of total billed charges,"10,522.00",percent of total billed charges,"10,522.00",percent of total billed charges,"10,522.00",percent of total billed charges,"7,575.84",percent of total billed charges,"7,575.84",percent of total billed charges,"7,575.84",percent of total billed charges,"7,575.84",percent of total billed charges,"7,575.84",percent of total billed charges,"7,575.84",percent of total billed charges,"7,786.28",percent of total billed charges,"7,786.28",percent of total billed charges,"8,417.60",percent of total billed charges,"8,417.60",percent of total billed charges,,,"7,575.84",percent of total billed charges ,,,"8,417.60",percent of total billed charges ,"8,838.48",percent of total billed charges ,"8,838.48",percent of total billed charges ,"8,207.16",percent of total billed charges ,"8,207.16",percent of total billed charges ,"8,417.60",percent of total billed charges ,"8,417.60",percent of total billed charges ,"7,365.40",percent of total billed charges ,"7,365.40",percent of total billed charges ,"6,313.20",percent of total billed charges ,"6,313.20",percent of total billed charges ,"6,313.20",percent of total billed charges ,"6,313.20",percent of total billed charges ,,,,,"5,597.70",percent of total billed charges ,,,,,"5,317.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,,,"2,946.16",percent of total billed charges,
GLBL UNT ANT BODY 135 SZ16 110060000 DEP,C1776,CDM,,,,both,1,each,"8,769.00","8,769.00","2,455.32","8,769.00","8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,489.06",percent of total billed charges,"6,489.06",percent of total billed charges,"7,015.20",percent of total billed charges,"7,015.20",percent of total billed charges,,,"6,313.68",percent of total billed charges ,,,"7,015.20",percent of total billed charges ,"7,365.96",percent of total billed charges ,"7,365.96",percent of total billed charges ,"6,839.82",percent of total billed charges ,"6,839.82",percent of total billed charges ,"7,015.20",percent of total billed charges ,"7,015.20",percent of total billed charges ,"6,138.30",percent of total billed charges ,"6,138.30",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,,,,,"4,665.11",percent of total billed charges ,,,,,"4,431.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,
HERNIA LEVEL 1  1.0 HR,LOCAL,LOCAL,,,,both,1,each,"8,679.00","8,679.00","2,430.12","8,679.00","8,679.00",percent of total billed charges,"8,679.00",percent of total billed charges,"8,679.00",percent of total billed charges,"8,679.00",percent of total billed charges,"8,679.00",percent of total billed charges,"8,679.00",percent of total billed charges,"8,679.00",percent of total billed charges,"8,679.00",percent of total billed charges,"6,248.88",percent of total billed charges,"6,248.88",percent of total billed charges,"6,248.88",percent of total billed charges,"6,248.88",percent of total billed charges,"6,248.88",percent of total billed charges,"6,248.88",percent of total billed charges,"6,422.46",percent of total billed charges,"6,422.46",percent of total billed charges,"6,943.20",percent of total billed charges,"6,943.20",percent of total billed charges,,,"6,248.88",percent of total billed charges ,,,"6,943.20",percent of total billed charges ,"7,290.36",percent of total billed charges ,"7,290.36",percent of total billed charges ,"6,769.62",percent of total billed charges ,"6,769.62",percent of total billed charges ,"6,943.20",percent of total billed charges ,"6,943.20",percent of total billed charges ,"6,075.30",percent of total billed charges ,"6,075.30",percent of total billed charges ,"5,207.40",percent of total billed charges ,"5,207.40",percent of total billed charges ,"5,207.40",percent of total billed charges ,"5,207.40",percent of total billed charges ,,,,,"4,617.23",percent of total billed charges ,,,,,"4,386.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,,,"2,430.12",percent of total billed charges,
HERNIA LEVEL 2  1.5 HR,LOCAL,LOCAL,,,,both,1,each,"11,034.00","11,034.00","3,089.52","11,034.00","11,034.00",percent of total billed charges,"11,034.00",percent of total billed charges,"11,034.00",percent of total billed charges,"11,034.00",percent of total billed charges,"11,034.00",percent of total billed charges,"11,034.00",percent of total billed charges,"11,034.00",percent of total billed charges,"11,034.00",percent of total billed charges,"7,944.48",percent of total billed charges,"7,944.48",percent of total billed charges,"7,944.48",percent of total billed charges,"7,944.48",percent of total billed charges,"7,944.48",percent of total billed charges,"7,944.48",percent of total billed charges,"8,165.16",percent of total billed charges,"8,165.16",percent of total billed charges,"8,827.20",percent of total billed charges,"8,827.20",percent of total billed charges,,,"7,944.48",percent of total billed charges ,,,"8,827.20",percent of total billed charges ,"9,268.56",percent of total billed charges ,"9,268.56",percent of total billed charges ,"8,606.52",percent of total billed charges ,"8,606.52",percent of total billed charges ,"8,827.20",percent of total billed charges ,"8,827.20",percent of total billed charges ,"7,723.80",percent of total billed charges ,"7,723.80",percent of total billed charges ,"6,620.40",percent of total billed charges ,"6,620.40",percent of total billed charges ,"6,620.40",percent of total billed charges ,"6,620.40",percent of total billed charges ,,,,,"5,870.09",percent of total billed charges ,,,,,"5,576.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,,,"3,089.52",percent of total billed charges,
HERNIA LEVEL 3  2.0 HR,LOCAL,LOCAL,,,,both,1,each,"12,054.00","12,054.00","3,375.12","12,054.00","12,054.00",percent of total billed charges,"12,054.00",percent of total billed charges,"12,054.00",percent of total billed charges,"12,054.00",percent of total billed charges,"12,054.00",percent of total billed charges,"12,054.00",percent of total billed charges,"12,054.00",percent of total billed charges,"12,054.00",percent of total billed charges,"8,678.88",percent of total billed charges,"8,678.88",percent of total billed charges,"8,678.88",percent of total billed charges,"8,678.88",percent of total billed charges,"8,678.88",percent of total billed charges,"8,678.88",percent of total billed charges,"8,919.96",percent of total billed charges,"8,919.96",percent of total billed charges,"9,643.20",percent of total billed charges,"9,643.20",percent of total billed charges,,,"8,678.88",percent of total billed charges ,,,"9,643.20",percent of total billed charges ,"10,125.36",percent of total billed charges ,"10,125.36",percent of total billed charges ,"9,402.12",percent of total billed charges ,"9,402.12",percent of total billed charges ,"9,643.20",percent of total billed charges ,"9,643.20",percent of total billed charges ,"8,437.80",percent of total billed charges ,"8,437.80",percent of total billed charges ,"7,232.40",percent of total billed charges ,"7,232.40",percent of total billed charges ,"7,232.40",percent of total billed charges ,"7,232.40",percent of total billed charges ,,,,,"6,412.73",percent of total billed charges ,,,,,"6,092.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,,,"3,375.12",percent of total billed charges,
ORTHO-NEURO LEVEL 1  1.0,LOCAL,LOCAL,,,,both,1,each,"6,401.00","6,401.00","1,792.28","6,401.00","6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"4,608.72",percent of total billed charges,"4,608.72",percent of total billed charges,"4,608.72",percent of total billed charges,"4,608.72",percent of total billed charges,"4,608.72",percent of total billed charges,"4,608.72",percent of total billed charges,"4,736.74",percent of total billed charges,"4,736.74",percent of total billed charges,"5,120.80",percent of total billed charges,"5,120.80",percent of total billed charges,,,"4,608.72",percent of total billed charges ,,,"5,120.80",percent of total billed charges ,"5,376.84",percent of total billed charges ,"5,376.84",percent of total billed charges ,"4,992.78",percent of total billed charges ,"4,992.78",percent of total billed charges ,"5,120.80",percent of total billed charges ,"5,120.80",percent of total billed charges ,"4,480.70",percent of total billed charges ,"4,480.70",percent of total billed charges ,"3,840.60",percent of total billed charges ,"3,840.60",percent of total billed charges ,"3,840.60",percent of total billed charges ,"3,840.60",percent of total billed charges ,,,,,"3,405.33",percent of total billed charges ,,,,,"3,235.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,,,"1,792.28",percent of total billed charges,
ORTHO-NEURO LEVEL 2  1.5 HR,LOCAL,LOCAL,,,,both,1,each,"8,258.00","8,258.00","2,312.24","8,258.00","8,258.00",percent of total billed charges,"8,258.00",percent of total billed charges,"8,258.00",percent of total billed charges,"8,258.00",percent of total billed charges,"8,258.00",percent of total billed charges,"8,258.00",percent of total billed charges,"8,258.00",percent of total billed charges,"8,258.00",percent of total billed charges,"5,945.76",percent of total billed charges,"5,945.76",percent of total billed charges,"5,945.76",percent of total billed charges,"5,945.76",percent of total billed charges,"5,945.76",percent of total billed charges,"5,945.76",percent of total billed charges,"6,110.92",percent of total billed charges,"6,110.92",percent of total billed charges,"6,606.40",percent of total billed charges,"6,606.40",percent of total billed charges,,,"5,945.76",percent of total billed charges ,,,"6,606.40",percent of total billed charges ,"6,936.72",percent of total billed charges ,"6,936.72",percent of total billed charges ,"6,441.24",percent of total billed charges ,"6,441.24",percent of total billed charges ,"6,606.40",percent of total billed charges ,"6,606.40",percent of total billed charges ,"5,780.60",percent of total billed charges ,"5,780.60",percent of total billed charges ,"4,954.80",percent of total billed charges ,"4,954.80",percent of total billed charges ,"4,954.80",percent of total billed charges ,"4,954.80",percent of total billed charges ,,,,,"4,393.26",percent of total billed charges ,,,,,"4,173.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,,,"2,312.24",percent of total billed charges,
TISSUE LEVEL 1  1 HR,LOCAL,LOCAL,,,,both,1,each,"5,448.00","5,448.00","1,525.44","5,448.00","5,448.00",percent of total billed charges,"5,448.00",percent of total billed charges,"5,448.00",percent of total billed charges,"5,448.00",percent of total billed charges,"5,448.00",percent of total billed charges,"5,448.00",percent of total billed charges,"5,448.00",percent of total billed charges,"5,448.00",percent of total billed charges,"3,922.56",percent of total billed charges,"3,922.56",percent of total billed charges,"3,922.56",percent of total billed charges,"3,922.56",percent of total billed charges,"3,922.56",percent of total billed charges,"3,922.56",percent of total billed charges,"4,031.52",percent of total billed charges,"4,031.52",percent of total billed charges,"4,358.40",percent of total billed charges,"4,358.40",percent of total billed charges,,,"3,922.56",percent of total billed charges ,,,"4,358.40",percent of total billed charges ,"4,576.32",percent of total billed charges ,"4,576.32",percent of total billed charges ,"4,249.44",percent of total billed charges ,"4,249.44",percent of total billed charges ,"4,358.40",percent of total billed charges ,"4,358.40",percent of total billed charges ,"3,813.60",percent of total billed charges ,"3,813.60",percent of total billed charges ,"3,268.80",percent of total billed charges ,"3,268.80",percent of total billed charges ,"3,268.80",percent of total billed charges ,"3,268.80",percent of total billed charges ,,,,,"2,898.34",percent of total billed charges ,,,,,"2,753.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,,,"1,525.44",percent of total billed charges,
TISSUE LEVEL 2  1.5 HR,LOCAL,LOCAL,,,,both,1,each,"6,606.00","6,606.00","1,849.68","6,606.00","6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,888.44",percent of total billed charges,"4,888.44",percent of total billed charges,"5,284.80",percent of total billed charges,"5,284.80",percent of total billed charges,,,"4,756.32",percent of total billed charges ,,,"5,284.80",percent of total billed charges ,"5,549.04",percent of total billed charges ,"5,549.04",percent of total billed charges ,"5,152.68",percent of total billed charges ,"5,152.68",percent of total billed charges ,"5,284.80",percent of total billed charges ,"5,284.80",percent of total billed charges ,"4,624.20",percent of total billed charges ,"4,624.20",percent of total billed charges ,"3,963.60",percent of total billed charges ,"3,963.60",percent of total billed charges ,"3,963.60",percent of total billed charges ,"3,963.60",percent of total billed charges ,,,,,"3,514.39",percent of total billed charges ,,,,,"3,338.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,
TISSUE LEVEL 3  2 HR,LOCAL,LOCAL,,,,both,1,each,"7,180.00","7,180.00","2,010.40","7,180.00","7,180.00",percent of total billed charges,"7,180.00",percent of total billed charges,"7,180.00",percent of total billed charges,"7,180.00",percent of total billed charges,"7,180.00",percent of total billed charges,"7,180.00",percent of total billed charges,"7,180.00",percent of total billed charges,"7,180.00",percent of total billed charges,"5,169.60",percent of total billed charges,"5,169.60",percent of total billed charges,"5,169.60",percent of total billed charges,"5,169.60",percent of total billed charges,"5,169.60",percent of total billed charges,"5,169.60",percent of total billed charges,"5,313.20",percent of total billed charges,"5,313.20",percent of total billed charges,"5,744.00",percent of total billed charges,"5,744.00",percent of total billed charges,,,"5,169.60",percent of total billed charges ,,,"5,744.00",percent of total billed charges ,"6,031.20",percent of total billed charges ,"6,031.20",percent of total billed charges ,"5,600.40",percent of total billed charges ,"5,600.40",percent of total billed charges ,"5,744.00",percent of total billed charges ,"5,744.00",percent of total billed charges ,"5,026.00",percent of total billed charges ,"5,026.00",percent of total billed charges ,"4,308.00",percent of total billed charges ,"4,308.00",percent of total billed charges ,"4,308.00",percent of total billed charges ,"4,308.00",percent of total billed charges ,,,,,"3,819.76",percent of total billed charges ,,,,,"3,628.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,,,"2,010.40",percent of total billed charges,
GENERAL LEVEL 1  1 HR,LOCAL,LOCAL,,,,both,1,each,"4,627.00","4,627.00","1,295.56","4,627.00","4,627.00",percent of total billed charges,"4,627.00",percent of total billed charges,"4,627.00",percent of total billed charges,"4,627.00",percent of total billed charges,"4,627.00",percent of total billed charges,"4,627.00",percent of total billed charges,"4,627.00",percent of total billed charges,"4,627.00",percent of total billed charges,"3,331.44",percent of total billed charges,"3,331.44",percent of total billed charges,"3,331.44",percent of total billed charges,"3,331.44",percent of total billed charges,"3,331.44",percent of total billed charges,"3,331.44",percent of total billed charges,"3,423.98",percent of total billed charges,"3,423.98",percent of total billed charges,"3,701.60",percent of total billed charges,"3,701.60",percent of total billed charges,,,"3,331.44",percent of total billed charges ,,,"3,701.60",percent of total billed charges ,"3,886.68",percent of total billed charges ,"3,886.68",percent of total billed charges ,"3,609.06",percent of total billed charges ,"3,609.06",percent of total billed charges ,"3,701.60",percent of total billed charges ,"3,701.60",percent of total billed charges ,"3,238.90",percent of total billed charges ,"3,238.90",percent of total billed charges ,"2,776.20",percent of total billed charges ,"2,776.20",percent of total billed charges ,"2,776.20",percent of total billed charges ,"2,776.20",percent of total billed charges ,,,,,"2,461.56",percent of total billed charges ,,,,,"2,338.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,,,"1,295.56",percent of total billed charges,
GENERAL LEVEL 2  1 HR,LOCAL,LOCAL,,,,both,1,each,"6,881.00","6,881.00","1,926.68","6,881.00","6,881.00",percent of total billed charges,"6,881.00",percent of total billed charges,"6,881.00",percent of total billed charges,"6,881.00",percent of total billed charges,"6,881.00",percent of total billed charges,"6,881.00",percent of total billed charges,"6,881.00",percent of total billed charges,"6,881.00",percent of total billed charges,"4,954.32",percent of total billed charges,"4,954.32",percent of total billed charges,"4,954.32",percent of total billed charges,"4,954.32",percent of total billed charges,"4,954.32",percent of total billed charges,"4,954.32",percent of total billed charges,"5,091.94",percent of total billed charges,"5,091.94",percent of total billed charges,"5,504.80",percent of total billed charges,"5,504.80",percent of total billed charges,,,"4,954.32",percent of total billed charges ,,,"5,504.80",percent of total billed charges ,"5,780.04",percent of total billed charges ,"5,780.04",percent of total billed charges ,"5,367.18",percent of total billed charges ,"5,367.18",percent of total billed charges ,"5,504.80",percent of total billed charges ,"5,504.80",percent of total billed charges ,"4,816.70",percent of total billed charges ,"4,816.70",percent of total billed charges ,"4,128.60",percent of total billed charges ,"4,128.60",percent of total billed charges ,"4,128.60",percent of total billed charges ,"4,128.60",percent of total billed charges ,,,,,"3,660.69",percent of total billed charges ,,,,,"3,477.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,,,"1,926.68",percent of total billed charges,
GENERAL LEVEL 3  1.5 HR,LOCAL,LOCAL,,,,both,1,each,"9,338.00","9,338.00","2,614.64","9,338.00","9,338.00",percent of total billed charges,"9,338.00",percent of total billed charges,"9,338.00",percent of total billed charges,"9,338.00",percent of total billed charges,"9,338.00",percent of total billed charges,"9,338.00",percent of total billed charges,"9,338.00",percent of total billed charges,"9,338.00",percent of total billed charges,"6,723.36",percent of total billed charges,"6,723.36",percent of total billed charges,"6,723.36",percent of total billed charges,"6,723.36",percent of total billed charges,"6,723.36",percent of total billed charges,"6,723.36",percent of total billed charges,"6,910.12",percent of total billed charges,"6,910.12",percent of total billed charges,"7,470.40",percent of total billed charges,"7,470.40",percent of total billed charges,,,"6,723.36",percent of total billed charges ,,,"7,470.40",percent of total billed charges ,"7,843.92",percent of total billed charges ,"7,843.92",percent of total billed charges ,"7,283.64",percent of total billed charges ,"7,283.64",percent of total billed charges ,"7,470.40",percent of total billed charges ,"7,470.40",percent of total billed charges ,"6,536.60",percent of total billed charges ,"6,536.60",percent of total billed charges ,"5,602.80",percent of total billed charges ,"5,602.80",percent of total billed charges ,"5,602.80",percent of total billed charges ,"5,602.80",percent of total billed charges ,,,,,"4,967.82",percent of total billed charges ,,,,,"4,719.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,,,"2,614.64",percent of total billed charges,
GYN LEVEL 1  0.5 HR,LOCAL,LOCAL,,,,both,1,each,"4,427.00","4,427.00","1,239.56","4,427.00","4,427.00",percent of total billed charges,"4,427.00",percent of total billed charges,"4,427.00",percent of total billed charges,"4,427.00",percent of total billed charges,"4,427.00",percent of total billed charges,"4,427.00",percent of total billed charges,"4,427.00",percent of total billed charges,"4,427.00",percent of total billed charges,"3,187.44",percent of total billed charges,"3,187.44",percent of total billed charges,"3,187.44",percent of total billed charges,"3,187.44",percent of total billed charges,"3,187.44",percent of total billed charges,"3,187.44",percent of total billed charges,"3,275.98",percent of total billed charges,"3,275.98",percent of total billed charges,"3,541.60",percent of total billed charges,"3,541.60",percent of total billed charges,,,"3,187.44",percent of total billed charges ,,,"3,541.60",percent of total billed charges ,"3,718.68",percent of total billed charges ,"3,718.68",percent of total billed charges ,"3,453.06",percent of total billed charges ,"3,453.06",percent of total billed charges ,"3,541.60",percent of total billed charges ,"3,541.60",percent of total billed charges ,"3,098.90",percent of total billed charges ,"3,098.90",percent of total billed charges ,"2,656.20",percent of total billed charges ,"2,656.20",percent of total billed charges ,"2,656.20",percent of total billed charges ,"2,656.20",percent of total billed charges ,,,,,"2,355.16",percent of total billed charges ,,,,,"2,237.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,,,"1,239.56",percent of total billed charges,
GYN LEVEL 2  1 HR,LOCAL,LOCAL,,,,both,1,each,"7,560.00","7,560.00","2,116.80","7,560.00","7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,"5,443.20",percent of total billed charges,"5,443.20",percent of total billed charges,"5,443.20",percent of total billed charges,"5,443.20",percent of total billed charges,"5,443.20",percent of total billed charges,"5,443.20",percent of total billed charges,"5,594.40",percent of total billed charges,"5,594.40",percent of total billed charges,"6,048.00",percent of total billed charges,"6,048.00",percent of total billed charges,,,"5,443.20",percent of total billed charges ,,,"6,048.00",percent of total billed charges ,"6,350.40",percent of total billed charges ,"6,350.40",percent of total billed charges ,"5,896.80",percent of total billed charges ,"5,896.80",percent of total billed charges ,"6,048.00",percent of total billed charges ,"6,048.00",percent of total billed charges ,"5,292.00",percent of total billed charges ,"5,292.00",percent of total billed charges ,"4,536.00",percent of total billed charges ,"4,536.00",percent of total billed charges ,"4,536.00",percent of total billed charges ,"4,536.00",percent of total billed charges ,,,,,"4,021.92",percent of total billed charges ,,,,,"3,820.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,,,"2,116.80",percent of total billed charges,
GYN LEVEL 3  2 HR,LOCAL,LOCAL,,,,both,1,each,"8,756.00","8,756.00","2,451.68","8,756.00","8,756.00",percent of total billed charges,"8,756.00",percent of total billed charges,"8,756.00",percent of total billed charges,"8,756.00",percent of total billed charges,"8,756.00",percent of total billed charges,"8,756.00",percent of total billed charges,"8,756.00",percent of total billed charges,"8,756.00",percent of total billed charges,"6,304.32",percent of total billed charges,"6,304.32",percent of total billed charges,"6,304.32",percent of total billed charges,"6,304.32",percent of total billed charges,"6,304.32",percent of total billed charges,"6,304.32",percent of total billed charges,"6,479.44",percent of total billed charges,"6,479.44",percent of total billed charges,"7,004.80",percent of total billed charges,"7,004.80",percent of total billed charges,,,"6,304.32",percent of total billed charges ,,,"7,004.80",percent of total billed charges ,"7,355.04",percent of total billed charges ,"7,355.04",percent of total billed charges ,"6,829.68",percent of total billed charges ,"6,829.68",percent of total billed charges ,"7,004.80",percent of total billed charges ,"7,004.80",percent of total billed charges ,"6,129.20",percent of total billed charges ,"6,129.20",percent of total billed charges ,"5,253.60",percent of total billed charges ,"5,253.60",percent of total billed charges ,"5,253.60",percent of total billed charges ,"5,253.60",percent of total billed charges ,,,,,"4,658.19",percent of total billed charges ,,,,,"4,425.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,,,"2,451.68",percent of total billed charges,
GYN LEVEL 4  1 HR,LOCAL,LOCAL,,,,both,1,each,"9,868.00","9,868.00","2,763.04","9,868.00","9,868.00",percent of total billed charges,"9,868.00",percent of total billed charges,"9,868.00",percent of total billed charges,"9,868.00",percent of total billed charges,"9,868.00",percent of total billed charges,"9,868.00",percent of total billed charges,"9,868.00",percent of total billed charges,"9,868.00",percent of total billed charges,"7,104.96",percent of total billed charges,"7,104.96",percent of total billed charges,"7,104.96",percent of total billed charges,"7,104.96",percent of total billed charges,"7,104.96",percent of total billed charges,"7,104.96",percent of total billed charges,"7,302.32",percent of total billed charges,"7,302.32",percent of total billed charges,"7,894.40",percent of total billed charges,"7,894.40",percent of total billed charges,,,"7,104.96",percent of total billed charges ,,,"7,894.40",percent of total billed charges ,"8,289.12",percent of total billed charges ,"8,289.12",percent of total billed charges ,"7,697.04",percent of total billed charges ,"7,697.04",percent of total billed charges ,"7,894.40",percent of total billed charges ,"7,894.40",percent of total billed charges ,"6,907.60",percent of total billed charges ,"6,907.60",percent of total billed charges ,"5,920.80",percent of total billed charges ,"5,920.80",percent of total billed charges ,"5,920.80",percent of total billed charges ,"5,920.80",percent of total billed charges ,,,,,"5,249.78",percent of total billed charges ,,,,,"4,987.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,,,"2,763.04",percent of total billed charges,
GYN LEVEL 5  1 HR,LOCAL,LOCAL,,,,both,1,each,"10,465.00","10,465.00","2,930.20","10,465.00","10,465.00",percent of total billed charges,"10,465.00",percent of total billed charges,"10,465.00",percent of total billed charges,"10,465.00",percent of total billed charges,"10,465.00",percent of total billed charges,"10,465.00",percent of total billed charges,"10,465.00",percent of total billed charges,"10,465.00",percent of total billed charges,"7,534.80",percent of total billed charges,"7,534.80",percent of total billed charges,"7,534.80",percent of total billed charges,"7,534.80",percent of total billed charges,"7,534.80",percent of total billed charges,"7,534.80",percent of total billed charges,"7,744.10",percent of total billed charges,"7,744.10",percent of total billed charges,"8,372.00",percent of total billed charges,"8,372.00",percent of total billed charges,,,"7,534.80",percent of total billed charges ,,,"8,372.00",percent of total billed charges ,"8,790.60",percent of total billed charges ,"8,790.60",percent of total billed charges ,"8,162.70",percent of total billed charges ,"8,162.70",percent of total billed charges ,"8,372.00",percent of total billed charges ,"8,372.00",percent of total billed charges ,"7,325.50",percent of total billed charges ,"7,325.50",percent of total billed charges ,"6,279.00",percent of total billed charges ,"6,279.00",percent of total billed charges ,"6,279.00",percent of total billed charges ,"6,279.00",percent of total billed charges ,,,,,"5,567.38",percent of total billed charges ,,,,,"5,289.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,,,"2,930.20",percent of total billed charges,
URO LEVEL 1 0.5 HR,LOCAL,LOCAL,,,,both,1,each,"6,246.00","6,246.00","1,748.88","6,246.00","6,246.00",percent of total billed charges,"6,246.00",percent of total billed charges,"6,246.00",percent of total billed charges,"6,246.00",percent of total billed charges,"6,246.00",percent of total billed charges,"6,246.00",percent of total billed charges,"6,246.00",percent of total billed charges,"6,246.00",percent of total billed charges,"4,497.12",percent of total billed charges,"4,497.12",percent of total billed charges,"4,497.12",percent of total billed charges,"4,497.12",percent of total billed charges,"4,497.12",percent of total billed charges,"4,497.12",percent of total billed charges,"4,622.04",percent of total billed charges,"4,622.04",percent of total billed charges,"4,996.80",percent of total billed charges,"4,996.80",percent of total billed charges,,,"4,497.12",percent of total billed charges ,,,"4,996.80",percent of total billed charges ,"5,246.64",percent of total billed charges ,"5,246.64",percent of total billed charges ,"4,871.88",percent of total billed charges ,"4,871.88",percent of total billed charges ,"4,996.80",percent of total billed charges ,"4,996.80",percent of total billed charges ,"4,372.20",percent of total billed charges ,"4,372.20",percent of total billed charges ,"3,747.60",percent of total billed charges ,"3,747.60",percent of total billed charges ,"3,747.60",percent of total billed charges ,"3,747.60",percent of total billed charges ,,,,,"3,322.87",percent of total billed charges ,,,,,"3,156.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,,,"1,748.88",percent of total billed charges,
URO LEVEL 2,LOCAL,LOCAL,,,,both,1,each,"6,633.00","6,633.00","1,857.24","6,633.00","6,633.00",percent of total billed charges,"6,633.00",percent of total billed charges,"6,633.00",percent of total billed charges,"6,633.00",percent of total billed charges,"6,633.00",percent of total billed charges,"6,633.00",percent of total billed charges,"6,633.00",percent of total billed charges,"6,633.00",percent of total billed charges,"4,775.76",percent of total billed charges,"4,775.76",percent of total billed charges,"4,775.76",percent of total billed charges,"4,775.76",percent of total billed charges,"4,775.76",percent of total billed charges,"4,775.76",percent of total billed charges,"4,908.42",percent of total billed charges,"4,908.42",percent of total billed charges,"5,306.40",percent of total billed charges,"5,306.40",percent of total billed charges,,,"4,775.76",percent of total billed charges ,,,"5,306.40",percent of total billed charges ,"5,571.72",percent of total billed charges ,"5,571.72",percent of total billed charges ,"5,173.74",percent of total billed charges ,"5,173.74",percent of total billed charges ,"5,306.40",percent of total billed charges ,"5,306.40",percent of total billed charges ,"4,643.10",percent of total billed charges ,"4,643.10",percent of total billed charges ,"3,979.80",percent of total billed charges ,"3,979.80",percent of total billed charges ,"3,979.80",percent of total billed charges ,"3,979.80",percent of total billed charges ,,,,,"3,528.76",percent of total billed charges ,,,,,"3,352.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,,,"1,857.24",percent of total billed charges,
URO LEVEL 3  1.0 HR,LOCAL,LOCAL,,,,both,1,each,"6,842.00","6,842.00","1,915.76","6,842.00","6,842.00",percent of total billed charges,"6,842.00",percent of total billed charges,"6,842.00",percent of total billed charges,"6,842.00",percent of total billed charges,"6,842.00",percent of total billed charges,"6,842.00",percent of total billed charges,"6,842.00",percent of total billed charges,"6,842.00",percent of total billed charges,"4,926.24",percent of total billed charges,"4,926.24",percent of total billed charges,"4,926.24",percent of total billed charges,"4,926.24",percent of total billed charges,"4,926.24",percent of total billed charges,"4,926.24",percent of total billed charges,"5,063.08",percent of total billed charges,"5,063.08",percent of total billed charges,"5,473.60",percent of total billed charges,"5,473.60",percent of total billed charges,,,"4,926.24",percent of total billed charges ,,,"5,473.60",percent of total billed charges ,"5,747.28",percent of total billed charges ,"5,747.28",percent of total billed charges ,"5,336.76",percent of total billed charges ,"5,336.76",percent of total billed charges ,"5,473.60",percent of total billed charges ,"5,473.60",percent of total billed charges ,"4,789.40",percent of total billed charges ,"4,789.40",percent of total billed charges ,"4,105.20",percent of total billed charges ,"4,105.20",percent of total billed charges ,"4,105.20",percent of total billed charges ,"4,105.20",percent of total billed charges ,,,,,"3,639.94",percent of total billed charges ,,,,,"3,457.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,,,"1,915.76",percent of total billed charges,
BLOOD PATCH,62273,CDM,,,,both,1,each,"2,337.00","2,337.00",654.36,"2,337.00","2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,729.38",percent of total billed charges,"1,729.38",percent of total billed charges,"1,869.60",percent of total billed charges,"1,869.60",percent of total billed charges,,,"1,682.64",percent of total billed charges ,,,"1,869.60",percent of total billed charges ,"1,963.08",percent of total billed charges ,"1,963.08",percent of total billed charges ,"1,822.86",percent of total billed charges ,"1,822.86",percent of total billed charges ,"1,869.60",percent of total billed charges ,"1,869.60",percent of total billed charges ,"1,635.90",percent of total billed charges ,"1,635.90",percent of total billed charges ,"1,402.20",percent of total billed charges ,"1,402.20",percent of total billed charges ,"1,402.20",percent of total billed charges ,"1,402.20",percent of total billed charges ,,,,,"1,243.28",percent of total billed charges ,,,,,"1,181.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,
NERVE ROOT/GANGLION BLOCK INJ,64520,CDM,,,,both,1,each,"2,972.00","2,972.00",832.16,"2,972.00","2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,199.28",percent of total billed charges,"2,199.28",percent of total billed charges,"2,377.60",percent of total billed charges,"2,377.60",percent of total billed charges,,,"2,139.84",percent of total billed charges ,,,"2,377.60",percent of total billed charges ,"2,496.48",percent of total billed charges ,"2,496.48",percent of total billed charges ,"2,318.16",percent of total billed charges ,"2,318.16",percent of total billed charges ,"2,377.60",percent of total billed charges ,"2,377.60",percent of total billed charges ,"2,080.40",percent of total billed charges ,"2,080.40",percent of total billed charges ,"1,783.20",percent of total billed charges ,"1,783.20",percent of total billed charges ,"1,783.20",percent of total billed charges ,"1,783.20",percent of total billed charges ,,,,,"1,581.10",percent of total billed charges ,,,,,"1,502.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,
FACET INJ/ LUMBAR/ MEDIANS/ SACRAL,64493,CDM,,,,both,1,each,"2,889.00","2,889.00",808.92,"2,889.00","2,889.00",percent of total billed charges,"2,889.00",percent of total billed charges,"2,889.00",percent of total billed charges,"2,889.00",percent of total billed charges,"2,889.00",percent of total billed charges,"2,889.00",percent of total billed charges,"2,889.00",percent of total billed charges,"2,889.00",percent of total billed charges,"2,080.08",percent of total billed charges,"2,080.08",percent of total billed charges,"2,080.08",percent of total billed charges,"2,080.08",percent of total billed charges,"2,080.08",percent of total billed charges,"2,080.08",percent of total billed charges,"2,137.86",percent of total billed charges,"2,137.86",percent of total billed charges,"2,311.20",percent of total billed charges,"2,311.20",percent of total billed charges,,,"2,080.08",percent of total billed charges ,,,"2,311.20",percent of total billed charges ,"2,426.76",percent of total billed charges ,"2,426.76",percent of total billed charges ,"2,253.42",percent of total billed charges ,"2,253.42",percent of total billed charges ,"2,311.20",percent of total billed charges ,"2,311.20",percent of total billed charges ,"2,022.30",percent of total billed charges ,"2,022.30",percent of total billed charges ,"1,733.40",percent of total billed charges ,"1,733.40",percent of total billed charges ,"1,733.40",percent of total billed charges ,"1,733.40",percent of total billed charges ,,,,,"1,536.95",percent of total billed charges ,,,,,"1,460.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,,,808.92,percent of total billed charges,
EPIDURAL INJ/ LUMBAR/ SACR/CAUD W/O IMAG,62322,CDM,,,,both,1,each,"2,610.00","2,610.00",730.8,"2,610.00","2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,931.40",percent of total billed charges,"1,931.40",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,,,"1,879.20",percent of total billed charges ,,,"2,088.00",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,088.00",percent of total billed charges ,"2,088.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,,,,,"1,388.52",percent of total billed charges ,,,,,"1,319.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,
TRIGGER POINT INJ,20550,CDM,,,,both,1,each,"1,756.00","1,756.00",491.68,"1,756.00","1,756.00",percent of total billed charges,"1,756.00",percent of total billed charges,"1,756.00",percent of total billed charges,"1,756.00",percent of total billed charges,"1,756.00",percent of total billed charges,"1,756.00",percent of total billed charges,"1,756.00",percent of total billed charges,"1,756.00",percent of total billed charges,"1,264.32",percent of total billed charges,"1,264.32",percent of total billed charges,"1,264.32",percent of total billed charges,"1,264.32",percent of total billed charges,"1,264.32",percent of total billed charges,"1,264.32",percent of total billed charges,"1,299.44",percent of total billed charges,"1,299.44",percent of total billed charges,"1,404.80",percent of total billed charges,"1,404.80",percent of total billed charges,,,"1,264.32",percent of total billed charges ,,,"1,404.80",percent of total billed charges ,"1,475.04",percent of total billed charges ,"1,475.04",percent of total billed charges ,"1,369.68",percent of total billed charges ,"1,369.68",percent of total billed charges ,"1,404.80",percent of total billed charges ,"1,404.80",percent of total billed charges ,"1,229.20",percent of total billed charges ,"1,229.20",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,"1,053.60",percent of total billed charges ,,,,,934.19,percent of total billed charges ,,,,,887.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,,,491.68,percent of total billed charges,
SELECTIVE NERVE BLK/ LUB/ SACR,64483,CDM,,,,both,1,each,"2,992.00","2,992.00",837.76,"2,992.00","2,992.00",percent of total billed charges,"2,992.00",percent of total billed charges,"2,992.00",percent of total billed charges,"2,992.00",percent of total billed charges,"2,992.00",percent of total billed charges,"2,992.00",percent of total billed charges,"2,992.00",percent of total billed charges,"2,992.00",percent of total billed charges,"2,154.24",percent of total billed charges,"2,154.24",percent of total billed charges,"2,154.24",percent of total billed charges,"2,154.24",percent of total billed charges,"2,154.24",percent of total billed charges,"2,154.24",percent of total billed charges,"2,214.08",percent of total billed charges,"2,214.08",percent of total billed charges,"2,393.60",percent of total billed charges,"2,393.60",percent of total billed charges,,,"2,154.24",percent of total billed charges ,,,"2,393.60",percent of total billed charges ,"2,513.28",percent of total billed charges ,"2,513.28",percent of total billed charges ,"2,333.76",percent of total billed charges ,"2,333.76",percent of total billed charges ,"2,393.60",percent of total billed charges ,"2,393.60",percent of total billed charges ,"2,094.40",percent of total billed charges ,"2,094.40",percent of total billed charges ,"1,795.20",percent of total billed charges ,"1,795.20",percent of total billed charges ,"1,795.20",percent of total billed charges ,"1,795.20",percent of total billed charges ,,,,,"1,591.74",percent of total billed charges ,,,,,"1,512.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,,,837.76,percent of total billed charges,
SACROLIAC INJ,27096,CDM,,,,both,1,each,"1,953.00","1,953.00",546.84,"1,953.00","1,953.00",percent of total billed charges,"1,953.00",percent of total billed charges,"1,953.00",percent of total billed charges,"1,953.00",percent of total billed charges,"1,953.00",percent of total billed charges,"1,953.00",percent of total billed charges,"1,953.00",percent of total billed charges,"1,953.00",percent of total billed charges,"1,406.16",percent of total billed charges,"1,406.16",percent of total billed charges,"1,406.16",percent of total billed charges,"1,406.16",percent of total billed charges,"1,406.16",percent of total billed charges,"1,406.16",percent of total billed charges,"1,445.22",percent of total billed charges,"1,445.22",percent of total billed charges,"1,562.40",percent of total billed charges,"1,562.40",percent of total billed charges,,,"1,406.16",percent of total billed charges ,,,"1,562.40",percent of total billed charges ,"1,640.52",percent of total billed charges ,"1,640.52",percent of total billed charges ,"1,523.34",percent of total billed charges ,"1,523.34",percent of total billed charges ,"1,562.40",percent of total billed charges ,"1,562.40",percent of total billed charges ,"1,367.10",percent of total billed charges ,"1,367.10",percent of total billed charges ,"1,171.80",percent of total billed charges ,"1,171.80",percent of total billed charges ,"1,171.80",percent of total billed charges ,"1,171.80",percent of total billed charges ,,,,,"1,039.00",percent of total billed charges ,,,,,987.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,,,546.84,percent of total billed charges,
LUMBAR PUNCTURE,62270,CDM,,,,both,1,each,"1,867.00","1,867.00",522.76,"1,867.00","1,867.00",percent of total billed charges,"1,867.00",percent of total billed charges,"1,867.00",percent of total billed charges,"1,867.00",percent of total billed charges,"1,867.00",percent of total billed charges,"1,867.00",percent of total billed charges,"1,867.00",percent of total billed charges,"1,867.00",percent of total billed charges,"1,344.24",percent of total billed charges,"1,344.24",percent of total billed charges,"1,344.24",percent of total billed charges,"1,344.24",percent of total billed charges,"1,344.24",percent of total billed charges,"1,344.24",percent of total billed charges,"1,381.58",percent of total billed charges,"1,381.58",percent of total billed charges,"1,493.60",percent of total billed charges,"1,493.60",percent of total billed charges,,,"1,344.24",percent of total billed charges ,,,"1,493.60",percent of total billed charges ,"1,568.28",percent of total billed charges ,"1,568.28",percent of total billed charges ,"1,456.26",percent of total billed charges ,"1,456.26",percent of total billed charges ,"1,493.60",percent of total billed charges ,"1,493.60",percent of total billed charges ,"1,306.90",percent of total billed charges ,"1,306.90",percent of total billed charges ,"1,120.20",percent of total billed charges ,"1,120.20",percent of total billed charges ,"1,120.20",percent of total billed charges ,"1,120.20",percent of total billed charges ,,,,,993.24,percent of total billed charges ,,,,,943.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,,,522.76,percent of total billed charges,
OCIPITAL NERVE BLOCK,64450,CDM,,,,both,1,each,"2,014.00","2,014.00",563.92,"2,014.00","2,014.00",percent of total billed charges,"2,014.00",percent of total billed charges,"2,014.00",percent of total billed charges,"2,014.00",percent of total billed charges,"2,014.00",percent of total billed charges,"2,014.00",percent of total billed charges,"2,014.00",percent of total billed charges,"2,014.00",percent of total billed charges,"1,450.08",percent of total billed charges,"1,450.08",percent of total billed charges,"1,450.08",percent of total billed charges,"1,450.08",percent of total billed charges,"1,450.08",percent of total billed charges,"1,450.08",percent of total billed charges,"1,490.36",percent of total billed charges,"1,490.36",percent of total billed charges,"1,611.20",percent of total billed charges,"1,611.20",percent of total billed charges,,,"1,450.08",percent of total billed charges ,,,"1,611.20",percent of total billed charges ,"1,691.76",percent of total billed charges ,"1,691.76",percent of total billed charges ,"1,570.92",percent of total billed charges ,"1,570.92",percent of total billed charges ,"1,611.20",percent of total billed charges ,"1,611.20",percent of total billed charges ,"1,409.80",percent of total billed charges ,"1,409.80",percent of total billed charges ,"1,208.40",percent of total billed charges ,"1,208.40",percent of total billed charges ,"1,208.40",percent of total billed charges ,"1,208.40",percent of total billed charges ,,,,,"1,071.45",percent of total billed charges ,,,,,"1,017.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,,,563.92,percent of total billed charges,
INJECTION INTO SMALL JOINT BURS,20600,CDM,,,,both,1,each,"1,212.00","1,212.00",339.36,"1,212.00","1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,896.88,percent of total billed charges,896.88,percent of total billed charges,969.6,percent of total billed charges,969.6,percent of total billed charges,,,872.64,percent of total billed charges ,,,969.6,percent of total billed charges ,"1,018.08",percent of total billed charges ,"1,018.08",percent of total billed charges ,945.36,percent of total billed charges ,945.36,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,848.4,percent of total billed charges ,848.4,percent of total billed charges ,727.2,percent of total billed charges ,727.2,percent of total billed charges ,727.2,percent of total billed charges ,727.2,percent of total billed charges ,,,,,644.78,percent of total billed charges ,,,,,612.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,
TRIGGER PTS-ONE OR TWO,20552,CDM,,,,both,1,each,855,855,239.4,855,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,632.7,percent of total billed charges,632.7,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,,,615.6,percent of total billed charges ,,,684,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,666.9,percent of total billed charges ,666.9,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,598.5,percent of total billed charges ,598.5,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,,,,,454.86,percent of total billed charges ,,,,,432.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,
TRIGGER PTS THREE/MORE,20553,CDM,,,,both,1,each,"1,058.00","1,058.00",296.24,"1,058.00","1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,782.92,percent of total billed charges,782.92,percent of total billed charges,846.4,percent of total billed charges,846.4,percent of total billed charges,,,761.76,percent of total billed charges ,,,846.4,percent of total billed charges ,888.72,percent of total billed charges ,888.72,percent of total billed charges ,825.24,percent of total billed charges ,825.24,percent of total billed charges ,846.4,percent of total billed charges ,846.4,percent of total billed charges ,740.6,percent of total billed charges ,740.6,percent of total billed charges ,634.8,percent of total billed charges ,634.8,percent of total billed charges ,634.8,percent of total billed charges ,634.8,percent of total billed charges ,,,,,562.86,percent of total billed charges ,,,,,534.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,
2ND LEVEL FACET INJ LUMBAR/SACRAL,64494,CDM,,,,both,1,each,"1,481.00","1,481.00",414.68,"1,481.00","1,481.00",percent of total billed charges,"1,481.00",percent of total billed charges,"1,481.00",percent of total billed charges,"1,481.00",percent of total billed charges,"1,481.00",percent of total billed charges,"1,481.00",percent of total billed charges,"1,481.00",percent of total billed charges,"1,481.00",percent of total billed charges,"1,066.32",percent of total billed charges,"1,066.32",percent of total billed charges,"1,066.32",percent of total billed charges,"1,066.32",percent of total billed charges,"1,066.32",percent of total billed charges,"1,066.32",percent of total billed charges,"1,095.94",percent of total billed charges,"1,095.94",percent of total billed charges,"1,184.80",percent of total billed charges,"1,184.80",percent of total billed charges,,,"1,066.32",percent of total billed charges ,,,"1,184.80",percent of total billed charges ,"1,244.04",percent of total billed charges ,"1,244.04",percent of total billed charges ,"1,155.18",percent of total billed charges ,"1,155.18",percent of total billed charges ,"1,184.80",percent of total billed charges ,"1,184.80",percent of total billed charges ,"1,036.70",percent of total billed charges ,"1,036.70",percent of total billed charges ,888.6,percent of total billed charges ,888.6,percent of total billed charges ,888.6,percent of total billed charges ,888.6,percent of total billed charges ,,,,,787.89,percent of total billed charges ,,,,,748.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,,,414.68,percent of total billed charges,
3 + LEVEL FACET INJ LUMBAR/SACRAL,64495,CDM,,,,both,1,each,"1,454.00","1,454.00",407.12,"1,454.00","1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,075.96",percent of total billed charges,"1,075.96",percent of total billed charges,"1,163.20",percent of total billed charges,"1,163.20",percent of total billed charges,,,"1,046.88",percent of total billed charges ,,,"1,163.20",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,017.80",percent of total billed charges ,"1,017.80",percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,,,,,773.53,percent of total billed charges ,,,,,734.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,
LUMBAR PUNCTURE W FLUOROSCOPY,62328,CDM,,,,both,1,each,"2,453.00","2,453.00",686.84,"2,453.00","2,453.00",percent of total billed charges,"2,453.00",percent of total billed charges,"2,453.00",percent of total billed charges,"2,453.00",percent of total billed charges,"2,453.00",percent of total billed charges,"2,453.00",percent of total billed charges,"2,453.00",percent of total billed charges,"2,453.00",percent of total billed charges,"1,766.16",percent of total billed charges,"1,766.16",percent of total billed charges,"1,766.16",percent of total billed charges,"1,766.16",percent of total billed charges,"1,766.16",percent of total billed charges,"1,766.16",percent of total billed charges,"1,815.22",percent of total billed charges,"1,815.22",percent of total billed charges,"1,962.40",percent of total billed charges,"1,962.40",percent of total billed charges,,,"1,766.16",percent of total billed charges ,,,"1,962.40",percent of total billed charges ,"2,060.52",percent of total billed charges ,"2,060.52",percent of total billed charges ,"1,913.34",percent of total billed charges ,"1,913.34",percent of total billed charges ,"1,962.40",percent of total billed charges ,"1,962.40",percent of total billed charges ,"1,717.10",percent of total billed charges ,"1,717.10",percent of total billed charges ,"1,471.80",percent of total billed charges ,"1,471.80",percent of total billed charges ,"1,471.80",percent of total billed charges ,"1,471.80",percent of total billed charges ,,,,,"1,305.00",percent of total billed charges ,,,,,"1,239.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,,,686.84,percent of total billed charges,
PYRIFORMIS MUSCLE INJECTION,20552,CDM,,,,both,1,each,"1,124.00","1,124.00",314.72,"1,124.00","1,124.00",percent of total billed charges,"1,124.00",percent of total billed charges,"1,124.00",percent of total billed charges,"1,124.00",percent of total billed charges,"1,124.00",percent of total billed charges,"1,124.00",percent of total billed charges,"1,124.00",percent of total billed charges,"1,124.00",percent of total billed charges,809.28,percent of total billed charges,809.28,percent of total billed charges,809.28,percent of total billed charges,809.28,percent of total billed charges,809.28,percent of total billed charges,809.28,percent of total billed charges,831.76,percent of total billed charges,831.76,percent of total billed charges,899.2,percent of total billed charges,899.2,percent of total billed charges,,,809.28,percent of total billed charges ,,,899.2,percent of total billed charges ,944.16,percent of total billed charges ,944.16,percent of total billed charges ,876.72,percent of total billed charges ,876.72,percent of total billed charges ,899.2,percent of total billed charges ,899.2,percent of total billed charges ,786.8,percent of total billed charges ,786.8,percent of total billed charges ,674.4,percent of total billed charges ,674.4,percent of total billed charges ,674.4,percent of total billed charges ,674.4,percent of total billed charges ,,,,,597.97,percent of total billed charges ,,,,,568.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,,,314.72,percent of total billed charges,
CARPAL TUNNEL INJECTION,20526,CDM,,,,both,1,each,907,907,253.96,907,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,671.18,percent of total billed charges,671.18,percent of total billed charges,725.6,percent of total billed charges,725.6,percent of total billed charges,,,653.04,percent of total billed charges ,,,725.6,percent of total billed charges ,761.88,percent of total billed charges ,761.88,percent of total billed charges ,707.46,percent of total billed charges ,707.46,percent of total billed charges ,725.6,percent of total billed charges ,725.6,percent of total billed charges ,634.9,percent of total billed charges ,634.9,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,,,,,482.52,percent of total billed charges ,,,,,458.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,
AVULSION NAIL PLATE PARTIAL/COMPLETE,11730,CDM,,,,both,1,each,753,753,210.84,753,753,percent of total billed charges,753,percent of total billed charges,753,percent of total billed charges,753,percent of total billed charges,753,percent of total billed charges,753,percent of total billed charges,753,percent of total billed charges,753,percent of total billed charges,542.16,percent of total billed charges,542.16,percent of total billed charges,542.16,percent of total billed charges,542.16,percent of total billed charges,542.16,percent of total billed charges,542.16,percent of total billed charges,557.22,percent of total billed charges,557.22,percent of total billed charges,602.4,percent of total billed charges,602.4,percent of total billed charges,,,542.16,percent of total billed charges ,,,602.4,percent of total billed charges ,632.52,percent of total billed charges ,632.52,percent of total billed charges ,587.34,percent of total billed charges ,587.34,percent of total billed charges ,602.4,percent of total billed charges ,602.4,percent of total billed charges ,527.1,percent of total billed charges ,527.1,percent of total billed charges ,451.8,percent of total billed charges ,451.8,percent of total billed charges ,451.8,percent of total billed charges ,451.8,percent of total billed charges ,,,,,400.6,percent of total billed charges ,,,,,380.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,,,210.84,percent of total billed charges,
DEBRIDEMENT SUBCUTANEOUS TISSUE,11730,CDM,,,,both,1,each,"1,917.00","1,917.00",536.76,"1,917.00","1,917.00",percent of total billed charges,"1,917.00",percent of total billed charges,"1,917.00",percent of total billed charges,"1,917.00",percent of total billed charges,"1,917.00",percent of total billed charges,"1,917.00",percent of total billed charges,"1,917.00",percent of total billed charges,"1,917.00",percent of total billed charges,"1,380.24",percent of total billed charges,"1,380.24",percent of total billed charges,"1,380.24",percent of total billed charges,"1,380.24",percent of total billed charges,"1,380.24",percent of total billed charges,"1,380.24",percent of total billed charges,"1,418.58",percent of total billed charges,"1,418.58",percent of total billed charges,"1,533.60",percent of total billed charges,"1,533.60",percent of total billed charges,,,"1,380.24",percent of total billed charges ,,,"1,533.60",percent of total billed charges ,"1,610.28",percent of total billed charges ,"1,610.28",percent of total billed charges ,"1,495.26",percent of total billed charges ,"1,495.26",percent of total billed charges ,"1,533.60",percent of total billed charges ,"1,533.60",percent of total billed charges ,"1,341.90",percent of total billed charges ,"1,341.90",percent of total billed charges ,"1,150.20",percent of total billed charges ,"1,150.20",percent of total billed charges ,"1,150.20",percent of total billed charges ,"1,150.20",percent of total billed charges ,,,,,"1,019.84",percent of total billed charges ,,,,,968.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,,,536.76,percent of total billed charges,
ALCON SLEEVE KIT 0.9MM,LOCAL,LOCAL,,,,both,1,each,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
C4120 REPOSABLE GRASPERS,LOCAL,LOCAL,,,,both,1,each,700,700,196,700,700,percent of total billed charges,700,percent of total billed charges,700,percent of total billed charges,700,percent of total billed charges,700,percent of total billed charges,700,percent of total billed charges,700,percent of total billed charges,700,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,518,percent of total billed charges,518,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,,,504,percent of total billed charges ,,,560,percent of total billed charges ,588,percent of total billed charges ,588,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,560,percent of total billed charges ,560,percent of total billed charges ,490,percent of total billed charges ,490,percent of total billed charges ,420,percent of total billed charges ,420,percent of total billed charges ,420,percent of total billed charges ,420,percent of total billed charges ,,,,,372.4,percent of total billed charges ,,,,,353.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,,,196,percent of total billed charges,
YAG LASER,LOCAL,LOCAL,,,,both,1,each,"4,129.00","4,129.00","1,156.12","4,129.00","4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"3,055.46",percent of total billed charges,"3,055.46",percent of total billed charges,"3,303.20",percent of total billed charges,"3,303.20",percent of total billed charges,,,"2,972.88",percent of total billed charges ,,,"3,303.20",percent of total billed charges ,"3,468.36",percent of total billed charges ,"3,468.36",percent of total billed charges ,"3,220.62",percent of total billed charges ,"3,220.62",percent of total billed charges ,"3,303.20",percent of total billed charges ,"3,303.20",percent of total billed charges ,"2,890.30",percent of total billed charges ,"2,890.30",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,,,,,"2,196.63",percent of total billed charges ,,,,,"2,086.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,
RECIPROCATING SAW BLADE,LOCAL,LOCAL,,,,both,1,each,464,464,129.92,464,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,343.36,percent of total billed charges,343.36,percent of total billed charges,371.2,percent of total billed charges,371.2,percent of total billed charges,,,334.08,percent of total billed charges ,,,371.2,percent of total billed charges ,389.76,percent of total billed charges ,389.76,percent of total billed charges ,361.92,percent of total billed charges ,361.92,percent of total billed charges ,371.2,percent of total billed charges ,371.2,percent of total billed charges ,324.8,percent of total billed charges ,324.8,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,,,,,246.85,percent of total billed charges ,,,,,234.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,
SAGITTAL BLADE,LOCAL,LOCAL,,,,both,1,each,555,555,155.4,555,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,410.7,percent of total billed charges,410.7,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,,,399.6,percent of total billed charges ,,,444,percent of total billed charges ,466.2,percent of total billed charges ,466.2,percent of total billed charges ,432.9,percent of total billed charges ,432.9,percent of total billed charges ,444,percent of total billed charges ,444,percent of total billed charges ,388.5,percent of total billed charges ,388.5,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,,,,,295.26,percent of total billed charges ,,,,,280.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,
DUAL SAGITTAL BLADE,LOCAL,LOCAL,,,,both,1,each,477,477,133.56,477,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,352.98,percent of total billed charges,352.98,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,,,343.44,percent of total billed charges ,,,381.6,percent of total billed charges ,400.68,percent of total billed charges ,400.68,percent of total billed charges ,372.06,percent of total billed charges ,372.06,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,333.9,percent of total billed charges ,333.9,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,,,,,253.76,percent of total billed charges ,,,,,241.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,
SMITH & NEPHEW TOTAL KNEE IMPLANT,C1776,CDM,,,,both,1,each,"30,916.00","30,916.00","8,656.48","30,916.00","30,916.00",percent of total billed charges,"30,916.00",percent of total billed charges,"30,916.00",percent of total billed charges,"30,916.00",percent of total billed charges,"30,916.00",percent of total billed charges,"30,916.00",percent of total billed charges,"30,916.00",percent of total billed charges,"30,916.00",percent of total billed charges,"22,259.52",percent of total billed charges,"22,259.52",percent of total billed charges,"22,259.52",percent of total billed charges,"22,259.52",percent of total billed charges,"22,259.52",percent of total billed charges,"22,259.52",percent of total billed charges,"22,877.84",percent of total billed charges,"22,877.84",percent of total billed charges,"24,732.80",percent of total billed charges,"24,732.80",percent of total billed charges,,,"22,259.52",percent of total billed charges ,,,"24,732.80",percent of total billed charges ,"25,969.44",percent of total billed charges ,"25,969.44",percent of total billed charges ,"24,114.48",percent of total billed charges ,"24,114.48",percent of total billed charges ,"24,732.80",percent of total billed charges ,"24,732.80",percent of total billed charges ,"21,641.20",percent of total billed charges ,"21,641.20",percent of total billed charges ,"18,549.60",percent of total billed charges ,"18,549.60",percent of total billed charges ,"18,549.60",percent of total billed charges ,"18,549.60",percent of total billed charges ,,,,,"16,447.31",percent of total billed charges ,,,,,"15,624.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,,,"8,656.48",percent of total billed charges,
SCREW-QUICK FIX,C1713,CDM,,,,both,1,each,"3,729.00","3,729.00","1,044.12","3,729.00","3,729.00",percent of total billed charges,"3,729.00",percent of total billed charges,"3,729.00",percent of total billed charges,"3,729.00",percent of total billed charges,"3,729.00",percent of total billed charges,"3,729.00",percent of total billed charges,"3,729.00",percent of total billed charges,"3,729.00",percent of total billed charges,"2,684.88",percent of total billed charges,"2,684.88",percent of total billed charges,"2,684.88",percent of total billed charges,"2,684.88",percent of total billed charges,"2,684.88",percent of total billed charges,"2,684.88",percent of total billed charges,"2,759.46",percent of total billed charges,"2,759.46",percent of total billed charges,"2,983.20",percent of total billed charges,"2,983.20",percent of total billed charges,,,"2,684.88",percent of total billed charges ,,,"2,983.20",percent of total billed charges ,"3,132.36",percent of total billed charges ,"3,132.36",percent of total billed charges ,"2,908.62",percent of total billed charges ,"2,908.62",percent of total billed charges ,"2,983.20",percent of total billed charges ,"2,983.20",percent of total billed charges ,"2,610.30",percent of total billed charges ,"2,610.30",percent of total billed charges ,"2,237.40",percent of total billed charges ,"2,237.40",percent of total billed charges ,"2,237.40",percent of total billed charges ,"2,237.40",percent of total billed charges ,,,,,"1,983.83",percent of total billed charges ,,,,,"1,884.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,,,"1,044.12",percent of total billed charges,
ATTUNE TOTAL KNEE IMPLANT,LOCAL,LOCAL,,,,both,1,each,"30,421.00","30,421.00","8,517.88","30,421.00","30,421.00",percent of total billed charges,"30,421.00",percent of total billed charges,"30,421.00",percent of total billed charges,"30,421.00",percent of total billed charges,"30,421.00",percent of total billed charges,"30,421.00",percent of total billed charges,"30,421.00",percent of total billed charges,"30,421.00",percent of total billed charges,"21,903.12",percent of total billed charges,"21,903.12",percent of total billed charges,"21,903.12",percent of total billed charges,"21,903.12",percent of total billed charges,"21,903.12",percent of total billed charges,"21,903.12",percent of total billed charges,"22,511.54",percent of total billed charges,"22,511.54",percent of total billed charges,"24,336.80",percent of total billed charges,"24,336.80",percent of total billed charges,,,"21,903.12",percent of total billed charges ,,,"24,336.80",percent of total billed charges ,"25,553.64",percent of total billed charges ,"25,553.64",percent of total billed charges ,"23,728.38",percent of total billed charges ,"23,728.38",percent of total billed charges ,"24,336.80",percent of total billed charges ,"24,336.80",percent of total billed charges ,"21,294.70",percent of total billed charges ,"21,294.70",percent of total billed charges ,"18,252.60",percent of total billed charges ,"18,252.60",percent of total billed charges ,"18,252.60",percent of total billed charges ,"18,252.60",percent of total billed charges ,,,,,"16,183.97",percent of total billed charges ,,,,,"15,374.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,,,"8,517.88",percent of total billed charges,
ENDO GIA RELOAD 45/3.5,LOCAL,LOCAL,,,,both,1,each,"1,532.00","1,532.00",428.96,"1,532.00","1,532.00",percent of total billed charges,"1,532.00",percent of total billed charges,"1,532.00",percent of total billed charges,"1,532.00",percent of total billed charges,"1,532.00",percent of total billed charges,"1,532.00",percent of total billed charges,"1,532.00",percent of total billed charges,"1,532.00",percent of total billed charges,"1,103.04",percent of total billed charges,"1,103.04",percent of total billed charges,"1,103.04",percent of total billed charges,"1,103.04",percent of total billed charges,"1,103.04",percent of total billed charges,"1,103.04",percent of total billed charges,"1,133.68",percent of total billed charges,"1,133.68",percent of total billed charges,"1,225.60",percent of total billed charges,"1,225.60",percent of total billed charges,,,"1,103.04",percent of total billed charges ,,,"1,225.60",percent of total billed charges ,"1,286.88",percent of total billed charges ,"1,286.88",percent of total billed charges ,"1,194.96",percent of total billed charges ,"1,194.96",percent of total billed charges ,"1,225.60",percent of total billed charges ,"1,225.60",percent of total billed charges ,"1,072.40",percent of total billed charges ,"1,072.40",percent of total billed charges ,919.2,percent of total billed charges ,919.2,percent of total billed charges ,919.2,percent of total billed charges ,919.2,percent of total billed charges ,,,,,815.02,percent of total billed charges ,,,,,774.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,,,428.96,percent of total billed charges,
ENDO GIA RELOAD 60/2.5,LOCAL,LOCAL,,,,both,1,each,"1,907.00","1,907.00",533.96,"1,907.00","1,907.00",percent of total billed charges,"1,907.00",percent of total billed charges,"1,907.00",percent of total billed charges,"1,907.00",percent of total billed charges,"1,907.00",percent of total billed charges,"1,907.00",percent of total billed charges,"1,907.00",percent of total billed charges,"1,907.00",percent of total billed charges,"1,373.04",percent of total billed charges,"1,373.04",percent of total billed charges,"1,373.04",percent of total billed charges,"1,373.04",percent of total billed charges,"1,373.04",percent of total billed charges,"1,373.04",percent of total billed charges,"1,411.18",percent of total billed charges,"1,411.18",percent of total billed charges,"1,525.60",percent of total billed charges,"1,525.60",percent of total billed charges,,,"1,373.04",percent of total billed charges ,,,"1,525.60",percent of total billed charges ,"1,601.88",percent of total billed charges ,"1,601.88",percent of total billed charges ,"1,487.46",percent of total billed charges ,"1,487.46",percent of total billed charges ,"1,525.60",percent of total billed charges ,"1,525.60",percent of total billed charges ,"1,334.90",percent of total billed charges ,"1,334.90",percent of total billed charges ,"1,144.20",percent of total billed charges ,"1,144.20",percent of total billed charges ,"1,144.20",percent of total billed charges ,"1,144.20",percent of total billed charges ,,,,,"1,014.52",percent of total billed charges ,,,,,963.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,,,533.96,percent of total billed charges,
ENDO GIA HANDLE,LOCAL,LOCAL,,,,both,1,each,"1,085.00","1,085.00",303.8,"1,085.00","1,085.00",percent of total billed charges,"1,085.00",percent of total billed charges,"1,085.00",percent of total billed charges,"1,085.00",percent of total billed charges,"1,085.00",percent of total billed charges,"1,085.00",percent of total billed charges,"1,085.00",percent of total billed charges,"1,085.00",percent of total billed charges,781.2,percent of total billed charges,781.2,percent of total billed charges,781.2,percent of total billed charges,781.2,percent of total billed charges,781.2,percent of total billed charges,781.2,percent of total billed charges,802.9,percent of total billed charges,802.9,percent of total billed charges,868,percent of total billed charges,868,percent of total billed charges,,,781.2,percent of total billed charges ,,,868,percent of total billed charges ,911.4,percent of total billed charges ,911.4,percent of total billed charges ,846.3,percent of total billed charges ,846.3,percent of total billed charges ,868,percent of total billed charges ,868,percent of total billed charges ,759.5,percent of total billed charges ,759.5,percent of total billed charges ,651,percent of total billed charges ,651,percent of total billed charges ,651,percent of total billed charges ,651,percent of total billed charges ,,,,,577.22,percent of total billed charges ,,,,,548.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,,,303.8,percent of total billed charges,
NOVASURE DEVICE NS 2000,LOCAL,LOCAL,,,,both,1,each,"7,155.00","7,155.00","2,003.40","7,155.00","7,155.00",percent of total billed charges,"7,155.00",percent of total billed charges,"7,155.00",percent of total billed charges,"7,155.00",percent of total billed charges,"7,155.00",percent of total billed charges,"7,155.00",percent of total billed charges,"7,155.00",percent of total billed charges,"7,155.00",percent of total billed charges,"5,151.60",percent of total billed charges,"5,151.60",percent of total billed charges,"5,151.60",percent of total billed charges,"5,151.60",percent of total billed charges,"5,151.60",percent of total billed charges,"5,151.60",percent of total billed charges,"5,294.70",percent of total billed charges,"5,294.70",percent of total billed charges,"5,724.00",percent of total billed charges,"5,724.00",percent of total billed charges,,,"5,151.60",percent of total billed charges ,,,"5,724.00",percent of total billed charges ,"6,010.20",percent of total billed charges ,"6,010.20",percent of total billed charges ,"5,580.90",percent of total billed charges ,"5,580.90",percent of total billed charges ,"5,724.00",percent of total billed charges ,"5,724.00",percent of total billed charges ,"5,008.50",percent of total billed charges ,"5,008.50",percent of total billed charges ,"4,293.00",percent of total billed charges ,"4,293.00",percent of total billed charges ,"4,293.00",percent of total billed charges ,"4,293.00",percent of total billed charges ,,,,,"3,806.46",percent of total billed charges ,,,,,"3,616.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,,,"2,003.40",percent of total billed charges,
SROM*STMST,C1776,CDM,,,,both,1,each,"16,980.00","16,980.00","4,754.40","16,980.00","16,980.00",percent of total billed charges,"16,980.00",percent of total billed charges,"16,980.00",percent of total billed charges,"16,980.00",percent of total billed charges,"16,980.00",percent of total billed charges,"16,980.00",percent of total billed charges,"16,980.00",percent of total billed charges,"16,980.00",percent of total billed charges,"12,225.60",percent of total billed charges,"12,225.60",percent of total billed charges,"12,225.60",percent of total billed charges,"12,225.60",percent of total billed charges,"12,225.60",percent of total billed charges,"12,225.60",percent of total billed charges,"12,565.20",percent of total billed charges,"12,565.20",percent of total billed charges,"13,584.00",percent of total billed charges,"13,584.00",percent of total billed charges,,,"12,225.60",percent of total billed charges ,,,"13,584.00",percent of total billed charges ,"14,263.20",percent of total billed charges ,"14,263.20",percent of total billed charges ,"13,244.40",percent of total billed charges ,"13,244.40",percent of total billed charges ,"13,584.00",percent of total billed charges ,"13,584.00",percent of total billed charges ,"11,886.00",percent of total billed charges ,"11,886.00",percent of total billed charges ,"10,188.00",percent of total billed charges ,"10,188.00",percent of total billed charges ,"10,188.00",percent of total billed charges ,"10,188.00",percent of total billed charges ,,,,,"9,033.36",percent of total billed charges ,,,,,"8,581.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,,,"4,754.40",percent of total billed charges,
SROM FEMORAL HEAD COCR,C1776,CDM,,,,both,1,each,"4,240.00","4,240.00","1,187.20","4,240.00","4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,137.60",percent of total billed charges,"3,137.60",percent of total billed charges,"3,392.00",percent of total billed charges,"3,392.00",percent of total billed charges,,,"3,052.80",percent of total billed charges ,,,"3,392.00",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,392.00",percent of total billed charges ,"3,392.00",percent of total billed charges ,"2,968.00",percent of total billed charges ,"2,968.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,,,,,"2,255.68",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,
121701052 PINN 100 ACET CUP 52MM,C1776,CDM,,,,both,1,each,"7,581.00","7,581.00","2,122.68","7,581.00","7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,609.94",percent of total billed charges,"5,609.94",percent of total billed charges,"6,064.80",percent of total billed charges,"6,064.80",percent of total billed charges,,,"5,458.32",percent of total billed charges ,,,"6,064.80",percent of total billed charges ,"6,368.04",percent of total billed charges ,"6,368.04",percent of total billed charges ,"5,913.18",percent of total billed charges ,"5,913.18",percent of total billed charges ,"6,064.80",percent of total billed charges ,"6,064.80",percent of total billed charges ,"5,306.70",percent of total billed charges ,"5,306.70",percent of total billed charges ,"4,548.60",percent of total billed charges ,"4,548.60",percent of total billed charges ,"4,548.60",percent of total billed charges ,"4,548.60",percent of total billed charges ,,,,,"4,033.09",percent of total billed charges ,,,,,"3,831.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,
ALTRX NEUT 36IX52O 122136052,C1713,CDM,,,,both,1,each,"5,798.00","5,798.00","1,623.44","5,798.00","5,798.00",percent of total billed charges,"5,798.00",percent of total billed charges,"5,798.00",percent of total billed charges,"5,798.00",percent of total billed charges,"5,798.00",percent of total billed charges,"5,798.00",percent of total billed charges,"5,798.00",percent of total billed charges,"5,798.00",percent of total billed charges,"4,174.56",percent of total billed charges,"4,174.56",percent of total billed charges,"4,174.56",percent of total billed charges,"4,174.56",percent of total billed charges,"4,174.56",percent of total billed charges,"4,174.56",percent of total billed charges,"4,290.52",percent of total billed charges,"4,290.52",percent of total billed charges,"4,638.40",percent of total billed charges,"4,638.40",percent of total billed charges,,,"4,174.56",percent of total billed charges ,,,"4,638.40",percent of total billed charges ,"4,870.32",percent of total billed charges ,"4,870.32",percent of total billed charges ,"4,522.44",percent of total billed charges ,"4,522.44",percent of total billed charges ,"4,638.40",percent of total billed charges ,"4,638.40",percent of total billed charges ,"4,058.60",percent of total billed charges ,"4,058.60",percent of total billed charges ,"3,478.80",percent of total billed charges ,"3,478.80",percent of total billed charges ,"3,478.80",percent of total billed charges ,"3,478.80",percent of total billed charges ,,,,,"3,084.54",percent of total billed charges ,,,,,"2,930.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,,,"1,623.44",percent of total billed charges,
APEX HOLE ELIMINATOR,C1713,CDM,,,,both,1,each,877,877,245.56,877,877,percent of total billed charges,877,percent of total billed charges,877,percent of total billed charges,877,percent of total billed charges,877,percent of total billed charges,877,percent of total billed charges,877,percent of total billed charges,877,percent of total billed charges,631.44,percent of total billed charges,631.44,percent of total billed charges,631.44,percent of total billed charges,631.44,percent of total billed charges,631.44,percent of total billed charges,631.44,percent of total billed charges,648.98,percent of total billed charges,648.98,percent of total billed charges,701.6,percent of total billed charges,701.6,percent of total billed charges,,,631.44,percent of total billed charges ,,,701.6,percent of total billed charges ,736.68,percent of total billed charges ,736.68,percent of total billed charges ,684.06,percent of total billed charges ,684.06,percent of total billed charges ,701.6,percent of total billed charges ,701.6,percent of total billed charges ,613.9,percent of total billed charges ,613.9,percent of total billed charges ,526.2,percent of total billed charges ,526.2,percent of total billed charges ,526.2,percent of total billed charges ,526.2,percent of total billed charges ,,,,,466.56,percent of total billed charges ,,,,,443.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,,,245.56,percent of total billed charges,
SROM SLV PRXZTT 14DLG 550504,C1776,CDM,,,,both,1,each,"9,644.00","9,644.00","2,700.32","9,644.00","9,644.00",percent of total billed charges,"9,644.00",percent of total billed charges,"9,644.00",percent of total billed charges,"9,644.00",percent of total billed charges,"9,644.00",percent of total billed charges,"9,644.00",percent of total billed charges,"9,644.00",percent of total billed charges,"9,644.00",percent of total billed charges,"6,943.68",percent of total billed charges,"6,943.68",percent of total billed charges,"6,943.68",percent of total billed charges,"6,943.68",percent of total billed charges,"6,943.68",percent of total billed charges,"6,943.68",percent of total billed charges,"7,136.56",percent of total billed charges,"7,136.56",percent of total billed charges,"7,715.20",percent of total billed charges,"7,715.20",percent of total billed charges,,,"6,943.68",percent of total billed charges ,,,"7,715.20",percent of total billed charges ,"8,100.96",percent of total billed charges ,"8,100.96",percent of total billed charges ,"7,522.32",percent of total billed charges ,"7,522.32",percent of total billed charges ,"7,715.20",percent of total billed charges ,"7,715.20",percent of total billed charges ,"6,750.80",percent of total billed charges ,"6,750.80",percent of total billed charges ,"5,786.40",percent of total billed charges ,"5,786.40",percent of total billed charges ,"5,786.40",percent of total billed charges ,"5,786.40",percent of total billed charges ,,,,,"5,130.61",percent of total billed charges ,,,,,"4,874.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,,,"2,700.32",percent of total billed charges,
CEMENTED STEM-DEPUY,LOCAL,LOCAL,,,,both,1,each,"10,711.00","10,711.00","2,999.08","10,711.00","10,711.00",percent of total billed charges,"10,711.00",percent of total billed charges,"10,711.00",percent of total billed charges,"10,711.00",percent of total billed charges,"10,711.00",percent of total billed charges,"10,711.00",percent of total billed charges,"10,711.00",percent of total billed charges,"10,711.00",percent of total billed charges,"7,711.92",percent of total billed charges,"7,711.92",percent of total billed charges,"7,711.92",percent of total billed charges,"7,711.92",percent of total billed charges,"7,711.92",percent of total billed charges,"7,711.92",percent of total billed charges,"7,926.14",percent of total billed charges,"7,926.14",percent of total billed charges,"8,568.80",percent of total billed charges,"8,568.80",percent of total billed charges,,,"7,711.92",percent of total billed charges ,,,"8,568.80",percent of total billed charges ,"8,997.24",percent of total billed charges ,"8,997.24",percent of total billed charges ,"8,354.58",percent of total billed charges ,"8,354.58",percent of total billed charges ,"8,568.80",percent of total billed charges ,"8,568.80",percent of total billed charges ,"7,497.70",percent of total billed charges ,"7,497.70",percent of total billed charges ,"6,426.60",percent of total billed charges ,"6,426.60",percent of total billed charges ,"6,426.60",percent of total billed charges ,"6,426.60",percent of total billed charges ,,,,,"5,698.25",percent of total billed charges ,,,,,"5,413.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,,,"2,999.08",percent of total billed charges,
MBT TIBIA TRAY-DEPUY,LOCAL,LOCAL,,,,both,1,each,"36,426.00","36,426.00","10,199.28","36,426.00","36,426.00",percent of total billed charges,"36,426.00",percent of total billed charges,"36,426.00",percent of total billed charges,"36,426.00",percent of total billed charges,"36,426.00",percent of total billed charges,"36,426.00",percent of total billed charges,"36,426.00",percent of total billed charges,"36,426.00",percent of total billed charges,"26,226.72",percent of total billed charges,"26,226.72",percent of total billed charges,"26,226.72",percent of total billed charges,"26,226.72",percent of total billed charges,"26,226.72",percent of total billed charges,"26,226.72",percent of total billed charges,"26,955.24",percent of total billed charges,"26,955.24",percent of total billed charges,"29,140.80",percent of total billed charges,"29,140.80",percent of total billed charges,,,"26,226.72",percent of total billed charges ,,,"29,140.80",percent of total billed charges ,"30,597.84",percent of total billed charges ,"30,597.84",percent of total billed charges ,"28,412.28",percent of total billed charges ,"28,412.28",percent of total billed charges ,"29,140.80",percent of total billed charges ,"29,140.80",percent of total billed charges ,"25,498.20",percent of total billed charges ,"25,498.20",percent of total billed charges ,"21,855.60",percent of total billed charges ,"21,855.60",percent of total billed charges ,"21,855.60",percent of total billed charges ,"21,855.60",percent of total billed charges ,,,,,"19,378.63",percent of total billed charges ,,,,,"18,409.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,,,"10,199.28",percent of total billed charges,
MBT TIBIA INSERT-DEPUY,LOCAL,LOCAL,,,,both,1,each,"12,357.00","12,357.00","3,459.96","12,357.00","12,357.00",percent of total billed charges,"12,357.00",percent of total billed charges,"12,357.00",percent of total billed charges,"12,357.00",percent of total billed charges,"12,357.00",percent of total billed charges,"12,357.00",percent of total billed charges,"12,357.00",percent of total billed charges,"12,357.00",percent of total billed charges,"8,897.04",percent of total billed charges,"8,897.04",percent of total billed charges,"8,897.04",percent of total billed charges,"8,897.04",percent of total billed charges,"8,897.04",percent of total billed charges,"8,897.04",percent of total billed charges,"9,144.18",percent of total billed charges,"9,144.18",percent of total billed charges,"9,885.60",percent of total billed charges,"9,885.60",percent of total billed charges,,,"8,897.04",percent of total billed charges ,,,"9,885.60",percent of total billed charges ,"10,379.88",percent of total billed charges ,"10,379.88",percent of total billed charges ,"9,638.46",percent of total billed charges ,"9,638.46",percent of total billed charges ,"9,885.60",percent of total billed charges ,"9,885.60",percent of total billed charges ,"8,649.90",percent of total billed charges ,"8,649.90",percent of total billed charges ,"7,414.20",percent of total billed charges ,"7,414.20",percent of total billed charges ,"7,414.20",percent of total billed charges ,"7,414.20",percent of total billed charges ,,,,,"6,573.92",percent of total billed charges ,,,,,"6,245.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,,,"3,459.96",percent of total billed charges,
HIP CUP-DEPUY,LOCAL,LOCAL,,,,both,1,each,"38,024.00","38,024.00","10,646.72","38,024.00","38,024.00",percent of total billed charges,"38,024.00",percent of total billed charges,"38,024.00",percent of total billed charges,"38,024.00",percent of total billed charges,"38,024.00",percent of total billed charges,"38,024.00",percent of total billed charges,"38,024.00",percent of total billed charges,"38,024.00",percent of total billed charges,"27,377.28",percent of total billed charges,"27,377.28",percent of total billed charges,"27,377.28",percent of total billed charges,"27,377.28",percent of total billed charges,"27,377.28",percent of total billed charges,"27,377.28",percent of total billed charges,"28,137.76",percent of total billed charges,"28,137.76",percent of total billed charges,"30,419.20",percent of total billed charges,"30,419.20",percent of total billed charges,,,"27,377.28",percent of total billed charges ,,,"30,419.20",percent of total billed charges ,"31,940.16",percent of total billed charges ,"31,940.16",percent of total billed charges ,"29,658.72",percent of total billed charges ,"29,658.72",percent of total billed charges ,"30,419.20",percent of total billed charges ,"30,419.20",percent of total billed charges ,"26,616.80",percent of total billed charges ,"26,616.80",percent of total billed charges ,"22,814.40",percent of total billed charges ,"22,814.40",percent of total billed charges ,"22,814.40",percent of total billed charges ,"22,814.40",percent of total billed charges ,,,,,"20,228.77",percent of total billed charges ,,,,,"19,217.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,,,"10,646.72",percent of total billed charges,
MESH SYM-15,LOCAL,LOCAL,,,,both,1,each,"5,113.00","5,113.00","1,431.64","5,113.00","5,113.00",percent of total billed charges,"5,113.00",percent of total billed charges,"5,113.00",percent of total billed charges,"5,113.00",percent of total billed charges,"5,113.00",percent of total billed charges,"5,113.00",percent of total billed charges,"5,113.00",percent of total billed charges,"5,113.00",percent of total billed charges,"3,681.36",percent of total billed charges,"3,681.36",percent of total billed charges,"3,681.36",percent of total billed charges,"3,681.36",percent of total billed charges,"3,681.36",percent of total billed charges,"3,681.36",percent of total billed charges,"3,783.62",percent of total billed charges,"3,783.62",percent of total billed charges,"4,090.40",percent of total billed charges,"4,090.40",percent of total billed charges,,,"3,681.36",percent of total billed charges ,,,"4,090.40",percent of total billed charges ,"4,294.92",percent of total billed charges ,"4,294.92",percent of total billed charges ,"3,988.14",percent of total billed charges ,"3,988.14",percent of total billed charges ,"4,090.40",percent of total billed charges ,"4,090.40",percent of total billed charges ,"3,579.10",percent of total billed charges ,"3,579.10",percent of total billed charges ,"3,067.80",percent of total billed charges ,"3,067.80",percent of total billed charges ,"3,067.80",percent of total billed charges ,"3,067.80",percent of total billed charges ,,,,,"2,720.12",percent of total billed charges ,,,,,"2,584.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,,,"1,431.64",percent of total billed charges,
MESH SYM-9,C1781,CDM,,,,both,1,each,"4,107.00","4,107.00","1,149.96","4,107.00","4,107.00",percent of total billed charges,"4,107.00",percent of total billed charges,"4,107.00",percent of total billed charges,"4,107.00",percent of total billed charges,"4,107.00",percent of total billed charges,"4,107.00",percent of total billed charges,"4,107.00",percent of total billed charges,"4,107.00",percent of total billed charges,"2,957.04",percent of total billed charges,"2,957.04",percent of total billed charges,"2,957.04",percent of total billed charges,"2,957.04",percent of total billed charges,"2,957.04",percent of total billed charges,"2,957.04",percent of total billed charges,"3,039.18",percent of total billed charges,"3,039.18",percent of total billed charges,"3,285.60",percent of total billed charges,"3,285.60",percent of total billed charges,,,"2,957.04",percent of total billed charges ,,,"3,285.60",percent of total billed charges ,"3,449.88",percent of total billed charges ,"3,449.88",percent of total billed charges ,"3,203.46",percent of total billed charges ,"3,203.46",percent of total billed charges ,"3,285.60",percent of total billed charges ,"3,285.60",percent of total billed charges ,"2,874.90",percent of total billed charges ,"2,874.90",percent of total billed charges ,"2,464.20",percent of total billed charges ,"2,464.20",percent of total billed charges ,"2,464.20",percent of total billed charges ,"2,464.20",percent of total billed charges ,,,,,"2,184.92",percent of total billed charges ,,,,,"2,075.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,,,"1,149.96",percent of total billed charges,
MESH SYM-12,C1781,CDM,,,,both,1,each,"4,810.00","4,810.00","1,346.80","4,810.00","4,810.00",percent of total billed charges,"4,810.00",percent of total billed charges,"4,810.00",percent of total billed charges,"4,810.00",percent of total billed charges,"4,810.00",percent of total billed charges,"4,810.00",percent of total billed charges,"4,810.00",percent of total billed charges,"4,810.00",percent of total billed charges,"3,463.20",percent of total billed charges,"3,463.20",percent of total billed charges,"3,463.20",percent of total billed charges,"3,463.20",percent of total billed charges,"3,463.20",percent of total billed charges,"3,463.20",percent of total billed charges,"3,559.40",percent of total billed charges,"3,559.40",percent of total billed charges,"3,848.00",percent of total billed charges,"3,848.00",percent of total billed charges,,,"3,463.20",percent of total billed charges ,,,"3,848.00",percent of total billed charges ,"4,040.40",percent of total billed charges ,"4,040.40",percent of total billed charges ,"3,751.80",percent of total billed charges ,"3,751.80",percent of total billed charges ,"3,848.00",percent of total billed charges ,"3,848.00",percent of total billed charges ,"3,367.00",percent of total billed charges ,"3,367.00",percent of total billed charges ,"2,886.00",percent of total billed charges ,"2,886.00",percent of total billed charges ,"2,886.00",percent of total billed charges ,"2,886.00",percent of total billed charges ,,,,,"2,558.92",percent of total billed charges ,,,,,"2,430.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,,,"1,346.80",percent of total billed charges,
MESH SYM-1510,C1781,CDM,,,,both,1,each,"6,019.00","6,019.00","1,685.32","6,019.00","6,019.00",percent of total billed charges,"6,019.00",percent of total billed charges,"6,019.00",percent of total billed charges,"6,019.00",percent of total billed charges,"6,019.00",percent of total billed charges,"6,019.00",percent of total billed charges,"6,019.00",percent of total billed charges,"6,019.00",percent of total billed charges,"4,333.68",percent of total billed charges,"4,333.68",percent of total billed charges,"4,333.68",percent of total billed charges,"4,333.68",percent of total billed charges,"4,333.68",percent of total billed charges,"4,333.68",percent of total billed charges,"4,454.06",percent of total billed charges,"4,454.06",percent of total billed charges,"4,815.20",percent of total billed charges,"4,815.20",percent of total billed charges,,,"4,333.68",percent of total billed charges ,,,"4,815.20",percent of total billed charges ,"5,055.96",percent of total billed charges ,"5,055.96",percent of total billed charges ,"4,694.82",percent of total billed charges ,"4,694.82",percent of total billed charges ,"4,815.20",percent of total billed charges ,"4,815.20",percent of total billed charges ,"4,213.30",percent of total billed charges ,"4,213.30",percent of total billed charges ,"3,611.40",percent of total billed charges ,"3,611.40",percent of total billed charges ,"3,611.40",percent of total billed charges ,"3,611.40",percent of total billed charges ,,,,,"3,202.11",percent of total billed charges ,,,,,"3,042.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,,,"1,685.32",percent of total billed charges,
MESH SYM-2015,LOCAL,LOCAL,,,,both,1,each,"6,618.00","6,618.00","1,853.04","6,618.00","6,618.00",percent of total billed charges,"6,618.00",percent of total billed charges,"6,618.00",percent of total billed charges,"6,618.00",percent of total billed charges,"6,618.00",percent of total billed charges,"6,618.00",percent of total billed charges,"6,618.00",percent of total billed charges,"6,618.00",percent of total billed charges,"4,764.96",percent of total billed charges,"4,764.96",percent of total billed charges,"4,764.96",percent of total billed charges,"4,764.96",percent of total billed charges,"4,764.96",percent of total billed charges,"4,764.96",percent of total billed charges,"4,897.32",percent of total billed charges,"4,897.32",percent of total billed charges,"5,294.40",percent of total billed charges,"5,294.40",percent of total billed charges,,,"4,764.96",percent of total billed charges ,,,"5,294.40",percent of total billed charges ,"5,559.12",percent of total billed charges ,"5,559.12",percent of total billed charges ,"5,162.04",percent of total billed charges ,"5,162.04",percent of total billed charges ,"5,294.40",percent of total billed charges ,"5,294.40",percent of total billed charges ,"4,632.60",percent of total billed charges ,"4,632.60",percent of total billed charges ,"3,970.80",percent of total billed charges ,"3,970.80",percent of total billed charges ,"3,970.80",percent of total billed charges ,"3,970.80",percent of total billed charges ,,,,,"3,520.78",percent of total billed charges ,,,,,"3,344.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,,,"1,853.04",percent of total billed charges,
HIP CUP/MATALIC-DEPUY,LOCAL,LOCAL,,,,both,1,each,"29,037.00","29,037.00","8,130.36","29,037.00","29,037.00",percent of total billed charges,"29,037.00",percent of total billed charges,"29,037.00",percent of total billed charges,"29,037.00",percent of total billed charges,"29,037.00",percent of total billed charges,"29,037.00",percent of total billed charges,"29,037.00",percent of total billed charges,"29,037.00",percent of total billed charges,"20,906.64",percent of total billed charges,"20,906.64",percent of total billed charges,"20,906.64",percent of total billed charges,"20,906.64",percent of total billed charges,"20,906.64",percent of total billed charges,"20,906.64",percent of total billed charges,"21,487.38",percent of total billed charges,"21,487.38",percent of total billed charges,"23,229.60",percent of total billed charges,"23,229.60",percent of total billed charges,,,"20,906.64",percent of total billed charges ,,,"23,229.60",percent of total billed charges ,"24,391.08",percent of total billed charges ,"24,391.08",percent of total billed charges ,"22,648.86",percent of total billed charges ,"22,648.86",percent of total billed charges ,"23,229.60",percent of total billed charges ,"23,229.60",percent of total billed charges ,"20,325.90",percent of total billed charges ,"20,325.90",percent of total billed charges ,"17,422.20",percent of total billed charges ,"17,422.20",percent of total billed charges ,"17,422.20",percent of total billed charges ,"17,422.20",percent of total billed charges ,,,,,"15,447.68",percent of total billed charges ,,,,,"14,675.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,,,"8,130.36",percent of total billed charges,
HIP INJECTION/ASPIRATION DR CAPECCI,20610,CDM,,,,both,1,each,"1,301.00","1,301.00",364.28,"1,301.00","1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,962.74,percent of total billed charges,962.74,percent of total billed charges,"1,040.80",percent of total billed charges,"1,040.80",percent of total billed charges,,,936.72,percent of total billed charges ,,,"1,040.80",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,040.80",percent of total billed charges ,"1,040.80",percent of total billed charges ,910.7,percent of total billed charges ,910.7,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,,,,,692.13,percent of total billed charges ,,,,,657.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,
TOTAL KNEE CAP-SIGMAN,LOCAL,LOCAL,,,,both,1,each,"20,196.00","20,196.00","5,654.88","20,196.00","20,196.00",percent of total billed charges,"20,196.00",percent of total billed charges,"20,196.00",percent of total billed charges,"20,196.00",percent of total billed charges,"20,196.00",percent of total billed charges,"20,196.00",percent of total billed charges,"20,196.00",percent of total billed charges,"20,196.00",percent of total billed charges,"14,541.12",percent of total billed charges,"14,541.12",percent of total billed charges,"14,541.12",percent of total billed charges,"14,541.12",percent of total billed charges,"14,541.12",percent of total billed charges,"14,541.12",percent of total billed charges,"14,945.04",percent of total billed charges,"14,945.04",percent of total billed charges,"16,156.80",percent of total billed charges,"16,156.80",percent of total billed charges,,,"14,541.12",percent of total billed charges ,,,"16,156.80",percent of total billed charges ,"16,964.64",percent of total billed charges ,"16,964.64",percent of total billed charges ,"15,752.88",percent of total billed charges ,"15,752.88",percent of total billed charges ,"16,156.80",percent of total billed charges ,"16,156.80",percent of total billed charges ,"14,137.20",percent of total billed charges ,"14,137.20",percent of total billed charges ,"12,117.60",percent of total billed charges ,"12,117.60",percent of total billed charges ,"12,117.60",percent of total billed charges ,"12,117.60",percent of total billed charges ,,,,,"10,744.27",percent of total billed charges ,,,,,"10,207.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,,,"5,654.88",percent of total billed charges,
IRIS RETRACTOR,LOCAL,LOCAL,,,,both,1,each,886,886,248.08,886,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,655.64,percent of total billed charges,655.64,percent of total billed charges,708.8,percent of total billed charges,708.8,percent of total billed charges,,,637.92,percent of total billed charges ,,,708.8,percent of total billed charges ,744.24,percent of total billed charges ,744.24,percent of total billed charges ,691.08,percent of total billed charges ,691.08,percent of total billed charges ,708.8,percent of total billed charges ,708.8,percent of total billed charges ,620.2,percent of total billed charges ,620.2,percent of total billed charges ,531.6,percent of total billed charges ,531.6,percent of total billed charges ,531.6,percent of total billed charges ,531.6,percent of total billed charges ,,,,,471.35,percent of total billed charges ,,,,,447.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,
EPIDURAL INJ/ CERVICAL/THORACIC,62320,CDM,,,,both,1,each,"2,793.00","2,793.00",782.04,"2,793.00","2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,066.82",percent of total billed charges,"2,066.82",percent of total billed charges,"2,234.40",percent of total billed charges,"2,234.40",percent of total billed charges,,,"2,010.96",percent of total billed charges ,,,"2,234.40",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,234.40",percent of total billed charges ,"2,234.40",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,,,,,"1,485.88",percent of total billed charges ,,,,,"1,411.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,
EPIDURAL INJ/ LUMBAR/ SACR/CAUD W/IMAGIN,62323,CDM,,,,both,1,each,"2,621.00","2,621.00",733.88,"2,621.00","2,621.00",percent of total billed charges,"2,621.00",percent of total billed charges,"2,621.00",percent of total billed charges,"2,621.00",percent of total billed charges,"2,621.00",percent of total billed charges,"2,621.00",percent of total billed charges,"2,621.00",percent of total billed charges,"2,621.00",percent of total billed charges,"1,887.12",percent of total billed charges,"1,887.12",percent of total billed charges,"1,887.12",percent of total billed charges,"1,887.12",percent of total billed charges,"1,887.12",percent of total billed charges,"1,887.12",percent of total billed charges,"1,939.54",percent of total billed charges,"1,939.54",percent of total billed charges,"2,096.80",percent of total billed charges,"2,096.80",percent of total billed charges,,,"1,887.12",percent of total billed charges ,,,"2,096.80",percent of total billed charges ,"2,201.64",percent of total billed charges ,"2,201.64",percent of total billed charges ,"2,044.38",percent of total billed charges ,"2,044.38",percent of total billed charges ,"2,096.80",percent of total billed charges ,"2,096.80",percent of total billed charges ,"1,834.70",percent of total billed charges ,"1,834.70",percent of total billed charges ,"1,572.60",percent of total billed charges ,"1,572.60",percent of total billed charges ,"1,572.60",percent of total billed charges ,"1,572.60",percent of total billed charges ,,,,,"1,394.37",percent of total billed charges ,,,,,"1,324.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,,,733.88,percent of total billed charges,
EPIDURAL INJ/ CERVICAL/THORACIC W/IMG GD,62321,CDM,,,,both,1,each,"2,793.00","2,793.00",782.04,"2,793.00","2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,066.82",percent of total billed charges,"2,066.82",percent of total billed charges,"2,234.40",percent of total billed charges,"2,234.40",percent of total billed charges,,,"2,010.96",percent of total billed charges ,,,"2,234.40",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,234.40",percent of total billed charges ,"2,234.40",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,,,,,"1,485.88",percent of total billed charges ,,,,,"1,411.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,
DEL CERHD 11/13 36MM+0 136536210,C1776,CDM,,,,both,1,each,"9,484.00","9,484.00","2,655.52","9,484.00","9,484.00",percent of total billed charges,"9,484.00",percent of total billed charges,"9,484.00",percent of total billed charges,"9,484.00",percent of total billed charges,"9,484.00",percent of total billed charges,"9,484.00",percent of total billed charges,"9,484.00",percent of total billed charges,"9,484.00",percent of total billed charges,"6,828.48",percent of total billed charges,"6,828.48",percent of total billed charges,"6,828.48",percent of total billed charges,"6,828.48",percent of total billed charges,"6,828.48",percent of total billed charges,"6,828.48",percent of total billed charges,"7,018.16",percent of total billed charges,"7,018.16",percent of total billed charges,"7,587.20",percent of total billed charges,"7,587.20",percent of total billed charges,,,"6,828.48",percent of total billed charges ,,,"7,587.20",percent of total billed charges ,"7,966.56",percent of total billed charges ,"7,966.56",percent of total billed charges ,"7,397.52",percent of total billed charges ,"7,397.52",percent of total billed charges ,"7,587.20",percent of total billed charges ,"7,587.20",percent of total billed charges ,"6,638.80",percent of total billed charges ,"6,638.80",percent of total billed charges ,"5,690.40",percent of total billed charges ,"5,690.40",percent of total billed charges ,"5,690.40",percent of total billed charges ,"5,690.40",percent of total billed charges ,,,,,"5,045.49",percent of total billed charges ,,,,,"4,793.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,,,"2,655.52",percent of total billed charges,
PINNACLE CANCELLOUS BONE SCREW,C1713,CDM,,,,both,1,each,927,927,259.56,927,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,685.98,percent of total billed charges,685.98,percent of total billed charges,741.6,percent of total billed charges,741.6,percent of total billed charges,,,667.44,percent of total billed charges ,,,741.6,percent of total billed charges ,778.68,percent of total billed charges ,778.68,percent of total billed charges ,723.06,percent of total billed charges ,723.06,percent of total billed charges ,741.6,percent of total billed charges ,741.6,percent of total billed charges ,648.9,percent of total billed charges ,648.9,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,,,,,493.16,percent of total billed charges ,,,,,468.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,
SROM STEM ST 36+8L NK,LOCAL,LOCAL,,,,both,1,each,"18,635.00","18,635.00","5,217.80","18,635.00","18,635.00",percent of total billed charges,"18,635.00",percent of total billed charges,"18,635.00",percent of total billed charges,"18,635.00",percent of total billed charges,"18,635.00",percent of total billed charges,"18,635.00",percent of total billed charges,"18,635.00",percent of total billed charges,"18,635.00",percent of total billed charges,"13,417.20",percent of total billed charges,"13,417.20",percent of total billed charges,"13,417.20",percent of total billed charges,"13,417.20",percent of total billed charges,"13,417.20",percent of total billed charges,"13,417.20",percent of total billed charges,"13,789.90",percent of total billed charges,"13,789.90",percent of total billed charges,"14,908.00",percent of total billed charges,"14,908.00",percent of total billed charges,,,"13,417.20",percent of total billed charges ,,,"14,908.00",percent of total billed charges ,"15,653.40",percent of total billed charges ,"15,653.40",percent of total billed charges ,"14,535.30",percent of total billed charges ,"14,535.30",percent of total billed charges ,"14,908.00",percent of total billed charges ,"14,908.00",percent of total billed charges ,"13,044.50",percent of total billed charges ,"13,044.50",percent of total billed charges ,"11,181.00",percent of total billed charges ,"11,181.00",percent of total billed charges ,"11,181.00",percent of total billed charges ,"11,181.00",percent of total billed charges ,,,,,"9,913.82",percent of total billed charges ,,,,,"9,418.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,,,"5,217.80",percent of total billed charges,
 BAUSCH & LOMB IMPLANT,V2632,CDM,,,,both,1,each,"1,121.00","1,121.00",313.88,"1,121.00","1,121.00",percent of total billed charges,"1,121.00",percent of total billed charges,"1,121.00",percent of total billed charges,"1,121.00",percent of total billed charges,"1,121.00",percent of total billed charges,"1,121.00",percent of total billed charges,"1,121.00",percent of total billed charges,"1,121.00",percent of total billed charges,807.12,percent of total billed charges,807.12,percent of total billed charges,807.12,percent of total billed charges,807.12,percent of total billed charges,807.12,percent of total billed charges,807.12,percent of total billed charges,829.54,percent of total billed charges,829.54,percent of total billed charges,896.8,percent of total billed charges,896.8,percent of total billed charges,,,807.12,percent of total billed charges ,,,896.8,percent of total billed charges ,941.64,percent of total billed charges ,941.64,percent of total billed charges ,874.38,percent of total billed charges ,874.38,percent of total billed charges ,896.8,percent of total billed charges ,896.8,percent of total billed charges ,784.7,percent of total billed charges ,784.7,percent of total billed charges ,672.6,percent of total billed charges ,672.6,percent of total billed charges ,672.6,percent of total billed charges ,672.6,percent of total billed charges ,,,,,596.37,percent of total billed charges ,,,,,566.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,,,313.88,percent of total billed charges,
TUTOPLAST SCLERA 0.5X0.8CM,LOCAL,LOCAL,,,,both,1,each,"3,074.00","3,074.00",860.72,"3,074.00","3,074.00",percent of total billed charges,"3,074.00",percent of total billed charges,"3,074.00",percent of total billed charges,"3,074.00",percent of total billed charges,"3,074.00",percent of total billed charges,"3,074.00",percent of total billed charges,"3,074.00",percent of total billed charges,"3,074.00",percent of total billed charges,"2,213.28",percent of total billed charges,"2,213.28",percent of total billed charges,"2,213.28",percent of total billed charges,"2,213.28",percent of total billed charges,"2,213.28",percent of total billed charges,"2,213.28",percent of total billed charges,"2,274.76",percent of total billed charges,"2,274.76",percent of total billed charges,"2,459.20",percent of total billed charges,"2,459.20",percent of total billed charges,,,"2,213.28",percent of total billed charges ,,,"2,459.20",percent of total billed charges ,"2,582.16",percent of total billed charges ,"2,582.16",percent of total billed charges ,"2,397.72",percent of total billed charges ,"2,397.72",percent of total billed charges ,"2,459.20",percent of total billed charges ,"2,459.20",percent of total billed charges ,"2,151.80",percent of total billed charges ,"2,151.80",percent of total billed charges ,"1,844.40",percent of total billed charges ,"1,844.40",percent of total billed charges ,"1,844.40",percent of total billed charges ,"1,844.40",percent of total billed charges ,,,,,"1,635.37",percent of total billed charges ,,,,,"1,553.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,,,860.72,percent of total billed charges,
MEDIAL ANAT PAT 38 MM,C1776,CDM,,,,both,1,each,"5,146.00","5,146.00","1,440.88","5,146.00","5,146.00",percent of total billed charges,"5,146.00",percent of total billed charges,"5,146.00",percent of total billed charges,"5,146.00",percent of total billed charges,"5,146.00",percent of total billed charges,"5,146.00",percent of total billed charges,"5,146.00",percent of total billed charges,"5,146.00",percent of total billed charges,"3,705.12",percent of total billed charges,"3,705.12",percent of total billed charges,"3,705.12",percent of total billed charges,"3,705.12",percent of total billed charges,"3,705.12",percent of total billed charges,"3,705.12",percent of total billed charges,"3,808.04",percent of total billed charges,"3,808.04",percent of total billed charges,"4,116.80",percent of total billed charges,"4,116.80",percent of total billed charges,,,"3,705.12",percent of total billed charges ,,,"4,116.80",percent of total billed charges ,"4,322.64",percent of total billed charges ,"4,322.64",percent of total billed charges ,"4,013.88",percent of total billed charges ,"4,013.88",percent of total billed charges ,"4,116.80",percent of total billed charges ,"4,116.80",percent of total billed charges ,"3,602.20",percent of total billed charges ,"3,602.20",percent of total billed charges ,"3,087.60",percent of total billed charges ,"3,087.60",percent of total billed charges ,"3,087.60",percent of total billed charges ,"3,087.60",percent of total billed charges ,,,,,"2,737.67",percent of total billed charges ,,,,,"2,600.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,,,"1,440.88",percent of total billed charges,
RP TIB BASE SZ 4 CEM,C1776,CDM,,,,both,1,each,"9,363.00","9,363.00","2,621.64","9,363.00","9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,928.62",percent of total billed charges,"6,928.62",percent of total billed charges,"7,490.40",percent of total billed charges,"7,490.40",percent of total billed charges,,,"6,741.36",percent of total billed charges ,,,"7,490.40",percent of total billed charges ,"7,864.92",percent of total billed charges ,"7,864.92",percent of total billed charges ,"7,303.14",percent of total billed charges ,"7,303.14",percent of total billed charges ,"7,490.40",percent of total billed charges ,"7,490.40",percent of total billed charges ,"6,554.10",percent of total billed charges ,"6,554.10",percent of total billed charges ,"5,617.80",percent of total billed charges ,"5,617.80",percent of total billed charges ,"5,617.80",percent of total billed charges ,"5,617.80",percent of total billed charges ,,,,,"4,981.12",percent of total billed charges ,,,,,"4,732.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,
PS FEM LT SZ 4 NAR,C1776,CDM,,,,both,1,each,"11,318.00","11,318.00","3,169.04","11,318.00","11,318.00",percent of total billed charges,"11,318.00",percent of total billed charges,"11,318.00",percent of total billed charges,"11,318.00",percent of total billed charges,"11,318.00",percent of total billed charges,"11,318.00",percent of total billed charges,"11,318.00",percent of total billed charges,"11,318.00",percent of total billed charges,"8,148.96",percent of total billed charges,"8,148.96",percent of total billed charges,"8,148.96",percent of total billed charges,"8,148.96",percent of total billed charges,"8,148.96",percent of total billed charges,"8,148.96",percent of total billed charges,"8,375.32",percent of total billed charges,"8,375.32",percent of total billed charges,"9,054.40",percent of total billed charges,"9,054.40",percent of total billed charges,,,"8,148.96",percent of total billed charges ,,,"9,054.40",percent of total billed charges ,"9,507.12",percent of total billed charges ,"9,507.12",percent of total billed charges ,"8,828.04",percent of total billed charges ,"8,828.04",percent of total billed charges ,"9,054.40",percent of total billed charges ,"9,054.40",percent of total billed charges ,"7,922.60",percent of total billed charges ,"7,922.60",percent of total billed charges ,"6,790.80",percent of total billed charges ,"6,790.80",percent of total billed charges ,"6,790.80",percent of total billed charges ,"6,790.80",percent of total billed charges ,,,,,"6,021.18",percent of total billed charges ,,,,,"5,720.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,,,"3,169.04",percent of total billed charges,
SUMMIT POR TAPER SZ6 STD,C1776,CDM,,,,both,1,each,"16,600.00","16,600.00","4,648.00","16,600.00","16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"12,284.00",percent of total billed charges,"12,284.00",percent of total billed charges,"13,280.00",percent of total billed charges,"13,280.00",percent of total billed charges,,,"11,952.00",percent of total billed charges ,,,"13,280.00",percent of total billed charges ,"13,944.00",percent of total billed charges ,"13,944.00",percent of total billed charges ,"12,948.00",percent of total billed charges ,"12,948.00",percent of total billed charges ,"13,280.00",percent of total billed charges ,"13,280.00",percent of total billed charges ,"11,620.00",percent of total billed charges ,"11,620.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,,,,,"8,831.20",percent of total billed charges ,,,,,"8,389.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,
136552000 ARTIC M HEAD 36MM +5,C1713,CDM,,,,both,1,each,"4,116.00","4,116.00","1,152.48","4,116.00","4,116.00",percent of total billed charges,"4,116.00",percent of total billed charges,"4,116.00",percent of total billed charges,"4,116.00",percent of total billed charges,"4,116.00",percent of total billed charges,"4,116.00",percent of total billed charges,"4,116.00",percent of total billed charges,"4,116.00",percent of total billed charges,"2,963.52",percent of total billed charges,"2,963.52",percent of total billed charges,"2,963.52",percent of total billed charges,"2,963.52",percent of total billed charges,"2,963.52",percent of total billed charges,"2,963.52",percent of total billed charges,"3,045.84",percent of total billed charges,"3,045.84",percent of total billed charges,"3,292.80",percent of total billed charges,"3,292.80",percent of total billed charges,,,"2,963.52",percent of total billed charges ,,,"3,292.80",percent of total billed charges ,"3,457.44",percent of total billed charges ,"3,457.44",percent of total billed charges ,"3,210.48",percent of total billed charges ,"3,210.48",percent of total billed charges ,"3,292.80",percent of total billed charges ,"3,292.80",percent of total billed charges ,"2,881.20",percent of total billed charges ,"2,881.20",percent of total billed charges ,"2,469.60",percent of total billed charges ,"2,469.60",percent of total billed charges ,"2,469.60",percent of total billed charges ,"2,469.60",percent of total billed charges ,,,,,"2,189.71",percent of total billed charges ,,,,,"2,080.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,,,"1,152.48",percent of total billed charges,
RS RP INSRT SZ 4 7 MM,C1776,CDM,,,,both,1,each,"7,581.00","7,581.00","2,122.68","7,581.00","7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"7,581.00",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,458.32",percent of total billed charges,"5,609.94",percent of total billed charges,"5,609.94",percent of total billed charges,"6,064.80",percent of total billed charges,"6,064.80",percent of total billed charges,,,"5,458.32",percent of total billed charges ,,,"6,064.80",percent of total billed charges ,"6,368.04",percent of total billed charges ,"6,368.04",percent of total billed charges ,"5,913.18",percent of total billed charges ,"5,913.18",percent of total billed charges ,"6,064.80",percent of total billed charges ,"6,064.80",percent of total billed charges ,"5,306.70",percent of total billed charges ,"5,306.70",percent of total billed charges ,"4,548.60",percent of total billed charges ,"4,548.60",percent of total billed charges ,"4,548.60",percent of total billed charges ,"4,548.60",percent of total billed charges ,,,,,"4,033.09",percent of total billed charges ,,,,,"3,831.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,,,"2,122.68",percent of total billed charges,
RELIA TACK STAPLER,LOCAL,LOCAL,,,,both,1,each,"4,139.00","4,139.00","1,158.92","4,139.00","4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"3,062.86",percent of total billed charges,"3,062.86",percent of total billed charges,"3,311.20",percent of total billed charges,"3,311.20",percent of total billed charges,,,"2,980.08",percent of total billed charges ,,,"3,311.20",percent of total billed charges ,"3,476.76",percent of total billed charges ,"3,476.76",percent of total billed charges ,"3,228.42",percent of total billed charges ,"3,228.42",percent of total billed charges ,"3,311.20",percent of total billed charges ,"3,311.20",percent of total billed charges ,"2,897.30",percent of total billed charges ,"2,897.30",percent of total billed charges ,"2,483.40",percent of total billed charges ,"2,483.40",percent of total billed charges ,"2,483.40",percent of total billed charges ,"2,483.40",percent of total billed charges ,,,,,"2,201.95",percent of total billed charges ,,,,,"2,091.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,
RELIA TACK RELOAD 10,LOCAL,LOCAL,,,,both,1,each,"5,521.00","5,521.00","1,545.88","5,521.00","5,521.00",percent of total billed charges,"5,521.00",percent of total billed charges,"5,521.00",percent of total billed charges,"5,521.00",percent of total billed charges,"5,521.00",percent of total billed charges,"5,521.00",percent of total billed charges,"5,521.00",percent of total billed charges,"5,521.00",percent of total billed charges,"3,975.12",percent of total billed charges,"3,975.12",percent of total billed charges,"3,975.12",percent of total billed charges,"3,975.12",percent of total billed charges,"3,975.12",percent of total billed charges,"3,975.12",percent of total billed charges,"4,085.54",percent of total billed charges,"4,085.54",percent of total billed charges,"4,416.80",percent of total billed charges,"4,416.80",percent of total billed charges,,,"3,975.12",percent of total billed charges ,,,"4,416.80",percent of total billed charges ,"4,637.64",percent of total billed charges ,"4,637.64",percent of total billed charges ,"4,306.38",percent of total billed charges ,"4,306.38",percent of total billed charges ,"4,416.80",percent of total billed charges ,"4,416.80",percent of total billed charges ,"3,864.70",percent of total billed charges ,"3,864.70",percent of total billed charges ,"3,312.60",percent of total billed charges ,"3,312.60",percent of total billed charges ,"3,312.60",percent of total billed charges ,"3,312.60",percent of total billed charges ,,,,,"2,937.17",percent of total billed charges ,,,,,"2,790.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,,,"1,545.88",percent of total billed charges,
FIBER WIRE,LOCAL,LOCAL,,,,both,1,each,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
"FACET INJ/ CERVICAL OR THORACIC, W/IMAGE",64490,CDM,,,,both,1,each,"3,116.00","3,116.00",872.48,"3,116.00","3,116.00",percent of total billed charges,"3,116.00",percent of total billed charges,"3,116.00",percent of total billed charges,"3,116.00",percent of total billed charges,"3,116.00",percent of total billed charges,"3,116.00",percent of total billed charges,"3,116.00",percent of total billed charges,"3,116.00",percent of total billed charges,"2,243.52",percent of total billed charges,"2,243.52",percent of total billed charges,"2,243.52",percent of total billed charges,"2,243.52",percent of total billed charges,"2,243.52",percent of total billed charges,"2,243.52",percent of total billed charges,"2,305.84",percent of total billed charges,"2,305.84",percent of total billed charges,"2,492.80",percent of total billed charges,"2,492.80",percent of total billed charges,,,"2,243.52",percent of total billed charges ,,,"2,492.80",percent of total billed charges ,"2,617.44",percent of total billed charges ,"2,617.44",percent of total billed charges ,"2,430.48",percent of total billed charges ,"2,430.48",percent of total billed charges ,"2,492.80",percent of total billed charges ,"2,492.80",percent of total billed charges ,"2,181.20",percent of total billed charges ,"2,181.20",percent of total billed charges ,"1,869.60",percent of total billed charges ,"1,869.60",percent of total billed charges ,"1,869.60",percent of total billed charges ,"1,869.60",percent of total billed charges ,,,,,"1,657.71",percent of total billed charges ,,,,,"1,574.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,,,872.48,percent of total billed charges,
PINN 100 W/ GRIPTION,C1776,CDM,,,,both,1,each,"9,363.00","9,363.00","2,621.64","9,363.00","9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"9,363.00",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,741.36",percent of total billed charges,"6,928.62",percent of total billed charges,"6,928.62",percent of total billed charges,"7,490.40",percent of total billed charges,"7,490.40",percent of total billed charges,,,"6,741.36",percent of total billed charges ,,,"7,490.40",percent of total billed charges ,"7,864.92",percent of total billed charges ,"7,864.92",percent of total billed charges ,"7,303.14",percent of total billed charges ,"7,303.14",percent of total billed charges ,"7,490.40",percent of total billed charges ,"7,490.40",percent of total billed charges ,"6,554.10",percent of total billed charges ,"6,554.10",percent of total billed charges ,"5,617.80",percent of total billed charges ,"5,617.80",percent of total billed charges ,"5,617.80",percent of total billed charges ,"5,617.80",percent of total billed charges ,,,,,"4,981.12",percent of total billed charges ,,,,,"4,732.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,,,"2,621.64",percent of total billed charges,
PREVENA 20CM WOUND MGMT DRSG,97607,CDM,,,,both,1,each,"4,025.00","4,025.00","1,127.00","4,025.00","4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,978.50",percent of total billed charges,"2,978.50",percent of total billed charges,"3,220.00",percent of total billed charges,"3,220.00",percent of total billed charges,,,"2,898.00",percent of total billed charges ,,,"3,220.00",percent of total billed charges ,"3,381.00",percent of total billed charges ,"3,381.00",percent of total billed charges ,"3,139.50",percent of total billed charges ,"3,139.50",percent of total billed charges ,"3,220.00",percent of total billed charges ,"3,220.00",percent of total billed charges ,"2,817.50",percent of total billed charges ,"2,817.50",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,,,,,"2,141.30",percent of total billed charges ,,,,,"2,034.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,
IRIS RETRACTOR-ALCON 611.75,LOCAL,LOCAL,,,,both,1,each,"1,088.00","1,088.00",304.64,"1,088.00","1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,783.36,percent of total billed charges,783.36,percent of total billed charges,783.36,percent of total billed charges,783.36,percent of total billed charges,783.36,percent of total billed charges,783.36,percent of total billed charges,805.12,percent of total billed charges,805.12,percent of total billed charges,870.4,percent of total billed charges,870.4,percent of total billed charges,,,783.36,percent of total billed charges ,,,870.4,percent of total billed charges ,913.92,percent of total billed charges ,913.92,percent of total billed charges ,848.64,percent of total billed charges ,848.64,percent of total billed charges ,870.4,percent of total billed charges ,870.4,percent of total billed charges ,761.6,percent of total billed charges ,761.6,percent of total billed charges ,652.8,percent of total billed charges ,652.8,percent of total billed charges ,652.8,percent of total billed charges ,652.8,percent of total billed charges ,,,,,578.82,percent of total billed charges ,,,,,549.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,,,304.64,percent of total billed charges,
ATTUNE REV RP TIB BASE SZ 5 CEM,C1713,CDM,,,,both,1,each,"27,718.00","27,718.00","7,761.04","27,718.00","27,718.00",percent of total billed charges,"27,718.00",percent of total billed charges,"27,718.00",percent of total billed charges,"27,718.00",percent of total billed charges,"27,718.00",percent of total billed charges,"27,718.00",percent of total billed charges,"27,718.00",percent of total billed charges,"27,718.00",percent of total billed charges,"19,956.96",percent of total billed charges,"19,956.96",percent of total billed charges,"19,956.96",percent of total billed charges,"19,956.96",percent of total billed charges,"19,956.96",percent of total billed charges,"19,956.96",percent of total billed charges,"20,511.32",percent of total billed charges,"20,511.32",percent of total billed charges,"22,174.40",percent of total billed charges,"22,174.40",percent of total billed charges,,,"19,956.96",percent of total billed charges ,,,"22,174.40",percent of total billed charges ,"23,283.12",percent of total billed charges ,"23,283.12",percent of total billed charges ,"21,620.04",percent of total billed charges ,"21,620.04",percent of total billed charges ,"22,174.40",percent of total billed charges ,"22,174.40",percent of total billed charges ,"19,402.60",percent of total billed charges ,"19,402.60",percent of total billed charges ,"16,630.80",percent of total billed charges ,"16,630.80",percent of total billed charges ,"16,630.80",percent of total billed charges ,"16,630.80",percent of total billed charges ,,,,,"14,745.98",percent of total billed charges ,,,,,"14,008.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,,,"7,761.04",percent of total billed charges,
RELIATACK 5R RELOAD,LOCAL,LOCAL,,,,both,1,each,911,911,255.08,911,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,674.14,percent of total billed charges,674.14,percent of total billed charges,728.8,percent of total billed charges,728.8,percent of total billed charges,,,655.92,percent of total billed charges ,,,728.8,percent of total billed charges ,765.24,percent of total billed charges ,765.24,percent of total billed charges ,710.58,percent of total billed charges ,710.58,percent of total billed charges ,728.8,percent of total billed charges ,728.8,percent of total billed charges ,637.7,percent of total billed charges ,637.7,percent of total billed charges ,546.6,percent of total billed charges ,546.6,percent of total billed charges ,546.6,percent of total billed charges ,546.6,percent of total billed charges ,,,,,484.65,percent of total billed charges ,,,,,460.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,
NOSE TO TOES KIT,LOCAL,LOCAL,,,,both,1,each,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
ACTIS COLLRD HIGH SZ6 101012060,LOCAL,LOCAL,,,,both,1,each,"16,600.00","16,600.00","4,648.00","16,600.00","16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"16,600.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"11,952.00",percent of total billed charges,"12,284.00",percent of total billed charges,"12,284.00",percent of total billed charges,"13,280.00",percent of total billed charges,"13,280.00",percent of total billed charges,,,"11,952.00",percent of total billed charges ,,,"13,280.00",percent of total billed charges ,"13,944.00",percent of total billed charges ,"13,944.00",percent of total billed charges ,"12,948.00",percent of total billed charges ,"12,948.00",percent of total billed charges ,"13,280.00",percent of total billed charges ,"13,280.00",percent of total billed charges ,"11,620.00",percent of total billed charges ,"11,620.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,"9,960.00",percent of total billed charges ,,,,,"8,831.20",percent of total billed charges ,,,,,"8,389.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,,,"4,648.00",percent of total billed charges,
ATTUNE CRS FEMORAL RT SZ 5 CEM,C1776,CDM,,,,both,1,each,"37,990.00","37,990.00","10,637.20","37,990.00","37,990.00",percent of total billed charges,"37,990.00",percent of total billed charges,"37,990.00",percent of total billed charges,"37,990.00",percent of total billed charges,"37,990.00",percent of total billed charges,"37,990.00",percent of total billed charges,"37,990.00",percent of total billed charges,"37,990.00",percent of total billed charges,"27,352.80",percent of total billed charges,"27,352.80",percent of total billed charges,"27,352.80",percent of total billed charges,"27,352.80",percent of total billed charges,"27,352.80",percent of total billed charges,"27,352.80",percent of total billed charges,"28,112.60",percent of total billed charges,"28,112.60",percent of total billed charges,"30,392.00",percent of total billed charges,"30,392.00",percent of total billed charges,,,"27,352.80",percent of total billed charges ,,,"30,392.00",percent of total billed charges ,"31,911.60",percent of total billed charges ,"31,911.60",percent of total billed charges ,"29,632.20",percent of total billed charges ,"29,632.20",percent of total billed charges ,"30,392.00",percent of total billed charges ,"30,392.00",percent of total billed charges ,"26,593.00",percent of total billed charges ,"26,593.00",percent of total billed charges ,"22,794.00",percent of total billed charges ,"22,794.00",percent of total billed charges ,"22,794.00",percent of total billed charges ,"22,794.00",percent of total billed charges ,,,,,"20,210.68",percent of total billed charges ,,,,,"19,200.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,,,"10,637.20",percent of total billed charges,
ATTUN PRESSFIT STR STEM 18X110MM,C1776,CDM,,,,both,1,each,"11,638.00","11,638.00","3,258.64","11,638.00","11,638.00",percent of total billed charges,"11,638.00",percent of total billed charges,"11,638.00",percent of total billed charges,"11,638.00",percent of total billed charges,"11,638.00",percent of total billed charges,"11,638.00",percent of total billed charges,"11,638.00",percent of total billed charges,"11,638.00",percent of total billed charges,"8,379.36",percent of total billed charges,"8,379.36",percent of total billed charges,"8,379.36",percent of total billed charges,"8,379.36",percent of total billed charges,"8,379.36",percent of total billed charges,"8,379.36",percent of total billed charges,"8,612.12",percent of total billed charges,"8,612.12",percent of total billed charges,"9,310.40",percent of total billed charges,"9,310.40",percent of total billed charges,,,"8,379.36",percent of total billed charges ,,,"9,310.40",percent of total billed charges ,"9,775.92",percent of total billed charges ,"9,775.92",percent of total billed charges ,"9,077.64",percent of total billed charges ,"9,077.64",percent of total billed charges ,"9,310.40",percent of total billed charges ,"9,310.40",percent of total billed charges ,"8,146.60",percent of total billed charges ,"8,146.60",percent of total billed charges ,"6,982.80",percent of total billed charges ,"6,982.80",percent of total billed charges ,"6,982.80",percent of total billed charges ,"6,982.80",percent of total billed charges ,,,,,"6,191.42",percent of total billed charges ,,,,,"5,881.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,,,"3,258.64",percent of total billed charges,
ATTUNE MEDIAL DOME PAT 38MM 151820038,LOCAL,LOCAL,,,,both,1,each,"4,049.00","4,049.00","1,133.72","4,049.00","4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,996.26",percent of total billed charges,"2,996.26",percent of total billed charges,"3,239.20",percent of total billed charges,"3,239.20",percent of total billed charges,,,"2,915.28",percent of total billed charges ,,,"3,239.20",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,239.20",percent of total billed charges ,"3,239.20",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,,,,,"2,154.07",percent of total billed charges ,,,,,"2,046.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,
PINN CAN BNSCRW 6.5X30MM 121730500,C1713,CDM,,,,both,1,each,860,860,240.8,860,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,636.4,percent of total billed charges,636.4,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,,,619.2,percent of total billed charges ,,,688,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,688,percent of total billed charges ,688,percent of total billed charges ,602,percent of total billed charges ,602,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,,,,,457.52,percent of total billed charges ,,,,,434.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,
PINN SCTR W/GRIP 48MM 121732048,C1713,CDM,,,,both,1,each,"9,208.00","9,208.00","2,578.24","9,208.00","9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,813.92",percent of total billed charges,"6,813.92",percent of total billed charges,"7,366.40",percent of total billed charges,"7,366.40",percent of total billed charges,,,"6,629.76",percent of total billed charges ,,,"7,366.40",percent of total billed charges ,"7,734.72",percent of total billed charges ,"7,734.72",percent of total billed charges ,"7,182.24",percent of total billed charges ,"7,182.24",percent of total billed charges ,"7,366.40",percent of total billed charges ,"7,366.40",percent of total billed charges ,"6,445.60",percent of total billed charges ,"6,445.60",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,,,,,"4,898.66",percent of total billed charges ,,,,,"4,653.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,
QUIKST 3.8D DR BLT 40MM 227457000,LOCAL,LOCAL,,,,both,1,each,"1,812.00","1,812.00",507.36,"1,812.00","1,812.00",percent of total billed charges,"1,812.00",percent of total billed charges,"1,812.00",percent of total billed charges,"1,812.00",percent of total billed charges,"1,812.00",percent of total billed charges,"1,812.00",percent of total billed charges,"1,812.00",percent of total billed charges,"1,812.00",percent of total billed charges,"1,304.64",percent of total billed charges,"1,304.64",percent of total billed charges,"1,304.64",percent of total billed charges,"1,304.64",percent of total billed charges,"1,304.64",percent of total billed charges,"1,304.64",percent of total billed charges,"1,340.88",percent of total billed charges,"1,340.88",percent of total billed charges,"1,449.60",percent of total billed charges,"1,449.60",percent of total billed charges,,,"1,304.64",percent of total billed charges ,,,"1,449.60",percent of total billed charges ,"1,522.08",percent of total billed charges ,"1,522.08",percent of total billed charges ,"1,413.36",percent of total billed charges ,"1,413.36",percent of total billed charges ,"1,449.60",percent of total billed charges ,"1,449.60",percent of total billed charges ,"1,268.40",percent of total billed charges ,"1,268.40",percent of total billed charges ,"1,087.20",percent of total billed charges ,"1,087.20",percent of total billed charges ,"1,087.20",percent of total billed charges ,"1,087.20",percent of total billed charges ,,,,,963.98,percent of total billed charges ,,,,,915.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,,,507.36,percent of total billed charges,
PINN SCTRW/GRP 52MM 121732052,C1713,CDM,,,,both,1,each,"9,208.00","9,208.00","2,578.24","9,208.00","9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,813.92",percent of total billed charges,"6,813.92",percent of total billed charges,"7,366.40",percent of total billed charges,"7,366.40",percent of total billed charges,,,"6,629.76",percent of total billed charges ,,,"7,366.40",percent of total billed charges ,"7,734.72",percent of total billed charges ,"7,734.72",percent of total billed charges ,"7,182.24",percent of total billed charges ,"7,182.24",percent of total billed charges ,"7,366.40",percent of total billed charges ,"7,366.40",percent of total billed charges ,"6,445.60",percent of total billed charges ,"6,445.60",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,,,,,"4,898.66",percent of total billed charges ,,,,,"4,653.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,
PINN CAN BN SCRW 6.5X35MM 121735500,C1713,CDM,,,,both,1,each,860,860,240.8,860,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,636.4,percent of total billed charges,636.4,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,,,619.2,percent of total billed charges ,,,688,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,688,percent of total billed charges ,688,percent of total billed charges ,602,percent of total billed charges ,602,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,,,,,457.52,percent of total billed charges ,,,,,434.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,
SROM STMSTD 30NK 14X9X130 523291,C1776,CDM,,,,both,1,each,"16,211.00","16,211.00","4,539.08","16,211.00","16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,996.14",percent of total billed charges,"11,996.14",percent of total billed charges,"12,968.80",percent of total billed charges,"12,968.80",percent of total billed charges,,,"11,671.92",percent of total billed charges ,,,"12,968.80",percent of total billed charges ,"13,617.24",percent of total billed charges ,"13,617.24",percent of total billed charges ,"12,644.58",percent of total billed charges ,"12,644.58",percent of total billed charges ,"12,968.80",percent of total billed charges ,"12,968.80",percent of total billed charges ,"11,347.70",percent of total billed charges ,"11,347.70",percent of total billed charges ,"9,726.60",percent of total billed charges ,"9,726.60",percent of total billed charges ,"9,726.60",percent of total billed charges ,"9,726.60",percent of total billed charges ,,,,,"8,624.25",percent of total billed charges ,,,,,"8,193.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,
PINN 100 ACET CUP 50MM 121701050,C1776,CDM,,,,both,1,each,"7,453.00","7,453.00","2,086.84","7,453.00","7,453.00",percent of total billed charges,"7,453.00",percent of total billed charges,"7,453.00",percent of total billed charges,"7,453.00",percent of total billed charges,"7,453.00",percent of total billed charges,"7,453.00",percent of total billed charges,"7,453.00",percent of total billed charges,"7,453.00",percent of total billed charges,"5,366.16",percent of total billed charges,"5,366.16",percent of total billed charges,"5,366.16",percent of total billed charges,"5,366.16",percent of total billed charges,"5,366.16",percent of total billed charges,"5,366.16",percent of total billed charges,"5,515.22",percent of total billed charges,"5,515.22",percent of total billed charges,"5,962.40",percent of total billed charges,"5,962.40",percent of total billed charges,,,"5,366.16",percent of total billed charges ,,,"5,962.40",percent of total billed charges ,"6,260.52",percent of total billed charges ,"6,260.52",percent of total billed charges ,"5,813.34",percent of total billed charges ,"5,813.34",percent of total billed charges ,"5,962.40",percent of total billed charges ,"5,962.40",percent of total billed charges ,"5,217.10",percent of total billed charges ,"5,217.10",percent of total billed charges ,"4,471.80",percent of total billed charges ,"4,471.80",percent of total billed charges ,"4,471.80",percent of total billed charges ,"4,471.80",percent of total billed charges ,,,,,"3,965.00",percent of total billed charges ,,,,,"3,766.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,,,"2,086.84",percent of total billed charges,
ALTRX +4 NEUT 32IX50O 122132450,C1776,CDM,,,,both,1,each,"5,700.00","5,700.00","1,596.00","5,700.00","5,700.00",percent of total billed charges,"5,700.00",percent of total billed charges,"5,700.00",percent of total billed charges,"5,700.00",percent of total billed charges,"5,700.00",percent of total billed charges,"5,700.00",percent of total billed charges,"5,700.00",percent of total billed charges,"5,700.00",percent of total billed charges,"4,104.00",percent of total billed charges,"4,104.00",percent of total billed charges,"4,104.00",percent of total billed charges,"4,104.00",percent of total billed charges,"4,104.00",percent of total billed charges,"4,104.00",percent of total billed charges,"4,218.00",percent of total billed charges,"4,218.00",percent of total billed charges,"4,560.00",percent of total billed charges,"4,560.00",percent of total billed charges,,,"4,104.00",percent of total billed charges ,,,"4,560.00",percent of total billed charges ,"4,788.00",percent of total billed charges ,"4,788.00",percent of total billed charges ,"4,446.00",percent of total billed charges ,"4,446.00",percent of total billed charges ,"4,560.00",percent of total billed charges ,"4,560.00",percent of total billed charges ,"3,990.00",percent of total billed charges ,"3,990.00",percent of total billed charges ,"3,420.00",percent of total billed charges ,"3,420.00",percent of total billed charges ,"3,420.00",percent of total billed charges ,"3,420.00",percent of total billed charges ,,,,,"3,032.40",percent of total billed charges ,,,,,"2,880.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,,,"1,596.00",percent of total billed charges,
DLTA CER HD 12/14 32MM +1 136532310,C1776,CDM,,,,both,1,each,"6,138.00","6,138.00","1,718.64","6,138.00","6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,542.12",percent of total billed charges,"4,542.12",percent of total billed charges,"4,910.40",percent of total billed charges,"4,910.40",percent of total billed charges,,,"4,419.36",percent of total billed charges ,,,"4,910.40",percent of total billed charges ,"5,155.92",percent of total billed charges ,"5,155.92",percent of total billed charges ,"4,787.64",percent of total billed charges ,"4,787.64",percent of total billed charges ,"4,910.40",percent of total billed charges ,"4,910.40",percent of total billed charges ,"4,296.60",percent of total billed charges ,"4,296.60",percent of total billed charges ,"3,682.80",percent of total billed charges ,"3,682.80",percent of total billed charges ,"3,682.80",percent of total billed charges ,"3,682.80",percent of total billed charges ,,,,,"3,265.42",percent of total billed charges ,,,,,"3,102.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,
ATTUNE PS FEM RT SZ5 NARCEM 150410225,C1776,CDM,,,,both,1,each,"10,499.00","10,499.00","2,939.72","10,499.00","10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,769.26",percent of total billed charges,"7,769.26",percent of total billed charges,"8,399.20",percent of total billed charges,"8,399.20",percent of total billed charges,,,"7,559.28",percent of total billed charges ,,,"8,399.20",percent of total billed charges ,"8,819.16",percent of total billed charges ,"8,819.16",percent of total billed charges ,"8,189.22",percent of total billed charges ,"8,189.22",percent of total billed charges ,"8,399.20",percent of total billed charges ,"8,399.20",percent of total billed charges ,"7,349.30",percent of total billed charges ,"7,349.30",percent of total billed charges ,"6,299.40",percent of total billed charges ,"6,299.40",percent of total billed charges ,"6,299.40",percent of total billed charges ,"6,299.40",percent of total billed charges ,,,,,"5,585.47",percent of total billed charges ,,,,,"5,306.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,
ATTUNE PS RP INSRT SZ5 6MM 151650506,C1776,CDM,,,,both,1,each,"7,031.00","7,031.00","1,968.68","7,031.00","7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,202.94",percent of total billed charges,"5,202.94",percent of total billed charges,"5,624.80",percent of total billed charges,"5,624.80",percent of total billed charges,,,"5,062.32",percent of total billed charges ,,,"5,624.80",percent of total billed charges ,"5,906.04",percent of total billed charges ,"5,906.04",percent of total billed charges ,"5,484.18",percent of total billed charges ,"5,484.18",percent of total billed charges ,"5,624.80",percent of total billed charges ,"5,624.80",percent of total billed charges ,"4,921.70",percent of total billed charges ,"4,921.70",percent of total billed charges ,"4,218.60",percent of total billed charges ,"4,218.60",percent of total billed charges ,"4,218.60",percent of total billed charges ,"4,218.60",percent of total billed charges ,,,,,"3,740.49",percent of total billed charges ,,,,,"3,553.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,
ATTUNE PS FEM RT SZ 7 CEM 150410207,C1776,CDM,,,,both,1,each,"10,499.00","10,499.00","2,939.72","10,499.00","10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"10,499.00",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,559.28",percent of total billed charges,"7,769.26",percent of total billed charges,"7,769.26",percent of total billed charges,"8,399.20",percent of total billed charges,"8,399.20",percent of total billed charges,,,"7,559.28",percent of total billed charges ,,,"8,399.20",percent of total billed charges ,"8,819.16",percent of total billed charges ,"8,819.16",percent of total billed charges ,"8,189.22",percent of total billed charges ,"8,189.22",percent of total billed charges ,"8,399.20",percent of total billed charges ,"8,399.20",percent of total billed charges ,"7,349.30",percent of total billed charges ,"7,349.30",percent of total billed charges ,"6,299.40",percent of total billed charges ,"6,299.40",percent of total billed charges ,"6,299.40",percent of total billed charges ,"6,299.40",percent of total billed charges ,,,,,"5,585.47",percent of total billed charges ,,,,,"5,306.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,,,"2,939.72",percent of total billed charges,
ATTUNE RP TIB BASE SZ 7 CEM 150680007,C1776,CDM,,,,both,1,each,"8,686.00","8,686.00","2,432.08","8,686.00","8,686.00",percent of total billed charges,"8,686.00",percent of total billed charges,"8,686.00",percent of total billed charges,"8,686.00",percent of total billed charges,"8,686.00",percent of total billed charges,"8,686.00",percent of total billed charges,"8,686.00",percent of total billed charges,"8,686.00",percent of total billed charges,"6,253.92",percent of total billed charges,"6,253.92",percent of total billed charges,"6,253.92",percent of total billed charges,"6,253.92",percent of total billed charges,"6,253.92",percent of total billed charges,"6,253.92",percent of total billed charges,"6,427.64",percent of total billed charges,"6,427.64",percent of total billed charges,"6,948.80",percent of total billed charges,"6,948.80",percent of total billed charges,,,"6,253.92",percent of total billed charges ,,,"6,948.80",percent of total billed charges ,"7,296.24",percent of total billed charges ,"7,296.24",percent of total billed charges ,"6,775.08",percent of total billed charges ,"6,775.08",percent of total billed charges ,"6,948.80",percent of total billed charges ,"6,948.80",percent of total billed charges ,"6,080.20",percent of total billed charges ,"6,080.20",percent of total billed charges ,"5,211.60",percent of total billed charges ,"5,211.60",percent of total billed charges ,"5,211.60",percent of total billed charges ,"5,211.60",percent of total billed charges ,,,,,"4,620.95",percent of total billed charges ,,,,,"4,389.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,,,"2,432.08",percent of total billed charges,
ATTUNE PS RP INSRT SZ7 6MM 151650706,C1776,CDM,,,,both,1,each,"7,031.00","7,031.00","1,968.68","7,031.00","7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"7,031.00",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,062.32",percent of total billed charges,"5,202.94",percent of total billed charges,"5,202.94",percent of total billed charges,"5,624.80",percent of total billed charges,"5,624.80",percent of total billed charges,,,"5,062.32",percent of total billed charges ,,,"5,624.80",percent of total billed charges ,"5,906.04",percent of total billed charges ,"5,906.04",percent of total billed charges ,"5,484.18",percent of total billed charges ,"5,484.18",percent of total billed charges ,"5,624.80",percent of total billed charges ,"5,624.80",percent of total billed charges ,"4,921.70",percent of total billed charges ,"4,921.70",percent of total billed charges ,"4,218.60",percent of total billed charges ,"4,218.60",percent of total billed charges ,"4,218.60",percent of total billed charges ,"4,218.60",percent of total billed charges ,,,,,"3,740.49",percent of total billed charges ,,,,,"3,553.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,,,"1,968.68",percent of total billed charges,
ATTUNE MEDIAL ANAT PAT 41MM 151810041,C1776,CDM,,,,both,1,each,"4,773.00","4,773.00","1,336.44","4,773.00","4,773.00",percent of total billed charges,"4,773.00",percent of total billed charges,"4,773.00",percent of total billed charges,"4,773.00",percent of total billed charges,"4,773.00",percent of total billed charges,"4,773.00",percent of total billed charges,"4,773.00",percent of total billed charges,"4,773.00",percent of total billed charges,"3,436.56",percent of total billed charges,"3,436.56",percent of total billed charges,"3,436.56",percent of total billed charges,"3,436.56",percent of total billed charges,"3,436.56",percent of total billed charges,"3,436.56",percent of total billed charges,"3,532.02",percent of total billed charges,"3,532.02",percent of total billed charges,"3,818.40",percent of total billed charges,"3,818.40",percent of total billed charges,,,"3,436.56",percent of total billed charges ,,,"3,818.40",percent of total billed charges ,"4,009.32",percent of total billed charges ,"4,009.32",percent of total billed charges ,"3,722.94",percent of total billed charges ,"3,722.94",percent of total billed charges ,"3,818.40",percent of total billed charges ,"3,818.40",percent of total billed charges ,"3,341.10",percent of total billed charges ,"3,341.10",percent of total billed charges ,"2,863.80",percent of total billed charges ,"2,863.80",percent of total billed charges ,"2,863.80",percent of total billed charges ,"2,863.80",percent of total billed charges ,,,,,"2,539.24",percent of total billed charges ,,,,,"2,412.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,,,"1,336.44",percent of total billed charges,
ACTIS COLL STD SZ 5 101011050,C1776,CDM,,,,both,1,each,"15,398.00","15,398.00","4,311.44","15,398.00","15,398.00",percent of total billed charges,"15,398.00",percent of total billed charges,"15,398.00",percent of total billed charges,"15,398.00",percent of total billed charges,"15,398.00",percent of total billed charges,"15,398.00",percent of total billed charges,"15,398.00",percent of total billed charges,"15,398.00",percent of total billed charges,"11,086.56",percent of total billed charges,"11,086.56",percent of total billed charges,"11,086.56",percent of total billed charges,"11,086.56",percent of total billed charges,"11,086.56",percent of total billed charges,"11,086.56",percent of total billed charges,"11,394.52",percent of total billed charges,"11,394.52",percent of total billed charges,"12,318.40",percent of total billed charges,"12,318.40",percent of total billed charges,,,"11,086.56",percent of total billed charges ,,,"12,318.40",percent of total billed charges ,"12,934.32",percent of total billed charges ,"12,934.32",percent of total billed charges ,"12,010.44",percent of total billed charges ,"12,010.44",percent of total billed charges ,"12,318.40",percent of total billed charges ,"12,318.40",percent of total billed charges ,"10,778.60",percent of total billed charges ,"10,778.60",percent of total billed charges ,"9,238.80",percent of total billed charges ,"9,238.80",percent of total billed charges ,"9,238.80",percent of total billed charges ,"9,238.80",percent of total billed charges ,,,,,"8,191.74",percent of total billed charges ,,,,,"7,782.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,,,"4,311.44",percent of total billed charges,
ARTICUL/EZE BALL 32+5BR 136522000,C1776,CDM,,,,both,1,each,"3,819.00","3,819.00","1,069.32","3,819.00","3,819.00",percent of total billed charges,"3,819.00",percent of total billed charges,"3,819.00",percent of total billed charges,"3,819.00",percent of total billed charges,"3,819.00",percent of total billed charges,"3,819.00",percent of total billed charges,"3,819.00",percent of total billed charges,"3,819.00",percent of total billed charges,"2,749.68",percent of total billed charges,"2,749.68",percent of total billed charges,"2,749.68",percent of total billed charges,"2,749.68",percent of total billed charges,"2,749.68",percent of total billed charges,"2,749.68",percent of total billed charges,"2,826.06",percent of total billed charges,"2,826.06",percent of total billed charges,"3,055.20",percent of total billed charges,"3,055.20",percent of total billed charges,,,"2,749.68",percent of total billed charges ,,,"3,055.20",percent of total billed charges ,"3,207.96",percent of total billed charges ,"3,207.96",percent of total billed charges ,"2,978.82",percent of total billed charges ,"2,978.82",percent of total billed charges ,"3,055.20",percent of total billed charges ,"3,055.20",percent of total billed charges ,"2,673.30",percent of total billed charges ,"2,673.30",percent of total billed charges ,"2,291.40",percent of total billed charges ,"2,291.40",percent of total billed charges ,"2,291.40",percent of total billed charges ,"2,291.40",percent of total billed charges ,,,,,"2,031.71",percent of total billed charges ,,,,,"1,930.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,,,"1,069.32",percent of total billed charges,
PINN 100 ACET CUP 48MM 121701048,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
ALTRX NEUT 32IDX48OD 122132048,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
APEX HOLE ELIM POS STOP 24603000,C1776,CDM,,,,both,1,each,795,795,222.6,795,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,588.3,percent of total billed charges,588.3,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,,,572.4,percent of total billed charges ,,,636,percent of total billed charges ,667.8,percent of total billed charges ,667.8,percent of total billed charges ,620.1,percent of total billed charges ,620.1,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,556.5,percent of total billed charges ,556.5,percent of total billed charges ,477,percent of total billed charges ,477,percent of total billed charges ,477,percent of total billed charges ,477,percent of total billed charges ,,,,,422.94,percent of total billed charges ,,,,,401.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,
ARTICUL/EZE BALL 32+1 GR 136521000,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
SUMMIT POR TAPER SZ5 HI OFF 157011110,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
ATTUNE PS FEM LT SZ5 CEM 150410105,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
ATTUNE RP TIB BASE SZ5 CEM 150680005,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
ATTUNE PS RP INSRT SZ5 12MM 151650512,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
ATTUNE MEDIAL DOME PAT 41MM 151820041,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
ATTUNE 150410124 PS FEM LT SZ4 NAR CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
ATTUNE 150680004 RP TIB BASE SZ4 CEM,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
ATTUNE 151650406 PS RP INSRT SZ4 6MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
ATTUNE 151810038 ATTUNE 38MM MD ANAPAT,C1776,CDM,,,,both,1,each,"5,035.00","5,035.00","1,409.80","5,035.00","5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,725.90",percent of total billed charges,"3,725.90",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,,,"3,625.20",percent of total billed charges ,,,"4,028.00",percent of total billed charges ,"4,229.40",percent of total billed charges ,"4,229.40",percent of total billed charges ,"3,927.30",percent of total billed charges ,"3,927.30",percent of total billed charges ,"4,028.00",percent of total billed charges ,"4,028.00",percent of total billed charges ,"3,524.50",percent of total billed charges ,"3,524.50",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,,,,,"2,678.62",percent of total billed charges ,,,,,"2,544.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,
150410205 ATTUNE PS FEM RT SZ5 CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
150660006 ATTUNE RP TIB BASE SZ6 CEM,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
151650510 ATTUNE PS RP INSRT SZ5 10MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
150440205 ATTUNE CRS FEM RT SZ5 CEM,C1776,CDM,,,,both,1,each,"34,835.00","34,835.00","9,753.80","34,835.00","34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,777.90",percent of total billed charges,"25,777.90",percent of total billed charges,"27,868.00",percent of total billed charges,"27,868.00",percent of total billed charges,,,"25,081.20",percent of total billed charges ,,,"27,868.00",percent of total billed charges ,"29,261.40",percent of total billed charges ,"29,261.40",percent of total billed charges ,"27,171.30",percent of total billed charges ,"27,171.30",percent of total billed charges ,"27,868.00",percent of total billed charges ,"27,868.00",percent of total billed charges ,"24,384.50",percent of total billed charges ,"24,384.50",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,,,,,"18,532.22",percent of total billed charges ,,,,,"17,605.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,
150660004 ATUNE REV RP TIB BASE SZ4 CEM,C1776,CDM,,,,both,1,each,"28,557.00","28,557.00","7,995.96","28,557.00","28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"21,132.18",percent of total billed charges,"21,132.18",percent of total billed charges,"22,845.60",percent of total billed charges,"22,845.60",percent of total billed charges,,,"20,561.04",percent of total billed charges ,,,"22,845.60",percent of total billed charges ,"23,987.88",percent of total billed charges ,"23,987.88",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,845.60",percent of total billed charges ,"22,845.60",percent of total billed charges ,"19,989.90",percent of total billed charges ,"19,989.90",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,,,,,"15,192.32",percent of total billed charges ,,,,,"14,432.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,
151322110 ATUN PRESSFIT STR STEM22X110MM,C1776,CDM,,,,both,1,each,"12,699.00","12,699.00","3,555.72","12,699.00","12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,397.26",percent of total billed charges,"9,397.26",percent of total billed charges,"10,159.20",percent of total billed charges,"10,159.20",percent of total billed charges,,,"9,143.28",percent of total billed charges ,,,"10,159.20",percent of total billed charges ,"10,667.16",percent of total billed charges ,"10,667.16",percent of total billed charges ,"9,905.22",percent of total billed charges ,"9,905.22",percent of total billed charges ,"10,159.20",percent of total billed charges ,"10,159.20",percent of total billed charges ,"8,889.30",percent of total billed charges ,"8,889.30",percent of total billed charges ,"7,619.40",percent of total billed charges ,"7,619.40",percent of total billed charges ,"7,619.40",percent of total billed charges ,"7,619.40",percent of total billed charges ,,,,,"6,755.87",percent of total billed charges ,,,,,"6,418.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,
151650514 ATTUNE PS RP INSRT SZ5 14MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
121701056 PINN 100 ACET CUP 56MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
122140456 ALTRX +4 NEUT 40IDX56OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
136505000 12/14 ARTIC 40MM M SPEC+1.5,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
157001135 SUMMIT POR TAPER SZ7 STD OFF,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
136506000 12/14 ARTIC 40MM M SPEC+5,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
136532320 DELTA CER HD 12/14 32MM +5,C1776,CDM,,,,both,1,each,"5,936.00","5,936.00","1,662.08","5,936.00","5,936.00",percent of total billed charges,"5,936.00",percent of total billed charges,"5,936.00",percent of total billed charges,"5,936.00",percent of total billed charges,"5,936.00",percent of total billed charges,"5,936.00",percent of total billed charges,"5,936.00",percent of total billed charges,"5,936.00",percent of total billed charges,"4,273.92",percent of total billed charges,"4,273.92",percent of total billed charges,"4,273.92",percent of total billed charges,"4,273.92",percent of total billed charges,"4,273.92",percent of total billed charges,"4,273.92",percent of total billed charges,"4,392.64",percent of total billed charges,"4,392.64",percent of total billed charges,"4,748.80",percent of total billed charges,"4,748.80",percent of total billed charges,,,"4,273.92",percent of total billed charges ,,,"4,748.80",percent of total billed charges ,"4,986.24",percent of total billed charges ,"4,986.24",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,748.80",percent of total billed charges ,"4,748.80",percent of total billed charges ,"4,155.20",percent of total billed charges ,"4,155.20",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,561.60",percent of total billed charges ,,,,,"3,157.95",percent of total billed charges ,,,,,"3,000.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,,,"1,662.08",percent of total billed charges,
157001090 SUMMIT POR TAPER SZ3 STD OFF,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
121701054 PINN 100 ACET CUP 54MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
122136054 ALTRX NEUT 36IDX54OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
136551000 ARTIC M HEAD 36MM +1.5,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
157011135 SUMMIT POR TAPER SZ7 HI OFF,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
150410106 ATTUNE PS FEM LT SZ6 CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
151650614 ATTUNE PS RP INSRT SZ6 14MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
150410126 ATTUNE PS FEM LT SZ6 NAR CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
151650607 ATTUNE PS RP INSRT SIZ 6 7MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
121725500 PINN CAN BN SCRW 6.5X25MM,C1776,CDM,,,,both,1,each,795,795,222.6,795,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,795,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,572.4,percent of total billed charges,588.3,percent of total billed charges,588.3,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,,,572.4,percent of total billed charges ,,,636,percent of total billed charges ,667.8,percent of total billed charges ,667.8,percent of total billed charges ,620.1,percent of total billed charges ,620.1,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,556.5,percent of total billed charges ,556.5,percent of total billed charges ,477,percent of total billed charges ,477,percent of total billed charges ,477,percent of total billed charges ,477,percent of total billed charges ,,,,,422.94,percent of total billed charges ,,,,,401.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,,,222.6,percent of total billed charges,
121850043 PINN DM LINER 50_43,C1776,CDM,,,,both,1,each,"8,311.00","8,311.00","2,327.08","8,311.00","8,311.00",percent of total billed charges,"8,311.00",percent of total billed charges,"8,311.00",percent of total billed charges,"8,311.00",percent of total billed charges,"8,311.00",percent of total billed charges,"8,311.00",percent of total billed charges,"8,311.00",percent of total billed charges,"8,311.00",percent of total billed charges,"5,983.92",percent of total billed charges,"5,983.92",percent of total billed charges,"5,983.92",percent of total billed charges,"5,983.92",percent of total billed charges,"5,983.92",percent of total billed charges,"5,983.92",percent of total billed charges,"6,150.14",percent of total billed charges,"6,150.14",percent of total billed charges,"6,648.80",percent of total billed charges,"6,648.80",percent of total billed charges,,,"5,983.92",percent of total billed charges ,,,"6,648.80",percent of total billed charges ,"6,981.24",percent of total billed charges ,"6,981.24",percent of total billed charges ,"6,482.58",percent of total billed charges ,"6,482.58",percent of total billed charges ,"6,648.80",percent of total billed charges ,"6,648.80",percent of total billed charges ,"5,817.70",percent of total billed charges ,"5,817.70",percent of total billed charges ,"4,986.60",percent of total billed charges ,"4,986.60",percent of total billed charges ,"4,986.60",percent of total billed charges ,"4,986.60",percent of total billed charges ,,,,,"4,421.45",percent of total billed charges ,,,,,"4,200.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,,,"2,327.08",percent of total billed charges,
122122043 BI MENTUM ALTR LNR 43 22,C1776,CDM,,,,both,1,each,"11,305.00","11,305.00","3,165.40","11,305.00","11,305.00",percent of total billed charges,"11,305.00",percent of total billed charges,"11,305.00",percent of total billed charges,"11,305.00",percent of total billed charges,"11,305.00",percent of total billed charges,"11,305.00",percent of total billed charges,"11,305.00",percent of total billed charges,"11,305.00",percent of total billed charges,"8,139.60",percent of total billed charges,"8,139.60",percent of total billed charges,"8,139.60",percent of total billed charges,"8,139.60",percent of total billed charges,"8,139.60",percent of total billed charges,"8,139.60",percent of total billed charges,"8,365.70",percent of total billed charges,"8,365.70",percent of total billed charges,"9,044.00",percent of total billed charges,"9,044.00",percent of total billed charges,,,"8,139.60",percent of total billed charges ,,,"9,044.00",percent of total billed charges ,"9,496.20",percent of total billed charges ,"9,496.20",percent of total billed charges ,"8,817.90",percent of total billed charges ,"8,817.90",percent of total billed charges ,"9,044.00",percent of total billed charges ,"9,044.00",percent of total billed charges ,"7,913.50",percent of total billed charges ,"7,913.50",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,,,,,"6,014.26",percent of total billed charges ,,,,,"5,713.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,,,"3,165.40",percent of total billed charges,
136530000 ARICUL/EZE BALL 22.225+7 NK,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
227456000 QUICKSET 3.8DIMTR DR BIT 25MM,C1776,CDM,,,,both,1,each,"1,614.00","1,614.00",451.92,"1,614.00","1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,194.36",percent of total billed charges,"1,194.36",percent of total billed charges,"1,291.20",percent of total billed charges,"1,291.20",percent of total billed charges,,,"1,162.08",percent of total billed charges ,,,"1,291.20",percent of total billed charges ,"1,355.76",percent of total billed charges ,"1,355.76",percent of total billed charges ,"1,258.92",percent of total billed charges ,"1,258.92",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,129.80",percent of total billed charges ,"1,129.80",percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,,,,,858.65,percent of total billed charges ,,,,,815.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,
227465000 QUICKSET 3.8 DIMTR DR BIT 35MM,C1776,CDM,,,,both,1,each,"1,614.00","1,614.00",451.92,"1,614.00","1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,194.36",percent of total billed charges,"1,194.36",percent of total billed charges,"1,291.20",percent of total billed charges,"1,291.20",percent of total billed charges,,,"1,162.08",percent of total billed charges ,,,"1,291.20",percent of total billed charges ,"1,355.76",percent of total billed charges ,"1,355.76",percent of total billed charges ,"1,258.92",percent of total billed charges ,"1,258.92",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,129.80",percent of total billed charges ,"1,129.80",percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,,,,,858.65,percent of total billed charges ,,,,,815.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,
150410223 ARRUNE PS FEM RT SZ3 NAR CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
150660003 ATTUNE REV RP TIB BASE SZ3 CEM,C1776,CDM,,,,both,1,each,"28,557.00","28,557.00","7,995.96","28,557.00","28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"21,132.18",percent of total billed charges,"21,132.18",percent of total billed charges,"22,845.60",percent of total billed charges,"22,845.60",percent of total billed charges,,,"20,561.04",percent of total billed charges ,,,"22,845.60",percent of total billed charges ,"23,987.88",percent of total billed charges ,"23,987.88",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,845.60",percent of total billed charges ,"22,845.60",percent of total billed charges ,"19,989.90",percent of total billed charges ,"19,989.90",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,,,,,"15,192.32",percent of total billed charges ,,,,,"14,432.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,
151650307 ATTUNE PS RP INSRT SZ3 7MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
151820035 ATTUNE MEDIAL DOME PAT 35MM,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
150410107 ATTUNE PS FEM LT SZ 7 CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
150660007 ATTUNE REV RP TIB BASE SZ7 CEM,C1776,CDM,,,,both,1,each,"28,557.00","28,557.00","7,995.96","28,557.00","28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"21,132.18",percent of total billed charges,"21,132.18",percent of total billed charges,"22,845.60",percent of total billed charges,"22,845.60",percent of total billed charges,,,"20,561.04",percent of total billed charges ,,,"22,845.60",percent of total billed charges ,"23,987.88",percent of total billed charges ,"23,987.88",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,845.60",percent of total billed charges ,"22,845.60",percent of total billed charges ,"19,989.90",percent of total billed charges ,"19,989.90",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,,,,,"15,192.32",percent of total billed charges ,,,,,"14,432.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,
151650708 ATTUNE PS RP INSRT SZ7 8MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
151650507 ATTUNE PS RP INSRT SZ 5 7MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
150410224 ATTUNE PS FEM RT SZ4 NAR CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
151650412 ATTUNE PS RP INSRT SZ4 12MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
150410107 ATTUNE PS FEM LT SZ7 CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
151650708 ATTUNE PS RP INSRT SZ7 8MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
150440106 ATTUNE CRS FEM LT SZ6 CEM,C1776,CDM,,,,both,1,each,"34,835.00","34,835.00","9,753.80","34,835.00","34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,777.90",percent of total billed charges,"25,777.90",percent of total billed charges,"27,868.00",percent of total billed charges,"27,868.00",percent of total billed charges,,,"25,081.20",percent of total billed charges ,,,"27,868.00",percent of total billed charges ,"29,261.40",percent of total billed charges ,"29,261.40",percent of total billed charges ,"27,171.30",percent of total billed charges ,"27,171.30",percent of total billed charges ,"27,868.00",percent of total billed charges ,"27,868.00",percent of total billed charges ,"24,384.50",percent of total billed charges ,"24,384.50",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,,,,,"18,532.22",percent of total billed charges ,,,,,"17,605.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,
151650610 ATTUNE PS RP INSRT SZ6 10MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
**150680006 ATTUNE RP TIB BASE SZ6 CEM,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
151650606 ATTUNE PS RP INSRT SZ6 6MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
151650505 ATTUNE PS RP INSRT SZ5 5MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
122132050 ALTRX NEU 32IDX50OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
157001120 SUMMIT POR TAPER SZ6 STD OFF,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
150680003 ATTUNE RP TIB BASE SZ3 CEM,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
151650407 ATTUNE PS RP INSRT SZ4 7MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
157011150 SUMM POR TAPER SZ8 HI OFF,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
151650405 ATTUNE PS RP INSRT SZ4 5MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
151810035 ATTUNE MEDIAL ANAT PAT 35MM,C1776,CDM,,,,both,1,each,"5,035.00","5,035.00","1,409.80","5,035.00","5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,725.90",percent of total billed charges,"3,725.90",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,,,"3,625.20",percent of total billed charges ,,,"4,028.00",percent of total billed charges ,"4,229.40",percent of total billed charges ,"4,229.40",percent of total billed charges ,"3,927.30",percent of total billed charges ,"3,927.30",percent of total billed charges ,"4,028.00",percent of total billed charges ,"4,028.00",percent of total billed charges ,"3,524.50",percent of total billed charges ,"3,524.50",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,,,,,"2,678.62",percent of total billed charges ,,,,,"2,544.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,
150410206 ATT PS FEM RT SZ 6 CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
151650608 ATT PS RP INSRT SZ 6 8MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
150440203 ATT CRS FEM RT SZ 3 CEM,C1776,CDM,,,,both,1,each,"34,835.00","34,835.00","9,753.80","34,835.00","34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"34,835.00",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,081.20",percent of total billed charges,"25,777.90",percent of total billed charges,"25,777.90",percent of total billed charges,"27,868.00",percent of total billed charges,"27,868.00",percent of total billed charges,,,"25,081.20",percent of total billed charges ,,,"27,868.00",percent of total billed charges ,"29,261.40",percent of total billed charges ,"29,261.40",percent of total billed charges ,"27,171.30",percent of total billed charges ,"27,171.30",percent of total billed charges ,"27,868.00",percent of total billed charges ,"27,868.00",percent of total billed charges ,"24,384.50",percent of total billed charges ,"24,384.50",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,"20,901.00",percent of total billed charges ,,,,,"18,532.22",percent of total billed charges ,,,,,"17,605.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,,,"9,753.80",percent of total billed charges,
150660002 ATT REV RP TIB BASE SZ 2 CEM,C1776,CDM,,,,both,1,each,"30,318.00","30,318.00","8,489.04","30,318.00","30,318.00",percent of total billed charges,"30,318.00",percent of total billed charges,"30,318.00",percent of total billed charges,"30,318.00",percent of total billed charges,"30,318.00",percent of total billed charges,"30,318.00",percent of total billed charges,"30,318.00",percent of total billed charges,"30,318.00",percent of total billed charges,"21,828.96",percent of total billed charges,"21,828.96",percent of total billed charges,"21,828.96",percent of total billed charges,"21,828.96",percent of total billed charges,"21,828.96",percent of total billed charges,"21,828.96",percent of total billed charges,"22,435.32",percent of total billed charges,"22,435.32",percent of total billed charges,"24,254.40",percent of total billed charges,"24,254.40",percent of total billed charges,,,"21,828.96",percent of total billed charges ,,,"24,254.40",percent of total billed charges ,"25,467.12",percent of total billed charges ,"25,467.12",percent of total billed charges ,"23,648.04",percent of total billed charges ,"23,648.04",percent of total billed charges ,"24,254.40",percent of total billed charges ,"24,254.40",percent of total billed charges ,"21,222.60",percent of total billed charges ,"21,222.60",percent of total billed charges ,"18,190.80",percent of total billed charges ,"18,190.80",percent of total billed charges ,"18,190.80",percent of total billed charges ,"18,190.80",percent of total billed charges ,,,,,"16,129.18",percent of total billed charges ,,,,,"15,322.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,,,"8,489.04",percent of total billed charges,
151316110 ATT PRSSFT STR STM16X110MM,C1776,CDM,,,,both,1,each,"12,699.00","12,699.00","3,555.72","12,699.00","12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"12,699.00",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,143.28",percent of total billed charges,"9,397.26",percent of total billed charges,"9,397.26",percent of total billed charges,"10,159.20",percent of total billed charges,"10,159.20",percent of total billed charges,,,"9,143.28",percent of total billed charges ,,,"10,159.20",percent of total billed charges ,"10,667.16",percent of total billed charges ,"10,667.16",percent of total billed charges ,"9,905.22",percent of total billed charges ,"9,905.22",percent of total billed charges ,"10,159.20",percent of total billed charges ,"10,159.20",percent of total billed charges ,"8,889.30",percent of total billed charges ,"8,889.30",percent of total billed charges ,"7,619.40",percent of total billed charges ,"7,619.40",percent of total billed charges ,"7,619.40",percent of total billed charges ,"7,619.40",percent of total billed charges ,,,,,"6,755.87",percent of total billed charges ,,,,,"6,418.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,,,"3,555.72",percent of total billed charges,
151650308 ATT PS RP INSRT SZ 3 8MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
151650408 ATT PS RP INSRT SZ 4 8MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
101011080 ACTIS COLLRD STD SZ 8,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
151650508 ATT PS RP INSRT SZ 5 8MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
122140056 ALTRX NEUT 40IDX56OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
157001110 SUMMIT POR TPR SZ5 STD OFF,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
150660008 ATT REV RP TIB BS SZ 8 CEM,C1776,CDM,,,,both,1,each,"28,557.00","28,557.00","7,995.96","28,557.00","28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"21,132.18",percent of total billed charges,"21,132.18",percent of total billed charges,"22,845.60",percent of total billed charges,"22,845.60",percent of total billed charges,,,"20,561.04",percent of total billed charges ,,,"22,845.60",percent of total billed charges ,"23,987.88",percent of total billed charges ,"23,987.88",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,845.60",percent of total billed charges ,"22,845.60",percent of total billed charges ,"19,989.90",percent of total billed charges ,"19,989.90",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,,,,,"15,192.32",percent of total billed charges ,,,,,"14,432.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,
RADIAL HEAD IMPLANT 24 MM 00870000124,C1776,CDM,,,,both,1,each,"16,630.00","16,630.00","4,656.40","16,630.00","16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"12,306.20",percent of total billed charges,"12,306.20",percent of total billed charges,"13,304.00",percent of total billed charges,"13,304.00",percent of total billed charges,,,"11,973.60",percent of total billed charges ,,,"13,304.00",percent of total billed charges ,"13,969.20",percent of total billed charges ,"13,969.20",percent of total billed charges ,"12,971.40",percent of total billed charges ,"12,971.40",percent of total billed charges ,"13,304.00",percent of total billed charges ,"13,304.00",percent of total billed charges ,"11,641.00",percent of total billed charges ,"11,641.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,,,,,"8,847.16",percent of total billed charges ,,,,,"8,404.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,
STEM IMPLANT 8MM + 2MM HEI 00870000802,C1776,CDM,,,,both,1,each,"16,630.00","16,630.00","4,656.40","16,630.00","16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"16,630.00",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"11,973.60",percent of total billed charges,"12,306.20",percent of total billed charges,"12,306.20",percent of total billed charges,"13,304.00",percent of total billed charges,"13,304.00",percent of total billed charges,,,"11,973.60",percent of total billed charges ,,,"13,304.00",percent of total billed charges ,"13,969.20",percent of total billed charges ,"13,969.20",percent of total billed charges ,"12,971.40",percent of total billed charges ,"12,971.40",percent of total billed charges ,"13,304.00",percent of total billed charges ,"13,304.00",percent of total billed charges ,"11,641.00",percent of total billed charges ,"11,641.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,"9,978.00",percent of total billed charges ,,,,,"8,847.16",percent of total billed charges ,,,,,"8,404.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,,,"4,656.40",percent of total billed charges,
MAXBRAID #2 CM-0222N,LOCAL,LOCAL,,,,both,1,each,211,211,59.08,211,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,156.14,percent of total billed charges,156.14,percent of total billed charges,168.8,percent of total billed charges,168.8,percent of total billed charges,,,151.92,percent of total billed charges ,,,168.8,percent of total billed charges ,177.24,percent of total billed charges ,177.24,percent of total billed charges ,164.58,percent of total billed charges ,164.58,percent of total billed charges ,168.8,percent of total billed charges ,168.8,percent of total billed charges ,147.7,percent of total billed charges ,147.7,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,,,,,112.25,percent of total billed charges ,,,,,106.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,
SROM 28MM +0M HD 136516500,C1776,CDM,,,,both,1,each,"4,049.00","4,049.00","1,133.72","4,049.00","4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,996.26",percent of total billed charges,"2,996.26",percent of total billed charges,"3,239.20",percent of total billed charges,"3,239.20",percent of total billed charges,,,"2,915.28",percent of total billed charges ,,,"3,239.20",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,239.20",percent of total billed charges ,"3,239.20",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,,,,,"2,154.07",percent of total billed charges ,,,,,"2,046.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,
SROM STM STD 30NK 523292,C1776,CDM,,,,both,1,each,"16,211.00","16,211.00","4,539.08","16,211.00","16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"16,211.00",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,671.92",percent of total billed charges,"11,996.14",percent of total billed charges,"11,996.14",percent of total billed charges,"12,968.80",percent of total billed charges,"12,968.80",percent of total billed charges,,,"11,671.92",percent of total billed charges ,,,"12,968.80",percent of total billed charges ,"13,617.24",percent of total billed charges ,"13,617.24",percent of total billed charges ,"12,644.58",percent of total billed charges ,"12,644.58",percent of total billed charges ,"12,968.80",percent of total billed charges ,"12,968.80",percent of total billed charges ,"11,347.70",percent of total billed charges ,"11,347.70",percent of total billed charges ,"9,726.60",percent of total billed charges ,"9,726.60",percent of total billed charges ,"9,726.60",percent of total billed charges ,"9,726.60",percent of total billed charges ,,,,,"8,624.25",percent of total billed charges ,,,,,"8,193.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,,,"4,539.08",percent of total billed charges,
SROM SLV PRX ZTT 16D-LG 550514,C1776,CDM,,,,both,1,each,"9,208.00","9,208.00","2,578.24","9,208.00","9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"9,208.00",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,629.76",percent of total billed charges,"6,813.92",percent of total billed charges,"6,813.92",percent of total billed charges,"7,366.40",percent of total billed charges,"7,366.40",percent of total billed charges,,,"6,629.76",percent of total billed charges ,,,"7,366.40",percent of total billed charges ,"7,734.72",percent of total billed charges ,"7,734.72",percent of total billed charges ,"7,182.24",percent of total billed charges ,"7,182.24",percent of total billed charges ,"7,366.40",percent of total billed charges ,"7,366.40",percent of total billed charges ,"6,445.60",percent of total billed charges ,"6,445.60",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,"5,524.80",percent of total billed charges ,,,,,"4,898.66",percent of total billed charges ,,,,,"4,653.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,,,"2,578.24",percent of total billed charges,
MAXBRAID #5 SUTURE,LOCAL,LOCAL,,,,both,1,each,325,325,91,325,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,240.5,percent of total billed charges,240.5,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,,,234,percent of total billed charges ,,,260,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,253.5,percent of total billed charges ,253.5,percent of total billed charges ,260,percent of total billed charges ,260,percent of total billed charges ,227.5,percent of total billed charges ,227.5,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,,,,,172.9,percent of total billed charges ,,,,,164.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,
MAXBRAID #3 SUTURE 900252,LOCAL,LOCAL,,,,both,1,each,246,246,68.88,246,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,182.04,percent of total billed charges,182.04,percent of total billed charges,196.8,percent of total billed charges,196.8,percent of total billed charges,,,177.12,percent of total billed charges ,,,196.8,percent of total billed charges ,206.64,percent of total billed charges ,206.64,percent of total billed charges ,191.88,percent of total billed charges ,191.88,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,,,,,130.87,percent of total billed charges ,,,,,124.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,
900336 MAXBRAID #2 SML NEEDLE,LOCAL,LOCAL,,,,both,1,each,323,323,90.44,323,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,239.02,percent of total billed charges,239.02,percent of total billed charges,258.4,percent of total billed charges,258.4,percent of total billed charges,,,232.56,percent of total billed charges ,,,258.4,percent of total billed charges ,271.32,percent of total billed charges ,271.32,percent of total billed charges ,251.94,percent of total billed charges ,251.94,percent of total billed charges ,258.4,percent of total billed charges ,258.4,percent of total billed charges ,226.1,percent of total billed charges ,226.1,percent of total billed charges ,193.8,percent of total billed charges ,193.8,percent of total billed charges ,193.8,percent of total billed charges ,193.8,percent of total billed charges ,,,,,171.84,percent of total billed charges ,,,,,163.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,
CM-0321N BRDBAND 2PK CUT NDL BK/BL+BL,LOCAL,LOCAL,,,,both,1,each,"1,352.00","1,352.00",378.56,"1,352.00","1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,"1,000.48",percent of total billed charges,"1,000.48",percent of total billed charges,"1,081.60",percent of total billed charges,"1,081.60",percent of total billed charges,,,973.44,percent of total billed charges ,,,"1,081.60",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,081.60",percent of total billed charges ,"1,081.60",percent of total billed charges ,946.4,percent of total billed charges ,946.4,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,,,,,719.26,percent of total billed charges ,,,,,683.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,
157011120 SUMMIT POR TAPER SZ6 HI OFF,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
101011090 ACTIS COLLARED STD SZ 9,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
121732054 PINN SECTOR W/GRIPTION 54MM,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
151810035 35MM MEDIAL ANT PAT ATTUNE,C1776,CDM,,,,both,1,each,"5,035.00","5,035.00","1,409.80","5,035.00","5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"5,035.00",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,625.20",percent of total billed charges,"3,725.90",percent of total billed charges,"3,725.90",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,,,"3,625.20",percent of total billed charges ,,,"4,028.00",percent of total billed charges ,"4,229.40",percent of total billed charges ,"4,229.40",percent of total billed charges ,"3,927.30",percent of total billed charges ,"3,927.30",percent of total billed charges ,"4,028.00",percent of total billed charges ,"4,028.00",percent of total billed charges ,"3,524.50",percent of total billed charges ,"3,524.50",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,"3,021.00",percent of total billed charges ,,,,,"2,678.62",percent of total billed charges ,,,,,"2,544.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,,,"1,409.80",percent of total billed charges,
122136452 ALTRX +4 NEUT 36IDX52OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
136511500 ARTICULEZE M 28MM 1.5,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
150410123 PS FEM LT SZ3 NAR CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
151650305 ATTUNE PS RP INSRT SZ3 5MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
150410204 ATTUNE PS FEM RT SZ 4 CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
101012040 ACTIS COLLARED HIGH SZ 4,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
122132050 ALTRX NEUT 32IDX50OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
150680002 RP TIB BASE SZ 2 CEM,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
ATTUNE 150410104 PS FEM LT SZ 4 CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
ATTUNE 151650416 PS RP INSRT SZ 4 16MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
ATTUNE 150660007 REV RP TIB BASE SZ7 CEM,C1776,CDM,,,,both,1,each,"28,557.00","28,557.00","7,995.96","28,557.00","28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"28,557.00",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"20,561.04",percent of total billed charges,"21,132.18",percent of total billed charges,"21,132.18",percent of total billed charges,"22,845.60",percent of total billed charges,"22,845.60",percent of total billed charges,,,"20,561.04",percent of total billed charges ,,,"22,845.60",percent of total billed charges ,"23,987.88",percent of total billed charges ,"23,987.88",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,274.46",percent of total billed charges ,"22,845.60",percent of total billed charges ,"22,845.60",percent of total billed charges ,"19,989.90",percent of total billed charges ,"19,989.90",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,"17,134.20",percent of total billed charges ,,,,,"15,192.32",percent of total billed charges ,,,,,"14,432.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,,,"7,995.96",percent of total billed charges,
ATTUNE 151650612 PS RP INSRT SZ6 12MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
ATTUNE 151650306 PS RP INSRT SZ3 6MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
PINN 121701058 100 ACET CUP 58MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
ALTRX +4 122140458 NEUT 40IDX58OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
12/14 ARTIC 136507000 40MM M SPEC+8.5,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
ATTUNE 150680001 RP TIB BASE SZ 1 CEM,C1776,CDM,,,,both,1,each,"8,904.00","8,904.00","2,493.12","8,904.00","8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"8,904.00",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,410.88",percent of total billed charges,"6,588.96",percent of total billed charges,"6,588.96",percent of total billed charges,"7,123.20",percent of total billed charges,"7,123.20",percent of total billed charges,,,"6,410.88",percent of total billed charges ,,,"7,123.20",percent of total billed charges ,"7,479.36",percent of total billed charges ,"7,479.36",percent of total billed charges ,"6,945.12",percent of total billed charges ,"6,945.12",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,232.80",percent of total billed charges ,"6,232.80",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,,,,,"4,736.93",percent of total billed charges ,,,,,"4,500.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,,,"2,493.12",percent of total billed charges,
ACTIS 101011060 COLLARED STD SZ 6,C1776,CDM,,,,both,1,each,"15,158.00","15,158.00","4,244.24","15,158.00","15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"15,158.00",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"10,913.76",percent of total billed charges,"11,216.92",percent of total billed charges,"11,216.92",percent of total billed charges,"12,126.40",percent of total billed charges,"12,126.40",percent of total billed charges,,,"10,913.76",percent of total billed charges ,,,"12,126.40",percent of total billed charges ,"12,732.72",percent of total billed charges ,"12,732.72",percent of total billed charges ,"11,823.24",percent of total billed charges ,"11,823.24",percent of total billed charges ,"12,126.40",percent of total billed charges ,"12,126.40",percent of total billed charges ,"10,610.60",percent of total billed charges ,"10,610.60",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,"9,094.80",percent of total billed charges ,,,,,"8,064.06",percent of total billed charges ,,,,,"7,660.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,,,"4,244.24",percent of total billed charges,
PINN 121701058 100 ACET CUP 58MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
ALTRX 122140058 NEUT 40IDX58OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
DLT 136540720 TS CER HD 12/14 40MM +5.0,C1776,CDM,,,,both,1,each,"6,784.00","6,784.00","1,899.52","6,784.00","6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"5,020.16",percent of total billed charges,"5,020.16",percent of total billed charges,"5,427.20",percent of total billed charges,"5,427.20",percent of total billed charges,,,"4,884.48",percent of total billed charges ,,,"5,427.20",percent of total billed charges ,"5,698.56",percent of total billed charges ,"5,698.56",percent of total billed charges ,"5,291.52",percent of total billed charges ,"5,291.52",percent of total billed charges ,"5,427.20",percent of total billed charges ,"5,427.20",percent of total billed charges ,"4,748.80",percent of total billed charges ,"4,748.80",percent of total billed charges ,"4,070.40",percent of total billed charges ,"4,070.40",percent of total billed charges ,"4,070.40",percent of total billed charges ,"4,070.40",percent of total billed charges ,,,,,"3,609.09",percent of total billed charges ,,,,,"3,428.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,
ALTRX 122136454 +4 NEUT 36IDX54OD,C1776,CDM,,,,both,1,each,"5,512.00","5,512.00","1,543.36","5,512.00","5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"5,512.00",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"3,968.64",percent of total billed charges,"4,078.88",percent of total billed charges,"4,078.88",percent of total billed charges,"4,409.60",percent of total billed charges,"4,409.60",percent of total billed charges,,,"3,968.64",percent of total billed charges ,,,"4,409.60",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,630.08",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,299.36",percent of total billed charges ,"4,409.60",percent of total billed charges ,"4,409.60",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,858.40",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,,,,,"2,932.38",percent of total billed charges ,,,,,"2,785.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,,,"1,543.36",percent of total billed charges,
ARTICULEZE 136553000 M HEAD 36MM +8.5,C1776,CDM,,,,both,1,each,"4,028.00","4,028.00","1,127.84","4,028.00","4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"4,028.00",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,900.16",percent of total billed charges,"2,980.72",percent of total billed charges,"2,980.72",percent of total billed charges,"3,222.40",percent of total billed charges,"3,222.40",percent of total billed charges,,,"2,900.16",percent of total billed charges ,,,"3,222.40",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,383.52",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,141.84",percent of total billed charges ,"3,222.40",percent of total billed charges ,"3,222.40",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,819.60",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,"2,035.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,,,"1,127.84",percent of total billed charges,
ATTUNE 151650707 PS RP INSRT SZ 7 7MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
SUMMIT 157011165 POR TAPER SZ9 HI OFF,C1776,CDM,,,,both,1,each,"16,500.00","16,500.00","4,620.00","16,500.00","16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"12,210.00",percent of total billed charges,"12,210.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,,,"11,880.00",percent of total billed charges ,,,"13,200.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,,,,,"8,778.00",percent of total billed charges ,,,,,"8,339.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,
ATTUNE 150680003 RP TIB BASE SZ 3 CEM,C1776,CDM,,,,both,1,each,"9,450.00","9,450.00","2,646.00","9,450.00","9,450.00",percent of total billed charges,"9,450.00",percent of total billed charges,"9,450.00",percent of total billed charges,"9,450.00",percent of total billed charges,"9,450.00",percent of total billed charges,"9,450.00",percent of total billed charges,"9,450.00",percent of total billed charges,"9,450.00",percent of total billed charges,"6,804.00",percent of total billed charges,"6,804.00",percent of total billed charges,"6,804.00",percent of total billed charges,"6,804.00",percent of total billed charges,"6,804.00",percent of total billed charges,"6,804.00",percent of total billed charges,"6,993.00",percent of total billed charges,"6,993.00",percent of total billed charges,"7,560.00",percent of total billed charges,"7,560.00",percent of total billed charges,,,"6,804.00",percent of total billed charges ,,,"7,560.00",percent of total billed charges ,"7,938.00",percent of total billed charges ,"7,938.00",percent of total billed charges ,"7,371.00",percent of total billed charges ,"7,371.00",percent of total billed charges ,"7,560.00",percent of total billed charges ,"7,560.00",percent of total billed charges ,"6,615.00",percent of total billed charges ,"6,615.00",percent of total billed charges ,"5,670.00",percent of total billed charges ,"5,670.00",percent of total billed charges ,"5,670.00",percent of total billed charges ,"5,670.00",percent of total billed charges ,,,,,"5,027.40",percent of total billed charges ,,,,,"4,776.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,,,"2,646.00",percent of total billed charges,
SUMMIT 157011180 POR TAPER SZ10 HI OFF,C1776,CDM,,,,both,1,each,"16,500.00","16,500.00","4,620.00","16,500.00","16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"12,210.00",percent of total billed charges,"12,210.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,,,"11,880.00",percent of total billed charges ,,,"13,200.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,,,,,"8,778.00",percent of total billed charges ,,,,,"8,339.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,
ATTUNE 151650310 PS RP INSRT SZ3 10MM,C1776,CDM,,,,both,1,each,"7,650.00","7,650.00","2,142.00","7,650.00","7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,661.00",percent of total billed charges,"5,661.00",percent of total billed charges,"6,120.00",percent of total billed charges,"6,120.00",percent of total billed charges,,,"5,508.00",percent of total billed charges ,,,"6,120.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"5,967.00",percent of total billed charges ,"5,967.00",percent of total billed charges ,"6,120.00",percent of total billed charges ,"6,120.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,,,,,"4,069.80",percent of total billed charges ,,,,,"3,866.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,
PINNACLE 121852045 DM LINER 52_45,C1776,CDM,,,,both,1,each,"8,820.00","8,820.00","2,469.60","8,820.00","8,820.00",percent of total billed charges,"8,820.00",percent of total billed charges,"8,820.00",percent of total billed charges,"8,820.00",percent of total billed charges,"8,820.00",percent of total billed charges,"8,820.00",percent of total billed charges,"8,820.00",percent of total billed charges,"8,820.00",percent of total billed charges,"6,350.40",percent of total billed charges,"6,350.40",percent of total billed charges,"6,350.40",percent of total billed charges,"6,350.40",percent of total billed charges,"6,350.40",percent of total billed charges,"6,350.40",percent of total billed charges,"6,526.80",percent of total billed charges,"6,526.80",percent of total billed charges,"7,056.00",percent of total billed charges,"7,056.00",percent of total billed charges,,,"6,350.40",percent of total billed charges ,,,"7,056.00",percent of total billed charges ,"7,408.80",percent of total billed charges ,"7,408.80",percent of total billed charges ,"6,879.60",percent of total billed charges ,"6,879.60",percent of total billed charges ,"7,056.00",percent of total billed charges ,"7,056.00",percent of total billed charges ,"6,174.00",percent of total billed charges ,"6,174.00",percent of total billed charges ,"5,292.00",percent of total billed charges ,"5,292.00",percent of total billed charges ,"5,292.00",percent of total billed charges ,"5,292.00",percent of total billed charges ,,,,,"4,692.24",percent of total billed charges ,,,,,"4,457.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,,,"2,469.60",percent of total billed charges,
BI MENTUM 122122045 ALTRX LNR 45 22,C1776,CDM,,,,both,1,each,"12,305.00","12,305.00","3,445.40","12,305.00","12,305.00",percent of total billed charges,"12,305.00",percent of total billed charges,"12,305.00",percent of total billed charges,"12,305.00",percent of total billed charges,"12,305.00",percent of total billed charges,"12,305.00",percent of total billed charges,"12,305.00",percent of total billed charges,"12,305.00",percent of total billed charges,"8,859.60",percent of total billed charges,"8,859.60",percent of total billed charges,"8,859.60",percent of total billed charges,"8,859.60",percent of total billed charges,"8,859.60",percent of total billed charges,"8,859.60",percent of total billed charges,"9,105.70",percent of total billed charges,"9,105.70",percent of total billed charges,"9,844.00",percent of total billed charges,"9,844.00",percent of total billed charges,,,"8,859.60",percent of total billed charges ,,,"9,844.00",percent of total billed charges ,"10,336.20",percent of total billed charges ,"10,336.20",percent of total billed charges ,"9,597.90",percent of total billed charges ,"9,597.90",percent of total billed charges ,"9,844.00",percent of total billed charges ,"9,844.00",percent of total billed charges ,"8,613.50",percent of total billed charges ,"8,613.50",percent of total billed charges ,"7,383.00",percent of total billed charges ,"7,383.00",percent of total billed charges ,"7,383.00",percent of total billed charges ,"7,383.00",percent of total billed charges ,,,,,"6,546.26",percent of total billed charges ,,,,,"6,218.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,,,"3,445.40",percent of total billed charges,
SUMMIT 157011100 POR TAPER SZ4 HI OFF,C1776,CDM,,,,both,1,each,"16,500.00","16,500.00","4,620.00","16,500.00","16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"12,210.00",percent of total billed charges,"12,210.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,,,"11,880.00",percent of total billed charges ,,,"13,200.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,,,,,"8,778.00",percent of total billed charges ,,,,,"8,339.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,
ALTRX NEUT 122140058 40IDX58OD,C1776,CDM,,,,both,1,each,"5,850.00","5,850.00","1,638.00","5,850.00","5,850.00",percent of total billed charges,"5,850.00",percent of total billed charges,"5,850.00",percent of total billed charges,"5,850.00",percent of total billed charges,"5,850.00",percent of total billed charges,"5,850.00",percent of total billed charges,"5,850.00",percent of total billed charges,"5,850.00",percent of total billed charges,"4,212.00",percent of total billed charges,"4,212.00",percent of total billed charges,"4,212.00",percent of total billed charges,"4,212.00",percent of total billed charges,"4,212.00",percent of total billed charges,"4,212.00",percent of total billed charges,"4,329.00",percent of total billed charges,"4,329.00",percent of total billed charges,"4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,,,"4,212.00",percent of total billed charges ,,,"4,680.00",percent of total billed charges ,"4,914.00",percent of total billed charges ,"4,914.00",percent of total billed charges ,"4,563.00",percent of total billed charges ,"4,563.00",percent of total billed charges ,"4,680.00",percent of total billed charges ,"4,680.00",percent of total billed charges ,"4,095.00",percent of total billed charges ,"4,095.00",percent of total billed charges ,"3,510.00",percent of total billed charges ,"3,510.00",percent of total billed charges ,"3,510.00",percent of total billed charges ,"3,510.00",percent of total billed charges ,,,,,"3,112.20",percent of total billed charges ,,,,,"2,956.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,,,"1,638.00",percent of total billed charges,
ATTUNE 151650605 PS RP INSRT SZ6 5MM,C1776,CDM,,,,both,1,each,"7,650.00","7,650.00","2,142.00","7,650.00","7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,661.00",percent of total billed charges,"5,661.00",percent of total billed charges,"6,120.00",percent of total billed charges,"6,120.00",percent of total billed charges,,,"5,508.00",percent of total billed charges ,,,"6,120.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"5,967.00",percent of total billed charges ,"5,967.00",percent of total billed charges ,"6,120.00",percent of total billed charges ,"6,120.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,,,,,"4,069.80",percent of total billed charges ,,,,,"3,866.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,
ATTUNE 151650705 PS RP INSRT SZ7 5MM,C1776,CDM,,,,both,1,each,"7,650.00","7,650.00","2,142.00","7,650.00","7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"7,650.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,508.00",percent of total billed charges,"5,661.00",percent of total billed charges,"5,661.00",percent of total billed charges,"6,120.00",percent of total billed charges,"6,120.00",percent of total billed charges,,,"5,508.00",percent of total billed charges ,,,"6,120.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"5,967.00",percent of total billed charges ,"5,967.00",percent of total billed charges ,"6,120.00",percent of total billed charges ,"6,120.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"5,355.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,"4,590.00",percent of total billed charges ,,,,,"4,069.80",percent of total billed charges ,,,,,"3,866.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,,,"2,142.00",percent of total billed charges,
ACTIS 101011040 COLLARED STD SZ 4,C1776,CDM,,,,both,1,each,"16,500.00","16,500.00","4,620.00","16,500.00","16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"12,210.00",percent of total billed charges,"12,210.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,,,"11,880.00",percent of total billed charges ,,,"13,200.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,,,,,"8,778.00",percent of total billed charges ,,,,,"8,339.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,
ACTIS 101011070 COLLARED STD SZ 7,C1776,CDM,,,,both,1,each,"16,500.00","16,500.00","4,620.00","16,500.00","16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"16,500.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"11,880.00",percent of total billed charges,"12,210.00",percent of total billed charges,"12,210.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,,,"11,880.00",percent of total billed charges ,,,"13,200.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"13,860.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"12,870.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"13,200.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"11,550.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,"9,900.00",percent of total billed charges ,,,,,"8,778.00",percent of total billed charges ,,,,,"8,339.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,,,"4,620.00",percent of total billed charges,
"MIAMI DEVICE DISTAL RAD PLATE, NARRO3HOL",C1713,CDM,,,,both,1,each,"11,044.00","11,044.00","3,092.32","11,044.00","11,044.00",percent of total billed charges,"11,044.00",percent of total billed charges,"11,044.00",percent of total billed charges,"11,044.00",percent of total billed charges,"11,044.00",percent of total billed charges,"11,044.00",percent of total billed charges,"11,044.00",percent of total billed charges,"11,044.00",percent of total billed charges,"7,951.68",percent of total billed charges,"7,951.68",percent of total billed charges,"7,951.68",percent of total billed charges,"7,951.68",percent of total billed charges,"7,951.68",percent of total billed charges,"7,951.68",percent of total billed charges,"8,172.56",percent of total billed charges,"8,172.56",percent of total billed charges,"8,835.20",percent of total billed charges,"8,835.20",percent of total billed charges,,,"7,951.68",percent of total billed charges ,,,"8,835.20",percent of total billed charges ,"9,276.96",percent of total billed charges ,"9,276.96",percent of total billed charges ,"8,614.32",percent of total billed charges ,"8,614.32",percent of total billed charges ,"8,835.20",percent of total billed charges ,"8,835.20",percent of total billed charges ,"7,730.80",percent of total billed charges ,"7,730.80",percent of total billed charges ,"6,626.40",percent of total billed charges ,"6,626.40",percent of total billed charges ,"6,626.40",percent of total billed charges ,"6,626.40",percent of total billed charges ,,,,,"5,875.41",percent of total billed charges ,,,,,"5,581.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,,,"3,092.32",percent of total billed charges,
LOCKING CAP 2.0T MDS090301L,C1713,CDM,,,,both,1,each,"1,782.00","1,782.00",498.96,"1,782.00","1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,318.68",percent of total billed charges,"1,318.68",percent of total billed charges,"1,425.60",percent of total billed charges,"1,425.60",percent of total billed charges,,,"1,283.04",percent of total billed charges ,,,"1,425.60",percent of total billed charges ,"1,496.88",percent of total billed charges ,"1,496.88",percent of total billed charges ,"1,389.96",percent of total billed charges ,"1,389.96",percent of total billed charges ,"1,425.60",percent of total billed charges ,"1,425.60",percent of total billed charges ,"1,247.40",percent of total billed charges ,"1,247.40",percent of total billed charges ,"1,069.20",percent of total billed charges ,"1,069.20",percent of total billed charges ,"1,069.20",percent of total billed charges ,"1,069.20",percent of total billed charges ,,,,,948.02,percent of total billed charges ,,,,,900.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,
2.0 X L17 MM CORTICAL SCREW MDS1902X17,C1713,CDM,,,,both,1,each,"1,118.00","1,118.00",313.04,"1,118.00","1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,827.32,percent of total billed charges,827.32,percent of total billed charges,894.4,percent of total billed charges,894.4,percent of total billed charges,,,804.96,percent of total billed charges ,,,894.4,percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,872.04,percent of total billed charges ,872.04,percent of total billed charges ,894.4,percent of total billed charges ,894.4,percent of total billed charges ,782.6,percent of total billed charges ,782.6,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,,,,,594.78,percent of total billed charges ,,,,,565.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,
2.0MM X L 18MM CORTICAL SCREW MDS1902X18,C1713,CDM,,,,both,1,each,"1,118.00","1,118.00",313.04,"1,118.00","1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,827.32,percent of total billed charges,827.32,percent of total billed charges,894.4,percent of total billed charges,894.4,percent of total billed charges,,,804.96,percent of total billed charges ,,,894.4,percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,872.04,percent of total billed charges ,872.04,percent of total billed charges ,894.4,percent of total billed charges ,894.4,percent of total billed charges ,782.6,percent of total billed charges ,782.6,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,,,,,594.78,percent of total billed charges ,,,,,565.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,
2.0 X L 19MM CORTICAL SCREW MDS1902X19,C1713,CDM,,,,both,1,each,"1,118.00","1,118.00",313.04,"1,118.00","1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,827.32,percent of total billed charges,827.32,percent of total billed charges,894.4,percent of total billed charges,894.4,percent of total billed charges,,,804.96,percent of total billed charges ,,,894.4,percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,872.04,percent of total billed charges ,872.04,percent of total billed charges ,894.4,percent of total billed charges ,894.4,percent of total billed charges ,782.6,percent of total billed charges ,782.6,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,,,,,594.78,percent of total billed charges ,,,,,565.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,
2.7 X L 14MM CORTICAL SCREW MDS1002X14,C1713,CDM,,,,both,1,each,"1,118.00","1,118.00",313.04,"1,118.00","1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,827.32,percent of total billed charges,827.32,percent of total billed charges,894.4,percent of total billed charges,894.4,percent of total billed charges,,,804.96,percent of total billed charges ,,,894.4,percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,872.04,percent of total billed charges ,872.04,percent of total billed charges ,894.4,percent of total billed charges ,894.4,percent of total billed charges ,782.6,percent of total billed charges ,782.6,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,,,,,594.78,percent of total billed charges ,,,,,565.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,
2.7 X 15MM CORTICAL SCREW MDS1002X15,C1713,CDM,,,,both,1,each,"1,118.00","1,118.00",313.04,"1,118.00","1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,827.32,percent of total billed charges,827.32,percent of total billed charges,894.4,percent of total billed charges,894.4,percent of total billed charges,,,804.96,percent of total billed charges ,,,894.4,percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,872.04,percent of total billed charges ,872.04,percent of total billed charges ,894.4,percent of total billed charges ,894.4,percent of total billed charges ,782.6,percent of total billed charges ,782.6,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,,,,,594.78,percent of total billed charges ,,,,,565.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,
"2.0MM DRILL, 100 MM MDS101120100",LOCAL,LOCAL,,,,both,1,each,"1,160.00","1,160.00",324.8,"1,160.00","1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,858.4,percent of total billed charges,858.4,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,,,835.2,percent of total billed charges ,,,928,percent of total billed charges ,974.4,percent of total billed charges ,974.4,percent of total billed charges ,904.8,percent of total billed charges ,904.8,percent of total billed charges ,928,percent of total billed charges ,928,percent of total billed charges ,812,percent of total billed charges ,812,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,,,,,617.12,percent of total billed charges ,,,,,586.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,
1.3MM DRILL MDS191113125,LOCAL,LOCAL,,,,both,1,each,"1,160.00","1,160.00",324.8,"1,160.00","1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,858.4,percent of total billed charges,858.4,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,,,835.2,percent of total billed charges ,,,928,percent of total billed charges ,974.4,percent of total billed charges ,974.4,percent of total billed charges ,904.8,percent of total billed charges ,904.8,percent of total billed charges ,928,percent of total billed charges ,928,percent of total billed charges ,812,percent of total billed charges ,812,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,,,,,617.12,percent of total billed charges ,,,,,586.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,
ACCUFILL BONE SUB 11GA X 120MM 514.303,C1713,CDM,,,,both,1,each,"16,693.00","16,693.00","4,674.04","16,693.00","16,693.00",percent of total billed charges,"16,693.00",percent of total billed charges,"16,693.00",percent of total billed charges,"16,693.00",percent of total billed charges,"16,693.00",percent of total billed charges,"16,693.00",percent of total billed charges,"16,693.00",percent of total billed charges,"16,693.00",percent of total billed charges,"12,018.96",percent of total billed charges,"12,018.96",percent of total billed charges,"12,018.96",percent of total billed charges,"12,018.96",percent of total billed charges,"12,018.96",percent of total billed charges,"12,018.96",percent of total billed charges,"12,352.82",percent of total billed charges,"12,352.82",percent of total billed charges,"13,354.40",percent of total billed charges,"13,354.40",percent of total billed charges,,,"12,018.96",percent of total billed charges ,,,"13,354.40",percent of total billed charges ,"14,022.12",percent of total billed charges ,"14,022.12",percent of total billed charges ,"13,020.54",percent of total billed charges ,"13,020.54",percent of total billed charges ,"13,354.40",percent of total billed charges ,"13,354.40",percent of total billed charges ,"11,685.10",percent of total billed charges ,"11,685.10",percent of total billed charges ,"10,015.80",percent of total billed charges ,"10,015.80",percent of total billed charges ,"10,015.80",percent of total billed charges ,"10,015.80",percent of total billed charges ,,,,,"8,880.68",percent of total billed charges ,,,,,"8,436.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,,,"4,674.04",percent of total billed charges,
SNPOFF SCRW 2X11MM 45110001,C1713,CDM,,,,both,1,each,"2,955.00","2,955.00",827.4,"2,955.00","2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,186.70",percent of total billed charges,"2,186.70",percent of total billed charges,"2,364.00",percent of total billed charges,"2,364.00",percent of total billed charges,,,"2,127.60",percent of total billed charges ,,,"2,364.00",percent of total billed charges ,"2,482.20",percent of total billed charges ,"2,482.20",percent of total billed charges ,"2,304.90",percent of total billed charges ,"2,304.90",percent of total billed charges ,"2,364.00",percent of total billed charges ,"2,364.00",percent of total billed charges ,"2,068.50",percent of total billed charges ,"2,068.50",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,,,,,"1,572.06",percent of total billed charges ,,,,,"1,493.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,
SNPOFF SCRW 2X12MM 45110002,C1713,CDM,,,,both,1,each,"2,955.00","2,955.00",827.4,"2,955.00","2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,186.70",percent of total billed charges,"2,186.70",percent of total billed charges,"2,364.00",percent of total billed charges,"2,364.00",percent of total billed charges,,,"2,127.60",percent of total billed charges ,,,"2,364.00",percent of total billed charges ,"2,482.20",percent of total billed charges ,"2,482.20",percent of total billed charges ,"2,304.90",percent of total billed charges ,"2,304.90",percent of total billed charges ,"2,364.00",percent of total billed charges ,"2,364.00",percent of total billed charges ,"2,068.50",percent of total billed charges ,"2,068.50",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,,,,,"1,572.06",percent of total billed charges ,,,,,"1,493.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,
SNGL TROCAR WIRE 1X150MM 44112000,LOCAL,LOCAL,,,,both,1,each,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
VOLARBEARING PLATE RT 3HOLE 7PEG,C1713,CDM,,,,both,1,each,"10,517.00","10,517.00","2,944.76","10,517.00","10,517.00",percent of total billed charges,"10,517.00",percent of total billed charges,"10,517.00",percent of total billed charges,"10,517.00",percent of total billed charges,"10,517.00",percent of total billed charges,"10,517.00",percent of total billed charges,"10,517.00",percent of total billed charges,"10,517.00",percent of total billed charges,"7,572.24",percent of total billed charges,"7,572.24",percent of total billed charges,"7,572.24",percent of total billed charges,"7,572.24",percent of total billed charges,"7,572.24",percent of total billed charges,"7,572.24",percent of total billed charges,"7,782.58",percent of total billed charges,"7,782.58",percent of total billed charges,"8,413.60",percent of total billed charges,"8,413.60",percent of total billed charges,,,"7,572.24",percent of total billed charges ,,,"8,413.60",percent of total billed charges ,"8,834.28",percent of total billed charges ,"8,834.28",percent of total billed charges ,"8,203.26",percent of total billed charges ,"8,203.26",percent of total billed charges ,"8,413.60",percent of total billed charges ,"8,413.60",percent of total billed charges ,"7,361.90",percent of total billed charges ,"7,361.90",percent of total billed charges ,"6,310.20",percent of total billed charges ,"6,310.20",percent of total billed charges ,"6,310.20",percent of total billed charges ,"6,310.20",percent of total billed charges ,,,,,"5,595.04",percent of total billed charges ,,,,,"5,315.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,,,"2,944.76",percent of total billed charges,
16MM TORX THREADED PEG,C1713,CDM,,,,both,1,each,"1,221.00","1,221.00",341.88,"1,221.00","1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,903.54,percent of total billed charges,903.54,percent of total billed charges,976.8,percent of total billed charges,976.8,percent of total billed charges,,,879.12,percent of total billed charges ,,,976.8,percent of total billed charges ,"1,025.64",percent of total billed charges ,"1,025.64",percent of total billed charges ,952.38,percent of total billed charges ,952.38,percent of total billed charges ,976.8,percent of total billed charges ,976.8,percent of total billed charges ,854.7,percent of total billed charges ,854.7,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,,,,,649.57,percent of total billed charges ,,,,,617.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,
18MM TORX THREADED PEG,C1713,CDM,,,,both,1,each,"1,221.00","1,221.00",341.88,"1,221.00","1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,903.54,percent of total billed charges,903.54,percent of total billed charges,976.8,percent of total billed charges,976.8,percent of total billed charges,,,879.12,percent of total billed charges ,,,976.8,percent of total billed charges ,"1,025.64",percent of total billed charges ,"1,025.64",percent of total billed charges ,952.38,percent of total billed charges ,952.38,percent of total billed charges ,976.8,percent of total billed charges ,976.8,percent of total billed charges ,854.7,percent of total billed charges ,854.7,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,,,,,649.57,percent of total billed charges ,,,,,617.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,
20MM TORX THREADED PEG,C1713,CDM,,,,both,1,each,"1,221.00","1,221.00",341.88,"1,221.00","1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,903.54,percent of total billed charges,903.54,percent of total billed charges,976.8,percent of total billed charges,976.8,percent of total billed charges,,,879.12,percent of total billed charges ,,,976.8,percent of total billed charges ,"1,025.64",percent of total billed charges ,"1,025.64",percent of total billed charges ,952.38,percent of total billed charges ,952.38,percent of total billed charges ,976.8,percent of total billed charges ,976.8,percent of total billed charges ,854.7,percent of total billed charges ,854.7,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,,,,,649.57,percent of total billed charges ,,,,,617.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,
14MM HEX CORTICAL SCREW,C1713,CDM,,,,both,1,each,"1,203.00","1,203.00",336.84,"1,203.00","1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,890.22,percent of total billed charges,890.22,percent of total billed charges,962.4,percent of total billed charges,962.4,percent of total billed charges,,,866.16,percent of total billed charges ,,,962.4,percent of total billed charges ,"1,010.52",percent of total billed charges ,"1,010.52",percent of total billed charges ,938.34,percent of total billed charges ,938.34,percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,842.1,percent of total billed charges ,842.1,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,,,,,640,percent of total billed charges ,,,,,608,percent of total billed charges ,,,,,,,,,,,,,,,,,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,
16MM HEX CORTICAL SCREW 3.2,C1713,CDM,,,,both,1,each,"1,203.00","1,203.00",336.84,"1,203.00","1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,890.22,percent of total billed charges,890.22,percent of total billed charges,962.4,percent of total billed charges,962.4,percent of total billed charges,,,866.16,percent of total billed charges ,,,962.4,percent of total billed charges ,"1,010.52",percent of total billed charges ,"1,010.52",percent of total billed charges ,938.34,percent of total billed charges ,938.34,percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,842.1,percent of total billed charges ,842.1,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,,,,,640,percent of total billed charges ,,,,,608,percent of total billed charges ,,,,,,,,,,,,,,,,,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,
18MM HEX CORTICAL SCREW 3.2,C1713,CDM,,,,both,1,each,"1,203.00","1,203.00",336.84,"1,203.00","1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,"1,203.00",percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,866.16,percent of total billed charges,890.22,percent of total billed charges,890.22,percent of total billed charges,962.4,percent of total billed charges,962.4,percent of total billed charges,,,866.16,percent of total billed charges ,,,962.4,percent of total billed charges ,"1,010.52",percent of total billed charges ,"1,010.52",percent of total billed charges ,938.34,percent of total billed charges ,938.34,percent of total billed charges ,962.4,percent of total billed charges ,962.4,percent of total billed charges ,842.1,percent of total billed charges ,842.1,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,721.8,percent of total billed charges ,,,,,640,percent of total billed charges ,,,,,608,percent of total billed charges ,,,,,,,,,,,,,,,,,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,,,336.84,percent of total billed charges,
KWIRE TRIMED 1.1 100MM,C1769,CDM,,,,both,1,each,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
DRILL 1.8 90MM,LOCAL,LOCAL,,,,both,1,each,"1,305.00","1,305.00",365.4,"1,305.00","1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,965.7,percent of total billed charges,965.7,percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,,,939.6,percent of total billed charges ,,,"1,044.00",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,044.00",percent of total billed charges ,"1,044.00",percent of total billed charges ,913.5,percent of total billed charges ,913.5,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,,,,,694.26,percent of total billed charges ,,,,,659.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,
"DRILL 2.3, 80MM",LOCAL,LOCAL,,,,both,1,each,"1,305.00","1,305.00",365.4,"1,305.00","1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,965.7,percent of total billed charges,965.7,percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,,,939.6,percent of total billed charges ,,,"1,044.00",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,044.00",percent of total billed charges ,"1,044.00",percent of total billed charges ,913.5,percent of total billed charges ,913.5,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,,,,,694.26,percent of total billed charges ,,,,,659.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,
VOLAR BEARING PLT RT 3HOLE 7PEG N VLBPR-,C1713,CDM,,,,both,1,each,"11,048.00","11,048.00","3,093.44","11,048.00","11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"8,175.52",percent of total billed charges,"8,175.52",percent of total billed charges,"8,838.40",percent of total billed charges,"8,838.40",percent of total billed charges,,,"7,954.56",percent of total billed charges ,,,"8,838.40",percent of total billed charges ,"9,280.32",percent of total billed charges ,"9,280.32",percent of total billed charges ,"8,617.44",percent of total billed charges ,"8,617.44",percent of total billed charges ,"8,838.40",percent of total billed charges ,"8,838.40",percent of total billed charges ,"7,733.60",percent of total billed charges ,"7,733.60",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,,,,,"5,877.54",percent of total billed charges ,,,,,"5,583.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,
"3.2, 11MM HEX CORT SCREW HEX3.2-11",C1713,CDM,,,,both,1,each,"1,147.00","1,147.00",321.16,"1,147.00","1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,917.6,percent of total billed charges,917.6,percent of total billed charges,,,825.84,percent of total billed charges ,,,917.6,percent of total billed charges ,963.48,percent of total billed charges ,963.48,percent of total billed charges ,894.66,percent of total billed charges ,894.66,percent of total billed charges ,917.6,percent of total billed charges ,917.6,percent of total billed charges ,802.9,percent of total billed charges ,802.9,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,,,,,610.2,percent of total billed charges ,,,,,579.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,
"3.2, 12MM HEX CORT SCREW HEX3.2-12",C1713,CDM,,,,both,1,each,"1,147.00","1,147.00",321.16,"1,147.00","1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,917.6,percent of total billed charges,917.6,percent of total billed charges,,,825.84,percent of total billed charges ,,,917.6,percent of total billed charges ,963.48,percent of total billed charges ,963.48,percent of total billed charges ,894.66,percent of total billed charges ,894.66,percent of total billed charges ,917.6,percent of total billed charges ,917.6,percent of total billed charges ,802.9,percent of total billed charges ,802.9,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,,,,,610.2,percent of total billed charges ,,,,,579.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,
TRIMED HEX 3.2X13MM,C1713,CDM,,,,both,1,each,"1,147.00","1,147.00",321.16,"1,147.00","1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,917.6,percent of total billed charges,917.6,percent of total billed charges,,,825.84,percent of total billed charges ,,,917.6,percent of total billed charges ,963.48,percent of total billed charges ,963.48,percent of total billed charges ,894.66,percent of total billed charges ,894.66,percent of total billed charges ,917.6,percent of total billed charges ,917.6,percent of total billed charges ,802.9,percent of total billed charges ,802.9,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,,,,,610.2,percent of total billed charges ,,,,,579.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,
TRIMED HEX 3.2 X 15MM,C1713,CDM,,,,both,1,each,"1,147.00","1,147.00",321.16,"1,147.00","1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,917.6,percent of total billed charges,917.6,percent of total billed charges,,,825.84,percent of total billed charges ,,,917.6,percent of total billed charges ,963.48,percent of total billed charges ,963.48,percent of total billed charges ,894.66,percent of total billed charges ,894.66,percent of total billed charges ,917.6,percent of total billed charges ,917.6,percent of total billed charges ,802.9,percent of total billed charges ,802.9,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,,,,,610.2,percent of total billed charges ,,,,,579.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,
14MM LHEX 3.2X14,C1713,CDM,,,,both,1,each,"1,164.00","1,164.00",325.92,"1,164.00","1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,"1,164.00",percent of total billed charges,838.08,percent of total billed charges,838.08,percent of total billed charges,838.08,percent of total billed charges,838.08,percent of total billed charges,838.08,percent of total billed charges,838.08,percent of total billed charges,861.36,percent of total billed charges,861.36,percent of total billed charges,931.2,percent of total billed charges,931.2,percent of total billed charges,,,838.08,percent of total billed charges ,,,931.2,percent of total billed charges ,977.76,percent of total billed charges ,977.76,percent of total billed charges ,907.92,percent of total billed charges ,907.92,percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,814.8,percent of total billed charges ,814.8,percent of total billed charges ,698.4,percent of total billed charges ,698.4,percent of total billed charges ,698.4,percent of total billed charges ,698.4,percent of total billed charges ,,,,,619.25,percent of total billed charges ,,,,,588.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,,,325.92,percent of total billed charges,
VOLAR BEARING PLATE RT 5 HOLE 7PEG,C1713,CDM,,,,both,1,each,"11,048.00","11,048.00","3,093.44","11,048.00","11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"8,175.52",percent of total billed charges,"8,175.52",percent of total billed charges,"8,838.40",percent of total billed charges,"8,838.40",percent of total billed charges,,,"7,954.56",percent of total billed charges ,,,"8,838.40",percent of total billed charges ,"9,280.32",percent of total billed charges ,"9,280.32",percent of total billed charges ,"8,617.44",percent of total billed charges ,"8,617.44",percent of total billed charges ,"8,838.40",percent of total billed charges ,"8,838.40",percent of total billed charges ,"7,733.60",percent of total billed charges ,"7,733.60",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,,,,,"5,877.54",percent of total billed charges ,,,,,"5,583.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,
2.0MM DRILL SHORT EVOS 71174910,LOCAL,LOCAL,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
EVOS 2.7MM PLATE 8HL 72442768,C1713,CDM,,,,both,1,each,"8,287.00","8,287.00","2,320.36","8,287.00","8,287.00",percent of total billed charges,"8,287.00",percent of total billed charges,"8,287.00",percent of total billed charges,"8,287.00",percent of total billed charges,"8,287.00",percent of total billed charges,"8,287.00",percent of total billed charges,"8,287.00",percent of total billed charges,"8,287.00",percent of total billed charges,"5,966.64",percent of total billed charges,"5,966.64",percent of total billed charges,"5,966.64",percent of total billed charges,"5,966.64",percent of total billed charges,"5,966.64",percent of total billed charges,"5,966.64",percent of total billed charges,"6,132.38",percent of total billed charges,"6,132.38",percent of total billed charges,"6,629.60",percent of total billed charges,"6,629.60",percent of total billed charges,,,"5,966.64",percent of total billed charges ,,,"6,629.60",percent of total billed charges ,"6,961.08",percent of total billed charges ,"6,961.08",percent of total billed charges ,"6,463.86",percent of total billed charges ,"6,463.86",percent of total billed charges ,"6,629.60",percent of total billed charges ,"6,629.60",percent of total billed charges ,"5,800.90",percent of total billed charges ,"5,800.90",percent of total billed charges ,"4,972.20",percent of total billed charges ,"4,972.20",percent of total billed charges ,"4,972.20",percent of total billed charges ,"4,972.20",percent of total billed charges ,,,,,"4,408.68",percent of total billed charges ,,,,,"4,188.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,,,"2,320.36",percent of total billed charges,
EVOS 2.7MMX9MM CTXSCR 72402709,C1713,CDM,,,,both,1,each,506,506,141.68,506,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,374.44,percent of total billed charges,374.44,percent of total billed charges,404.8,percent of total billed charges,404.8,percent of total billed charges,,,364.32,percent of total billed charges ,,,404.8,percent of total billed charges ,425.04,percent of total billed charges ,425.04,percent of total billed charges ,394.68,percent of total billed charges ,394.68,percent of total billed charges ,404.8,percent of total billed charges ,404.8,percent of total billed charges ,354.2,percent of total billed charges ,354.2,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,,,,,269.19,percent of total billed charges ,,,,,255.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,
EVOS 2.7MMX10MM CTXSCR 72402710,C1713,CDM,,,,both,1,each,506,506,141.68,506,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,374.44,percent of total billed charges,374.44,percent of total billed charges,404.8,percent of total billed charges,404.8,percent of total billed charges,,,364.32,percent of total billed charges ,,,404.8,percent of total billed charges ,425.04,percent of total billed charges ,425.04,percent of total billed charges ,394.68,percent of total billed charges ,394.68,percent of total billed charges ,404.8,percent of total billed charges ,404.8,percent of total billed charges ,354.2,percent of total billed charges ,354.2,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,,,,,269.19,percent of total billed charges ,,,,,255.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,
EVOS 2.7MMX11MM CTXSCR 72402711,C1713,CDM,,,,both,1,each,506,506,141.68,506,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,374.44,percent of total billed charges,374.44,percent of total billed charges,404.8,percent of total billed charges,404.8,percent of total billed charges,,,364.32,percent of total billed charges ,,,404.8,percent of total billed charges ,425.04,percent of total billed charges ,425.04,percent of total billed charges ,394.68,percent of total billed charges ,394.68,percent of total billed charges ,404.8,percent of total billed charges ,404.8,percent of total billed charges ,354.2,percent of total billed charges ,354.2,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,,,,,269.19,percent of total billed charges ,,,,,255.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,
TRIMED DRILL 2.1 100MM DRILL-2.1/100CS,LOCAL,LOCAL,,,,both,1,each,"1,616.00","1,616.00",452.48,"1,616.00","1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,195.84",percent of total billed charges,"1,195.84",percent of total billed charges,"1,292.80",percent of total billed charges,"1,292.80",percent of total billed charges,,,"1,163.52",percent of total billed charges ,,,"1,292.80",percent of total billed charges ,"1,357.44",percent of total billed charges ,"1,357.44",percent of total billed charges ,"1,260.48",percent of total billed charges ,"1,260.48",percent of total billed charges ,"1,292.80",percent of total billed charges ,"1,292.80",percent of total billed charges ,"1,131.20",percent of total billed charges ,"1,131.20",percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,,,,,859.71,percent of total billed charges ,,,,,816.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,
TRIMED KWIRE 1.1 120MM WIRE-1.1/120,C1769,CDM,,,,both,1,each,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
TRIMED IM NAIL 2.1MM 40MM IMN2.1-40T,C1713,CDM,,,,both,1,each,"11,399.00","11,399.00","3,191.72","11,399.00","11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,435.26",percent of total billed charges,"8,435.26",percent of total billed charges,"9,119.20",percent of total billed charges,"9,119.20",percent of total billed charges,,,"8,207.28",percent of total billed charges ,,,"9,119.20",percent of total billed charges ,"9,575.16",percent of total billed charges ,"9,575.16",percent of total billed charges ,"8,891.22",percent of total billed charges ,"8,891.22",percent of total billed charges ,"9,119.20",percent of total billed charges ,"9,119.20",percent of total billed charges ,"7,979.30",percent of total billed charges ,"7,979.30",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,,,,,"6,064.27",percent of total billed charges ,,,,,"5,761.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,
"TRIMED L1712 SLFDRL CCSCREW 1.7, 12MM",C1713,CDM,,,,both,1,each,"4,098.00","4,098.00","1,147.44","4,098.00","4,098.00",percent of total billed charges,"4,098.00",percent of total billed charges,"4,098.00",percent of total billed charges,"4,098.00",percent of total billed charges,"4,098.00",percent of total billed charges,"4,098.00",percent of total billed charges,"4,098.00",percent of total billed charges,"4,098.00",percent of total billed charges,"2,950.56",percent of total billed charges,"2,950.56",percent of total billed charges,"2,950.56",percent of total billed charges,"2,950.56",percent of total billed charges,"2,950.56",percent of total billed charges,"2,950.56",percent of total billed charges,"3,032.52",percent of total billed charges,"3,032.52",percent of total billed charges,"3,278.40",percent of total billed charges,"3,278.40",percent of total billed charges,,,"2,950.56",percent of total billed charges ,,,"3,278.40",percent of total billed charges ,"3,442.32",percent of total billed charges ,"3,442.32",percent of total billed charges ,"3,196.44",percent of total billed charges ,"3,196.44",percent of total billed charges ,"3,278.40",percent of total billed charges ,"3,278.40",percent of total billed charges ,"2,868.60",percent of total billed charges ,"2,868.60",percent of total billed charges ,"2,458.80",percent of total billed charges ,"2,458.80",percent of total billed charges ,"2,458.80",percent of total billed charges ,"2,458.80",percent of total billed charges ,,,,,"2,180.14",percent of total billed charges ,,,,,"2,071.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,,,"1,147.44",percent of total billed charges,
TRIMED KWIRE 0.7/080,C1769,CDM,,,,both,1,each,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
TRIMED DVHX-1.2/055 CAO HEX DRIVER,LOCAL,LOCAL,,,,both,1,each,"1,569.00","1,569.00",439.32,"1,569.00","1,569.00",percent of total billed charges,"1,569.00",percent of total billed charges,"1,569.00",percent of total billed charges,"1,569.00",percent of total billed charges,"1,569.00",percent of total billed charges,"1,569.00",percent of total billed charges,"1,569.00",percent of total billed charges,"1,569.00",percent of total billed charges,"1,129.68",percent of total billed charges,"1,129.68",percent of total billed charges,"1,129.68",percent of total billed charges,"1,129.68",percent of total billed charges,"1,129.68",percent of total billed charges,"1,129.68",percent of total billed charges,"1,161.06",percent of total billed charges,"1,161.06",percent of total billed charges,"1,255.20",percent of total billed charges,"1,255.20",percent of total billed charges,,,"1,129.68",percent of total billed charges ,,,"1,255.20",percent of total billed charges ,"1,317.96",percent of total billed charges ,"1,317.96",percent of total billed charges ,"1,223.82",percent of total billed charges ,"1,223.82",percent of total billed charges ,"1,255.20",percent of total billed charges ,"1,255.20",percent of total billed charges ,"1,098.30",percent of total billed charges ,"1,098.30",percent of total billed charges ,941.4,percent of total billed charges ,941.4,percent of total billed charges ,941.4,percent of total billed charges ,941.4,percent of total billed charges ,,,,,834.71,percent of total billed charges ,,,,,792.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,,,439.32,percent of total billed charges,
DRILL 2.4/110MM CS TRIMED,LOCAL,LOCAL,,,,both,1,each,"1,616.00","1,616.00",452.48,"1,616.00","1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,195.84",percent of total billed charges,"1,195.84",percent of total billed charges,"1,292.80",percent of total billed charges,"1,292.80",percent of total billed charges,,,"1,163.52",percent of total billed charges ,,,"1,292.80",percent of total billed charges ,"1,357.44",percent of total billed charges ,"1,357.44",percent of total billed charges ,"1,260.48",percent of total billed charges ,"1,260.48",percent of total billed charges ,"1,292.80",percent of total billed charges ,"1,292.80",percent of total billed charges ,"1,131.20",percent of total billed charges ,"1,131.20",percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,,,,,859.71,percent of total billed charges ,,,,,816.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,
DRILL 3.0/110MM CS TRIMED,LOCAL,LOCAL,,,,both,1,each,"1,616.00","1,616.00",452.48,"1,616.00","1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,616.00",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,163.52",percent of total billed charges,"1,195.84",percent of total billed charges,"1,195.84",percent of total billed charges,"1,292.80",percent of total billed charges,"1,292.80",percent of total billed charges,,,"1,163.52",percent of total billed charges ,,,"1,292.80",percent of total billed charges ,"1,357.44",percent of total billed charges ,"1,357.44",percent of total billed charges ,"1,260.48",percent of total billed charges ,"1,260.48",percent of total billed charges ,"1,292.80",percent of total billed charges ,"1,292.80",percent of total billed charges ,"1,131.20",percent of total billed charges ,"1,131.20",percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,,,,,859.71,percent of total billed charges ,,,,,816.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,,,452.48,percent of total billed charges,
IMN 2.4-50MM TRIMED IM NAIL,C1713,CDM,,,,both,1,each,"11,399.00","11,399.00","3,191.72","11,399.00","11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,435.26",percent of total billed charges,"8,435.26",percent of total billed charges,"9,119.20",percent of total billed charges,"9,119.20",percent of total billed charges,,,"8,207.28",percent of total billed charges ,,,"9,119.20",percent of total billed charges ,"9,575.16",percent of total billed charges ,"9,575.16",percent of total billed charges ,"8,891.22",percent of total billed charges ,"8,891.22",percent of total billed charges ,"9,119.20",percent of total billed charges ,"9,119.20",percent of total billed charges ,"7,979.30",percent of total billed charges ,"7,979.30",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,,,,,"6,064.27",percent of total billed charges ,,,,,"5,761.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,
IMN 3.0-45MM TRIMED IM NAIL,C1713,CDM,,,,both,1,each,"11,399.00","11,399.00","3,191.72","11,399.00","11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,435.26",percent of total billed charges,"8,435.26",percent of total billed charges,"9,119.20",percent of total billed charges,"9,119.20",percent of total billed charges,,,"8,207.28",percent of total billed charges ,,,"9,119.20",percent of total billed charges ,"9,575.16",percent of total billed charges ,"9,575.16",percent of total billed charges ,"8,891.22",percent of total billed charges ,"8,891.22",percent of total billed charges ,"9,119.20",percent of total billed charges ,"9,119.20",percent of total billed charges ,"7,979.30",percent of total billed charges ,"7,979.30",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,,,,,"6,064.27",percent of total billed charges ,,,,,"5,761.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,
PERILOC KWIRE 2.0MM 71161020 SN,C1769,CDM,,,,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
PERILLOC KWIRE 1.6MM 71161016 SN,C1769,CDM,,,,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
3.5MM DRILLBIT W/QC SN 71173505,LOCAL,LOCAL,,,,both,1,each,"1,073.00","1,073.00",300.44,"1,073.00","1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,794.02,percent of total billed charges,794.02,percent of total billed charges,858.4,percent of total billed charges,858.4,percent of total billed charges,,,772.56,percent of total billed charges ,,,858.4,percent of total billed charges ,901.32,percent of total billed charges ,901.32,percent of total billed charges ,836.94,percent of total billed charges ,836.94,percent of total billed charges ,858.4,percent of total billed charges ,858.4,percent of total billed charges ,751.1,percent of total billed charges ,751.1,percent of total billed charges ,643.8,percent of total billed charges ,643.8,percent of total billed charges ,643.8,percent of total billed charges ,643.8,percent of total billed charges ,,,,,570.84,percent of total billed charges ,,,,,542.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,
4.5MM T25 CRTX SCRW 26MM 73826026,C1713,CDM,,,,both,1,each,295,295,82.6,295,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,218.3,percent of total billed charges,218.3,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,,,212.4,percent of total billed charges ,,,236,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,230.1,percent of total billed charges ,230.1,percent of total billed charges ,236,percent of total billed charges ,236,percent of total billed charges ,206.5,percent of total billed charges ,206.5,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,,,,,156.94,percent of total billed charges ,,,,,149.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,
4.5MM NARROW PL 8 HL 160MM 71829458,C1713,CDM,,,,both,1,each,"1,402.00","1,402.00",392.56,"1,402.00","1,402.00",percent of total billed charges,"1,402.00",percent of total billed charges,"1,402.00",percent of total billed charges,"1,402.00",percent of total billed charges,"1,402.00",percent of total billed charges,"1,402.00",percent of total billed charges,"1,402.00",percent of total billed charges,"1,402.00",percent of total billed charges,"1,009.44",percent of total billed charges,"1,009.44",percent of total billed charges,"1,009.44",percent of total billed charges,"1,009.44",percent of total billed charges,"1,009.44",percent of total billed charges,"1,009.44",percent of total billed charges,"1,037.48",percent of total billed charges,"1,037.48",percent of total billed charges,"1,121.60",percent of total billed charges,"1,121.60",percent of total billed charges,,,"1,009.44",percent of total billed charges ,,,"1,121.60",percent of total billed charges ,"1,177.68",percent of total billed charges ,"1,177.68",percent of total billed charges ,"1,093.56",percent of total billed charges ,"1,093.56",percent of total billed charges ,"1,121.60",percent of total billed charges ,"1,121.60",percent of total billed charges ,981.4,percent of total billed charges ,981.4,percent of total billed charges ,841.2,percent of total billed charges ,841.2,percent of total billed charges ,841.2,percent of total billed charges ,841.2,percent of total billed charges ,,,,,745.86,percent of total billed charges ,,,,,708.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,,,392.56,percent of total billed charges,
4.5MM T25 CRTX SCRW 28MM 73826028 SN,C1713,CDM,,,,both,1,each,295,295,82.6,295,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,218.3,percent of total billed charges,218.3,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,,,212.4,percent of total billed charges ,,,236,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,230.1,percent of total billed charges ,230.1,percent of total billed charges ,236,percent of total billed charges ,236,percent of total billed charges ,206.5,percent of total billed charges ,206.5,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,,,,,156.94,percent of total billed charges ,,,,,149.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,
4.5MM T25 CRTX SCRW 24MM 73826024,C1713,CDM,,,,both,1,each,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
4.5MM T25 CRTX SCRW 14MM 73826014,C1713,CDM,,,,both,1,each,292,292,81.76,292,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,216.08,percent of total billed charges,216.08,percent of total billed charges,233.6,percent of total billed charges,233.6,percent of total billed charges,,,210.24,percent of total billed charges ,,,233.6,percent of total billed charges ,245.28,percent of total billed charges ,245.28,percent of total billed charges ,227.76,percent of total billed charges ,227.76,percent of total billed charges ,233.6,percent of total billed charges ,233.6,percent of total billed charges ,204.4,percent of total billed charges ,204.4,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,,,,,155.34,percent of total billed charges ,,,,,147.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,
"L2328 SLFDRL CCSCREW LTHD 2.3, 28MM",C1713,CDM,,,,both,1,each,"3,878.00","3,878.00","1,085.84","3,878.00","3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,869.72",percent of total billed charges,"2,869.72",percent of total billed charges,"3,102.40",percent of total billed charges,"3,102.40",percent of total billed charges,,,"2,792.16",percent of total billed charges ,,,"3,102.40",percent of total billed charges ,"3,257.52",percent of total billed charges ,"3,257.52",percent of total billed charges ,"3,024.84",percent of total billed charges ,"3,024.84",percent of total billed charges ,"3,102.40",percent of total billed charges ,"3,102.40",percent of total billed charges ,"2,714.60",percent of total billed charges ,"2,714.60",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,,,,,"2,063.10",percent of total billed charges ,,,,,"1,959.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,
DVHX-1.5/070 C AO HEX DRIVER 1.5/70MMCAN,LOCAL,LOCAL,,,,both,1,each,"1,217.00","1,217.00",340.76,"1,217.00","1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,900.58,percent of total billed charges,900.58,percent of total billed charges,973.6,percent of total billed charges,973.6,percent of total billed charges,,,876.24,percent of total billed charges ,,,973.6,percent of total billed charges ,"1,022.28",percent of total billed charges ,"1,022.28",percent of total billed charges ,949.26,percent of total billed charges ,949.26,percent of total billed charges ,973.6,percent of total billed charges ,973.6,percent of total billed charges ,851.9,percent of total billed charges ,851.9,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,,,,,647.44,percent of total billed charges ,,,,,615.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,
71174905 1.8MM DRILL SHORT W/AO QC,LOCAL,LOCAL,,,,both,1,each,928,928,259.84,928,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,686.72,percent of total billed charges,686.72,percent of total billed charges,742.4,percent of total billed charges,742.4,percent of total billed charges,,,668.16,percent of total billed charges ,,,742.4,percent of total billed charges ,779.52,percent of total billed charges ,779.52,percent of total billed charges ,723.84,percent of total billed charges ,723.84,percent of total billed charges ,742.4,percent of total billed charges ,742.4,percent of total billed charges ,649.6,percent of total billed charges ,649.6,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,,,,,493.7,percent of total billed charges ,,,,,469.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,
72442456 EVOS 2.4MM TPLATE 3HL HD 9 HL,C1713,CDM,,,,both,1,each,"6,329.00","6,329.00","1,772.12","6,329.00","6,329.00",percent of total billed charges,"6,329.00",percent of total billed charges,"6,329.00",percent of total billed charges,"6,329.00",percent of total billed charges,"6,329.00",percent of total billed charges,"6,329.00",percent of total billed charges,"6,329.00",percent of total billed charges,"6,329.00",percent of total billed charges,"4,556.88",percent of total billed charges,"4,556.88",percent of total billed charges,"4,556.88",percent of total billed charges,"4,556.88",percent of total billed charges,"4,556.88",percent of total billed charges,"4,556.88",percent of total billed charges,"4,683.46",percent of total billed charges,"4,683.46",percent of total billed charges,"5,063.20",percent of total billed charges,"5,063.20",percent of total billed charges,,,"4,556.88",percent of total billed charges ,,,"5,063.20",percent of total billed charges ,"5,316.36",percent of total billed charges ,"5,316.36",percent of total billed charges ,"4,936.62",percent of total billed charges ,"4,936.62",percent of total billed charges ,"5,063.20",percent of total billed charges ,"5,063.20",percent of total billed charges ,"4,430.30",percent of total billed charges ,"4,430.30",percent of total billed charges ,"3,797.40",percent of total billed charges ,"3,797.40",percent of total billed charges ,"3,797.40",percent of total billed charges ,"3,797.40",percent of total billed charges ,,,,,"3,367.03",percent of total billed charges ,,,,,"3,198.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,,,"1,772.12",percent of total billed charges,
72402414 EVOS 2.4MM X 14MM CTX SCR T7 ST,C1713,CDM,,,,both,1,each,393,393,110.04,393,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,290.82,percent of total billed charges,290.82,percent of total billed charges,314.4,percent of total billed charges,314.4,percent of total billed charges,,,282.96,percent of total billed charges ,,,314.4,percent of total billed charges ,330.12,percent of total billed charges ,330.12,percent of total billed charges ,306.54,percent of total billed charges ,306.54,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,275.1,percent of total billed charges ,275.1,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,,,,,209.08,percent of total billed charges ,,,,,198.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,
72412410 EVOS 2.4MM X 10MM LCK SCR T7 ST,C1713,CDM,,,,both,1,each,"1,215.00","1,215.00",340.2,"1,215.00","1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,899.1,percent of total billed charges,899.1,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,,,874.8,percent of total billed charges ,,,972,percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,947.7,percent of total billed charges ,947.7,percent of total billed charges ,972,percent of total billed charges ,972,percent of total billed charges ,850.5,percent of total billed charges ,850.5,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,,,,,646.38,percent of total billed charges ,,,,,614.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,
72412412 EVOS 2.4MM X 12MM LCK SCR T7 ST,C1713,CDM,,,,both,1,each,"1,215.00","1,215.00",340.2,"1,215.00","1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,899.1,percent of total billed charges,899.1,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,,,874.8,percent of total billed charges ,,,972,percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,947.7,percent of total billed charges ,947.7,percent of total billed charges ,972,percent of total billed charges ,972,percent of total billed charges ,850.5,percent of total billed charges ,850.5,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,,,,,646.38,percent of total billed charges ,,,,,614.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,
72412414 EVOS 2.4MM X 14MM LCK SCR T7 ST,C1713,CDM,,,,both,1,each,"1,215.00","1,215.00",340.2,"1,215.00","1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,899.1,percent of total billed charges,899.1,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,,,874.8,percent of total billed charges ,,,972,percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,947.7,percent of total billed charges ,947.7,percent of total billed charges ,972,percent of total billed charges ,972,percent of total billed charges ,850.5,percent of total billed charges ,850.5,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,,,,,646.38,percent of total billed charges ,,,,,614.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,
71174907 OVERDRILL FOR 2.4MM SCREWS,LOCAL,LOCAL,,,,both,1,each,928,928,259.84,928,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,668.16,percent of total billed charges,686.72,percent of total billed charges,686.72,percent of total billed charges,742.4,percent of total billed charges,742.4,percent of total billed charges,,,668.16,percent of total billed charges ,,,742.4,percent of total billed charges ,779.52,percent of total billed charges ,779.52,percent of total billed charges ,723.84,percent of total billed charges ,723.84,percent of total billed charges ,742.4,percent of total billed charges ,742.4,percent of total billed charges ,649.6,percent of total billed charges ,649.6,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,,,,,493.7,percent of total billed charges ,,,,,469.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,,,259.84,percent of total billed charges,
72442770 EVOS 2.7MM STRNGTH PLT 10HL,C1713,CDM,,,,both,1,each,"7,123.00","7,123.00","1,994.44","7,123.00","7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,271.02",percent of total billed charges,"5,271.02",percent of total billed charges,"5,698.40",percent of total billed charges,"5,698.40",percent of total billed charges,,,"5,128.56",percent of total billed charges ,,,"5,698.40",percent of total billed charges ,"5,983.32",percent of total billed charges ,"5,983.32",percent of total billed charges ,"5,555.94",percent of total billed charges ,"5,555.94",percent of total billed charges ,"5,698.40",percent of total billed charges ,"5,698.40",percent of total billed charges ,"4,986.10",percent of total billed charges ,"4,986.10",percent of total billed charges ,"4,273.80",percent of total billed charges ,"4,273.80",percent of total billed charges ,"4,273.80",percent of total billed charges ,"4,273.80",percent of total billed charges ,,,,,"3,789.44",percent of total billed charges ,,,,,"3,599.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,
72442772 EVOS 2.7MM STRNGTH PLT 20HL,C1713,CDM,,,,both,1,each,"7,123.00","7,123.00","1,994.44","7,123.00","7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"7,123.00",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,128.56",percent of total billed charges,"5,271.02",percent of total billed charges,"5,271.02",percent of total billed charges,"5,698.40",percent of total billed charges,"5,698.40",percent of total billed charges,,,"5,128.56",percent of total billed charges ,,,"5,698.40",percent of total billed charges ,"5,983.32",percent of total billed charges ,"5,983.32",percent of total billed charges ,"5,555.94",percent of total billed charges ,"5,555.94",percent of total billed charges ,"5,698.40",percent of total billed charges ,"5,698.40",percent of total billed charges ,"4,986.10",percent of total billed charges ,"4,986.10",percent of total billed charges ,"4,273.80",percent of total billed charges ,"4,273.80",percent of total billed charges ,"4,273.80",percent of total billed charges ,"4,273.80",percent of total billed charges ,,,,,"3,789.44",percent of total billed charges ,,,,,"3,599.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,,,"1,994.44",percent of total billed charges,
72442464 EVOS 2.4MM FLX PLT 10HL,C1713,CDM,,,,both,1,each,"6,482.00","6,482.00","1,814.96","6,482.00","6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,796.68",percent of total billed charges,"4,796.68",percent of total billed charges,"5,185.60",percent of total billed charges,"5,185.60",percent of total billed charges,,,"4,667.04",percent of total billed charges ,,,"5,185.60",percent of total billed charges ,"5,444.88",percent of total billed charges ,"5,444.88",percent of total billed charges ,"5,055.96",percent of total billed charges ,"5,055.96",percent of total billed charges ,"5,185.60",percent of total billed charges ,"5,185.60",percent of total billed charges ,"4,537.40",percent of total billed charges ,"4,537.40",percent of total billed charges ,"3,889.20",percent of total billed charges ,"3,889.20",percent of total billed charges ,"3,889.20",percent of total billed charges ,"3,889.20",percent of total billed charges ,,,,,"3,448.42",percent of total billed charges ,,,,,"3,276.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,
72402712 EVOS 2.7MM X 12MM CTX SCR T8 ST,C1713,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
72402713 EVOS 2.7MM X 13MM CTX SCR T8 ST,C1713,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
72402714 EVOS 2.7MM X 14MM CTX SCR T8 ST,C1713,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
72412710 EVOS 2.7MM X 10MM LCK SCR T8 ST,C1713,CDM,,,,both,1,each,"1,242.00","1,242.00",347.76,"1,242.00","1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,919.08,percent of total billed charges,919.08,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,,,894.24,percent of total billed charges ,,,993.6,percent of total billed charges ,"1,043.28",percent of total billed charges ,"1,043.28",percent of total billed charges ,968.76,percent of total billed charges ,968.76,percent of total billed charges ,993.6,percent of total billed charges ,993.6,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,,,,,660.74,percent of total billed charges ,,,,,627.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,
72412711 EVOS 2.7MM X 11MM LCK SCR T8 ST,C1713,CDM,,,,both,1,each,"1,242.00","1,242.00",347.76,"1,242.00","1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,919.08,percent of total billed charges,919.08,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,,,894.24,percent of total billed charges ,,,993.6,percent of total billed charges ,"1,043.28",percent of total billed charges ,"1,043.28",percent of total billed charges ,968.76,percent of total billed charges ,968.76,percent of total billed charges ,993.6,percent of total billed charges ,993.6,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,,,,,660.74,percent of total billed charges ,,,,,627.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,
72412712 EVOS 2.7MM X 12MM LCK SCR T8 ST,C1713,CDM,,,,both,1,each,"1,242.00","1,242.00",347.76,"1,242.00","1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,919.08,percent of total billed charges,919.08,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,,,894.24,percent of total billed charges ,,,993.6,percent of total billed charges ,"1,043.28",percent of total billed charges ,"1,043.28",percent of total billed charges ,968.76,percent of total billed charges ,968.76,percent of total billed charges ,993.6,percent of total billed charges ,993.6,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,,,,,660.74,percent of total billed charges ,,,,,627.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,
72412713 EVOS 2.7MM X 13MM LCK SCR T8 ST,C1713,CDM,,,,both,1,each,"1,242.00","1,242.00",347.76,"1,242.00","1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,919.08,percent of total billed charges,919.08,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,,,894.24,percent of total billed charges ,,,993.6,percent of total billed charges ,"1,043.28",percent of total billed charges ,"1,043.28",percent of total billed charges ,968.76,percent of total billed charges ,968.76,percent of total billed charges ,993.6,percent of total billed charges ,993.6,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,,,,,660.74,percent of total billed charges ,,,,,627.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,
72412714 EVOS 2.7MM X 14MM LCK SCR T8 ST,C1713,CDM,,,,both,1,each,"1,242.00","1,242.00",347.76,"1,242.00","1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,919.08,percent of total billed charges,919.08,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,,,894.24,percent of total billed charges ,,,993.6,percent of total billed charges ,"1,043.28",percent of total billed charges ,"1,043.28",percent of total billed charges ,968.76,percent of total billed charges ,968.76,percent of total billed charges ,993.6,percent of total billed charges ,993.6,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,,,,,660.74,percent of total billed charges ,,,,,627.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,
72402410 EVOS 2.4MM X 10MM CTX SCR T7 ST,C1713,CDM,,,,both,1,each,394,394,110.32,394,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,291.56,percent of total billed charges,291.56,percent of total billed charges,315.2,percent of total billed charges,315.2,percent of total billed charges,,,283.68,percent of total billed charges ,,,315.2,percent of total billed charges ,330.96,percent of total billed charges ,330.96,percent of total billed charges ,307.32,percent of total billed charges ,307.32,percent of total billed charges ,315.2,percent of total billed charges ,315.2,percent of total billed charges ,275.8,percent of total billed charges ,275.8,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,,,,,209.61,percent of total billed charges ,,,,,199.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,
72402412 EVOS 2.4MM X 12MM CTX SCR T7 ST,C1713,CDM,,,,both,1,each,394,394,110.32,394,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,291.56,percent of total billed charges,291.56,percent of total billed charges,315.2,percent of total billed charges,315.2,percent of total billed charges,,,283.68,percent of total billed charges ,,,315.2,percent of total billed charges ,330.96,percent of total billed charges ,330.96,percent of total billed charges ,307.32,percent of total billed charges ,307.32,percent of total billed charges ,315.2,percent of total billed charges ,315.2,percent of total billed charges ,275.8,percent of total billed charges ,275.8,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,,,,,209.61,percent of total billed charges ,,,,,199.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,
72412408 EVOS 2.4MM X 8MM LCK SCR T7 ST,C1713,CDM,,,,both,1,each,"1,215.00","1,215.00",340.2,"1,215.00","1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,899.1,percent of total billed charges,899.1,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,,,874.8,percent of total billed charges ,,,972,percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,947.7,percent of total billed charges ,947.7,percent of total billed charges ,972,percent of total billed charges ,972,percent of total billed charges ,850.5,percent of total billed charges ,850.5,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,,,,,646.38,percent of total billed charges ,,,,,614.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,
72412411 EVOS 2.4MM X 11MM LCK SCR T7 ST,C1713,CDM,,,,both,1,each,"1,215.00","1,215.00",340.2,"1,215.00","1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,"1,215.00",percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,874.8,percent of total billed charges,899.1,percent of total billed charges,899.1,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,,,874.8,percent of total billed charges ,,,972,percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,947.7,percent of total billed charges ,947.7,percent of total billed charges ,972,percent of total billed charges ,972,percent of total billed charges ,850.5,percent of total billed charges ,850.5,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,729,percent of total billed charges ,,,,,646.38,percent of total billed charges ,,,,,614.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,,,340.2,percent of total billed charges,
HEX3.2-13 HEX CORTICAL SCREW 3.2 X 13MM,C1713,CDM,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
TPEG-14 TORX THRD PEG 14MM,C1713,CDM,,,,both,1,each,"1,159.00","1,159.00",324.52,"1,159.00","1,159.00",percent of total billed charges,"1,159.00",percent of total billed charges,"1,159.00",percent of total billed charges,"1,159.00",percent of total billed charges,"1,159.00",percent of total billed charges,"1,159.00",percent of total billed charges,"1,159.00",percent of total billed charges,"1,159.00",percent of total billed charges,834.48,percent of total billed charges,834.48,percent of total billed charges,834.48,percent of total billed charges,834.48,percent of total billed charges,834.48,percent of total billed charges,834.48,percent of total billed charges,857.66,percent of total billed charges,857.66,percent of total billed charges,927.2,percent of total billed charges,927.2,percent of total billed charges,,,834.48,percent of total billed charges ,,,927.2,percent of total billed charges ,973.56,percent of total billed charges ,973.56,percent of total billed charges ,904.02,percent of total billed charges ,904.02,percent of total billed charges ,927.2,percent of total billed charges ,927.2,percent of total billed charges ,811.3,percent of total billed charges ,811.3,percent of total billed charges ,695.4,percent of total billed charges ,695.4,percent of total billed charges ,695.4,percent of total billed charges ,695.4,percent of total billed charges ,,,,,616.59,percent of total billed charges ,,,,,585.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,,,324.52,percent of total billed charges,
RCP7 RADIAL COL PIN PLT 7 HOLE,C1713,CDM,,,,both,1,each,"7,039.00","7,039.00","1,970.92","7,039.00","7,039.00",percent of total billed charges,"7,039.00",percent of total billed charges,"7,039.00",percent of total billed charges,"7,039.00",percent of total billed charges,"7,039.00",percent of total billed charges,"7,039.00",percent of total billed charges,"7,039.00",percent of total billed charges,"7,039.00",percent of total billed charges,"5,068.08",percent of total billed charges,"5,068.08",percent of total billed charges,"5,068.08",percent of total billed charges,"5,068.08",percent of total billed charges,"5,068.08",percent of total billed charges,"5,068.08",percent of total billed charges,"5,208.86",percent of total billed charges,"5,208.86",percent of total billed charges,"5,631.20",percent of total billed charges,"5,631.20",percent of total billed charges,,,"5,068.08",percent of total billed charges ,,,"5,631.20",percent of total billed charges ,"5,912.76",percent of total billed charges ,"5,912.76",percent of total billed charges ,"5,490.42",percent of total billed charges ,"5,490.42",percent of total billed charges ,"5,631.20",percent of total billed charges ,"5,631.20",percent of total billed charges ,"4,927.30",percent of total billed charges ,"4,927.30",percent of total billed charges ,"4,223.40",percent of total billed charges ,"4,223.40",percent of total billed charges ,"4,223.40",percent of total billed charges ,"4,223.40",percent of total billed charges ,,,,,"3,744.75",percent of total billed charges ,,,,,"3,557.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,,,"1,970.92",percent of total billed charges,
TRX2.3-18 TORX CORT SCREW 2.3 18MM,C1713,CDM,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
TRX2.3-20 TORX CORT SCREW 2.3 20MM,C1713,CDM,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
TRX2.3-26 TORX CORT SCREW 2.3 26MM,C1713,CDM,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
TRX2.3-28 TORX CORT SCREW 2.3 28MM,C1713,CDM,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
DRILL 2.1/110C 2.1 110MM CANN DRILL,LOCAL,LOCAL,,,,both,1,each,"1,578.00","1,578.00",441.84,"1,578.00","1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,167.72",percent of total billed charges,"1,167.72",percent of total billed charges,"1,262.40",percent of total billed charges,"1,262.40",percent of total billed charges,,,"1,136.16",percent of total billed charges ,,,"1,262.40",percent of total billed charges ,"1,325.52",percent of total billed charges ,"1,325.52",percent of total billed charges ,"1,230.84",percent of total billed charges ,"1,230.84",percent of total billed charges ,"1,262.40",percent of total billed charges ,"1,262.40",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,946.8,percent of total billed charges ,946.8,percent of total billed charges ,946.8,percent of total billed charges ,946.8,percent of total billed charges ,,,,,839.5,percent of total billed charges ,,,,,797.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,
L3024 SLF DRL CCSCREW LTHD 3.0 24MM,C1713,CDM,,,,both,,,"3,878.00","3,878.00","1,085.84","3,878.00","3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,869.72",percent of total billed charges,"2,869.72",percent of total billed charges,"3,102.40",percent of total billed charges,"3,102.40",percent of total billed charges,,,"2,792.16",percent of total billed charges ,,,"3,102.40",percent of total billed charges ,"3,257.52",percent of total billed charges ,"3,257.52",percent of total billed charges ,"3,024.84",percent of total billed charges ,"3,024.84",percent of total billed charges ,"3,102.40",percent of total billed charges ,"3,102.40",percent of total billed charges ,"2,714.60",percent of total billed charges ,"2,714.60",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,,,,,"2,063.10",percent of total billed charges ,,,,,"1,959.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,
VLBPL-3-7N VLR BRNG PLT LT 3HL 7PG N,C1713,CDM,,,,both,1,each,"10,685.00","10,685.00","2,991.80","10,685.00","10,685.00",percent of total billed charges,"10,685.00",percent of total billed charges,"10,685.00",percent of total billed charges,"10,685.00",percent of total billed charges,"10,685.00",percent of total billed charges,"10,685.00",percent of total billed charges,"10,685.00",percent of total billed charges,"10,685.00",percent of total billed charges,"7,693.20",percent of total billed charges,"7,693.20",percent of total billed charges,"7,693.20",percent of total billed charges,"7,693.20",percent of total billed charges,"7,693.20",percent of total billed charges,"7,693.20",percent of total billed charges,"7,906.90",percent of total billed charges,"7,906.90",percent of total billed charges,"8,548.00",percent of total billed charges,"8,548.00",percent of total billed charges,,,"7,693.20",percent of total billed charges ,,,"8,548.00",percent of total billed charges ,"8,975.40",percent of total billed charges ,"8,975.40",percent of total billed charges ,"8,334.30",percent of total billed charges ,"8,334.30",percent of total billed charges ,"8,548.00",percent of total billed charges ,"8,548.00",percent of total billed charges ,"7,479.50",percent of total billed charges ,"7,479.50",percent of total billed charges ,"6,411.00",percent of total billed charges ,"6,411.00",percent of total billed charges ,"6,411.00",percent of total billed charges ,"6,411.00",percent of total billed charges ,,,,,"5,684.42",percent of total billed charges ,,,,,"5,400.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,,,"2,991.80",percent of total billed charges,
WEDGE-4 VOLAR PLATE WEDGE 4MM TRIMED,C1713,CDM,,,,both,1,each,636,636,178.08,636,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,470.64,percent of total billed charges,470.64,percent of total billed charges,508.8,percent of total billed charges,508.8,percent of total billed charges,,,457.92,percent of total billed charges ,,,508.8,percent of total billed charges ,534.24,percent of total billed charges ,534.24,percent of total billed charges ,496.08,percent of total billed charges ,496.08,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,,,,,338.35,percent of total billed charges ,,,,,321.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,
DVHX-2.4/070MC AO HEX DRIVER 2.4 70MM,LOCAL,LOCAL,,,,both,1,each,"1,802.00","1,802.00",504.56,"1,802.00","1,802.00",percent of total billed charges,"1,802.00",percent of total billed charges,"1,802.00",percent of total billed charges,"1,802.00",percent of total billed charges,"1,802.00",percent of total billed charges,"1,802.00",percent of total billed charges,"1,802.00",percent of total billed charges,"1,802.00",percent of total billed charges,"1,297.44",percent of total billed charges,"1,297.44",percent of total billed charges,"1,297.44",percent of total billed charges,"1,297.44",percent of total billed charges,"1,297.44",percent of total billed charges,"1,297.44",percent of total billed charges,"1,333.48",percent of total billed charges,"1,333.48",percent of total billed charges,"1,441.60",percent of total billed charges,"1,441.60",percent of total billed charges,,,"1,297.44",percent of total billed charges ,,,"1,441.60",percent of total billed charges ,"1,513.68",percent of total billed charges ,"1,513.68",percent of total billed charges ,"1,405.56",percent of total billed charges ,"1,405.56",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,441.60",percent of total billed charges ,"1,261.40",percent of total billed charges ,"1,261.40",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,081.20",percent of total billed charges ,"1,081.20",percent of total billed charges ,,,,,958.66,percent of total billed charges ,,,,,910.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,,,504.56,percent of total billed charges,
EVOS 72442476 2.4MM STRNGTH PLT 20 HL,C1713,CDM,,,,both,1,each,"6,482.00","6,482.00","1,814.96","6,482.00","6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"6,482.00",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,667.04",percent of total billed charges,"4,796.68",percent of total billed charges,"4,796.68",percent of total billed charges,"5,185.60",percent of total billed charges,"5,185.60",percent of total billed charges,,,"4,667.04",percent of total billed charges ,,,"5,185.60",percent of total billed charges ,"5,444.88",percent of total billed charges ,"5,444.88",percent of total billed charges ,"5,055.96",percent of total billed charges ,"5,055.96",percent of total billed charges ,"5,185.60",percent of total billed charges ,"5,185.60",percent of total billed charges ,"4,537.40",percent of total billed charges ,"4,537.40",percent of total billed charges ,"3,889.20",percent of total billed charges ,"3,889.20",percent of total billed charges ,"3,889.20",percent of total billed charges ,"3,889.20",percent of total billed charges ,,,,,"3,448.42",percent of total billed charges ,,,,,"3,276.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,,,"1,814.96",percent of total billed charges,
EVOS 72442762 2.7MM FLEX PLT 20 HL,C1713,CDM,,,,both,1,each,"7,122.00","7,122.00","1,994.16","7,122.00","7,122.00",percent of total billed charges,"7,122.00",percent of total billed charges,"7,122.00",percent of total billed charges,"7,122.00",percent of total billed charges,"7,122.00",percent of total billed charges,"7,122.00",percent of total billed charges,"7,122.00",percent of total billed charges,"7,122.00",percent of total billed charges,"5,127.84",percent of total billed charges,"5,127.84",percent of total billed charges,"5,127.84",percent of total billed charges,"5,127.84",percent of total billed charges,"5,127.84",percent of total billed charges,"5,127.84",percent of total billed charges,"5,270.28",percent of total billed charges,"5,270.28",percent of total billed charges,"5,697.60",percent of total billed charges,"5,697.60",percent of total billed charges,,,"5,127.84",percent of total billed charges ,,,"5,697.60",percent of total billed charges ,"5,982.48",percent of total billed charges ,"5,982.48",percent of total billed charges ,"5,555.16",percent of total billed charges ,"5,555.16",percent of total billed charges ,"5,697.60",percent of total billed charges ,"5,697.60",percent of total billed charges ,"4,985.40",percent of total billed charges ,"4,985.40",percent of total billed charges ,"4,273.20",percent of total billed charges ,"4,273.20",percent of total billed charges ,"4,273.20",percent of total billed charges ,"4,273.20",percent of total billed charges ,,,,,"3,788.90",percent of total billed charges ,,,,,"3,599.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,,,"1,994.16",percent of total billed charges,
EVOS 72402418 2.4MMX18MM CTX SCR T7 S-T,C1713,CDM,,,,both,1,each,393,393,110.04,393,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,290.82,percent of total billed charges,290.82,percent of total billed charges,314.4,percent of total billed charges,314.4,percent of total billed charges,,,282.96,percent of total billed charges ,,,314.4,percent of total billed charges ,330.12,percent of total billed charges ,330.12,percent of total billed charges ,306.54,percent of total billed charges ,306.54,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,275.1,percent of total billed charges ,275.1,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,,,,,209.08,percent of total billed charges ,,,,,198.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,
EVOS 72402419 2.4MMX19MM CTX SCR T7 S-T,C1713,CDM,,,,both,1,each,393,393,110.04,393,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,290.82,percent of total billed charges,290.82,percent of total billed charges,314.4,percent of total billed charges,314.4,percent of total billed charges,,,282.96,percent of total billed charges ,,,314.4,percent of total billed charges ,330.12,percent of total billed charges ,330.12,percent of total billed charges ,306.54,percent of total billed charges ,306.54,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,275.1,percent of total billed charges ,275.1,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,,,,,209.08,percent of total billed charges ,,,,,198.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,
EVOS 72402718 2.7X18MM CTX SCR T8 S-T,C1713,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
EVOS 72402720 2.7X20MM CTX SCR T8 S-T,C1713,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
EVOS 72412708 2.7X8MM LCK SCR T8 S-T,C1713,CDM,,,,both,1,each,"1,242.00","1,242.00",347.76,"1,242.00","1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,919.08,percent of total billed charges,919.08,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,,,894.24,percent of total billed charges ,,,993.6,percent of total billed charges ,"1,043.28",percent of total billed charges ,"1,043.28",percent of total billed charges ,968.76,percent of total billed charges ,968.76,percent of total billed charges ,993.6,percent of total billed charges ,993.6,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,,,,,660.74,percent of total billed charges ,,,,,627.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,
EVOS 72412719 2.7X19MM LCK SCR T8 S-T,C1713,CDM,,,,both,1,each,"1,242.00","1,242.00",347.76,"1,242.00","1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,"1,242.00",percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,894.24,percent of total billed charges,919.08,percent of total billed charges,919.08,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,,,894.24,percent of total billed charges ,,,993.6,percent of total billed charges ,"1,043.28",percent of total billed charges ,"1,043.28",percent of total billed charges ,968.76,percent of total billed charges ,968.76,percent of total billed charges ,993.6,percent of total billed charges ,993.6,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,745.2,percent of total billed charges ,,,,,660.74,percent of total billed charges ,,,,,627.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,,,347.76,percent of total billed charges,
L3021 SLFDRL CCSCREW LTHD 3.0 21MM,C1713,CDM,,,,both,1,each,"3,878.00","3,878.00","1,085.84","3,878.00","3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"3,878.00",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,792.16",percent of total billed charges,"2,869.72",percent of total billed charges,"2,869.72",percent of total billed charges,"3,102.40",percent of total billed charges,"3,102.40",percent of total billed charges,,,"2,792.16",percent of total billed charges ,,,"3,102.40",percent of total billed charges ,"3,257.52",percent of total billed charges ,"3,257.52",percent of total billed charges ,"3,024.84",percent of total billed charges ,"3,024.84",percent of total billed charges ,"3,102.40",percent of total billed charges ,"3,102.40",percent of total billed charges ,"2,714.60",percent of total billed charges ,"2,714.60",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,"2,326.80",percent of total billed charges ,,,,,"2,063.10",percent of total billed charges ,,,,,"1,959.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,,,"1,085.84",percent of total billed charges,
LHEX3.2-12 3.2X12MM LOCKING HEX SCREW,C1713,CDM,,,,both,1,each,"1,035.00","1,035.00",289.8,"1,035.00","1,035.00",percent of total billed charges,"1,035.00",percent of total billed charges,"1,035.00",percent of total billed charges,"1,035.00",percent of total billed charges,"1,035.00",percent of total billed charges,"1,035.00",percent of total billed charges,"1,035.00",percent of total billed charges,"1,035.00",percent of total billed charges,745.2,percent of total billed charges,745.2,percent of total billed charges,745.2,percent of total billed charges,745.2,percent of total billed charges,745.2,percent of total billed charges,745.2,percent of total billed charges,765.9,percent of total billed charges,765.9,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,,,745.2,percent of total billed charges ,,,828,percent of total billed charges ,869.4,percent of total billed charges ,869.4,percent of total billed charges ,807.3,percent of total billed charges ,807.3,percent of total billed charges ,828,percent of total billed charges ,828,percent of total billed charges ,724.5,percent of total billed charges ,724.5,percent of total billed charges ,621,percent of total billed charges ,621,percent of total billed charges ,621,percent of total billed charges ,621,percent of total billed charges ,,,,,550.62,percent of total billed charges ,,,,,523.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,,,289.8,percent of total billed charges,
2.7MM/16MM S-T CRTX SCRW 71823016,C1713,CDM,,,,both,1,each,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
1.5MM DRILL LONG 71174901 WITH AO QC,LOCAL,LOCAL,,,,both,1,each,927,927,259.56,927,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,685.98,percent of total billed charges,685.98,percent of total billed charges,741.6,percent of total billed charges,741.6,percent of total billed charges,,,667.44,percent of total billed charges ,,,741.6,percent of total billed charges ,778.68,percent of total billed charges ,778.68,percent of total billed charges ,723.06,percent of total billed charges ,723.06,percent of total billed charges ,741.6,percent of total billed charges ,741.6,percent of total billed charges ,648.9,percent of total billed charges ,648.9,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,,,,,493.16,percent of total billed charges ,,,,,468.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,
EVOS 2.0MM 72442064 FLX PLT 10 HOLE,C1713,CDM,,,,both,1,each,"5,476.00","5,476.00","1,533.28","5,476.00","5,476.00",percent of total billed charges,"5,476.00",percent of total billed charges,"5,476.00",percent of total billed charges,"5,476.00",percent of total billed charges,"5,476.00",percent of total billed charges,"5,476.00",percent of total billed charges,"5,476.00",percent of total billed charges,"5,476.00",percent of total billed charges,"3,942.72",percent of total billed charges,"3,942.72",percent of total billed charges,"3,942.72",percent of total billed charges,"3,942.72",percent of total billed charges,"3,942.72",percent of total billed charges,"3,942.72",percent of total billed charges,"4,052.24",percent of total billed charges,"4,052.24",percent of total billed charges,"4,380.80",percent of total billed charges,"4,380.80",percent of total billed charges,,,"3,942.72",percent of total billed charges ,,,"4,380.80",percent of total billed charges ,"4,599.84",percent of total billed charges ,"4,599.84",percent of total billed charges ,"4,271.28",percent of total billed charges ,"4,271.28",percent of total billed charges ,"4,380.80",percent of total billed charges ,"4,380.80",percent of total billed charges ,"3,833.20",percent of total billed charges ,"3,833.20",percent of total billed charges ,"3,285.60",percent of total billed charges ,"3,285.60",percent of total billed charges ,"3,285.60",percent of total billed charges ,"3,285.60",percent of total billed charges ,,,,,"2,913.23",percent of total billed charges ,,,,,"2,767.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,,,"1,533.28",percent of total billed charges,
EVOS 2.4MM 72442474 STRNGTH PLT 10 HOLE,C1713,CDM,,,,both,1,each,"6,880.00","6,880.00","1,926.40","6,880.00","6,880.00",percent of total billed charges,"6,880.00",percent of total billed charges,"6,880.00",percent of total billed charges,"6,880.00",percent of total billed charges,"6,880.00",percent of total billed charges,"6,880.00",percent of total billed charges,"6,880.00",percent of total billed charges,"6,880.00",percent of total billed charges,"4,953.60",percent of total billed charges,"4,953.60",percent of total billed charges,"4,953.60",percent of total billed charges,"4,953.60",percent of total billed charges,"4,953.60",percent of total billed charges,"4,953.60",percent of total billed charges,"5,091.20",percent of total billed charges,"5,091.20",percent of total billed charges,"5,504.00",percent of total billed charges,"5,504.00",percent of total billed charges,,,"4,953.60",percent of total billed charges ,,,"5,504.00",percent of total billed charges ,"5,779.20",percent of total billed charges ,"5,779.20",percent of total billed charges ,"5,366.40",percent of total billed charges ,"5,366.40",percent of total billed charges ,"5,504.00",percent of total billed charges ,"5,504.00",percent of total billed charges ,"4,816.00",percent of total billed charges ,"4,816.00",percent of total billed charges ,"4,128.00",percent of total billed charges ,"4,128.00",percent of total billed charges ,"4,128.00",percent of total billed charges ,"4,128.00",percent of total billed charges ,,,,,"3,660.16",percent of total billed charges ,,,,,"3,477.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,,,"1,926.40",percent of total billed charges,
EVOS 2.0X12MM 72402012 CTX SCR T6 S-T,C1713,CDM,,,,both,1,each,316,316,88.48,316,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,233.84,percent of total billed charges,233.84,percent of total billed charges,252.8,percent of total billed charges,252.8,percent of total billed charges,,,227.52,percent of total billed charges ,,,252.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,252.8,percent of total billed charges ,252.8,percent of total billed charges ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,,,,,168.11,percent of total billed charges ,,,,,159.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,
EVOS 2.0X16MM 72402016 CTX SCR T6 S-T,C1713,CDM,,,,both,1,each,316,316,88.48,316,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,233.84,percent of total billed charges,233.84,percent of total billed charges,252.8,percent of total billed charges,252.8,percent of total billed charges,,,227.52,percent of total billed charges ,,,252.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,252.8,percent of total billed charges ,252.8,percent of total billed charges ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,,,,,168.11,percent of total billed charges ,,,,,159.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,
EVOS 2.4X11MM 72402411 CTX SCR T7 S-T,C1713,CDM,,,,both,1,each,333,333,93.24,333,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,246.42,percent of total billed charges,246.42,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,,,239.76,percent of total billed charges ,,,266.4,percent of total billed charges ,279.72,percent of total billed charges ,279.72,percent of total billed charges ,259.74,percent of total billed charges ,259.74,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,233.1,percent of total billed charges ,233.1,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,,,,,177.16,percent of total billed charges ,,,,,168.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,
EVOS 2.0X11MM 72412011 LCK SCR T6 S-T,C1713,CDM,,,,both,1,each,"1,053.00","1,053.00",294.84,"1,053.00","1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,779.22,percent of total billed charges,779.22,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,,,758.16,percent of total billed charges ,,,842.4,percent of total billed charges ,884.52,percent of total billed charges ,884.52,percent of total billed charges ,821.34,percent of total billed charges ,821.34,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,737.1,percent of total billed charges ,737.1,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,,,,,560.2,percent of total billed charges ,,,,,532.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,
EVOS 2.0X12MM 72412012 LCK SCR T6 S-T,C1713,CDM,,,,both,1,each,"1,053.00","1,053.00",294.84,"1,053.00","1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,779.22,percent of total billed charges,779.22,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,,,758.16,percent of total billed charges ,,,842.4,percent of total billed charges ,884.52,percent of total billed charges ,884.52,percent of total billed charges ,821.34,percent of total billed charges ,821.34,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,737.1,percent of total billed charges ,737.1,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,,,,,560.2,percent of total billed charges ,,,,,532.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,
PRPL DILATATION BALLOON 6-8 M00558330,C1726,CDM,,,,both,1,each,"1,729.00","1,729.00",484.12,"1,729.00","1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,279.46",percent of total billed charges,"1,279.46",percent of total billed charges,"1,383.20",percent of total billed charges,"1,383.20",percent of total billed charges,,,"1,244.88",percent of total billed charges ,,,"1,383.20",percent of total billed charges ,"1,452.36",percent of total billed charges ,"1,452.36",percent of total billed charges ,"1,348.62",percent of total billed charges ,"1,348.62",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,210.30",percent of total billed charges ,"1,210.30",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,,,,,919.83,percent of total billed charges ,,,,,873.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,
PRPL DILATATION BALLOON 8-10 M00558340,C1726,CDM,,,,both,1,each,"1,729.00","1,729.00",484.12,"1,729.00","1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,279.46",percent of total billed charges,"1,279.46",percent of total billed charges,"1,383.20",percent of total billed charges,"1,383.20",percent of total billed charges,,,"1,244.88",percent of total billed charges ,,,"1,383.20",percent of total billed charges ,"1,452.36",percent of total billed charges ,"1,452.36",percent of total billed charges ,"1,348.62",percent of total billed charges ,"1,348.62",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,210.30",percent of total billed charges ,"1,210.30",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,,,,,919.83,percent of total billed charges ,,,,,873.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,
PRPL DILATATION BALLOON 8-10 M00558340,C1726,CDM,,,,both,1,each,"1,729.00","1,729.00",484.12,"1,729.00","1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,729.00",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,244.88",percent of total billed charges,"1,279.46",percent of total billed charges,"1,279.46",percent of total billed charges,"1,383.20",percent of total billed charges,"1,383.20",percent of total billed charges,,,"1,244.88",percent of total billed charges ,,,"1,383.20",percent of total billed charges ,"1,452.36",percent of total billed charges ,"1,452.36",percent of total billed charges ,"1,348.62",percent of total billed charges ,"1,348.62",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,210.30",percent of total billed charges ,"1,210.30",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,,,,,919.83,percent of total billed charges ,,,,,873.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,,,484.12,percent of total billed charges,
PRPL DILATATION BALLOON 12-15 M00558360,C1726,CDM,,,,both,1,each,"1,540.00","1,540.00",431.2,"1,540.00","1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,139.60",percent of total billed charges,"1,139.60",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,,,"1,108.80",percent of total billed charges ,,,"1,232.00",percent of total billed charges ,"1,293.60",percent of total billed charges ,"1,293.60",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,232.00",percent of total billed charges ,"1,232.00",percent of total billed charges ,"1,078.00",percent of total billed charges ,"1,078.00",percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,,,,,819.28,percent of total billed charges ,,,,,778.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,
PRPL DILATATION BALLOON 12-15 M00558360,C1726,CDM,,,,both,1,each,"1,540.00","1,540.00",431.2,"1,540.00","1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,139.60",percent of total billed charges,"1,139.60",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,,,"1,108.80",percent of total billed charges ,,,"1,232.00",percent of total billed charges ,"1,293.60",percent of total billed charges ,"1,293.60",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,232.00",percent of total billed charges ,"1,232.00",percent of total billed charges ,"1,078.00",percent of total billed charges ,"1,078.00",percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,,,,,819.28,percent of total billed charges ,,,,,778.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,
PRPL DILATATION BALLOON 18-20 M00558380,C1726,CDM,,,,both,1,each,"1,540.00","1,540.00",431.2,"1,540.00","1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,540.00",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,108.80",percent of total billed charges,"1,139.60",percent of total billed charges,"1,139.60",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,,,"1,108.80",percent of total billed charges ,,,"1,232.00",percent of total billed charges ,"1,293.60",percent of total billed charges ,"1,293.60",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,201.20",percent of total billed charges ,"1,232.00",percent of total billed charges ,"1,232.00",percent of total billed charges ,"1,078.00",percent of total billed charges ,"1,078.00",percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,,,,,819.28,percent of total billed charges ,,,,,778.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,,,431.2,percent of total billed charges,
INFLATION SYRINGE M00550600,LOCAL,LOCAL,,,,both,1,each,324,324,90.72,324,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,,,233.28,percent of total billed charges ,,,259.2,percent of total billed charges ,272.16,percent of total billed charges ,272.16,percent of total billed charges ,252.72,percent of total billed charges ,252.72,percent of total billed charges ,259.2,percent of total billed charges ,259.2,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,,,,,172.37,percent of total billed charges ,,,,,163.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,
"DRILL 2.0/095 DRILL 2.0, 95MM",LOCAL,LOCAL,,,,both,1,each,"1,217.00","1,217.00",340.76,"1,217.00","1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,900.58,percent of total billed charges,900.58,percent of total billed charges,973.6,percent of total billed charges,973.6,percent of total billed charges,,,876.24,percent of total billed charges ,,,973.6,percent of total billed charges ,"1,022.28",percent of total billed charges ,"1,022.28",percent of total billed charges ,949.26,percent of total billed charges ,949.26,percent of total billed charges ,973.6,percent of total billed charges ,973.6,percent of total billed charges ,851.9,percent of total billed charges ,851.9,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,,,,,647.44,percent of total billed charges ,,,,,615.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,
"DRILL 2.3/120 DRILL 2.3, 120MM",LOCAL,LOCAL,,,,both,1,each,"1,217.00","1,217.00",340.76,"1,217.00","1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,900.58,percent of total billed charges,900.58,percent of total billed charges,973.6,percent of total billed charges,973.6,percent of total billed charges,,,876.24,percent of total billed charges ,,,973.6,percent of total billed charges ,"1,022.28",percent of total billed charges ,"1,022.28",percent of total billed charges ,949.26,percent of total billed charges ,949.26,percent of total billed charges ,973.6,percent of total billed charges ,973.6,percent of total billed charges ,851.9,percent of total billed charges ,851.9,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,,,,,647.44,percent of total billed charges ,,,,,615.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,
HEX 3.2-22 HEX CORT SCREW 3.2 22MM,C1713,CDM,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
"HEX 3.2-26 HEX CORT SCREW 3.2, 26MM",C1713,CDM,,,,both,1,each,"1,060.00","1,060.00",296.8,"1,060.00","1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,784.4,percent of total billed charges,784.4,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,,,763.2,percent of total billed charges ,,,848,percent of total billed charges ,890.4,percent of total billed charges ,890.4,percent of total billed charges ,826.8,percent of total billed charges ,826.8,percent of total billed charges ,848,percent of total billed charges ,848,percent of total billed charges ,742,percent of total billed charges ,742,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,636,percent of total billed charges ,,,,,563.92,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,,,296.8,percent of total billed charges,
"WIRE 1.6/65MM KWIRE 1.6, 65MM",C1769,CDM,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
OSN-70 OLECRANON SLED 70MM,C1713,CDM,,,,both,1,each,"8,692.00","8,692.00","2,433.76","8,692.00","8,692.00",percent of total billed charges,"8,692.00",percent of total billed charges,"8,692.00",percent of total billed charges,"8,692.00",percent of total billed charges,"8,692.00",percent of total billed charges,"8,692.00",percent of total billed charges,"8,692.00",percent of total billed charges,"8,692.00",percent of total billed charges,"6,258.24",percent of total billed charges,"6,258.24",percent of total billed charges,"6,258.24",percent of total billed charges,"6,258.24",percent of total billed charges,"6,258.24",percent of total billed charges,"6,258.24",percent of total billed charges,"6,432.08",percent of total billed charges,"6,432.08",percent of total billed charges,"6,953.60",percent of total billed charges,"6,953.60",percent of total billed charges,,,"6,258.24",percent of total billed charges ,,,"6,953.60",percent of total billed charges ,"7,301.28",percent of total billed charges ,"7,301.28",percent of total billed charges ,"6,779.76",percent of total billed charges ,"6,779.76",percent of total billed charges ,"6,953.60",percent of total billed charges ,"6,953.60",percent of total billed charges ,"6,084.40",percent of total billed charges ,"6,084.40",percent of total billed charges ,"5,215.20",percent of total billed charges ,"5,215.20",percent of total billed charges ,"5,215.20",percent of total billed charges ,"5,215.20",percent of total billed charges ,,,,,"4,624.14",percent of total billed charges ,,,,,"4,392.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,,,"2,433.76",percent of total billed charges,
OSW OLECRANON SLED WASHER,C1713,CDM,,,,both,1,each,"2,972.00","2,972.00",832.16,"2,972.00","2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,972.00",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,139.84",percent of total billed charges,"2,199.28",percent of total billed charges,"2,199.28",percent of total billed charges,"2,377.60",percent of total billed charges,"2,377.60",percent of total billed charges,,,"2,139.84",percent of total billed charges ,,,"2,377.60",percent of total billed charges ,"2,496.48",percent of total billed charges ,"2,496.48",percent of total billed charges ,"2,318.16",percent of total billed charges ,"2,318.16",percent of total billed charges ,"2,377.60",percent of total billed charges ,"2,377.60",percent of total billed charges ,"2,080.40",percent of total billed charges ,"2,080.40",percent of total billed charges ,"1,783.20",percent of total billed charges ,"1,783.20",percent of total billed charges ,"1,783.20",percent of total billed charges ,"1,783.20",percent of total billed charges ,,,,,"1,581.10",percent of total billed charges ,,,,,"1,502.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,,,832.16,percent of total billed charges,
WIRE 1.6/100 KWIRE 1.6 100 MM,C1769,CDM,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
150410125 ATT PS FEM LT SZ5 NAR CEM,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
151650507 ATT PS RP INSRT SZ 5 7MM,C1776,CDM,,,,both,1,each,"7,208.00","7,208.00","2,018.24","7,208.00","7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"7,208.00",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,189.76",percent of total billed charges,"5,333.92",percent of total billed charges,"5,333.92",percent of total billed charges,"5,766.40",percent of total billed charges,"5,766.40",percent of total billed charges,,,"5,189.76",percent of total billed charges ,,,"5,766.40",percent of total billed charges ,"6,054.72",percent of total billed charges ,"6,054.72",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,622.24",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,766.40",percent of total billed charges ,"5,045.60",percent of total billed charges ,"5,045.60",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,"4,324.80",percent of total billed charges ,,,,,"3,834.66",percent of total billed charges ,,,,,"3,642.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,,,"2,018.24",percent of total billed charges,
BRDBAND MINI 3IN LP BK DM-0304,LOCAL,LOCAL,,,,both,1,each,576,576,161.28,576,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,,,414.72,percent of total billed charges ,,,460.8,percent of total billed charges ,483.84,percent of total billed charges ,483.84,percent of total billed charges ,449.28,percent of total billed charges ,449.28,percent of total billed charges ,460.8,percent of total billed charges ,460.8,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,,,,,306.43,percent of total billed charges ,,,,,291.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,
HYDDM RGD CANN 7X75MM 110025590,LOCAL,LOCAL,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
HYDDM RGD CANN 8.5X75MM 110025592,LOCAL,LOCAL,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
QUATTRO SUTURE PASSER NEEDLE CM-9011,LOCAL,LOCAL,,,,both,1,each,"1,500.00","1,500.00",420,"1,500.00","1,500.00",percent of total billed charges,"1,500.00",percent of total billed charges,"1,500.00",percent of total billed charges,"1,500.00",percent of total billed charges,"1,500.00",percent of total billed charges,"1,500.00",percent of total billed charges,"1,500.00",percent of total billed charges,"1,500.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,110.00",percent of total billed charges,"1,200.00",percent of total billed charges,"1,200.00",percent of total billed charges,,,"1,080.00",percent of total billed charges ,,,"1,200.00",percent of total billed charges ,"1,260.00",percent of total billed charges ,"1,260.00",percent of total billed charges ,"1,170.00",percent of total billed charges ,"1,170.00",percent of total billed charges ,"1,200.00",percent of total billed charges ,"1,200.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,900,percent of total billed charges ,900,percent of total billed charges ,900,percent of total billed charges ,900,percent of total billed charges ,,,,,798,percent of total billed charges ,,,,,758.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,,,420,percent of total billed charges,
BRDBAND MINI 5IN SP BK/BL CM-0302,LOCAL,LOCAL,,,,both,1,each,576,576,161.28,576,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,,,414.72,percent of total billed charges ,,,460.8,percent of total billed charges ,483.84,percent of total billed charges ,483.84,percent of total billed charges ,449.28,percent of total billed charges ,449.28,percent of total billed charges ,460.8,percent of total billed charges ,460.8,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,,,,,306.43,percent of total billed charges ,,,,,291.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,
QUATTRO LINK ANCHOR 4.5MM SP CM-9145SP,LOCAL,LOCAL,,,,both,1,each,"4,341.00","4,341.00","1,215.48","4,341.00","4,341.00",percent of total billed charges,"4,341.00",percent of total billed charges,"4,341.00",percent of total billed charges,"4,341.00",percent of total billed charges,"4,341.00",percent of total billed charges,"4,341.00",percent of total billed charges,"4,341.00",percent of total billed charges,"4,341.00",percent of total billed charges,"3,125.52",percent of total billed charges,"3,125.52",percent of total billed charges,"3,125.52",percent of total billed charges,"3,125.52",percent of total billed charges,"3,125.52",percent of total billed charges,"3,125.52",percent of total billed charges,"3,212.34",percent of total billed charges,"3,212.34",percent of total billed charges,"3,472.80",percent of total billed charges,"3,472.80",percent of total billed charges,,,"3,125.52",percent of total billed charges ,,,"3,472.80",percent of total billed charges ,"3,646.44",percent of total billed charges ,"3,646.44",percent of total billed charges ,"3,385.98",percent of total billed charges ,"3,385.98",percent of total billed charges ,"3,472.80",percent of total billed charges ,"3,472.80",percent of total billed charges ,"3,038.70",percent of total billed charges ,"3,038.70",percent of total billed charges ,"2,604.60",percent of total billed charges ,"2,604.60",percent of total billed charges ,"2,604.60",percent of total billed charges ,"2,604.60",percent of total billed charges ,,,,,"2,309.41",percent of total billed charges ,,,,,"2,193.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,,,"1,215.48",percent of total billed charges,
ZIMMER VERIFLO CASSETTE R-10003,LOCAL,LOCAL,,,,both,1,each,650,650,182,650,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,,,468,percent of total billed charges ,,,520,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,507,percent of total billed charges ,507,percent of total billed charges ,520,percent of total billed charges ,520,percent of total billed charges ,455,percent of total billed charges ,455,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,,,,,345.8,percent of total billed charges ,,,,,328.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,
3 IN 1 SHAVER 4.2MM R-10008,LOCAL,LOCAL,,,,both,1,each,"2,768.00","2,768.00",775.04,"2,768.00","2,768.00",percent of total billed charges,"2,768.00",percent of total billed charges,"2,768.00",percent of total billed charges,"2,768.00",percent of total billed charges,"2,768.00",percent of total billed charges,"2,768.00",percent of total billed charges,"2,768.00",percent of total billed charges,"2,768.00",percent of total billed charges,"1,992.96",percent of total billed charges,"1,992.96",percent of total billed charges,"1,992.96",percent of total billed charges,"1,992.96",percent of total billed charges,"1,992.96",percent of total billed charges,"1,992.96",percent of total billed charges,"2,048.32",percent of total billed charges,"2,048.32",percent of total billed charges,"2,214.40",percent of total billed charges,"2,214.40",percent of total billed charges,,,"1,992.96",percent of total billed charges ,,,"2,214.40",percent of total billed charges ,"2,325.12",percent of total billed charges ,"2,325.12",percent of total billed charges ,"2,159.04",percent of total billed charges ,"2,159.04",percent of total billed charges ,"2,214.40",percent of total billed charges ,"2,214.40",percent of total billed charges ,"1,937.60",percent of total billed charges ,"1,937.60",percent of total billed charges ,"1,660.80",percent of total billed charges ,"1,660.80",percent of total billed charges ,"1,660.80",percent of total billed charges ,"1,660.80",percent of total billed charges ,,,,,"1,472.58",percent of total billed charges ,,,,,"1,398.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,,,775.04,percent of total billed charges,
HYDDM RGD CANN 8.5X85MM 110025598,LOCAL,LOCAL,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
COMPOSITCP 4.5MM NONSL BB 110026113,LOCAL,LOCAL,,,,both,1,each,"3,582.00","3,582.00","1,002.96","3,582.00","3,582.00",percent of total billed charges,"3,582.00",percent of total billed charges,"3,582.00",percent of total billed charges,"3,582.00",percent of total billed charges,"3,582.00",percent of total billed charges,"3,582.00",percent of total billed charges,"3,582.00",percent of total billed charges,"3,582.00",percent of total billed charges,"2,579.04",percent of total billed charges,"2,579.04",percent of total billed charges,"2,579.04",percent of total billed charges,"2,579.04",percent of total billed charges,"2,579.04",percent of total billed charges,"2,579.04",percent of total billed charges,"2,650.68",percent of total billed charges,"2,650.68",percent of total billed charges,"2,865.60",percent of total billed charges,"2,865.60",percent of total billed charges,,,"2,579.04",percent of total billed charges ,,,"2,865.60",percent of total billed charges ,"3,008.88",percent of total billed charges ,"3,008.88",percent of total billed charges ,"2,793.96",percent of total billed charges ,"2,793.96",percent of total billed charges ,"2,865.60",percent of total billed charges ,"2,865.60",percent of total billed charges ,"2,507.40",percent of total billed charges ,"2,507.40",percent of total billed charges ,"2,149.20",percent of total billed charges ,"2,149.20",percent of total billed charges ,"2,149.20",percent of total billed charges ,"2,149.20",percent of total billed charges ,,,,,"1,905.62",percent of total billed charges ,,,,,"1,810.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,,,"1,002.96",percent of total billed charges,
5.0 ALLTHREAD TI2#2 MB TPRD 902581,LOCAL,LOCAL,,,,both,1,each,"4,078.00","4,078.00","1,141.84","4,078.00","4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"3,017.72",percent of total billed charges,"3,017.72",percent of total billed charges,"3,262.40",percent of total billed charges,"3,262.40",percent of total billed charges,,,"2,936.16",percent of total billed charges ,,,"3,262.40",percent of total billed charges ,"3,425.52",percent of total billed charges ,"3,425.52",percent of total billed charges ,"3,180.84",percent of total billed charges ,"3,180.84",percent of total billed charges ,"3,262.40",percent of total billed charges ,"3,262.40",percent of total billed charges ,"2,854.60",percent of total billed charges ,"2,854.60",percent of total billed charges ,"2,446.80",percent of total billed charges ,"2,446.80",percent of total billed charges ,"2,446.80",percent of total billed charges ,"2,446.80",percent of total billed charges ,,,,,"2,169.50",percent of total billed charges ,,,,,"2,061.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,
HYDDMRGD CANN 7X85MM #110025596,LOCAL,LOCAL,,,,both,1,each,384,384,107.52,384,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,284.16,percent of total billed charges,284.16,percent of total billed charges,307.2,percent of total billed charges,307.2,percent of total billed charges,,,276.48,percent of total billed charges ,,,307.2,percent of total billed charges ,322.56,percent of total billed charges ,322.56,percent of total billed charges ,299.52,percent of total billed charges ,299.52,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,,,,,204.29,percent of total billed charges ,,,,,194.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,
3 IN 1 SHAVER 5.0,LOCAL,LOCAL,,,,both,1,each,"2,446.00","2,446.00",684.88,"2,446.00","2,446.00",percent of total billed charges,"2,446.00",percent of total billed charges,"2,446.00",percent of total billed charges,"2,446.00",percent of total billed charges,"2,446.00",percent of total billed charges,"2,446.00",percent of total billed charges,"2,446.00",percent of total billed charges,"2,446.00",percent of total billed charges,"1,761.12",percent of total billed charges,"1,761.12",percent of total billed charges,"1,761.12",percent of total billed charges,"1,761.12",percent of total billed charges,"1,761.12",percent of total billed charges,"1,761.12",percent of total billed charges,"1,810.04",percent of total billed charges,"1,810.04",percent of total billed charges,"1,956.80",percent of total billed charges,"1,956.80",percent of total billed charges,,,"1,761.12",percent of total billed charges ,,,"1,956.80",percent of total billed charges ,"2,054.64",percent of total billed charges ,"2,054.64",percent of total billed charges ,"1,907.88",percent of total billed charges ,"1,907.88",percent of total billed charges ,"1,956.80",percent of total billed charges ,"1,956.80",percent of total billed charges ,"1,712.20",percent of total billed charges ,"1,712.20",percent of total billed charges ,"1,467.60",percent of total billed charges ,"1,467.60",percent of total billed charges ,"1,467.60",percent of total billed charges ,"1,467.60",percent of total billed charges ,,,,,"1,301.27",percent of total billed charges ,,,,,"1,236.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,,,684.88,percent of total billed charges,
JK 2.9 SHRT DBL SL WT/BL BK/WT CM-991129,C1713,CDM,,,,both,1,each,"4,049.00","4,049.00","1,133.72","4,049.00","4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,996.26",percent of total billed charges,"2,996.26",percent of total billed charges,"3,239.20",percent of total billed charges,"3,239.20",percent of total billed charges,,,"2,915.28",percent of total billed charges ,,,"3,239.20",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,239.20",percent of total billed charges ,"3,239.20",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,,,,,"2,154.07",percent of total billed charges ,,,,,"2,046.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,
STANDARD SHAVER 3.4MM R-10012,LOCAL,LOCAL,,,,both,1,each,427,427,119.56,427,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,315.98,percent of total billed charges,315.98,percent of total billed charges,341.6,percent of total billed charges,341.6,percent of total billed charges,,,307.44,percent of total billed charges ,,,341.6,percent of total billed charges ,358.68,percent of total billed charges ,358.68,percent of total billed charges ,333.06,percent of total billed charges ,333.06,percent of total billed charges ,341.6,percent of total billed charges ,341.6,percent of total billed charges ,298.9,percent of total billed charges ,298.9,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,,,,,227.16,percent of total billed charges ,,,,,215.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,
STNDRD BURR 5.0MM R-10021 ZIMMER,LOCAL,LOCAL,,,,both,1,each,587,587,164.36,587,587,percent of total billed charges,587,percent of total billed charges,587,percent of total billed charges,587,percent of total billed charges,587,percent of total billed charges,587,percent of total billed charges,587,percent of total billed charges,587,percent of total billed charges,422.64,percent of total billed charges,422.64,percent of total billed charges,422.64,percent of total billed charges,422.64,percent of total billed charges,422.64,percent of total billed charges,422.64,percent of total billed charges,434.38,percent of total billed charges,434.38,percent of total billed charges,469.6,percent of total billed charges,469.6,percent of total billed charges,,,422.64,percent of total billed charges ,,,469.6,percent of total billed charges ,493.08,percent of total billed charges ,493.08,percent of total billed charges ,457.86,percent of total billed charges ,457.86,percent of total billed charges ,469.6,percent of total billed charges ,469.6,percent of total billed charges ,410.9,percent of total billed charges ,410.9,percent of total billed charges ,352.2,percent of total billed charges ,352.2,percent of total billed charges ,352.2,percent of total billed charges ,352.2,percent of total billed charges ,,,,,312.28,percent of total billed charges ,,,,,296.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,,,164.36,percent of total billed charges,
1.6MMX6IN SM TR G PN 114709400,LOCAL,LOCAL,,,,both,1,each,569,569,159.32,569,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,421.06,percent of total billed charges,421.06,percent of total billed charges,455.2,percent of total billed charges,455.2,percent of total billed charges,,,409.68,percent of total billed charges ,,,455.2,percent of total billed charges ,477.96,percent of total billed charges ,477.96,percent of total billed charges ,443.82,percent of total billed charges ,443.82,percent of total billed charges ,455.2,percent of total billed charges ,455.2,percent of total billed charges ,398.3,percent of total billed charges ,398.3,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,,,,,302.71,percent of total billed charges ,,,,,287.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,
QC CANN DRL 2.7MM 114702600,LOCAL,LOCAL,,,,both,1,each,"4,199.00","4,199.00","1,175.72","4,199.00","4,199.00",percent of total billed charges,"4,199.00",percent of total billed charges,"4,199.00",percent of total billed charges,"4,199.00",percent of total billed charges,"4,199.00",percent of total billed charges,"4,199.00",percent of total billed charges,"4,199.00",percent of total billed charges,"4,199.00",percent of total billed charges,"3,023.28",percent of total billed charges,"3,023.28",percent of total billed charges,"3,023.28",percent of total billed charges,"3,023.28",percent of total billed charges,"3,023.28",percent of total billed charges,"3,023.28",percent of total billed charges,"3,107.26",percent of total billed charges,"3,107.26",percent of total billed charges,"3,359.20",percent of total billed charges,"3,359.20",percent of total billed charges,,,"3,023.28",percent of total billed charges ,,,"3,359.20",percent of total billed charges ,"3,527.16",percent of total billed charges ,"3,527.16",percent of total billed charges ,"3,275.22",percent of total billed charges ,"3,275.22",percent of total billed charges ,"3,359.20",percent of total billed charges ,"3,359.20",percent of total billed charges ,"2,939.30",percent of total billed charges ,"2,939.30",percent of total billed charges ,"2,519.40",percent of total billed charges ,"2,519.40",percent of total billed charges ,"2,519.40",percent of total billed charges ,"2,519.40",percent of total billed charges ,,,,,"2,233.87",percent of total billed charges ,,,,,"2,122.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,,,"1,175.72",percent of total billed charges,
WASHR 3.5/4.0MM SCREWS 114709600,C1713,CDM,,,,both,1,each,434,434,121.52,434,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,321.16,percent of total billed charges,321.16,percent of total billed charges,347.2,percent of total billed charges,347.2,percent of total billed charges,,,312.48,percent of total billed charges ,,,347.2,percent of total billed charges ,364.56,percent of total billed charges ,364.56,percent of total billed charges ,338.52,percent of total billed charges ,338.52,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,303.8,percent of total billed charges ,303.8,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,,,,,230.89,percent of total billed charges ,,,,,219.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,
4MM CANN SCRW 1/3THD 50MM 114705040,C1713,CDM,,,,both,1,each,"1,882.00","1,882.00",526.96,"1,882.00","1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,392.68",percent of total billed charges,"1,392.68",percent of total billed charges,"1,505.60",percent of total billed charges,"1,505.60",percent of total billed charges,,,"1,355.04",percent of total billed charges ,,,"1,505.60",percent of total billed charges ,"1,580.88",percent of total billed charges ,"1,580.88",percent of total billed charges ,"1,467.96",percent of total billed charges ,"1,467.96",percent of total billed charges ,"1,505.60",percent of total billed charges ,"1,505.60",percent of total billed charges ,"1,317.40",percent of total billed charges ,"1,317.40",percent of total billed charges ,"1,129.20",percent of total billed charges ,"1,129.20",percent of total billed charges ,"1,129.20",percent of total billed charges ,"1,129.20",percent of total billed charges ,,,,,"1,001.22",percent of total billed charges ,,,,,951.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,
4MM CANN SCRW 1/3THD 55MM 114705540,C1713,CDM,,,,both,1,each,"1,882.00","1,882.00",526.96,"1,882.00","1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,882.00",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,355.04",percent of total billed charges,"1,392.68",percent of total billed charges,"1,392.68",percent of total billed charges,"1,505.60",percent of total billed charges,"1,505.60",percent of total billed charges,,,"1,355.04",percent of total billed charges ,,,"1,505.60",percent of total billed charges ,"1,580.88",percent of total billed charges ,"1,580.88",percent of total billed charges ,"1,467.96",percent of total billed charges ,"1,467.96",percent of total billed charges ,"1,505.60",percent of total billed charges ,"1,505.60",percent of total billed charges ,"1,317.40",percent of total billed charges ,"1,317.40",percent of total billed charges ,"1,129.20",percent of total billed charges ,"1,129.20",percent of total billed charges ,"1,129.20",percent of total billed charges ,"1,129.20",percent of total billed charges ,,,,,"1,001.22",percent of total billed charges ,,,,,951.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,,,526.96,percent of total billed charges,
SILICONE MCP SZ 20 S&N SMCP-500-20-WW,C1776,CDM,,,,both,1,each,"11,561.00","11,561.00","3,237.08","11,561.00","11,561.00",percent of total billed charges,"11,561.00",percent of total billed charges,"11,561.00",percent of total billed charges,"11,561.00",percent of total billed charges,"11,561.00",percent of total billed charges,"11,561.00",percent of total billed charges,"11,561.00",percent of total billed charges,"11,561.00",percent of total billed charges,"8,323.92",percent of total billed charges,"8,323.92",percent of total billed charges,"8,323.92",percent of total billed charges,"8,323.92",percent of total billed charges,"8,323.92",percent of total billed charges,"8,323.92",percent of total billed charges,"8,555.14",percent of total billed charges,"8,555.14",percent of total billed charges,"9,248.80",percent of total billed charges,"9,248.80",percent of total billed charges,,,"8,323.92",percent of total billed charges ,,,"9,248.80",percent of total billed charges ,"9,711.24",percent of total billed charges ,"9,711.24",percent of total billed charges ,"9,017.58",percent of total billed charges ,"9,017.58",percent of total billed charges ,"9,248.80",percent of total billed charges ,"9,248.80",percent of total billed charges ,"8,092.70",percent of total billed charges ,"8,092.70",percent of total billed charges ,"6,936.60",percent of total billed charges ,"6,936.60",percent of total billed charges ,"6,936.60",percent of total billed charges ,"6,936.60",percent of total billed charges ,,,,,"6,150.45",percent of total billed charges ,,,,,"5,842.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,,,"3,237.08",percent of total billed charges,
912040 JGRKNT 1.4MM DISP KIT,C1713,CDM,,,,both,1,each,"3,435.00","3,435.00",961.8,"3,435.00","3,435.00",percent of total billed charges,"3,435.00",percent of total billed charges,"3,435.00",percent of total billed charges,"3,435.00",percent of total billed charges,"3,435.00",percent of total billed charges,"3,435.00",percent of total billed charges,"3,435.00",percent of total billed charges,"3,435.00",percent of total billed charges,"2,473.20",percent of total billed charges,"2,473.20",percent of total billed charges,"2,473.20",percent of total billed charges,"2,473.20",percent of total billed charges,"2,473.20",percent of total billed charges,"2,473.20",percent of total billed charges,"2,541.90",percent of total billed charges,"2,541.90",percent of total billed charges,"2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,,,"2,473.20",percent of total billed charges ,,,"2,748.00",percent of total billed charges ,"2,885.40",percent of total billed charges ,"2,885.40",percent of total billed charges ,"2,679.30",percent of total billed charges ,"2,679.30",percent of total billed charges ,"2,748.00",percent of total billed charges ,"2,748.00",percent of total billed charges ,"2,404.50",percent of total billed charges ,"2,404.50",percent of total billed charges ,"2,061.00",percent of total billed charges ,"2,061.00",percent of total billed charges ,"2,061.00",percent of total billed charges ,"2,061.00",percent of total billed charges ,,,,,"1,827.42",percent of total billed charges ,,,,,"1,736.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,,,961.8,percent of total billed charges,
EZ PASS 904054 70 DEGREE LEFT,C1713,CDM,,,,both,1,each,"2,468.00","2,468.00",691.04,"2,468.00","2,468.00",percent of total billed charges,"2,468.00",percent of total billed charges,"2,468.00",percent of total billed charges,"2,468.00",percent of total billed charges,"2,468.00",percent of total billed charges,"2,468.00",percent of total billed charges,"2,468.00",percent of total billed charges,"2,468.00",percent of total billed charges,"1,776.96",percent of total billed charges,"1,776.96",percent of total billed charges,"1,776.96",percent of total billed charges,"1,776.96",percent of total billed charges,"1,776.96",percent of total billed charges,"1,776.96",percent of total billed charges,"1,826.32",percent of total billed charges,"1,826.32",percent of total billed charges,"1,974.40",percent of total billed charges,"1,974.40",percent of total billed charges,,,"1,776.96",percent of total billed charges ,,,"1,974.40",percent of total billed charges ,"2,073.12",percent of total billed charges ,"2,073.12",percent of total billed charges ,"1,925.04",percent of total billed charges ,"1,925.04",percent of total billed charges ,"1,974.40",percent of total billed charges ,"1,974.40",percent of total billed charges ,"1,727.60",percent of total billed charges ,"1,727.60",percent of total billed charges ,"1,480.80",percent of total billed charges ,"1,480.80",percent of total billed charges ,"1,480.80",percent of total billed charges ,"1,480.80",percent of total billed charges ,,,,,"1,312.98",percent of total billed charges ,,,,,"1,247.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,,,691.04,percent of total billed charges,
MCP-DIS-HAL MCP DISP PACK FOR LINVATEC,LOCAL,LOCAL,,,,both,1,each,"3,548.00","3,548.00",993.44,"3,548.00","3,548.00",percent of total billed charges,"3,548.00",percent of total billed charges,"3,548.00",percent of total billed charges,"3,548.00",percent of total billed charges,"3,548.00",percent of total billed charges,"3,548.00",percent of total billed charges,"3,548.00",percent of total billed charges,"3,548.00",percent of total billed charges,"2,554.56",percent of total billed charges,"2,554.56",percent of total billed charges,"2,554.56",percent of total billed charges,"2,554.56",percent of total billed charges,"2,554.56",percent of total billed charges,"2,554.56",percent of total billed charges,"2,625.52",percent of total billed charges,"2,625.52",percent of total billed charges,"2,838.40",percent of total billed charges,"2,838.40",percent of total billed charges,,,"2,554.56",percent of total billed charges ,,,"2,838.40",percent of total billed charges ,"2,980.32",percent of total billed charges ,"2,980.32",percent of total billed charges ,"2,767.44",percent of total billed charges ,"2,767.44",percent of total billed charges ,"2,838.40",percent of total billed charges ,"2,838.40",percent of total billed charges ,"2,483.60",percent of total billed charges ,"2,483.60",percent of total billed charges ,"2,128.80",percent of total billed charges ,"2,128.80",percent of total billed charges ,"2,128.80",percent of total billed charges ,"2,128.80",percent of total billed charges ,,,,,"1,887.54",percent of total billed charges ,,,,,"1,793.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,,,993.44,percent of total billed charges,
SMCP-500-30-WW SILICONE MCP SZ 30,C1776,CDM,,,,both,1,each,"12,269.00","12,269.00","3,435.32","12,269.00","12,269.00",percent of total billed charges,"12,269.00",percent of total billed charges,"12,269.00",percent of total billed charges,"12,269.00",percent of total billed charges,"12,269.00",percent of total billed charges,"12,269.00",percent of total billed charges,"12,269.00",percent of total billed charges,"12,269.00",percent of total billed charges,"8,833.68",percent of total billed charges,"8,833.68",percent of total billed charges,"8,833.68",percent of total billed charges,"8,833.68",percent of total billed charges,"8,833.68",percent of total billed charges,"8,833.68",percent of total billed charges,"9,079.06",percent of total billed charges,"9,079.06",percent of total billed charges,"9,815.20",percent of total billed charges,"9,815.20",percent of total billed charges,,,"8,833.68",percent of total billed charges ,,,"9,815.20",percent of total billed charges ,"10,305.96",percent of total billed charges ,"10,305.96",percent of total billed charges ,"9,569.82",percent of total billed charges ,"9,569.82",percent of total billed charges ,"9,815.20",percent of total billed charges ,"9,815.20",percent of total billed charges ,"8,588.30",percent of total billed charges ,"8,588.30",percent of total billed charges ,"7,361.40",percent of total billed charges ,"7,361.40",percent of total billed charges ,"7,361.40",percent of total billed charges ,"7,361.40",percent of total billed charges ,,,,,"6,527.11",percent of total billed charges ,,,,,"6,200.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,,,"3,435.32",percent of total billed charges,
3.5MM 00114705536 CAN SCRW FL THD 55MM,C1713,CDM,,,,both,1,each,"1,399.00","1,399.00",391.72,"1,399.00","1,399.00",percent of total billed charges,"1,399.00",percent of total billed charges,"1,399.00",percent of total billed charges,"1,399.00",percent of total billed charges,"1,399.00",percent of total billed charges,"1,399.00",percent of total billed charges,"1,399.00",percent of total billed charges,"1,399.00",percent of total billed charges,"1,007.28",percent of total billed charges,"1,007.28",percent of total billed charges,"1,007.28",percent of total billed charges,"1,007.28",percent of total billed charges,"1,007.28",percent of total billed charges,"1,007.28",percent of total billed charges,"1,035.26",percent of total billed charges,"1,035.26",percent of total billed charges,"1,119.20",percent of total billed charges,"1,119.20",percent of total billed charges,,,"1,007.28",percent of total billed charges ,,,"1,119.20",percent of total billed charges ,"1,175.16",percent of total billed charges ,"1,175.16",percent of total billed charges ,"1,091.22",percent of total billed charges ,"1,091.22",percent of total billed charges ,"1,119.20",percent of total billed charges ,"1,119.20",percent of total billed charges ,979.3,percent of total billed charges ,979.3,percent of total billed charges ,839.4,percent of total billed charges ,839.4,percent of total billed charges ,839.4,percent of total billed charges ,839.4,percent of total billed charges ,,,,,744.27,percent of total billed charges ,,,,,707.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,,,391.72,percent of total billed charges,
574201050 AVENIR CMPL HA STD COL SZ 5,C1776,CDM,,,,both,1,each,"13,091.00","13,091.00","3,665.48","13,091.00","13,091.00",percent of total billed charges,"13,091.00",percent of total billed charges,"13,091.00",percent of total billed charges,"13,091.00",percent of total billed charges,"13,091.00",percent of total billed charges,"13,091.00",percent of total billed charges,"13,091.00",percent of total billed charges,"13,091.00",percent of total billed charges,"9,425.52",percent of total billed charges,"9,425.52",percent of total billed charges,"9,425.52",percent of total billed charges,"9,425.52",percent of total billed charges,"9,425.52",percent of total billed charges,"9,425.52",percent of total billed charges,"9,687.34",percent of total billed charges,"9,687.34",percent of total billed charges,"10,472.80",percent of total billed charges,"10,472.80",percent of total billed charges,,,"9,425.52",percent of total billed charges ,,,"10,472.80",percent of total billed charges ,"10,996.44",percent of total billed charges ,"10,996.44",percent of total billed charges ,"10,210.98",percent of total billed charges ,"10,210.98",percent of total billed charges ,"10,472.80",percent of total billed charges ,"10,472.80",percent of total billed charges ,"9,163.70",percent of total billed charges ,"9,163.70",percent of total billed charges ,"7,854.60",percent of total billed charges ,"7,854.60",percent of total billed charges ,"7,854.60",percent of total billed charges ,"7,854.60",percent of total billed charges ,,,,,"6,964.41",percent of total billed charges ,,,,,"6,616.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,,,"3,665.48",percent of total billed charges,
00500105400 BIPOLAR SHELL 54 MM OD,C1776,CDM,,,,both,1,each,"4,139.00","4,139.00","1,158.92","4,139.00","4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"4,139.00",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"2,980.08",percent of total billed charges,"3,062.86",percent of total billed charges,"3,062.86",percent of total billed charges,"3,311.20",percent of total billed charges,"3,311.20",percent of total billed charges,,,"2,980.08",percent of total billed charges ,,,"3,311.20",percent of total billed charges ,"3,476.76",percent of total billed charges ,"3,476.76",percent of total billed charges ,"3,228.42",percent of total billed charges ,"3,228.42",percent of total billed charges ,"3,311.20",percent of total billed charges ,"3,311.20",percent of total billed charges ,"2,897.30",percent of total billed charges ,"2,897.30",percent of total billed charges ,"2,483.40",percent of total billed charges ,"2,483.40",percent of total billed charges ,"2,483.40",percent of total billed charges ,"2,483.40",percent of total billed charges ,,,,,"2,201.95",percent of total billed charges ,,,,,"2,091.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,,,"1,158.92",percent of total billed charges,
00500105328 BIPOLR LINR 53/54/55MMODX28I,C1776,CDM,,,,both,1,each,"2,478.00","2,478.00",693.84,"2,478.00","2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,833.72",percent of total billed charges,"1,833.72",percent of total billed charges,"1,982.40",percent of total billed charges,"1,982.40",percent of total billed charges,,,"1,784.16",percent of total billed charges ,,,"1,982.40",percent of total billed charges ,"2,081.52",percent of total billed charges ,"2,081.52",percent of total billed charges ,"1,932.84",percent of total billed charges ,"1,932.84",percent of total billed charges ,"1,982.40",percent of total billed charges ,"1,982.40",percent of total billed charges ,"1,734.60",percent of total billed charges ,"1,734.60",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,486.80",percent of total billed charges ,,,,,"1,318.30",percent of total billed charges ,,,,,"1,252.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,
802202803 ZB 12/14 COCR HD 28MM X +3.5,C1776,CDM,,,,both,1,each,"3,021.00","3,021.00",845.88,"3,021.00","3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,235.54",percent of total billed charges,"2,235.54",percent of total billed charges,"2,416.80",percent of total billed charges,"2,416.80",percent of total billed charges,,,"2,175.12",percent of total billed charges ,,,"2,416.80",percent of total billed charges ,"2,537.64",percent of total billed charges ,"2,537.64",percent of total billed charges ,"2,356.38",percent of total billed charges ,"2,356.38",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,114.70",percent of total billed charges ,"2,114.70",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,,,,,"1,607.17",percent of total billed charges ,,,,,"1,526.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,
2.7MM 71173502 SHORT DRILL BI W/QC,LOCAL,LOCAL,,,,both,1,each,811,811,227.08,811,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,600.14,percent of total billed charges,600.14,percent of total billed charges,648.8,percent of total billed charges,648.8,percent of total billed charges,,,583.92,percent of total billed charges ,,,648.8,percent of total billed charges ,681.24,percent of total billed charges ,681.24,percent of total billed charges ,632.58,percent of total billed charges ,632.58,percent of total billed charges ,648.8,percent of total billed charges ,648.8,percent of total billed charges ,567.7,percent of total billed charges ,567.7,percent of total billed charges ,486.6,percent of total billed charges ,486.6,percent of total billed charges ,486.6,percent of total billed charges ,486.6,percent of total billed charges ,,,,,431.45,percent of total billed charges ,,,,,409.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,
3.5MM LK 71822604 RECON PL 4H 46MM,C1713,CDM,,,,both,1,each,"3,839.00","3,839.00","1,074.92","3,839.00","3,839.00",percent of total billed charges,"3,839.00",percent of total billed charges,"3,839.00",percent of total billed charges,"3,839.00",percent of total billed charges,"3,839.00",percent of total billed charges,"3,839.00",percent of total billed charges,"3,839.00",percent of total billed charges,"3,839.00",percent of total billed charges,"2,764.08",percent of total billed charges,"2,764.08",percent of total billed charges,"2,764.08",percent of total billed charges,"2,764.08",percent of total billed charges,"2,764.08",percent of total billed charges,"2,764.08",percent of total billed charges,"2,840.86",percent of total billed charges,"2,840.86",percent of total billed charges,"3,071.20",percent of total billed charges,"3,071.20",percent of total billed charges,,,"2,764.08",percent of total billed charges ,,,"3,071.20",percent of total billed charges ,"3,224.76",percent of total billed charges ,"3,224.76",percent of total billed charges ,"2,994.42",percent of total billed charges ,"2,994.42",percent of total billed charges ,"3,071.20",percent of total billed charges ,"3,071.20",percent of total billed charges ,"2,687.30",percent of total billed charges ,"2,687.30",percent of total billed charges ,"2,303.40",percent of total billed charges ,"2,303.40",percent of total billed charges ,"2,303.40",percent of total billed charges ,"2,303.40",percent of total billed charges ,,,,,"2,042.35",percent of total billed charges ,,,,,"1,940.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,,,"1,074.92",percent of total billed charges,
PERILOC 73824010 3.5MM T20 CRTX SCREW 10,C1713,CDM,,,,both,1,each,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
1.5MM/85MM DRILL BIT SYNTHES 310.15,LOCAL,LOCAL,,,,both,1,each,776,776,217.28,776,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,574.24,percent of total billed charges,574.24,percent of total billed charges,620.8,percent of total billed charges,620.8,percent of total billed charges,,,558.72,percent of total billed charges ,,,620.8,percent of total billed charges ,651.84,percent of total billed charges ,651.84,percent of total billed charges ,605.28,percent of total billed charges ,605.28,percent of total billed charges ,620.8,percent of total billed charges ,620.8,percent of total billed charges ,543.2,percent of total billed charges ,543.2,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,,,,,412.83,percent of total billed charges ,,,,,392.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,
2.7MM/100MM DRILL BIT SYNTHES 310.26,LOCAL,LOCAL,,,,both,1,each,776,776,217.28,776,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,574.24,percent of total billed charges,574.24,percent of total billed charges,620.8,percent of total billed charges,620.8,percent of total billed charges,,,558.72,percent of total billed charges ,,,620.8,percent of total billed charges ,651.84,percent of total billed charges ,651.84,percent of total billed charges ,605.28,percent of total billed charges ,605.28,percent of total billed charges ,620.8,percent of total billed charges ,620.8,percent of total billed charges ,543.2,percent of total billed charges ,543.2,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,,,,,412.83,percent of total billed charges ,,,,,392.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,
2.0MM/100MM DRILL BIT SYNTHES 310.19,LOCAL,LOCAL,,,,both,1,each,772,772,216.16,772,772,percent of total billed charges,772,percent of total billed charges,772,percent of total billed charges,772,percent of total billed charges,772,percent of total billed charges,772,percent of total billed charges,772,percent of total billed charges,772,percent of total billed charges,555.84,percent of total billed charges,555.84,percent of total billed charges,555.84,percent of total billed charges,555.84,percent of total billed charges,555.84,percent of total billed charges,555.84,percent of total billed charges,571.28,percent of total billed charges,571.28,percent of total billed charges,617.6,percent of total billed charges,617.6,percent of total billed charges,,,555.84,percent of total billed charges ,,,617.6,percent of total billed charges ,648.48,percent of total billed charges ,648.48,percent of total billed charges ,602.16,percent of total billed charges ,602.16,percent of total billed charges ,617.6,percent of total billed charges ,617.6,percent of total billed charges ,540.4,percent of total billed charges ,540.4,percent of total billed charges ,463.2,percent of total billed charges ,463.2,percent of total billed charges ,463.2,percent of total billed charges ,463.2,percent of total billed charges ,,,,,410.7,percent of total billed charges ,,,,,390.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,,,216.16,percent of total billed charges,
2.0MM/10MM ST SCREW SYNTHES 201.810,C1713,CDM,,,,both,1,each,551,551,154.28,551,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,407.74,percent of total billed charges,407.74,percent of total billed charges,440.8,percent of total billed charges,440.8,percent of total billed charges,,,396.72,percent of total billed charges ,,,440.8,percent of total billed charges ,462.84,percent of total billed charges ,462.84,percent of total billed charges ,429.78,percent of total billed charges ,429.78,percent of total billed charges ,440.8,percent of total billed charges ,440.8,percent of total billed charges ,385.7,percent of total billed charges ,385.7,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,278.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,
2.0MM/12MM ST SCREW SYNTHES 201.812,C1713,CDM,,,,both,1,each,551,551,154.28,551,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,407.74,percent of total billed charges,407.74,percent of total billed charges,440.8,percent of total billed charges,440.8,percent of total billed charges,,,396.72,percent of total billed charges ,,,440.8,percent of total billed charges ,462.84,percent of total billed charges ,462.84,percent of total billed charges ,429.78,percent of total billed charges ,429.78,percent of total billed charges ,440.8,percent of total billed charges ,440.8,percent of total billed charges ,385.7,percent of total billed charges ,385.7,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,278.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,
2.0MM/14MM ST SCREW SYNTHES 201.814,C1713,CDM,,,,both,1,each,551,551,154.28,551,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,407.74,percent of total billed charges,407.74,percent of total billed charges,440.8,percent of total billed charges,440.8,percent of total billed charges,,,396.72,percent of total billed charges ,,,440.8,percent of total billed charges ,462.84,percent of total billed charges ,462.84,percent of total billed charges ,429.78,percent of total billed charges ,429.78,percent of total billed charges ,440.8,percent of total billed charges ,440.8,percent of total billed charges ,385.7,percent of total billed charges ,385.7,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,278.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,
2.0MM/20MM ST SCREW SYNTHES 201.820,C1713,CDM,,,,both,1,each,551,551,154.28,551,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,407.74,percent of total billed charges,407.74,percent of total billed charges,440.8,percent of total billed charges,440.8,percent of total billed charges,,,396.72,percent of total billed charges ,,,440.8,percent of total billed charges ,462.84,percent of total billed charges ,462.84,percent of total billed charges ,429.78,percent of total billed charges ,429.78,percent of total billed charges ,440.8,percent of total billed charges ,440.8,percent of total billed charges ,385.7,percent of total billed charges ,385.7,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,278.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,
2.7MM/14MM ST SCREW SYNTHES 202.814,C1713,CDM,,,,both,1,each,514,514,143.92,514,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,380.36,percent of total billed charges,380.36,percent of total billed charges,411.2,percent of total billed charges,411.2,percent of total billed charges,,,370.08,percent of total billed charges ,,,411.2,percent of total billed charges ,431.76,percent of total billed charges ,431.76,percent of total billed charges ,400.92,percent of total billed charges ,400.92,percent of total billed charges ,411.2,percent of total billed charges ,411.2,percent of total billed charges ,359.8,percent of total billed charges ,359.8,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,,,,,273.45,percent of total billed charges ,,,,,259.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,
2.7MM/16MM ST SCREW SYNTHES 202.816,C1713,CDM,,,,both,1,each,514,514,143.92,514,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,380.36,percent of total billed charges,380.36,percent of total billed charges,411.2,percent of total billed charges,411.2,percent of total billed charges,,,370.08,percent of total billed charges ,,,411.2,percent of total billed charges ,431.76,percent of total billed charges ,431.76,percent of total billed charges ,400.92,percent of total billed charges ,400.92,percent of total billed charges ,411.2,percent of total billed charges ,411.2,percent of total billed charges ,359.8,percent of total billed charges ,359.8,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,,,,,273.45,percent of total billed charges ,,,,,259.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,
2.7MM/18MM ST SCREW SYNTHES 202.818,C1713,CDM,,,,both,1,each,514,514,143.92,514,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,380.36,percent of total billed charges,380.36,percent of total billed charges,411.2,percent of total billed charges,411.2,percent of total billed charges,,,370.08,percent of total billed charges ,,,411.2,percent of total billed charges ,431.76,percent of total billed charges ,431.76,percent of total billed charges ,400.92,percent of total billed charges ,400.92,percent of total billed charges ,411.2,percent of total billed charges ,411.2,percent of total billed charges ,359.8,percent of total billed charges ,359.8,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,,,,,273.45,percent of total billed charges ,,,,,259.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,
2.7MM/20MM ST SCREW SYNTHES 202.820,C1713,CDM,,,,both,1,each,514,514,143.92,514,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,380.36,percent of total billed charges,380.36,percent of total billed charges,411.2,percent of total billed charges,411.2,percent of total billed charges,,,370.08,percent of total billed charges ,,,411.2,percent of total billed charges ,431.76,percent of total billed charges ,431.76,percent of total billed charges ,400.92,percent of total billed charges ,400.92,percent of total billed charges ,411.2,percent of total billed charges ,411.2,percent of total billed charges ,359.8,percent of total billed charges ,359.8,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,,,,,273.45,percent of total billed charges ,,,,,259.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,
2.7MM/22MM ST SCREW SYNTHES 202.822,C1713,CDM,,,,both,1,each,514,514,143.92,514,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,380.36,percent of total billed charges,380.36,percent of total billed charges,411.2,percent of total billed charges,411.2,percent of total billed charges,,,370.08,percent of total billed charges ,,,411.2,percent of total billed charges ,431.76,percent of total billed charges ,431.76,percent of total billed charges ,400.92,percent of total billed charges ,400.92,percent of total billed charges ,411.2,percent of total billed charges ,411.2,percent of total billed charges ,359.8,percent of total billed charges ,359.8,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,,,,,273.45,percent of total billed charges ,,,,,259.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,
1.5MM/16MM ST SCREW SYNTHES 200.816,C1713,CDM,,,,both,1,each,561,561,157.08,561,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,415.14,percent of total billed charges,415.14,percent of total billed charges,448.8,percent of total billed charges,448.8,percent of total billed charges,,,403.92,percent of total billed charges ,,,448.8,percent of total billed charges ,471.24,percent of total billed charges ,471.24,percent of total billed charges ,437.58,percent of total billed charges ,437.58,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,392.7,percent of total billed charges ,392.7,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,,,,,298.45,percent of total billed charges ,,,,,283.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,
STRM-1MPJ-INST-KT STRATUM 1 MPJ INSTKT,LOCAL,LOCAL,,,,both,1,each,"3,821.00","3,821.00","1,069.88","3,821.00","3,821.00",percent of total billed charges,"3,821.00",percent of total billed charges,"3,821.00",percent of total billed charges,"3,821.00",percent of total billed charges,"3,821.00",percent of total billed charges,"3,821.00",percent of total billed charges,"3,821.00",percent of total billed charges,"3,821.00",percent of total billed charges,"2,751.12",percent of total billed charges,"2,751.12",percent of total billed charges,"2,751.12",percent of total billed charges,"2,751.12",percent of total billed charges,"2,751.12",percent of total billed charges,"2,751.12",percent of total billed charges,"2,827.54",percent of total billed charges,"2,827.54",percent of total billed charges,"3,056.80",percent of total billed charges,"3,056.80",percent of total billed charges,,,"2,751.12",percent of total billed charges ,,,"3,056.80",percent of total billed charges ,"3,209.64",percent of total billed charges ,"3,209.64",percent of total billed charges ,"2,980.38",percent of total billed charges ,"2,980.38",percent of total billed charges ,"3,056.80",percent of total billed charges ,"3,056.80",percent of total billed charges ,"2,674.70",percent of total billed charges ,"2,674.70",percent of total billed charges ,"2,292.60",percent of total billed charges ,"2,292.60",percent of total billed charges ,"2,292.60",percent of total billed charges ,"2,292.60",percent of total billed charges ,,,,,"2,032.77",percent of total billed charges ,,,,,"1,931.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,,,"1,069.88",percent of total billed charges,
STRM-DRL-20 STRM CALB DRL 2MM ST W SLV,LOCAL,LOCAL,,,,both,1,each,"1,325.00","1,325.00",371,"1,325.00","1,325.00",percent of total billed charges,"1,325.00",percent of total billed charges,"1,325.00",percent of total billed charges,"1,325.00",percent of total billed charges,"1,325.00",percent of total billed charges,"1,325.00",percent of total billed charges,"1,325.00",percent of total billed charges,"1,325.00",percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,980.5,percent of total billed charges,980.5,percent of total billed charges,"1,060.00",percent of total billed charges,"1,060.00",percent of total billed charges,,,954,percent of total billed charges ,,,"1,060.00",percent of total billed charges ,"1,113.00",percent of total billed charges ,"1,113.00",percent of total billed charges ,"1,033.50",percent of total billed charges ,"1,033.50",percent of total billed charges ,"1,060.00",percent of total billed charges ,"1,060.00",percent of total billed charges ,927.5,percent of total billed charges ,927.5,percent of total billed charges ,795,percent of total billed charges ,795,percent of total billed charges ,795,percent of total billed charges ,795,percent of total billed charges ,,,,,704.9,percent of total billed charges ,,,,,669.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,,,371,percent of total billed charges,
STRM-1MPJ-SMR 1MPJ FUSION PLT SM RT,C1713,CDM,,,,both,1,each,"8,650.00","8,650.00","2,422.00","8,650.00","8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,920.00",percent of total billed charges,"6,920.00",percent of total billed charges,,,"6,228.00",percent of total billed charges ,,,"6,920.00",percent of total billed charges ,"7,266.00",percent of total billed charges ,"7,266.00",percent of total billed charges ,"6,747.00",percent of total billed charges ,"6,747.00",percent of total billed charges ,"6,920.00",percent of total billed charges ,"6,920.00",percent of total billed charges ,"6,055.00",percent of total billed charges ,"6,055.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,,,,,"4,601.80",percent of total billed charges ,,,,,"4,371.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,
STRM-LK-2718ST 2.7X18MM LOCKING SCRW,C1713,CDM,,,,both,1,each,"1,098.00","1,098.00",307.44,"1,098.00","1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,812.52,percent of total billed charges,812.52,percent of total billed charges,878.4,percent of total billed charges,878.4,percent of total billed charges,,,790.56,percent of total billed charges ,,,878.4,percent of total billed charges ,922.32,percent of total billed charges ,922.32,percent of total billed charges ,856.44,percent of total billed charges ,856.44,percent of total billed charges ,878.4,percent of total billed charges ,878.4,percent of total billed charges ,768.6,percent of total billed charges ,768.6,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,,,,,584.14,percent of total billed charges ,,,,,554.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,
STRM-LK-2716ST 2.7X16MM LOCKING SCRW,C1713,CDM,,,,both,1,each,"1,098.00","1,098.00",307.44,"1,098.00","1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,812.52,percent of total billed charges,812.52,percent of total billed charges,878.4,percent of total billed charges,878.4,percent of total billed charges,,,790.56,percent of total billed charges ,,,878.4,percent of total billed charges ,922.32,percent of total billed charges ,922.32,percent of total billed charges ,856.44,percent of total billed charges ,856.44,percent of total billed charges ,878.4,percent of total billed charges ,878.4,percent of total billed charges ,768.6,percent of total billed charges ,768.6,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,,,,,584.14,percent of total billed charges ,,,,,554.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,
STRM-LK-2714ST 2.7X14MM LOCKING SCRW,C1713,CDM,,,,both,1,each,"1,098.00","1,098.00",307.44,"1,098.00","1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,812.52,percent of total billed charges,812.52,percent of total billed charges,878.4,percent of total billed charges,878.4,percent of total billed charges,,,790.56,percent of total billed charges ,,,878.4,percent of total billed charges ,922.32,percent of total billed charges ,922.32,percent of total billed charges ,856.44,percent of total billed charges ,856.44,percent of total billed charges ,878.4,percent of total billed charges ,878.4,percent of total billed charges ,768.6,percent of total billed charges ,768.6,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,,,,,584.14,percent of total billed charges ,,,,,554.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,
STRM-NL-3512ST 3.5X12MM NL LP SCRW,C1713,CDM,,,,both,1,each,"1,098.00","1,098.00",307.44,"1,098.00","1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,"1,098.00",percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,790.56,percent of total billed charges,812.52,percent of total billed charges,812.52,percent of total billed charges,878.4,percent of total billed charges,878.4,percent of total billed charges,,,790.56,percent of total billed charges ,,,878.4,percent of total billed charges ,922.32,percent of total billed charges ,922.32,percent of total billed charges ,856.44,percent of total billed charges ,856.44,percent of total billed charges ,878.4,percent of total billed charges ,878.4,percent of total billed charges ,768.6,percent of total billed charges ,768.6,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,658.8,percent of total billed charges ,,,,,584.14,percent of total billed charges ,,,,,554.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,,,307.44,percent of total billed charges,
STRM1MPJSML 1MPJ FUSION PLT SM LT,C1713,CDM,,,,both,1,each,"8,650.00","8,650.00","2,422.00","8,650.00","8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,920.00",percent of total billed charges,"6,920.00",percent of total billed charges,,,"6,228.00",percent of total billed charges ,,,"6,920.00",percent of total billed charges ,"7,266.00",percent of total billed charges ,"7,266.00",percent of total billed charges ,"6,747.00",percent of total billed charges ,"6,747.00",percent of total billed charges ,"6,920.00",percent of total billed charges ,"6,920.00",percent of total billed charges ,"6,055.00",percent of total billed charges ,"6,055.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,,,,,"4,601.80",percent of total billed charges ,,,,,"4,371.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,
STRMLK2720ST STRM LKNG SCRW 2.7X20MM,C1713,CDM,,,,both,1,each,"1,099.00","1,099.00",307.72,"1,099.00","1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,813.26,percent of total billed charges,813.26,percent of total billed charges,879.2,percent of total billed charges,879.2,percent of total billed charges,,,791.28,percent of total billed charges ,,,879.2,percent of total billed charges ,923.16,percent of total billed charges ,923.16,percent of total billed charges ,857.22,percent of total billed charges ,857.22,percent of total billed charges ,879.2,percent of total billed charges ,879.2,percent of total billed charges ,769.3,percent of total billed charges ,769.3,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,,,,,584.67,percent of total billed charges ,,,,,555.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,
STRMLK2712ST STRM LKNG SCRW 2.7X12MM,C1713,CDM,,,,both,1,each,"1,099.00","1,099.00",307.72,"1,099.00","1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,"1,099.00",percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,791.28,percent of total billed charges,813.26,percent of total billed charges,813.26,percent of total billed charges,879.2,percent of total billed charges,879.2,percent of total billed charges,,,791.28,percent of total billed charges ,,,879.2,percent of total billed charges ,923.16,percent of total billed charges ,923.16,percent of total billed charges ,857.22,percent of total billed charges ,857.22,percent of total billed charges ,879.2,percent of total billed charges ,879.2,percent of total billed charges ,769.3,percent of total billed charges ,769.3,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,,,,,584.67,percent of total billed charges ,,,,,555.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,,,307.72,percent of total billed charges,
JUGGERKNOT 2.9 W/CUT ND 110005093,LOCAL,LOCAL,,,,both,1,each,"4,078.00","4,078.00","1,141.84","4,078.00","4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"4,078.00",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"2,936.16",percent of total billed charges,"3,017.72",percent of total billed charges,"3,017.72",percent of total billed charges,"3,262.40",percent of total billed charges,"3,262.40",percent of total billed charges,,,"2,936.16",percent of total billed charges ,,,"3,262.40",percent of total billed charges ,"3,425.52",percent of total billed charges ,"3,425.52",percent of total billed charges ,"3,180.84",percent of total billed charges ,"3,180.84",percent of total billed charges ,"3,262.40",percent of total billed charges ,"3,262.40",percent of total billed charges ,"2,854.60",percent of total billed charges ,"2,854.60",percent of total billed charges ,"2,446.80",percent of total billed charges ,"2,446.80",percent of total billed charges ,"2,446.80",percent of total billed charges ,"2,446.80",percent of total billed charges ,,,,,"2,169.50",percent of total billed charges ,,,,,"2,061.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,,,"1,141.84",percent of total billed charges,
JK 2.9 DBL WT/BL CM-99229B,LOCAL,LOCAL,,,,both,1,each,"4,049.00","4,049.00","1,133.72","4,049.00","4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"4,049.00",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,915.28",percent of total billed charges,"2,996.26",percent of total billed charges,"2,996.26",percent of total billed charges,"3,239.20",percent of total billed charges,"3,239.20",percent of total billed charges,,,"2,915.28",percent of total billed charges ,,,"3,239.20",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,401.16",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,158.22",percent of total billed charges ,"3,239.20",percent of total billed charges ,"3,239.20",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,834.30",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,"2,429.40",percent of total billed charges ,,,,,"2,154.07",percent of total billed charges ,,,,,"2,046.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,,,"1,133.72",percent of total billed charges,
JGRKNT 2.9 DRILL BIT 110005306,LOCAL,LOCAL,,,,both,1,each,"1,024.00","1,024.00",286.72,"1,024.00","1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,757.76,percent of total billed charges,757.76,percent of total billed charges,819.2,percent of total billed charges,819.2,percent of total billed charges,,,737.28,percent of total billed charges ,,,819.2,percent of total billed charges ,860.16,percent of total billed charges ,860.16,percent of total billed charges ,798.72,percent of total billed charges ,798.72,percent of total billed charges ,819.2,percent of total billed charges ,819.2,percent of total billed charges ,716.8,percent of total billed charges ,716.8,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,,,,,544.77,percent of total billed charges ,,,,,517.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,
K-WIRE PERI-LOC 1.6MM SMITH & NEPHEW,C1769,CDM,,,,both,1,each,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
JGRKNT SINGLE 1.4MM 1 #1 MB #912030,C1713,CDM,,,,both,1,each,"2,743.00","2,743.00",768.04,"2,743.00","2,743.00",percent of total billed charges,"2,743.00",percent of total billed charges,"2,743.00",percent of total billed charges,"2,743.00",percent of total billed charges,"2,743.00",percent of total billed charges,"2,743.00",percent of total billed charges,"2,743.00",percent of total billed charges,"2,743.00",percent of total billed charges,"1,974.96",percent of total billed charges,"1,974.96",percent of total billed charges,"1,974.96",percent of total billed charges,"1,974.96",percent of total billed charges,"1,974.96",percent of total billed charges,"1,974.96",percent of total billed charges,"2,029.82",percent of total billed charges,"2,029.82",percent of total billed charges,"2,194.40",percent of total billed charges,"2,194.40",percent of total billed charges,,,"1,974.96",percent of total billed charges ,,,"2,194.40",percent of total billed charges ,"2,304.12",percent of total billed charges ,"2,304.12",percent of total billed charges ,"2,139.54",percent of total billed charges ,"2,139.54",percent of total billed charges ,"2,194.40",percent of total billed charges ,"2,194.40",percent of total billed charges ,"1,920.10",percent of total billed charges ,"1,920.10",percent of total billed charges ,"1,645.80",percent of total billed charges ,"1,645.80",percent of total billed charges ,"1,645.80",percent of total billed charges ,"1,645.80",percent of total billed charges ,,,,,"1,459.28",percent of total billed charges ,,,,,"1,386.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,,,768.04,percent of total billed charges,
JUGGERKNOT 1.4MM CRVD KIT #912040C,C1713,CDM,,,,both,1,each,"3,451.00","3,451.00",966.28,"3,451.00","3,451.00",percent of total billed charges,"3,451.00",percent of total billed charges,"3,451.00",percent of total billed charges,"3,451.00",percent of total billed charges,"3,451.00",percent of total billed charges,"3,451.00",percent of total billed charges,"3,451.00",percent of total billed charges,"3,451.00",percent of total billed charges,"2,484.72",percent of total billed charges,"2,484.72",percent of total billed charges,"2,484.72",percent of total billed charges,"2,484.72",percent of total billed charges,"2,484.72",percent of total billed charges,"2,484.72",percent of total billed charges,"2,553.74",percent of total billed charges,"2,553.74",percent of total billed charges,"2,760.80",percent of total billed charges,"2,760.80",percent of total billed charges,,,"2,484.72",percent of total billed charges ,,,"2,760.80",percent of total billed charges ,"2,898.84",percent of total billed charges ,"2,898.84",percent of total billed charges ,"2,691.78",percent of total billed charges ,"2,691.78",percent of total billed charges ,"2,760.80",percent of total billed charges ,"2,760.80",percent of total billed charges ,"2,415.70",percent of total billed charges ,"2,415.70",percent of total billed charges ,"2,070.60",percent of total billed charges ,"2,070.60",percent of total billed charges ,"2,070.60",percent of total billed charges ,"2,070.60",percent of total billed charges ,,,,,"1,835.93",percent of total billed charges ,,,,,"1,744.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,,,966.28,percent of total billed charges,
JUGGERKNOT 2.9MM DISP KIT,C1713,CDM,,,,both,1,each,"3,097.00","3,097.00",867.16,"3,097.00","3,097.00",percent of total billed charges,"3,097.00",percent of total billed charges,"3,097.00",percent of total billed charges,"3,097.00",percent of total billed charges,"3,097.00",percent of total billed charges,"3,097.00",percent of total billed charges,"3,097.00",percent of total billed charges,"3,097.00",percent of total billed charges,"2,229.84",percent of total billed charges,"2,229.84",percent of total billed charges,"2,229.84",percent of total billed charges,"2,229.84",percent of total billed charges,"2,229.84",percent of total billed charges,"2,229.84",percent of total billed charges,"2,291.78",percent of total billed charges,"2,291.78",percent of total billed charges,"2,477.60",percent of total billed charges,"2,477.60",percent of total billed charges,,,"2,229.84",percent of total billed charges ,,,"2,477.60",percent of total billed charges ,"2,601.48",percent of total billed charges ,"2,601.48",percent of total billed charges ,"2,415.66",percent of total billed charges ,"2,415.66",percent of total billed charges ,"2,477.60",percent of total billed charges ,"2,477.60",percent of total billed charges ,"2,167.90",percent of total billed charges ,"2,167.90",percent of total billed charges ,"1,858.20",percent of total billed charges ,"1,858.20",percent of total billed charges ,"1,858.20",percent of total billed charges ,"1,858.20",percent of total billed charges ,,,,,"1,647.60",percent of total billed charges ,,,,,"1,565.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,,,867.16,percent of total billed charges,
BIOMET BONE CEMENT 110035368,C1713,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
COMP REV SHLDR 9 IN STEINMANN 405800,LOCAL,LOCAL,,,,both,1,each,"1,329.00","1,329.00",372.12,"1,329.00","1,329.00",percent of total billed charges,"1,329.00",percent of total billed charges,"1,329.00",percent of total billed charges,"1,329.00",percent of total billed charges,"1,329.00",percent of total billed charges,"1,329.00",percent of total billed charges,"1,329.00",percent of total billed charges,"1,329.00",percent of total billed charges,956.88,percent of total billed charges,956.88,percent of total billed charges,956.88,percent of total billed charges,956.88,percent of total billed charges,956.88,percent of total billed charges,956.88,percent of total billed charges,983.46,percent of total billed charges,983.46,percent of total billed charges,"1,063.20",percent of total billed charges,"1,063.20",percent of total billed charges,,,956.88,percent of total billed charges ,,,"1,063.20",percent of total billed charges ,"1,116.36",percent of total billed charges ,"1,116.36",percent of total billed charges ,"1,036.62",percent of total billed charges ,"1,036.62",percent of total billed charges ,"1,063.20",percent of total billed charges ,"1,063.20",percent of total billed charges ,930.3,percent of total billed charges ,930.3,percent of total billed charges ,797.4,percent of total billed charges ,797.4,percent of total billed charges ,797.4,percent of total billed charges ,797.4,percent of total billed charges ,,,,,707.03,percent of total billed charges ,,,,,671.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,,,372.12,percent of total billed charges,
ACCESS 3.2MM THD STEINMANN 9 110003484,LOCAL,LOCAL,,,,both,1,each,"1,283.00","1,283.00",359.24,"1,283.00","1,283.00",percent of total billed charges,"1,283.00",percent of total billed charges,"1,283.00",percent of total billed charges,"1,283.00",percent of total billed charges,"1,283.00",percent of total billed charges,"1,283.00",percent of total billed charges,"1,283.00",percent of total billed charges,"1,283.00",percent of total billed charges,923.76,percent of total billed charges,923.76,percent of total billed charges,923.76,percent of total billed charges,923.76,percent of total billed charges,923.76,percent of total billed charges,923.76,percent of total billed charges,949.42,percent of total billed charges,949.42,percent of total billed charges,"1,026.40",percent of total billed charges,"1,026.40",percent of total billed charges,,,923.76,percent of total billed charges ,,,"1,026.40",percent of total billed charges ,"1,077.72",percent of total billed charges ,"1,077.72",percent of total billed charges ,"1,000.74",percent of total billed charges ,"1,000.74",percent of total billed charges ,"1,026.40",percent of total billed charges ,"1,026.40",percent of total billed charges ,898.1,percent of total billed charges ,898.1,percent of total billed charges ,769.8,percent of total billed charges ,769.8,percent of total billed charges ,769.8,percent of total billed charges ,769.8,percent of total billed charges ,,,,,682.56,percent of total billed charges ,,,,,648.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,,,359.24,percent of total billed charges,
MODULAR POST TM,LOCAL,LOCAL,,,,both,1,each,"4,452.00","4,452.00","1,246.56","4,452.00","4,452.00",percent of total billed charges,"4,452.00",percent of total billed charges,"4,452.00",percent of total billed charges,"4,452.00",percent of total billed charges,"4,452.00",percent of total billed charges,"4,452.00",percent of total billed charges,"4,452.00",percent of total billed charges,"4,452.00",percent of total billed charges,"3,205.44",percent of total billed charges,"3,205.44",percent of total billed charges,"3,205.44",percent of total billed charges,"3,205.44",percent of total billed charges,"3,205.44",percent of total billed charges,"3,205.44",percent of total billed charges,"3,294.48",percent of total billed charges,"3,294.48",percent of total billed charges,"3,561.60",percent of total billed charges,"3,561.60",percent of total billed charges,,,"3,205.44",percent of total billed charges ,,,"3,561.60",percent of total billed charges ,"3,739.68",percent of total billed charges ,"3,739.68",percent of total billed charges ,"3,472.56",percent of total billed charges ,"3,472.56",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,116.40",percent of total billed charges ,"3,116.40",percent of total billed charges ,"2,671.20",percent of total billed charges ,"2,671.20",percent of total billed charges ,"2,671.20",percent of total billed charges ,"2,671.20",percent of total billed charges ,,,,,"2,368.46",percent of total billed charges ,,,,,"2,250.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,,,"1,246.56",percent of total billed charges,
4 PEG MOD GLEN SZ 4 SAGL2044,LOCAL,LOCAL,,,,both,1,each,"8,769.00","8,769.00","2,455.32","8,769.00","8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,489.06",percent of total billed charges,"6,489.06",percent of total billed charges,"7,015.20",percent of total billed charges,"7,015.20",percent of total billed charges,,,"6,313.68",percent of total billed charges ,,,"7,015.20",percent of total billed charges ,"7,365.96",percent of total billed charges ,"7,365.96",percent of total billed charges ,"6,839.82",percent of total billed charges ,"6,839.82",percent of total billed charges ,"7,015.20",percent of total billed charges ,"7,015.20",percent of total billed charges ,"6,138.30",percent of total billed charges ,"6,138.30",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,,,,,"4,665.11",percent of total billed charges ,,,,,"4,431.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,
SIDUS STEMFREE SHLDR HUM HD 50-21,C1713,CDM,,,,both,1,each,"11,048.00","11,048.00","3,093.44","11,048.00","11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"11,048.00",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"7,954.56",percent of total billed charges,"8,175.52",percent of total billed charges,"8,175.52",percent of total billed charges,"8,838.40",percent of total billed charges,"8,838.40",percent of total billed charges,,,"7,954.56",percent of total billed charges ,,,"8,838.40",percent of total billed charges ,"9,280.32",percent of total billed charges ,"9,280.32",percent of total billed charges ,"8,617.44",percent of total billed charges ,"8,617.44",percent of total billed charges ,"8,838.40",percent of total billed charges ,"8,838.40",percent of total billed charges ,"7,733.60",percent of total billed charges ,"7,733.60",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,"6,628.80",percent of total billed charges ,,,,,"5,877.54",percent of total billed charges ,,,,,"5,583.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,,,"3,093.44",percent of total billed charges,
SIDUS STEMFREE SHLDR HUM ANCHOR L,C1713,CDM,,,,both,1,each,"24,281.00","24,281.00","6,798.68","24,281.00","24,281.00",percent of total billed charges,"24,281.00",percent of total billed charges,"24,281.00",percent of total billed charges,"24,281.00",percent of total billed charges,"24,281.00",percent of total billed charges,"24,281.00",percent of total billed charges,"24,281.00",percent of total billed charges,"24,281.00",percent of total billed charges,"17,482.32",percent of total billed charges,"17,482.32",percent of total billed charges,"17,482.32",percent of total billed charges,"17,482.32",percent of total billed charges,"17,482.32",percent of total billed charges,"17,482.32",percent of total billed charges,"17,967.94",percent of total billed charges,"17,967.94",percent of total billed charges,"19,424.80",percent of total billed charges,"19,424.80",percent of total billed charges,,,"17,482.32",percent of total billed charges ,,,"19,424.80",percent of total billed charges ,"20,396.04",percent of total billed charges ,"20,396.04",percent of total billed charges ,"18,939.18",percent of total billed charges ,"18,939.18",percent of total billed charges ,"19,424.80",percent of total billed charges ,"19,424.80",percent of total billed charges ,"16,996.70",percent of total billed charges ,"16,996.70",percent of total billed charges ,"14,568.60",percent of total billed charges ,"14,568.60",percent of total billed charges ,"14,568.60",percent of total billed charges ,"14,568.60",percent of total billed charges ,,,,,"12,917.49",percent of total billed charges ,,,,,"12,271.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,,,"6,798.68",percent of total billed charges,
ACT ARTIC E1 HIP 28X38MM EP-200144,C1776,CDM,,,,both,1,each,"16,390.00","16,390.00","4,589.20","16,390.00","16,390.00",percent of total billed charges,"16,390.00",percent of total billed charges,"16,390.00",percent of total billed charges,"16,390.00",percent of total billed charges,"16,390.00",percent of total billed charges,"16,390.00",percent of total billed charges,"16,390.00",percent of total billed charges,"16,390.00",percent of total billed charges,"11,800.80",percent of total billed charges,"11,800.80",percent of total billed charges,"11,800.80",percent of total billed charges,"11,800.80",percent of total billed charges,"11,800.80",percent of total billed charges,"11,800.80",percent of total billed charges,"12,128.60",percent of total billed charges,"12,128.60",percent of total billed charges,"13,112.00",percent of total billed charges,"13,112.00",percent of total billed charges,,,"11,800.80",percent of total billed charges ,,,"13,112.00",percent of total billed charges ,"13,767.60",percent of total billed charges ,"13,767.60",percent of total billed charges ,"12,784.20",percent of total billed charges ,"12,784.20",percent of total billed charges ,"13,112.00",percent of total billed charges ,"13,112.00",percent of total billed charges ,"11,473.00",percent of total billed charges ,"11,473.00",percent of total billed charges ,"9,834.00",percent of total billed charges ,"9,834.00",percent of total billed charges ,"9,834.00",percent of total billed charges ,"9,834.00",percent of total billed charges ,,,,,"8,719.48",percent of total billed charges ,,,,,"8,283.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,,,"4,589.20",percent of total billed charges,
G7 OSSEOTI 3 HOLE 48MM 110010242,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
G7 DUAL MOBILITY LINER 38MM 110024461,C1776,CDM,,,,both,1,each,"9,328.00","9,328.00","2,611.84","9,328.00","9,328.00",percent of total billed charges,"9,328.00",percent of total billed charges,"9,328.00",percent of total billed charges,"9,328.00",percent of total billed charges,"9,328.00",percent of total billed charges,"9,328.00",percent of total billed charges,"9,328.00",percent of total billed charges,"9,328.00",percent of total billed charges,"6,716.16",percent of total billed charges,"6,716.16",percent of total billed charges,"6,716.16",percent of total billed charges,"6,716.16",percent of total billed charges,"6,716.16",percent of total billed charges,"6,716.16",percent of total billed charges,"6,902.72",percent of total billed charges,"6,902.72",percent of total billed charges,"7,462.40",percent of total billed charges,"7,462.40",percent of total billed charges,,,"6,716.16",percent of total billed charges ,,,"7,462.40",percent of total billed charges ,"7,835.52",percent of total billed charges ,"7,835.52",percent of total billed charges ,"7,275.84",percent of total billed charges ,"7,275.84",percent of total billed charges ,"7,462.40",percent of total billed charges ,"7,462.40",percent of total billed charges ,"6,529.60",percent of total billed charges ,"6,529.60",percent of total billed charges ,"5,596.80",percent of total billed charges ,"5,596.80",percent of total billed charges ,"5,596.80",percent of total billed charges ,"5,596.80",percent of total billed charges ,,,,,"4,962.50",percent of total billed charges ,,,,,"4,714.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,,,"2,611.84",percent of total billed charges,
VIVACIT-E DM BEARING 28X38MM 110031009,C1776,CDM,,,,both,1,each,"6,360.00","6,360.00","1,780.80","6,360.00","6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,706.40",percent of total billed charges,"4,706.40",percent of total billed charges,"5,088.00",percent of total billed charges,"5,088.00",percent of total billed charges,,,"4,579.20",percent of total billed charges ,,,"5,088.00",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"4,960.80",percent of total billed charges ,"4,960.80",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"4,452.00",percent of total billed charges ,"4,452.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,,,,,"3,383.52",percent of total billed charges ,,,,,"3,214.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,
JGRKNT 1.0MM MINI 2-0 NDLS 912076,C1713,CDM,,,,both,1,each,"3,542.00","3,542.00",991.76,"3,542.00","3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,621.08",percent of total billed charges,"2,621.08",percent of total billed charges,"2,833.60",percent of total billed charges,"2,833.60",percent of total billed charges,,,"2,550.24",percent of total billed charges ,,,"2,833.60",percent of total billed charges ,"2,975.28",percent of total billed charges ,"2,975.28",percent of total billed charges ,"2,762.76",percent of total billed charges ,"2,762.76",percent of total billed charges ,"2,833.60",percent of total billed charges ,"2,833.60",percent of total billed charges ,"2,479.40",percent of total billed charges ,"2,479.40",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,,,,,"1,884.34",percent of total billed charges ,,,,,"1,790.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,
**COMP RVS 2.7MM DIA DRL 405889,LOCAL,LOCAL,,,,both,1,each,"1,671.00","1,671.00",467.88,"1,671.00","1,671.00",percent of total billed charges,"1,671.00",percent of total billed charges,"1,671.00",percent of total billed charges,"1,671.00",percent of total billed charges,"1,671.00",percent of total billed charges,"1,671.00",percent of total billed charges,"1,671.00",percent of total billed charges,"1,671.00",percent of total billed charges,"1,203.12",percent of total billed charges,"1,203.12",percent of total billed charges,"1,203.12",percent of total billed charges,"1,203.12",percent of total billed charges,"1,203.12",percent of total billed charges,"1,203.12",percent of total billed charges,"1,236.54",percent of total billed charges,"1,236.54",percent of total billed charges,"1,336.80",percent of total billed charges,"1,336.80",percent of total billed charges,,,"1,203.12",percent of total billed charges ,,,"1,336.80",percent of total billed charges ,"1,403.64",percent of total billed charges ,"1,403.64",percent of total billed charges ,"1,303.38",percent of total billed charges ,"1,303.38",percent of total billed charges ,"1,336.80",percent of total billed charges ,"1,336.80",percent of total billed charges ,"1,169.70",percent of total billed charges ,"1,169.70",percent of total billed charges ,"1,002.60",percent of total billed charges ,"1,002.60",percent of total billed charges ,"1,002.60",percent of total billed charges ,"1,002.60",percent of total billed charges ,,,,,888.97,percent of total billed charges ,,,,,844.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,,,467.88,percent of total billed charges,
ALLEN PLUG HDPEBAS048C16FL 00-8011-020-1,C1713,CDM,,,,both,1,each,"1,711.00","1,711.00",479.08,"1,711.00","1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,266.14",percent of total billed charges,"1,266.14",percent of total billed charges,"1,368.80",percent of total billed charges,"1,368.80",percent of total billed charges,,,"1,231.92",percent of total billed charges ,,,"1,368.80",percent of total billed charges ,"1,437.24",percent of total billed charges ,"1,437.24",percent of total billed charges ,"1,334.58",percent of total billed charges ,"1,334.58",percent of total billed charges ,"1,368.80",percent of total billed charges ,"1,368.80",percent of total billed charges ,"1,197.70",percent of total billed charges ,"1,197.70",percent of total billed charges ,"1,026.60",percent of total billed charges ,"1,026.60",percent of total billed charges ,"1,026.60",percent of total billed charges ,"1,026.60",percent of total billed charges ,,,,,910.25,percent of total billed charges ,,,,,864.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,
FEM BONE CEMENT PRPKT 00-5049-055-00,LOCAL,LOCAL,,,,both,1,each,"1,579.00","1,579.00",442.12,"1,579.00","1,579.00",percent of total billed charges,"1,579.00",percent of total billed charges,"1,579.00",percent of total billed charges,"1,579.00",percent of total billed charges,"1,579.00",percent of total billed charges,"1,579.00",percent of total billed charges,"1,579.00",percent of total billed charges,"1,579.00",percent of total billed charges,"1,136.88",percent of total billed charges,"1,136.88",percent of total billed charges,"1,136.88",percent of total billed charges,"1,136.88",percent of total billed charges,"1,136.88",percent of total billed charges,"1,136.88",percent of total billed charges,"1,168.46",percent of total billed charges,"1,168.46",percent of total billed charges,"1,263.20",percent of total billed charges,"1,263.20",percent of total billed charges,,,"1,136.88",percent of total billed charges ,,,"1,263.20",percent of total billed charges ,"1,326.36",percent of total billed charges ,"1,326.36",percent of total billed charges ,"1,231.62",percent of total billed charges ,"1,231.62",percent of total billed charges ,"1,263.20",percent of total billed charges ,"1,263.20",percent of total billed charges ,"1,105.30",percent of total billed charges ,"1,105.30",percent of total billed charges ,947.4,percent of total billed charges ,947.4,percent of total billed charges ,947.4,percent of total billed charges ,947.4,percent of total billed charges ,,,,,840.03,percent of total billed charges ,,,,,798.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,,,442.12,percent of total billed charges,
COMP RVRS 25MM BSPLT 010000589,C1776,CDM,,,,both,1,each,"12,799.00","12,799.00","3,583.72","12,799.00","12,799.00",percent of total billed charges,"12,799.00",percent of total billed charges,"12,799.00",percent of total billed charges,"12,799.00",percent of total billed charges,"12,799.00",percent of total billed charges,"12,799.00",percent of total billed charges,"12,799.00",percent of total billed charges,"12,799.00",percent of total billed charges,"9,215.28",percent of total billed charges,"9,215.28",percent of total billed charges,"9,215.28",percent of total billed charges,"9,215.28",percent of total billed charges,"9,215.28",percent of total billed charges,"9,215.28",percent of total billed charges,"9,471.26",percent of total billed charges,"9,471.26",percent of total billed charges,"10,239.20",percent of total billed charges,"10,239.20",percent of total billed charges,,,"9,215.28",percent of total billed charges ,,,"10,239.20",percent of total billed charges ,"10,751.16",percent of total billed charges ,"10,751.16",percent of total billed charges ,"9,983.22",percent of total billed charges ,"9,983.22",percent of total billed charges ,"10,239.20",percent of total billed charges ,"10,239.20",percent of total billed charges ,"8,959.30",percent of total billed charges ,"8,959.30",percent of total billed charges ,"7,679.40",percent of total billed charges ,"7,679.40",percent of total billed charges ,"7,679.40",percent of total billed charges ,"7,679.40",percent of total billed charges ,,,,,"6,809.07",percent of total billed charges ,,,,,"6,468.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,,,"3,583.72",percent of total billed charges,
COMP RVS CNTRL 6.5X30MM 115396,C1713,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
COMP LK SCR 3.5HEX4.75X35 180554,C1713,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
COMP LK SCR 3.5HEX4.75X30 180553,C1713,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
COMP LK SCR 3.5HEX4.75X15 180550,C1713,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
COMP RVRS SHLDRGLNSP 36MM 115310,C1776,CDM,,,,both,1,each,"8,769.00","8,769.00","2,455.32","8,769.00","8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"8,769.00",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,313.68",percent of total billed charges,"6,489.06",percent of total billed charges,"6,489.06",percent of total billed charges,"7,015.20",percent of total billed charges,"7,015.20",percent of total billed charges,,,"6,313.68",percent of total billed charges ,,,"7,015.20",percent of total billed charges ,"7,365.96",percent of total billed charges ,"7,365.96",percent of total billed charges ,"6,839.82",percent of total billed charges ,"6,839.82",percent of total billed charges ,"7,015.20",percent of total billed charges ,"7,015.20",percent of total billed charges ,"6,138.30",percent of total billed charges ,"6,138.30",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,"5,261.40",percent of total billed charges ,,,,,"4,665.11",percent of total billed charges ,,,,,"4,431.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,,,"2,455.32",percent of total billed charges,
COMP PRIM STM 11MM MINI 113631,C1776,CDM,,,,both,1,each,"17,605.00","17,605.00","4,929.40","17,605.00","17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"13,027.70",percent of total billed charges,"13,027.70",percent of total billed charges,"14,084.00",percent of total billed charges,"14,084.00",percent of total billed charges,,,"12,675.60",percent of total billed charges ,,,"14,084.00",percent of total billed charges ,"14,788.20",percent of total billed charges ,"14,788.20",percent of total billed charges ,"13,731.90",percent of total billed charges ,"13,731.90",percent of total billed charges ,"14,084.00",percent of total billed charges ,"14,084.00",percent of total billed charges ,"12,323.50",percent of total billed charges ,"12,323.50",percent of total billed charges ,"10,563.00",percent of total billed charges ,"10,563.00",percent of total billed charges ,"10,563.00",percent of total billed charges ,"10,563.00",percent of total billed charges ,,,,,"9,365.86",percent of total billed charges ,,,,,"8,897.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,
HMRL TRAY +3 STD 110031402,C1776,CDM,,,,both,1,each,"10,387.00","10,387.00","2,908.36","10,387.00","10,387.00",percent of total billed charges,"10,387.00",percent of total billed charges,"10,387.00",percent of total billed charges,"10,387.00",percent of total billed charges,"10,387.00",percent of total billed charges,"10,387.00",percent of total billed charges,"10,387.00",percent of total billed charges,"10,387.00",percent of total billed charges,"7,478.64",percent of total billed charges,"7,478.64",percent of total billed charges,"7,478.64",percent of total billed charges,"7,478.64",percent of total billed charges,"7,478.64",percent of total billed charges,"7,478.64",percent of total billed charges,"7,686.38",percent of total billed charges,"7,686.38",percent of total billed charges,"8,309.60",percent of total billed charges,"8,309.60",percent of total billed charges,,,"7,478.64",percent of total billed charges ,,,"8,309.60",percent of total billed charges ,"8,725.08",percent of total billed charges ,"8,725.08",percent of total billed charges ,"8,101.86",percent of total billed charges ,"8,101.86",percent of total billed charges ,"8,309.60",percent of total billed charges ,"8,309.60",percent of total billed charges ,"7,270.90",percent of total billed charges ,"7,270.90",percent of total billed charges ,"6,232.20",percent of total billed charges ,"6,232.20",percent of total billed charges ,"6,232.20",percent of total billed charges ,"6,232.20",percent of total billed charges ,,,,,"5,525.88",percent of total billed charges ,,,,,"5,249.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,,,"2,908.36",percent of total billed charges,
HMRL BRNG 36MM+3 RET VITE 110031426,C1776,CDM,,,,both,1,each,"11,399.00","11,399.00","3,191.72","11,399.00","11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,435.26",percent of total billed charges,"8,435.26",percent of total billed charges,"9,119.20",percent of total billed charges,"9,119.20",percent of total billed charges,,,"8,207.28",percent of total billed charges ,,,"9,119.20",percent of total billed charges ,"9,575.16",percent of total billed charges ,"9,575.16",percent of total billed charges ,"8,891.22",percent of total billed charges ,"8,891.22",percent of total billed charges ,"9,119.20",percent of total billed charges ,"9,119.20",percent of total billed charges ,"7,979.30",percent of total billed charges ,"7,979.30",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,,,,,"6,064.27",percent of total billed charges ,,,,,"5,761.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,
COMP RVS CNTRL 6.5X25MM 115395,C1713,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
COMP LK SCR 3.5HEX 4.75X20 180551,C1713,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
COMP PRIM STM 10MM MINI 113630,C1776,CDM,,,,both,1,each,"17,605.00","17,605.00","4,929.40","17,605.00","17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"17,605.00",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"12,675.60",percent of total billed charges,"13,027.70",percent of total billed charges,"13,027.70",percent of total billed charges,"14,084.00",percent of total billed charges,"14,084.00",percent of total billed charges,,,"12,675.60",percent of total billed charges ,,,"14,084.00",percent of total billed charges ,"14,788.20",percent of total billed charges ,"14,788.20",percent of total billed charges ,"13,731.90",percent of total billed charges ,"13,731.90",percent of total billed charges ,"14,084.00",percent of total billed charges ,"14,084.00",percent of total billed charges ,"12,323.50",percent of total billed charges ,"12,323.50",percent of total billed charges ,"10,563.00",percent of total billed charges ,"10,563.00",percent of total billed charges ,"10,563.00",percent of total billed charges ,"10,563.00",percent of total billed charges ,,,,,"9,365.86",percent of total billed charges ,,,,,"8,897.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,,,"4,929.40",percent of total billed charges,
HMRL BRNG 36MM STD VITE 110031424,C1776,CDM,,,,both,1,each,"11,399.00","11,399.00","3,191.72","11,399.00","11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"11,399.00",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,207.28",percent of total billed charges,"8,435.26",percent of total billed charges,"8,435.26",percent of total billed charges,"9,119.20",percent of total billed charges,"9,119.20",percent of total billed charges,,,"8,207.28",percent of total billed charges ,,,"9,119.20",percent of total billed charges ,"9,575.16",percent of total billed charges ,"9,575.16",percent of total billed charges ,"8,891.22",percent of total billed charges ,"8,891.22",percent of total billed charges ,"9,119.20",percent of total billed charges ,"9,119.20",percent of total billed charges ,"7,979.30",percent of total billed charges ,"7,979.30",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,"6,839.40",percent of total billed charges ,,,,,"6,064.27",percent of total billed charges ,,,,,"5,761.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,,,"3,191.72",percent of total billed charges,
JGRKNT DRILL 2.9MM 912091,LOCAL,LOCAL,,,,both,1,each,"1,109.00","1,109.00",310.52,"1,109.00","1,109.00",percent of total billed charges,"1,109.00",percent of total billed charges,"1,109.00",percent of total billed charges,"1,109.00",percent of total billed charges,"1,109.00",percent of total billed charges,"1,109.00",percent of total billed charges,"1,109.00",percent of total billed charges,"1,109.00",percent of total billed charges,798.48,percent of total billed charges,798.48,percent of total billed charges,798.48,percent of total billed charges,798.48,percent of total billed charges,798.48,percent of total billed charges,798.48,percent of total billed charges,820.66,percent of total billed charges,820.66,percent of total billed charges,887.2,percent of total billed charges,887.2,percent of total billed charges,,,798.48,percent of total billed charges ,,,887.2,percent of total billed charges ,931.56,percent of total billed charges ,931.56,percent of total billed charges ,865.02,percent of total billed charges ,865.02,percent of total billed charges ,887.2,percent of total billed charges ,887.2,percent of total billed charges ,776.3,percent of total billed charges ,776.3,percent of total billed charges ,665.4,percent of total billed charges ,665.4,percent of total billed charges ,665.4,percent of total billed charges ,665.4,percent of total billed charges ,,,,,589.99,percent of total billed charges ,,,,,560.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,,,310.52,percent of total billed charges,
115313 COMP RVSR SHLDR GLNSP +3 36MM,C1776,CDM,,,,both,1,each,"8,480.00","8,480.00","2,374.40","8,480.00","8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,275.20",percent of total billed charges,"6,275.20",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,,,"6,105.60",percent of total billed charges ,,,"6,784.00",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,614.40",percent of total billed charges ,"6,614.40",percent of total billed charges ,"6,784.00",percent of total billed charges ,"6,784.00",percent of total billed charges ,"5,936.00",percent of total billed charges ,"5,936.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,,,,,"4,511.36",percent of total billed charges ,,,,,"4,285.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,
113633 COMP PRIMARY STEM 13MM MINI,C1776,CDM,,,,both,1,each,"18,444.00","18,444.00","5,164.32","18,444.00","18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,648.56",percent of total billed charges,"13,648.56",percent of total billed charges,"14,755.20",percent of total billed charges,"14,755.20",percent of total billed charges,,,"13,279.68",percent of total billed charges ,,,"14,755.20",percent of total billed charges ,"15,492.96",percent of total billed charges ,"15,492.96",percent of total billed charges ,"14,386.32",percent of total billed charges ,"14,386.32",percent of total billed charges ,"14,755.20",percent of total billed charges ,"14,755.20",percent of total billed charges ,"12,910.80",percent of total billed charges ,"12,910.80",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,,,,,"9,812.21",percent of total billed charges ,,,,,"9,321.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,
110031399 HMRL TRAY STD STD,C1776,CDM,,,,both,1,each,"11,872.00","11,872.00","3,324.16","11,872.00","11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,785.28",percent of total billed charges,"8,785.28",percent of total billed charges,"9,497.60",percent of total billed charges,"9,497.60",percent of total billed charges,,,"8,547.84",percent of total billed charges ,,,"9,497.60",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,497.60",percent of total billed charges ,"9,497.60",percent of total billed charges ,"8,310.40",percent of total billed charges ,"8,310.40",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,,,,,"6,315.90",percent of total billed charges ,,,,,"6,000.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,
115397 COMP REVRS 25MM BSPLT HA+ADAPTR,C1776,CDM,,,,both,1,each,583,583,163.24,583,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,431.42,percent of total billed charges,431.42,percent of total billed charges,466.4,percent of total billed charges,466.4,percent of total billed charges,,,419.76,percent of total billed charges ,,,466.4,percent of total billed charges ,489.72,percent of total billed charges ,489.72,percent of total billed charges ,454.74,percent of total billed charges ,454.74,percent of total billed charges ,466.4,percent of total billed charges ,466.4,percent of total billed charges ,408.1,percent of total billed charges ,408.1,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,,,,,310.16,percent of total billed charges ,,,,,294.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,
180552 COMP RVS CNTRL 6.5X35MM ST/RST,C1776,CDM,,,,both,1,each,583,583,163.24,583,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,431.42,percent of total billed charges,431.42,percent of total billed charges,466.4,percent of total billed charges,466.4,percent of total billed charges,,,419.76,percent of total billed charges ,,,466.4,percent of total billed charges ,489.72,percent of total billed charges ,489.72,percent of total billed charges ,454.74,percent of total billed charges ,454.74,percent of total billed charges ,466.4,percent of total billed charges ,466.4,percent of total billed charges ,408.1,percent of total billed charges ,408.1,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,,,,,310.16,percent of total billed charges ,,,,,294.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,
40MM VERSA DIAL GLEN STD 110030776,C1776,CDM,,,,both,1,each,"8,480.00","8,480.00","2,374.40","8,480.00","8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"8,480.00",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,105.60",percent of total billed charges,"6,275.20",percent of total billed charges,"6,275.20",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,,,"6,105.60",percent of total billed charges ,,,"6,784.00",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"6,614.40",percent of total billed charges ,"6,614.40",percent of total billed charges ,"6,784.00",percent of total billed charges ,"6,784.00",percent of total billed charges ,"5,936.00",percent of total billed charges ,"5,936.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,,,,,"4,511.36",percent of total billed charges ,,,,,"4,285.79",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,,,"2,374.40",percent of total billed charges,
113612 COMP PRIMARY STEM 12MM MICRO,C1776,CDM,,,,both,1,each,"18,444.00","18,444.00","5,164.32","18,444.00","18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,648.56",percent of total billed charges,"13,648.56",percent of total billed charges,"14,755.20",percent of total billed charges,"14,755.20",percent of total billed charges,,,"13,279.68",percent of total billed charges ,,,"14,755.20",percent of total billed charges ,"15,492.96",percent of total billed charges ,"15,492.96",percent of total billed charges ,"14,386.32",percent of total billed charges ,"14,386.32",percent of total billed charges ,"14,755.20",percent of total billed charges ,"14,755.20",percent of total billed charges ,"12,910.80",percent of total billed charges ,"12,910.80",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,,,,,"9,812.21",percent of total billed charges ,,,,,"9,321.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,
110031428 HMRL BEARING 40MM +3 VITE,C1776,CDM,,,,both,1,each,"11,872.00","11,872.00","3,324.16","11,872.00","11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,785.28",percent of total billed charges,"8,785.28",percent of total billed charges,"9,497.60",percent of total billed charges,"9,497.60",percent of total billed charges,,,"8,547.84",percent of total billed charges ,,,"9,497.60",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,497.60",percent of total billed charges ,"9,497.60",percent of total billed charges ,"8,310.40",percent of total billed charges ,"8,310.40",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,,,,,"6,315.90",percent of total billed charges ,,,,,"6,000.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,
113611 COMP PRMRY STEM 11MM MICRO,C1776,CDM,,,,both,1,each,"18,444.00","18,444.00","5,164.32","18,444.00","18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"18,444.00",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,279.68",percent of total billed charges,"13,648.56",percent of total billed charges,"13,648.56",percent of total billed charges,"14,755.20",percent of total billed charges,"14,755.20",percent of total billed charges,,,"13,279.68",percent of total billed charges ,,,"14,755.20",percent of total billed charges ,"15,492.96",percent of total billed charges ,"15,492.96",percent of total billed charges ,"14,386.32",percent of total billed charges ,"14,386.32",percent of total billed charges ,"14,755.20",percent of total billed charges ,"14,755.20",percent of total billed charges ,"12,910.80",percent of total billed charges ,"12,910.80",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,"11,066.40",percent of total billed charges ,,,,,"9,812.21",percent of total billed charges ,,,,,"9,321.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,,,"5,164.32",percent of total billed charges,
405889 COMP RVS 2.7MM DIA DRL,LOCAL,LOCAL,,,,both,1,each,"1,632.00","1,632.00",456.96,"1,632.00","1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,"1,175.04",percent of total billed charges,"1,175.04",percent of total billed charges,"1,175.04",percent of total billed charges,"1,175.04",percent of total billed charges,"1,175.04",percent of total billed charges,"1,175.04",percent of total billed charges,"1,207.68",percent of total billed charges,"1,207.68",percent of total billed charges,"1,305.60",percent of total billed charges,"1,305.60",percent of total billed charges,,,"1,175.04",percent of total billed charges ,,,"1,305.60",percent of total billed charges ,"1,370.88",percent of total billed charges ,"1,370.88",percent of total billed charges ,"1,272.96",percent of total billed charges ,"1,272.96",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,305.60",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,142.40",percent of total billed charges ,979.2,percent of total billed charges ,979.2,percent of total billed charges ,979.2,percent of total billed charges ,979.2,percent of total billed charges ,,,,,868.22,percent of total billed charges ,,,,,824.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,,,456.96,percent of total billed charges,
180555 COMP LK SCR 3.5HEX 4.75X40 ST,C1713,CDM,,,,both,1,each,583,583,163.24,583,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,431.42,percent of total billed charges,431.42,percent of total billed charges,466.4,percent of total billed charges,466.4,percent of total billed charges,,,419.76,percent of total billed charges ,,,466.4,percent of total billed charges ,489.72,percent of total billed charges ,489.72,percent of total billed charges ,454.74,percent of total billed charges ,454.74,percent of total billed charges ,466.4,percent of total billed charges ,466.4,percent of total billed charges ,408.1,percent of total billed charges ,408.1,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,,,,,310.16,percent of total billed charges ,,,,,294.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,
SAHS1112 HUM STEM STANDARD SZ 12,C1776,CDM,,,,both,1,each,"16,854.00","16,854.00","4,719.12","16,854.00","16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,471.96",percent of total billed charges,"12,471.96",percent of total billed charges,"13,483.20",percent of total billed charges,"13,483.20",percent of total billed charges,,,"12,134.88",percent of total billed charges ,,,"13,483.20",percent of total billed charges ,"14,157.36",percent of total billed charges ,"14,157.36",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,483.20",percent of total billed charges ,"13,483.20",percent of total billed charges ,"11,797.80",percent of total billed charges ,"11,797.80",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,,,,,"8,966.33",percent of total billed charges ,,,,,"8,518.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,
SAHTNE00 HUMERAL TRAY NEUT 0MM,C1776,CDM,,,,both,1,each,"11,872.00","11,872.00","3,324.16","11,872.00","11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,785.28",percent of total billed charges,"8,785.28",percent of total billed charges,"9,497.60",percent of total billed charges,"9,497.60",percent of total billed charges,,,"8,547.84",percent of total billed charges ,,,"9,497.60",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,497.60",percent of total billed charges ,"9,497.60",percent of total billed charges ,"8,310.40",percent of total billed charges ,"8,310.40",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,,,,,"6,315.90",percent of total billed charges ,,,,,"6,000.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,
HMRL BEARING 40MM STD VITE 110031427,C1776,CDM,,,,both,1,each,"11,024.00","11,024.00","3,086.72","11,024.00","11,024.00",percent of total billed charges,"11,024.00",percent of total billed charges,"11,024.00",percent of total billed charges,"11,024.00",percent of total billed charges,"11,024.00",percent of total billed charges,"11,024.00",percent of total billed charges,"11,024.00",percent of total billed charges,"11,024.00",percent of total billed charges,"7,937.28",percent of total billed charges,"7,937.28",percent of total billed charges,"7,937.28",percent of total billed charges,"7,937.28",percent of total billed charges,"7,937.28",percent of total billed charges,"7,937.28",percent of total billed charges,"8,157.76",percent of total billed charges,"8,157.76",percent of total billed charges,"8,819.20",percent of total billed charges,"8,819.20",percent of total billed charges,,,"7,937.28",percent of total billed charges ,,,"8,819.20",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,260.16",percent of total billed charges ,"8,598.72",percent of total billed charges ,"8,598.72",percent of total billed charges ,"8,819.20",percent of total billed charges ,"8,819.20",percent of total billed charges ,"7,716.80",percent of total billed charges ,"7,716.80",percent of total billed charges ,"6,614.40",percent of total billed charges ,"6,614.40",percent of total billed charges ,"6,614.40",percent of total billed charges ,"6,614.40",percent of total billed charges ,,,,,"5,864.77",percent of total billed charges ,,,,,"5,571.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,,,"3,086.72",percent of total billed charges,
SAHS1211 HUMERAL STEM MICRO SZ 11,C1776,CDM,,,,both,1,each,"16,854.00","16,854.00","4,719.12","16,854.00","16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,471.96",percent of total billed charges,"12,471.96",percent of total billed charges,"13,483.20",percent of total billed charges,"13,483.20",percent of total billed charges,,,"12,134.88",percent of total billed charges ,,,"13,483.20",percent of total billed charges ,"14,157.36",percent of total billed charges ,"14,157.36",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,483.20",percent of total billed charges ,"13,483.20",percent of total billed charges ,"11,797.80",percent of total billed charges ,"11,797.80",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,,,,,"8,966.33",percent of total billed charges ,,,,,"8,518.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,
HUMERAL TRAY NEUTRAL 6MM EXT,C1776,CDM,,,,both,1,each,"11,872.00","11,872.00","3,324.16","11,872.00","11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"11,872.00",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,547.84",percent of total billed charges,"8,785.28",percent of total billed charges,"8,785.28",percent of total billed charges,"9,497.60",percent of total billed charges,"9,497.60",percent of total billed charges,,,"8,547.84",percent of total billed charges ,,,"9,497.60",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,972.48",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,260.16",percent of total billed charges ,"9,497.60",percent of total billed charges ,"9,497.60",percent of total billed charges ,"8,310.40",percent of total billed charges ,"8,310.40",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,"7,123.20",percent of total billed charges ,,,,,"6,315.90",percent of total billed charges ,,,,,"6,000.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,,,"3,324.16",percent of total billed charges,
SAHS1214 HUMERAL STEM MICRO SZ 14,C1776,CDM,,,,both,1,each,"16,854.00","16,854.00","4,719.12","16,854.00","16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,471.96",percent of total billed charges,"12,471.96",percent of total billed charges,"13,483.20",percent of total billed charges,"13,483.20",percent of total billed charges,,,"12,134.88",percent of total billed charges ,,,"13,483.20",percent of total billed charges ,"14,157.36",percent of total billed charges ,"14,157.36",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,483.20",percent of total billed charges ,"13,483.20",percent of total billed charges ,"11,797.80",percent of total billed charges ,"11,797.80",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,,,,,"8,966.33",percent of total billed charges ,,,,,"8,518.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,
110010241 G7 OSSEOTI 3 HOLE SHL 46MM B,C1776,CDM,,,,both,1,each,"12,720.00","12,720.00","3,561.60","12,720.00","12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"12,720.00",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,158.40",percent of total billed charges,"9,412.80",percent of total billed charges,"9,412.80",percent of total billed charges,"10,176.00",percent of total billed charges,"10,176.00",percent of total billed charges,,,"9,158.40",percent of total billed charges ,,,"10,176.00",percent of total billed charges ,"10,684.80",percent of total billed charges ,"10,684.80",percent of total billed charges ,"9,921.60",percent of total billed charges ,"9,921.60",percent of total billed charges ,"10,176.00",percent of total billed charges ,"10,176.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"8,904.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,"7,632.00",percent of total billed charges ,,,,,"6,767.04",percent of total billed charges ,,,,,"6,428.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,,,"3,561.60",percent of total billed charges,
30123202 G7 VIT E HIGH WALL LNR 32MM B,C1776,CDM,,,,both,1,each,"6,360.00","6,360.00","1,780.80","6,360.00","6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"6,360.00",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,579.20",percent of total billed charges,"4,706.40",percent of total billed charges,"4,706.40",percent of total billed charges,"5,088.00",percent of total billed charges,"5,088.00",percent of total billed charges,,,"4,579.20",percent of total billed charges ,,,"5,088.00",percent of total billed charges ,"5,342.40",percent of total billed charges ,"5,342.40",percent of total billed charges ,"4,960.80",percent of total billed charges ,"4,960.80",percent of total billed charges ,"5,088.00",percent of total billed charges ,"5,088.00",percent of total billed charges ,"4,452.00",percent of total billed charges ,"4,452.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,,,,,"3,383.52",percent of total billed charges ,,,,,"3,214.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,,,"1,780.80",percent of total billed charges,
KW20SS S3 K-WIRE 2.0X152MM NS,LOCAL,LOCAL,,,,both,1,each,359,359,100.52,359,359,percent of total billed charges,359,percent of total billed charges,359,percent of total billed charges,359,percent of total billed charges,359,percent of total billed charges,359,percent of total billed charges,359,percent of total billed charges,359,percent of total billed charges,258.48,percent of total billed charges,258.48,percent of total billed charges,258.48,percent of total billed charges,258.48,percent of total billed charges,258.48,percent of total billed charges,258.48,percent of total billed charges,265.66,percent of total billed charges,265.66,percent of total billed charges,287.2,percent of total billed charges,287.2,percent of total billed charges,,,258.48,percent of total billed charges ,,,287.2,percent of total billed charges ,301.56,percent of total billed charges ,301.56,percent of total billed charges ,280.02,percent of total billed charges ,280.02,percent of total billed charges ,287.2,percent of total billed charges ,287.2,percent of total billed charges ,251.3,percent of total billed charges ,251.3,percent of total billed charges ,215.4,percent of total billed charges ,215.4,percent of total billed charges ,215.4,percent of total billed charges ,215.4,percent of total billed charges ,,,,,190.99,percent of total billed charges ,,,,,181.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,,,100.52,percent of total billed charges,
PRX 110030400 HUM HI PLT RT 3 H 80MM,C1713,CDM,,,,both,1,each,"11,152.00","11,152.00","3,122.56","11,152.00","11,152.00",percent of total billed charges,"11,152.00",percent of total billed charges,"11,152.00",percent of total billed charges,"11,152.00",percent of total billed charges,"11,152.00",percent of total billed charges,"11,152.00",percent of total billed charges,"11,152.00",percent of total billed charges,"11,152.00",percent of total billed charges,"8,029.44",percent of total billed charges,"8,029.44",percent of total billed charges,"8,029.44",percent of total billed charges,"8,029.44",percent of total billed charges,"8,029.44",percent of total billed charges,"8,029.44",percent of total billed charges,"8,252.48",percent of total billed charges,"8,252.48",percent of total billed charges,"8,921.60",percent of total billed charges,"8,921.60",percent of total billed charges,,,"8,029.44",percent of total billed charges ,,,"8,921.60",percent of total billed charges ,"9,367.68",percent of total billed charges ,"9,367.68",percent of total billed charges ,"8,698.56",percent of total billed charges ,"8,698.56",percent of total billed charges ,"8,921.60",percent of total billed charges ,"8,921.60",percent of total billed charges ,"7,806.40",percent of total billed charges ,"7,806.40",percent of total billed charges ,"6,691.20",percent of total billed charges ,"6,691.20",percent of total billed charges ,"6,691.20",percent of total billed charges ,"6,691.20",percent of total billed charges ,,,,,"5,932.86",percent of total billed charges ,,,,,"5,636.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,,,"3,122.56",percent of total billed charges,
SCREW T15 110018040 MD 3.5X40MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018042 MD 3.5X42MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018046 MD 3.5X46MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018044 MD 3.5X44MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018032 MD 3.5X32MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018034 MD 3.5X34MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018048 MD 3.5X48MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018054 MD 3.5X54MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
SCREW T15 110018038 MD 3.5X38MM NS,C1713,CDM,,,,both,1,each,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
3.5MM CORT LK SC 24MM NS 816135024,C1713,CDM,,,,both,1,each,"1,360.00","1,360.00",380.8,"1,360.00","1,360.00",percent of total billed charges,"1,360.00",percent of total billed charges,"1,360.00",percent of total billed charges,"1,360.00",percent of total billed charges,"1,360.00",percent of total billed charges,"1,360.00",percent of total billed charges,"1,360.00",percent of total billed charges,"1,360.00",percent of total billed charges,979.2,percent of total billed charges,979.2,percent of total billed charges,979.2,percent of total billed charges,979.2,percent of total billed charges,979.2,percent of total billed charges,979.2,percent of total billed charges,"1,006.40",percent of total billed charges,"1,006.40",percent of total billed charges,"1,088.00",percent of total billed charges,"1,088.00",percent of total billed charges,,,979.2,percent of total billed charges ,,,"1,088.00",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,142.40",percent of total billed charges ,"1,060.80",percent of total billed charges ,"1,060.80",percent of total billed charges ,"1,088.00",percent of total billed charges ,"1,088.00",percent of total billed charges ,952,percent of total billed charges ,952,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,816,percent of total billed charges ,,,,,723.52,percent of total billed charges ,,,,,687.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,,,380.8,percent of total billed charges,
SCREW T15 110017728 LP CORT 3.5X28MM NS,C1713,CDM,,,,both,1,each,636,636,178.08,636,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,470.64,percent of total billed charges,470.64,percent of total billed charges,508.8,percent of total billed charges,508.8,percent of total billed charges,,,457.92,percent of total billed charges ,,,508.8,percent of total billed charges ,534.24,percent of total billed charges ,534.24,percent of total billed charges ,496.08,percent of total billed charges ,496.08,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,,,,,338.35,percent of total billed charges ,,,,,321.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,
SCREW T15 110017732 LP CORT 3.5X32MM NS,C1713,CDM,,,,both,1,each,636,636,178.08,636,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,470.64,percent of total billed charges,470.64,percent of total billed charges,508.8,percent of total billed charges,508.8,percent of total billed charges,,,457.92,percent of total billed charges ,,,508.8,percent of total billed charges ,534.24,percent of total billed charges ,534.24,percent of total billed charges ,496.08,percent of total billed charges ,496.08,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,,,,,338.35,percent of total billed charges ,,,,,321.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,
SCREW T15 110017726 LP CORT 3.5X26MM NS,C1713,CDM,,,,both,1,each,636,636,178.08,636,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,470.64,percent of total billed charges,470.64,percent of total billed charges,508.8,percent of total billed charges,508.8,percent of total billed charges,,,457.92,percent of total billed charges ,,,508.8,percent of total billed charges ,534.24,percent of total billed charges ,534.24,percent of total billed charges ,496.08,percent of total billed charges ,496.08,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,,,,,338.35,percent of total billed charges ,,,,,321.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,
SCREW T15 110017724 LP CORT 3.5X24MM NS,C1713,CDM,,,,both,1,each,636,636,178.08,636,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,636,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,457.92,percent of total billed charges,470.64,percent of total billed charges,470.64,percent of total billed charges,508.8,percent of total billed charges,508.8,percent of total billed charges,,,457.92,percent of total billed charges ,,,508.8,percent of total billed charges ,534.24,percent of total billed charges ,534.24,percent of total billed charges ,496.08,percent of total billed charges ,496.08,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,,,,,338.35,percent of total billed charges ,,,,,321.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,,,178.08,percent of total billed charges,
2.7MM CALIB DRILL BIT 214227070,LOCAL,LOCAL,,,,both,1,each,956,956,267.68,956,956,percent of total billed charges,956,percent of total billed charges,956,percent of total billed charges,956,percent of total billed charges,956,percent of total billed charges,956,percent of total billed charges,956,percent of total billed charges,956,percent of total billed charges,688.32,percent of total billed charges,688.32,percent of total billed charges,688.32,percent of total billed charges,688.32,percent of total billed charges,688.32,percent of total billed charges,688.32,percent of total billed charges,707.44,percent of total billed charges,707.44,percent of total billed charges,764.8,percent of total billed charges,764.8,percent of total billed charges,,,688.32,percent of total billed charges ,,,764.8,percent of total billed charges ,803.04,percent of total billed charges ,803.04,percent of total billed charges ,745.68,percent of total billed charges ,745.68,percent of total billed charges ,764.8,percent of total billed charges ,764.8,percent of total billed charges ,669.2,percent of total billed charges ,669.2,percent of total billed charges ,573.6,percent of total billed charges ,573.6,percent of total billed charges ,573.6,percent of total billed charges ,573.6,percent of total billed charges ,,,,,508.59,percent of total billed charges ,,,,,483.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,,,267.68,percent of total billed charges,
JGRKNT 110005315 SHORT RIGID SZ2 IMP/DRL,C1713,CDM,,,,both,1,each,"4,895.00","4,895.00","1,370.60","4,895.00","4,895.00",percent of total billed charges,"4,895.00",percent of total billed charges,"4,895.00",percent of total billed charges,"4,895.00",percent of total billed charges,"4,895.00",percent of total billed charges,"4,895.00",percent of total billed charges,"4,895.00",percent of total billed charges,"4,895.00",percent of total billed charges,"3,524.40",percent of total billed charges,"3,524.40",percent of total billed charges,"3,524.40",percent of total billed charges,"3,524.40",percent of total billed charges,"3,524.40",percent of total billed charges,"3,524.40",percent of total billed charges,"3,622.30",percent of total billed charges,"3,622.30",percent of total billed charges,"3,916.00",percent of total billed charges,"3,916.00",percent of total billed charges,,,"3,524.40",percent of total billed charges ,,,"3,916.00",percent of total billed charges ,"4,111.80",percent of total billed charges ,"4,111.80",percent of total billed charges ,"3,818.10",percent of total billed charges ,"3,818.10",percent of total billed charges ,"3,916.00",percent of total billed charges ,"3,916.00",percent of total billed charges ,"3,426.50",percent of total billed charges ,"3,426.50",percent of total billed charges ,"2,937.00",percent of total billed charges ,"2,937.00",percent of total billed charges ,"2,937.00",percent of total billed charges ,"2,937.00",percent of total billed charges ,,,,,"2,604.14",percent of total billed charges ,,,,,"2,473.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,,,"1,370.60",percent of total billed charges,
SAHS1212 HUMERAL STEM MICRO SZ 12,C1776,CDM,,,,both,1,each,"16,854.00","16,854.00","4,719.12","16,854.00","16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,471.96",percent of total billed charges,"12,471.96",percent of total billed charges,"13,483.20",percent of total billed charges,"13,483.20",percent of total billed charges,,,"12,134.88",percent of total billed charges ,,,"13,483.20",percent of total billed charges ,"14,157.36",percent of total billed charges ,"14,157.36",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,483.20",percent of total billed charges ,"13,483.20",percent of total billed charges ,"11,797.80",percent of total billed charges ,"11,797.80",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,,,,,"8,966.33",percent of total billed charges ,,,,,"8,518.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,
SAHS1207 HUMERAL STEM MICRO SZ 7,C1776,CDM,,,,both,,,"16,854.00","16,854.00","4,719.12","16,854.00","16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,471.96",percent of total billed charges,"12,471.96",percent of total billed charges,"13,483.20",percent of total billed charges,"13,483.20",percent of total billed charges,,,"12,134.88",percent of total billed charges ,,,"13,483.20",percent of total billed charges ,"14,157.36",percent of total billed charges ,"14,157.36",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,483.20",percent of total billed charges ,"13,483.20",percent of total billed charges ,"11,797.80",percent of total billed charges ,"11,797.80",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,,,,,"8,966.33",percent of total billed charges ,,,,,"8,518.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,
SAHS1110 HUMERAL STEM STANDRD SZ 10,C1776,CDM,,,,both,,,"16,854.00","16,854.00","4,719.12","16,854.00","16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,471.96",percent of total billed charges,"12,471.96",percent of total billed charges,"13,483.20",percent of total billed charges,"13,483.20",percent of total billed charges,,,"12,134.88",percent of total billed charges ,,,"13,483.20",percent of total billed charges ,"14,157.36",percent of total billed charges ,"14,157.36",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,483.20",percent of total billed charges ,"13,483.20",percent of total billed charges ,"11,797.80",percent of total billed charges ,"11,797.80",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,,,,,"8,966.33",percent of total billed charges ,,,,,"8,518.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,
SAHS1215 HUMERAL STEM MICRO SZ 15,C1776,CDM,,,,both,1,each,"16,854.00","16,854.00","4,719.12","16,854.00","16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"16,854.00",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,134.88",percent of total billed charges,"12,471.96",percent of total billed charges,"12,471.96",percent of total billed charges,"13,483.20",percent of total billed charges,"13,483.20",percent of total billed charges,,,"12,134.88",percent of total billed charges ,,,"13,483.20",percent of total billed charges ,"14,157.36",percent of total billed charges ,"14,157.36",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,146.12",percent of total billed charges ,"13,483.20",percent of total billed charges ,"13,483.20",percent of total billed charges ,"11,797.80",percent of total billed charges ,"11,797.80",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,"10,112.40",percent of total billed charges ,,,,,"8,966.33",percent of total billed charges ,,,,,"8,518.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,,,"4,719.12",percent of total billed charges,
JGRKNT 110005307 SHRT RIGID SZ1 IMP/DRL,C1713,CDM,,,,both,1,each,"3,100.00","3,100.00",868,"3,100.00","3,100.00",percent of total billed charges,"3,100.00",percent of total billed charges,"3,100.00",percent of total billed charges,"3,100.00",percent of total billed charges,"3,100.00",percent of total billed charges,"3,100.00",percent of total billed charges,"3,100.00",percent of total billed charges,"3,100.00",percent of total billed charges,"2,232.00",percent of total billed charges,"2,232.00",percent of total billed charges,"2,232.00",percent of total billed charges,"2,232.00",percent of total billed charges,"2,232.00",percent of total billed charges,"2,232.00",percent of total billed charges,"2,294.00",percent of total billed charges,"2,294.00",percent of total billed charges,"2,480.00",percent of total billed charges,"2,480.00",percent of total billed charges,,,"2,232.00",percent of total billed charges ,,,"2,480.00",percent of total billed charges ,"2,604.00",percent of total billed charges ,"2,604.00",percent of total billed charges ,"2,418.00",percent of total billed charges ,"2,418.00",percent of total billed charges ,"2,480.00",percent of total billed charges ,"2,480.00",percent of total billed charges ,"2,170.00",percent of total billed charges ,"2,170.00",percent of total billed charges ,"1,860.00",percent of total billed charges ,"1,860.00",percent of total billed charges ,"1,860.00",percent of total billed charges ,"1,860.00",percent of total billed charges ,,,,,"1,649.20",percent of total billed charges ,,,,,"1,566.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,,,868,percent of total billed charges,
"3.5MM ULS RECN PLT 9H, 118MM 00493600913",C1713,CDM,,,,both,1,each,"3,856.00","3,856.00","1,079.68","3,856.00","3,856.00",percent of total billed charges,"3,856.00",percent of total billed charges,"3,856.00",percent of total billed charges,"3,856.00",percent of total billed charges,"3,856.00",percent of total billed charges,"3,856.00",percent of total billed charges,"3,856.00",percent of total billed charges,"3,856.00",percent of total billed charges,"2,776.32",percent of total billed charges,"2,776.32",percent of total billed charges,"2,776.32",percent of total billed charges,"2,776.32",percent of total billed charges,"2,776.32",percent of total billed charges,"2,776.32",percent of total billed charges,"2,853.44",percent of total billed charges,"2,853.44",percent of total billed charges,"3,084.80",percent of total billed charges,"3,084.80",percent of total billed charges,,,"2,776.32",percent of total billed charges ,,,"3,084.80",percent of total billed charges ,"3,239.04",percent of total billed charges ,"3,239.04",percent of total billed charges ,"3,007.68",percent of total billed charges ,"3,007.68",percent of total billed charges ,"3,084.80",percent of total billed charges ,"3,084.80",percent of total billed charges ,"2,699.20",percent of total billed charges ,"2,699.20",percent of total billed charges ,"2,313.60",percent of total billed charges ,"2,313.60",percent of total billed charges ,"2,313.60",percent of total billed charges ,"2,313.60",percent of total billed charges ,,,,,"2,051.39",percent of total billed charges ,,,,,"1,948.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,,,"1,079.68",percent of total billed charges,
PERILK SCRW 3.5MMX12MM 00235901235,C1713,CDM,,,,both,,,832,832,232.96,832,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,615.68,percent of total billed charges,615.68,percent of total billed charges,665.6,percent of total billed charges,665.6,percent of total billed charges,,,599.04,percent of total billed charges ,,,665.6,percent of total billed charges ,698.88,percent of total billed charges ,698.88,percent of total billed charges ,648.96,percent of total billed charges ,648.96,percent of total billed charges ,665.6,percent of total billed charges ,665.6,percent of total billed charges ,582.4,percent of total billed charges ,582.4,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,,,,,442.62,percent of total billed charges ,,,,,420.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,
PERILK SCRW 3.5MMX26MM 00235902635,C1713,CDM,,,,both,,,832,832,232.96,832,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,615.68,percent of total billed charges,615.68,percent of total billed charges,665.6,percent of total billed charges,665.6,percent of total billed charges,,,599.04,percent of total billed charges ,,,665.6,percent of total billed charges ,698.88,percent of total billed charges ,698.88,percent of total billed charges ,648.96,percent of total billed charges ,648.96,percent of total billed charges ,665.6,percent of total billed charges ,665.6,percent of total billed charges ,582.4,percent of total billed charges ,582.4,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,,,,,442.62,percent of total billed charges ,,,,,420.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,
PERILK SCRW 3.5MMX14MM 00235901435,C1713,CDM,,,,both,,,832,832,232.96,832,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,615.68,percent of total billed charges,615.68,percent of total billed charges,665.6,percent of total billed charges,665.6,percent of total billed charges,,,599.04,percent of total billed charges ,,,665.6,percent of total billed charges ,698.88,percent of total billed charges ,698.88,percent of total billed charges ,648.96,percent of total billed charges ,648.96,percent of total billed charges ,665.6,percent of total billed charges ,665.6,percent of total billed charges ,582.4,percent of total billed charges ,582.4,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,,,,,442.62,percent of total billed charges ,,,,,420.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,
PERILK SCRW 3.5MMX18MM 00235901835,C1713,CDM,,,,both,,,832,832,232.96,832,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,615.68,percent of total billed charges,615.68,percent of total billed charges,665.6,percent of total billed charges,665.6,percent of total billed charges,,,599.04,percent of total billed charges ,,,665.6,percent of total billed charges ,698.88,percent of total billed charges ,698.88,percent of total billed charges ,648.96,percent of total billed charges ,648.96,percent of total billed charges ,665.6,percent of total billed charges ,665.6,percent of total billed charges ,582.4,percent of total billed charges ,582.4,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,,,,,442.62,percent of total billed charges ,,,,,420.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,
3.5MM CORT SCRW SLFTAP SM HEX 18MM 00483,C1713,CDM,,,,both,,,340,340,95.2,340,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,251.6,percent of total billed charges,251.6,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,,,244.8,percent of total billed charges ,,,272,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,265.2,percent of total billed charges ,265.2,percent of total billed charges ,272,percent of total billed charges ,272,percent of total billed charges ,238,percent of total billed charges ,238,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,,,,,180.88,percent of total billed charges ,,,,,171.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,
DRILL BIT QC 2.5MM DIA 110MM 00480611025,LOCAL,LOCAL,,,,both,,,794,794,222.32,794,794,percent of total billed charges,794,percent of total billed charges,794,percent of total billed charges,794,percent of total billed charges,794,percent of total billed charges,794,percent of total billed charges,794,percent of total billed charges,794,percent of total billed charges,571.68,percent of total billed charges,571.68,percent of total billed charges,571.68,percent of total billed charges,571.68,percent of total billed charges,571.68,percent of total billed charges,571.68,percent of total billed charges,587.56,percent of total billed charges,587.56,percent of total billed charges,635.2,percent of total billed charges,635.2,percent of total billed charges,,,571.68,percent of total billed charges ,,,635.2,percent of total billed charges ,666.96,percent of total billed charges ,666.96,percent of total billed charges ,619.32,percent of total billed charges ,619.32,percent of total billed charges ,635.2,percent of total billed charges ,635.2,percent of total billed charges ,555.8,percent of total billed charges ,555.8,percent of total billed charges ,476.4,percent of total billed charges ,476.4,percent of total billed charges ,476.4,percent of total billed charges ,476.4,percent of total billed charges ,,,,,422.41,percent of total billed charges ,,,,,401.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,,,222.32,percent of total billed charges,
PERILK SCRW 3.5MMX16MM 00235901635,C1713,CDM,,,,both,,,832,832,232.96,832,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,599.04,percent of total billed charges,615.68,percent of total billed charges,615.68,percent of total billed charges,665.6,percent of total billed charges,665.6,percent of total billed charges,,,599.04,percent of total billed charges ,,,665.6,percent of total billed charges ,698.88,percent of total billed charges ,698.88,percent of total billed charges ,648.96,percent of total billed charges ,648.96,percent of total billed charges ,665.6,percent of total billed charges ,665.6,percent of total billed charges ,582.4,percent of total billed charges ,582.4,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,,,,,442.62,percent of total billed charges ,,,,,420.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,,,232.96,percent of total billed charges,
G7 OSSEOTI 3 HL SHELL 52MM E 110010244,C1776,CDM,,,,both,,,"13,500.00","13,500.00","3,780.00","13,500.00","13,500.00",percent of total billed charges,"13,500.00",percent of total billed charges,"13,500.00",percent of total billed charges,"13,500.00",percent of total billed charges,"13,500.00",percent of total billed charges,"13,500.00",percent of total billed charges,"13,500.00",percent of total billed charges,"13,500.00",percent of total billed charges,"9,720.00",percent of total billed charges,"9,720.00",percent of total billed charges,"9,720.00",percent of total billed charges,"9,720.00",percent of total billed charges,"9,720.00",percent of total billed charges,"9,720.00",percent of total billed charges,"9,990.00",percent of total billed charges,"9,990.00",percent of total billed charges,"10,800.00",percent of total billed charges,"10,800.00",percent of total billed charges,,,"9,720.00",percent of total billed charges ,,,"10,800.00",percent of total billed charges ,"11,340.00",percent of total billed charges ,"11,340.00",percent of total billed charges ,"10,530.00",percent of total billed charges ,"10,530.00",percent of total billed charges ,"10,800.00",percent of total billed charges ,"10,800.00",percent of total billed charges ,"9,450.00",percent of total billed charges ,"9,450.00",percent of total billed charges ,"8,100.00",percent of total billed charges ,"8,100.00",percent of total billed charges ,"8,100.00",percent of total billed charges ,"8,100.00",percent of total billed charges ,,,,,"7,182.00",percent of total billed charges ,,,,,"6,822.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,,,"3,780.00",percent of total billed charges,
BN SCRW 6.5X30 SLF TAP 00625006530,C1713,CDM,,,,both,,,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
BN SCRW 6.5X25 SLF TAP 00625006525,C1713,CDM,,,,both,,,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
G7 DUAL BMILITY LNR 42MM E 110024463,C1776,CDM,,,,both,,,"9,900.00","9,900.00","2,772.00","9,900.00","9,900.00",percent of total billed charges,"9,900.00",percent of total billed charges,"9,900.00",percent of total billed charges,"9,900.00",percent of total billed charges,"9,900.00",percent of total billed charges,"9,900.00",percent of total billed charges,"9,900.00",percent of total billed charges,"9,900.00",percent of total billed charges,"7,128.00",percent of total billed charges,"7,128.00",percent of total billed charges,"7,128.00",percent of total billed charges,"7,128.00",percent of total billed charges,"7,128.00",percent of total billed charges,"7,128.00",percent of total billed charges,"7,326.00",percent of total billed charges,"7,326.00",percent of total billed charges,"7,920.00",percent of total billed charges,"7,920.00",percent of total billed charges,,,"7,128.00",percent of total billed charges ,,,"7,920.00",percent of total billed charges ,"8,316.00",percent of total billed charges ,"8,316.00",percent of total billed charges ,"7,722.00",percent of total billed charges ,"7,722.00",percent of total billed charges ,"7,920.00",percent of total billed charges ,"7,920.00",percent of total billed charges ,"6,930.00",percent of total billed charges ,"6,930.00",percent of total billed charges ,"5,940.00",percent of total billed charges ,"5,940.00",percent of total billed charges ,"5,940.00",percent of total billed charges ,"5,940.00",percent of total billed charges ,,,,,"5,266.80",percent of total billed charges ,,,,,"5,003.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,,,"2,772.00",percent of total billed charges,
VIVACIT-E 110031011 DM BEARING 28X42MM,C1776,CDM,,,,both,,,"6,750.00","6,750.00","1,890.00","6,750.00","6,750.00",percent of total billed charges,"6,750.00",percent of total billed charges,"6,750.00",percent of total billed charges,"6,750.00",percent of total billed charges,"6,750.00",percent of total billed charges,"6,750.00",percent of total billed charges,"6,750.00",percent of total billed charges,"6,750.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,995.00",percent of total billed charges,"4,995.00",percent of total billed charges,"5,400.00",percent of total billed charges,"5,400.00",percent of total billed charges,,,"4,860.00",percent of total billed charges ,,,"5,400.00",percent of total billed charges ,"5,670.00",percent of total billed charges ,"5,670.00",percent of total billed charges ,"5,265.00",percent of total billed charges ,"5,265.00",percent of total billed charges ,"5,400.00",percent of total billed charges ,"5,400.00",percent of total billed charges ,"4,725.00",percent of total billed charges ,"4,725.00",percent of total billed charges ,"4,050.00",percent of total billed charges ,"4,050.00",percent of total billed charges ,"4,050.00",percent of total billed charges ,"4,050.00",percent of total billed charges ,,,,,"3,591.00",percent of total billed charges ,,,,,"3,411.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,,,"1,890.00",percent of total billed charges,
00801102016 8MM PLUG ALLEN MEDULLARY,C1713,CDM,,,,both,,,"1,523.00","1,523.00",426.44,"1,523.00","1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,127.02",percent of total billed charges,"1,127.02",percent of total billed charges,"1,218.40",percent of total billed charges,"1,218.40",percent of total billed charges,,,"1,096.56",percent of total billed charges ,,,"1,218.40",percent of total billed charges ,"1,279.32",percent of total billed charges ,"1,279.32",percent of total billed charges ,"1,187.94",percent of total billed charges ,"1,187.94",percent of total billed charges ,"1,218.40",percent of total billed charges ,"1,218.40",percent of total billed charges ,"1,066.10",percent of total billed charges ,"1,066.10",percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,,,,,810.24,percent of total billed charges ,,,,,769.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,
00801102020 10MM PLUG ALLEN MEDULLARY,C1713,CDM,,,,both,,,"1,523.00","1,523.00",426.44,"1,523.00","1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,127.02",percent of total billed charges,"1,127.02",percent of total billed charges,"1,218.40",percent of total billed charges,"1,218.40",percent of total billed charges,,,"1,096.56",percent of total billed charges ,,,"1,218.40",percent of total billed charges ,"1,279.32",percent of total billed charges ,"1,279.32",percent of total billed charges ,"1,187.94",percent of total billed charges ,"1,187.94",percent of total billed charges ,"1,218.40",percent of total billed charges ,"1,218.40",percent of total billed charges ,"1,066.10",percent of total billed charges ,"1,066.10",percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,,,,,810.24,percent of total billed charges ,,,,,769.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,
SIG30AVM TRI-STAPLE 2.0 INTEL RELOAD,LOCAL,LOCAL,,,,both,,,"1,291.00","1,291.00",361.48,"1,291.00","1,291.00",percent of total billed charges,"1,291.00",percent of total billed charges,"1,291.00",percent of total billed charges,"1,291.00",percent of total billed charges,"1,291.00",percent of total billed charges,"1,291.00",percent of total billed charges,"1,291.00",percent of total billed charges,"1,291.00",percent of total billed charges,929.52,percent of total billed charges,929.52,percent of total billed charges,929.52,percent of total billed charges,929.52,percent of total billed charges,929.52,percent of total billed charges,929.52,percent of total billed charges,955.34,percent of total billed charges,955.34,percent of total billed charges,"1,032.80",percent of total billed charges,"1,032.80",percent of total billed charges,,,929.52,percent of total billed charges ,,,"1,032.80",percent of total billed charges ,"1,084.44",percent of total billed charges ,"1,084.44",percent of total billed charges ,"1,006.98",percent of total billed charges ,"1,006.98",percent of total billed charges ,"1,032.80",percent of total billed charges ,"1,032.80",percent of total billed charges ,903.7,percent of total billed charges ,903.7,percent of total billed charges ,774.6,percent of total billed charges ,774.6,percent of total billed charges ,774.6,percent of total billed charges ,774.6,percent of total billed charges ,,,,,686.81,percent of total billed charges ,,,,,652.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,,,361.48,percent of total billed charges,
**CLO TEST STRIP,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
DCB00 LENS TECHNIX ACRYLIC PRELOADED,LOCAL,LOCAL,,,,both,,,"1,551.00","1,551.00",434.28,"1,551.00","1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,147.74",percent of total billed charges,"1,147.74",percent of total billed charges,"1,240.80",percent of total billed charges,"1,240.80",percent of total billed charges,,,"1,116.72",percent of total billed charges ,,,"1,240.80",percent of total billed charges ,"1,302.84",percent of total billed charges ,"1,302.84",percent of total billed charges ,"1,209.78",percent of total billed charges ,"1,209.78",percent of total billed charges ,"1,240.80",percent of total billed charges ,"1,240.80",percent of total billed charges ,"1,085.70",percent of total billed charges ,"1,085.70",percent of total billed charges ,930.6,percent of total billed charges ,930.6,percent of total billed charges ,930.6,percent of total billed charges ,930.6,percent of total billed charges ,,,,,825.13,percent of total billed charges ,,,,,783.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,
DYNJ382581 SDI CUSTOM EYE TRAY,LOCAL,LOCAL,,,,both,,,329,329,92.12,329,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,243.46,percent of total billed charges,243.46,percent of total billed charges,263.2,percent of total billed charges,263.2,percent of total billed charges,,,236.88,percent of total billed charges ,,,263.2,percent of total billed charges ,276.36,percent of total billed charges ,276.36,percent of total billed charges ,256.62,percent of total billed charges ,256.62,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,230.3,percent of total billed charges ,230.3,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,,,,,175.03,percent of total billed charges ,,,,,166.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,
MAL-1001 6.25MM MALYUGIN RING MST,LOCAL,LOCAL,,,,both,,,"1,614.00","1,614.00",451.92,"1,614.00","1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,614.00",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,162.08",percent of total billed charges,"1,194.36",percent of total billed charges,"1,194.36",percent of total billed charges,"1,291.20",percent of total billed charges,"1,291.20",percent of total billed charges,,,"1,162.08",percent of total billed charges ,,,"1,291.20",percent of total billed charges ,"1,355.76",percent of total billed charges ,"1,355.76",percent of total billed charges ,"1,258.92",percent of total billed charges ,"1,258.92",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,291.20",percent of total billed charges ,"1,129.80",percent of total billed charges ,"1,129.80",percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,968.4,percent of total billed charges ,,,,,858.65,percent of total billed charges ,,,,,815.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,,,451.92,percent of total billed charges,
MLR60 LRI KNIFE CRESTPOINT 600UM,LOCAL,LOCAL,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
8065990002 2.3MM CRESCENT KNIFE ALCON,LOCAL,LOCAL,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
MSP10 1.0MM SIDEPORT KNIFE CRESTPOINT,LOCAL,LOCAL,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
MSL24-50 2.4MM DBL BVL KERATOME,LOCAL,LOCAL,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
ZCU 150 TORIC LENS,LOCAL,LOCAL,,,,both,,,"4,410.00","4,410.00","1,234.80","4,410.00","4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,263.40",percent of total billed charges,"3,263.40",percent of total billed charges,"3,528.00",percent of total billed charges,"3,528.00",percent of total billed charges,,,"3,175.20",percent of total billed charges ,,,"3,528.00",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,,,,,"2,346.12",percent of total billed charges ,,,,,"2,228.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,
ZCU 300 TORIC LENS,LOCAL,LOCAL,,,,both,,,"4,410.00","4,410.00","1,234.80","4,410.00","4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,263.40",percent of total billed charges,"3,263.40",percent of total billed charges,"3,528.00",percent of total billed charges,"3,528.00",percent of total billed charges,,,"3,175.20",percent of total billed charges ,,,"3,528.00",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,,,,,"2,346.12",percent of total billed charges ,,,,,"2,228.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,
ZCU 225 TORIC LENS,LOCAL,LOCAL,,,,both,,,"4,410.00","4,410.00","1,234.80","4,410.00","4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,263.40",percent of total billed charges,"3,263.40",percent of total billed charges,"3,528.00",percent of total billed charges,"3,528.00",percent of total billed charges,,,"3,175.20",percent of total billed charges ,,,"3,528.00",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,,,,,"2,346.12",percent of total billed charges ,,,,,"2,228.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,
DIB00 EYHANCE LENS J&J,LOCAL,LOCAL,,,,both,,,"1,964.00","1,964.00",549.92,"1,964.00","1,964.00",percent of total billed charges,"1,964.00",percent of total billed charges,"1,964.00",percent of total billed charges,"1,964.00",percent of total billed charges,"1,964.00",percent of total billed charges,"1,964.00",percent of total billed charges,"1,964.00",percent of total billed charges,"1,964.00",percent of total billed charges,"1,414.08",percent of total billed charges,"1,414.08",percent of total billed charges,"1,414.08",percent of total billed charges,"1,414.08",percent of total billed charges,"1,414.08",percent of total billed charges,"1,414.08",percent of total billed charges,"1,453.36",percent of total billed charges,"1,453.36",percent of total billed charges,"1,571.20",percent of total billed charges,"1,571.20",percent of total billed charges,,,"1,414.08",percent of total billed charges ,,,"1,571.20",percent of total billed charges ,"1,649.76",percent of total billed charges ,"1,649.76",percent of total billed charges ,"1,531.92",percent of total billed charges ,"1,531.92",percent of total billed charges ,"1,571.20",percent of total billed charges ,"1,571.20",percent of total billed charges ,"1,374.80",percent of total billed charges ,"1,374.80",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,178.40",percent of total billed charges ,,,,,"1,044.85",percent of total billed charges ,,,,,992.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,,,549.92,percent of total billed charges,
I-RING PUPIL EXPANDER BVI 587000,LOCAL,LOCAL,,,,both,,,"1,511.00","1,511.00",423.08,"1,511.00","1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,118.14",percent of total billed charges,"1,118.14",percent of total billed charges,"1,208.80",percent of total billed charges,"1,208.80",percent of total billed charges,,,"1,087.92",percent of total billed charges ,,,"1,208.80",percent of total billed charges ,"1,269.24",percent of total billed charges ,"1,269.24",percent of total billed charges ,"1,178.58",percent of total billed charges ,"1,178.58",percent of total billed charges ,"1,208.80",percent of total billed charges ,"1,208.80",percent of total billed charges ,"1,057.70",percent of total billed charges ,"1,057.70",percent of total billed charges ,906.6,percent of total billed charges ,906.6,percent of total billed charges ,906.6,percent of total billed charges ,906.6,percent of total billed charges ,,,,,803.85,percent of total billed charges ,,,,,763.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,
FULL HANDLE POLYMER I/A 8065752145,LOCAL,LOCAL,,,,both,,,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
DIU225 TORIC II ACRYLIC 1 PC PRELD LENS,LOCAL,LOCAL,,,,both,,,"5,580.00","5,580.00","1,562.40","5,580.00","5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,,,"4,017.60",percent of total billed charges ,,,"4,464.00",percent of total billed charges ,"4,687.20",percent of total billed charges ,"4,687.20",percent of total billed charges ,"4,352.40",percent of total billed charges ,"4,352.40",percent of total billed charges ,"4,464.00",percent of total billed charges ,"4,464.00",percent of total billed charges ,"3,906.00",percent of total billed charges ,"3,906.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,,,,,"2,968.56",percent of total billed charges ,,,,,"2,820.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,
ZCU450 TORIC ACRYLIC 1 PC LENS,LOCAL,LOCAL,,,,both,,,"4,410.00","4,410.00","1,234.80","4,410.00","4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"4,410.00",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,175.20",percent of total billed charges,"3,263.40",percent of total billed charges,"3,263.40",percent of total billed charges,"3,528.00",percent of total billed charges,"3,528.00",percent of total billed charges,,,"3,175.20",percent of total billed charges ,,,"3,528.00",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,704.40",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,439.80",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,528.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"3,087.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,"2,646.00",percent of total billed charges ,,,,,"2,346.12",percent of total billed charges ,,,,,"2,228.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,,,"1,234.80",percent of total billed charges,
DXR00V LENS SYMFONY OPTIBLUE IOL J&J,LOCAL,LOCAL,,,,both,,,"8,650.00","8,650.00","2,422.00","8,650.00","8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"8,650.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,228.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,401.00",percent of total billed charges,"6,920.00",percent of total billed charges,"6,920.00",percent of total billed charges,,,"6,228.00",percent of total billed charges ,,,"6,920.00",percent of total billed charges ,"7,266.00",percent of total billed charges ,"7,266.00",percent of total billed charges ,"6,747.00",percent of total billed charges ,"6,747.00",percent of total billed charges ,"6,920.00",percent of total billed charges ,"6,920.00",percent of total billed charges ,"6,055.00",percent of total billed charges ,"6,055.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,"5,190.00",percent of total billed charges ,,,,,"4,601.80",percent of total billed charges ,,,,,"4,371.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,,,"2,422.00",percent of total billed charges,
DXW225 LENS SYMFONY OPTIBLUE TORIC IOL,LOCAL,LOCAL,,,,both,,,"9,180.00","9,180.00","2,570.40","9,180.00","9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,793.20",percent of total billed charges,"6,793.20",percent of total billed charges,"7,344.00",percent of total billed charges,"7,344.00",percent of total billed charges,,,"6,609.60",percent of total billed charges ,,,"7,344.00",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,344.00",percent of total billed charges ,"7,344.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,,,,,"4,883.76",percent of total billed charges ,,,,,"4,639.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,
CT LUCIA 621P LENS PRELD MONOFOCAL ZEISS,LOCAL,LOCAL,,,,both,,,"1,511.00","1,511.00",423.08,"1,511.00","1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,511.00",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,087.92",percent of total billed charges,"1,118.14",percent of total billed charges,"1,118.14",percent of total billed charges,"1,208.80",percent of total billed charges,"1,208.80",percent of total billed charges,,,"1,087.92",percent of total billed charges ,,,"1,208.80",percent of total billed charges ,"1,269.24",percent of total billed charges ,"1,269.24",percent of total billed charges ,"1,178.58",percent of total billed charges ,"1,178.58",percent of total billed charges ,"1,208.80",percent of total billed charges ,"1,208.80",percent of total billed charges ,"1,057.70",percent of total billed charges ,"1,057.70",percent of total billed charges ,906.6,percent of total billed charges ,906.6,percent of total billed charges ,906.6,percent of total billed charges ,906.6,percent of total billed charges ,,,,,803.85,percent of total billed charges ,,,,,763.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,,,423.08,percent of total billed charges,
DIU150 TORIC II ACRYLIC PRELOADED LENS,LOCAL,LOCAL,,,,both,,,"5,580.00","5,580.00","1,562.40","5,580.00","5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,,,"4,017.60",percent of total billed charges ,,,"4,464.00",percent of total billed charges ,"4,687.20",percent of total billed charges ,"4,687.20",percent of total billed charges ,"4,352.40",percent of total billed charges ,"4,352.40",percent of total billed charges ,"4,464.00",percent of total billed charges ,"4,464.00",percent of total billed charges ,"3,906.00",percent of total billed charges ,"3,906.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,,,,,"2,968.56",percent of total billed charges ,,,,,"2,820.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,
DXW150 SYMFONY OPTIBLUE TORIC IOL J&J,LOCAL,LOCAL,,,,both,,,"9,180.00","9,180.00","2,570.40","9,180.00","9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,793.20",percent of total billed charges,"6,793.20",percent of total billed charges,"7,344.00",percent of total billed charges,"7,344.00",percent of total billed charges,,,"6,609.60",percent of total billed charges ,,,"7,344.00",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,344.00",percent of total billed charges ,"7,344.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,,,,,"4,883.76",percent of total billed charges ,,,,,"4,639.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,
DUOVISC ALCON 8065183150,LOCAL,LOCAL,,,,both,,,693,693,194.04,693,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,512.82,percent of total billed charges,512.82,percent of total billed charges,554.4,percent of total billed charges,554.4,percent of total billed charges,,,498.96,percent of total billed charges ,,,554.4,percent of total billed charges ,582.12,percent of total billed charges ,582.12,percent of total billed charges ,540.54,percent of total billed charges ,540.54,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,485.1,percent of total billed charges ,485.1,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,,,,,368.68,percent of total billed charges ,,,,,350.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,
POLYMER BIMANUAL I/A 8065751992,LOCAL,LOCAL,,,,both,,,180,180,50.4,180,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,,,129.6,percent of total billed charges ,,,144,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,,,,,95.76,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,
TFAT30 PANOPTIX TORIC +1.50 CLR TRIFCL U,LOCAL,LOCAL,,,,both,,,"9,180.00","9,180.00","2,570.40","9,180.00","9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,793.20",percent of total billed charges,"6,793.20",percent of total billed charges,"7,344.00",percent of total billed charges,"7,344.00",percent of total billed charges,,,"6,609.60",percent of total billed charges ,,,"7,344.00",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,344.00",percent of total billed charges ,"7,344.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,,,,,"4,883.76",percent of total billed charges ,,,,,"4,639.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,
30 CENTURION W/SALMON SLV 8065000133,LOCAL,LOCAL,,,,both,,,882,882,246.96,882,882,percent of total billed charges,882,percent of total billed charges,882,percent of total billed charges,882,percent of total billed charges,882,percent of total billed charges,882,percent of total billed charges,882,percent of total billed charges,882,percent of total billed charges,635.04,percent of total billed charges,635.04,percent of total billed charges,635.04,percent of total billed charges,635.04,percent of total billed charges,635.04,percent of total billed charges,635.04,percent of total billed charges,652.68,percent of total billed charges,652.68,percent of total billed charges,705.6,percent of total billed charges,705.6,percent of total billed charges,,,635.04,percent of total billed charges ,,,705.6,percent of total billed charges ,740.88,percent of total billed charges ,740.88,percent of total billed charges ,687.96,percent of total billed charges ,687.96,percent of total billed charges ,705.6,percent of total billed charges ,705.6,percent of total billed charges ,617.4,percent of total billed charges ,617.4,percent of total billed charges ,529.2,percent of total billed charges ,529.2,percent of total billed charges ,529.2,percent of total billed charges ,529.2,percent of total billed charges ,,,,,469.22,percent of total billed charges ,,,,,445.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,,,246.96,percent of total billed charges,
CCWTT0 CLAREON CLR PANOPTIX IOL ALCON,LOCAL,LOCAL,,,,both,,,"9,360.00","9,360.00","2,620.80","9,360.00","9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,926.40",percent of total billed charges,"6,926.40",percent of total billed charges,"7,488.00",percent of total billed charges,"7,488.00",percent of total billed charges,,,"6,739.20",percent of total billed charges ,,,"7,488.00",percent of total billed charges ,"7,862.40",percent of total billed charges ,"7,862.40",percent of total billed charges ,"7,300.80",percent of total billed charges ,"7,300.80",percent of total billed charges ,"7,488.00",percent of total billed charges ,"7,488.00",percent of total billed charges ,"6,552.00",percent of total billed charges ,"6,552.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,,,,,"4,979.52",percent of total billed charges ,,,,,"4,730.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,
ZCU 375 TORIC ACRYLIC LENS,LOCAL,LOCAL,,,,both,,,"4,680.00","4,680.00","1,310.40","4,680.00","4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,"4,680.00",percent of total billed charges,"3,369.60",percent of total billed charges,"3,369.60",percent of total billed charges,"3,369.60",percent of total billed charges,"3,369.60",percent of total billed charges,"3,369.60",percent of total billed charges,"3,369.60",percent of total billed charges,"3,463.20",percent of total billed charges,"3,463.20",percent of total billed charges,"3,744.00",percent of total billed charges,"3,744.00",percent of total billed charges,,,"3,369.60",percent of total billed charges ,,,"3,744.00",percent of total billed charges ,"3,931.20",percent of total billed charges ,"3,931.20",percent of total billed charges ,"3,650.40",percent of total billed charges ,"3,650.40",percent of total billed charges ,"3,744.00",percent of total billed charges ,"3,744.00",percent of total billed charges ,"3,276.00",percent of total billed charges ,"3,276.00",percent of total billed charges ,"2,808.00",percent of total billed charges ,"2,808.00",percent of total billed charges ,"2,808.00",percent of total billed charges ,"2,808.00",percent of total billed charges ,,,,,"2,489.76",percent of total billed charges ,,,,,"2,365.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,,,"1,310.40",percent of total billed charges,
CCWTT3 CLAREON CLR PANOPTIX TORIC LENS,LOCAL,LOCAL,,,,both,,,"9,360.00","9,360.00","2,620.80","9,360.00","9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"9,360.00",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,739.20",percent of total billed charges,"6,926.40",percent of total billed charges,"6,926.40",percent of total billed charges,"7,488.00",percent of total billed charges,"7,488.00",percent of total billed charges,,,"6,739.20",percent of total billed charges ,,,"7,488.00",percent of total billed charges ,"7,862.40",percent of total billed charges ,"7,862.40",percent of total billed charges ,"7,300.80",percent of total billed charges ,"7,300.80",percent of total billed charges ,"7,488.00",percent of total billed charges ,"7,488.00",percent of total billed charges ,"6,552.00",percent of total billed charges ,"6,552.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,"5,616.00",percent of total billed charges ,,,,,"4,979.52",percent of total billed charges ,,,,,"4,730.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,,,"2,620.80",percent of total billed charges,
LENS DERANIAN,C1780,CDM,,,,both,,,"2,510.00","2,510.00",702.8,"2,510.00","2,510.00",percent of total billed charges,"2,510.00",percent of total billed charges,"2,510.00",percent of total billed charges,"2,510.00",percent of total billed charges,"2,510.00",percent of total billed charges,"2,510.00",percent of total billed charges,"2,510.00",percent of total billed charges,"2,510.00",percent of total billed charges,"1,807.20",percent of total billed charges,"1,807.20",percent of total billed charges,"1,807.20",percent of total billed charges,"1,807.20",percent of total billed charges,"1,807.20",percent of total billed charges,"1,807.20",percent of total billed charges,"1,857.40",percent of total billed charges,"1,857.40",percent of total billed charges,"2,008.00",percent of total billed charges,"2,008.00",percent of total billed charges,,,"1,807.20",percent of total billed charges ,,,"2,008.00",percent of total billed charges ,"2,108.40",percent of total billed charges ,"2,108.40",percent of total billed charges ,"1,957.80",percent of total billed charges ,"1,957.80",percent of total billed charges ,"2,008.00",percent of total billed charges ,"2,008.00",percent of total billed charges ,"1,757.00",percent of total billed charges ,"1,757.00",percent of total billed charges ,"1,506.00",percent of total billed charges ,"1,506.00",percent of total billed charges ,"1,506.00",percent of total billed charges ,"1,506.00",percent of total billed charges ,,,,,"1,335.32",percent of total billed charges ,,,,,"1,268.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,,,702.8,percent of total billed charges,
**LENS PACK,V2632,CDM,,,,both,,,"1,512.00","1,512.00",423.36,"1,512.00","1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,088.64",percent of total billed charges,"1,088.64",percent of total billed charges,"1,088.64",percent of total billed charges,"1,088.64",percent of total billed charges,"1,088.64",percent of total billed charges,"1,088.64",percent of total billed charges,"1,118.88",percent of total billed charges,"1,118.88",percent of total billed charges,"1,209.60",percent of total billed charges,"1,209.60",percent of total billed charges,,,"1,088.64",percent of total billed charges ,,,"1,209.60",percent of total billed charges ,"1,270.08",percent of total billed charges ,"1,270.08",percent of total billed charges ,"1,179.36",percent of total billed charges ,"1,179.36",percent of total billed charges ,"1,209.60",percent of total billed charges ,"1,209.60",percent of total billed charges ,"1,058.40",percent of total billed charges ,"1,058.40",percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,,,,,804.38,percent of total billed charges ,,,,,764.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,,,423.36,percent of total billed charges,
TORIC LENS FOR IOL / DR BUTLER,LOCAL,LOCAL,,,,both,,,"5,515.00","5,515.00","1,544.20","5,515.00","5,515.00",percent of total billed charges,"5,515.00",percent of total billed charges,"5,515.00",percent of total billed charges,"5,515.00",percent of total billed charges,"5,515.00",percent of total billed charges,"5,515.00",percent of total billed charges,"5,515.00",percent of total billed charges,"5,515.00",percent of total billed charges,"3,970.80",percent of total billed charges,"3,970.80",percent of total billed charges,"3,970.80",percent of total billed charges,"3,970.80",percent of total billed charges,"3,970.80",percent of total billed charges,"3,970.80",percent of total billed charges,"4,081.10",percent of total billed charges,"4,081.10",percent of total billed charges,"4,412.00",percent of total billed charges,"4,412.00",percent of total billed charges,,,"3,970.80",percent of total billed charges ,,,"4,412.00",percent of total billed charges ,"4,632.60",percent of total billed charges ,"4,632.60",percent of total billed charges ,"4,301.70",percent of total billed charges ,"4,301.70",percent of total billed charges ,"4,412.00",percent of total billed charges ,"4,412.00",percent of total billed charges ,"3,860.50",percent of total billed charges ,"3,860.50",percent of total billed charges ,"3,309.00",percent of total billed charges ,"3,309.00",percent of total billed charges ,"3,309.00",percent of total billed charges ,"3,309.00",percent of total billed charges ,,,,,"2,933.98",percent of total billed charges ,,,,,"2,787.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,,,"1,544.20",percent of total billed charges,
ALCON SLEEVE KIT 0.9MM,LOCAL,LOCAL,,,,both,,,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
STYLUS KERATOME 3.0,LOCAL,LOCAL,,,,both,,,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
PURPLE PHACO SLEEVE,LOCAL,LOCAL,,,,both,,,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
TFAT40 PANOPTIX TORIC CLR TRIFCL +2.25,LOCAL,LOCAL,,,,both,,,"9,180.00","9,180.00","2,570.40","9,180.00","9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"9,180.00",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,609.60",percent of total billed charges,"6,793.20",percent of total billed charges,"6,793.20",percent of total billed charges,"7,344.00",percent of total billed charges,"7,344.00",percent of total billed charges,,,"6,609.60",percent of total billed charges ,,,"7,344.00",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,711.20",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,160.40",percent of total billed charges ,"7,344.00",percent of total billed charges ,"7,344.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"6,426.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,"5,508.00",percent of total billed charges ,,,,,"4,883.76",percent of total billed charges ,,,,,"4,639.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,,,"2,570.40",percent of total billed charges,
POLYMER I/A ANGLED TIP 8065751511,LOCAL,LOCAL,,,,both,,,170,170,47.6,170,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,,,122.4,percent of total billed charges ,,,136,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,136,percent of total billed charges ,136,percent of total billed charges ,119,percent of total billed charges ,119,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,,,,,90.44,percent of total billed charges ,,,,,85.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,
**PICC LINE DISPOSABLE KIT,LOCAL,LOCAL,,,,both,,,575,575,161,575,575,percent of total billed charges,575,percent of total billed charges,575,percent of total billed charges,575,percent of total billed charges,575,percent of total billed charges,575,percent of total billed charges,575,percent of total billed charges,575,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,425.5,percent of total billed charges,425.5,percent of total billed charges,460,percent of total billed charges,460,percent of total billed charges,,,414,percent of total billed charges ,,,460,percent of total billed charges ,483,percent of total billed charges ,483,percent of total billed charges ,448.5,percent of total billed charges ,448.5,percent of total billed charges ,460,percent of total billed charges ,460,percent of total billed charges ,402.5,percent of total billed charges ,402.5,percent of total billed charges ,345,percent of total billed charges ,345,percent of total billed charges ,345,percent of total billed charges ,345,percent of total billed charges ,,,,,305.9,percent of total billed charges ,,,,,290.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,,,161,percent of total billed charges,
BIOPSY FORCEP 2.8 MM,LOCAL,LOCAL,,,,both,,,754,754,211.12,754,754,percent of total billed charges,754,percent of total billed charges,754,percent of total billed charges,754,percent of total billed charges,754,percent of total billed charges,754,percent of total billed charges,754,percent of total billed charges,754,percent of total billed charges,542.88,percent of total billed charges,542.88,percent of total billed charges,542.88,percent of total billed charges,542.88,percent of total billed charges,542.88,percent of total billed charges,542.88,percent of total billed charges,557.96,percent of total billed charges,557.96,percent of total billed charges,603.2,percent of total billed charges,603.2,percent of total billed charges,,,542.88,percent of total billed charges ,,,603.2,percent of total billed charges ,633.36,percent of total billed charges ,633.36,percent of total billed charges ,588.12,percent of total billed charges ,588.12,percent of total billed charges ,603.2,percent of total billed charges ,603.2,percent of total billed charges ,527.8,percent of total billed charges ,527.8,percent of total billed charges ,452.4,percent of total billed charges ,452.4,percent of total billed charges ,452.4,percent of total billed charges ,452.4,percent of total billed charges ,,,,,401.13,percent of total billed charges ,,,,,381.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,,,211.12,percent of total billed charges,
BARD URETEX TVT,LOCAL,LOCAL,,,,both,,,"3,395.00","3,395.00",950.6,"3,395.00","3,395.00",percent of total billed charges,"3,395.00",percent of total billed charges,"3,395.00",percent of total billed charges,"3,395.00",percent of total billed charges,"3,395.00",percent of total billed charges,"3,395.00",percent of total billed charges,"3,395.00",percent of total billed charges,"3,395.00",percent of total billed charges,"2,444.40",percent of total billed charges,"2,444.40",percent of total billed charges,"2,444.40",percent of total billed charges,"2,444.40",percent of total billed charges,"2,444.40",percent of total billed charges,"2,444.40",percent of total billed charges,"2,512.30",percent of total billed charges,"2,512.30",percent of total billed charges,"2,716.00",percent of total billed charges,"2,716.00",percent of total billed charges,,,"2,444.40",percent of total billed charges ,,,"2,716.00",percent of total billed charges ,"2,851.80",percent of total billed charges ,"2,851.80",percent of total billed charges ,"2,648.10",percent of total billed charges ,"2,648.10",percent of total billed charges ,"2,716.00",percent of total billed charges ,"2,716.00",percent of total billed charges ,"2,376.50",percent of total billed charges ,"2,376.50",percent of total billed charges ,"2,037.00",percent of total billed charges ,"2,037.00",percent of total billed charges ,"2,037.00",percent of total billed charges ,"2,037.00",percent of total billed charges ,,,,,"1,806.14",percent of total billed charges ,,,,,"1,715.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,,,950.6,percent of total billed charges,
PET BALLOON DILATOR-DISP CRE,C1726,CDM,,,,both,,,"1,929.00","1,929.00",540.12,"1,929.00","1,929.00",percent of total billed charges,"1,929.00",percent of total billed charges,"1,929.00",percent of total billed charges,"1,929.00",percent of total billed charges,"1,929.00",percent of total billed charges,"1,929.00",percent of total billed charges,"1,929.00",percent of total billed charges,"1,929.00",percent of total billed charges,"1,388.88",percent of total billed charges,"1,388.88",percent of total billed charges,"1,388.88",percent of total billed charges,"1,388.88",percent of total billed charges,"1,388.88",percent of total billed charges,"1,388.88",percent of total billed charges,"1,427.46",percent of total billed charges,"1,427.46",percent of total billed charges,"1,543.20",percent of total billed charges,"1,543.20",percent of total billed charges,,,"1,388.88",percent of total billed charges ,,,"1,543.20",percent of total billed charges ,"1,620.36",percent of total billed charges ,"1,620.36",percent of total billed charges ,"1,504.62",percent of total billed charges ,"1,504.62",percent of total billed charges ,"1,543.20",percent of total billed charges ,"1,543.20",percent of total billed charges ,"1,350.30",percent of total billed charges ,"1,350.30",percent of total billed charges ,"1,157.40",percent of total billed charges ,"1,157.40",percent of total billed charges ,"1,157.40",percent of total billed charges ,"1,157.40",percent of total billed charges ,,,,,"1,026.23",percent of total billed charges ,,,,,974.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,,,540.12,percent of total billed charges,
C R E BALLOON DILATOR,C2617,CDM,,,,both,,,"1,453.00","1,453.00",406.84,"1,453.00","1,453.00",percent of total billed charges,"1,453.00",percent of total billed charges,"1,453.00",percent of total billed charges,"1,453.00",percent of total billed charges,"1,453.00",percent of total billed charges,"1,453.00",percent of total billed charges,"1,453.00",percent of total billed charges,"1,453.00",percent of total billed charges,"1,046.16",percent of total billed charges,"1,046.16",percent of total billed charges,"1,046.16",percent of total billed charges,"1,046.16",percent of total billed charges,"1,046.16",percent of total billed charges,"1,046.16",percent of total billed charges,"1,075.22",percent of total billed charges,"1,075.22",percent of total billed charges,"1,162.40",percent of total billed charges,"1,162.40",percent of total billed charges,,,"1,046.16",percent of total billed charges ,,,"1,162.40",percent of total billed charges ,"1,220.52",percent of total billed charges ,"1,220.52",percent of total billed charges ,"1,133.34",percent of total billed charges ,"1,133.34",percent of total billed charges ,"1,162.40",percent of total billed charges ,"1,162.40",percent of total billed charges ,"1,017.10",percent of total billed charges ,"1,017.10",percent of total billed charges ,871.8,percent of total billed charges ,871.8,percent of total billed charges ,871.8,percent of total billed charges ,871.8,percent of total billed charges ,,,,,773,percent of total billed charges ,,,,,734.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,,,406.84,percent of total billed charges,
**C-SECTION PACK - DISP,LOCAL,LOCAL,,,,both,,,387,387,108.36,387,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,286.38,percent of total billed charges,286.38,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,,,278.64,percent of total billed charges ,,,309.6,percent of total billed charges ,325.08,percent of total billed charges ,325.08,percent of total billed charges ,301.86,percent of total billed charges ,301.86,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,270.9,percent of total billed charges ,270.9,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,,,,,205.88,percent of total billed charges ,,,,,195.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,
**CONTROL SYRINGE,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
LOCKING PIN ASSEMBLY,LOCAL,LOCAL,,,,both,,,589,589,164.92,589,589,percent of total billed charges,589,percent of total billed charges,589,percent of total billed charges,589,percent of total billed charges,589,percent of total billed charges,589,percent of total billed charges,589,percent of total billed charges,589,percent of total billed charges,424.08,percent of total billed charges,424.08,percent of total billed charges,424.08,percent of total billed charges,424.08,percent of total billed charges,424.08,percent of total billed charges,424.08,percent of total billed charges,435.86,percent of total billed charges,435.86,percent of total billed charges,471.2,percent of total billed charges,471.2,percent of total billed charges,,,424.08,percent of total billed charges ,,,471.2,percent of total billed charges ,494.76,percent of total billed charges ,494.76,percent of total billed charges ,459.42,percent of total billed charges ,459.42,percent of total billed charges ,471.2,percent of total billed charges ,471.2,percent of total billed charges ,412.3,percent of total billed charges ,412.3,percent of total billed charges ,353.4,percent of total billed charges ,353.4,percent of total billed charges ,353.4,percent of total billed charges ,353.4,percent of total billed charges ,,,,,313.35,percent of total billed charges ,,,,,297.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,,,164.92,percent of total billed charges,
ABDUCTOR PILLOW MED,LOCAL,LOCAL,,,,both,,,252,252,70.56,252,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,,,181.44,percent of total billed charges ,,,201.6,percent of total billed charges ,211.68,percent of total billed charges ,211.68,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,127.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,
MITEK ANCHOR DEVICE-DISP,C1713,CDM,,,,both,,,"1,769.00","1,769.00",495.32,"1,769.00","1,769.00",percent of total billed charges,"1,769.00",percent of total billed charges,"1,769.00",percent of total billed charges,"1,769.00",percent of total billed charges,"1,769.00",percent of total billed charges,"1,769.00",percent of total billed charges,"1,769.00",percent of total billed charges,"1,769.00",percent of total billed charges,"1,273.68",percent of total billed charges,"1,273.68",percent of total billed charges,"1,273.68",percent of total billed charges,"1,273.68",percent of total billed charges,"1,273.68",percent of total billed charges,"1,273.68",percent of total billed charges,"1,309.06",percent of total billed charges,"1,309.06",percent of total billed charges,"1,415.20",percent of total billed charges,"1,415.20",percent of total billed charges,,,"1,273.68",percent of total billed charges ,,,"1,415.20",percent of total billed charges ,"1,485.96",percent of total billed charges ,"1,485.96",percent of total billed charges ,"1,379.82",percent of total billed charges ,"1,379.82",percent of total billed charges ,"1,415.20",percent of total billed charges ,"1,415.20",percent of total billed charges ,"1,238.30",percent of total billed charges ,"1,238.30",percent of total billed charges ,"1,061.40",percent of total billed charges ,"1,061.40",percent of total billed charges ,"1,061.40",percent of total billed charges ,"1,061.40",percent of total billed charges ,,,,,941.11,percent of total billed charges ,,,,,894.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,,,495.32,percent of total billed charges,
**CATARACT PACK VANTAGE A&D - DISP,LOCAL,LOCAL,,,,both,,,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
**EYE PAD OVAL-DISP,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**EYE PHACO PACK,LOCAL,LOCAL,,,,both,,,"1,469.00","1,469.00",411.32,"1,469.00","1,469.00",percent of total billed charges,"1,469.00",percent of total billed charges,"1,469.00",percent of total billed charges,"1,469.00",percent of total billed charges,"1,469.00",percent of total billed charges,"1,469.00",percent of total billed charges,"1,469.00",percent of total billed charges,"1,469.00",percent of total billed charges,"1,057.68",percent of total billed charges,"1,057.68",percent of total billed charges,"1,057.68",percent of total billed charges,"1,057.68",percent of total billed charges,"1,057.68",percent of total billed charges,"1,057.68",percent of total billed charges,"1,087.06",percent of total billed charges,"1,087.06",percent of total billed charges,"1,175.20",percent of total billed charges,"1,175.20",percent of total billed charges,,,"1,057.68",percent of total billed charges ,,,"1,175.20",percent of total billed charges ,"1,233.96",percent of total billed charges ,"1,233.96",percent of total billed charges ,"1,145.82",percent of total billed charges ,"1,145.82",percent of total billed charges ,"1,175.20",percent of total billed charges ,"1,175.20",percent of total billed charges ,"1,028.30",percent of total billed charges ,"1,028.30",percent of total billed charges ,881.4,percent of total billed charges ,881.4,percent of total billed charges ,881.4,percent of total billed charges ,881.4,percent of total billed charges ,,,,,781.51,percent of total billed charges ,,,,,742.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,,,411.32,percent of total billed charges,
GAYNOR TEMP PROBE,LOCAL,LOCAL,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
ABDUCTOR SPLINT,LOCAL,LOCAL,,,,both,,,252,252,70.56,252,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,,,181.44,percent of total billed charges ,,,201.6,percent of total billed charges ,211.68,percent of total billed charges ,211.68,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,127.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,
**EYE PACK,LOCAL,LOCAL,,,,both,,,447,447,125.16,447,447,percent of total billed charges,447,percent of total billed charges,447,percent of total billed charges,447,percent of total billed charges,447,percent of total billed charges,447,percent of total billed charges,447,percent of total billed charges,447,percent of total billed charges,321.84,percent of total billed charges,321.84,percent of total billed charges,321.84,percent of total billed charges,321.84,percent of total billed charges,321.84,percent of total billed charges,321.84,percent of total billed charges,330.78,percent of total billed charges,330.78,percent of total billed charges,357.6,percent of total billed charges,357.6,percent of total billed charges,,,321.84,percent of total billed charges ,,,357.6,percent of total billed charges ,375.48,percent of total billed charges ,375.48,percent of total billed charges ,348.66,percent of total billed charges ,348.66,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,312.9,percent of total billed charges ,312.9,percent of total billed charges ,268.2,percent of total billed charges ,268.2,percent of total billed charges ,268.2,percent of total billed charges ,268.2,percent of total billed charges ,,,,,237.8,percent of total billed charges ,,,,,225.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,,,125.16,percent of total billed charges,
CURETTE UTERINE ASPIRATING#8OR#10DSP,LOCAL,LOCAL,,,,both,,,61,61,17.08,61,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,45.14,percent of total billed charges,45.14,percent of total billed charges,48.8,percent of total billed charges,48.8,percent of total billed charges,,,43.92,percent of total billed charges ,,,48.8,percent of total billed charges ,51.24,percent of total billed charges ,51.24,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,48.8,percent of total billed charges ,48.8,percent of total billed charges ,42.7,percent of total billed charges ,42.7,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,,,,,32.45,percent of total billed charges ,,,,,30.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,
160-20 PEG TUBE- DISP,LOCAL,LOCAL,,,,both,,,"1,288.00","1,288.00",360.64,"1,288.00","1,288.00",percent of total billed charges,"1,288.00",percent of total billed charges,"1,288.00",percent of total billed charges,"1,288.00",percent of total billed charges,"1,288.00",percent of total billed charges,"1,288.00",percent of total billed charges,"1,288.00",percent of total billed charges,"1,288.00",percent of total billed charges,927.36,percent of total billed charges,927.36,percent of total billed charges,927.36,percent of total billed charges,927.36,percent of total billed charges,927.36,percent of total billed charges,927.36,percent of total billed charges,953.12,percent of total billed charges,953.12,percent of total billed charges,"1,030.40",percent of total billed charges,"1,030.40",percent of total billed charges,,,927.36,percent of total billed charges ,,,"1,030.40",percent of total billed charges ,"1,081.92",percent of total billed charges ,"1,081.92",percent of total billed charges ,"1,004.64",percent of total billed charges ,"1,004.64",percent of total billed charges ,"1,030.40",percent of total billed charges ,"1,030.40",percent of total billed charges ,901.6,percent of total billed charges ,901.6,percent of total billed charges ,772.8,percent of total billed charges ,772.8,percent of total billed charges ,772.8,percent of total billed charges ,772.8,percent of total billed charges ,,,,,685.22,percent of total billed charges ,,,,,650.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,,,360.64,percent of total billed charges,
**AVITENE SHEETS,LOCAL,LOCAL,,,,both,,,714,714,199.92,714,714,percent of total billed charges,714,percent of total billed charges,714,percent of total billed charges,714,percent of total billed charges,714,percent of total billed charges,714,percent of total billed charges,714,percent of total billed charges,714,percent of total billed charges,514.08,percent of total billed charges,514.08,percent of total billed charges,514.08,percent of total billed charges,514.08,percent of total billed charges,514.08,percent of total billed charges,514.08,percent of total billed charges,528.36,percent of total billed charges,528.36,percent of total billed charges,571.2,percent of total billed charges,571.2,percent of total billed charges,,,514.08,percent of total billed charges ,,,571.2,percent of total billed charges ,599.76,percent of total billed charges ,599.76,percent of total billed charges ,556.92,percent of total billed charges ,556.92,percent of total billed charges ,571.2,percent of total billed charges ,571.2,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,428.4,percent of total billed charges ,428.4,percent of total billed charges ,428.4,percent of total billed charges ,428.4,percent of total billed charges ,,,,,379.85,percent of total billed charges ,,,,,360.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,,,199.92,percent of total billed charges,
GAYMOR HEATING/COOLING BLANKET,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**BRUSHES-CYTOLOGY  BRONCH-DISP,LOCAL,LOCAL,,,,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
CUTTING LOOP-DISP,LOCAL,LOCAL,,,,both,,,276,276,77.28,276,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,204.24,percent of total billed charges,204.24,percent of total billed charges,220.8,percent of total billed charges,220.8,percent of total billed charges,,,198.72,percent of total billed charges ,,,220.8,percent of total billed charges ,231.84,percent of total billed charges ,231.84,percent of total billed charges ,215.28,percent of total billed charges ,215.28,percent of total billed charges ,220.8,percent of total billed charges ,220.8,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,165.6,percent of total billed charges ,165.6,percent of total billed charges ,165.6,percent of total billed charges ,165.6,percent of total billed charges ,,,,,146.83,percent of total billed charges ,,,,,139.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,
**CYSTO DRAPES,LOCAL,LOCAL,,,,both,,,126,126,35.28,126,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,93.24,percent of total billed charges,93.24,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,,,90.72,percent of total billed charges ,,,100.8,percent of total billed charges ,105.84,percent of total billed charges ,105.84,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,,,,,67.03,percent of total billed charges ,,,,,63.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,
**CRESCENT KNIFE-DISP,LOCAL,LOCAL,,,,both,,,170,170,47.6,170,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,,,122.4,percent of total billed charges ,,,136,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,136,percent of total billed charges ,136,percent of total billed charges ,119,percent of total billed charges ,119,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,,,,,90.44,percent of total billed charges ,,,,,85.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,
**SUCTION/COAGULATOR,LOCAL,LOCAL,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
**IOBAN DRAPE #6648,LOCAL,LOCAL,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
TRU CUT BX NEEDLE,LOCAL,LOCAL,,,,both,,,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
**OR COLOSTOMY BAG,LOCAL,LOCAL,,,,both,,,213,213,59.64,213,213,percent of total billed charges,213,percent of total billed charges,213,percent of total billed charges,213,percent of total billed charges,213,percent of total billed charges,213,percent of total billed charges,213,percent of total billed charges,213,percent of total billed charges,153.36,percent of total billed charges,153.36,percent of total billed charges,153.36,percent of total billed charges,153.36,percent of total billed charges,153.36,percent of total billed charges,153.36,percent of total billed charges,157.62,percent of total billed charges,157.62,percent of total billed charges,170.4,percent of total billed charges,170.4,percent of total billed charges,,,153.36,percent of total billed charges ,,,170.4,percent of total billed charges ,178.92,percent of total billed charges ,178.92,percent of total billed charges ,166.14,percent of total billed charges ,166.14,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,149.1,percent of total billed charges ,149.1,percent of total billed charges ,127.8,percent of total billed charges ,127.8,percent of total billed charges ,127.8,percent of total billed charges ,127.8,percent of total billed charges ,,,,,113.32,percent of total billed charges ,,,,,107.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,,,59.64,percent of total billed charges,
MENISCAL NEEDLE # 8535-DISP,LOCAL,LOCAL,,,,both,,,352,352,98.56,352,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,260.48,percent of total billed charges,260.48,percent of total billed charges,281.6,percent of total billed charges,281.6,percent of total billed charges,,,253.44,percent of total billed charges ,,,281.6,percent of total billed charges ,295.68,percent of total billed charges ,295.68,percent of total billed charges ,274.56,percent of total billed charges ,274.56,percent of total billed charges ,281.6,percent of total billed charges ,281.6,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,,,,,187.26,percent of total billed charges ,,,,,177.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,
SNARE LARGE CAPTIVATOR,LOCAL,LOCAL,,,,both,,,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
**PERI CARDIUM PATCH GRAFT,LOCAL,LOCAL,,,,both,,,"1,737.00","1,737.00",486.36,"1,737.00","1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,285.38",percent of total billed charges,"1,285.38",percent of total billed charges,"1,389.60",percent of total billed charges,"1,389.60",percent of total billed charges,,,"1,250.64",percent of total billed charges ,,,"1,389.60",percent of total billed charges ,"1,459.08",percent of total billed charges ,"1,459.08",percent of total billed charges ,"1,354.86",percent of total billed charges ,"1,354.86",percent of total billed charges ,"1,389.60",percent of total billed charges ,"1,389.60",percent of total billed charges ,"1,215.90",percent of total billed charges ,"1,215.90",percent of total billed charges ,"1,042.20",percent of total billed charges ,"1,042.20",percent of total billed charges ,"1,042.20",percent of total billed charges ,"1,042.20",percent of total billed charges ,,,,,924.08,percent of total billed charges ,,,,,877.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,
DISP HOT BIOPSY FORCEP,LOCAL,LOCAL,,,,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
**PROLENE MESH-PHSL LARGE,C1781,CDM,,,,both,,,663,663,185.64,663,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,490.62,percent of total billed charges,490.62,percent of total billed charges,530.4,percent of total billed charges,530.4,percent of total billed charges,,,477.36,percent of total billed charges ,,,530.4,percent of total billed charges ,556.92,percent of total billed charges ,556.92,percent of total billed charges ,517.14,percent of total billed charges ,517.14,percent of total billed charges ,530.4,percent of total billed charges ,530.4,percent of total billed charges ,464.1,percent of total billed charges ,464.1,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,,,,,352.72,percent of total billed charges ,,,,,335.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,
DISP BIOPSY FORCEP,LOCAL,LOCAL,,,,both,,,210,210,58.8,210,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,155.4,percent of total billed charges,155.4,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,,,151.2,percent of total billed charges ,,,168,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,,,,,111.72,percent of total billed charges ,,,,,106.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,
ARTHROSCOPY IRRIGATION SET6599-0101Y,LOCAL,LOCAL,,,,both,,,79,79,22.12,79,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,63.2,percent of total billed charges,63.2,percent of total billed charges,,,56.88,percent of total billed charges ,,,63.2,percent of total billed charges ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,,,,,42.03,percent of total billed charges ,,,,,39.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,
**J P BULB ONLY,LOCAL,LOCAL,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
**AHMED VALVE,LOCAL,LOCAL,,,,both,,,"2,822.00","2,822.00",790.16,"2,822.00","2,822.00",percent of total billed charges,"2,822.00",percent of total billed charges,"2,822.00",percent of total billed charges,"2,822.00",percent of total billed charges,"2,822.00",percent of total billed charges,"2,822.00",percent of total billed charges,"2,822.00",percent of total billed charges,"2,822.00",percent of total billed charges,"2,031.84",percent of total billed charges,"2,031.84",percent of total billed charges,"2,031.84",percent of total billed charges,"2,031.84",percent of total billed charges,"2,031.84",percent of total billed charges,"2,031.84",percent of total billed charges,"2,088.28",percent of total billed charges,"2,088.28",percent of total billed charges,"2,257.60",percent of total billed charges,"2,257.60",percent of total billed charges,,,"2,031.84",percent of total billed charges ,,,"2,257.60",percent of total billed charges ,"2,370.48",percent of total billed charges ,"2,370.48",percent of total billed charges ,"2,201.16",percent of total billed charges ,"2,201.16",percent of total billed charges ,"2,257.60",percent of total billed charges ,"2,257.60",percent of total billed charges ,"1,975.40",percent of total billed charges ,"1,975.40",percent of total billed charges ,"1,693.20",percent of total billed charges ,"1,693.20",percent of total billed charges ,"1,693.20",percent of total billed charges ,"1,693.20",percent of total billed charges ,,,,,"1,501.30",percent of total billed charges ,,,,,"1,426.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,,,790.16,percent of total billed charges,
ARTHRO-FLOW IRRIGATOR 0015000-DISP,LOCAL,LOCAL,,,,both,,,390,390,109.2,390,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,288.6,percent of total billed charges,288.6,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,,,280.8,percent of total billed charges ,,,312,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,304.2,percent of total billed charges ,304.2,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,,,,,207.48,percent of total billed charges ,,,,,197.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,
**LOADING UNITS (GIA 60)-DISP,LOCAL,LOCAL,,,,both,,,"1,448.00","1,448.00",405.44,"1,448.00","1,448.00",percent of total billed charges,"1,448.00",percent of total billed charges,"1,448.00",percent of total billed charges,"1,448.00",percent of total billed charges,"1,448.00",percent of total billed charges,"1,448.00",percent of total billed charges,"1,448.00",percent of total billed charges,"1,448.00",percent of total billed charges,"1,042.56",percent of total billed charges,"1,042.56",percent of total billed charges,"1,042.56",percent of total billed charges,"1,042.56",percent of total billed charges,"1,042.56",percent of total billed charges,"1,042.56",percent of total billed charges,"1,071.52",percent of total billed charges,"1,071.52",percent of total billed charges,"1,158.40",percent of total billed charges,"1,158.40",percent of total billed charges,,,"1,042.56",percent of total billed charges ,,,"1,158.40",percent of total billed charges ,"1,216.32",percent of total billed charges ,"1,216.32",percent of total billed charges ,"1,129.44",percent of total billed charges ,"1,129.44",percent of total billed charges ,"1,158.40",percent of total billed charges ,"1,158.40",percent of total billed charges ,"1,013.60",percent of total billed charges ,"1,013.60",percent of total billed charges ,868.8,percent of total billed charges ,868.8,percent of total billed charges ,868.8,percent of total billed charges ,868.8,percent of total billed charges ,,,,,770.34,percent of total billed charges ,,,,,731.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,,,405.44,percent of total billed charges,
**MULTIFIRE GIA 60 (DISP),LOCAL,LOCAL,,,,both,,,"2,303.00","2,303.00",644.84,"2,303.00","2,303.00",percent of total billed charges,"2,303.00",percent of total billed charges,"2,303.00",percent of total billed charges,"2,303.00",percent of total billed charges,"2,303.00",percent of total billed charges,"2,303.00",percent of total billed charges,"2,303.00",percent of total billed charges,"2,303.00",percent of total billed charges,"1,658.16",percent of total billed charges,"1,658.16",percent of total billed charges,"1,658.16",percent of total billed charges,"1,658.16",percent of total billed charges,"1,658.16",percent of total billed charges,"1,658.16",percent of total billed charges,"1,704.22",percent of total billed charges,"1,704.22",percent of total billed charges,"1,842.40",percent of total billed charges,"1,842.40",percent of total billed charges,,,"1,658.16",percent of total billed charges ,,,"1,842.40",percent of total billed charges ,"1,934.52",percent of total billed charges ,"1,934.52",percent of total billed charges ,"1,796.34",percent of total billed charges ,"1,796.34",percent of total billed charges ,"1,842.40",percent of total billed charges ,"1,842.40",percent of total billed charges ,"1,612.10",percent of total billed charges ,"1,612.10",percent of total billed charges ,"1,381.80",percent of total billed charges ,"1,381.80",percent of total billed charges ,"1,381.80",percent of total billed charges ,"1,381.80",percent of total billed charges ,,,,,"1,225.20",percent of total billed charges ,,,,,"1,163.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,,,644.84,percent of total billed charges,
TRANS OBTERATOR TAPE,LOCAL,LOCAL,,,,both,,,"7,310.00","7,310.00","2,046.80","7,310.00","7,310.00",percent of total billed charges,"7,310.00",percent of total billed charges,"7,310.00",percent of total billed charges,"7,310.00",percent of total billed charges,"7,310.00",percent of total billed charges,"7,310.00",percent of total billed charges,"7,310.00",percent of total billed charges,"7,310.00",percent of total billed charges,"5,263.20",percent of total billed charges,"5,263.20",percent of total billed charges,"5,263.20",percent of total billed charges,"5,263.20",percent of total billed charges,"5,263.20",percent of total billed charges,"5,263.20",percent of total billed charges,"5,409.40",percent of total billed charges,"5,409.40",percent of total billed charges,"5,848.00",percent of total billed charges,"5,848.00",percent of total billed charges,,,"5,263.20",percent of total billed charges ,,,"5,848.00",percent of total billed charges ,"6,140.40",percent of total billed charges ,"6,140.40",percent of total billed charges ,"5,701.80",percent of total billed charges ,"5,701.80",percent of total billed charges ,"5,848.00",percent of total billed charges ,"5,848.00",percent of total billed charges ,"5,117.00",percent of total billed charges ,"5,117.00",percent of total billed charges ,"4,386.00",percent of total billed charges ,"4,386.00",percent of total billed charges ,"4,386.00",percent of total billed charges ,"4,386.00",percent of total billed charges ,,,,,"3,888.92",percent of total billed charges ,,,,,"3,694.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,,,"2,046.80",percent of total billed charges,
INFUSAKIT-DISP,C1788,CDM,,,,both,,,"2,300.00","2,300.00",644,"2,300.00","2,300.00",percent of total billed charges,"2,300.00",percent of total billed charges,"2,300.00",percent of total billed charges,"2,300.00",percent of total billed charges,"2,300.00",percent of total billed charges,"2,300.00",percent of total billed charges,"2,300.00",percent of total billed charges,"2,300.00",percent of total billed charges,"1,656.00",percent of total billed charges,"1,656.00",percent of total billed charges,"1,656.00",percent of total billed charges,"1,656.00",percent of total billed charges,"1,656.00",percent of total billed charges,"1,656.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,702.00",percent of total billed charges,"1,840.00",percent of total billed charges,"1,840.00",percent of total billed charges,,,"1,656.00",percent of total billed charges ,,,"1,840.00",percent of total billed charges ,"1,932.00",percent of total billed charges ,"1,932.00",percent of total billed charges ,"1,794.00",percent of total billed charges ,"1,794.00",percent of total billed charges ,"1,840.00",percent of total billed charges ,"1,840.00",percent of total billed charges ,"1,610.00",percent of total billed charges ,"1,610.00",percent of total billed charges ,"1,380.00",percent of total billed charges ,"1,380.00",percent of total billed charges ,"1,380.00",percent of total billed charges ,"1,380.00",percent of total billed charges ,,,,,"1,223.60",percent of total billed charges ,,,,,"1,162.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,,,644,percent of total billed charges,
RETRIEVAL NET #00711052-DISP,LOCAL,LOCAL,,,,both,,,"1,019.00","1,019.00",285.32,"1,019.00","1,019.00",percent of total billed charges,"1,019.00",percent of total billed charges,"1,019.00",percent of total billed charges,"1,019.00",percent of total billed charges,"1,019.00",percent of total billed charges,"1,019.00",percent of total billed charges,"1,019.00",percent of total billed charges,"1,019.00",percent of total billed charges,733.68,percent of total billed charges,733.68,percent of total billed charges,733.68,percent of total billed charges,733.68,percent of total billed charges,733.68,percent of total billed charges,733.68,percent of total billed charges,754.06,percent of total billed charges,754.06,percent of total billed charges,815.2,percent of total billed charges,815.2,percent of total billed charges,,,733.68,percent of total billed charges ,,,815.2,percent of total billed charges ,855.96,percent of total billed charges ,855.96,percent of total billed charges ,794.82,percent of total billed charges ,794.82,percent of total billed charges ,815.2,percent of total billed charges ,815.2,percent of total billed charges ,713.3,percent of total billed charges ,713.3,percent of total billed charges ,611.4,percent of total billed charges ,611.4,percent of total billed charges ,611.4,percent of total billed charges ,611.4,percent of total billed charges ,,,,,542.11,percent of total billed charges ,,,,,515,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,,,285.32,percent of total billed charges,
**KLING-DISP,LOCAL,LOCAL,,,,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
POLYP GRASPER,LOCAL,LOCAL,,,,both,,,"1,015.00","1,015.00",284.2,"1,015.00","1,015.00",percent of total billed charges,"1,015.00",percent of total billed charges,"1,015.00",percent of total billed charges,"1,015.00",percent of total billed charges,"1,015.00",percent of total billed charges,"1,015.00",percent of total billed charges,"1,015.00",percent of total billed charges,"1,015.00",percent of total billed charges,730.8,percent of total billed charges,730.8,percent of total billed charges,730.8,percent of total billed charges,730.8,percent of total billed charges,730.8,percent of total billed charges,730.8,percent of total billed charges,751.1,percent of total billed charges,751.1,percent of total billed charges,812,percent of total billed charges,812,percent of total billed charges,,,730.8,percent of total billed charges ,,,812,percent of total billed charges ,852.6,percent of total billed charges ,852.6,percent of total billed charges ,791.7,percent of total billed charges ,791.7,percent of total billed charges ,812,percent of total billed charges ,812,percent of total billed charges ,710.5,percent of total billed charges ,710.5,percent of total billed charges ,609,percent of total billed charges ,609,percent of total billed charges ,609,percent of total billed charges ,609,percent of total billed charges ,,,,,539.98,percent of total billed charges ,,,,,512.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,,,284.2,percent of total billed charges,
STERILE TOURNIQUET,LOCAL,LOCAL,,,,both,,,412,412,115.36,412,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,304.88,percent of total billed charges,304.88,percent of total billed charges,329.6,percent of total billed charges,329.6,percent of total billed charges,,,296.64,percent of total billed charges ,,,329.6,percent of total billed charges ,346.08,percent of total billed charges ,346.08,percent of total billed charges ,321.36,percent of total billed charges ,321.36,percent of total billed charges ,329.6,percent of total billed charges ,329.6,percent of total billed charges ,288.4,percent of total billed charges ,288.4,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,,,,,219.18,percent of total billed charges ,,,,,208.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,
**CYSTOMANOMETER - DISP,LOCAL,LOCAL,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
ORCOLON 0.75 ML-DISP,LOCAL,LOCAL,,,,both,,,940,940,263.2,940,940,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,676.8,percent of total billed charges,676.8,percent of total billed charges,676.8,percent of total billed charges,676.8,percent of total billed charges,676.8,percent of total billed charges,676.8,percent of total billed charges,695.6,percent of total billed charges,695.6,percent of total billed charges,752,percent of total billed charges,752,percent of total billed charges,,,676.8,percent of total billed charges ,,,752,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,733.2,percent of total billed charges ,733.2,percent of total billed charges ,752,percent of total billed charges ,752,percent of total billed charges ,658,percent of total billed charges ,658,percent of total billed charges ,564,percent of total billed charges ,564,percent of total billed charges ,564,percent of total billed charges ,564,percent of total billed charges ,,,,,500.08,percent of total billed charges ,,,,,475.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,,,263.2,percent of total billed charges,
**ENDO BAG (DEXIDE)-DISP,LOCAL,LOCAL,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
**TUR Y TUBING,LOCAL,LOCAL,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
**SECONDARY IRRIG SET,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
COUDE CATHETER,LOCAL,LOCAL,,,,both,,,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
LAP CHOLE CHOLONGIO CATH #9100,LOCAL,LOCAL,,,,both,,,"1,147.00","1,147.00",321.16,"1,147.00","1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,917.6,percent of total billed charges,917.6,percent of total billed charges,,,825.84,percent of total billed charges ,,,917.6,percent of total billed charges ,963.48,percent of total billed charges ,963.48,percent of total billed charges ,894.66,percent of total billed charges ,894.66,percent of total billed charges ,917.6,percent of total billed charges ,917.6,percent of total billed charges ,802.9,percent of total billed charges ,802.9,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,688.2,percent of total billed charges ,,,,,610.2,percent of total billed charges ,,,,,579.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,,,321.16,percent of total billed charges,
**PERITONEAL CATHETER,C1892,CDM,,,,both,,,556,556,155.68,556,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,411.44,percent of total billed charges,411.44,percent of total billed charges,444.8,percent of total billed charges,444.8,percent of total billed charges,,,400.32,percent of total billed charges ,,,444.8,percent of total billed charges ,467.04,percent of total billed charges ,467.04,percent of total billed charges ,433.68,percent of total billed charges ,433.68,percent of total billed charges ,444.8,percent of total billed charges ,444.8,percent of total billed charges ,389.2,percent of total billed charges ,389.2,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,,,,,295.79,percent of total billed charges ,,,,,281,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,
ENDOLOOP,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
**ENDOSAC,LOCAL,LOCAL,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
FILLI FORMS CATHETER,LOCAL,LOCAL,,,,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
ETHILON 4-0  1994G,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
**NASAL SPLINT EXTERNAL XOMED,LOCAL,LOCAL,,,,both,,,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
**XOMED NASAL SPLINT,LOCAL,LOCAL,,,,both,,,269,269,75.32,269,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,199.06,percent of total billed charges,199.06,percent of total billed charges,215.2,percent of total billed charges,215.2,percent of total billed charges,,,193.68,percent of total billed charges ,,,215.2,percent of total billed charges ,225.96,percent of total billed charges ,225.96,percent of total billed charges ,209.82,percent of total billed charges ,209.82,percent of total billed charges ,215.2,percent of total billed charges ,215.2,percent of total billed charges ,188.3,percent of total billed charges ,188.3,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,,,,,143.11,percent of total billed charges ,,,,,135.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,
**PDSLL & STP-10 NEEDLE Z997G 2-0,LOCAL,LOCAL,,,,both,,,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
FOLLOWERS-CATH,LOCAL,LOCAL,,,,both,,,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
**IOL ALCON MA30 BA,LOCAL,LOCAL,,,,both,,,"1,053.00","1,053.00",294.84,"1,053.00","1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,779.22,percent of total billed charges,779.22,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,,,758.16,percent of total billed charges ,,,842.4,percent of total billed charges ,884.52,percent of total billed charges ,884.52,percent of total billed charges ,821.34,percent of total billed charges ,821.34,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,737.1,percent of total billed charges ,737.1,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,,,,,560.2,percent of total billed charges ,,,,,532.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,
**GILL BRUSH BIOPSY,LOCAL,LOCAL,,,,both,,,"1,017.00","1,017.00",284.76,"1,017.00","1,017.00",percent of total billed charges,"1,017.00",percent of total billed charges,"1,017.00",percent of total billed charges,"1,017.00",percent of total billed charges,"1,017.00",percent of total billed charges,"1,017.00",percent of total billed charges,"1,017.00",percent of total billed charges,"1,017.00",percent of total billed charges,732.24,percent of total billed charges,732.24,percent of total billed charges,732.24,percent of total billed charges,732.24,percent of total billed charges,732.24,percent of total billed charges,732.24,percent of total billed charges,752.58,percent of total billed charges,752.58,percent of total billed charges,813.6,percent of total billed charges,813.6,percent of total billed charges,,,732.24,percent of total billed charges ,,,813.6,percent of total billed charges ,854.28,percent of total billed charges ,854.28,percent of total billed charges ,793.26,percent of total billed charges ,793.26,percent of total billed charges ,813.6,percent of total billed charges ,813.6,percent of total billed charges ,711.9,percent of total billed charges ,711.9,percent of total billed charges ,610.2,percent of total billed charges ,610.2,percent of total billed charges ,610.2,percent of total billed charges ,610.2,percent of total billed charges ,,,,,541.04,percent of total billed charges ,,,,,513.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,,,284.76,percent of total billed charges,
3 WAY FOLEY,LOCAL,LOCAL,,,,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
**WILTEK BALLOON CHOLE CATH,LOCAL,LOCAL,,,,both,,,708,708,198.24,708,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,523.92,percent of total billed charges,523.92,percent of total billed charges,566.4,percent of total billed charges,566.4,percent of total billed charges,,,509.76,percent of total billed charges ,,,566.4,percent of total billed charges ,594.72,percent of total billed charges ,594.72,percent of total billed charges ,552.24,percent of total billed charges ,552.24,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,,,,,376.66,percent of total billed charges ,,,,,357.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,
**STIRRUP STRAPS PR DISP,LOCAL,LOCAL,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
T-TUBES (ZOMED),LOCAL,LOCAL,,,,both,,,337,337,94.36,337,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,269.6,percent of total billed charges,269.6,percent of total billed charges,,,242.64,percent of total billed charges ,,,269.6,percent of total billed charges ,283.08,percent of total billed charges ,283.08,percent of total billed charges ,262.86,percent of total billed charges ,262.86,percent of total billed charges ,269.6,percent of total billed charges ,269.6,percent of total billed charges ,235.9,percent of total billed charges ,235.9,percent of total billed charges ,202.2,percent of total billed charges ,202.2,percent of total billed charges ,202.2,percent of total billed charges ,202.2,percent of total billed charges ,,,,,179.28,percent of total billed charges ,,,,,170.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,
**STERILE IV TUBING,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
TR-45W RELOAD,LOCAL,LOCAL,,,,both,,,787,787,220.36,787,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,582.38,percent of total billed charges,582.38,percent of total billed charges,629.6,percent of total billed charges,629.6,percent of total billed charges,,,566.64,percent of total billed charges ,,,629.6,percent of total billed charges ,661.08,percent of total billed charges ,661.08,percent of total billed charges ,613.86,percent of total billed charges ,613.86,percent of total billed charges ,629.6,percent of total billed charges ,629.6,percent of total billed charges ,550.9,percent of total billed charges ,550.9,percent of total billed charges ,472.2,percent of total billed charges ,472.2,percent of total billed charges ,472.2,percent of total billed charges ,472.2,percent of total billed charges ,,,,,418.68,percent of total billed charges ,,,,,397.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,
**3M AREA DRAPE,LOCAL,LOCAL,,,,both,,,82,82,22.96,82,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,60.68,percent of total billed charges,60.68,percent of total billed charges,65.6,percent of total billed charges,65.6,percent of total billed charges,,,59.04,percent of total billed charges ,,,65.6,percent of total billed charges ,68.88,percent of total billed charges ,68.88,percent of total billed charges ,63.96,percent of total billed charges ,63.96,percent of total billed charges ,65.6,percent of total billed charges ,65.6,percent of total billed charges ,57.4,percent of total billed charges ,57.4,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,,,,,43.62,percent of total billed charges ,,,,,41.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,
TSW-45 STAPLER,LOCAL,LOCAL,,,,both,,,"1,736.00","1,736.00",486.08,"1,736.00","1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,284.64",percent of total billed charges,"1,284.64",percent of total billed charges,"1,388.80",percent of total billed charges,"1,388.80",percent of total billed charges,,,"1,249.92",percent of total billed charges ,,,"1,388.80",percent of total billed charges ,"1,458.24",percent of total billed charges ,"1,458.24",percent of total billed charges ,"1,354.08",percent of total billed charges ,"1,354.08",percent of total billed charges ,"1,388.80",percent of total billed charges ,"1,388.80",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,,,,,923.55,percent of total billed charges ,,,,,877.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,
**BETADINE PAINT STICKS,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
ELEVIEW,LOCAL,LOCAL,,,,both,,,905,905,253.4,905,905,percent of total billed charges,905,percent of total billed charges,905,percent of total billed charges,905,percent of total billed charges,905,percent of total billed charges,905,percent of total billed charges,905,percent of total billed charges,905,percent of total billed charges,651.6,percent of total billed charges,651.6,percent of total billed charges,651.6,percent of total billed charges,651.6,percent of total billed charges,651.6,percent of total billed charges,651.6,percent of total billed charges,669.7,percent of total billed charges,669.7,percent of total billed charges,724,percent of total billed charges,724,percent of total billed charges,,,651.6,percent of total billed charges ,,,724,percent of total billed charges ,760.2,percent of total billed charges ,760.2,percent of total billed charges ,705.9,percent of total billed charges ,705.9,percent of total billed charges ,724,percent of total billed charges ,724,percent of total billed charges ,633.5,percent of total billed charges ,633.5,percent of total billed charges ,543,percent of total billed charges ,543,percent of total billed charges ,543,percent of total billed charges ,543,percent of total billed charges ,,,,,481.46,percent of total billed charges ,,,,,457.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,,,253.4,percent of total billed charges,
ENDOCLIP CLIP APPLIER,LOCAL,LOCAL,,,,both,,,865,865,242.2,865,865,percent of total billed charges,865,percent of total billed charges,865,percent of total billed charges,865,percent of total billed charges,865,percent of total billed charges,865,percent of total billed charges,865,percent of total billed charges,865,percent of total billed charges,622.8,percent of total billed charges,622.8,percent of total billed charges,622.8,percent of total billed charges,622.8,percent of total billed charges,622.8,percent of total billed charges,622.8,percent of total billed charges,640.1,percent of total billed charges,640.1,percent of total billed charges,692,percent of total billed charges,692,percent of total billed charges,,,622.8,percent of total billed charges ,,,692,percent of total billed charges ,726.6,percent of total billed charges ,726.6,percent of total billed charges ,674.7,percent of total billed charges ,674.7,percent of total billed charges ,692,percent of total billed charges ,692,percent of total billed charges ,605.5,percent of total billed charges ,605.5,percent of total billed charges ,519,percent of total billed charges ,519,percent of total billed charges ,519,percent of total billed charges ,519,percent of total billed charges ,,,,,460.18,percent of total billed charges ,,,,,437.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,,,242.2,percent of total billed charges,
PULSAVAC PLUS FAN SPRAY KIT,LOCAL,LOCAL,,,,both,,,327,327,91.56,327,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,241.98,percent of total billed charges,241.98,percent of total billed charges,261.6,percent of total billed charges,261.6,percent of total billed charges,,,235.44,percent of total billed charges ,,,261.6,percent of total billed charges ,274.68,percent of total billed charges ,274.68,percent of total billed charges ,255.06,percent of total billed charges ,255.06,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,228.9,percent of total billed charges ,228.9,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,,,,,173.96,percent of total billed charges ,,,,,165.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,
TRIM IT DRILL PIN,C1713,CDM,,,,both,,,"3,262.00","3,262.00",913.36,"3,262.00","3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"3,262.00",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,348.64",percent of total billed charges,"2,413.88",percent of total billed charges,"2,413.88",percent of total billed charges,"2,609.60",percent of total billed charges,"2,609.60",percent of total billed charges,,,"2,348.64",percent of total billed charges ,,,"2,609.60",percent of total billed charges ,"2,740.08",percent of total billed charges ,"2,740.08",percent of total billed charges ,"2,544.36",percent of total billed charges ,"2,544.36",percent of total billed charges ,"2,609.60",percent of total billed charges ,"2,609.60",percent of total billed charges ,"2,283.40",percent of total billed charges ,"2,283.40",percent of total billed charges ,"1,957.20",percent of total billed charges ,"1,957.20",percent of total billed charges ,"1,957.20",percent of total billed charges ,"1,957.20",percent of total billed charges ,,,,,"1,735.38",percent of total billed charges ,,,,,"1,648.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,,,913.36,percent of total billed charges,
STRYKER PS FEM COMPONENT CEM,C1776,CDM,,,,both,,,"11,478.00","11,478.00","3,213.84","11,478.00","11,478.00",percent of total billed charges,"11,478.00",percent of total billed charges,"11,478.00",percent of total billed charges,"11,478.00",percent of total billed charges,"11,478.00",percent of total billed charges,"11,478.00",percent of total billed charges,"11,478.00",percent of total billed charges,"11,478.00",percent of total billed charges,"8,264.16",percent of total billed charges,"8,264.16",percent of total billed charges,"8,264.16",percent of total billed charges,"8,264.16",percent of total billed charges,"8,264.16",percent of total billed charges,"8,264.16",percent of total billed charges,"8,493.72",percent of total billed charges,"8,493.72",percent of total billed charges,"9,182.40",percent of total billed charges,"9,182.40",percent of total billed charges,,,"8,264.16",percent of total billed charges ,,,"9,182.40",percent of total billed charges ,"9,641.52",percent of total billed charges ,"9,641.52",percent of total billed charges ,"8,952.84",percent of total billed charges ,"8,952.84",percent of total billed charges ,"9,182.40",percent of total billed charges ,"9,182.40",percent of total billed charges ,"8,034.60",percent of total billed charges ,"8,034.60",percent of total billed charges ,"6,886.80",percent of total billed charges ,"6,886.80",percent of total billed charges ,"6,886.80",percent of total billed charges ,"6,886.80",percent of total billed charges ,,,,,"6,106.30",percent of total billed charges ,,,,,"5,800.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,,,"3,213.84",percent of total billed charges,
STRYKER PRIM TIB BASEPLATE CEM,C1776,CDM,,,,both,,,"7,614.00","7,614.00","2,131.92","7,614.00","7,614.00",percent of total billed charges,"7,614.00",percent of total billed charges,"7,614.00",percent of total billed charges,"7,614.00",percent of total billed charges,"7,614.00",percent of total billed charges,"7,614.00",percent of total billed charges,"7,614.00",percent of total billed charges,"7,614.00",percent of total billed charges,"5,482.08",percent of total billed charges,"5,482.08",percent of total billed charges,"5,482.08",percent of total billed charges,"5,482.08",percent of total billed charges,"5,482.08",percent of total billed charges,"5,482.08",percent of total billed charges,"5,634.36",percent of total billed charges,"5,634.36",percent of total billed charges,"6,091.20",percent of total billed charges,"6,091.20",percent of total billed charges,,,"5,482.08",percent of total billed charges ,,,"6,091.20",percent of total billed charges ,"6,395.76",percent of total billed charges ,"6,395.76",percent of total billed charges ,"5,938.92",percent of total billed charges ,"5,938.92",percent of total billed charges ,"6,091.20",percent of total billed charges ,"6,091.20",percent of total billed charges ,"5,329.80",percent of total billed charges ,"5,329.80",percent of total billed charges ,"4,568.40",percent of total billed charges ,"4,568.40",percent of total billed charges ,"4,568.40",percent of total billed charges ,"4,568.40",percent of total billed charges ,,,,,"4,050.65",percent of total billed charges ,,,,,"3,848.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,,,"2,131.92",percent of total billed charges,
**ENDO CUTTER RELOAD TR45W,LOCAL,LOCAL,,,,both,,,878,878,245.84,878,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,649.72,percent of total billed charges,649.72,percent of total billed charges,702.4,percent of total billed charges,702.4,percent of total billed charges,,,632.16,percent of total billed charges ,,,702.4,percent of total billed charges ,737.52,percent of total billed charges ,737.52,percent of total billed charges ,684.84,percent of total billed charges ,684.84,percent of total billed charges ,702.4,percent of total billed charges ,702.4,percent of total billed charges ,614.6,percent of total billed charges ,614.6,percent of total billed charges ,526.8,percent of total billed charges ,526.8,percent of total billed charges ,526.8,percent of total billed charges ,526.8,percent of total billed charges ,,,,,467.1,percent of total billed charges ,,,,,443.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,
STRYKER PS TIBIAL INSERT,C1776,CDM,,,,both,,,"6,603.00","6,603.00","1,848.84","6,603.00","6,603.00",percent of total billed charges,"6,603.00",percent of total billed charges,"6,603.00",percent of total billed charges,"6,603.00",percent of total billed charges,"6,603.00",percent of total billed charges,"6,603.00",percent of total billed charges,"6,603.00",percent of total billed charges,"6,603.00",percent of total billed charges,"4,754.16",percent of total billed charges,"4,754.16",percent of total billed charges,"4,754.16",percent of total billed charges,"4,754.16",percent of total billed charges,"4,754.16",percent of total billed charges,"4,754.16",percent of total billed charges,"4,886.22",percent of total billed charges,"4,886.22",percent of total billed charges,"5,282.40",percent of total billed charges,"5,282.40",percent of total billed charges,,,"4,754.16",percent of total billed charges ,,,"5,282.40",percent of total billed charges ,"5,546.52",percent of total billed charges ,"5,546.52",percent of total billed charges ,"5,150.34",percent of total billed charges ,"5,150.34",percent of total billed charges ,"5,282.40",percent of total billed charges ,"5,282.40",percent of total billed charges ,"4,622.10",percent of total billed charges ,"4,622.10",percent of total billed charges ,"3,961.80",percent of total billed charges ,"3,961.80",percent of total billed charges ,"3,961.80",percent of total billed charges ,"3,961.80",percent of total billed charges ,,,,,"3,512.80",percent of total billed charges ,,,,,"3,337.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,,,"1,848.84",percent of total billed charges,
STRYKER SYMMETRIC PATELLA,C1776,CDM,,,,both,,,"3,542.00","3,542.00",991.76,"3,542.00","3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,621.08",percent of total billed charges,"2,621.08",percent of total billed charges,"2,833.60",percent of total billed charges,"2,833.60",percent of total billed charges,,,"2,550.24",percent of total billed charges ,,,"2,833.60",percent of total billed charges ,"2,975.28",percent of total billed charges ,"2,975.28",percent of total billed charges ,"2,762.76",percent of total billed charges ,"2,762.76",percent of total billed charges ,"2,833.60",percent of total billed charges ,"2,833.60",percent of total billed charges ,"2,479.40",percent of total billed charges ,"2,479.40",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,,,,,"1,884.34",percent of total billed charges ,,,,,"1,790.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,
SURGIPORT 5MM TROCAR,LOCAL,LOCAL,,,,both,,,398,398,111.44,398,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,294.52,percent of total billed charges,294.52,percent of total billed charges,318.4,percent of total billed charges,318.4,percent of total billed charges,,,286.56,percent of total billed charges ,,,318.4,percent of total billed charges ,334.32,percent of total billed charges ,334.32,percent of total billed charges ,310.44,percent of total billed charges ,310.44,percent of total billed charges ,318.4,percent of total billed charges ,318.4,percent of total billed charges ,278.6,percent of total billed charges ,278.6,percent of total billed charges ,238.8,percent of total billed charges ,238.8,percent of total billed charges ,238.8,percent of total billed charges ,238.8,percent of total billed charges ,,,,,211.74,percent of total billed charges ,,,,,201.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,
TRANSVAGINAL TAPING DEVICE,LOCAL,LOCAL,,,,both,,,"8,641.00","8,641.00","2,419.48","8,641.00","8,641.00",percent of total billed charges,"8,641.00",percent of total billed charges,"8,641.00",percent of total billed charges,"8,641.00",percent of total billed charges,"8,641.00",percent of total billed charges,"8,641.00",percent of total billed charges,"8,641.00",percent of total billed charges,"8,641.00",percent of total billed charges,"6,221.52",percent of total billed charges,"6,221.52",percent of total billed charges,"6,221.52",percent of total billed charges,"6,221.52",percent of total billed charges,"6,221.52",percent of total billed charges,"6,221.52",percent of total billed charges,"6,394.34",percent of total billed charges,"6,394.34",percent of total billed charges,"6,912.80",percent of total billed charges,"6,912.80",percent of total billed charges,,,"6,221.52",percent of total billed charges ,,,"6,912.80",percent of total billed charges ,"7,258.44",percent of total billed charges ,"7,258.44",percent of total billed charges ,"6,739.98",percent of total billed charges ,"6,739.98",percent of total billed charges ,"6,912.80",percent of total billed charges ,"6,912.80",percent of total billed charges ,"6,048.70",percent of total billed charges ,"6,048.70",percent of total billed charges ,"5,184.60",percent of total billed charges ,"5,184.60",percent of total billed charges ,"5,184.60",percent of total billed charges ,"5,184.60",percent of total billed charges ,,,,,"4,597.01",percent of total billed charges ,,,,,"4,367.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,,,"2,419.48",percent of total billed charges,
**ENDO LINEER CUTTER TSW45,LOCAL,LOCAL,,,,both,,,"1,895.00","1,895.00",530.6,"1,895.00","1,895.00",percent of total billed charges,"1,895.00",percent of total billed charges,"1,895.00",percent of total billed charges,"1,895.00",percent of total billed charges,"1,895.00",percent of total billed charges,"1,895.00",percent of total billed charges,"1,895.00",percent of total billed charges,"1,895.00",percent of total billed charges,"1,364.40",percent of total billed charges,"1,364.40",percent of total billed charges,"1,364.40",percent of total billed charges,"1,364.40",percent of total billed charges,"1,364.40",percent of total billed charges,"1,364.40",percent of total billed charges,"1,402.30",percent of total billed charges,"1,402.30",percent of total billed charges,"1,516.00",percent of total billed charges,"1,516.00",percent of total billed charges,,,"1,364.40",percent of total billed charges ,,,"1,516.00",percent of total billed charges ,"1,591.80",percent of total billed charges ,"1,591.80",percent of total billed charges ,"1,478.10",percent of total billed charges ,"1,478.10",percent of total billed charges ,"1,516.00",percent of total billed charges ,"1,516.00",percent of total billed charges ,"1,326.50",percent of total billed charges ,"1,326.50",percent of total billed charges ,"1,137.00",percent of total billed charges ,"1,137.00",percent of total billed charges ,"1,137.00",percent of total billed charges ,"1,137.00",percent of total billed charges ,,,,,"1,008.14",percent of total billed charges ,,,,,957.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,,,530.6,percent of total billed charges,
LARGE 10MM ENDOCLIP APPLIER,LOCAL,LOCAL,,,,both,,,710,710,198.8,710,710,percent of total billed charges,710,percent of total billed charges,710,percent of total billed charges,710,percent of total billed charges,710,percent of total billed charges,710,percent of total billed charges,710,percent of total billed charges,710,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,511.2,percent of total billed charges,525.4,percent of total billed charges,525.4,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,,,511.2,percent of total billed charges ,,,568,percent of total billed charges ,596.4,percent of total billed charges ,596.4,percent of total billed charges ,553.8,percent of total billed charges ,553.8,percent of total billed charges ,568,percent of total billed charges ,568,percent of total billed charges ,497,percent of total billed charges ,497,percent of total billed charges ,426,percent of total billed charges ,426,percent of total billed charges ,426,percent of total billed charges ,426,percent of total billed charges ,,,,,377.72,percent of total billed charges ,,,,,358.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,,,198.8,percent of total billed charges,
12 MM VERSA STEP DILATOR,LOCAL,LOCAL,,,,both,,,497,497,139.16,497,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,367.78,percent of total billed charges,367.78,percent of total billed charges,397.6,percent of total billed charges,397.6,percent of total billed charges,,,357.84,percent of total billed charges ,,,397.6,percent of total billed charges ,417.48,percent of total billed charges ,417.48,percent of total billed charges ,387.66,percent of total billed charges ,387.66,percent of total billed charges ,397.6,percent of total billed charges ,397.6,percent of total billed charges ,347.9,percent of total billed charges ,347.9,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,,,,,264.4,percent of total billed charges ,,,,,251.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,
LIGASURE SMALL JAW,LOCAL,LOCAL,,,,both,,,"3,783.00","3,783.00","1,059.24","3,783.00","3,783.00",percent of total billed charges,"3,783.00",percent of total billed charges,"3,783.00",percent of total billed charges,"3,783.00",percent of total billed charges,"3,783.00",percent of total billed charges,"3,783.00",percent of total billed charges,"3,783.00",percent of total billed charges,"3,783.00",percent of total billed charges,"2,723.76",percent of total billed charges,"2,723.76",percent of total billed charges,"2,723.76",percent of total billed charges,"2,723.76",percent of total billed charges,"2,723.76",percent of total billed charges,"2,723.76",percent of total billed charges,"2,799.42",percent of total billed charges,"2,799.42",percent of total billed charges,"3,026.40",percent of total billed charges,"3,026.40",percent of total billed charges,,,"2,723.76",percent of total billed charges ,,,"3,026.40",percent of total billed charges ,"3,177.72",percent of total billed charges ,"3,177.72",percent of total billed charges ,"2,950.74",percent of total billed charges ,"2,950.74",percent of total billed charges ,"3,026.40",percent of total billed charges ,"3,026.40",percent of total billed charges ,"2,648.10",percent of total billed charges ,"2,648.10",percent of total billed charges ,"2,269.80",percent of total billed charges ,"2,269.80",percent of total billed charges ,"2,269.80",percent of total billed charges ,"2,269.80",percent of total billed charges ,,,,,"2,012.56",percent of total billed charges ,,,,,"1,911.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,,,"1,059.24",percent of total billed charges,
COLD SNARE RND 10MM,LOCAL,LOCAL,,,,both,,,182,182,50.96,182,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,134.68,percent of total billed charges,134.68,percent of total billed charges,145.6,percent of total billed charges,145.6,percent of total billed charges,,,131.04,percent of total billed charges ,,,145.6,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,145.6,percent of total billed charges ,145.6,percent of total billed charges ,127.4,percent of total billed charges ,127.4,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,,,,,96.82,percent of total billed charges ,,,,,91.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,
**SURGIPORT 3.5MM CONVERTER,LOCAL,LOCAL,,,,both,,,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
LIQACLIP-MULTIPLE CLIP APPLIER,LOCAL,LOCAL,,,,both,,,645,645,180.6,645,645,percent of total billed charges,645,percent of total billed charges,645,percent of total billed charges,645,percent of total billed charges,645,percent of total billed charges,645,percent of total billed charges,645,percent of total billed charges,645,percent of total billed charges,464.4,percent of total billed charges,464.4,percent of total billed charges,464.4,percent of total billed charges,464.4,percent of total billed charges,464.4,percent of total billed charges,464.4,percent of total billed charges,477.3,percent of total billed charges,477.3,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,,,464.4,percent of total billed charges ,,,516,percent of total billed charges ,541.8,percent of total billed charges ,541.8,percent of total billed charges ,503.1,percent of total billed charges ,503.1,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,451.5,percent of total billed charges ,451.5,percent of total billed charges ,387,percent of total billed charges ,387,percent of total billed charges ,387,percent of total billed charges ,387,percent of total billed charges ,,,,,343.14,percent of total billed charges ,,,,,325.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,,,180.6,percent of total billed charges,
**SURGIPORT 5.5MM CONVERTER,LOCAL,LOCAL,,,,both,,,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
**SURGIGRIP 5MM TROCAR SLEEVE,LOCAL,LOCAL,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
M/L ENDOCLIP APPLIER,LOCAL,LOCAL,,,,both,,,835,835,233.8,835,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,617.9,percent of total billed charges,617.9,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,,,601.2,percent of total billed charges ,,,668,percent of total billed charges ,701.4,percent of total billed charges ,701.4,percent of total billed charges ,651.3,percent of total billed charges ,651.3,percent of total billed charges ,668,percent of total billed charges ,668,percent of total billed charges ,584.5,percent of total billed charges ,584.5,percent of total billed charges ,501,percent of total billed charges ,501,percent of total billed charges ,501,percent of total billed charges ,501,percent of total billed charges ,,,,,444.22,percent of total billed charges ,,,,,422.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,
**SURGIGRIP 10MM TROCAR SLEEVE,LOCAL,LOCAL,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
EXPRESSO NEEDLE,LOCAL,LOCAL,,,,both,,,650,650,182,650,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,,,468,percent of total billed charges ,,,520,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,507,percent of total billed charges ,507,percent of total billed charges ,520,percent of total billed charges ,520,percent of total billed charges ,455,percent of total billed charges ,455,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,,,,,345.8,percent of total billed charges ,,,,,328.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,
HEALIX BONE ANCHOR,C1713,CDM,,,,both,,,"1,319.00","1,319.00",369.32,"1,319.00","1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,976.06,percent of total billed charges,976.06,percent of total billed charges,"1,055.20",percent of total billed charges,"1,055.20",percent of total billed charges,,,949.68,percent of total billed charges ,,,"1,055.20",percent of total billed charges ,"1,107.96",percent of total billed charges ,"1,107.96",percent of total billed charges ,"1,028.82",percent of total billed charges ,"1,028.82",percent of total billed charges ,"1,055.20",percent of total billed charges ,"1,055.20",percent of total billed charges ,923.3,percent of total billed charges ,923.3,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,,,,,701.71,percent of total billed charges ,,,,,666.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,
GATOR BLADE 5.5MM 9260A,LOCAL,LOCAL,,,,both,,,830,830,232.4,830,830,percent of total billed charges,830,percent of total billed charges,830,percent of total billed charges,830,percent of total billed charges,830,percent of total billed charges,830,percent of total billed charges,830,percent of total billed charges,830,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,597.6,percent of total billed charges,614.2,percent of total billed charges,614.2,percent of total billed charges,664,percent of total billed charges,664,percent of total billed charges,,,597.6,percent of total billed charges ,,,664,percent of total billed charges ,697.2,percent of total billed charges ,697.2,percent of total billed charges ,647.4,percent of total billed charges ,647.4,percent of total billed charges ,664,percent of total billed charges ,664,percent of total billed charges ,581,percent of total billed charges ,581,percent of total billed charges ,498,percent of total billed charges ,498,percent of total billed charges ,498,percent of total billed charges ,498,percent of total billed charges ,,,,,441.56,percent of total billed charges ,,,,,419.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,,,232.4,percent of total billed charges,
GATOR BLADES 9263A,LOCAL,LOCAL,,,,both,,,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
CASTING ZIMFLEX 4,LOCAL,LOCAL,,,,both,,,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
CASTING ZIMFLEX 5,LOCAL,LOCAL,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
SLING (IMMOBILIZED),LOCAL,LOCAL,,,,both,,,140,140,39.2,140,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,103.6,percent of total billed charges,103.6,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,,,100.8,percent of total billed charges ,,,112,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,112,percent of total billed charges ,112,percent of total billed charges ,98,percent of total billed charges ,98,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,,,,,74.48,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,
DERMABOND/ INDERMIL,LOCAL,LOCAL,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
SPOT/TATTOOING INK,LOCAL,LOCAL,,,,both,,,392,392,109.76,392,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,290.08,percent of total billed charges,290.08,percent of total billed charges,313.6,percent of total billed charges,313.6,percent of total billed charges,,,282.24,percent of total billed charges ,,,313.6,percent of total billed charges ,329.28,percent of total billed charges ,329.28,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,313.6,percent of total billed charges ,313.6,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,,,,,208.54,percent of total billed charges ,,,,,198.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,
**SILASTIC SHEETING FOR NASAL SURGERY,LOCAL,LOCAL,,,,both,,,367,367,102.76,367,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,271.58,percent of total billed charges,271.58,percent of total billed charges,293.6,percent of total billed charges,293.6,percent of total billed charges,,,264.24,percent of total billed charges ,,,293.6,percent of total billed charges ,308.28,percent of total billed charges ,308.28,percent of total billed charges ,286.26,percent of total billed charges ,286.26,percent of total billed charges ,293.6,percent of total billed charges ,293.6,percent of total billed charges ,256.9,percent of total billed charges ,256.9,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,,,,,195.24,percent of total billed charges ,,,,,185.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,
**INTRODUCER SET 10 FR,LOCAL,LOCAL,,,,both,,,322,322,90.16,322,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,238.28,percent of total billed charges,238.28,percent of total billed charges,257.6,percent of total billed charges,257.6,percent of total billed charges,,,231.84,percent of total billed charges ,,,257.6,percent of total billed charges ,270.48,percent of total billed charges ,270.48,percent of total billed charges ,251.16,percent of total billed charges ,251.16,percent of total billed charges ,257.6,percent of total billed charges ,257.6,percent of total billed charges ,225.4,percent of total billed charges ,225.4,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,,,,,171.3,percent of total billed charges ,,,,,162.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,
BOSTON SCI SPDBND SUPER 7,LOCAL,LOCAL,,,,both,,,"1,293.00","1,293.00",362.04,"1,293.00","1,293.00",percent of total billed charges,"1,293.00",percent of total billed charges,"1,293.00",percent of total billed charges,"1,293.00",percent of total billed charges,"1,293.00",percent of total billed charges,"1,293.00",percent of total billed charges,"1,293.00",percent of total billed charges,"1,293.00",percent of total billed charges,930.96,percent of total billed charges,930.96,percent of total billed charges,930.96,percent of total billed charges,930.96,percent of total billed charges,930.96,percent of total billed charges,930.96,percent of total billed charges,956.82,percent of total billed charges,956.82,percent of total billed charges,"1,034.40",percent of total billed charges,"1,034.40",percent of total billed charges,,,930.96,percent of total billed charges ,,,"1,034.40",percent of total billed charges ,"1,086.12",percent of total billed charges ,"1,086.12",percent of total billed charges ,"1,008.54",percent of total billed charges ,"1,008.54",percent of total billed charges ,"1,034.40",percent of total billed charges ,"1,034.40",percent of total billed charges ,905.1,percent of total billed charges ,905.1,percent of total billed charges ,775.8,percent of total billed charges ,775.8,percent of total billed charges ,775.8,percent of total billed charges ,775.8,percent of total billed charges ,,,,,687.88,percent of total billed charges ,,,,,653.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,,,362.04,percent of total billed charges,
**INTRODUCER SET 8.0,C1892,CDM,,,,both,,,379,379,106.12,379,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,280.46,percent of total billed charges,280.46,percent of total billed charges,303.2,percent of total billed charges,303.2,percent of total billed charges,,,272.88,percent of total billed charges ,,,303.2,percent of total billed charges ,318.36,percent of total billed charges ,318.36,percent of total billed charges ,295.62,percent of total billed charges ,295.62,percent of total billed charges ,303.2,percent of total billed charges ,303.2,percent of total billed charges ,265.3,percent of total billed charges ,265.3,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,,,,,201.63,percent of total billed charges ,,,,,191.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,
**AKER CATHETER,LOCAL,LOCAL,,,,both,,,"1,394.00","1,394.00",390.32,"1,394.00","1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,031.56",percent of total billed charges,"1,031.56",percent of total billed charges,"1,115.20",percent of total billed charges,"1,115.20",percent of total billed charges,,,"1,003.68",percent of total billed charges ,,,"1,115.20",percent of total billed charges ,"1,170.96",percent of total billed charges ,"1,170.96",percent of total billed charges ,"1,087.32",percent of total billed charges ,"1,087.32",percent of total billed charges ,"1,115.20",percent of total billed charges ,"1,115.20",percent of total billed charges ,975.8,percent of total billed charges ,975.8,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,,,,,741.61,percent of total billed charges ,,,,,704.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,
SILICONE CATHETER #24,LOCAL,LOCAL,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
**FRED (FOG REDUCTION ELIMINATION DEV),LOCAL,LOCAL,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
**ESMARCH III 30-198,LOCAL,LOCAL,,,,both,,,76,76,21.28,76,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,56.24,percent of total billed charges,56.24,percent of total billed charges,60.8,percent of total billed charges,60.8,percent of total billed charges,,,54.72,percent of total billed charges ,,,60.8,percent of total billed charges ,63.84,percent of total billed charges ,63.84,percent of total billed charges ,59.28,percent of total billed charges ,59.28,percent of total billed charges ,60.8,percent of total billed charges ,60.8,percent of total billed charges ,53.2,percent of total billed charges ,53.2,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,38.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,
**FLEX MASTER 3775-22-000,LOCAL,LOCAL,,,,both,,,100,100,28,100,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,,,72,percent of total billed charges ,,,80,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,80,percent of total billed charges ,80,percent of total billed charges ,70,percent of total billed charges ,70,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,,,,,53.2,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,
**ARTHROKNIFE BANANA ST SERRATED,LOCAL,LOCAL,,,,both,,,538,538,150.64,538,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,398.12,percent of total billed charges,398.12,percent of total billed charges,430.4,percent of total billed charges,430.4,percent of total billed charges,,,387.36,percent of total billed charges ,,,430.4,percent of total billed charges ,451.92,percent of total billed charges ,451.92,percent of total billed charges ,419.64,percent of total billed charges ,419.64,percent of total billed charges ,430.4,percent of total billed charges ,430.4,percent of total billed charges ,376.6,percent of total billed charges ,376.6,percent of total billed charges ,322.8,percent of total billed charges ,322.8,percent of total billed charges ,322.8,percent of total billed charges ,322.8,percent of total billed charges ,,,,,286.22,percent of total billed charges ,,,,,271.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,
ARTHROKNIFE MINI MENISCUS,LOCAL,LOCAL,,,,both,,,285,285,79.8,285,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,210.9,percent of total billed charges,210.9,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,,,205.2,percent of total billed charges ,,,228,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,222.3,percent of total billed charges ,222.3,percent of total billed charges ,228,percent of total billed charges ,228,percent of total billed charges ,199.5,percent of total billed charges ,199.5,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,,,,,151.62,percent of total billed charges ,,,,,144.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,
THERMOCHOICE BALLOON,LOCAL,LOCAL,,,,both,,,"6,138.00","6,138.00","1,718.64","6,138.00","6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"6,138.00",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,419.36",percent of total billed charges,"4,542.12",percent of total billed charges,"4,542.12",percent of total billed charges,"4,910.40",percent of total billed charges,"4,910.40",percent of total billed charges,,,"4,419.36",percent of total billed charges ,,,"4,910.40",percent of total billed charges ,"5,155.92",percent of total billed charges ,"5,155.92",percent of total billed charges ,"4,787.64",percent of total billed charges ,"4,787.64",percent of total billed charges ,"4,910.40",percent of total billed charges ,"4,910.40",percent of total billed charges ,"4,296.60",percent of total billed charges ,"4,296.60",percent of total billed charges ,"3,682.80",percent of total billed charges ,"3,682.80",percent of total billed charges ,"3,682.80",percent of total billed charges ,"3,682.80",percent of total billed charges ,,,,,"3,265.42",percent of total billed charges ,,,,,"3,102.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,,,"1,718.64",percent of total billed charges,
**ANTERIOR CHAMBER IRRIGATORS,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**BALANCED SALT SOLUTION 500CC,LOCAL,LOCAL,,,,both,,,278,278,77.84,278,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,205.72,percent of total billed charges,205.72,percent of total billed charges,222.4,percent of total billed charges,222.4,percent of total billed charges,,,200.16,percent of total billed charges ,,,222.4,percent of total billed charges ,233.52,percent of total billed charges ,233.52,percent of total billed charges ,216.84,percent of total billed charges ,216.84,percent of total billed charges ,222.4,percent of total billed charges ,222.4,percent of total billed charges ,194.6,percent of total billed charges ,194.6,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,,,,,147.9,percent of total billed charges ,,,,,140.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,
**DOUBLE J STENT,C2617,CDM,,,,both,,,"2,357.00","2,357.00",659.96,"2,357.00","2,357.00",percent of total billed charges,"2,357.00",percent of total billed charges,"2,357.00",percent of total billed charges,"2,357.00",percent of total billed charges,"2,357.00",percent of total billed charges,"2,357.00",percent of total billed charges,"2,357.00",percent of total billed charges,"2,357.00",percent of total billed charges,"1,697.04",percent of total billed charges,"1,697.04",percent of total billed charges,"1,697.04",percent of total billed charges,"1,697.04",percent of total billed charges,"1,697.04",percent of total billed charges,"1,697.04",percent of total billed charges,"1,744.18",percent of total billed charges,"1,744.18",percent of total billed charges,"1,885.60",percent of total billed charges,"1,885.60",percent of total billed charges,,,"1,697.04",percent of total billed charges ,,,"1,885.60",percent of total billed charges ,"1,979.88",percent of total billed charges ,"1,979.88",percent of total billed charges ,"1,838.46",percent of total billed charges ,"1,838.46",percent of total billed charges ,"1,885.60",percent of total billed charges ,"1,885.60",percent of total billed charges ,"1,649.90",percent of total billed charges ,"1,649.90",percent of total billed charges ,"1,414.20",percent of total billed charges ,"1,414.20",percent of total billed charges ,"1,414.20",percent of total billed charges ,"1,414.20",percent of total billed charges ,,,,,"1,253.92",percent of total billed charges ,,,,,"1,191.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,,,659.96,percent of total billed charges,
TUBE GROMET,LOCAL,LOCAL,,,,both,,,519,519,145.32,519,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,384.06,percent of total billed charges,384.06,percent of total billed charges,415.2,percent of total billed charges,415.2,percent of total billed charges,,,373.68,percent of total billed charges ,,,415.2,percent of total billed charges ,435.96,percent of total billed charges ,435.96,percent of total billed charges ,404.82,percent of total billed charges ,404.82,percent of total billed charges ,415.2,percent of total billed charges ,415.2,percent of total billed charges ,363.3,percent of total billed charges ,363.3,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,,,,,276.11,percent of total billed charges ,,,,,262.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,
URETERAL STENT 4.8 FR,C2617,CDM,,,,both,,,"2,100.00","2,100.00",588,"2,100.00","2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,"2,100.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,512.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,680.00",percent of total billed charges,"1,680.00",percent of total billed charges,,,"1,512.00",percent of total billed charges ,,,"1,680.00",percent of total billed charges ,"1,764.00",percent of total billed charges ,"1,764.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,638.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,260.00",percent of total billed charges ,"1,260.00",percent of total billed charges ,"1,260.00",percent of total billed charges ,"1,260.00",percent of total billed charges ,,,,,"1,117.20",percent of total billed charges ,,,,,"1,061.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,,,588,percent of total billed charges,
GLIDE WIRE,C1769,CDM,,,,both,,,596,596,166.88,596,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,441.04,percent of total billed charges,441.04,percent of total billed charges,476.8,percent of total billed charges,476.8,percent of total billed charges,,,429.12,percent of total billed charges ,,,476.8,percent of total billed charges ,500.64,percent of total billed charges ,500.64,percent of total billed charges ,464.88,percent of total billed charges ,464.88,percent of total billed charges ,476.8,percent of total billed charges ,476.8,percent of total billed charges ,417.2,percent of total billed charges ,417.2,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,,,,,317.07,percent of total billed charges ,,,,,301.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,
VAPOR WAND ABALATOR,LOCAL,LOCAL,,,,both,,,"3,149.00","3,149.00",881.72,"3,149.00","3,149.00",percent of total billed charges,"3,149.00",percent of total billed charges,"3,149.00",percent of total billed charges,"3,149.00",percent of total billed charges,"3,149.00",percent of total billed charges,"3,149.00",percent of total billed charges,"3,149.00",percent of total billed charges,"3,149.00",percent of total billed charges,"2,267.28",percent of total billed charges,"2,267.28",percent of total billed charges,"2,267.28",percent of total billed charges,"2,267.28",percent of total billed charges,"2,267.28",percent of total billed charges,"2,267.28",percent of total billed charges,"2,330.26",percent of total billed charges,"2,330.26",percent of total billed charges,"2,519.20",percent of total billed charges,"2,519.20",percent of total billed charges,,,"2,267.28",percent of total billed charges ,,,"2,519.20",percent of total billed charges ,"2,645.16",percent of total billed charges ,"2,645.16",percent of total billed charges ,"2,456.22",percent of total billed charges ,"2,456.22",percent of total billed charges ,"2,519.20",percent of total billed charges ,"2,519.20",percent of total billed charges ,"2,204.30",percent of total billed charges ,"2,204.30",percent of total billed charges ,"1,889.40",percent of total billed charges ,"1,889.40",percent of total billed charges ,"1,889.40",percent of total billed charges ,"1,889.40",percent of total billed charges ,,,,,"1,675.27",percent of total billed charges ,,,,,"1,591.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,,,881.72,percent of total billed charges,
**EYE SUTURE,LOCAL,LOCAL,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
**BSS P  US 500CC,LOCAL,LOCAL,,,,both,,,471,471,131.88,471,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,471,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,339.12,percent of total billed charges,348.54,percent of total billed charges,348.54,percent of total billed charges,376.8,percent of total billed charges,376.8,percent of total billed charges,,,339.12,percent of total billed charges ,,,376.8,percent of total billed charges ,395.64,percent of total billed charges ,395.64,percent of total billed charges ,367.38,percent of total billed charges ,367.38,percent of total billed charges ,376.8,percent of total billed charges ,376.8,percent of total billed charges ,329.7,percent of total billed charges ,329.7,percent of total billed charges ,282.6,percent of total billed charges ,282.6,percent of total billed charges ,282.6,percent of total billed charges ,282.6,percent of total billed charges ,,,,,250.57,percent of total billed charges ,,,,,238.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,,,131.88,percent of total billed charges,
**EYE MALYUGIN PUPIL EXPANSION RING,LOCAL,LOCAL,,,,both,,,"2,427.00","2,427.00",679.56,"2,427.00","2,427.00",percent of total billed charges,"2,427.00",percent of total billed charges,"2,427.00",percent of total billed charges,"2,427.00",percent of total billed charges,"2,427.00",percent of total billed charges,"2,427.00",percent of total billed charges,"2,427.00",percent of total billed charges,"2,427.00",percent of total billed charges,"1,747.44",percent of total billed charges,"1,747.44",percent of total billed charges,"1,747.44",percent of total billed charges,"1,747.44",percent of total billed charges,"1,747.44",percent of total billed charges,"1,747.44",percent of total billed charges,"1,795.98",percent of total billed charges,"1,795.98",percent of total billed charges,"1,941.60",percent of total billed charges,"1,941.60",percent of total billed charges,,,"1,747.44",percent of total billed charges ,,,"1,941.60",percent of total billed charges ,"2,038.68",percent of total billed charges ,"2,038.68",percent of total billed charges ,"1,893.06",percent of total billed charges ,"1,893.06",percent of total billed charges ,"1,941.60",percent of total billed charges ,"1,941.60",percent of total billed charges ,"1,698.90",percent of total billed charges ,"1,698.90",percent of total billed charges ,"1,456.20",percent of total billed charges ,"1,456.20",percent of total billed charges ,"1,456.20",percent of total billed charges ,"1,456.20",percent of total billed charges ,,,,,"1,291.16",percent of total billed charges ,,,,,"1,226.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,,,679.56,percent of total billed charges,
CONTOUR VL URETERAL STENT,LOCAL,LOCAL,,,,both,,,"1,175.00","1,175.00",329,"1,175.00","1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,869.5,percent of total billed charges,869.5,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,,,846,percent of total billed charges ,,,940,percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,916.5,percent of total billed charges ,916.5,percent of total billed charges ,940,percent of total billed charges ,940,percent of total billed charges ,822.5,percent of total billed charges ,822.5,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,,,,,625.1,percent of total billed charges ,,,,,593.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,
CONTOUR VL URETERAL STENT 7FR,LOCAL,LOCAL,,,,both,,,"1,175.00","1,175.00",329,"1,175.00","1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,869.5,percent of total billed charges,869.5,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,,,846,percent of total billed charges ,,,940,percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,916.5,percent of total billed charges ,916.5,percent of total billed charges ,940,percent of total billed charges ,940,percent of total billed charges ,822.5,percent of total billed charges ,822.5,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,,,,,625.1,percent of total billed charges ,,,,,593.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,
POLARIS ULTRA/ URETERAL STENT,LOCAL,LOCAL,,,,both,,,"1,477.00","1,477.00",413.56,"1,477.00","1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,092.98",percent of total billed charges,"1,092.98",percent of total billed charges,"1,181.60",percent of total billed charges,"1,181.60",percent of total billed charges,,,"1,063.44",percent of total billed charges ,,,"1,181.60",percent of total billed charges ,"1,240.68",percent of total billed charges ,"1,240.68",percent of total billed charges ,"1,152.06",percent of total billed charges ,"1,152.06",percent of total billed charges ,"1,181.60",percent of total billed charges ,"1,181.60",percent of total billed charges ,"1,033.90",percent of total billed charges ,"1,033.90",percent of total billed charges ,886.2,percent of total billed charges ,886.2,percent of total billed charges ,886.2,percent of total billed charges ,886.2,percent of total billed charges ,,,,,785.76,percent of total billed charges ,,,,,746.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,
**IOL ALLERGAN AC21B,LOCAL,LOCAL,,,,both,,,976,976,273.28,976,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,722.24,percent of total billed charges,722.24,percent of total billed charges,780.8,percent of total billed charges,780.8,percent of total billed charges,,,702.72,percent of total billed charges ,,,780.8,percent of total billed charges ,819.84,percent of total billed charges ,819.84,percent of total billed charges ,761.28,percent of total billed charges ,761.28,percent of total billed charges ,780.8,percent of total billed charges ,780.8,percent of total billed charges ,683.2,percent of total billed charges ,683.2,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,,,,,519.23,percent of total billed charges ,,,,,493.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,
**IOL ALCON CZ60BD,LOCAL,LOCAL,,,,both,,,"1,507.00","1,507.00",421.96,"1,507.00","1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,115.18",percent of total billed charges,"1,115.18",percent of total billed charges,"1,205.60",percent of total billed charges,"1,205.60",percent of total billed charges,,,"1,085.04",percent of total billed charges ,,,"1,205.60",percent of total billed charges ,"1,265.88",percent of total billed charges ,"1,265.88",percent of total billed charges ,"1,175.46",percent of total billed charges ,"1,175.46",percent of total billed charges ,"1,205.60",percent of total billed charges ,"1,205.60",percent of total billed charges ,"1,054.90",percent of total billed charges ,"1,054.90",percent of total billed charges ,904.2,percent of total billed charges ,904.2,percent of total billed charges ,904.2,percent of total billed charges ,904.2,percent of total billed charges ,,,,,801.72,percent of total billed charges ,,,,,761.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,
**IOL STORZ PO47UV,LOCAL,LOCAL,,,,both,,,976,976,273.28,976,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,722.24,percent of total billed charges,722.24,percent of total billed charges,780.8,percent of total billed charges,780.8,percent of total billed charges,,,702.72,percent of total billed charges ,,,780.8,percent of total billed charges ,819.84,percent of total billed charges ,819.84,percent of total billed charges ,761.28,percent of total billed charges ,761.28,percent of total billed charges ,780.8,percent of total billed charges ,780.8,percent of total billed charges ,683.2,percent of total billed charges ,683.2,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,,,,,519.23,percent of total billed charges ,,,,,493.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,
**KNOWLES PINS,C1713,CDM,,,,both,,,244,244,68.32,244,244,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,175.68,percent of total billed charges,175.68,percent of total billed charges,175.68,percent of total billed charges,175.68,percent of total billed charges,175.68,percent of total billed charges,175.68,percent of total billed charges,180.56,percent of total billed charges,180.56,percent of total billed charges,195.2,percent of total billed charges,195.2,percent of total billed charges,,,175.68,percent of total billed charges ,,,195.2,percent of total billed charges ,204.96,percent of total billed charges ,204.96,percent of total billed charges ,190.32,percent of total billed charges ,190.32,percent of total billed charges ,195.2,percent of total billed charges ,195.2,percent of total billed charges ,170.8,percent of total billed charges ,170.8,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,,,,,129.81,percent of total billed charges ,,,,,123.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,,,68.32,percent of total billed charges,
**IOL STORZ P389UV,LOCAL,LOCAL,,,,both,,,976,976,273.28,976,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,722.24,percent of total billed charges,722.24,percent of total billed charges,780.8,percent of total billed charges,780.8,percent of total billed charges,,,702.72,percent of total billed charges ,,,780.8,percent of total billed charges ,819.84,percent of total billed charges ,819.84,percent of total billed charges ,761.28,percent of total billed charges ,761.28,percent of total billed charges ,780.8,percent of total billed charges ,780.8,percent of total billed charges ,683.2,percent of total billed charges ,683.2,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,,,,,519.23,percent of total billed charges ,,,,,493.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,
**MALECOT CATHETER,LOCAL,LOCAL,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**IOL ALLERGAN S130NB,LOCAL,LOCAL,,,,both,,,"1,375.00","1,375.00",385,"1,375.00","1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,"1,017.50",percent of total billed charges,"1,017.50",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,,,990,percent of total billed charges ,,,"1,100.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,072.50",percent of total billed charges ,"1,072.50",percent of total billed charges ,"1,100.00",percent of total billed charges ,"1,100.00",percent of total billed charges ,962.5,percent of total billed charges ,962.5,percent of total billed charges ,825,percent of total billed charges ,825,percent of total billed charges ,825,percent of total billed charges ,825,percent of total billed charges ,,,,,731.5,percent of total billed charges ,,,,,694.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,
NEEDLE INJECTOR-GI DISP,LOCAL,LOCAL,,,,both,,,504,504,141.12,504,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,,,362.88,percent of total billed charges ,,,403.2,percent of total billed charges ,423.36,percent of total billed charges ,423.36,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,,,,,268.13,percent of total billed charges ,,,,,254.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,
**MILLER GS FILTER (MILLIPORE),LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**ESOPHOGEAL LIGATOR,LOCAL,LOCAL,,,,both,,,"3,044.00","3,044.00",852.32,"3,044.00","3,044.00",percent of total billed charges,"3,044.00",percent of total billed charges,"3,044.00",percent of total billed charges,"3,044.00",percent of total billed charges,"3,044.00",percent of total billed charges,"3,044.00",percent of total billed charges,"3,044.00",percent of total billed charges,"3,044.00",percent of total billed charges,"2,191.68",percent of total billed charges,"2,191.68",percent of total billed charges,"2,191.68",percent of total billed charges,"2,191.68",percent of total billed charges,"2,191.68",percent of total billed charges,"2,191.68",percent of total billed charges,"2,252.56",percent of total billed charges,"2,252.56",percent of total billed charges,"2,435.20",percent of total billed charges,"2,435.20",percent of total billed charges,,,"2,191.68",percent of total billed charges ,,,"2,435.20",percent of total billed charges ,"2,556.96",percent of total billed charges ,"2,556.96",percent of total billed charges ,"2,374.32",percent of total billed charges ,"2,374.32",percent of total billed charges ,"2,435.20",percent of total billed charges ,"2,435.20",percent of total billed charges ,"2,130.80",percent of total billed charges ,"2,130.80",percent of total billed charges ,"1,826.40",percent of total billed charges ,"1,826.40",percent of total billed charges ,"1,826.40",percent of total billed charges ,"1,826.40",percent of total billed charges ,,,,,"1,619.41",percent of total billed charges ,,,,,"1,538.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,,,852.32,percent of total billed charges,
**MICROSCOPE,LOCAL,LOCAL,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
**MICROSCOPE DRAPE,LOCAL,LOCAL,,,,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
OCCUCOAT,LOCAL,LOCAL,,,,both,,,437,437,122.36,437,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,323.38,percent of total billed charges,323.38,percent of total billed charges,349.6,percent of total billed charges,349.6,percent of total billed charges,,,314.64,percent of total billed charges ,,,349.6,percent of total billed charges ,367.08,percent of total billed charges ,367.08,percent of total billed charges ,340.86,percent of total billed charges ,340.86,percent of total billed charges ,349.6,percent of total billed charges ,349.6,percent of total billed charges ,305.9,percent of total billed charges ,305.9,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,,,,,232.48,percent of total billed charges ,,,,,220.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,
**MANNITOL 3000,LOCAL,LOCAL,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
**IOL PHARMACIA UV65B,LOCAL,LOCAL,,,,both,,,"1,507.00","1,507.00",421.96,"1,507.00","1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,507.00",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,085.04",percent of total billed charges,"1,115.18",percent of total billed charges,"1,115.18",percent of total billed charges,"1,205.60",percent of total billed charges,"1,205.60",percent of total billed charges,,,"1,085.04",percent of total billed charges ,,,"1,205.60",percent of total billed charges ,"1,265.88",percent of total billed charges ,"1,265.88",percent of total billed charges ,"1,175.46",percent of total billed charges ,"1,175.46",percent of total billed charges ,"1,205.60",percent of total billed charges ,"1,205.60",percent of total billed charges ,"1,054.90",percent of total billed charges ,"1,054.90",percent of total billed charges ,904.2,percent of total billed charges ,904.2,percent of total billed charges ,904.2,percent of total billed charges ,904.2,percent of total billed charges ,,,,,801.72,percent of total billed charges ,,,,,761.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,,,421.96,percent of total billed charges,
**IOL STORZ P534UV,LOCAL,LOCAL,,,,both,,,976,976,273.28,976,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,976,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,702.72,percent of total billed charges,722.24,percent of total billed charges,722.24,percent of total billed charges,780.8,percent of total billed charges,780.8,percent of total billed charges,,,702.72,percent of total billed charges ,,,780.8,percent of total billed charges ,819.84,percent of total billed charges ,819.84,percent of total billed charges ,761.28,percent of total billed charges ,761.28,percent of total billed charges ,780.8,percent of total billed charges ,780.8,percent of total billed charges ,683.2,percent of total billed charges ,683.2,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,585.6,percent of total billed charges ,,,,,519.23,percent of total billed charges ,,,,,493.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,,,273.28,percent of total billed charges,
PARITEX PROGRIP MESH # TEM 1509G,C1781,CDM,,,,both,,,"2,495.00","2,495.00",698.6,"2,495.00","2,495.00",percent of total billed charges,"2,495.00",percent of total billed charges,"2,495.00",percent of total billed charges,"2,495.00",percent of total billed charges,"2,495.00",percent of total billed charges,"2,495.00",percent of total billed charges,"2,495.00",percent of total billed charges,"2,495.00",percent of total billed charges,"1,796.40",percent of total billed charges,"1,796.40",percent of total billed charges,"1,796.40",percent of total billed charges,"1,796.40",percent of total billed charges,"1,796.40",percent of total billed charges,"1,796.40",percent of total billed charges,"1,846.30",percent of total billed charges,"1,846.30",percent of total billed charges,"1,996.00",percent of total billed charges,"1,996.00",percent of total billed charges,,,"1,796.40",percent of total billed charges ,,,"1,996.00",percent of total billed charges ,"2,095.80",percent of total billed charges ,"2,095.80",percent of total billed charges ,"1,946.10",percent of total billed charges ,"1,946.10",percent of total billed charges ,"1,996.00",percent of total billed charges ,"1,996.00",percent of total billed charges ,"1,746.50",percent of total billed charges ,"1,746.50",percent of total billed charges ,"1,497.00",percent of total billed charges ,"1,497.00",percent of total billed charges ,"1,497.00",percent of total billed charges ,"1,497.00",percent of total billed charges ,,,,,"1,327.34",percent of total billed charges ,,,,,"1,260.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,,,698.6,percent of total billed charges,
HERNIA STAPLER  #173054,LOCAL,LOCAL,,,,both,,,"2,380.00","2,380.00",666.4,"2,380.00","2,380.00",percent of total billed charges,"2,380.00",percent of total billed charges,"2,380.00",percent of total billed charges,"2,380.00",percent of total billed charges,"2,380.00",percent of total billed charges,"2,380.00",percent of total billed charges,"2,380.00",percent of total billed charges,"2,380.00",percent of total billed charges,"1,713.60",percent of total billed charges,"1,713.60",percent of total billed charges,"1,713.60",percent of total billed charges,"1,713.60",percent of total billed charges,"1,713.60",percent of total billed charges,"1,713.60",percent of total billed charges,"1,761.20",percent of total billed charges,"1,761.20",percent of total billed charges,"1,904.00",percent of total billed charges,"1,904.00",percent of total billed charges,,,"1,713.60",percent of total billed charges ,,,"1,904.00",percent of total billed charges ,"1,999.20",percent of total billed charges ,"1,999.20",percent of total billed charges ,"1,856.40",percent of total billed charges ,"1,856.40",percent of total billed charges ,"1,904.00",percent of total billed charges ,"1,904.00",percent of total billed charges ,"1,666.00",percent of total billed charges ,"1,666.00",percent of total billed charges ,"1,428.00",percent of total billed charges ,"1,428.00",percent of total billed charges ,"1,428.00",percent of total billed charges ,"1,428.00",percent of total billed charges ,,,,,"1,266.16",percent of total billed charges ,,,,,"1,202.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,,,666.4,percent of total billed charges,
HERNIA STAPLER RELOAD,LOCAL,LOCAL,,,,both,,,702,702,196.56,702,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,519.48,percent of total billed charges,519.48,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,,,505.44,percent of total billed charges ,,,561.6,percent of total billed charges ,589.68,percent of total billed charges ,589.68,percent of total billed charges ,547.56,percent of total billed charges ,547.56,percent of total billed charges ,561.6,percent of total billed charges ,561.6,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,,,,,373.46,percent of total billed charges ,,,,,354.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,
MAGNA FIX WASHER,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**STONE BASKET PFISTER,LOCAL,LOCAL,,,,both,,,543,543,152.04,543,543,percent of total billed charges,543,percent of total billed charges,543,percent of total billed charges,543,percent of total billed charges,543,percent of total billed charges,543,percent of total billed charges,543,percent of total billed charges,543,percent of total billed charges,390.96,percent of total billed charges,390.96,percent of total billed charges,390.96,percent of total billed charges,390.96,percent of total billed charges,390.96,percent of total billed charges,390.96,percent of total billed charges,401.82,percent of total billed charges,401.82,percent of total billed charges,434.4,percent of total billed charges,434.4,percent of total billed charges,,,390.96,percent of total billed charges ,,,434.4,percent of total billed charges ,456.12,percent of total billed charges ,456.12,percent of total billed charges ,423.54,percent of total billed charges ,423.54,percent of total billed charges ,434.4,percent of total billed charges ,434.4,percent of total billed charges ,380.1,percent of total billed charges ,380.1,percent of total billed charges ,325.8,percent of total billed charges ,325.8,percent of total billed charges ,325.8,percent of total billed charges ,325.8,percent of total billed charges ,,,,,288.88,percent of total billed charges ,,,,,274.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,,,152.04,percent of total billed charges,
**MESH SURGIPRO 3X5,C1781,CDM,,,,both,,,420,420,117.6,420,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,310.8,percent of total billed charges,310.8,percent of total billed charges,336,percent of total billed charges,336,percent of total billed charges,,,302.4,percent of total billed charges ,,,336,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,,,,,223.44,percent of total billed charges ,,,,,212.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,
**INSUFFLATER TUBING,LOCAL,LOCAL,,,,both,,,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
**PROLENE MESH-PHSE EXTENDED,C1781,CDM,,,,both,,,"1,044.00","1,044.00",292.32,"1,044.00","1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,751.68,percent of total billed charges,751.68,percent of total billed charges,751.68,percent of total billed charges,751.68,percent of total billed charges,751.68,percent of total billed charges,751.68,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,,,751.68,percent of total billed charges ,,,835.2,percent of total billed charges ,876.96,percent of total billed charges ,876.96,percent of total billed charges ,814.32,percent of total billed charges ,814.32,percent of total billed charges ,835.2,percent of total billed charges ,835.2,percent of total billed charges ,730.8,percent of total billed charges ,730.8,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,,,,,555.41,percent of total billed charges ,,,,,527.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,,,292.32,percent of total billed charges,
**OR STANDBY VBAC SUPPLIES,LOCAL,LOCAL,,,,both,,,344,344,96.32,344,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,254.56,percent of total billed charges,254.56,percent of total billed charges,275.2,percent of total billed charges,275.2,percent of total billed charges,,,247.68,percent of total billed charges ,,,275.2,percent of total billed charges ,288.96,percent of total billed charges ,288.96,percent of total billed charges ,268.32,percent of total billed charges ,268.32,percent of total billed charges ,275.2,percent of total billed charges ,275.2,percent of total billed charges ,240.8,percent of total billed charges ,240.8,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,,,,,183.01,percent of total billed charges ,,,,,173.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,
**ROSS PEG,LOCAL,LOCAL,,,,both,,,"1,221.00","1,221.00",341.88,"1,221.00","1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,"1,221.00",percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,903.54,percent of total billed charges,903.54,percent of total billed charges,976.8,percent of total billed charges,976.8,percent of total billed charges,,,879.12,percent of total billed charges ,,,976.8,percent of total billed charges ,"1,025.64",percent of total billed charges ,"1,025.64",percent of total billed charges ,952.38,percent of total billed charges ,952.38,percent of total billed charges ,976.8,percent of total billed charges ,976.8,percent of total billed charges ,854.7,percent of total billed charges ,854.7,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,732.6,percent of total billed charges ,,,,,649.57,percent of total billed charges ,,,,,617.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,,,341.88,percent of total billed charges,
**CRESCENT KNIFE-ANG,LOCAL,LOCAL,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
**SLIT KNIFE 3.2 ST,LOCAL,LOCAL,,,,both,,,226,226,63.28,226,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,167.24,percent of total billed charges,167.24,percent of total billed charges,180.8,percent of total billed charges,180.8,percent of total billed charges,,,162.72,percent of total billed charges ,,,180.8,percent of total billed charges ,189.84,percent of total billed charges ,189.84,percent of total billed charges ,176.28,percent of total billed charges ,176.28,percent of total billed charges ,180.8,percent of total billed charges ,180.8,percent of total billed charges ,158.2,percent of total billed charges ,158.2,percent of total billed charges ,135.6,percent of total billed charges ,135.6,percent of total billed charges ,135.6,percent of total billed charges ,135.6,percent of total billed charges ,,,,,120.23,percent of total billed charges ,,,,,114.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,
**SLIT KNIFE 3.2 ANG,LOCAL,LOCAL,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
HANGING CAST SLING,LOCAL,LOCAL,,,,both,,,111,111,31.08,111,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,82.14,percent of total billed charges,82.14,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,,,79.92,percent of total billed charges ,,,88.8,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,,,,,59.05,percent of total billed charges ,,,,,56.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,
**SLIT KNIFE 2.75 ANG,LOCAL,LOCAL,,,,both,,,226,226,63.28,226,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,162.72,percent of total billed charges,167.24,percent of total billed charges,167.24,percent of total billed charges,180.8,percent of total billed charges,180.8,percent of total billed charges,,,162.72,percent of total billed charges ,,,180.8,percent of total billed charges ,189.84,percent of total billed charges ,189.84,percent of total billed charges ,176.28,percent of total billed charges ,176.28,percent of total billed charges ,180.8,percent of total billed charges ,180.8,percent of total billed charges ,158.2,percent of total billed charges ,158.2,percent of total billed charges ,135.6,percent of total billed charges ,135.6,percent of total billed charges ,135.6,percent of total billed charges ,135.6,percent of total billed charges ,,,,,120.23,percent of total billed charges ,,,,,114.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,,,63.28,percent of total billed charges,
GRIESHABER IRIS RTR,LOCAL,LOCAL,,,,both,,,"1,419.00","1,419.00",397.32,"1,419.00","1,419.00",percent of total billed charges,"1,419.00",percent of total billed charges,"1,419.00",percent of total billed charges,"1,419.00",percent of total billed charges,"1,419.00",percent of total billed charges,"1,419.00",percent of total billed charges,"1,419.00",percent of total billed charges,"1,419.00",percent of total billed charges,"1,021.68",percent of total billed charges,"1,021.68",percent of total billed charges,"1,021.68",percent of total billed charges,"1,021.68",percent of total billed charges,"1,021.68",percent of total billed charges,"1,021.68",percent of total billed charges,"1,050.06",percent of total billed charges,"1,050.06",percent of total billed charges,"1,135.20",percent of total billed charges,"1,135.20",percent of total billed charges,,,"1,021.68",percent of total billed charges ,,,"1,135.20",percent of total billed charges ,"1,191.96",percent of total billed charges ,"1,191.96",percent of total billed charges ,"1,106.82",percent of total billed charges ,"1,106.82",percent of total billed charges ,"1,135.20",percent of total billed charges ,"1,135.20",percent of total billed charges ,993.3,percent of total billed charges ,993.3,percent of total billed charges ,851.4,percent of total billed charges ,851.4,percent of total billed charges ,851.4,percent of total billed charges ,851.4,percent of total billed charges ,,,,,754.91,percent of total billed charges ,,,,,717.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,,,397.32,percent of total billed charges,
**GRIESHABER KNIFE,LOCAL,LOCAL,,,,both,,,340,340,95.2,340,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,251.6,percent of total billed charges,251.6,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,,,244.8,percent of total billed charges ,,,272,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,265.2,percent of total billed charges ,265.2,percent of total billed charges ,272,percent of total billed charges ,272,percent of total billed charges ,238,percent of total billed charges ,238,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,,,,,180.88,percent of total billed charges ,,,,,171.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,
URIMETER,LOCAL,LOCAL,,,,both,,,323,323,90.44,323,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,323,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,232.56,percent of total billed charges,239.02,percent of total billed charges,239.02,percent of total billed charges,258.4,percent of total billed charges,258.4,percent of total billed charges,,,232.56,percent of total billed charges ,,,258.4,percent of total billed charges ,271.32,percent of total billed charges ,271.32,percent of total billed charges ,251.94,percent of total billed charges ,251.94,percent of total billed charges ,258.4,percent of total billed charges ,258.4,percent of total billed charges ,226.1,percent of total billed charges ,226.1,percent of total billed charges ,193.8,percent of total billed charges ,193.8,percent of total billed charges ,193.8,percent of total billed charges ,193.8,percent of total billed charges ,,,,,171.84,percent of total billed charges ,,,,,163.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,,,90.44,percent of total billed charges,
ARTHROSCOPIC KNEE KIT Y930376,LOCAL,LOCAL,,,,both,,,547,547,153.16,547,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,404.78,percent of total billed charges,404.78,percent of total billed charges,437.6,percent of total billed charges,437.6,percent of total billed charges,,,393.84,percent of total billed charges ,,,437.6,percent of total billed charges ,459.48,percent of total billed charges ,459.48,percent of total billed charges ,426.66,percent of total billed charges ,426.66,percent of total billed charges ,437.6,percent of total billed charges ,437.6,percent of total billed charges ,382.9,percent of total billed charges ,382.9,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,,,,,291,percent of total billed charges ,,,,,276.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,
**T EXTREMITY DRAPE,LOCAL,LOCAL,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
ARTHROSCOPY PACK (KNEE) 88488,LOCAL,LOCAL,,,,both,,,646,646,180.88,646,646,percent of total billed charges,646,percent of total billed charges,646,percent of total billed charges,646,percent of total billed charges,646,percent of total billed charges,646,percent of total billed charges,646,percent of total billed charges,646,percent of total billed charges,465.12,percent of total billed charges,465.12,percent of total billed charges,465.12,percent of total billed charges,465.12,percent of total billed charges,465.12,percent of total billed charges,465.12,percent of total billed charges,478.04,percent of total billed charges,478.04,percent of total billed charges,516.8,percent of total billed charges,516.8,percent of total billed charges,,,465.12,percent of total billed charges ,,,516.8,percent of total billed charges ,542.64,percent of total billed charges ,542.64,percent of total billed charges ,503.88,percent of total billed charges ,503.88,percent of total billed charges ,516.8,percent of total billed charges ,516.8,percent of total billed charges ,452.2,percent of total billed charges ,452.2,percent of total billed charges ,387.6,percent of total billed charges ,387.6,percent of total billed charges ,387.6,percent of total billed charges ,387.6,percent of total billed charges ,,,,,343.67,percent of total billed charges ,,,,,326.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,,,180.88,percent of total billed charges,
MENISECTOMY MINI 9735B,LOCAL,LOCAL,,,,both,,,501,501,140.28,501,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,370.74,percent of total billed charges,370.74,percent of total billed charges,400.8,percent of total billed charges,400.8,percent of total billed charges,,,360.72,percent of total billed charges ,,,400.8,percent of total billed charges ,420.84,percent of total billed charges ,420.84,percent of total billed charges ,390.78,percent of total billed charges ,390.78,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,350.7,percent of total billed charges ,350.7,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,,,,,266.53,percent of total billed charges ,,,,,253.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,
ARTHROSCOPY PACK (SHOULDER) 88491,LOCAL,LOCAL,,,,both,,,345,345,96.6,345,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,255.3,percent of total billed charges,255.3,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,,,248.4,percent of total billed charges ,,,276,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,269.1,percent of total billed charges ,269.1,percent of total billed charges ,276,percent of total billed charges ,276,percent of total billed charges ,241.5,percent of total billed charges ,241.5,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,,,,,183.54,percent of total billed charges ,,,,,174.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,
**OMNI JUG,LOCAL,LOCAL,,,,both,,,260,260,72.8,260,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,192.4,percent of total billed charges,192.4,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,,,187.2,percent of total billed charges ,,,208,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,208,percent of total billed charges ,208,percent of total billed charges ,182,percent of total billed charges ,182,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,,,,,138.32,percent of total billed charges ,,,,,131.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,
**CORNEAL PROTECTOR,LOCAL,LOCAL,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
**NEURO SPONGE 1X3,LOCAL,LOCAL,,,,both,,,34,34,9.52,34,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,25.16,percent of total billed charges,25.16,percent of total billed charges,27.2,percent of total billed charges,27.2,percent of total billed charges,,,24.48,percent of total billed charges ,,,27.2,percent of total billed charges ,28.56,percent of total billed charges ,28.56,percent of total billed charges ,26.52,percent of total billed charges ,26.52,percent of total billed charges ,27.2,percent of total billed charges ,27.2,percent of total billed charges ,23.8,percent of total billed charges ,23.8,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,,,,,18.09,percent of total billed charges ,,,,,17.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,
**DOYLE SPLINTS -PR,LOCAL,LOCAL,,,,both,,,317,317,88.76,317,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,234.58,percent of total billed charges,234.58,percent of total billed charges,253.6,percent of total billed charges,253.6,percent of total billed charges,,,228.24,percent of total billed charges ,,,253.6,percent of total billed charges ,266.28,percent of total billed charges ,266.28,percent of total billed charges ,247.26,percent of total billed charges ,247.26,percent of total billed charges ,253.6,percent of total billed charges ,253.6,percent of total billed charges ,221.9,percent of total billed charges ,221.9,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,,,,,168.64,percent of total billed charges ,,,,,160.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,
**BASIC PACK 6,LOCAL,LOCAL,,,,both,,,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
COMPRESSION SCREW,C1713,CDM,,,,both,,,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
**GRAFT CARRIERS,LOCAL,LOCAL,,,,both,,,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
**FLUID CATCH BAG,LOCAL,LOCAL,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**MENTOR TIP,LOCAL,LOCAL,,,,both,,,38,38,10.64,38,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,30.4,percent of total billed charges,30.4,percent of total billed charges,,,27.36,percent of total billed charges ,,,30.4,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,29.64,percent of total billed charges ,29.64,percent of total billed charges ,30.4,percent of total billed charges ,30.4,percent of total billed charges ,26.6,percent of total billed charges ,26.6,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,19.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,
OP SITE DRESSING,LOCAL,LOCAL,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
3DICROSSCHECK LAP 0 RIGHT (5820LPX0R),LOCAL,LOCAL,,,,both,,,"15,717.00","15,717.00","4,400.76","15,717.00","15,717.00",percent of total billed charges,"15,717.00",percent of total billed charges,"15,717.00",percent of total billed charges,"15,717.00",percent of total billed charges,"15,717.00",percent of total billed charges,"15,717.00",percent of total billed charges,"15,717.00",percent of total billed charges,"15,717.00",percent of total billed charges,"11,316.24",percent of total billed charges,"11,316.24",percent of total billed charges,"11,316.24",percent of total billed charges,"11,316.24",percent of total billed charges,"11,316.24",percent of total billed charges,"11,316.24",percent of total billed charges,"11,630.58",percent of total billed charges,"11,630.58",percent of total billed charges,"12,573.60",percent of total billed charges,"12,573.60",percent of total billed charges,,,"11,316.24",percent of total billed charges ,,,"12,573.60",percent of total billed charges ,"13,202.28",percent of total billed charges ,"13,202.28",percent of total billed charges ,"12,259.26",percent of total billed charges ,"12,259.26",percent of total billed charges ,"12,573.60",percent of total billed charges ,"12,573.60",percent of total billed charges ,"11,001.90",percent of total billed charges ,"11,001.90",percent of total billed charges ,"9,430.20",percent of total billed charges ,"9,430.20",percent of total billed charges ,"9,430.20",percent of total billed charges ,"9,430.20",percent of total billed charges ,,,,,"8,361.44",percent of total billed charges ,,,,,"7,943.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,,,"4,400.76",percent of total billed charges,
3DICROSSCHECK LAG 3.5X30,LOCAL,LOCAL,,,,both,,,"2,882.00","2,882.00",806.96,"2,882.00","2,882.00",percent of total billed charges,"2,882.00",percent of total billed charges,"2,882.00",percent of total billed charges,"2,882.00",percent of total billed charges,"2,882.00",percent of total billed charges,"2,882.00",percent of total billed charges,"2,882.00",percent of total billed charges,"2,882.00",percent of total billed charges,"2,075.04",percent of total billed charges,"2,075.04",percent of total billed charges,"2,075.04",percent of total billed charges,"2,075.04",percent of total billed charges,"2,075.04",percent of total billed charges,"2,075.04",percent of total billed charges,"2,132.68",percent of total billed charges,"2,132.68",percent of total billed charges,"2,305.60",percent of total billed charges,"2,305.60",percent of total billed charges,,,"2,075.04",percent of total billed charges ,,,"2,305.60",percent of total billed charges ,"2,420.88",percent of total billed charges ,"2,420.88",percent of total billed charges ,"2,247.96",percent of total billed charges ,"2,247.96",percent of total billed charges ,"2,305.60",percent of total billed charges ,"2,305.60",percent of total billed charges ,"2,017.40",percent of total billed charges ,"2,017.40",percent of total billed charges ,"1,729.20",percent of total billed charges ,"1,729.20",percent of total billed charges ,"1,729.20",percent of total billed charges ,"1,729.20",percent of total billed charges ,,,,,"1,533.22",percent of total billed charges ,,,,,"1,456.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,,,806.96,percent of total billed charges,
LOCKING LG HD SCREW 2.7X18MM (58802718),LOCAL,LOCAL,,,,both,,,"2,800.00","2,800.00",784,"2,800.00","2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,072.00",percent of total billed charges,"2,072.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,,,"2,016.00",percent of total billed charges ,,,"2,240.00",percent of total billed charges ,"2,352.00",percent of total billed charges ,"2,352.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"2,240.00",percent of total billed charges ,"2,240.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,,,,,"1,489.60",percent of total billed charges ,,,,,"1,415.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,
LOCKING LG HD SCREW 2.7X20MM (58802720),LOCAL,LOCAL,,,,both,,,"2,800.00","2,800.00",784,"2,800.00","2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,072.00",percent of total billed charges,"2,072.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,,,"2,016.00",percent of total billed charges ,,,"2,240.00",percent of total billed charges ,"2,352.00",percent of total billed charges ,"2,352.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"2,240.00",percent of total billed charges ,"2,240.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,,,,,"1,489.60",percent of total billed charges ,,,,,"1,415.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,
LOCKING LG HD SCREW 2.7X22MM (58802722),LOCAL,LOCAL,,,,both,,,"2,800.00","2,800.00",784,"2,800.00","2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,800.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,"2,072.00",percent of total billed charges,"2,072.00",percent of total billed charges,"2,240.00",percent of total billed charges,"2,240.00",percent of total billed charges,,,"2,016.00",percent of total billed charges ,,,"2,240.00",percent of total billed charges ,"2,352.00",percent of total billed charges ,"2,352.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"2,184.00",percent of total billed charges ,"2,240.00",percent of total billed charges ,"2,240.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,960.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,"1,680.00",percent of total billed charges ,,,,,"1,489.60",percent of total billed charges ,,,,,"1,415.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,,,784,percent of total billed charges,
TEMP FIXATION PIN 1.1MM SMALL (58820006),LOCAL,LOCAL,,,,both,,,899,899,251.72,899,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,665.26,percent of total billed charges,665.26,percent of total billed charges,719.2,percent of total billed charges,719.2,percent of total billed charges,,,647.28,percent of total billed charges ,,,719.2,percent of total billed charges ,755.16,percent of total billed charges ,755.16,percent of total billed charges ,701.22,percent of total billed charges ,701.22,percent of total billed charges ,719.2,percent of total billed charges ,719.2,percent of total billed charges ,629.3,percent of total billed charges ,629.3,percent of total billed charges ,539.4,percent of total billed charges ,539.4,percent of total billed charges ,539.4,percent of total billed charges ,539.4,percent of total billed charges ,,,,,478.27,percent of total billed charges ,,,,,454.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,
DRILL BIT 2.5MM X 60MM (58850025),LOCAL,LOCAL,,,,both,,,"1,362.00","1,362.00",381.36,"1,362.00","1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,"1,007.88",percent of total billed charges,"1,007.88",percent of total billed charges,"1,089.60",percent of total billed charges,"1,089.60",percent of total billed charges,,,980.64,percent of total billed charges ,,,"1,089.60",percent of total billed charges ,"1,144.08",percent of total billed charges ,"1,144.08",percent of total billed charges ,"1,062.36",percent of total billed charges ,"1,062.36",percent of total billed charges ,"1,089.60",percent of total billed charges ,"1,089.60",percent of total billed charges ,953.4,percent of total billed charges ,953.4,percent of total billed charges ,817.2,percent of total billed charges ,817.2,percent of total billed charges ,817.2,percent of total billed charges ,817.2,percent of total billed charges ,,,,,724.58,percent of total billed charges ,,,,,688.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,
DRILL BIT 2.0MM X 30MM (58880020),LOCAL,LOCAL,,,,both,,,"1,362.00","1,362.00",381.36,"1,362.00","1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,"1,362.00",percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,980.64,percent of total billed charges,"1,007.88",percent of total billed charges,"1,007.88",percent of total billed charges,"1,089.60",percent of total billed charges,"1,089.60",percent of total billed charges,,,980.64,percent of total billed charges ,,,"1,089.60",percent of total billed charges ,"1,144.08",percent of total billed charges ,"1,144.08",percent of total billed charges ,"1,062.36",percent of total billed charges ,"1,062.36",percent of total billed charges ,"1,089.60",percent of total billed charges ,"1,089.60",percent of total billed charges ,953.4,percent of total billed charges ,953.4,percent of total billed charges ,817.2,percent of total billed charges ,817.2,percent of total billed charges ,817.2,percent of total billed charges ,817.2,percent of total billed charges ,,,,,724.58,percent of total billed charges ,,,,,688.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,,,381.36,percent of total billed charges,
HEADED SCREW 2.5MM X 22MM (D1N25022S),LOCAL,LOCAL,,,,both,,,"2,255.00","2,255.00",631.4,"2,255.00","2,255.00",percent of total billed charges,"2,255.00",percent of total billed charges,"2,255.00",percent of total billed charges,"2,255.00",percent of total billed charges,"2,255.00",percent of total billed charges,"2,255.00",percent of total billed charges,"2,255.00",percent of total billed charges,"2,255.00",percent of total billed charges,"1,623.60",percent of total billed charges,"1,623.60",percent of total billed charges,"1,623.60",percent of total billed charges,"1,623.60",percent of total billed charges,"1,623.60",percent of total billed charges,"1,623.60",percent of total billed charges,"1,668.70",percent of total billed charges,"1,668.70",percent of total billed charges,"1,804.00",percent of total billed charges,"1,804.00",percent of total billed charges,,,"1,623.60",percent of total billed charges ,,,"1,804.00",percent of total billed charges ,"1,894.20",percent of total billed charges ,"1,894.20",percent of total billed charges ,"1,758.90",percent of total billed charges ,"1,758.90",percent of total billed charges ,"1,804.00",percent of total billed charges ,"1,804.00",percent of total billed charges ,"1,578.50",percent of total billed charges ,"1,578.50",percent of total billed charges ,"1,353.00",percent of total billed charges ,"1,353.00",percent of total billed charges ,"1,353.00",percent of total billed charges ,"1,353.00",percent of total billed charges ,,,,,"1,199.66",percent of total billed charges ,,,,,"1,139.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,,,631.4,percent of total billed charges,
STAY FUSE IMPLANT,LOCAL,LOCAL,,,,both,,,"11,146.00","11,146.00","3,120.88","11,146.00","11,146.00",percent of total billed charges,"11,146.00",percent of total billed charges,"11,146.00",percent of total billed charges,"11,146.00",percent of total billed charges,"11,146.00",percent of total billed charges,"11,146.00",percent of total billed charges,"11,146.00",percent of total billed charges,"11,146.00",percent of total billed charges,"8,025.12",percent of total billed charges,"8,025.12",percent of total billed charges,"8,025.12",percent of total billed charges,"8,025.12",percent of total billed charges,"8,025.12",percent of total billed charges,"8,025.12",percent of total billed charges,"8,248.04",percent of total billed charges,"8,248.04",percent of total billed charges,"8,916.80",percent of total billed charges,"8,916.80",percent of total billed charges,,,"8,025.12",percent of total billed charges ,,,"8,916.80",percent of total billed charges ,"9,362.64",percent of total billed charges ,"9,362.64",percent of total billed charges ,"8,693.88",percent of total billed charges ,"8,693.88",percent of total billed charges ,"8,916.80",percent of total billed charges ,"8,916.80",percent of total billed charges ,"7,802.20",percent of total billed charges ,"7,802.20",percent of total billed charges ,"6,687.60",percent of total billed charges ,"6,687.60",percent of total billed charges ,"6,687.60",percent of total billed charges ,"6,687.60",percent of total billed charges ,,,,,"5,929.67",percent of total billed charges ,,,,,"5,633.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,,,"3,120.88",percent of total billed charges,
HEADLESS SCREW 2.5MM X 16MM (D2N25016),C1713,CDM,,,,both,,,"3,212.00","3,212.00",899.36,"3,212.00","3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,"2,312.64",percent of total billed charges,"2,312.64",percent of total billed charges,"2,312.64",percent of total billed charges,"2,312.64",percent of total billed charges,"2,312.64",percent of total billed charges,"2,312.64",percent of total billed charges,"2,376.88",percent of total billed charges,"2,376.88",percent of total billed charges,"2,569.60",percent of total billed charges,"2,569.60",percent of total billed charges,,,"2,312.64",percent of total billed charges ,,,"2,569.60",percent of total billed charges ,"2,698.08",percent of total billed charges ,"2,698.08",percent of total billed charges ,"2,505.36",percent of total billed charges ,"2,505.36",percent of total billed charges ,"2,569.60",percent of total billed charges ,"2,569.60",percent of total billed charges ,"2,248.40",percent of total billed charges ,"2,248.40",percent of total billed charges ,"1,927.20",percent of total billed charges ,"1,927.20",percent of total billed charges ,"1,927.20",percent of total billed charges ,"1,927.20",percent of total billed charges ,,,,,"1,708.78",percent of total billed charges ,,,,,"1,623.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,,,899.36,percent of total billed charges,
PITON 3.5 ANCHOR SMK000101,LOCAL,LOCAL,,,,both,,,"6,825.00","6,825.00","1,911.00","6,825.00","6,825.00",percent of total billed charges,"6,825.00",percent of total billed charges,"6,825.00",percent of total billed charges,"6,825.00",percent of total billed charges,"6,825.00",percent of total billed charges,"6,825.00",percent of total billed charges,"6,825.00",percent of total billed charges,"6,825.00",percent of total billed charges,"4,914.00",percent of total billed charges,"4,914.00",percent of total billed charges,"4,914.00",percent of total billed charges,"4,914.00",percent of total billed charges,"4,914.00",percent of total billed charges,"4,914.00",percent of total billed charges,"5,050.50",percent of total billed charges,"5,050.50",percent of total billed charges,"5,460.00",percent of total billed charges,"5,460.00",percent of total billed charges,,,"4,914.00",percent of total billed charges ,,,"5,460.00",percent of total billed charges ,"5,733.00",percent of total billed charges ,"5,733.00",percent of total billed charges ,"5,323.50",percent of total billed charges ,"5,323.50",percent of total billed charges ,"5,460.00",percent of total billed charges ,"5,460.00",percent of total billed charges ,"4,777.50",percent of total billed charges ,"4,777.50",percent of total billed charges ,"4,095.00",percent of total billed charges ,"4,095.00",percent of total billed charges ,"4,095.00",percent of total billed charges ,"4,095.00",percent of total billed charges ,,,,,"3,630.90",percent of total billed charges ,,,,,"3,449.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,,,"1,911.00",percent of total billed charges,
**URETERAL DRAIN BAG,LOCAL,LOCAL,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
**RESECTOR FULL RADUIS 9247A,LOCAL,LOCAL,,,,both,,,744,744,208.32,744,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,550.56,percent of total billed charges,550.56,percent of total billed charges,595.2,percent of total billed charges,595.2,percent of total billed charges,,,535.68,percent of total billed charges ,,,595.2,percent of total billed charges ,624.96,percent of total billed charges ,624.96,percent of total billed charges ,580.32,percent of total billed charges ,580.32,percent of total billed charges ,595.2,percent of total billed charges ,595.2,percent of total billed charges ,520.8,percent of total billed charges ,520.8,percent of total billed charges ,446.4,percent of total billed charges ,446.4,percent of total billed charges ,446.4,percent of total billed charges ,446.4,percent of total billed charges ,,,,,395.81,percent of total billed charges ,,,,,376.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,
**CANNULA OBTURATOR  9718,LOCAL,LOCAL,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
**ACE BANDAGE 2 IN,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**ADHESIVE TAPE 3 IN ROLL,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**STOCKINETTE,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
TUIP ELECTRODE,LOCAL,LOCAL,,,,both,,,440,440,123.2,440,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,325.6,percent of total billed charges,325.6,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,,,316.8,percent of total billed charges ,,,352,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,352,percent of total billed charges ,352,percent of total billed charges ,308,percent of total billed charges ,308,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,,,,,234.08,percent of total billed charges ,,,,,222.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,
**SPHERICAL BURR C9111 4.5 MM,LOCAL,LOCAL,,,,both,,,744,744,208.32,744,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,744,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,535.68,percent of total billed charges,550.56,percent of total billed charges,550.56,percent of total billed charges,595.2,percent of total billed charges,595.2,percent of total billed charges,,,535.68,percent of total billed charges ,,,595.2,percent of total billed charges ,624.96,percent of total billed charges ,624.96,percent of total billed charges ,580.32,percent of total billed charges ,580.32,percent of total billed charges ,595.2,percent of total billed charges ,595.2,percent of total billed charges ,520.8,percent of total billed charges ,520.8,percent of total billed charges ,446.4,percent of total billed charges ,446.4,percent of total billed charges ,446.4,percent of total billed charges ,446.4,percent of total billed charges ,,,,,395.81,percent of total billed charges ,,,,,376.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,,,208.32,percent of total billed charges,
**SUCTION TUBING TIP,LOCAL,LOCAL,,,,both,,,275,275,77,275,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,203.5,percent of total billed charges,203.5,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,,,198,percent of total billed charges ,,,220,percent of total billed charges ,231,percent of total billed charges ,231,percent of total billed charges ,214.5,percent of total billed charges ,214.5,percent of total billed charges ,220,percent of total billed charges ,220,percent of total billed charges ,192.5,percent of total billed charges ,192.5,percent of total billed charges ,165,percent of total billed charges ,165,percent of total billed charges ,165,percent of total billed charges ,165,percent of total billed charges ,,,,,146.3,percent of total billed charges ,,,,,138.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,
SUCTION IRRIGATOR PUMP,LOCAL,LOCAL,,,,both,,,"1,021.00","1,021.00",285.88,"1,021.00","1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,755.54,percent of total billed charges,755.54,percent of total billed charges,816.8,percent of total billed charges,816.8,percent of total billed charges,,,735.12,percent of total billed charges ,,,816.8,percent of total billed charges ,857.64,percent of total billed charges ,857.64,percent of total billed charges ,796.38,percent of total billed charges ,796.38,percent of total billed charges ,816.8,percent of total billed charges ,816.8,percent of total billed charges ,714.7,percent of total billed charges ,714.7,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,,,,,543.17,percent of total billed charges ,,,,,516.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,
**INT MEATOTOMY KNIFE,LOCAL,LOCAL,,,,both,,,514,514,143.92,514,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,380.36,percent of total billed charges,380.36,percent of total billed charges,411.2,percent of total billed charges,411.2,percent of total billed charges,,,370.08,percent of total billed charges ,,,411.2,percent of total billed charges ,431.76,percent of total billed charges ,431.76,percent of total billed charges ,400.92,percent of total billed charges ,400.92,percent of total billed charges ,411.2,percent of total billed charges ,411.2,percent of total billed charges ,359.8,percent of total billed charges ,359.8,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,,,,,273.45,percent of total billed charges ,,,,,259.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,
BURR  PODIATRY,LOCAL,LOCAL,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
BURR 4.0 OVAL STRYKER,LOCAL,LOCAL,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
BURR 5.0 ROUND STRYKER,LOCAL,LOCAL,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
TPX THN OFST 9X.38X25MM 2296-003-511,LOCAL,LOCAL,,,,both,,,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
TPX PRTHNOFST 5.5X.38X25MM 2296-003-414,LOCAL,LOCAL,,,,both,,,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
TPX PREC 5.5X.51X11.5MM 2296-033-410,LOCAL,LOCAL,,,,both,,,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
**AUTOMATIC TOURNIQUET,LOCAL,LOCAL,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
**X RAY COVERS,LOCAL,LOCAL,,,,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
**ARM CAST (SHORT),LOCAL,LOCAL,,,,both,,,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
**ARM CAST (LONG),LOCAL,LOCAL,,,,both,,,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
**HAND CAST,LOCAL,LOCAL,,,,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
**HANGING CAST,LOCAL,LOCAL,,,,both,,,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
**LEG CAST (SHORT),LOCAL,LOCAL,,,,both,,,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
**RUBBER WALKING HEEL,LOCAL,LOCAL,,,,both,,,63,63,17.64,63,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,46.62,percent of total billed charges,46.62,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,,,45.36,percent of total billed charges ,,,50.4,percent of total billed charges ,52.92,percent of total billed charges ,52.92,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,44.1,percent of total billed charges ,44.1,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,,,,,33.52,percent of total billed charges ,,,,,31.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,
**WALKING IRON,LOCAL,LOCAL,,,,both,,,132,132,36.96,132,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,97.68,percent of total billed charges,97.68,percent of total billed charges,105.6,percent of total billed charges,105.6,percent of total billed charges,,,95.04,percent of total billed charges ,,,105.6,percent of total billed charges ,110.88,percent of total billed charges ,110.88,percent of total billed charges ,102.96,percent of total billed charges ,102.96,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,,,,,70.22,percent of total billed charges ,,,,,66.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,
**CAST SHOE,LOCAL,LOCAL,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
**COLOSTOMY ROD,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**GELFOAM DENTAL,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
GELFOAM 100,LOCAL,LOCAL,,,,both,,,120,120,33.6,120,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,,,86.4,percent of total billed charges ,,,96,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,96,percent of total billed charges ,96,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,,,,,63.84,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,
SLING PLAIN,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
SLING-CHARCOAL,LOCAL,LOCAL,,,,both,,,104,104,29.12,104,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,76.96,percent of total billed charges,76.96,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,,,74.88,percent of total billed charges ,,,83.2,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,81.12,percent of total billed charges ,81.12,percent of total billed charges ,83.2,percent of total billed charges ,83.2,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,,,,,55.33,percent of total billed charges ,,,,,52.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,
**COCK UP WRIST SPLINT,L3908,CDM,,,,both,,,114,114,31.92,114,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,84.36,percent of total billed charges,84.36,percent of total billed charges,91.2,percent of total billed charges,91.2,percent of total billed charges,,,82.08,percent of total billed charges ,,,91.2,percent of total billed charges ,95.76,percent of total billed charges ,95.76,percent of total billed charges ,88.92,percent of total billed charges ,88.92,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,57.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,
**TRANVERSE LAP SHEET,LOCAL,LOCAL,,,,both,,,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
SURGICEL,LOCAL,LOCAL,,,,both,,,"1,236.00","1,236.00",346.08,"1,236.00","1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,"1,236.00",percent of total billed charges,889.92,percent of total billed charges,889.92,percent of total billed charges,889.92,percent of total billed charges,889.92,percent of total billed charges,889.92,percent of total billed charges,889.92,percent of total billed charges,914.64,percent of total billed charges,914.64,percent of total billed charges,988.8,percent of total billed charges,988.8,percent of total billed charges,,,889.92,percent of total billed charges ,,,988.8,percent of total billed charges ,"1,038.24",percent of total billed charges ,"1,038.24",percent of total billed charges ,964.08,percent of total billed charges ,964.08,percent of total billed charges ,988.8,percent of total billed charges ,988.8,percent of total billed charges ,865.2,percent of total billed charges ,865.2,percent of total billed charges ,741.6,percent of total billed charges ,741.6,percent of total billed charges ,741.6,percent of total billed charges ,741.6,percent of total billed charges ,,,,,657.55,percent of total billed charges ,,,,,624.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,,,346.08,percent of total billed charges,
**T-TUBES,LOCAL,LOCAL,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
SURGIFLO 8ML,LOCAL,LOCAL,,,,both,,,"1,530.00","1,530.00",428.4,"1,530.00","1,530.00",percent of total billed charges,"1,530.00",percent of total billed charges,"1,530.00",percent of total billed charges,"1,530.00",percent of total billed charges,"1,530.00",percent of total billed charges,"1,530.00",percent of total billed charges,"1,530.00",percent of total billed charges,"1,530.00",percent of total billed charges,"1,101.60",percent of total billed charges,"1,101.60",percent of total billed charges,"1,101.60",percent of total billed charges,"1,101.60",percent of total billed charges,"1,101.60",percent of total billed charges,"1,101.60",percent of total billed charges,"1,132.20",percent of total billed charges,"1,132.20",percent of total billed charges,"1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,,,"1,101.60",percent of total billed charges ,,,"1,224.00",percent of total billed charges ,"1,285.20",percent of total billed charges ,"1,285.20",percent of total billed charges ,"1,193.40",percent of total billed charges ,"1,193.40",percent of total billed charges ,"1,224.00",percent of total billed charges ,"1,224.00",percent of total billed charges ,"1,071.00",percent of total billed charges ,"1,071.00",percent of total billed charges ,918,percent of total billed charges ,918,percent of total billed charges ,918,percent of total billed charges ,918,percent of total billed charges ,,,,,813.96,percent of total billed charges ,,,,,773.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,,,428.4,percent of total billed charges,
**BILE BAG,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
UTERINE SUCTION HANDLE AND TUBING,LOCAL,LOCAL,,,,both,,,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
**ARTERIAL GRAFTS,LOCAL,LOCAL,,,,both,,,"5,337.00","5,337.00","1,494.36","5,337.00","5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,949.38",percent of total billed charges,"3,949.38",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,,,"3,842.64",percent of total billed charges ,,,"4,269.60",percent of total billed charges ,"4,483.08",percent of total billed charges ,"4,483.08",percent of total billed charges ,"4,162.86",percent of total billed charges ,"4,162.86",percent of total billed charges ,"4,269.60",percent of total billed charges ,"4,269.60",percent of total billed charges ,"3,735.90",percent of total billed charges ,"3,735.90",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,,,,,"2,839.28",percent of total billed charges ,,,,,"2,697.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,
**BOVIE TIP POLISHER   KLEENIT,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**BOVIE CORD,LOCAL,LOCAL,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
**VAGINAL SPECULUM,LOCAL,LOCAL,,,,both,,,30,30,8.4,30,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,,,21.6,percent of total billed charges ,,,24,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,,,,,15.96,percent of total billed charges ,,,,,15.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,
**DERMATONE BLADE,LOCAL,LOCAL,,,,both,,,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
**BLADE,LOCAL,LOCAL,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
**ARTERIAL IRRIG CATH,LOCAL,LOCAL,,,,both,,,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
**BILIARY BALLOON PROBE,LOCAL,LOCAL,,,,both,,,275,275,77,275,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,275,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,203.5,percent of total billed charges,203.5,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,,,198,percent of total billed charges ,,,220,percent of total billed charges ,231,percent of total billed charges ,231,percent of total billed charges ,214.5,percent of total billed charges ,214.5,percent of total billed charges ,220,percent of total billed charges ,220,percent of total billed charges ,192.5,percent of total billed charges ,192.5,percent of total billed charges ,165,percent of total billed charges ,165,percent of total billed charges ,165,percent of total billed charges ,165,percent of total billed charges ,,,,,146.3,percent of total billed charges ,,,,,138.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,,,77,percent of total billed charges,
**VENOUS IRRIG CATH,LOCAL,LOCAL,,,,both,,,100,100,28,100,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,,,72,percent of total billed charges ,,,80,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,80,percent of total billed charges ,80,percent of total billed charges ,70,percent of total billed charges ,70,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,,,,,53.2,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,
**VENOUS THROMB CATH,LOCAL,LOCAL,,,,both,,,328,328,91.84,328,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,242.72,percent of total billed charges,242.72,percent of total billed charges,262.4,percent of total billed charges,262.4,percent of total billed charges,,,236.16,percent of total billed charges ,,,262.4,percent of total billed charges ,275.52,percent of total billed charges ,275.52,percent of total billed charges ,255.84,percent of total billed charges ,255.84,percent of total billed charges ,262.4,percent of total billed charges ,262.4,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,,,,,174.5,percent of total billed charges ,,,,,165.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,
**THORACIC CATH,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
HEMOVAC,LOCAL,LOCAL,,,,both,,,227,227,63.56,227,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,167.98,percent of total billed charges,167.98,percent of total billed charges,181.6,percent of total billed charges,181.6,percent of total billed charges,,,163.44,percent of total billed charges ,,,181.6,percent of total billed charges ,190.68,percent of total billed charges ,190.68,percent of total billed charges ,177.06,percent of total billed charges ,177.06,percent of total billed charges ,181.6,percent of total billed charges ,181.6,percent of total billed charges ,158.9,percent of total billed charges ,158.9,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,,,,,120.76,percent of total billed charges ,,,,,114.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,
**HEATER PROBE UNIT,LOCAL,LOCAL,,,,both,,,681,681,190.68,681,681,percent of total billed charges,681,percent of total billed charges,681,percent of total billed charges,681,percent of total billed charges,681,percent of total billed charges,681,percent of total billed charges,681,percent of total billed charges,681,percent of total billed charges,490.32,percent of total billed charges,490.32,percent of total billed charges,490.32,percent of total billed charges,490.32,percent of total billed charges,490.32,percent of total billed charges,490.32,percent of total billed charges,503.94,percent of total billed charges,503.94,percent of total billed charges,544.8,percent of total billed charges,544.8,percent of total billed charges,,,490.32,percent of total billed charges ,,,544.8,percent of total billed charges ,572.04,percent of total billed charges ,572.04,percent of total billed charges ,531.18,percent of total billed charges ,531.18,percent of total billed charges ,544.8,percent of total billed charges ,544.8,percent of total billed charges ,476.7,percent of total billed charges ,476.7,percent of total billed charges ,408.6,percent of total billed charges ,408.6,percent of total billed charges ,408.6,percent of total billed charges ,408.6,percent of total billed charges ,,,,,362.29,percent of total billed charges ,,,,,344.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,,,190.68,percent of total billed charges,
**LAP BUNDLE,LOCAL,LOCAL,,,,both,,,389,389,108.92,389,389,percent of total billed charges,389,percent of total billed charges,389,percent of total billed charges,389,percent of total billed charges,389,percent of total billed charges,389,percent of total billed charges,389,percent of total billed charges,389,percent of total billed charges,280.08,percent of total billed charges,280.08,percent of total billed charges,280.08,percent of total billed charges,280.08,percent of total billed charges,280.08,percent of total billed charges,280.08,percent of total billed charges,287.86,percent of total billed charges,287.86,percent of total billed charges,311.2,percent of total billed charges,311.2,percent of total billed charges,,,280.08,percent of total billed charges ,,,311.2,percent of total billed charges ,326.76,percent of total billed charges ,326.76,percent of total billed charges ,303.42,percent of total billed charges ,303.42,percent of total billed charges ,311.2,percent of total billed charges ,311.2,percent of total billed charges ,272.3,percent of total billed charges ,272.3,percent of total billed charges ,233.4,percent of total billed charges ,233.4,percent of total billed charges ,233.4,percent of total billed charges ,233.4,percent of total billed charges ,,,,,206.95,percent of total billed charges ,,,,,196.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,,,108.92,percent of total billed charges,
**LITH BUNDLE,LOCAL,LOCAL,,,,both,,,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
MAGNA FIX CONNULATED SCREW-FIX SYSTM,C1713,CDM,,,,both,,,855,855,239.4,855,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,632.7,percent of total billed charges,632.7,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,,,615.6,percent of total billed charges ,,,684,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,666.9,percent of total billed charges ,666.9,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,598.5,percent of total billed charges ,598.5,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,,,,,454.86,percent of total billed charges ,,,,,432.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,
STAY FUSE IMPLANT,C1713,CDM,,,,both,,,"1,128.00","1,128.00",315.84,"1,128.00","1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,834.72,percent of total billed charges,834.72,percent of total billed charges,902.4,percent of total billed charges,902.4,percent of total billed charges,,,812.16,percent of total billed charges ,,,902.4,percent of total billed charges ,947.52,percent of total billed charges ,947.52,percent of total billed charges ,879.84,percent of total billed charges ,879.84,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,,,,,600.1,percent of total billed charges ,,,,,570.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,
**VENE CLIP,LOCAL,LOCAL,,,,both,,,236,236,66.08,236,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,174.64,percent of total billed charges,174.64,percent of total billed charges,188.8,percent of total billed charges,188.8,percent of total billed charges,,,169.92,percent of total billed charges ,,,188.8,percent of total billed charges ,198.24,percent of total billed charges ,198.24,percent of total billed charges ,184.08,percent of total billed charges ,184.08,percent of total billed charges ,188.8,percent of total billed charges ,188.8,percent of total billed charges ,165.2,percent of total billed charges ,165.2,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,,,,,125.55,percent of total billed charges ,,,,,119.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,
VISIERA RETAINER,LOCAL,LOCAL,,,,both,,,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
SNYTHES SCREWS,C1713,CDM,,,,both,,,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
SCREW-LAG,C1713,CDM,,,,both,,,"1,658.00","1,658.00",464.24,"1,658.00","1,658.00",percent of total billed charges,"1,658.00",percent of total billed charges,"1,658.00",percent of total billed charges,"1,658.00",percent of total billed charges,"1,658.00",percent of total billed charges,"1,658.00",percent of total billed charges,"1,658.00",percent of total billed charges,"1,658.00",percent of total billed charges,"1,193.76",percent of total billed charges,"1,193.76",percent of total billed charges,"1,193.76",percent of total billed charges,"1,193.76",percent of total billed charges,"1,193.76",percent of total billed charges,"1,193.76",percent of total billed charges,"1,226.92",percent of total billed charges,"1,226.92",percent of total billed charges,"1,326.40",percent of total billed charges,"1,326.40",percent of total billed charges,,,"1,193.76",percent of total billed charges ,,,"1,326.40",percent of total billed charges ,"1,392.72",percent of total billed charges ,"1,392.72",percent of total billed charges ,"1,293.24",percent of total billed charges ,"1,293.24",percent of total billed charges ,"1,326.40",percent of total billed charges ,"1,326.40",percent of total billed charges ,"1,160.60",percent of total billed charges ,"1,160.60",percent of total billed charges ,994.8,percent of total billed charges ,994.8,percent of total billed charges ,994.8,percent of total billed charges ,994.8,percent of total billed charges ,,,,,882.06,percent of total billed charges ,,,,,837.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,,,464.24,percent of total billed charges,
PLATE-HOLE 4 5 6 7,C1713,CDM,,,,both,,,"1,676.00","1,676.00",469.28,"1,676.00","1,676.00",percent of total billed charges,"1,676.00",percent of total billed charges,"1,676.00",percent of total billed charges,"1,676.00",percent of total billed charges,"1,676.00",percent of total billed charges,"1,676.00",percent of total billed charges,"1,676.00",percent of total billed charges,"1,676.00",percent of total billed charges,"1,206.72",percent of total billed charges,"1,206.72",percent of total billed charges,"1,206.72",percent of total billed charges,"1,206.72",percent of total billed charges,"1,206.72",percent of total billed charges,"1,206.72",percent of total billed charges,"1,240.24",percent of total billed charges,"1,240.24",percent of total billed charges,"1,340.80",percent of total billed charges,"1,340.80",percent of total billed charges,,,"1,206.72",percent of total billed charges ,,,"1,340.80",percent of total billed charges ,"1,407.84",percent of total billed charges ,"1,407.84",percent of total billed charges ,"1,307.28",percent of total billed charges ,"1,307.28",percent of total billed charges ,"1,340.80",percent of total billed charges ,"1,340.80",percent of total billed charges ,"1,173.20",percent of total billed charges ,"1,173.20",percent of total billed charges ,"1,005.60",percent of total billed charges ,"1,005.60",percent of total billed charges ,"1,005.60",percent of total billed charges ,"1,005.60",percent of total billed charges ,,,,,891.63,percent of total billed charges ,,,,,847.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,,,469.28,percent of total billed charges,
DOUBLE LOCK SCREW,C1776,CDM,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
ZIMMER STAY FUSE IMPLANTS,C1713,CDM,,,,both,,,"1,128.00","1,128.00",315.84,"1,128.00","1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,"1,128.00",percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,812.16,percent of total billed charges,834.72,percent of total billed charges,834.72,percent of total billed charges,902.4,percent of total billed charges,902.4,percent of total billed charges,,,812.16,percent of total billed charges ,,,902.4,percent of total billed charges ,947.52,percent of total billed charges ,947.52,percent of total billed charges ,879.84,percent of total billed charges ,879.84,percent of total billed charges ,902.4,percent of total billed charges ,902.4,percent of total billed charges ,789.6,percent of total billed charges ,789.6,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,676.8,percent of total billed charges ,,,,,600.1,percent of total billed charges ,,,,,570.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,,,315.84,percent of total billed charges,
**HANSEN ST NAIL,LOCAL,LOCAL,,,,both,,,375,375,105,375,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,277.5,percent of total billed charges,277.5,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,,,270,percent of total billed charges ,,,300,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,292.5,percent of total billed charges ,292.5,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,262.5,percent of total billed charges ,262.5,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,,,,,199.5,percent of total billed charges ,,,,,189.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,
HEXAGON NUT,C1776,CDM,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
HIP PROSTHESIS,C1776,CDM,,,,both,,,"2,476.00","2,476.00",693.28,"2,476.00","2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,"2,476.00",percent of total billed charges,"1,782.72",percent of total billed charges,"1,782.72",percent of total billed charges,"1,782.72",percent of total billed charges,"1,782.72",percent of total billed charges,"1,782.72",percent of total billed charges,"1,782.72",percent of total billed charges,"1,832.24",percent of total billed charges,"1,832.24",percent of total billed charges,"1,980.80",percent of total billed charges,"1,980.80",percent of total billed charges,,,"1,782.72",percent of total billed charges ,,,"1,980.80",percent of total billed charges ,"2,079.84",percent of total billed charges ,"2,079.84",percent of total billed charges ,"1,931.28",percent of total billed charges ,"1,931.28",percent of total billed charges ,"1,980.80",percent of total billed charges ,"1,980.80",percent of total billed charges ,"1,733.20",percent of total billed charges ,"1,733.20",percent of total billed charges ,"1,485.60",percent of total billed charges ,"1,485.60",percent of total billed charges ,"1,485.60",percent of total billed charges ,"1,485.60",percent of total billed charges ,,,,,"1,317.23",percent of total billed charges ,,,,,"1,251.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,,,693.28,percent of total billed charges,
**FOGARTY CHOLANGIOCATH,LOCAL,LOCAL,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**JEWETT NAIL,C1713,CDM,,,,both,,,781,781,218.68,781,781,percent of total billed charges,781,percent of total billed charges,781,percent of total billed charges,781,percent of total billed charges,781,percent of total billed charges,781,percent of total billed charges,781,percent of total billed charges,781,percent of total billed charges,562.32,percent of total billed charges,562.32,percent of total billed charges,562.32,percent of total billed charges,562.32,percent of total billed charges,562.32,percent of total billed charges,562.32,percent of total billed charges,577.94,percent of total billed charges,577.94,percent of total billed charges,624.8,percent of total billed charges,624.8,percent of total billed charges,,,562.32,percent of total billed charges ,,,624.8,percent of total billed charges ,656.04,percent of total billed charges ,656.04,percent of total billed charges ,609.18,percent of total billed charges ,609.18,percent of total billed charges ,624.8,percent of total billed charges ,624.8,percent of total billed charges ,546.7,percent of total billed charges ,546.7,percent of total billed charges ,468.6,percent of total billed charges ,468.6,percent of total billed charges ,468.6,percent of total billed charges ,468.6,percent of total billed charges ,,,,,415.49,percent of total billed charges ,,,,,394.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,,,218.68,percent of total billed charges,
**JEWETT NAIL 7-9 IN P,C1713,CDM,,,,both,,,931,931,260.68,931,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,688.94,percent of total billed charges,688.94,percent of total billed charges,744.8,percent of total billed charges,744.8,percent of total billed charges,,,670.32,percent of total billed charges ,,,744.8,percent of total billed charges ,782.04,percent of total billed charges ,782.04,percent of total billed charges ,726.18,percent of total billed charges ,726.18,percent of total billed charges ,744.8,percent of total billed charges ,744.8,percent of total billed charges ,651.7,percent of total billed charges ,651.7,percent of total billed charges ,558.6,percent of total billed charges ,558.6,percent of total billed charges ,558.6,percent of total billed charges ,558.6,percent of total billed charges ,,,,,495.29,percent of total billed charges ,,,,,470.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,
**LOTTES NAIL,LOCAL,LOCAL,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
**ORTOPEDIC TABLE,LOCAL,LOCAL,,,,both,,,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
**RIORDAN FIXATION PIN,C1713,CDM,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
MINI ARC MESH PRECISE,C1771,CDM,,,,both,,,"11,506.00","11,506.00","3,221.68","11,506.00","11,506.00",percent of total billed charges,"11,506.00",percent of total billed charges,"11,506.00",percent of total billed charges,"11,506.00",percent of total billed charges,"11,506.00",percent of total billed charges,"11,506.00",percent of total billed charges,"11,506.00",percent of total billed charges,"11,506.00",percent of total billed charges,"8,284.32",percent of total billed charges,"8,284.32",percent of total billed charges,"8,284.32",percent of total billed charges,"8,284.32",percent of total billed charges,"8,284.32",percent of total billed charges,"8,284.32",percent of total billed charges,"8,514.44",percent of total billed charges,"8,514.44",percent of total billed charges,"9,204.80",percent of total billed charges,"9,204.80",percent of total billed charges,,,"8,284.32",percent of total billed charges ,,,"9,204.80",percent of total billed charges ,"9,665.04",percent of total billed charges ,"9,665.04",percent of total billed charges ,"8,974.68",percent of total billed charges ,"8,974.68",percent of total billed charges ,"9,204.80",percent of total billed charges ,"9,204.80",percent of total billed charges ,"8,054.20",percent of total billed charges ,"8,054.20",percent of total billed charges ,"6,903.60",percent of total billed charges ,"6,903.60",percent of total billed charges ,"6,903.60",percent of total billed charges ,"6,903.60",percent of total billed charges ,,,,,"6,121.19",percent of total billed charges ,,,,,"5,815.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,,,"3,221.68",percent of total billed charges,
TRIM- DRILL PIN 1.5X100MM AR-4151DS,LOCAL,LOCAL,,,,both,,,"3,542.00","3,542.00",991.76,"3,542.00","3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"3,542.00",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,550.24",percent of total billed charges,"2,621.08",percent of total billed charges,"2,621.08",percent of total billed charges,"2,833.60",percent of total billed charges,"2,833.60",percent of total billed charges,,,"2,550.24",percent of total billed charges ,,,"2,833.60",percent of total billed charges ,"2,975.28",percent of total billed charges ,"2,975.28",percent of total billed charges ,"2,762.76",percent of total billed charges ,"2,762.76",percent of total billed charges ,"2,833.60",percent of total billed charges ,"2,833.60",percent of total billed charges ,"2,479.40",percent of total billed charges ,"2,479.40",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,"2,125.20",percent of total billed charges ,,,,,"1,884.34",percent of total billed charges ,,,,,"1,790.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,,,991.76,percent of total billed charges,
**RUSH PINS,C1713,CDM,,,,both,,,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
SCREWS,C1713,CDM,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**SMITH-PETERSON BAR,C1713,CDM,,,,both,,,328,328,91.84,328,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,242.72,percent of total billed charges,242.72,percent of total billed charges,262.4,percent of total billed charges,262.4,percent of total billed charges,,,236.16,percent of total billed charges ,,,262.4,percent of total billed charges ,275.52,percent of total billed charges ,275.52,percent of total billed charges ,255.84,percent of total billed charges ,255.84,percent of total billed charges ,262.4,percent of total billed charges ,262.4,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,,,,,174.5,percent of total billed charges ,,,,,165.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,
**SMITH-PETERSON NAILS,C1713,CDM,,,,both,,,522,522,146.16,522,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,386.28,percent of total billed charges,386.28,percent of total billed charges,417.6,percent of total billed charges,417.6,percent of total billed charges,,,375.84,percent of total billed charges ,,,417.6,percent of total billed charges ,438.48,percent of total billed charges ,438.48,percent of total billed charges ,407.16,percent of total billed charges ,407.16,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,,,,,277.7,percent of total billed charges ,,,,,263.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,
K-WIRE,C1713,CDM,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
STEINMAN PIN-THREAD,C1713,CDM,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
KUNTSCHNER NAIL,C1713,CDM,,,,both,,,527,527,147.56,527,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,389.98,percent of total billed charges,389.98,percent of total billed charges,421.6,percent of total billed charges,421.6,percent of total billed charges,,,379.44,percent of total billed charges ,,,421.6,percent of total billed charges ,442.68,percent of total billed charges ,442.68,percent of total billed charges ,411.06,percent of total billed charges ,411.06,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,368.9,percent of total billed charges ,368.9,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,,,,,280.36,percent of total billed charges ,,,,,266.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,
TRIMET DRILL PIN,C1713,CDM,,,,both,,,"1,145.00","1,145.00",320.6,"1,145.00","1,145.00",percent of total billed charges,"1,145.00",percent of total billed charges,"1,145.00",percent of total billed charges,"1,145.00",percent of total billed charges,"1,145.00",percent of total billed charges,"1,145.00",percent of total billed charges,"1,145.00",percent of total billed charges,"1,145.00",percent of total billed charges,824.4,percent of total billed charges,824.4,percent of total billed charges,824.4,percent of total billed charges,824.4,percent of total billed charges,824.4,percent of total billed charges,824.4,percent of total billed charges,847.3,percent of total billed charges,847.3,percent of total billed charges,916,percent of total billed charges,916,percent of total billed charges,,,824.4,percent of total billed charges ,,,916,percent of total billed charges ,961.8,percent of total billed charges ,961.8,percent of total billed charges ,893.1,percent of total billed charges ,893.1,percent of total billed charges ,916,percent of total billed charges ,916,percent of total billed charges ,801.5,percent of total billed charges ,801.5,percent of total billed charges ,687,percent of total billed charges ,687,percent of total billed charges ,687,percent of total billed charges ,687,percent of total billed charges ,,,,,609.14,percent of total billed charges ,,,,,578.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,,,320.6,percent of total billed charges,
OLECRANON SCREW,C1713,CDM,,,,both,,,436,436,122.08,436,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,322.64,percent of total billed charges,322.64,percent of total billed charges,348.8,percent of total billed charges,348.8,percent of total billed charges,,,313.92,percent of total billed charges ,,,348.8,percent of total billed charges ,366.24,percent of total billed charges ,366.24,percent of total billed charges ,340.08,percent of total billed charges ,340.08,percent of total billed charges ,348.8,percent of total billed charges ,348.8,percent of total billed charges ,305.2,percent of total billed charges ,305.2,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,,,,,231.95,percent of total billed charges ,,,,,220.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,
**FLAT PLATE,LOCAL,LOCAL,,,,both,,,823,823,230.44,823,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,609.02,percent of total billed charges,609.02,percent of total billed charges,658.4,percent of total billed charges,658.4,percent of total billed charges,,,592.56,percent of total billed charges ,,,658.4,percent of total billed charges ,691.32,percent of total billed charges ,691.32,percent of total billed charges ,641.94,percent of total billed charges ,641.94,percent of total billed charges ,658.4,percent of total billed charges ,658.4,percent of total billed charges ,576.1,percent of total billed charges ,576.1,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,,,,,437.84,percent of total billed charges ,,,,,415.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,
**V-DRAPE INTESTINAL,LOCAL,LOCAL,,,,both,,,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
HYPAQUE,LOCAL,LOCAL,,,,both,,,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
**INDIGO CARMINE,LOCAL,LOCAL,,,,both,,,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
MULTISTRAND 3,LOCAL,LOCAL,,,,both,,,55,55,15.4,55,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,,,39.6,percent of total billed charges ,,,44,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,42.9,percent of total billed charges ,42.9,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,38.5,percent of total billed charges ,38.5,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,,,,,29.26,percent of total billed charges ,,,,,27.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,
MULTISTRAND 8-SUTURE,LOCAL,LOCAL,,,,both,,,104,104,29.12,104,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,76.96,percent of total billed charges,76.96,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,,,74.88,percent of total billed charges ,,,83.2,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,81.12,percent of total billed charges ,81.12,percent of total billed charges ,83.2,percent of total billed charges ,83.2,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,,,,,55.33,percent of total billed charges ,,,,,52.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,
HEALON,LOCAL,LOCAL,,,,both,,,814,814,227.92,814,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,602.36,percent of total billed charges,602.36,percent of total billed charges,651.2,percent of total billed charges,651.2,percent of total billed charges,,,586.08,percent of total billed charges ,,,651.2,percent of total billed charges ,683.76,percent of total billed charges ,683.76,percent of total billed charges ,634.92,percent of total billed charges ,634.92,percent of total billed charges ,651.2,percent of total billed charges ,651.2,percent of total billed charges ,569.8,percent of total billed charges ,569.8,percent of total billed charges ,488.4,percent of total billed charges ,488.4,percent of total billed charges ,488.4,percent of total billed charges ,488.4,percent of total billed charges ,,,,,433.05,percent of total billed charges ,,,,,411.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,
BLADE PODIATRY,LOCAL,LOCAL,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
**CATHETER GROSHON,LOCAL,LOCAL,,,,both,,,"2,599.00","2,599.00",727.72,"2,599.00","2,599.00",percent of total billed charges,"2,599.00",percent of total billed charges,"2,599.00",percent of total billed charges,"2,599.00",percent of total billed charges,"2,599.00",percent of total billed charges,"2,599.00",percent of total billed charges,"2,599.00",percent of total billed charges,"2,599.00",percent of total billed charges,"1,871.28",percent of total billed charges,"1,871.28",percent of total billed charges,"1,871.28",percent of total billed charges,"1,871.28",percent of total billed charges,"1,871.28",percent of total billed charges,"1,871.28",percent of total billed charges,"1,923.26",percent of total billed charges,"1,923.26",percent of total billed charges,"2,079.20",percent of total billed charges,"2,079.20",percent of total billed charges,,,"1,871.28",percent of total billed charges ,,,"2,079.20",percent of total billed charges ,"2,183.16",percent of total billed charges ,"2,183.16",percent of total billed charges ,"2,027.22",percent of total billed charges ,"2,027.22",percent of total billed charges ,"2,079.20",percent of total billed charges ,"2,079.20",percent of total billed charges ,"1,819.30",percent of total billed charges ,"1,819.30",percent of total billed charges ,"1,559.40",percent of total billed charges ,"1,559.40",percent of total billed charges ,"1,559.40",percent of total billed charges ,"1,559.40",percent of total billed charges ,,,,,"1,382.67",percent of total billed charges ,,,,,"1,313.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,,,727.72,percent of total billed charges,
BLADE ADENOTOME,LOCAL,LOCAL,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
**PHACO PAK,LOCAL,LOCAL,,,,both,,,834,834,233.52,834,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,617.16,percent of total billed charges,617.16,percent of total billed charges,667.2,percent of total billed charges,667.2,percent of total billed charges,,,600.48,percent of total billed charges ,,,667.2,percent of total billed charges ,700.56,percent of total billed charges ,700.56,percent of total billed charges ,650.52,percent of total billed charges ,650.52,percent of total billed charges ,667.2,percent of total billed charges ,667.2,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,500.4,percent of total billed charges ,500.4,percent of total billed charges ,500.4,percent of total billed charges ,500.4,percent of total billed charges ,,,,,443.69,percent of total billed charges ,,,,,421.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,
**PHACO STORZ PREMIER,LOCAL,LOCAL,,,,both,,,"3,562.00","3,562.00",997.36,"3,562.00","3,562.00",percent of total billed charges,"3,562.00",percent of total billed charges,"3,562.00",percent of total billed charges,"3,562.00",percent of total billed charges,"3,562.00",percent of total billed charges,"3,562.00",percent of total billed charges,"3,562.00",percent of total billed charges,"3,562.00",percent of total billed charges,"2,564.64",percent of total billed charges,"2,564.64",percent of total billed charges,"2,564.64",percent of total billed charges,"2,564.64",percent of total billed charges,"2,564.64",percent of total billed charges,"2,564.64",percent of total billed charges,"2,635.88",percent of total billed charges,"2,635.88",percent of total billed charges,"2,849.60",percent of total billed charges,"2,849.60",percent of total billed charges,,,"2,564.64",percent of total billed charges ,,,"2,849.60",percent of total billed charges ,"2,992.08",percent of total billed charges ,"2,992.08",percent of total billed charges ,"2,778.36",percent of total billed charges ,"2,778.36",percent of total billed charges ,"2,849.60",percent of total billed charges ,"2,849.60",percent of total billed charges ,"2,493.40",percent of total billed charges ,"2,493.40",percent of total billed charges ,"2,137.20",percent of total billed charges ,"2,137.20",percent of total billed charges ,"2,137.20",percent of total billed charges ,"2,137.20",percent of total billed charges ,,,,,"1,894.98",percent of total billed charges ,,,,,"1,800.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,,,997.36,percent of total billed charges,
**PREP DRY SET,LOCAL,LOCAL,,,,both,,,53,53,14.84,53,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,39.22,percent of total billed charges,39.22,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,,,38.16,percent of total billed charges ,,,42.4,percent of total billed charges ,44.52,percent of total billed charges ,44.52,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,42.4,percent of total billed charges ,42.4,percent of total billed charges ,37.1,percent of total billed charges ,37.1,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,,,,,28.2,percent of total billed charges ,,,,,26.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,
**PREP DURAPREP,LOCAL,LOCAL,,,,both,,,68,68,19.04,68,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,,,48.96,percent of total billed charges ,,,54.4,percent of total billed charges ,57.12,percent of total billed charges ,57.12,percent of total billed charges ,53.04,percent of total billed charges ,53.04,percent of total billed charges ,54.4,percent of total billed charges ,54.4,percent of total billed charges ,47.6,percent of total billed charges ,47.6,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,,,,,36.18,percent of total billed charges ,,,,,34.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,
**RETENTION SUTURES,LOCAL,LOCAL,,,,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
**URETERAL BRUSH KIT,LOCAL,LOCAL,,,,both,,,522,522,146.16,522,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,386.28,percent of total billed charges,386.28,percent of total billed charges,417.6,percent of total billed charges,417.6,percent of total billed charges,,,375.84,percent of total billed charges ,,,417.6,percent of total billed charges ,438.48,percent of total billed charges ,438.48,percent of total billed charges ,407.16,percent of total billed charges ,407.16,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,,,,,277.7,percent of total billed charges ,,,,,263.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,
**HUMI (UTERINE MANIPULATOR),LOCAL,LOCAL,,,,both,,,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
**URO - JET,LOCAL,LOCAL,,,,both,,,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
**GIGLI SAW-DISPOSABLE,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
**MARLEX MESH,C1781,CDM,,,,both,,,979,979,274.12,979,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,724.46,percent of total billed charges,724.46,percent of total billed charges,783.2,percent of total billed charges,783.2,percent of total billed charges,,,704.88,percent of total billed charges ,,,783.2,percent of total billed charges ,822.36,percent of total billed charges ,822.36,percent of total billed charges ,763.62,percent of total billed charges ,763.62,percent of total billed charges ,783.2,percent of total billed charges ,783.2,percent of total billed charges ,685.3,percent of total billed charges ,685.3,percent of total billed charges ,587.4,percent of total billed charges ,587.4,percent of total billed charges ,587.4,percent of total billed charges ,587.4,percent of total billed charges ,,,,,520.83,percent of total billed charges ,,,,,494.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,
**ELLIOTT BLADE-6 IN,LOCAL,LOCAL,,,,both,,,"1,711.00","1,711.00",479.08,"1,711.00","1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,711.00",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,231.92",percent of total billed charges,"1,266.14",percent of total billed charges,"1,266.14",percent of total billed charges,"1,368.80",percent of total billed charges,"1,368.80",percent of total billed charges,,,"1,231.92",percent of total billed charges ,,,"1,368.80",percent of total billed charges ,"1,437.24",percent of total billed charges ,"1,437.24",percent of total billed charges ,"1,334.58",percent of total billed charges ,"1,334.58",percent of total billed charges ,"1,368.80",percent of total billed charges ,"1,368.80",percent of total billed charges ,"1,197.70",percent of total billed charges ,"1,197.70",percent of total billed charges ,"1,026.60",percent of total billed charges ,"1,026.60",percent of total billed charges ,"1,026.60",percent of total billed charges ,"1,026.60",percent of total billed charges ,,,,,910.25,percent of total billed charges ,,,,,864.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,,,479.08,percent of total billed charges,
**ELLIOTT BLADE-8 IN,LOCAL,LOCAL,,,,both,,,"1,796.00","1,796.00",502.88,"1,796.00","1,796.00",percent of total billed charges,"1,796.00",percent of total billed charges,"1,796.00",percent of total billed charges,"1,796.00",percent of total billed charges,"1,796.00",percent of total billed charges,"1,796.00",percent of total billed charges,"1,796.00",percent of total billed charges,"1,796.00",percent of total billed charges,"1,293.12",percent of total billed charges,"1,293.12",percent of total billed charges,"1,293.12",percent of total billed charges,"1,293.12",percent of total billed charges,"1,293.12",percent of total billed charges,"1,293.12",percent of total billed charges,"1,329.04",percent of total billed charges,"1,329.04",percent of total billed charges,"1,436.80",percent of total billed charges,"1,436.80",percent of total billed charges,,,"1,293.12",percent of total billed charges ,,,"1,436.80",percent of total billed charges ,"1,508.64",percent of total billed charges ,"1,508.64",percent of total billed charges ,"1,400.88",percent of total billed charges ,"1,400.88",percent of total billed charges ,"1,436.80",percent of total billed charges ,"1,436.80",percent of total billed charges ,"1,257.20",percent of total billed charges ,"1,257.20",percent of total billed charges ,"1,077.60",percent of total billed charges ,"1,077.60",percent of total billed charges ,"1,077.60",percent of total billed charges ,"1,077.60",percent of total billed charges ,,,,,955.47,percent of total billed charges ,,,,,907.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,,,502.88,percent of total billed charges,
**JEJUNOSTOMY,LOCAL,LOCAL,,,,both,,,545,545,152.6,545,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,403.3,percent of total billed charges,403.3,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,,,392.4,percent of total billed charges ,,,436,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,425.1,percent of total billed charges ,425.1,percent of total billed charges ,436,percent of total billed charges ,436,percent of total billed charges ,381.5,percent of total billed charges ,381.5,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,,,,,289.94,percent of total billed charges ,,,,,275.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,
FINGER SPLINT,LOCAL,LOCAL,,,,both,,,60,60,16.8,60,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,44.4,percent of total billed charges,44.4,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,,,43.2,percent of total billed charges ,,,48,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,,,,,31.92,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,
**TRIPLE LUMEN DRAIN,LOCAL,LOCAL,,,,both,,,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
**VEIN STRIPPER (DISP),LOCAL,LOCAL,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
10-0 NYLON SUTURE ALCON,LOCAL,LOCAL,,,,both,,,203,203,56.84,203,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,150.22,percent of total billed charges,150.22,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,,,146.16,percent of total billed charges ,,,162.4,percent of total billed charges ,170.52,percent of total billed charges ,170.52,percent of total billed charges ,158.34,percent of total billed charges ,158.34,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,142.1,percent of total billed charges ,142.1,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,,,,,108,percent of total billed charges ,,,,,102.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,
**THOW TUBE,LOCAL,LOCAL,,,,both,,,931,931,260.68,931,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,931,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,670.32,percent of total billed charges,688.94,percent of total billed charges,688.94,percent of total billed charges,744.8,percent of total billed charges,744.8,percent of total billed charges,,,670.32,percent of total billed charges ,,,744.8,percent of total billed charges ,782.04,percent of total billed charges ,782.04,percent of total billed charges ,726.18,percent of total billed charges ,726.18,percent of total billed charges ,744.8,percent of total billed charges ,744.8,percent of total billed charges ,651.7,percent of total billed charges ,651.7,percent of total billed charges ,558.6,percent of total billed charges ,558.6,percent of total billed charges ,558.6,percent of total billed charges ,558.6,percent of total billed charges ,,,,,495.29,percent of total billed charges ,,,,,470.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,,,260.68,percent of total billed charges,
**LDS STAPLER,LOCAL,LOCAL,,,,both,,,"1,281.00","1,281.00",358.68,"1,281.00","1,281.00",percent of total billed charges,"1,281.00",percent of total billed charges,"1,281.00",percent of total billed charges,"1,281.00",percent of total billed charges,"1,281.00",percent of total billed charges,"1,281.00",percent of total billed charges,"1,281.00",percent of total billed charges,"1,281.00",percent of total billed charges,922.32,percent of total billed charges,922.32,percent of total billed charges,922.32,percent of total billed charges,922.32,percent of total billed charges,922.32,percent of total billed charges,922.32,percent of total billed charges,947.94,percent of total billed charges,947.94,percent of total billed charges,"1,024.80",percent of total billed charges,"1,024.80",percent of total billed charges,,,922.32,percent of total billed charges ,,,"1,024.80",percent of total billed charges ,"1,076.04",percent of total billed charges ,"1,076.04",percent of total billed charges ,999.18,percent of total billed charges ,999.18,percent of total billed charges ,"1,024.80",percent of total billed charges ,"1,024.80",percent of total billed charges ,896.7,percent of total billed charges ,896.7,percent of total billed charges ,768.6,percent of total billed charges ,768.6,percent of total billed charges ,768.6,percent of total billed charges ,768.6,percent of total billed charges ,,,,,681.49,percent of total billed charges ,,,,,647.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,,,358.68,percent of total billed charges,
**LAPRO CHOLECYSTECTOMY ACCESS KIT,LOCAL,LOCAL,,,,both,,,"4,126.00","4,126.00","1,155.28","4,126.00","4,126.00",percent of total billed charges,"4,126.00",percent of total billed charges,"4,126.00",percent of total billed charges,"4,126.00",percent of total billed charges,"4,126.00",percent of total billed charges,"4,126.00",percent of total billed charges,"4,126.00",percent of total billed charges,"4,126.00",percent of total billed charges,"2,970.72",percent of total billed charges,"2,970.72",percent of total billed charges,"2,970.72",percent of total billed charges,"2,970.72",percent of total billed charges,"2,970.72",percent of total billed charges,"2,970.72",percent of total billed charges,"3,053.24",percent of total billed charges,"3,053.24",percent of total billed charges,"3,300.80",percent of total billed charges,"3,300.80",percent of total billed charges,,,"2,970.72",percent of total billed charges ,,,"3,300.80",percent of total billed charges ,"3,465.84",percent of total billed charges ,"3,465.84",percent of total billed charges ,"3,218.28",percent of total billed charges ,"3,218.28",percent of total billed charges ,"3,300.80",percent of total billed charges ,"3,300.80",percent of total billed charges ,"2,888.20",percent of total billed charges ,"2,888.20",percent of total billed charges ,"2,475.60",percent of total billed charges ,"2,475.60",percent of total billed charges ,"2,475.60",percent of total billed charges ,"2,475.60",percent of total billed charges ,,,,,"2,195.03",percent of total billed charges ,,,,,"2,085.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,,,"1,155.28",percent of total billed charges,
SUBQ STAPLER,LOCAL,LOCAL,,,,both,,,685,685,191.8,685,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,506.9,percent of total billed charges,506.9,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,,,493.2,percent of total billed charges ,,,548,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,534.3,percent of total billed charges ,534.3,percent of total billed charges ,548,percent of total billed charges ,548,percent of total billed charges ,479.5,percent of total billed charges ,479.5,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,,,,,364.42,percent of total billed charges ,,,,,346.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,
TA 55 DISP STAPLER,LOCAL,LOCAL,,,,both,,,"2,501.00","2,501.00",700.28,"2,501.00","2,501.00",percent of total billed charges,"2,501.00",percent of total billed charges,"2,501.00",percent of total billed charges,"2,501.00",percent of total billed charges,"2,501.00",percent of total billed charges,"2,501.00",percent of total billed charges,"2,501.00",percent of total billed charges,"2,501.00",percent of total billed charges,"1,800.72",percent of total billed charges,"1,800.72",percent of total billed charges,"1,800.72",percent of total billed charges,"1,800.72",percent of total billed charges,"1,800.72",percent of total billed charges,"1,800.72",percent of total billed charges,"1,850.74",percent of total billed charges,"1,850.74",percent of total billed charges,"2,000.80",percent of total billed charges,"2,000.80",percent of total billed charges,,,"1,800.72",percent of total billed charges ,,,"2,000.80",percent of total billed charges ,"2,100.84",percent of total billed charges ,"2,100.84",percent of total billed charges ,"1,950.78",percent of total billed charges ,"1,950.78",percent of total billed charges ,"2,000.80",percent of total billed charges ,"2,000.80",percent of total billed charges ,"1,750.70",percent of total billed charges ,"1,750.70",percent of total billed charges ,"1,500.60",percent of total billed charges ,"1,500.60",percent of total billed charges ,"1,500.60",percent of total billed charges ,"1,500.60",percent of total billed charges ,,,,,"1,330.53",percent of total billed charges ,,,,,"1,264.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,,,700.28,percent of total billed charges,
MESH TACKER,C1781,CDM,,,,both,,,"3,910.00","3,910.00","1,094.80","3,910.00","3,910.00",percent of total billed charges,"3,910.00",percent of total billed charges,"3,910.00",percent of total billed charges,"3,910.00",percent of total billed charges,"3,910.00",percent of total billed charges,"3,910.00",percent of total billed charges,"3,910.00",percent of total billed charges,"3,910.00",percent of total billed charges,"2,815.20",percent of total billed charges,"2,815.20",percent of total billed charges,"2,815.20",percent of total billed charges,"2,815.20",percent of total billed charges,"2,815.20",percent of total billed charges,"2,815.20",percent of total billed charges,"2,893.40",percent of total billed charges,"2,893.40",percent of total billed charges,"3,128.00",percent of total billed charges,"3,128.00",percent of total billed charges,,,"2,815.20",percent of total billed charges ,,,"3,128.00",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,284.40",percent of total billed charges ,"3,049.80",percent of total billed charges ,"3,049.80",percent of total billed charges ,"3,128.00",percent of total billed charges ,"3,128.00",percent of total billed charges ,"2,737.00",percent of total billed charges ,"2,737.00",percent of total billed charges ,"2,346.00",percent of total billed charges ,"2,346.00",percent of total billed charges ,"2,346.00",percent of total billed charges ,"2,346.00",percent of total billed charges ,,,,,"2,080.12",percent of total billed charges ,,,,,"1,976.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,,,"1,094.80",percent of total billed charges,
**KRONNER (UTERINE MANIPULATOR),LOCAL,LOCAL,,,,both,,,263,263,73.64,263,263,percent of total billed charges,263,percent of total billed charges,263,percent of total billed charges,263,percent of total billed charges,263,percent of total billed charges,263,percent of total billed charges,263,percent of total billed charges,263,percent of total billed charges,189.36,percent of total billed charges,189.36,percent of total billed charges,189.36,percent of total billed charges,189.36,percent of total billed charges,189.36,percent of total billed charges,189.36,percent of total billed charges,194.62,percent of total billed charges,194.62,percent of total billed charges,210.4,percent of total billed charges,210.4,percent of total billed charges,,,189.36,percent of total billed charges ,,,210.4,percent of total billed charges ,220.92,percent of total billed charges ,220.92,percent of total billed charges ,205.14,percent of total billed charges ,205.14,percent of total billed charges ,210.4,percent of total billed charges ,210.4,percent of total billed charges ,184.1,percent of total billed charges ,184.1,percent of total billed charges ,157.8,percent of total billed charges ,157.8,percent of total billed charges ,157.8,percent of total billed charges ,157.8,percent of total billed charges ,,,,,139.92,percent of total billed charges ,,,,,132.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,,,73.64,percent of total billed charges,
PARITEX MESH,C1781,CDM,,,,both,,,"6,338.00","6,338.00","1,774.64","6,338.00","6,338.00",percent of total billed charges,"6,338.00",percent of total billed charges,"6,338.00",percent of total billed charges,"6,338.00",percent of total billed charges,"6,338.00",percent of total billed charges,"6,338.00",percent of total billed charges,"6,338.00",percent of total billed charges,"6,338.00",percent of total billed charges,"4,563.36",percent of total billed charges,"4,563.36",percent of total billed charges,"4,563.36",percent of total billed charges,"4,563.36",percent of total billed charges,"4,563.36",percent of total billed charges,"4,563.36",percent of total billed charges,"4,690.12",percent of total billed charges,"4,690.12",percent of total billed charges,"5,070.40",percent of total billed charges,"5,070.40",percent of total billed charges,,,"4,563.36",percent of total billed charges ,,,"5,070.40",percent of total billed charges ,"5,323.92",percent of total billed charges ,"5,323.92",percent of total billed charges ,"4,943.64",percent of total billed charges ,"4,943.64",percent of total billed charges ,"5,070.40",percent of total billed charges ,"5,070.40",percent of total billed charges ,"4,436.60",percent of total billed charges ,"4,436.60",percent of total billed charges ,"3,802.80",percent of total billed charges ,"3,802.80",percent of total billed charges ,"3,802.80",percent of total billed charges ,"3,802.80",percent of total billed charges ,,,,,"3,371.82",percent of total billed charges ,,,,,"3,203.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,,,"1,774.64",percent of total billed charges,
#8 CURETTE UTERINE ASPIR,LOCAL,LOCAL,,,,both,,,61,61,17.08,61,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,45.14,percent of total billed charges,45.14,percent of total billed charges,48.8,percent of total billed charges,48.8,percent of total billed charges,,,43.92,percent of total billed charges ,,,48.8,percent of total billed charges ,51.24,percent of total billed charges ,51.24,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,48.8,percent of total billed charges ,48.8,percent of total billed charges ,42.7,percent of total billed charges ,42.7,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,,,,,32.45,percent of total billed charges ,,,,,30.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,
CEMENT MIXING DEPUY PRISM,LOCAL,LOCAL,,,,both,,,920,920,257.6,920,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,680.8,percent of total billed charges,680.8,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,,,662.4,percent of total billed charges ,,,736,percent of total billed charges ,772.8,percent of total billed charges ,772.8,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,736,percent of total billed charges ,736,percent of total billed charges ,644,percent of total billed charges ,644,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,,,,,489.44,percent of total billed charges ,,,,,464.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,
CEMENT-BONE,C1713,CDM,,,,both,,,568,568,159.04,568,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,420.32,percent of total billed charges,420.32,percent of total billed charges,454.4,percent of total billed charges,454.4,percent of total billed charges,,,408.96,percent of total billed charges ,,,454.4,percent of total billed charges ,477.12,percent of total billed charges ,477.12,percent of total billed charges ,443.04,percent of total billed charges ,443.04,percent of total billed charges ,454.4,percent of total billed charges ,454.4,percent of total billed charges ,397.6,percent of total billed charges ,397.6,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,,,,,302.18,percent of total billed charges ,,,,,287.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,
BARD PERFIX PLUG MESH,C1781,CDM,,,,both,,,"3,033.00","3,033.00",849.24,"3,033.00","3,033.00",percent of total billed charges,"3,033.00",percent of total billed charges,"3,033.00",percent of total billed charges,"3,033.00",percent of total billed charges,"3,033.00",percent of total billed charges,"3,033.00",percent of total billed charges,"3,033.00",percent of total billed charges,"3,033.00",percent of total billed charges,"2,183.76",percent of total billed charges,"2,183.76",percent of total billed charges,"2,183.76",percent of total billed charges,"2,183.76",percent of total billed charges,"2,183.76",percent of total billed charges,"2,183.76",percent of total billed charges,"2,244.42",percent of total billed charges,"2,244.42",percent of total billed charges,"2,426.40",percent of total billed charges,"2,426.40",percent of total billed charges,,,"2,183.76",percent of total billed charges ,,,"2,426.40",percent of total billed charges ,"2,547.72",percent of total billed charges ,"2,547.72",percent of total billed charges ,"2,365.74",percent of total billed charges ,"2,365.74",percent of total billed charges ,"2,426.40",percent of total billed charges ,"2,426.40",percent of total billed charges ,"2,123.10",percent of total billed charges ,"2,123.10",percent of total billed charges ,"1,819.80",percent of total billed charges ,"1,819.80",percent of total billed charges ,"1,819.80",percent of total billed charges ,"1,819.80",percent of total billed charges ,,,,,"1,613.56",percent of total billed charges ,,,,,"1,532.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,,,849.24,percent of total billed charges,
FLEXIBLE TOE IMPLANT,C1776,CDM,,,,both,,,"11,061.00","11,061.00","3,097.08","11,061.00","11,061.00",percent of total billed charges,"11,061.00",percent of total billed charges,"11,061.00",percent of total billed charges,"11,061.00",percent of total billed charges,"11,061.00",percent of total billed charges,"11,061.00",percent of total billed charges,"11,061.00",percent of total billed charges,"11,061.00",percent of total billed charges,"7,963.92",percent of total billed charges,"7,963.92",percent of total billed charges,"7,963.92",percent of total billed charges,"7,963.92",percent of total billed charges,"7,963.92",percent of total billed charges,"7,963.92",percent of total billed charges,"8,185.14",percent of total billed charges,"8,185.14",percent of total billed charges,"8,848.80",percent of total billed charges,"8,848.80",percent of total billed charges,,,"7,963.92",percent of total billed charges ,,,"8,848.80",percent of total billed charges ,"9,291.24",percent of total billed charges ,"9,291.24",percent of total billed charges ,"8,627.58",percent of total billed charges ,"8,627.58",percent of total billed charges ,"8,848.80",percent of total billed charges ,"8,848.80",percent of total billed charges ,"7,742.70",percent of total billed charges ,"7,742.70",percent of total billed charges ,"6,636.60",percent of total billed charges ,"6,636.60",percent of total billed charges ,"6,636.60",percent of total billed charges ,"6,636.60",percent of total billed charges ,,,,,"5,884.45",percent of total billed charges ,,,,,"5,590.23",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,,,"3,097.08",percent of total billed charges,
GOLD PROBE (GI),LOCAL,LOCAL,,,,both,,,483,483,135.24,483,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,357.42,percent of total billed charges,357.42,percent of total billed charges,386.4,percent of total billed charges,386.4,percent of total billed charges,,,347.76,percent of total billed charges ,,,386.4,percent of total billed charges ,405.72,percent of total billed charges ,405.72,percent of total billed charges ,376.74,percent of total billed charges ,376.74,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,338.1,percent of total billed charges ,338.1,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,,,,,256.96,percent of total billed charges ,,,,,244.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,
LOOP RECORDER,C1764,CDM,,,,both,,,"24,369.00","24,369.00","6,823.32","24,369.00","24,369.00",percent of total billed charges,"24,369.00",percent of total billed charges,"24,369.00",percent of total billed charges,"24,369.00",percent of total billed charges,"24,369.00",percent of total billed charges,"24,369.00",percent of total billed charges,"24,369.00",percent of total billed charges,"24,369.00",percent of total billed charges,"17,545.68",percent of total billed charges,"17,545.68",percent of total billed charges,"17,545.68",percent of total billed charges,"17,545.68",percent of total billed charges,"17,545.68",percent of total billed charges,"17,545.68",percent of total billed charges,"18,033.06",percent of total billed charges,"18,033.06",percent of total billed charges,"19,495.20",percent of total billed charges,"19,495.20",percent of total billed charges,,,"17,545.68",percent of total billed charges ,,,"19,495.20",percent of total billed charges ,"20,469.96",percent of total billed charges ,"20,469.96",percent of total billed charges ,"19,007.82",percent of total billed charges ,"19,007.82",percent of total billed charges ,"19,495.20",percent of total billed charges ,"19,495.20",percent of total billed charges ,"17,058.30",percent of total billed charges ,"17,058.30",percent of total billed charges ,"14,621.40",percent of total billed charges ,"14,621.40",percent of total billed charges ,"14,621.40",percent of total billed charges ,"14,621.40",percent of total billed charges ,,,,,"12,964.31",percent of total billed charges ,,,,,"12,316.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,,,"6,823.32",percent of total billed charges,
CAPSULAR TENSION RING,LOCAL,LOCAL,,,,both,,,"2,887.00","2,887.00",808.36,"2,887.00","2,887.00",percent of total billed charges,"2,887.00",percent of total billed charges,"2,887.00",percent of total billed charges,"2,887.00",percent of total billed charges,"2,887.00",percent of total billed charges,"2,887.00",percent of total billed charges,"2,887.00",percent of total billed charges,"2,887.00",percent of total billed charges,"2,078.64",percent of total billed charges,"2,078.64",percent of total billed charges,"2,078.64",percent of total billed charges,"2,078.64",percent of total billed charges,"2,078.64",percent of total billed charges,"2,078.64",percent of total billed charges,"2,136.38",percent of total billed charges,"2,136.38",percent of total billed charges,"2,309.60",percent of total billed charges,"2,309.60",percent of total billed charges,,,"2,078.64",percent of total billed charges ,,,"2,309.60",percent of total billed charges ,"2,425.08",percent of total billed charges ,"2,425.08",percent of total billed charges ,"2,251.86",percent of total billed charges ,"2,251.86",percent of total billed charges ,"2,309.60",percent of total billed charges ,"2,309.60",percent of total billed charges ,"2,020.90",percent of total billed charges ,"2,020.90",percent of total billed charges ,"1,732.20",percent of total billed charges ,"1,732.20",percent of total billed charges ,"1,732.20",percent of total billed charges ,"1,732.20",percent of total billed charges ,,,,,"1,535.88",percent of total billed charges ,,,,,"1,459.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,,,808.36,percent of total billed charges,
GOLD ENDO BAG,LOCAL,LOCAL,,,,both,,,494,494,138.32,494,494,percent of total billed charges,494,percent of total billed charges,494,percent of total billed charges,494,percent of total billed charges,494,percent of total billed charges,494,percent of total billed charges,494,percent of total billed charges,494,percent of total billed charges,355.68,percent of total billed charges,355.68,percent of total billed charges,355.68,percent of total billed charges,355.68,percent of total billed charges,355.68,percent of total billed charges,355.68,percent of total billed charges,365.56,percent of total billed charges,365.56,percent of total billed charges,395.2,percent of total billed charges,395.2,percent of total billed charges,,,355.68,percent of total billed charges ,,,395.2,percent of total billed charges ,414.96,percent of total billed charges ,414.96,percent of total billed charges ,385.32,percent of total billed charges ,385.32,percent of total billed charges ,395.2,percent of total billed charges ,395.2,percent of total billed charges ,345.8,percent of total billed charges ,345.8,percent of total billed charges ,296.4,percent of total billed charges ,296.4,percent of total billed charges ,296.4,percent of total billed charges ,296.4,percent of total billed charges ,,,,,262.81,percent of total billed charges ,,,,,249.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,,,138.32,percent of total billed charges,
DISP SCISSOR TIP,LOCAL,LOCAL,,,,both,,,419,419,117.32,419,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,310.06,percent of total billed charges,310.06,percent of total billed charges,335.2,percent of total billed charges,335.2,percent of total billed charges,,,301.68,percent of total billed charges ,,,335.2,percent of total billed charges ,351.96,percent of total billed charges ,351.96,percent of total billed charges ,326.82,percent of total billed charges ,326.82,percent of total billed charges ,335.2,percent of total billed charges ,335.2,percent of total billed charges ,293.3,percent of total billed charges ,293.3,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,,,,,222.91,percent of total billed charges ,,,,,211.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,
DISP DISECTOR TIP,LOCAL,LOCAL,,,,both,,,613,613,171.64,613,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,453.62,percent of total billed charges,453.62,percent of total billed charges,490.4,percent of total billed charges,490.4,percent of total billed charges,,,441.36,percent of total billed charges ,,,490.4,percent of total billed charges ,514.92,percent of total billed charges ,514.92,percent of total billed charges ,478.14,percent of total billed charges ,478.14,percent of total billed charges ,490.4,percent of total billed charges ,490.4,percent of total billed charges ,429.1,percent of total billed charges ,429.1,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,,,,,326.12,percent of total billed charges ,,,,,309.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,
APC PROBE,LOCAL,LOCAL,,,,both,,,"2,489.00","2,489.00",696.92,"2,489.00","2,489.00",percent of total billed charges,"2,489.00",percent of total billed charges,"2,489.00",percent of total billed charges,"2,489.00",percent of total billed charges,"2,489.00",percent of total billed charges,"2,489.00",percent of total billed charges,"2,489.00",percent of total billed charges,"2,489.00",percent of total billed charges,"1,792.08",percent of total billed charges,"1,792.08",percent of total billed charges,"1,792.08",percent of total billed charges,"1,792.08",percent of total billed charges,"1,792.08",percent of total billed charges,"1,792.08",percent of total billed charges,"1,841.86",percent of total billed charges,"1,841.86",percent of total billed charges,"1,991.20",percent of total billed charges,"1,991.20",percent of total billed charges,,,"1,792.08",percent of total billed charges ,,,"1,991.20",percent of total billed charges ,"2,090.76",percent of total billed charges ,"2,090.76",percent of total billed charges ,"1,941.42",percent of total billed charges ,"1,941.42",percent of total billed charges ,"1,991.20",percent of total billed charges ,"1,991.20",percent of total billed charges ,"1,742.30",percent of total billed charges ,"1,742.30",percent of total billed charges ,"1,493.40",percent of total billed charges ,"1,493.40",percent of total billed charges ,"1,493.40",percent of total billed charges ,"1,493.40",percent of total billed charges ,,,,,"1,324.15",percent of total billed charges ,,,,,"1,257.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,,,696.92,percent of total billed charges,
LIGASURE BLUNT TIP,LOCAL,LOCAL,,,,both,,,"4,282.00","4,282.00","1,198.96","4,282.00","4,282.00",percent of total billed charges,"4,282.00",percent of total billed charges,"4,282.00",percent of total billed charges,"4,282.00",percent of total billed charges,"4,282.00",percent of total billed charges,"4,282.00",percent of total billed charges,"4,282.00",percent of total billed charges,"4,282.00",percent of total billed charges,"3,083.04",percent of total billed charges,"3,083.04",percent of total billed charges,"3,083.04",percent of total billed charges,"3,083.04",percent of total billed charges,"3,083.04",percent of total billed charges,"3,083.04",percent of total billed charges,"3,168.68",percent of total billed charges,"3,168.68",percent of total billed charges,"3,425.60",percent of total billed charges,"3,425.60",percent of total billed charges,,,"3,083.04",percent of total billed charges ,,,"3,425.60",percent of total billed charges ,"3,596.88",percent of total billed charges ,"3,596.88",percent of total billed charges ,"3,339.96",percent of total billed charges ,"3,339.96",percent of total billed charges ,"3,425.60",percent of total billed charges ,"3,425.60",percent of total billed charges ,"2,997.40",percent of total billed charges ,"2,997.40",percent of total billed charges ,"2,569.20",percent of total billed charges ,"2,569.20",percent of total billed charges ,"2,569.20",percent of total billed charges ,"2,569.20",percent of total billed charges ,,,,,"2,278.02",percent of total billed charges ,,,,,"2,164.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,,,"1,198.96",percent of total billed charges,
VENTRALEX MESH 4.3 CM,C1781,CDM,,,,both,,,"5,618.00","5,618.00","1,573.04","5,618.00","5,618.00",percent of total billed charges,"5,618.00",percent of total billed charges,"5,618.00",percent of total billed charges,"5,618.00",percent of total billed charges,"5,618.00",percent of total billed charges,"5,618.00",percent of total billed charges,"5,618.00",percent of total billed charges,"5,618.00",percent of total billed charges,"4,044.96",percent of total billed charges,"4,044.96",percent of total billed charges,"4,044.96",percent of total billed charges,"4,044.96",percent of total billed charges,"4,044.96",percent of total billed charges,"4,044.96",percent of total billed charges,"4,157.32",percent of total billed charges,"4,157.32",percent of total billed charges,"4,494.40",percent of total billed charges,"4,494.40",percent of total billed charges,,,"4,044.96",percent of total billed charges ,,,"4,494.40",percent of total billed charges ,"4,719.12",percent of total billed charges ,"4,719.12",percent of total billed charges ,"4,382.04",percent of total billed charges ,"4,382.04",percent of total billed charges ,"4,494.40",percent of total billed charges ,"4,494.40",percent of total billed charges ,"3,932.60",percent of total billed charges ,"3,932.60",percent of total billed charges ,"3,370.80",percent of total billed charges ,"3,370.80",percent of total billed charges ,"3,370.80",percent of total billed charges ,"3,370.80",percent of total billed charges ,,,,,"2,988.78",percent of total billed charges ,,,,,"2,839.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,,,"1,573.04",percent of total billed charges,
VENTRALEX MESH 6.4 CM,C1781,CDM,,,,both,,,"6,356.00","6,356.00","1,779.68","6,356.00","6,356.00",percent of total billed charges,"6,356.00",percent of total billed charges,"6,356.00",percent of total billed charges,"6,356.00",percent of total billed charges,"6,356.00",percent of total billed charges,"6,356.00",percent of total billed charges,"6,356.00",percent of total billed charges,"6,356.00",percent of total billed charges,"4,576.32",percent of total billed charges,"4,576.32",percent of total billed charges,"4,576.32",percent of total billed charges,"4,576.32",percent of total billed charges,"4,576.32",percent of total billed charges,"4,576.32",percent of total billed charges,"4,703.44",percent of total billed charges,"4,703.44",percent of total billed charges,"5,084.80",percent of total billed charges,"5,084.80",percent of total billed charges,,,"4,576.32",percent of total billed charges ,,,"5,084.80",percent of total billed charges ,"5,339.04",percent of total billed charges ,"5,339.04",percent of total billed charges ,"4,957.68",percent of total billed charges ,"4,957.68",percent of total billed charges ,"5,084.80",percent of total billed charges ,"5,084.80",percent of total billed charges ,"4,449.20",percent of total billed charges ,"4,449.20",percent of total billed charges ,"3,813.60",percent of total billed charges ,"3,813.60",percent of total billed charges ,"3,813.60",percent of total billed charges ,"3,813.60",percent of total billed charges ,,,,,"3,381.39",percent of total billed charges ,,,,,"3,212.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,,,"1,779.68",percent of total billed charges,
VENTRALEX MESH 8.0 CM,C1781,CDM,,,,both,,,"7,902.00","7,902.00","2,212.56","7,902.00","7,902.00",percent of total billed charges,"7,902.00",percent of total billed charges,"7,902.00",percent of total billed charges,"7,902.00",percent of total billed charges,"7,902.00",percent of total billed charges,"7,902.00",percent of total billed charges,"7,902.00",percent of total billed charges,"7,902.00",percent of total billed charges,"5,689.44",percent of total billed charges,"5,689.44",percent of total billed charges,"5,689.44",percent of total billed charges,"5,689.44",percent of total billed charges,"5,689.44",percent of total billed charges,"5,689.44",percent of total billed charges,"5,847.48",percent of total billed charges,"5,847.48",percent of total billed charges,"6,321.60",percent of total billed charges,"6,321.60",percent of total billed charges,,,"5,689.44",percent of total billed charges ,,,"6,321.60",percent of total billed charges ,"6,637.68",percent of total billed charges ,"6,637.68",percent of total billed charges ,"6,163.56",percent of total billed charges ,"6,163.56",percent of total billed charges ,"6,321.60",percent of total billed charges ,"6,321.60",percent of total billed charges ,"5,531.40",percent of total billed charges ,"5,531.40",percent of total billed charges ,"4,741.20",percent of total billed charges ,"4,741.20",percent of total billed charges ,"4,741.20",percent of total billed charges ,"4,741.20",percent of total billed charges ,,,,,"4,203.86",percent of total billed charges ,,,,,"3,993.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,,,"2,212.56",percent of total billed charges,
BARD PERFIX PLUG MESH MED,C1781,CDM,,,,both,,,"3,023.00","3,023.00",846.44,"3,023.00","3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,237.02",percent of total billed charges,"2,237.02",percent of total billed charges,"2,418.40",percent of total billed charges,"2,418.40",percent of total billed charges,,,"2,176.56",percent of total billed charges ,,,"2,418.40",percent of total billed charges ,"2,539.32",percent of total billed charges ,"2,539.32",percent of total billed charges ,"2,357.94",percent of total billed charges ,"2,357.94",percent of total billed charges ,"2,418.40",percent of total billed charges ,"2,418.40",percent of total billed charges ,"2,116.10",percent of total billed charges ,"2,116.10",percent of total billed charges ,"1,813.80",percent of total billed charges ,"1,813.80",percent of total billed charges ,"1,813.80",percent of total billed charges ,"1,813.80",percent of total billed charges ,,,,,"1,608.24",percent of total billed charges ,,,,,"1,527.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,
BARD PERFIX PLUG MESH sm,C1781,CDM,,,,both,,,"2,995.00","2,995.00",838.6,"2,995.00","2,995.00",percent of total billed charges,"2,995.00",percent of total billed charges,"2,995.00",percent of total billed charges,"2,995.00",percent of total billed charges,"2,995.00",percent of total billed charges,"2,995.00",percent of total billed charges,"2,995.00",percent of total billed charges,"2,995.00",percent of total billed charges,"2,156.40",percent of total billed charges,"2,156.40",percent of total billed charges,"2,156.40",percent of total billed charges,"2,156.40",percent of total billed charges,"2,156.40",percent of total billed charges,"2,156.40",percent of total billed charges,"2,216.30",percent of total billed charges,"2,216.30",percent of total billed charges,"2,396.00",percent of total billed charges,"2,396.00",percent of total billed charges,,,"2,156.40",percent of total billed charges ,,,"2,396.00",percent of total billed charges ,"2,515.80",percent of total billed charges ,"2,515.80",percent of total billed charges ,"2,336.10",percent of total billed charges ,"2,336.10",percent of total billed charges ,"2,396.00",percent of total billed charges ,"2,396.00",percent of total billed charges ,"2,096.50",percent of total billed charges ,"2,096.50",percent of total billed charges ,"1,797.00",percent of total billed charges ,"1,797.00",percent of total billed charges ,"1,797.00",percent of total billed charges ,"1,797.00",percent of total billed charges ,,,,,"1,593.34",percent of total billed charges ,,,,,"1,513.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,,,838.6,percent of total billed charges,
D1N25012S Headed Screw 12mm,LOCAL,LOCAL,,,,both,,,"3,193.00","3,193.00",894.04,"3,193.00","3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,362.82",percent of total billed charges,"2,362.82",percent of total billed charges,"2,554.40",percent of total billed charges,"2,554.40",percent of total billed charges,,,"2,298.96",percent of total billed charges ,,,"2,554.40",percent of total billed charges ,"2,682.12",percent of total billed charges ,"2,682.12",percent of total billed charges ,"2,490.54",percent of total billed charges ,"2,490.54",percent of total billed charges ,"2,554.40",percent of total billed charges ,"2,554.40",percent of total billed charges ,"2,235.10",percent of total billed charges ,"2,235.10",percent of total billed charges ,"1,915.80",percent of total billed charges ,"1,915.80",percent of total billed charges ,"1,915.80",percent of total billed charges ,"1,915.80",percent of total billed charges ,,,,,"1,698.68",percent of total billed charges ,,,,,"1,613.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,
D1N25014S Headed Screw 14mm,LOCAL,LOCAL,,,,both,,,"3,193.00","3,193.00",894.04,"3,193.00","3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"3,193.00",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,298.96",percent of total billed charges,"2,362.82",percent of total billed charges,"2,362.82",percent of total billed charges,"2,554.40",percent of total billed charges,"2,554.40",percent of total billed charges,,,"2,298.96",percent of total billed charges ,,,"2,554.40",percent of total billed charges ,"2,682.12",percent of total billed charges ,"2,682.12",percent of total billed charges ,"2,490.54",percent of total billed charges ,"2,490.54",percent of total billed charges ,"2,554.40",percent of total billed charges ,"2,554.40",percent of total billed charges ,"2,235.10",percent of total billed charges ,"2,235.10",percent of total billed charges ,"1,915.80",percent of total billed charges ,"1,915.80",percent of total billed charges ,"1,915.80",percent of total billed charges ,"1,915.80",percent of total billed charges ,,,,,"1,698.68",percent of total billed charges ,,,,,"1,613.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,,,894.04,percent of total billed charges,
DSDS0020 Drill Bit Canulated 2.0 mm,LOCAL,LOCAL,,,,both,,,"2,984.00","2,984.00",835.52,"2,984.00","2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,208.16",percent of total billed charges,"2,208.16",percent of total billed charges,"2,387.20",percent of total billed charges,"2,387.20",percent of total billed charges,,,"2,148.48",percent of total billed charges ,,,"2,387.20",percent of total billed charges ,"2,506.56",percent of total billed charges ,"2,506.56",percent of total billed charges ,"2,327.52",percent of total billed charges ,"2,327.52",percent of total billed charges ,"2,387.20",percent of total billed charges ,"2,387.20",percent of total billed charges ,"2,088.80",percent of total billed charges ,"2,088.80",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,,,,,"1,587.49",percent of total billed charges ,,,,,"1,508.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,
DSDS1009 K-Wire 0.9 x150 Blunt,C1713,CDM,,,,both,,,465,465,130.2,465,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,344.1,percent of total billed charges,344.1,percent of total billed charges,372,percent of total billed charges,372,percent of total billed charges,,,334.8,percent of total billed charges ,,,372,percent of total billed charges ,390.6,percent of total billed charges ,390.6,percent of total billed charges ,362.7,percent of total billed charges ,362.7,percent of total billed charges ,372,percent of total billed charges ,372,percent of total billed charges ,325.5,percent of total billed charges ,325.5,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,,,,,247.38,percent of total billed charges ,,,,,235.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,
DSDS1028 Countersink 2.8 mm,LOCAL,LOCAL,,,,both,,,"2,635.00","2,635.00",737.8,"2,635.00","2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,949.90",percent of total billed charges,"1,949.90",percent of total billed charges,"2,108.00",percent of total billed charges,"2,108.00",percent of total billed charges,,,"1,897.20",percent of total billed charges ,,,"2,108.00",percent of total billed charges ,"2,213.40",percent of total billed charges ,"2,213.40",percent of total billed charges ,"2,055.30",percent of total billed charges ,"2,055.30",percent of total billed charges ,"2,108.00",percent of total billed charges ,"2,108.00",percent of total billed charges ,"1,844.50",percent of total billed charges ,"1,844.50",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,581.00",percent of total billed charges ,,,,,"1,401.82",percent of total billed charges ,,,,,"1,331.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,
DSDS1040 Countersink 4.0 mm,LOCAL,LOCAL,,,,both,,,"2,635.00","2,635.00",737.8,"2,635.00","2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"2,635.00",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,897.20",percent of total billed charges,"1,949.90",percent of total billed charges,"1,949.90",percent of total billed charges,"2,108.00",percent of total billed charges,"2,108.00",percent of total billed charges,,,"1,897.20",percent of total billed charges ,,,"2,108.00",percent of total billed charges ,"2,213.40",percent of total billed charges ,"2,213.40",percent of total billed charges ,"2,055.30",percent of total billed charges ,"2,055.30",percent of total billed charges ,"2,108.00",percent of total billed charges ,"2,108.00",percent of total billed charges ,"1,844.50",percent of total billed charges ,"1,844.50",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,581.00",percent of total billed charges ,"1,581.00",percent of total billed charges ,,,,,"1,401.82",percent of total billed charges ,,,,,"1,331.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,,,737.8,percent of total billed charges,
44-1100005 MUC Screw 3.0 x 18.0 mm,C1713,CDM,,,,both,,,"4,150.00","4,150.00","1,162.00","4,150.00","4,150.00",percent of total billed charges,"4,150.00",percent of total billed charges,"4,150.00",percent of total billed charges,"4,150.00",percent of total billed charges,"4,150.00",percent of total billed charges,"4,150.00",percent of total billed charges,"4,150.00",percent of total billed charges,"4,150.00",percent of total billed charges,"2,988.00",percent of total billed charges,"2,988.00",percent of total billed charges,"2,988.00",percent of total billed charges,"2,988.00",percent of total billed charges,"2,988.00",percent of total billed charges,"2,988.00",percent of total billed charges,"3,071.00",percent of total billed charges,"3,071.00",percent of total billed charges,"3,320.00",percent of total billed charges,"3,320.00",percent of total billed charges,,,"2,988.00",percent of total billed charges ,,,"3,320.00",percent of total billed charges ,"3,486.00",percent of total billed charges ,"3,486.00",percent of total billed charges ,"3,237.00",percent of total billed charges ,"3,237.00",percent of total billed charges ,"3,320.00",percent of total billed charges ,"3,320.00",percent of total billed charges ,"2,905.00",percent of total billed charges ,"2,905.00",percent of total billed charges ,"2,490.00",percent of total billed charges ,"2,490.00",percent of total billed charges ,"2,490.00",percent of total billed charges ,"2,490.00",percent of total billed charges ,,,,,"2,207.80",percent of total billed charges ,,,,,"2,097.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,,,"1,162.00",percent of total billed charges,
45-750001 K WIRE 1.1 x 150 MM,LOCAL,LOCAL,,,,both,,,491,491,137.48,491,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,363.34,percent of total billed charges,363.34,percent of total billed charges,392.8,percent of total billed charges,392.8,percent of total billed charges,,,353.52,percent of total billed charges ,,,392.8,percent of total billed charges ,412.44,percent of total billed charges ,412.44,percent of total billed charges ,382.98,percent of total billed charges ,382.98,percent of total billed charges ,392.8,percent of total billed charges ,392.8,percent of total billed charges ,343.7,percent of total billed charges ,343.7,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,,,,,261.21,percent of total billed charges ,,,,,248.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,
45-765003 Cannulated Drill 3.2 mm,LOCAL,LOCAL,,,,both,,,"2,984.00","2,984.00",835.52,"2,984.00","2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,208.16",percent of total billed charges,"2,208.16",percent of total billed charges,"2,387.20",percent of total billed charges,"2,387.20",percent of total billed charges,,,"2,148.48",percent of total billed charges ,,,"2,387.20",percent of total billed charges ,"2,506.56",percent of total billed charges ,"2,506.56",percent of total billed charges ,"2,327.52",percent of total billed charges ,"2,327.52",percent of total billed charges ,"2,387.20",percent of total billed charges ,"2,387.20",percent of total billed charges ,"2,088.80",percent of total billed charges ,"2,088.80",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,,,,,"1,587.49",percent of total billed charges ,,,,,"1,508.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,
45-803016 Hammertoe Cann 3.0 x 16 mm,LOCAL,LOCAL,,,,both,,,"10,759.00","10,759.00","3,012.52","10,759.00","10,759.00",percent of total billed charges,"10,759.00",percent of total billed charges,"10,759.00",percent of total billed charges,"10,759.00",percent of total billed charges,"10,759.00",percent of total billed charges,"10,759.00",percent of total billed charges,"10,759.00",percent of total billed charges,"10,759.00",percent of total billed charges,"7,746.48",percent of total billed charges,"7,746.48",percent of total billed charges,"7,746.48",percent of total billed charges,"7,746.48",percent of total billed charges,"7,746.48",percent of total billed charges,"7,746.48",percent of total billed charges,"7,961.66",percent of total billed charges,"7,961.66",percent of total billed charges,"8,607.20",percent of total billed charges,"8,607.20",percent of total billed charges,,,"7,746.48",percent of total billed charges ,,,"8,607.20",percent of total billed charges ,"9,037.56",percent of total billed charges ,"9,037.56",percent of total billed charges ,"8,392.02",percent of total billed charges ,"8,392.02",percent of total billed charges ,"8,607.20",percent of total billed charges ,"8,607.20",percent of total billed charges ,"7,531.30",percent of total billed charges ,"7,531.30",percent of total billed charges ,"6,455.40",percent of total billed charges ,"6,455.40",percent of total billed charges ,"6,455.40",percent of total billed charges ,"6,455.40",percent of total billed charges ,,,,,"5,723.79",percent of total billed charges ,,,,,"5,437.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,,,"3,012.52",percent of total billed charges,
45-810003 Drill 2.2 mm Hammertoe,LOCAL,LOCAL,,,,both,,,"2,876.00","2,876.00",805.28,"2,876.00","2,876.00",percent of total billed charges,"2,876.00",percent of total billed charges,"2,876.00",percent of total billed charges,"2,876.00",percent of total billed charges,"2,876.00",percent of total billed charges,"2,876.00",percent of total billed charges,"2,876.00",percent of total billed charges,"2,876.00",percent of total billed charges,"2,070.72",percent of total billed charges,"2,070.72",percent of total billed charges,"2,070.72",percent of total billed charges,"2,070.72",percent of total billed charges,"2,070.72",percent of total billed charges,"2,070.72",percent of total billed charges,"2,128.24",percent of total billed charges,"2,128.24",percent of total billed charges,"2,300.80",percent of total billed charges,"2,300.80",percent of total billed charges,,,"2,070.72",percent of total billed charges ,,,"2,300.80",percent of total billed charges ,"2,415.84",percent of total billed charges ,"2,415.84",percent of total billed charges ,"2,243.28",percent of total billed charges ,"2,243.28",percent of total billed charges ,"2,300.80",percent of total billed charges ,"2,300.80",percent of total billed charges ,"2,013.20",percent of total billed charges ,"2,013.20",percent of total billed charges ,"1,725.60",percent of total billed charges ,"1,725.60",percent of total billed charges ,"1,725.60",percent of total billed charges ,"1,725.60",percent of total billed charges ,,,,,"1,530.03",percent of total billed charges ,,,,,"1,453.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,,,805.28,percent of total billed charges,
44-112004 Cannulated DrilL bit,C1713,CDM,,,,both,,,"2,984.00","2,984.00",835.52,"2,984.00","2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,984.00",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,148.48",percent of total billed charges,"2,208.16",percent of total billed charges,"2,208.16",percent of total billed charges,"2,387.20",percent of total billed charges,"2,387.20",percent of total billed charges,,,"2,148.48",percent of total billed charges ,,,"2,387.20",percent of total billed charges ,"2,506.56",percent of total billed charges ,"2,506.56",percent of total billed charges ,"2,327.52",percent of total billed charges ,"2,327.52",percent of total billed charges ,"2,387.20",percent of total billed charges ,"2,387.20",percent of total billed charges ,"2,088.80",percent of total billed charges ,"2,088.80",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,"1,790.40",percent of total billed charges ,,,,,"1,587.49",percent of total billed charges ,,,,,"1,508.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,,,835.52,percent of total billed charges,
44-112012 MUC 3.0 mm Cann Head Drill,LOCAL,LOCAL,,,,both,,,"3,151.00","3,151.00",882.28,"3,151.00","3,151.00",percent of total billed charges,"3,151.00",percent of total billed charges,"3,151.00",percent of total billed charges,"3,151.00",percent of total billed charges,"3,151.00",percent of total billed charges,"3,151.00",percent of total billed charges,"3,151.00",percent of total billed charges,"3,151.00",percent of total billed charges,"2,268.72",percent of total billed charges,"2,268.72",percent of total billed charges,"2,268.72",percent of total billed charges,"2,268.72",percent of total billed charges,"2,268.72",percent of total billed charges,"2,268.72",percent of total billed charges,"2,331.74",percent of total billed charges,"2,331.74",percent of total billed charges,"2,520.80",percent of total billed charges,"2,520.80",percent of total billed charges,,,"2,268.72",percent of total billed charges ,,,"2,520.80",percent of total billed charges ,"2,646.84",percent of total billed charges ,"2,646.84",percent of total billed charges ,"2,457.78",percent of total billed charges ,"2,457.78",percent of total billed charges ,"2,520.80",percent of total billed charges ,"2,520.80",percent of total billed charges ,"2,205.70",percent of total billed charges ,"2,205.70",percent of total billed charges ,"1,890.60",percent of total billed charges ,"1,890.60",percent of total billed charges ,"1,890.60",percent of total billed charges ,"1,890.60",percent of total billed charges ,,,,,"1,676.33",percent of total billed charges ,,,,,"1,592.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,,,882.28,percent of total billed charges,
D2N25024 Headless screw 24 mm,C1713,CDM,,,,both,,,"4,425.00","4,425.00","1,239.00","4,425.00","4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,274.50",percent of total billed charges,"3,274.50",percent of total billed charges,"3,540.00",percent of total billed charges,"3,540.00",percent of total billed charges,,,"3,186.00",percent of total billed charges ,,,"3,540.00",percent of total billed charges ,"3,717.00",percent of total billed charges ,"3,717.00",percent of total billed charges ,"3,451.50",percent of total billed charges ,"3,451.50",percent of total billed charges ,"3,540.00",percent of total billed charges ,"3,540.00",percent of total billed charges ,"3,097.50",percent of total billed charges ,"3,097.50",percent of total billed charges ,"2,655.00",percent of total billed charges ,"2,655.00",percent of total billed charges ,"2,655.00",percent of total billed charges ,"2,655.00",percent of total billed charges ,,,,,"2,354.10",percent of total billed charges ,,,,,"2,236.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,
44-112000 Single Trocar Wire 1.0 x 150 m,C1713,CDM,,,,both,,,465,465,130.2,465,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,344.1,percent of total billed charges,344.1,percent of total billed charges,372,percent of total billed charges,372,percent of total billed charges,,,334.8,percent of total billed charges ,,,372,percent of total billed charges ,390.6,percent of total billed charges ,390.6,percent of total billed charges ,362.7,percent of total billed charges ,362.7,percent of total billed charges ,372,percent of total billed charges ,372,percent of total billed charges ,325.5,percent of total billed charges ,325.5,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,,,,,247.38,percent of total billed charges ,,,,,235.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,
K WIRE - PARAGON,LOCAL,LOCAL,,,,both,,,240,240,67.2,240,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,,,172.8,percent of total billed charges ,,,192,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,192,percent of total billed charges ,192,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,,,,,127.68,percent of total billed charges ,,,,,121.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,
MINI MONSTER SCREWS,LOCAL,LOCAL,,,,both,,,"1,845.00","1,845.00",516.6,"1,845.00","1,845.00",percent of total billed charges,"1,845.00",percent of total billed charges,"1,845.00",percent of total billed charges,"1,845.00",percent of total billed charges,"1,845.00",percent of total billed charges,"1,845.00",percent of total billed charges,"1,845.00",percent of total billed charges,"1,845.00",percent of total billed charges,"1,328.40",percent of total billed charges,"1,328.40",percent of total billed charges,"1,328.40",percent of total billed charges,"1,328.40",percent of total billed charges,"1,328.40",percent of total billed charges,"1,328.40",percent of total billed charges,"1,365.30",percent of total billed charges,"1,365.30",percent of total billed charges,"1,476.00",percent of total billed charges,"1,476.00",percent of total billed charges,,,"1,328.40",percent of total billed charges ,,,"1,476.00",percent of total billed charges ,"1,549.80",percent of total billed charges ,"1,549.80",percent of total billed charges ,"1,439.10",percent of total billed charges ,"1,439.10",percent of total billed charges ,"1,476.00",percent of total billed charges ,"1,476.00",percent of total billed charges ,"1,291.50",percent of total billed charges ,"1,291.50",percent of total billed charges ,"1,107.00",percent of total billed charges ,"1,107.00",percent of total billed charges ,"1,107.00",percent of total billed charges ,"1,107.00",percent of total billed charges ,,,,,981.54,percent of total billed charges ,,,,,932.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,,,516.6,percent of total billed charges,
COUNTERSINK,LOCAL,LOCAL,,,,both,,,"1,473.00","1,473.00",412.44,"1,473.00","1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,090.02",percent of total billed charges,"1,090.02",percent of total billed charges,"1,178.40",percent of total billed charges,"1,178.40",percent of total billed charges,,,"1,060.56",percent of total billed charges ,,,"1,178.40",percent of total billed charges ,"1,237.32",percent of total billed charges ,"1,237.32",percent of total billed charges ,"1,148.94",percent of total billed charges ,"1,148.94",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,031.10",percent of total billed charges ,"1,031.10",percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,,,,,783.64,percent of total billed charges ,,,,,744.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,
DRILL,LOCAL,LOCAL,,,,both,,,"1,554.00","1,554.00",435.12,"1,554.00","1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,554.00",percent of total billed charges,"1,118.88",percent of total billed charges,"1,118.88",percent of total billed charges,"1,118.88",percent of total billed charges,"1,118.88",percent of total billed charges,"1,118.88",percent of total billed charges,"1,118.88",percent of total billed charges,"1,149.96",percent of total billed charges,"1,149.96",percent of total billed charges,"1,243.20",percent of total billed charges,"1,243.20",percent of total billed charges,,,"1,118.88",percent of total billed charges ,,,"1,243.20",percent of total billed charges ,"1,305.36",percent of total billed charges ,"1,305.36",percent of total billed charges ,"1,212.12",percent of total billed charges ,"1,212.12",percent of total billed charges ,"1,243.20",percent of total billed charges ,"1,243.20",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,932.4,percent of total billed charges ,932.4,percent of total billed charges ,932.4,percent of total billed charges ,932.4,percent of total billed charges ,,,,,826.73,percent of total billed charges ,,,,,785.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,,,435.12,percent of total billed charges,
MBT REV CEM TIB TRAY SZ 2,C1776,CDM,,,,both,,,"28,677.00","28,677.00","8,029.56","28,677.00","28,677.00",percent of total billed charges,"28,677.00",percent of total billed charges,"28,677.00",percent of total billed charges,"28,677.00",percent of total billed charges,"28,677.00",percent of total billed charges,"28,677.00",percent of total billed charges,"28,677.00",percent of total billed charges,"28,677.00",percent of total billed charges,"20,647.44",percent of total billed charges,"20,647.44",percent of total billed charges,"20,647.44",percent of total billed charges,"20,647.44",percent of total billed charges,"20,647.44",percent of total billed charges,"20,647.44",percent of total billed charges,"21,220.98",percent of total billed charges,"21,220.98",percent of total billed charges,"22,941.60",percent of total billed charges,"22,941.60",percent of total billed charges,,,"20,647.44",percent of total billed charges ,,,"22,941.60",percent of total billed charges ,"24,088.68",percent of total billed charges ,"24,088.68",percent of total billed charges ,"22,368.06",percent of total billed charges ,"22,368.06",percent of total billed charges ,"22,941.60",percent of total billed charges ,"22,941.60",percent of total billed charges ,"20,073.90",percent of total billed charges ,"20,073.90",percent of total billed charges ,"17,206.20",percent of total billed charges ,"17,206.20",percent of total billed charges ,"17,206.20",percent of total billed charges ,"17,206.20",percent of total billed charges ,,,,,"15,256.16",percent of total billed charges ,,,,,"14,493.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,,,"8,029.56",percent of total billed charges,
UNIV STEM FLUTED 115X12MM,C1776,CDM,,,,both,,,"13,200.00","13,200.00","3,696.00","13,200.00","13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,"13,200.00",percent of total billed charges,"9,504.00",percent of total billed charges,"9,504.00",percent of total billed charges,"9,504.00",percent of total billed charges,"9,504.00",percent of total billed charges,"9,504.00",percent of total billed charges,"9,504.00",percent of total billed charges,"9,768.00",percent of total billed charges,"9,768.00",percent of total billed charges,"10,560.00",percent of total billed charges,"10,560.00",percent of total billed charges,,,"9,504.00",percent of total billed charges ,,,"10,560.00",percent of total billed charges ,"11,088.00",percent of total billed charges ,"11,088.00",percent of total billed charges ,"10,296.00",percent of total billed charges ,"10,296.00",percent of total billed charges ,"10,560.00",percent of total billed charges ,"10,560.00",percent of total billed charges ,"9,240.00",percent of total billed charges ,"9,240.00",percent of total billed charges ,"7,920.00",percent of total billed charges ,"7,920.00",percent of total billed charges ,"7,920.00",percent of total billed charges ,"7,920.00",percent of total billed charges ,,,,,"7,022.40",percent of total billed charges ,,,,,"6,671.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,,,"3,696.00",percent of total billed charges,
PFC*SIGMA TC3 FEM RT SZ2.5,C1776,CDM,,,,both,,,"34,544.00","34,544.00","9,672.32","34,544.00","34,544.00",percent of total billed charges,"34,544.00",percent of total billed charges,"34,544.00",percent of total billed charges,"34,544.00",percent of total billed charges,"34,544.00",percent of total billed charges,"34,544.00",percent of total billed charges,"34,544.00",percent of total billed charges,"34,544.00",percent of total billed charges,"24,871.68",percent of total billed charges,"24,871.68",percent of total billed charges,"24,871.68",percent of total billed charges,"24,871.68",percent of total billed charges,"24,871.68",percent of total billed charges,"24,871.68",percent of total billed charges,"25,562.56",percent of total billed charges,"25,562.56",percent of total billed charges,"27,635.20",percent of total billed charges,"27,635.20",percent of total billed charges,,,"24,871.68",percent of total billed charges ,,,"27,635.20",percent of total billed charges ,"29,016.96",percent of total billed charges ,"29,016.96",percent of total billed charges ,"26,944.32",percent of total billed charges ,"26,944.32",percent of total billed charges ,"27,635.20",percent of total billed charges ,"27,635.20",percent of total billed charges ,"24,180.80",percent of total billed charges ,"24,180.80",percent of total billed charges ,"20,726.40",percent of total billed charges ,"20,726.40",percent of total billed charges ,"20,726.40",percent of total billed charges ,"20,726.40",percent of total billed charges ,,,,,"18,377.41",percent of total billed charges ,,,,,"17,458.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,,,"9,672.32",percent of total billed charges,
SIGMA FEM ADAPTER 5 DEGREE,C1776,CDM,,,,both,,,"15,345.00","15,345.00","4,296.60","15,345.00","15,345.00",percent of total billed charges,"15,345.00",percent of total billed charges,"15,345.00",percent of total billed charges,"15,345.00",percent of total billed charges,"15,345.00",percent of total billed charges,"15,345.00",percent of total billed charges,"15,345.00",percent of total billed charges,"15,345.00",percent of total billed charges,"11,048.40",percent of total billed charges,"11,048.40",percent of total billed charges,"11,048.40",percent of total billed charges,"11,048.40",percent of total billed charges,"11,048.40",percent of total billed charges,"11,048.40",percent of total billed charges,"11,355.30",percent of total billed charges,"11,355.30",percent of total billed charges,"12,276.00",percent of total billed charges,"12,276.00",percent of total billed charges,,,"11,048.40",percent of total billed charges ,,,"12,276.00",percent of total billed charges ,"12,889.80",percent of total billed charges ,"12,889.80",percent of total billed charges ,"11,969.10",percent of total billed charges ,"11,969.10",percent of total billed charges ,"12,276.00",percent of total billed charges ,"12,276.00",percent of total billed charges ,"10,741.50",percent of total billed charges ,"10,741.50",percent of total billed charges ,"9,207.00",percent of total billed charges ,"9,207.00",percent of total billed charges ,"9,207.00",percent of total billed charges ,"9,207.00",percent of total billed charges ,,,,,"8,163.54",percent of total billed charges ,,,,,"7,755.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,,,"4,296.60",percent of total billed charges,
SIGMA FEM ADAPTER NEUTRAL BOLT,C1776,CDM,,,,both,,,"3,584.00","3,584.00","1,003.52","3,584.00","3,584.00",percent of total billed charges,"3,584.00",percent of total billed charges,"3,584.00",percent of total billed charges,"3,584.00",percent of total billed charges,"3,584.00",percent of total billed charges,"3,584.00",percent of total billed charges,"3,584.00",percent of total billed charges,"3,584.00",percent of total billed charges,"2,580.48",percent of total billed charges,"2,580.48",percent of total billed charges,"2,580.48",percent of total billed charges,"2,580.48",percent of total billed charges,"2,580.48",percent of total billed charges,"2,580.48",percent of total billed charges,"2,652.16",percent of total billed charges,"2,652.16",percent of total billed charges,"2,867.20",percent of total billed charges,"2,867.20",percent of total billed charges,,,"2,580.48",percent of total billed charges ,,,"2,867.20",percent of total billed charges ,"3,010.56",percent of total billed charges ,"3,010.56",percent of total billed charges ,"2,795.52",percent of total billed charges ,"2,795.52",percent of total billed charges ,"2,867.20",percent of total billed charges ,"2,867.20",percent of total billed charges ,"2,508.80",percent of total billed charges ,"2,508.80",percent of total billed charges ,"2,150.40",percent of total billed charges ,"2,150.40",percent of total billed charges ,"2,150.40",percent of total billed charges ,"2,150.40",percent of total billed charges ,,,,,"1,906.69",percent of total billed charges ,,,,,"1,811.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,,,"1,003.52",percent of total billed charges,
"TC3 RP TIBIAL INSERT S2.5, 10.0",C1776,CDM,,,,both,,,"15,029.00","15,029.00","4,208.12","15,029.00","15,029.00",percent of total billed charges,"15,029.00",percent of total billed charges,"15,029.00",percent of total billed charges,"15,029.00",percent of total billed charges,"15,029.00",percent of total billed charges,"15,029.00",percent of total billed charges,"15,029.00",percent of total billed charges,"15,029.00",percent of total billed charges,"10,820.88",percent of total billed charges,"10,820.88",percent of total billed charges,"10,820.88",percent of total billed charges,"10,820.88",percent of total billed charges,"10,820.88",percent of total billed charges,"10,820.88",percent of total billed charges,"11,121.46",percent of total billed charges,"11,121.46",percent of total billed charges,"12,023.20",percent of total billed charges,"12,023.20",percent of total billed charges,,,"10,820.88",percent of total billed charges ,,,"12,023.20",percent of total billed charges ,"12,624.36",percent of total billed charges ,"12,624.36",percent of total billed charges ,"11,722.62",percent of total billed charges ,"11,722.62",percent of total billed charges ,"12,023.20",percent of total billed charges ,"12,023.20",percent of total billed charges ,"10,520.30",percent of total billed charges ,"10,520.30",percent of total billed charges ,"9,017.40",percent of total billed charges ,"9,017.40",percent of total billed charges ,"9,017.40",percent of total billed charges ,"9,017.40",percent of total billed charges ,,,,,"7,995.43",percent of total billed charges ,,,,,"7,595.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,,,"4,208.12",percent of total billed charges,
BARD MESH XL PERFIX PLUG,LOCAL,LOCAL,,,,both,,,"3,639.00","3,639.00","1,018.92","3,639.00","3,639.00",percent of total billed charges,"3,639.00",percent of total billed charges,"3,639.00",percent of total billed charges,"3,639.00",percent of total billed charges,"3,639.00",percent of total billed charges,"3,639.00",percent of total billed charges,"3,639.00",percent of total billed charges,"3,639.00",percent of total billed charges,"2,620.08",percent of total billed charges,"2,620.08",percent of total billed charges,"2,620.08",percent of total billed charges,"2,620.08",percent of total billed charges,"2,620.08",percent of total billed charges,"2,620.08",percent of total billed charges,"2,692.86",percent of total billed charges,"2,692.86",percent of total billed charges,"2,911.20",percent of total billed charges,"2,911.20",percent of total billed charges,,,"2,620.08",percent of total billed charges ,,,"2,911.20",percent of total billed charges ,"3,056.76",percent of total billed charges ,"3,056.76",percent of total billed charges ,"2,838.42",percent of total billed charges ,"2,838.42",percent of total billed charges ,"2,911.20",percent of total billed charges ,"2,911.20",percent of total billed charges ,"2,547.30",percent of total billed charges ,"2,547.30",percent of total billed charges ,"2,183.40",percent of total billed charges ,"2,183.40",percent of total billed charges ,"2,183.40",percent of total billed charges ,"2,183.40",percent of total billed charges ,,,,,"1,935.95",percent of total billed charges ,,,,,"1,839.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,,,"1,018.92",percent of total billed charges,
2.5MM/20MM  CANN COMP HEADLESS SCREW,LOCAL,LOCAL,,,,both,,,"4,642.00","4,642.00","1,299.76","4,642.00","4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,435.08",percent of total billed charges,"3,435.08",percent of total billed charges,"3,713.60",percent of total billed charges,"3,713.60",percent of total billed charges,,,"3,342.24",percent of total billed charges ,,,"3,713.60",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,249.40",percent of total billed charges ,"3,249.40",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,,,,,"2,469.54",percent of total billed charges ,,,,,"2,346.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,
2.5MM/34MM CANN COMP HEADLESS SCREW,LOCAL,LOCAL,,,,both,,,"4,642.00","4,642.00","1,299.76","4,642.00","4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,435.08",percent of total billed charges,"3,435.08",percent of total billed charges,"3,713.60",percent of total billed charges,"3,713.60",percent of total billed charges,,,"3,342.24",percent of total billed charges ,,,"3,713.60",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,249.40",percent of total billed charges ,"3,249.40",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,,,,,"2,469.54",percent of total billed charges ,,,,,"2,346.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,
3.0MM/18MM CANN COMP HEADLESS SCREW,LOCAL,LOCAL,,,,both,,,"4,642.00","4,642.00","1,299.76","4,642.00","4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,435.08",percent of total billed charges,"3,435.08",percent of total billed charges,"3,713.60",percent of total billed charges,"3,713.60",percent of total billed charges,,,"3,342.24",percent of total billed charges ,,,"3,713.60",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,249.40",percent of total billed charges ,"3,249.40",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,,,,,"2,469.54",percent of total billed charges ,,,,,"2,346.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,
1.1MM/150MM GUIDEWIRE TROCAR TIP,LOCAL,LOCAL,,,,both,,,804,804,225.12,804,804,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,578.88,percent of total billed charges,578.88,percent of total billed charges,578.88,percent of total billed charges,578.88,percent of total billed charges,578.88,percent of total billed charges,578.88,percent of total billed charges,594.96,percent of total billed charges,594.96,percent of total billed charges,643.2,percent of total billed charges,643.2,percent of total billed charges,,,578.88,percent of total billed charges ,,,643.2,percent of total billed charges ,675.36,percent of total billed charges ,675.36,percent of total billed charges ,627.12,percent of total billed charges ,627.12,percent of total billed charges ,643.2,percent of total billed charges ,643.2,percent of total billed charges ,562.8,percent of total billed charges ,562.8,percent of total billed charges ,482.4,percent of total billed charges ,482.4,percent of total billed charges ,482.4,percent of total billed charges ,482.4,percent of total billed charges ,,,,,427.73,percent of total billed charges ,,,,,406.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,,,225.12,percent of total billed charges,
2.0MM/145MM CANN DRILL BIT,LOCAL,LOCAL,,,,both,,,"4,525.00","4,525.00","1,267.00","4,525.00","4,525.00",percent of total billed charges,"4,525.00",percent of total billed charges,"4,525.00",percent of total billed charges,"4,525.00",percent of total billed charges,"4,525.00",percent of total billed charges,"4,525.00",percent of total billed charges,"4,525.00",percent of total billed charges,"4,525.00",percent of total billed charges,"3,258.00",percent of total billed charges,"3,258.00",percent of total billed charges,"3,258.00",percent of total billed charges,"3,258.00",percent of total billed charges,"3,258.00",percent of total billed charges,"3,258.00",percent of total billed charges,"3,348.50",percent of total billed charges,"3,348.50",percent of total billed charges,"3,620.00",percent of total billed charges,"3,620.00",percent of total billed charges,,,"3,258.00",percent of total billed charges ,,,"3,620.00",percent of total billed charges ,"3,801.00",percent of total billed charges ,"3,801.00",percent of total billed charges ,"3,529.50",percent of total billed charges ,"3,529.50",percent of total billed charges ,"3,620.00",percent of total billed charges ,"3,620.00",percent of total billed charges ,"3,167.50",percent of total billed charges ,"3,167.50",percent of total billed charges ,"2,715.00",percent of total billed charges ,"2,715.00",percent of total billed charges ,"2,715.00",percent of total billed charges ,"2,715.00",percent of total billed charges ,,,,,"2,407.30",percent of total billed charges ,,,,,"2,286.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,,,"1,267.00",percent of total billed charges,
2.5MM/3.0MM CANN COUNTERSINK HEADLESS SC,LOCAL,LOCAL,,,,both,,,"4,993.00","4,993.00","1,398.04","4,993.00","4,993.00",percent of total billed charges,"4,993.00",percent of total billed charges,"4,993.00",percent of total billed charges,"4,993.00",percent of total billed charges,"4,993.00",percent of total billed charges,"4,993.00",percent of total billed charges,"4,993.00",percent of total billed charges,"4,993.00",percent of total billed charges,"3,594.96",percent of total billed charges,"3,594.96",percent of total billed charges,"3,594.96",percent of total billed charges,"3,594.96",percent of total billed charges,"3,594.96",percent of total billed charges,"3,594.96",percent of total billed charges,"3,694.82",percent of total billed charges,"3,694.82",percent of total billed charges,"3,994.40",percent of total billed charges,"3,994.40",percent of total billed charges,,,"3,594.96",percent of total billed charges ,,,"3,994.40",percent of total billed charges ,"4,194.12",percent of total billed charges ,"4,194.12",percent of total billed charges ,"3,894.54",percent of total billed charges ,"3,894.54",percent of total billed charges ,"3,994.40",percent of total billed charges ,"3,994.40",percent of total billed charges ,"3,495.10",percent of total billed charges ,"3,495.10",percent of total billed charges ,"2,995.80",percent of total billed charges ,"2,995.80",percent of total billed charges ,"2,995.80",percent of total billed charges ,"2,995.80",percent of total billed charges ,,,,,"2,656.28",percent of total billed charges ,,,,,"2,523.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,,,"1,398.04",percent of total billed charges,
2.5MM/26MM CANN COMP HEADLESS SCREW (SYN,C1713,CDM,,,,both,,,"4,642.00","4,642.00","1,299.76","4,642.00","4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"4,642.00",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,342.24",percent of total billed charges,"3,435.08",percent of total billed charges,"3,435.08",percent of total billed charges,"3,713.60",percent of total billed charges,"3,713.60",percent of total billed charges,,,"3,342.24",percent of total billed charges ,,,"3,713.60",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,899.28",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,620.76",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,713.60",percent of total billed charges ,"3,249.40",percent of total billed charges ,"3,249.40",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,"2,785.20",percent of total billed charges ,,,,,"2,469.54",percent of total billed charges ,,,,,"2,346.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,,,"1,299.76",percent of total billed charges,
TEM3015G COVIDIEN PROGRIP MESH 30X15CM,C1781,CDM,,,,both,,,"3,148.00","3,148.00",881.44,"3,148.00","3,148.00",percent of total billed charges,"3,148.00",percent of total billed charges,"3,148.00",percent of total billed charges,"3,148.00",percent of total billed charges,"3,148.00",percent of total billed charges,"3,148.00",percent of total billed charges,"3,148.00",percent of total billed charges,"3,148.00",percent of total billed charges,"2,266.56",percent of total billed charges,"2,266.56",percent of total billed charges,"2,266.56",percent of total billed charges,"2,266.56",percent of total billed charges,"2,266.56",percent of total billed charges,"2,266.56",percent of total billed charges,"2,329.52",percent of total billed charges,"2,329.52",percent of total billed charges,"2,518.40",percent of total billed charges,"2,518.40",percent of total billed charges,,,"2,266.56",percent of total billed charges ,,,"2,518.40",percent of total billed charges ,"2,644.32",percent of total billed charges ,"2,644.32",percent of total billed charges ,"2,455.44",percent of total billed charges ,"2,455.44",percent of total billed charges ,"2,518.40",percent of total billed charges ,"2,518.40",percent of total billed charges ,"2,203.60",percent of total billed charges ,"2,203.60",percent of total billed charges ,"1,888.80",percent of total billed charges ,"1,888.80",percent of total billed charges ,"1,888.80",percent of total billed charges ,"1,888.80",percent of total billed charges ,,,,,"1,674.74",percent of total billed charges ,,,,,"1,591.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,,,881.44,percent of total billed charges,
SYM20 20CM ROUND MESH,C1781,CDM,,,,both,,,"5,328.00","5,328.00","1,491.84","5,328.00","5,328.00",percent of total billed charges,"5,328.00",percent of total billed charges,"5,328.00",percent of total billed charges,"5,328.00",percent of total billed charges,"5,328.00",percent of total billed charges,"5,328.00",percent of total billed charges,"5,328.00",percent of total billed charges,"5,328.00",percent of total billed charges,"3,836.16",percent of total billed charges,"3,836.16",percent of total billed charges,"3,836.16",percent of total billed charges,"3,836.16",percent of total billed charges,"3,836.16",percent of total billed charges,"3,836.16",percent of total billed charges,"3,942.72",percent of total billed charges,"3,942.72",percent of total billed charges,"4,262.40",percent of total billed charges,"4,262.40",percent of total billed charges,,,"3,836.16",percent of total billed charges ,,,"4,262.40",percent of total billed charges ,"4,475.52",percent of total billed charges ,"4,475.52",percent of total billed charges ,"4,155.84",percent of total billed charges ,"4,155.84",percent of total billed charges ,"4,262.40",percent of total billed charges ,"4,262.40",percent of total billed charges ,"3,729.60",percent of total billed charges ,"3,729.60",percent of total billed charges ,"3,196.80",percent of total billed charges ,"3,196.80",percent of total billed charges ,"3,196.80",percent of total billed charges ,"3,196.80",percent of total billed charges ,,,,,"2,834.50",percent of total billed charges ,,,,,"2,692.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,,,"1,491.84",percent of total billed charges,
SCREW T15 110018034 MD 3.5X34MM NS,C1713,CDM,,,,both,,,"1,813.00","1,813.00",507.64,"1,813.00","1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,813.00",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,305.36",percent of total billed charges,"1,341.62",percent of total billed charges,"1,341.62",percent of total billed charges,"1,450.40",percent of total billed charges,"1,450.40",percent of total billed charges,,,"1,305.36",percent of total billed charges ,,,"1,450.40",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,522.92",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,414.14",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,450.40",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,269.10",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,"1,087.80",percent of total billed charges ,,,,,964.52,percent of total billed charges ,,,,,916.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,,,507.64,percent of total billed charges,
**DENTURE CUP,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
RECOVERY RM HOUR,LOCAL,LOCAL,,,,both,,,"1,127.00","1,127.00",315.56,"1,127.00","1,127.00",percent of total billed charges,"1,127.00",percent of total billed charges,"1,127.00",percent of total billed charges,"1,127.00",percent of total billed charges,"1,127.00",percent of total billed charges,"1,127.00",percent of total billed charges,"1,127.00",percent of total billed charges,"1,127.00",percent of total billed charges,811.44,percent of total billed charges,811.44,percent of total billed charges,811.44,percent of total billed charges,811.44,percent of total billed charges,811.44,percent of total billed charges,811.44,percent of total billed charges,833.98,percent of total billed charges,833.98,percent of total billed charges,901.6,percent of total billed charges,901.6,percent of total billed charges,,,811.44,percent of total billed charges ,,,901.6,percent of total billed charges ,946.68,percent of total billed charges ,946.68,percent of total billed charges ,879.06,percent of total billed charges ,879.06,percent of total billed charges ,901.6,percent of total billed charges ,901.6,percent of total billed charges ,788.9,percent of total billed charges ,788.9,percent of total billed charges ,676.2,percent of total billed charges ,676.2,percent of total billed charges ,676.2,percent of total billed charges ,676.2,percent of total billed charges ,,,,,599.56,percent of total billed charges ,,,,,569.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,,,315.56,percent of total billed charges,
RECOVERY RM 15 MIN,LOCAL,LOCAL,,,,both,,,287,287,80.36,287,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,212.38,percent of total billed charges,212.38,percent of total billed charges,229.6,percent of total billed charges,229.6,percent of total billed charges,,,206.64,percent of total billed charges ,,,229.6,percent of total billed charges ,241.08,percent of total billed charges ,241.08,percent of total billed charges ,223.86,percent of total billed charges ,223.86,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,200.9,percent of total billed charges ,200.9,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,,,,,152.68,percent of total billed charges ,,,,,145.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,
RECOVERY RM 6 HRS,LOCAL,LOCAL,,,,both,,,"3,368.00","3,368.00",943.04,"3,368.00","3,368.00",percent of total billed charges,"3,368.00",percent of total billed charges,"3,368.00",percent of total billed charges,"3,368.00",percent of total billed charges,"3,368.00",percent of total billed charges,"3,368.00",percent of total billed charges,"3,368.00",percent of total billed charges,"3,368.00",percent of total billed charges,"2,424.96",percent of total billed charges,"2,424.96",percent of total billed charges,"2,424.96",percent of total billed charges,"2,424.96",percent of total billed charges,"2,424.96",percent of total billed charges,"2,424.96",percent of total billed charges,"2,492.32",percent of total billed charges,"2,492.32",percent of total billed charges,"2,694.40",percent of total billed charges,"2,694.40",percent of total billed charges,,,"2,424.96",percent of total billed charges ,,,"2,694.40",percent of total billed charges ,"2,829.12",percent of total billed charges ,"2,829.12",percent of total billed charges ,"2,627.04",percent of total billed charges ,"2,627.04",percent of total billed charges ,"2,694.40",percent of total billed charges ,"2,694.40",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,020.80",percent of total billed charges ,"2,020.80",percent of total billed charges ,"2,020.80",percent of total billed charges ,"2,020.80",percent of total billed charges ,,,,,"1,791.78",percent of total billed charges ,,,,,"1,702.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,,,943.04,percent of total billed charges,
ER LEVEL 1,99281,CDM,,,,both,,,250,250,70,250,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,,,180,percent of total billed charges ,,,200,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,200,percent of total billed charges ,200,percent of total billed charges ,175,percent of total billed charges ,175,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,,,,,133,percent of total billed charges ,,,,,126.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,
ER LEVEL 2,99282,CDM,,,,both,,,450,450,126,450,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,324,percent of total billed charges ,,,360,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,360,percent of total billed charges ,360,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,,,,,239.4,percent of total billed charges ,,,,,227.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,
ER LEVEL 3,99283,CDM,,,,both,,,950,950,266,950,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,760,percent of total billed charges,760,percent of total billed charges,,,684,percent of total billed charges ,,,760,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,741,percent of total billed charges ,741,percent of total billed charges ,760,percent of total billed charges ,760,percent of total billed charges ,665,percent of total billed charges ,665,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,,,,,505.4,percent of total billed charges ,,,,,480.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,
**MONITER FOR TRANSFER,93236,CDM,,,,both,,,912,912,255.36,912,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,674.88,percent of total billed charges,674.88,percent of total billed charges,729.6,percent of total billed charges,729.6,percent of total billed charges,,,656.64,percent of total billed charges ,,,729.6,percent of total billed charges ,766.08,percent of total billed charges ,766.08,percent of total billed charges ,711.36,percent of total billed charges ,711.36,percent of total billed charges ,729.6,percent of total billed charges ,729.6,percent of total billed charges ,638.4,percent of total billed charges ,638.4,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,,,,,485.18,percent of total billed charges ,,,,,460.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,
ER RN TRANSFER PER HR,LOCAL,LOCAL,,,,both,,,341,341,95.48,341,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,252.34,percent of total billed charges,252.34,percent of total billed charges,272.8,percent of total billed charges,272.8,percent of total billed charges,,,245.52,percent of total billed charges ,,,272.8,percent of total billed charges ,286.44,percent of total billed charges ,286.44,percent of total billed charges ,265.98,percent of total billed charges ,265.98,percent of total billed charges ,272.8,percent of total billed charges ,272.8,percent of total billed charges ,238.7,percent of total billed charges ,238.7,percent of total billed charges ,204.6,percent of total billed charges ,204.6,percent of total billed charges ,204.6,percent of total billed charges ,204.6,percent of total billed charges ,,,,,181.41,percent of total billed charges ,,,,,172.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,
ER LEVEL 4,99284,CDM,,,,both,,,"1,350.00","1,350.00",378,"1,350.00","1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,,,972,percent of total billed charges ,,,"1,080.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,"1,053.00",percent of total billed charges ,"1,053.00",percent of total billed charges ,"1,080.00",percent of total billed charges ,"1,080.00",percent of total billed charges ,945,percent of total billed charges ,945,percent of total billed charges ,810,percent of total billed charges ,810,percent of total billed charges ,810,percent of total billed charges ,810,percent of total billed charges ,,,,,718.2,percent of total billed charges ,,,,,682.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,
ER LEVEL 5,99285,CDM,,,,both,,,"1,750.00","1,750.00",490,"1,750.00","1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,400.00",percent of total billed charges,"1,400.00",percent of total billed charges,,,"1,260.00",percent of total billed charges ,,,"1,400.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,365.00",percent of total billed charges ,"1,365.00",percent of total billed charges ,"1,400.00",percent of total billed charges ,"1,400.00",percent of total billed charges ,"1,225.00",percent of total billed charges ,"1,225.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,,,,,931,percent of total billed charges ,,,,,884.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,
**OCCULT BLOOD COLORECTAL NEO SCREEN,82270,CDM,,,,both,,,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
INJECTION TRIGGER POINT 1/2 MUSCLES,20552,CDM,,,,both,,,985,985,275.8,985,985,percent of total billed charges,985,percent of total billed charges,985,percent of total billed charges,985,percent of total billed charges,985,percent of total billed charges,985,percent of total billed charges,985,percent of total billed charges,985,percent of total billed charges,709.2,percent of total billed charges,709.2,percent of total billed charges,709.2,percent of total billed charges,709.2,percent of total billed charges,709.2,percent of total billed charges,709.2,percent of total billed charges,728.9,percent of total billed charges,728.9,percent of total billed charges,788,percent of total billed charges,788,percent of total billed charges,,,709.2,percent of total billed charges ,,,788,percent of total billed charges ,827.4,percent of total billed charges ,827.4,percent of total billed charges ,768.3,percent of total billed charges ,768.3,percent of total billed charges ,788,percent of total billed charges ,788,percent of total billed charges ,689.5,percent of total billed charges ,689.5,percent of total billed charges ,591,percent of total billed charges ,591,percent of total billed charges ,591,percent of total billed charges ,591,percent of total billed charges ,,,,,524.02,percent of total billed charges ,,,,,497.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,,,275.8,percent of total billed charges,
ERINSERTN OF NON-INDWELLING BLADDER CATH,51701,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
INSERT TEMP INDWELLING CATH SIMPLE,51702,CDM,,,,both,,,430,430,120.4,430,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,318.2,percent of total billed charges,318.2,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,,,309.6,percent of total billed charges ,,,344,percent of total billed charges ,361.2,percent of total billed charges ,361.2,percent of total billed charges ,335.4,percent of total billed charges ,335.4,percent of total billed charges ,344,percent of total billed charges ,344,percent of total billed charges ,301,percent of total billed charges ,301,percent of total billed charges ,258,percent of total billed charges ,258,percent of total billed charges ,258,percent of total billed charges ,258,percent of total billed charges ,,,,,228.76,percent of total billed charges ,,,,,217.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,
INSERT TEMP INDWELLING CATH COMPLICATED,51703,CDM,,,,both,,,485,485,135.8,485,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,358.9,percent of total billed charges,358.9,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,,,349.2,percent of total billed charges ,,,388,percent of total billed charges ,407.4,percent of total billed charges ,407.4,percent of total billed charges ,378.3,percent of total billed charges ,378.3,percent of total billed charges ,388,percent of total billed charges ,388,percent of total billed charges ,339.5,percent of total billed charges ,339.5,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,,,,,258.02,percent of total billed charges ,,,,,245.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,
INSERTN TUN CENT INS CENTRAL W/O PORT 5+,36558,CDM,,,,both,,,"4,772.00","4,772.00","1,336.16","4,772.00","4,772.00",percent of total billed charges,"4,772.00",percent of total billed charges,"4,772.00",percent of total billed charges,"4,772.00",percent of total billed charges,"4,772.00",percent of total billed charges,"4,772.00",percent of total billed charges,"4,772.00",percent of total billed charges,"4,772.00",percent of total billed charges,"3,435.84",percent of total billed charges,"3,435.84",percent of total billed charges,"3,435.84",percent of total billed charges,"3,435.84",percent of total billed charges,"3,435.84",percent of total billed charges,"3,435.84",percent of total billed charges,"3,531.28",percent of total billed charges,"3,531.28",percent of total billed charges,"3,817.60",percent of total billed charges,"3,817.60",percent of total billed charges,,,"3,435.84",percent of total billed charges ,,,"3,817.60",percent of total billed charges ,"4,008.48",percent of total billed charges ,"4,008.48",percent of total billed charges ,"3,722.16",percent of total billed charges ,"3,722.16",percent of total billed charges ,"3,817.60",percent of total billed charges ,"3,817.60",percent of total billed charges ,"3,340.40",percent of total billed charges ,"3,340.40",percent of total billed charges ,"2,863.20",percent of total billed charges ,"2,863.20",percent of total billed charges ,"2,863.20",percent of total billed charges ,"2,863.20",percent of total billed charges ,,,,,"2,538.70",percent of total billed charges ,,,,,"2,411.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,,,"1,336.16",percent of total billed charges,
OCCULT BLOOD OTH THAN COLOREC NEO SCREEN,82272,CDM,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
INJECTION SINGLE TENDON SHEATH LIGAMENT,20550,CDM,,,,both,,,979,979,274.12,979,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,979,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,704.88,percent of total billed charges,724.46,percent of total billed charges,724.46,percent of total billed charges,783.2,percent of total billed charges,783.2,percent of total billed charges,,,704.88,percent of total billed charges ,,,783.2,percent of total billed charges ,822.36,percent of total billed charges ,822.36,percent of total billed charges ,763.62,percent of total billed charges ,763.62,percent of total billed charges ,783.2,percent of total billed charges ,783.2,percent of total billed charges ,685.3,percent of total billed charges ,685.3,percent of total billed charges ,587.4,percent of total billed charges ,587.4,percent of total billed charges ,587.4,percent of total billed charges ,587.4,percent of total billed charges ,,,,,520.83,percent of total billed charges ,,,,,494.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,,,274.12,percent of total billed charges,
INJECTION SINGLE TENDON ORIGIN INSERTION,20551,CDM,,,,both,,,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
MOD SED SAME PHYS/QHP <5 YRS 15 MIN,99151,CDM,,,,both,,,693,693,194.04,693,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,512.82,percent of total billed charges,512.82,percent of total billed charges,554.4,percent of total billed charges,554.4,percent of total billed charges,,,498.96,percent of total billed charges ,,,554.4,percent of total billed charges ,582.12,percent of total billed charges ,582.12,percent of total billed charges ,540.54,percent of total billed charges ,540.54,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,485.1,percent of total billed charges ,485.1,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,,,,,368.68,percent of total billed charges ,,,,,350.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,
MOD SED SAME PHYS/QHP<5YRS EACH ADD 15,99153,CDM,,,,both,,,295,295,82.6,295,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,218.3,percent of total billed charges,218.3,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,,,212.4,percent of total billed charges ,,,236,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,230.1,percent of total billed charges ,230.1,percent of total billed charges ,236,percent of total billed charges ,236,percent of total billed charges ,206.5,percent of total billed charges ,206.5,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,,,,,156.94,percent of total billed charges ,,,,,149.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,
DRAINAGE ABCESS/HEMATOMA NASAL INT APPRO,30000,CDM,,,,both,,,"1,394.00","1,394.00",390.32,"1,394.00","1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,394.00",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,003.68",percent of total billed charges,"1,031.56",percent of total billed charges,"1,031.56",percent of total billed charges,"1,115.20",percent of total billed charges,"1,115.20",percent of total billed charges,,,"1,003.68",percent of total billed charges ,,,"1,115.20",percent of total billed charges ,"1,170.96",percent of total billed charges ,"1,170.96",percent of total billed charges ,"1,087.32",percent of total billed charges ,"1,087.32",percent of total billed charges ,"1,115.20",percent of total billed charges ,"1,115.20",percent of total billed charges ,975.8,percent of total billed charges ,975.8,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,836.4,percent of total billed charges ,,,,,741.61,percent of total billed charges ,,,,,704.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,,,390.32,percent of total billed charges,
**ER MINOR LEVEL 1,99211,CDM,,,,both,,,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
**ER MINOR LEVEL 2,99212,CDM,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**ER MINOR LEVEL 3,99213,CDM,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
EZ IO NEEDLE PEDI,LOCAL,LOCAL,,,,both,,,533,533,149.24,533,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,394.42,percent of total billed charges,394.42,percent of total billed charges,426.4,percent of total billed charges,426.4,percent of total billed charges,,,383.76,percent of total billed charges ,,,426.4,percent of total billed charges ,447.72,percent of total billed charges ,447.72,percent of total billed charges ,415.74,percent of total billed charges ,415.74,percent of total billed charges ,426.4,percent of total billed charges ,426.4,percent of total billed charges ,373.1,percent of total billed charges ,373.1,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,,,,,283.56,percent of total billed charges ,,,,,269.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,
EZ IO NEEDLE MEDIUM,LOCAL,LOCAL,,,,both,,,533,533,149.24,533,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,394.42,percent of total billed charges,394.42,percent of total billed charges,426.4,percent of total billed charges,426.4,percent of total billed charges,,,383.76,percent of total billed charges ,,,426.4,percent of total billed charges ,447.72,percent of total billed charges ,447.72,percent of total billed charges ,415.74,percent of total billed charges ,415.74,percent of total billed charges ,426.4,percent of total billed charges ,426.4,percent of total billed charges ,373.1,percent of total billed charges ,373.1,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,,,,,283.56,percent of total billed charges ,,,,,269.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,
EZ IO NEEDLE LARGE,LOCAL,LOCAL,,,,both,,,532,532,148.96,532,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,393.68,percent of total billed charges,393.68,percent of total billed charges,425.6,percent of total billed charges,425.6,percent of total billed charges,,,383.04,percent of total billed charges ,,,425.6,percent of total billed charges ,446.88,percent of total billed charges ,446.88,percent of total billed charges ,414.96,percent of total billed charges ,414.96,percent of total billed charges ,425.6,percent of total billed charges ,425.6,percent of total billed charges ,372.4,percent of total billed charges ,372.4,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,268.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,
CHEMICAL CAUTERIZATION OF GRANULATION,17250,CDM,,,,both,,,394,394,110.32,394,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,394,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,283.68,percent of total billed charges,291.56,percent of total billed charges,291.56,percent of total billed charges,315.2,percent of total billed charges,315.2,percent of total billed charges,,,283.68,percent of total billed charges ,,,315.2,percent of total billed charges ,330.96,percent of total billed charges ,330.96,percent of total billed charges ,307.32,percent of total billed charges ,307.32,percent of total billed charges ,315.2,percent of total billed charges ,315.2,percent of total billed charges ,275.8,percent of total billed charges ,275.8,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,236.4,percent of total billed charges ,,,,,209.61,percent of total billed charges ,,,,,199.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,,,110.32,percent of total billed charges,
**CHEMICAL PLEURODESIS,32005,CDM,,,,both,,,437,437,122.36,437,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,323.38,percent of total billed charges,323.38,percent of total billed charges,349.6,percent of total billed charges,349.6,percent of total billed charges,,,314.64,percent of total billed charges ,,,349.6,percent of total billed charges ,367.08,percent of total billed charges ,367.08,percent of total billed charges ,340.86,percent of total billed charges ,340.86,percent of total billed charges ,349.6,percent of total billed charges ,349.6,percent of total billed charges ,305.9,percent of total billed charges ,305.9,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,,,,,232.48,percent of total billed charges ,,,,,220.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,
**CONSCIOUS SEDATION-OP,99141,CDM,,,,both,,,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
**I&D ABSCESS SIMPLE OR SINGLE,10060,CDM,,,,both,,,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
I&D ABSCESS SIMPLE OR SINGLE,10060,CDM,,,,both,,,757,757,211.96,757,757,percent of total billed charges,757,percent of total billed charges,757,percent of total billed charges,757,percent of total billed charges,757,percent of total billed charges,757,percent of total billed charges,757,percent of total billed charges,757,percent of total billed charges,545.04,percent of total billed charges,545.04,percent of total billed charges,545.04,percent of total billed charges,545.04,percent of total billed charges,545.04,percent of total billed charges,545.04,percent of total billed charges,560.18,percent of total billed charges,560.18,percent of total billed charges,605.6,percent of total billed charges,605.6,percent of total billed charges,,,545.04,percent of total billed charges ,,,605.6,percent of total billed charges ,635.88,percent of total billed charges ,635.88,percent of total billed charges ,590.46,percent of total billed charges ,590.46,percent of total billed charges ,605.6,percent of total billed charges ,605.6,percent of total billed charges ,529.9,percent of total billed charges ,529.9,percent of total billed charges ,454.2,percent of total billed charges ,454.2,percent of total billed charges ,454.2,percent of total billed charges ,454.2,percent of total billed charges ,,,,,402.72,percent of total billed charges ,,,,,382.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,,,211.96,percent of total billed charges,
I&D UPPER ARM OR ELBOW AREA BURSA,23931,CDM,,,,both,,,"4,691.00","4,691.00","1,313.48","4,691.00","4,691.00",percent of total billed charges,"4,691.00",percent of total billed charges,"4,691.00",percent of total billed charges,"4,691.00",percent of total billed charges,"4,691.00",percent of total billed charges,"4,691.00",percent of total billed charges,"4,691.00",percent of total billed charges,"4,691.00",percent of total billed charges,"3,377.52",percent of total billed charges,"3,377.52",percent of total billed charges,"3,377.52",percent of total billed charges,"3,377.52",percent of total billed charges,"3,377.52",percent of total billed charges,"3,377.52",percent of total billed charges,"3,471.34",percent of total billed charges,"3,471.34",percent of total billed charges,"3,752.80",percent of total billed charges,"3,752.80",percent of total billed charges,,,"3,377.52",percent of total billed charges ,,,"3,752.80",percent of total billed charges ,"3,940.44",percent of total billed charges ,"3,940.44",percent of total billed charges ,"3,658.98",percent of total billed charges ,"3,658.98",percent of total billed charges ,"3,752.80",percent of total billed charges ,"3,752.80",percent of total billed charges ,"3,283.70",percent of total billed charges ,"3,283.70",percent of total billed charges ,"2,814.60",percent of total billed charges ,"2,814.60",percent of total billed charges ,"2,814.60",percent of total billed charges ,"2,814.60",percent of total billed charges ,,,,,"2,495.61",percent of total billed charges ,,,,,"2,370.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,,,"1,313.48",percent of total billed charges,
"I&D OF FINGER ABSCESS, SIMPLE",26010,CDM,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
**I&D ABSCESS COMPLIC OR MULTIPLE,10061,CDM,,,,both,,,259,259,72.52,259,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,191.66,percent of total billed charges,191.66,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,,,186.48,percent of total billed charges ,,,207.2,percent of total billed charges ,217.56,percent of total billed charges ,217.56,percent of total billed charges ,202.02,percent of total billed charges ,202.02,percent of total billed charges ,207.2,percent of total billed charges ,207.2,percent of total billed charges ,181.3,percent of total billed charges ,181.3,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,,,,,137.79,percent of total billed charges ,,,,,130.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,
I&D ABSCESS COMPLIC OR MULTIPLE,10061,CDM,,,,both,,,259,259,72.52,259,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,191.66,percent of total billed charges,191.66,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,,,186.48,percent of total billed charges ,,,207.2,percent of total billed charges ,217.56,percent of total billed charges ,217.56,percent of total billed charges ,202.02,percent of total billed charges ,202.02,percent of total billed charges ,207.2,percent of total billed charges ,207.2,percent of total billed charges ,181.3,percent of total billed charges ,181.3,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,,,,,137.79,percent of total billed charges ,,,,,130.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,
I&D PILONIDAL CYST SIMPLE,10080,CDM,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
INCISION FOREIGN BODY SUBCUT TISS SIMPL,10120,CDM,,,,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
**O/P NURSING SERVICE-15 MIN,Q0081,CDM,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
I&R FOREIGN BODY SUBCUT TISS COMPLI,10121,CDM,,,,both,,,"6,529.00","6,529.00","1,828.12","6,529.00","6,529.00",percent of total billed charges,"6,529.00",percent of total billed charges,"6,529.00",percent of total billed charges,"6,529.00",percent of total billed charges,"6,529.00",percent of total billed charges,"6,529.00",percent of total billed charges,"6,529.00",percent of total billed charges,"6,529.00",percent of total billed charges,"4,700.88",percent of total billed charges,"4,700.88",percent of total billed charges,"4,700.88",percent of total billed charges,"4,700.88",percent of total billed charges,"4,700.88",percent of total billed charges,"4,700.88",percent of total billed charges,"4,831.46",percent of total billed charges,"4,831.46",percent of total billed charges,"5,223.20",percent of total billed charges,"5,223.20",percent of total billed charges,,,"4,700.88",percent of total billed charges ,,,"5,223.20",percent of total billed charges ,"5,484.36",percent of total billed charges ,"5,484.36",percent of total billed charges ,"5,092.62",percent of total billed charges ,"5,092.62",percent of total billed charges ,"5,223.20",percent of total billed charges ,"5,223.20",percent of total billed charges ,"4,570.30",percent of total billed charges ,"4,570.30",percent of total billed charges ,"3,917.40",percent of total billed charges ,"3,917.40",percent of total billed charges ,"3,917.40",percent of total billed charges ,"3,917.40",percent of total billed charges ,,,,,"3,473.43",percent of total billed charges ,,,,,"3,299.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,,,"1,828.12",percent of total billed charges,
I&D HEMATOMA SEROMA/FLUID COLLECTION,10140,CDM,,,,both,,,708,708,198.24,708,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,523.92,percent of total billed charges,523.92,percent of total billed charges,566.4,percent of total billed charges,566.4,percent of total billed charges,,,509.76,percent of total billed charges ,,,566.4,percent of total billed charges ,594.72,percent of total billed charges ,594.72,percent of total billed charges ,552.24,percent of total billed charges ,552.24,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,,,,,376.66,percent of total billed charges ,,,,,357.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,
**I&D HEMATOMA SEROMA OR FLUID COLLEC,10140,CDM,,,,both,,,"1,093.00","1,093.00",306.04,"1,093.00","1,093.00",percent of total billed charges,"1,093.00",percent of total billed charges,"1,093.00",percent of total billed charges,"1,093.00",percent of total billed charges,"1,093.00",percent of total billed charges,"1,093.00",percent of total billed charges,"1,093.00",percent of total billed charges,"1,093.00",percent of total billed charges,786.96,percent of total billed charges,786.96,percent of total billed charges,786.96,percent of total billed charges,786.96,percent of total billed charges,786.96,percent of total billed charges,786.96,percent of total billed charges,808.82,percent of total billed charges,808.82,percent of total billed charges,874.4,percent of total billed charges,874.4,percent of total billed charges,,,786.96,percent of total billed charges ,,,874.4,percent of total billed charges ,918.12,percent of total billed charges ,918.12,percent of total billed charges ,852.54,percent of total billed charges ,852.54,percent of total billed charges ,874.4,percent of total billed charges ,874.4,percent of total billed charges ,765.1,percent of total billed charges ,765.1,percent of total billed charges ,655.8,percent of total billed charges ,655.8,percent of total billed charges ,655.8,percent of total billed charges ,655.8,percent of total billed charges ,,,,,581.48,percent of total billed charges ,,,,,552.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,,,306.04,percent of total billed charges,
PUNCT ASPIR ABSC HEMATOMA BULLA CYST,10160,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
PERICARDIOCENTESIS,33016,CDM,,,,both,,,"5,271.00","5,271.00","1,475.88","5,271.00","5,271.00",percent of total billed charges,"5,271.00",percent of total billed charges,"5,271.00",percent of total billed charges,"5,271.00",percent of total billed charges,"5,271.00",percent of total billed charges,"5,271.00",percent of total billed charges,"5,271.00",percent of total billed charges,"5,271.00",percent of total billed charges,"3,795.12",percent of total billed charges,"3,795.12",percent of total billed charges,"3,795.12",percent of total billed charges,"3,795.12",percent of total billed charges,"3,795.12",percent of total billed charges,"3,795.12",percent of total billed charges,"3,900.54",percent of total billed charges,"3,900.54",percent of total billed charges,"4,216.80",percent of total billed charges,"4,216.80",percent of total billed charges,,,"3,795.12",percent of total billed charges ,,,"4,216.80",percent of total billed charges ,"4,427.64",percent of total billed charges ,"4,427.64",percent of total billed charges ,"4,111.38",percent of total billed charges ,"4,111.38",percent of total billed charges ,"4,216.80",percent of total billed charges ,"4,216.80",percent of total billed charges ,"3,689.70",percent of total billed charges ,"3,689.70",percent of total billed charges ,"3,162.60",percent of total billed charges ,"3,162.60",percent of total billed charges ,"3,162.60",percent of total billed charges ,"3,162.60",percent of total billed charges ,,,,,"2,804.17",percent of total billed charges ,,,,,"2,663.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,,,"1,475.88",percent of total billed charges,
CLSD TRT RADIAL HEAD OR NECK FX W/MANIPU,24655,CDM,,,,both,,,"2,132.00","2,132.00",596.96,"2,132.00","2,132.00",percent of total billed charges,"2,132.00",percent of total billed charges,"2,132.00",percent of total billed charges,"2,132.00",percent of total billed charges,"2,132.00",percent of total billed charges,"2,132.00",percent of total billed charges,"2,132.00",percent of total billed charges,"2,132.00",percent of total billed charges,"1,535.04",percent of total billed charges,"1,535.04",percent of total billed charges,"1,535.04",percent of total billed charges,"1,535.04",percent of total billed charges,"1,535.04",percent of total billed charges,"1,535.04",percent of total billed charges,"1,577.68",percent of total billed charges,"1,577.68",percent of total billed charges,"1,705.60",percent of total billed charges,"1,705.60",percent of total billed charges,,,"1,535.04",percent of total billed charges ,,,"1,705.60",percent of total billed charges ,"1,790.88",percent of total billed charges ,"1,790.88",percent of total billed charges ,"1,662.96",percent of total billed charges ,"1,662.96",percent of total billed charges ,"1,705.60",percent of total billed charges ,"1,705.60",percent of total billed charges ,"1,492.40",percent of total billed charges ,"1,492.40",percent of total billed charges ,"1,279.20",percent of total billed charges ,"1,279.20",percent of total billed charges ,"1,279.20",percent of total billed charges ,"1,279.20",percent of total billed charges ,,,,,"1,134.22",percent of total billed charges ,,,,,"1,077.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,,,596.96,percent of total billed charges,
MOD SED SAME PHYS/QHP 5/>YRS,99152,CDM,,,,both,,,503,503,140.84,503,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,372.22,percent of total billed charges,372.22,percent of total billed charges,402.4,percent of total billed charges,402.4,percent of total billed charges,,,362.16,percent of total billed charges ,,,402.4,percent of total billed charges ,422.52,percent of total billed charges ,422.52,percent of total billed charges ,392.34,percent of total billed charges ,392.34,percent of total billed charges ,402.4,percent of total billed charges ,402.4,percent of total billed charges ,352.1,percent of total billed charges ,352.1,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,,,,,267.6,percent of total billed charges ,,,,,254.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,
INTRODUCTION NEEDLE/INTRACATHETER VEIN,36000,CDM,,,,both,,,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
MOD SED OTH PHYS/QHP EA ADDL 15MINS FAC,99157,CDM,,,,both,,,295,295,82.6,295,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,218.3,percent of total billed charges,218.3,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,,,212.4,percent of total billed charges ,,,236,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,230.1,percent of total billed charges ,230.1,percent of total billed charges ,236,percent of total billed charges ,236,percent of total billed charges ,206.5,percent of total billed charges ,206.5,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,,,,,156.94,percent of total billed charges ,,,,,149.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,
RMVL FOREIGN BODY MUSCLE/TENDON,20525,CDM,,,,both,,,"6,962.00","6,962.00","1,949.36","6,962.00","6,962.00",percent of total billed charges,"6,962.00",percent of total billed charges,"6,962.00",percent of total billed charges,"6,962.00",percent of total billed charges,"6,962.00",percent of total billed charges,"6,962.00",percent of total billed charges,"6,962.00",percent of total billed charges,"6,962.00",percent of total billed charges,"5,012.64",percent of total billed charges,"5,012.64",percent of total billed charges,"5,012.64",percent of total billed charges,"5,012.64",percent of total billed charges,"5,012.64",percent of total billed charges,"5,012.64",percent of total billed charges,"5,151.88",percent of total billed charges,"5,151.88",percent of total billed charges,"5,569.60",percent of total billed charges,"5,569.60",percent of total billed charges,,,"5,012.64",percent of total billed charges ,,,"5,569.60",percent of total billed charges ,"5,848.08",percent of total billed charges ,"5,848.08",percent of total billed charges ,"5,430.36",percent of total billed charges ,"5,430.36",percent of total billed charges ,"5,569.60",percent of total billed charges ,"5,569.60",percent of total billed charges ,"4,873.40",percent of total billed charges ,"4,873.40",percent of total billed charges ,"4,177.20",percent of total billed charges ,"4,177.20",percent of total billed charges ,"4,177.20",percent of total billed charges ,"4,177.20",percent of total billed charges ,,,,,"3,703.78",percent of total billed charges ,,,,,"3,518.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,,,"1,949.36",percent of total billed charges,
DEBRID EXT ECZEMA UP TO 10% OF BODY,11000,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
DEBRID EXT ECZEMA EACH ADD 10% BODY,11001,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**DEBRID SKIN PARTIAL THICKNESS,11040,CDM,,,,both,,,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
**DEBRID SKIN PARTIAL THICKNESS,11040,CDM,,,,both,,,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
**DEBRID SKIN FULL THICKNESS,11041,CDM,,,,both,,,177,177,49.56,177,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,177,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,127.44,percent of total billed charges,130.98,percent of total billed charges,130.98,percent of total billed charges,141.6,percent of total billed charges,141.6,percent of total billed charges,,,127.44,percent of total billed charges ,,,141.6,percent of total billed charges ,148.68,percent of total billed charges ,148.68,percent of total billed charges ,138.06,percent of total billed charges ,138.06,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,123.9,percent of total billed charges ,123.9,percent of total billed charges ,106.2,percent of total billed charges ,106.2,percent of total billed charges ,106.2,percent of total billed charges ,106.2,percent of total billed charges ,,,,,94.16,percent of total billed charges ,,,,,89.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,,,49.56,percent of total billed charges,
**DEBRID SKIN SUBCUT TISSUE,11042,CDM,,,,both,,,711,711,199.08,711,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,526.14,percent of total billed charges,526.14,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,,,511.92,percent of total billed charges ,,,568.8,percent of total billed charges ,597.24,percent of total billed charges ,597.24,percent of total billed charges ,554.58,percent of total billed charges ,554.58,percent of total billed charges ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,497.7,percent of total billed charges ,497.7,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,,,,,378.25,percent of total billed charges ,,,,,359.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,
DEBRID SKIN SUBCUT TISSUE,11042,CDM,,,,both,,,711,711,199.08,711,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,526.14,percent of total billed charges,526.14,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,,,511.92,percent of total billed charges ,,,568.8,percent of total billed charges ,597.24,percent of total billed charges ,597.24,percent of total billed charges ,554.58,percent of total billed charges ,554.58,percent of total billed charges ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,497.7,percent of total billed charges ,497.7,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,,,,,378.25,percent of total billed charges ,,,,,359.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,
DESTRUCTION BENIGN LESIONS 1 TO 14,17110,CDM,,,,both,,,269,269,75.32,269,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,199.06,percent of total billed charges,199.06,percent of total billed charges,215.2,percent of total billed charges,215.2,percent of total billed charges,,,193.68,percent of total billed charges ,,,215.2,percent of total billed charges ,225.96,percent of total billed charges ,225.96,percent of total billed charges ,209.82,percent of total billed charges ,209.82,percent of total billed charges ,215.2,percent of total billed charges ,215.2,percent of total billed charges ,188.3,percent of total billed charges ,188.3,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,,,,,143.11,percent of total billed charges ,,,,,135.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,
DESTRUCTION OF VAGINAL LESION,57061,CDM,,,,both,,,"4,874.00","4,874.00","1,364.72","4,874.00","4,874.00",percent of total billed charges,"4,874.00",percent of total billed charges,"4,874.00",percent of total billed charges,"4,874.00",percent of total billed charges,"4,874.00",percent of total billed charges,"4,874.00",percent of total billed charges,"4,874.00",percent of total billed charges,"4,874.00",percent of total billed charges,"3,509.28",percent of total billed charges,"3,509.28",percent of total billed charges,"3,509.28",percent of total billed charges,"3,509.28",percent of total billed charges,"3,509.28",percent of total billed charges,"3,509.28",percent of total billed charges,"3,606.76",percent of total billed charges,"3,606.76",percent of total billed charges,"3,899.20",percent of total billed charges,"3,899.20",percent of total billed charges,,,"3,509.28",percent of total billed charges ,,,"3,899.20",percent of total billed charges ,"4,094.16",percent of total billed charges ,"4,094.16",percent of total billed charges ,"3,801.72",percent of total billed charges ,"3,801.72",percent of total billed charges ,"3,899.20",percent of total billed charges ,"3,899.20",percent of total billed charges ,"3,411.80",percent of total billed charges ,"3,411.80",percent of total billed charges ,"2,924.40",percent of total billed charges ,"2,924.40",percent of total billed charges ,"2,924.40",percent of total billed charges ,"2,924.40",percent of total billed charges ,,,,,"2,592.97",percent of total billed charges ,,,,,"2,463.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,,,"1,364.72",percent of total billed charges,
AVULSION NAIL PLATE PARTL/COMPL SIMP,11730,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
AVUL NAIL PLATE PART/COMPL EA ADD PL,11732,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**EVAC SUBUNGUAL HEMATOMA,11740,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
EVAC SUBUNGUAL HEMATOMA,11740,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
EXCSN BEN LESN ARM 0.6-1.0 CM,11401,CDM,,,,both,,,894,894,250.32,894,894,percent of total billed charges,894,percent of total billed charges,894,percent of total billed charges,894,percent of total billed charges,894,percent of total billed charges,894,percent of total billed charges,894,percent of total billed charges,894,percent of total billed charges,643.68,percent of total billed charges,643.68,percent of total billed charges,643.68,percent of total billed charges,643.68,percent of total billed charges,643.68,percent of total billed charges,643.68,percent of total billed charges,661.56,percent of total billed charges,661.56,percent of total billed charges,715.2,percent of total billed charges,715.2,percent of total billed charges,,,643.68,percent of total billed charges ,,,715.2,percent of total billed charges ,750.96,percent of total billed charges ,750.96,percent of total billed charges ,697.32,percent of total billed charges ,697.32,percent of total billed charges ,715.2,percent of total billed charges ,715.2,percent of total billed charges ,625.8,percent of total billed charges ,625.8,percent of total billed charges ,536.4,percent of total billed charges ,536.4,percent of total billed charges ,536.4,percent of total billed charges ,536.4,percent of total billed charges ,,,,,475.61,percent of total billed charges ,,,,,451.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,,,250.32,percent of total billed charges,
EXCSN BEN LESN EXCPT SKIN TAG.05 CM/LESS,11420,CDM,,,,both,,,"1,161.00","1,161.00",325.08,"1,161.00","1,161.00",percent of total billed charges,"1,161.00",percent of total billed charges,"1,161.00",percent of total billed charges,"1,161.00",percent of total billed charges,"1,161.00",percent of total billed charges,"1,161.00",percent of total billed charges,"1,161.00",percent of total billed charges,"1,161.00",percent of total billed charges,835.92,percent of total billed charges,835.92,percent of total billed charges,835.92,percent of total billed charges,835.92,percent of total billed charges,835.92,percent of total billed charges,835.92,percent of total billed charges,859.14,percent of total billed charges,859.14,percent of total billed charges,928.8,percent of total billed charges,928.8,percent of total billed charges,,,835.92,percent of total billed charges ,,,928.8,percent of total billed charges ,975.24,percent of total billed charges ,975.24,percent of total billed charges ,905.58,percent of total billed charges ,905.58,percent of total billed charges ,928.8,percent of total billed charges ,928.8,percent of total billed charges ,812.7,percent of total billed charges ,812.7,percent of total billed charges ,696.6,percent of total billed charges ,696.6,percent of total billed charges ,696.6,percent of total billed charges ,696.6,percent of total billed charges ,,,,,617.65,percent of total billed charges ,,,,,586.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,,,325.08,percent of total billed charges,
"EXCSN BEN LESION TRK,ARM,LEGS 2.1-3CM",11403,CDM,,,,both,,,"1,578.00","1,578.00",441.84,"1,578.00","1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,578.00",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,136.16",percent of total billed charges,"1,167.72",percent of total billed charges,"1,167.72",percent of total billed charges,"1,262.40",percent of total billed charges,"1,262.40",percent of total billed charges,,,"1,136.16",percent of total billed charges ,,,"1,262.40",percent of total billed charges ,"1,325.52",percent of total billed charges ,"1,325.52",percent of total billed charges ,"1,230.84",percent of total billed charges ,"1,230.84",percent of total billed charges ,"1,262.40",percent of total billed charges ,"1,262.40",percent of total billed charges ,"1,104.60",percent of total billed charges ,"1,104.60",percent of total billed charges ,946.8,percent of total billed charges ,946.8,percent of total billed charges ,946.8,percent of total billed charges ,946.8,percent of total billed charges ,,,,,839.5,percent of total billed charges ,,,,,797.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,,,441.84,percent of total billed charges,
**EXCISION NAIL PART/COMP PERM REMOVE,11750,CDM,,,,both,,,455,455,127.4,455,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,336.7,percent of total billed charges,336.7,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,,,327.6,percent of total billed charges ,,,364,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,354.9,percent of total billed charges ,354.9,percent of total billed charges ,364,percent of total billed charges ,364,percent of total billed charges ,318.5,percent of total billed charges ,318.5,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,,,,,242.06,percent of total billed charges ,,,,,229.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,
EXCSN BEN LESN- 0.5 CM,11400,CDM,,,,both,,,910,910,254.8,910,910,percent of total billed charges,910,percent of total billed charges,910,percent of total billed charges,910,percent of total billed charges,910,percent of total billed charges,910,percent of total billed charges,910,percent of total billed charges,910,percent of total billed charges,655.2,percent of total billed charges,655.2,percent of total billed charges,655.2,percent of total billed charges,655.2,percent of total billed charges,655.2,percent of total billed charges,655.2,percent of total billed charges,673.4,percent of total billed charges,673.4,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,,,655.2,percent of total billed charges ,,,728,percent of total billed charges ,764.4,percent of total billed charges ,764.4,percent of total billed charges ,709.8,percent of total billed charges ,709.8,percent of total billed charges ,728,percent of total billed charges ,728,percent of total billed charges ,637,percent of total billed charges ,637,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,,,,,484.12,percent of total billed charges ,,,,,459.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,,,254.8,percent of total billed charges,
EXCSN BEN LESN SCALP 2.1-3.0,11423,CDM,,,,both,,,"4,729.00","4,729.00","1,324.12","4,729.00","4,729.00",percent of total billed charges,"4,729.00",percent of total billed charges,"4,729.00",percent of total billed charges,"4,729.00",percent of total billed charges,"4,729.00",percent of total billed charges,"4,729.00",percent of total billed charges,"4,729.00",percent of total billed charges,"4,729.00",percent of total billed charges,"3,404.88",percent of total billed charges,"3,404.88",percent of total billed charges,"3,404.88",percent of total billed charges,"3,404.88",percent of total billed charges,"3,404.88",percent of total billed charges,"3,404.88",percent of total billed charges,"3,499.46",percent of total billed charges,"3,499.46",percent of total billed charges,"3,783.20",percent of total billed charges,"3,783.20",percent of total billed charges,,,"3,404.88",percent of total billed charges ,,,"3,783.20",percent of total billed charges ,"3,972.36",percent of total billed charges ,"3,972.36",percent of total billed charges ,"3,688.62",percent of total billed charges ,"3,688.62",percent of total billed charges ,"3,783.20",percent of total billed charges ,"3,783.20",percent of total billed charges ,"3,310.30",percent of total billed charges ,"3,310.30",percent of total billed charges ,"2,837.40",percent of total billed charges ,"2,837.40",percent of total billed charges ,"2,837.40",percent of total billed charges ,"2,837.40",percent of total billed charges ,,,,,"2,515.83",percent of total billed charges ,,,,,"2,390.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,,,"1,324.12",percent of total billed charges,
EXCSN BEN LESN SCALP 0.6 CM-1.0 CM,11421,CDM,,,,both,,,"1,046.00","1,046.00",292.88,"1,046.00","1,046.00",percent of total billed charges,"1,046.00",percent of total billed charges,"1,046.00",percent of total billed charges,"1,046.00",percent of total billed charges,"1,046.00",percent of total billed charges,"1,046.00",percent of total billed charges,"1,046.00",percent of total billed charges,"1,046.00",percent of total billed charges,753.12,percent of total billed charges,753.12,percent of total billed charges,753.12,percent of total billed charges,753.12,percent of total billed charges,753.12,percent of total billed charges,753.12,percent of total billed charges,774.04,percent of total billed charges,774.04,percent of total billed charges,836.8,percent of total billed charges,836.8,percent of total billed charges,,,753.12,percent of total billed charges ,,,836.8,percent of total billed charges ,878.64,percent of total billed charges ,878.64,percent of total billed charges ,815.88,percent of total billed charges ,815.88,percent of total billed charges ,836.8,percent of total billed charges ,836.8,percent of total billed charges ,732.2,percent of total billed charges ,732.2,percent of total billed charges ,627.6,percent of total billed charges ,627.6,percent of total billed charges ,627.6,percent of total billed charges ,627.6,percent of total billed charges ,,,,,556.47,percent of total billed charges ,,,,,528.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,,,292.88,percent of total billed charges,
EXCSN BEN LESN F/E/E/N/L/MM 0.6 - 1.0 CM,11441,CDM,,,,both,,,"1,352.00","1,352.00",378.56,"1,352.00","1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,"1,000.48",percent of total billed charges,"1,000.48",percent of total billed charges,"1,081.60",percent of total billed charges,"1,081.60",percent of total billed charges,,,973.44,percent of total billed charges ,,,"1,081.60",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,081.60",percent of total billed charges ,"1,081.60",percent of total billed charges ,946.4,percent of total billed charges ,946.4,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,,,,,719.26,percent of total billed charges ,,,,,683.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,
EXCISION PILONIDAL CYST/SINUS SIMPLE,11770,CDM,,,,both,,,"8,968.00","8,968.00","2,511.04","8,968.00","8,968.00",percent of total billed charges,"8,968.00",percent of total billed charges,"8,968.00",percent of total billed charges,"8,968.00",percent of total billed charges,"8,968.00",percent of total billed charges,"8,968.00",percent of total billed charges,"8,968.00",percent of total billed charges,"8,968.00",percent of total billed charges,"6,456.96",percent of total billed charges,"6,456.96",percent of total billed charges,"6,456.96",percent of total billed charges,"6,456.96",percent of total billed charges,"6,456.96",percent of total billed charges,"6,456.96",percent of total billed charges,"6,636.32",percent of total billed charges,"6,636.32",percent of total billed charges,"7,174.40",percent of total billed charges,"7,174.40",percent of total billed charges,,,"6,456.96",percent of total billed charges ,,,"7,174.40",percent of total billed charges ,"7,533.12",percent of total billed charges ,"7,533.12",percent of total billed charges ,"6,995.04",percent of total billed charges ,"6,995.04",percent of total billed charges ,"7,174.40",percent of total billed charges ,"7,174.40",percent of total billed charges ,"6,277.60",percent of total billed charges ,"6,277.60",percent of total billed charges ,"5,380.80",percent of total billed charges ,"5,380.80",percent of total billed charges ,"5,380.80",percent of total billed charges ,"5,380.80",percent of total billed charges ,,,,,"4,770.98",percent of total billed charges ,,,,,"4,532.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,,,"2,511.04",percent of total billed charges,
**SIMP REPR SUPERFICIAL WND 2.5CM OR <,12001,CDM,,,,both,,,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
SIMP REPR SUPERFICIAL WND 2.5CM OR <,12001,CDM,,,,both,,,635,635,177.8,635,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,469.9,percent of total billed charges,469.9,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,,,457.2,percent of total billed charges ,,,508,percent of total billed charges ,533.4,percent of total billed charges ,533.4,percent of total billed charges ,495.3,percent of total billed charges ,495.3,percent of total billed charges ,508,percent of total billed charges ,508,percent of total billed charges ,444.5,percent of total billed charges ,444.5,percent of total billed charges ,381,percent of total billed charges ,381,percent of total billed charges ,381,percent of total billed charges ,381,percent of total billed charges ,,,,,337.82,percent of total billed charges ,,,,,320.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,
**SIMP REPR SUPERFCL WND 2.6-7.5CM,12002,CDM,,,,both,,,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
SIMP REPR SUPERFCL WND 2.6-7.5CM,12002,CDM,,,,both,,,572,572,160.16,572,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,423.28,percent of total billed charges,423.28,percent of total billed charges,457.6,percent of total billed charges,457.6,percent of total billed charges,,,411.84,percent of total billed charges ,,,457.6,percent of total billed charges ,480.48,percent of total billed charges ,480.48,percent of total billed charges ,446.16,percent of total billed charges ,446.16,percent of total billed charges ,457.6,percent of total billed charges ,457.6,percent of total billed charges ,400.4,percent of total billed charges ,400.4,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,,,,,304.3,percent of total billed charges ,,,,,289.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,
**SIMPLE REPR SUPERFCL WND 7.6-12.5CM,12004,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
SIMPLE REPR SUPERFCL WND 7.6-12.5CM,12004,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
SIMP RPR SUPERFCL WND 12.6-20.0 CM,12005,CDM,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
SIMPLE REP SUPERFCL WND 20.1-30.0CM,12006,CDM,,,,both,,,231,231,64.68,231,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,184.8,percent of total billed charges,184.8,percent of total billed charges,,,166.32,percent of total billed charges ,,,184.8,percent of total billed charges ,194.04,percent of total billed charges ,194.04,percent of total billed charges ,180.18,percent of total billed charges ,180.18,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,161.7,percent of total billed charges ,161.7,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,,,,,122.89,percent of total billed charges ,,,,,116.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,
SIMPLE REPAIR > 30.0CM,12007,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
SIMPLE REP 2.5CM OR <FACE EAR EYELI,12011,CDM,,,,both,,,663,663,185.64,663,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,490.62,percent of total billed charges,490.62,percent of total billed charges,530.4,percent of total billed charges,530.4,percent of total billed charges,,,477.36,percent of total billed charges ,,,530.4,percent of total billed charges ,556.92,percent of total billed charges ,556.92,percent of total billed charges ,517.14,percent of total billed charges ,517.14,percent of total billed charges ,530.4,percent of total billed charges ,530.4,percent of total billed charges ,464.1,percent of total billed charges ,464.1,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,,,,,352.72,percent of total billed charges ,,,,,335.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,
**SIMPLE REP 2.5 CM OR <FACE EAR EYE,12011,CDM,,,,both,,,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
**SIMPLE REP 2.6-5.0CM FACE EAR EYELID,12013,CDM,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
SIMPLE REP 2.6-5.0CM FACE EAR EYELID,12013,CDM,,,,both,,,705,705,197.4,705,705,percent of total billed charges,705,percent of total billed charges,705,percent of total billed charges,705,percent of total billed charges,705,percent of total billed charges,705,percent of total billed charges,705,percent of total billed charges,705,percent of total billed charges,507.6,percent of total billed charges,507.6,percent of total billed charges,507.6,percent of total billed charges,507.6,percent of total billed charges,507.6,percent of total billed charges,507.6,percent of total billed charges,521.7,percent of total billed charges,521.7,percent of total billed charges,564,percent of total billed charges,564,percent of total billed charges,,,507.6,percent of total billed charges ,,,564,percent of total billed charges ,592.2,percent of total billed charges ,592.2,percent of total billed charges ,549.9,percent of total billed charges ,549.9,percent of total billed charges ,564,percent of total billed charges ,564,percent of total billed charges ,493.5,percent of total billed charges ,493.5,percent of total billed charges ,423,percent of total billed charges ,423,percent of total billed charges ,423,percent of total billed charges ,423,percent of total billed charges ,,,,,375.06,percent of total billed charges ,,,,,356.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,,,197.4,percent of total billed charges,
SIMP REP 5.1-7.5CM FACE EAR EYELID N,12014,CDM,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
**SIMPLE REP 5.1-7.5CM FACE EAR EYELID,12014,CDM,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
SIMPLE REP 7.6-12.5CM FACE EAR EYELI,12015,CDM,,,,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
**SIMPLE REP 12.6-20.0CM FACE EAR EYEL,12016,CDM,,,,both,,,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
SIMPLE REP 12.6-20.0CM FACE EAR EYEL,12016,CDM,,,,both,,,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
SIMPLE REP 20.1-30CM FACE EAR EYELID,12017,CDM,,,,both,,,"1,245.00","1,245.00",348.6,"1,245.00","1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,921.3,percent of total billed charges,921.3,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,,,896.4,percent of total billed charges ,,,996,percent of total billed charges ,"1,045.80",percent of total billed charges ,"1,045.80",percent of total billed charges ,971.1,percent of total billed charges ,971.1,percent of total billed charges ,996,percent of total billed charges ,996,percent of total billed charges ,871.5,percent of total billed charges ,871.5,percent of total billed charges ,747,percent of total billed charges ,747,percent of total billed charges ,747,percent of total billed charges ,747,percent of total billed charges ,,,,,662.34,percent of total billed charges ,,,,,629.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,
SIMPLE REP >30CM FACE EAR EYELID NO,12018,CDM,,,,both,,,393,393,110.04,393,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,290.82,percent of total billed charges,290.82,percent of total billed charges,314.4,percent of total billed charges,314.4,percent of total billed charges,,,282.96,percent of total billed charges ,,,314.4,percent of total billed charges ,330.12,percent of total billed charges ,330.12,percent of total billed charges ,306.54,percent of total billed charges ,306.54,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,275.1,percent of total billed charges ,275.1,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,,,,,209.08,percent of total billed charges ,,,,,198.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,
SIMPLE CLSR SUPERFICL WND DEHISCENCE,12020,CDM,,,,both,,,"3,668.00","3,668.00","1,027.04","3,668.00","3,668.00",percent of total billed charges,"3,668.00",percent of total billed charges,"3,668.00",percent of total billed charges,"3,668.00",percent of total billed charges,"3,668.00",percent of total billed charges,"3,668.00",percent of total billed charges,"3,668.00",percent of total billed charges,"3,668.00",percent of total billed charges,"2,640.96",percent of total billed charges,"2,640.96",percent of total billed charges,"2,640.96",percent of total billed charges,"2,640.96",percent of total billed charges,"2,640.96",percent of total billed charges,"2,640.96",percent of total billed charges,"2,714.32",percent of total billed charges,"2,714.32",percent of total billed charges,"2,934.40",percent of total billed charges,"2,934.40",percent of total billed charges,,,"2,640.96",percent of total billed charges ,,,"2,934.40",percent of total billed charges ,"3,081.12",percent of total billed charges ,"3,081.12",percent of total billed charges ,"2,861.04",percent of total billed charges ,"2,861.04",percent of total billed charges ,"2,934.40",percent of total billed charges ,"2,934.40",percent of total billed charges ,"2,567.60",percent of total billed charges ,"2,567.60",percent of total billed charges ,"2,200.80",percent of total billed charges ,"2,200.80",percent of total billed charges ,"2,200.80",percent of total billed charges ,"2,200.80",percent of total billed charges ,,,,,"1,951.38",percent of total billed charges ,,,,,"1,853.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,,,"1,027.04",percent of total billed charges,
SUPERFCL WND DEHISCENCE W/PACKING,12021,CDM,,,,both,,,309,309,86.52,309,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,228.66,percent of total billed charges,228.66,percent of total billed charges,247.2,percent of total billed charges,247.2,percent of total billed charges,,,222.48,percent of total billed charges ,,,247.2,percent of total billed charges ,259.56,percent of total billed charges ,259.56,percent of total billed charges ,241.02,percent of total billed charges ,241.02,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,216.3,percent of total billed charges ,216.3,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,,,,,164.39,percent of total billed charges ,,,,,156.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,
LAYER CLSR WND 2.5CM OR<SCALP AXILL,12031,CDM,,,,both,,,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
**LAYER CLOSR WND SCALP AXI TRUNK,12032,CDM,,,,both,,,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
LAYER CLOSR WND SCALP AXI TRUNK,12032,CDM,,,,both,,,"1,058.00","1,058.00",296.24,"1,058.00","1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,"1,058.00",percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,761.76,percent of total billed charges,782.92,percent of total billed charges,782.92,percent of total billed charges,846.4,percent of total billed charges,846.4,percent of total billed charges,,,761.76,percent of total billed charges ,,,846.4,percent of total billed charges ,888.72,percent of total billed charges ,888.72,percent of total billed charges ,825.24,percent of total billed charges ,825.24,percent of total billed charges ,846.4,percent of total billed charges ,846.4,percent of total billed charges ,740.6,percent of total billed charges ,740.6,percent of total billed charges ,634.8,percent of total billed charges ,634.8,percent of total billed charges ,634.8,percent of total billed charges ,634.8,percent of total billed charges ,,,,,562.86,percent of total billed charges ,,,,,534.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,,,296.24,percent of total billed charges,
**LAYER CLSR WND 7.6CM-12.5CM SCALP AX,12034,CDM,,,,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
LAYER CLOSR WND 7.6 CM-12.5CM SCALP,12034,CDM,,,,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
LAYER CLSR WND 12.6-20.0CM SCALP AXI,12035,CDM,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
LAYER CLOS WND 20.1-30.0 CM SCALP AX,12036,CDM,,,,both,,,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
LAYER CLOS WND OVER 30.0 SCALP AXI,12037,CDM,,,,both,,,"3,170.00","3,170.00",887.6,"3,170.00","3,170.00",percent of total billed charges,"3,170.00",percent of total billed charges,"3,170.00",percent of total billed charges,"3,170.00",percent of total billed charges,"3,170.00",percent of total billed charges,"3,170.00",percent of total billed charges,"3,170.00",percent of total billed charges,"3,170.00",percent of total billed charges,"2,282.40",percent of total billed charges,"2,282.40",percent of total billed charges,"2,282.40",percent of total billed charges,"2,282.40",percent of total billed charges,"2,282.40",percent of total billed charges,"2,282.40",percent of total billed charges,"2,345.80",percent of total billed charges,"2,345.80",percent of total billed charges,"2,536.00",percent of total billed charges,"2,536.00",percent of total billed charges,,,"2,282.40",percent of total billed charges ,,,"2,536.00",percent of total billed charges ,"2,662.80",percent of total billed charges ,"2,662.80",percent of total billed charges ,"2,472.60",percent of total billed charges ,"2,472.60",percent of total billed charges ,"2,536.00",percent of total billed charges ,"2,536.00",percent of total billed charges ,"2,219.00",percent of total billed charges ,"2,219.00",percent of total billed charges ,"1,902.00",percent of total billed charges ,"1,902.00",percent of total billed charges ,"1,902.00",percent of total billed charges ,"1,902.00",percent of total billed charges ,,,,,"1,686.44",percent of total billed charges ,,,,,"1,602.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,,,887.6,percent of total billed charges,
LAYER CLOS WND 2.5CM< NECK HANDS FT,12041,CDM,,,,both,,,116,116,32.48,116,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,85.84,percent of total billed charges,85.84,percent of total billed charges,92.8,percent of total billed charges,92.8,percent of total billed charges,,,83.52,percent of total billed charges ,,,92.8,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,90.48,percent of total billed charges ,90.48,percent of total billed charges ,92.8,percent of total billed charges ,92.8,percent of total billed charges ,81.2,percent of total billed charges ,81.2,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,,,,,61.71,percent of total billed charges ,,,,,58.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,
**LAYER CLSR WND 2.5 OR < NECK HAND FT,12041,CDM,,,,both,,,116,116,32.48,116,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,85.84,percent of total billed charges,85.84,percent of total billed charges,92.8,percent of total billed charges,92.8,percent of total billed charges,,,83.52,percent of total billed charges ,,,92.8,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,90.48,percent of total billed charges ,90.48,percent of total billed charges ,92.8,percent of total billed charges ,92.8,percent of total billed charges ,81.2,percent of total billed charges ,81.2,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,,,,,61.71,percent of total billed charges ,,,,,58.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,
**LAYER CLOS WND 2.6-7.5 CM NECK HAND,12042,CDM,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
LAYER CLOS WND 2.6-7.5 CM NECK HAND,12042,CDM,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
**LAYER CLSR WND 7.6-12.5CM NECK HAND,12044,CDM,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
LAYER CLOSR WND 7.6-12.5CM NECK HAND,12044,CDM,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
**LAYER CLSR 12.6-20.0CM NECK HAND FT,12045,CDM,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
LAYER CLOS 12.6-20.0 CM NECK HAND FT,12045,CDM,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
LAYER CLOS WND OVER 30.0CM NECK HAND,12047,CDM,,,,both,,,613,613,171.64,613,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,453.62,percent of total billed charges,453.62,percent of total billed charges,490.4,percent of total billed charges,490.4,percent of total billed charges,,,441.36,percent of total billed charges ,,,490.4,percent of total billed charges ,514.92,percent of total billed charges ,514.92,percent of total billed charges ,478.14,percent of total billed charges ,478.14,percent of total billed charges ,490.4,percent of total billed charges ,490.4,percent of total billed charges ,429.1,percent of total billed charges ,429.1,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,,,,,326.12,percent of total billed charges ,,,,,309.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,
LAYER CLS WND 2.5 CM OR < FACE EARS,12051,CDM,,,,both,,,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
LAYER CLS WND 2.6-5.0 CM FACE ARS,12052,CDM,,,,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
**LAYER CLS WND 2.6-5.0 CM FACE EARS,12052,CDM,,,,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
LAYER CLS WND 5.1-7.5 CM FACE EAR,12053,CDM,,,,both,,,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
LAYER CLS WND 7.6-12.5CM FACE EAR,12054,CDM,,,,both,,,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
LAYER CLS WND 12.6-20.0CM FACE EARS,12055,CDM,,,,both,,,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
LAYER CLS WND 20.1-30.0CM FACE EAR,12056,CDM,,,,both,,,140,140,39.2,140,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,103.6,percent of total billed charges,103.6,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,,,100.8,percent of total billed charges ,,,112,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,112,percent of total billed charges ,112,percent of total billed charges ,98,percent of total billed charges ,98,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,,,,,74.48,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,
LAYER CLS WND >30.0CM FACE EARS NO,12057,CDM,,,,both,,,"2,026.00","2,026.00",567.28,"2,026.00","2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"2,026.00",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,458.72",percent of total billed charges,"1,499.24",percent of total billed charges,"1,499.24",percent of total billed charges,"1,620.80",percent of total billed charges,"1,620.80",percent of total billed charges,,,"1,458.72",percent of total billed charges ,,,"1,620.80",percent of total billed charges ,"1,701.84",percent of total billed charges ,"1,701.84",percent of total billed charges ,"1,580.28",percent of total billed charges ,"1,580.28",percent of total billed charges ,"1,620.80",percent of total billed charges ,"1,620.80",percent of total billed charges ,"1,418.20",percent of total billed charges ,"1,418.20",percent of total billed charges ,"1,215.60",percent of total billed charges ,"1,215.60",percent of total billed charges ,"1,215.60",percent of total billed charges ,"1,215.60",percent of total billed charges ,,,,,"1,077.83",percent of total billed charges ,,,,,"1,023.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,,,567.28,percent of total billed charges,
REP EX TENDON FINGER PRIM OR 2ND W/O GRA,26418,CDM,,,,both,,,"5,662.00","5,662.00","1,585.36","5,662.00","5,662.00",percent of total billed charges,"5,662.00",percent of total billed charges,"5,662.00",percent of total billed charges,"5,662.00",percent of total billed charges,"5,662.00",percent of total billed charges,"5,662.00",percent of total billed charges,"5,662.00",percent of total billed charges,"5,662.00",percent of total billed charges,"4,076.64",percent of total billed charges,"4,076.64",percent of total billed charges,"4,076.64",percent of total billed charges,"4,076.64",percent of total billed charges,"4,076.64",percent of total billed charges,"4,076.64",percent of total billed charges,"4,189.88",percent of total billed charges,"4,189.88",percent of total billed charges,"4,529.60",percent of total billed charges,"4,529.60",percent of total billed charges,,,"4,076.64",percent of total billed charges ,,,"4,529.60",percent of total billed charges ,"4,756.08",percent of total billed charges ,"4,756.08",percent of total billed charges ,"4,416.36",percent of total billed charges ,"4,416.36",percent of total billed charges ,"4,529.60",percent of total billed charges ,"4,529.60",percent of total billed charges ,"3,963.40",percent of total billed charges ,"3,963.40",percent of total billed charges ,"3,397.20",percent of total billed charges ,"3,397.20",percent of total billed charges ,"3,397.20",percent of total billed charges ,"3,397.20",percent of total billed charges ,,,,,"3,012.18",percent of total billed charges ,,,,,"2,861.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,,,"1,585.36",percent of total billed charges,
REPAIR COMPLEX TRUNK 1.1-2.5CM,13100,CDM,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
REPAIR COMPLEX TRUNK 2.6-7.5CM,13101,CDM,,,,both,,,790,790,221.2,790,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,584.6,percent of total billed charges,584.6,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,,,568.8,percent of total billed charges ,,,632,percent of total billed charges ,663.6,percent of total billed charges ,663.6,percent of total billed charges ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,632,percent of total billed charges ,632,percent of total billed charges ,553,percent of total billed charges ,553,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,,,,,420.28,percent of total billed charges ,,,,,399.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,
REPR COMPLX TRUNK EA ADD'L OR -5CM,13102,CDM,,,,both,,,452,452,126.56,452,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,334.48,percent of total billed charges,334.48,percent of total billed charges,361.6,percent of total billed charges,361.6,percent of total billed charges,,,325.44,percent of total billed charges ,,,361.6,percent of total billed charges ,379.68,percent of total billed charges ,379.68,percent of total billed charges ,352.56,percent of total billed charges ,352.56,percent of total billed charges ,361.6,percent of total billed charges ,361.6,percent of total billed charges ,316.4,percent of total billed charges ,316.4,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,,,,,240.46,percent of total billed charges ,,,,,228.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,
REPR COMPLX 1.1-2.5CM SCALP ARM LEG,13120,CDM,,,,both,,,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
**REPR COMPLX 2.6-7.5 CM SCALP ARM LEG,13121,CDM,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
REPR COMPLX 2.6-7.5 CM SCALP ARM LEG,13121,CDM,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
"REP COMPLX FOREARM, EACH ADDL .5CM",13122,CDM,,,,both,,,520,520,145.6,520,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,384.8,percent of total billed charges,384.8,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,,,374.4,percent of total billed charges ,,,416,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,405.6,percent of total billed charges ,405.6,percent of total billed charges ,416,percent of total billed charges ,416,percent of total billed charges ,364,percent of total billed charges ,364,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,,,,,276.64,percent of total billed charges ,,,,,262.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,
**REP COMPLX 1.1-2.5CM FACE AXI HAND,13131,CDM,,,,both,,,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
REP COMPLX 1.1-2.5CM FACE AXI HAND,13131,CDM,,,,both,,,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
REPR COMPLX 2.6-7.5 CM FACE AXI HAND,13132,CDM,,,,both,,,353,353,98.84,353,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,261.22,percent of total billed charges,261.22,percent of total billed charges,282.4,percent of total billed charges,282.4,percent of total billed charges,,,254.16,percent of total billed charges ,,,282.4,percent of total billed charges ,296.52,percent of total billed charges ,296.52,percent of total billed charges ,275.34,percent of total billed charges ,275.34,percent of total billed charges ,282.4,percent of total billed charges ,282.4,percent of total billed charges ,247.1,percent of total billed charges ,247.1,percent of total billed charges ,211.8,percent of total billed charges ,211.8,percent of total billed charges ,211.8,percent of total billed charges ,211.8,percent of total billed charges ,,,,,187.8,percent of total billed charges ,,,,,178.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,
**REPR COMPLX 1.0CM OR < EYELID/NOSE/E,12011,CDM,,,,both,,,943,943,264.04,943,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,697.82,percent of total billed charges,697.82,percent of total billed charges,754.4,percent of total billed charges,754.4,percent of total billed charges,,,678.96,percent of total billed charges ,,,754.4,percent of total billed charges ,792.12,percent of total billed charges ,792.12,percent of total billed charges ,735.54,percent of total billed charges ,735.54,percent of total billed charges ,754.4,percent of total billed charges ,754.4,percent of total billed charges ,660.1,percent of total billed charges ,660.1,percent of total billed charges ,565.8,percent of total billed charges ,565.8,percent of total billed charges ,565.8,percent of total billed charges ,565.8,percent of total billed charges ,,,,,501.68,percent of total billed charges ,,,,,476.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,
REPR COMPLX 1.1-2.5CM EYES/NOSE/EAR,13151,CDM,,,,both,,,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
**REPR COMPLX 2.6-7.5CM EYES/NOSE/EARS,13152,CDM,,,,both,,,762,762,213.36,762,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,563.88,percent of total billed charges,563.88,percent of total billed charges,609.6,percent of total billed charges,609.6,percent of total billed charges,,,548.64,percent of total billed charges ,,,609.6,percent of total billed charges ,640.08,percent of total billed charges ,640.08,percent of total billed charges ,594.36,percent of total billed charges ,594.36,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,533.4,percent of total billed charges ,533.4,percent of total billed charges ,457.2,percent of total billed charges ,457.2,percent of total billed charges ,457.2,percent of total billed charges ,457.2,percent of total billed charges ,,,,,405.38,percent of total billed charges ,,,,,385.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,
REPR COMPLX 2.6-7.5 CM EYES/NOSE/EAR,13152,CDM,,,,both,,,762,762,213.36,762,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,762,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,548.64,percent of total billed charges,563.88,percent of total billed charges,563.88,percent of total billed charges,609.6,percent of total billed charges,609.6,percent of total billed charges,,,548.64,percent of total billed charges ,,,609.6,percent of total billed charges ,640.08,percent of total billed charges ,640.08,percent of total billed charges ,594.36,percent of total billed charges ,594.36,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,533.4,percent of total billed charges ,533.4,percent of total billed charges ,457.2,percent of total billed charges ,457.2,percent of total billed charges ,457.2,percent of total billed charges ,457.2,percent of total billed charges ,,,,,405.38,percent of total billed charges ,,,,,385.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,,,213.36,percent of total billed charges,
"REPR COMPLX FOREHEAD,ETC EA ADL 5CM OR <",13133,CDM,,,,both,,,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
ATTACHMENT PEDICLE GRAFT FLAP TO HAND,14040,CDM,,,,both,,,"6,784.00","6,784.00","1,899.52","6,784.00","6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"6,784.00",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"4,884.48",percent of total billed charges,"5,020.16",percent of total billed charges,"5,020.16",percent of total billed charges,"5,427.20",percent of total billed charges,"5,427.20",percent of total billed charges,,,"4,884.48",percent of total billed charges ,,,"5,427.20",percent of total billed charges ,"5,698.56",percent of total billed charges ,"5,698.56",percent of total billed charges ,"5,291.52",percent of total billed charges ,"5,291.52",percent of total billed charges ,"5,427.20",percent of total billed charges ,"5,427.20",percent of total billed charges ,"4,748.80",percent of total billed charges ,"4,748.80",percent of total billed charges ,"4,070.40",percent of total billed charges ,"4,070.40",percent of total billed charges ,"4,070.40",percent of total billed charges ,"4,070.40",percent of total billed charges ,,,,,"3,609.09",percent of total billed charges ,,,,,"3,428.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,,,"1,899.52",percent of total billed charges,
2NDARY CLS SURG WND/DEHISC EXT/COMPL,13160,CDM,,,,both,,,"10,805.00","10,805.00","3,025.40","10,805.00","10,805.00",percent of total billed charges,"10,805.00",percent of total billed charges,"10,805.00",percent of total billed charges,"10,805.00",percent of total billed charges,"10,805.00",percent of total billed charges,"10,805.00",percent of total billed charges,"10,805.00",percent of total billed charges,"10,805.00",percent of total billed charges,"7,779.60",percent of total billed charges,"7,779.60",percent of total billed charges,"7,779.60",percent of total billed charges,"7,779.60",percent of total billed charges,"7,779.60",percent of total billed charges,"7,779.60",percent of total billed charges,"7,995.70",percent of total billed charges,"7,995.70",percent of total billed charges,"8,644.00",percent of total billed charges,"8,644.00",percent of total billed charges,,,"7,779.60",percent of total billed charges ,,,"8,644.00",percent of total billed charges ,"9,076.20",percent of total billed charges ,"9,076.20",percent of total billed charges ,"8,427.90",percent of total billed charges ,"8,427.90",percent of total billed charges ,"8,644.00",percent of total billed charges ,"8,644.00",percent of total billed charges ,"7,563.50",percent of total billed charges ,"7,563.50",percent of total billed charges ,"6,483.00",percent of total billed charges ,"6,483.00",percent of total billed charges ,"6,483.00",percent of total billed charges ,"6,483.00",percent of total billed charges ,,,,,"5,748.26",percent of total billed charges ,,,,,"5,460.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,,,"3,025.40",percent of total billed charges,
**DRESS/DEBRID INITL/SUBSQ WO ANES SML,16020,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
DRESS/DEBRID INITL/SUBSQ WO ANES SML,16020,CDM,,,,both,,,702,702,196.56,702,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,505.44,percent of total billed charges,519.48,percent of total billed charges,519.48,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,,,505.44,percent of total billed charges ,,,561.6,percent of total billed charges ,589.68,percent of total billed charges ,589.68,percent of total billed charges ,547.56,percent of total billed charges ,547.56,percent of total billed charges ,561.6,percent of total billed charges ,561.6,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,,,,,373.46,percent of total billed charges ,,,,,354.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,,,196.56,percent of total billed charges,
DRESS/DEBRID INITL/SUBSQ WO ANES MED,16025,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
DRESS/DEBRID INITL/SUBSQ WO ANES LRG,16030,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
UNLISTED PROCEDURE MALE GENITAL SYSTEM,55899,CDM,,,,both,,,"5,868.00","5,868.00","1,643.04","5,868.00","5,868.00",percent of total billed charges,"5,868.00",percent of total billed charges,"5,868.00",percent of total billed charges,"5,868.00",percent of total billed charges,"5,868.00",percent of total billed charges,"5,868.00",percent of total billed charges,"5,868.00",percent of total billed charges,"5,868.00",percent of total billed charges,"4,224.96",percent of total billed charges,"4,224.96",percent of total billed charges,"4,224.96",percent of total billed charges,"4,224.96",percent of total billed charges,"4,224.96",percent of total billed charges,"4,224.96",percent of total billed charges,"4,342.32",percent of total billed charges,"4,342.32",percent of total billed charges,"4,694.40",percent of total billed charges,"4,694.40",percent of total billed charges,,,"4,224.96",percent of total billed charges ,,,"4,694.40",percent of total billed charges ,"4,929.12",percent of total billed charges ,"4,929.12",percent of total billed charges ,"4,577.04",percent of total billed charges ,"4,577.04",percent of total billed charges ,"4,694.40",percent of total billed charges ,"4,694.40",percent of total billed charges ,"4,107.60",percent of total billed charges ,"4,107.60",percent of total billed charges ,"3,520.80",percent of total billed charges ,"3,520.80",percent of total billed charges ,"3,520.80",percent of total billed charges ,"3,520.80",percent of total billed charges ,,,,,"3,121.78",percent of total billed charges ,,,,,"2,965.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,,,"1,643.04",percent of total billed charges,
UNLISTED PROCEDURE SKIN MUC MEM SUB TISS,17999,CDM,,,,both,,,"3,121.00","3,121.00",873.88,"3,121.00","3,121.00",percent of total billed charges,"3,121.00",percent of total billed charges,"3,121.00",percent of total billed charges,"3,121.00",percent of total billed charges,"3,121.00",percent of total billed charges,"3,121.00",percent of total billed charges,"3,121.00",percent of total billed charges,"3,121.00",percent of total billed charges,"2,247.12",percent of total billed charges,"2,247.12",percent of total billed charges,"2,247.12",percent of total billed charges,"2,247.12",percent of total billed charges,"2,247.12",percent of total billed charges,"2,247.12",percent of total billed charges,"2,309.54",percent of total billed charges,"2,309.54",percent of total billed charges,"2,496.80",percent of total billed charges,"2,496.80",percent of total billed charges,,,"2,247.12",percent of total billed charges ,,,"2,496.80",percent of total billed charges ,"2,621.64",percent of total billed charges ,"2,621.64",percent of total billed charges ,"2,434.38",percent of total billed charges ,"2,434.38",percent of total billed charges ,"2,496.80",percent of total billed charges ,"2,496.80",percent of total billed charges ,"2,184.70",percent of total billed charges ,"2,184.70",percent of total billed charges ,"1,872.60",percent of total billed charges ,"1,872.60",percent of total billed charges ,"1,872.60",percent of total billed charges ,"1,872.60",percent of total billed charges ,,,,,"1,660.37",percent of total billed charges ,,,,,"1,577.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,,,873.88,percent of total billed charges,
UNLISTED PROCEDURE VASCULAR SURGERY,37799,CDM,,,,both,,,"5,269.00","5,269.00","1,475.32","5,269.00","5,269.00",percent of total billed charges,"5,269.00",percent of total billed charges,"5,269.00",percent of total billed charges,"5,269.00",percent of total billed charges,"5,269.00",percent of total billed charges,"5,269.00",percent of total billed charges,"5,269.00",percent of total billed charges,"5,269.00",percent of total billed charges,"3,793.68",percent of total billed charges,"3,793.68",percent of total billed charges,"3,793.68",percent of total billed charges,"3,793.68",percent of total billed charges,"3,793.68",percent of total billed charges,"3,793.68",percent of total billed charges,"3,899.06",percent of total billed charges,"3,899.06",percent of total billed charges,"4,215.20",percent of total billed charges,"4,215.20",percent of total billed charges,,,"3,793.68",percent of total billed charges ,,,"4,215.20",percent of total billed charges ,"4,425.96",percent of total billed charges ,"4,425.96",percent of total billed charges ,"4,109.82",percent of total billed charges ,"4,109.82",percent of total billed charges ,"4,215.20",percent of total billed charges ,"4,215.20",percent of total billed charges ,"3,688.30",percent of total billed charges ,"3,688.30",percent of total billed charges ,"3,161.40",percent of total billed charges ,"3,161.40",percent of total billed charges ,"3,161.40",percent of total billed charges ,"3,161.40",percent of total billed charges ,,,,,"2,803.11",percent of total billed charges ,,,,,"2,662.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,,,"1,475.32",percent of total billed charges,
EXPLR PENETRATING WND ABD/FLANK/BACK,20102,CDM,,,,both,,,"3,244.00","3,244.00",908.32,"3,244.00","3,244.00",percent of total billed charges,"3,244.00",percent of total billed charges,"3,244.00",percent of total billed charges,"3,244.00",percent of total billed charges,"3,244.00",percent of total billed charges,"3,244.00",percent of total billed charges,"3,244.00",percent of total billed charges,"3,244.00",percent of total billed charges,"2,335.68",percent of total billed charges,"2,335.68",percent of total billed charges,"2,335.68",percent of total billed charges,"2,335.68",percent of total billed charges,"2,335.68",percent of total billed charges,"2,335.68",percent of total billed charges,"2,400.56",percent of total billed charges,"2,400.56",percent of total billed charges,"2,595.20",percent of total billed charges,"2,595.20",percent of total billed charges,,,"2,335.68",percent of total billed charges ,,,"2,595.20",percent of total billed charges ,"2,724.96",percent of total billed charges ,"2,724.96",percent of total billed charges ,"2,530.32",percent of total billed charges ,"2,530.32",percent of total billed charges ,"2,595.20",percent of total billed charges ,"2,595.20",percent of total billed charges ,"2,270.80",percent of total billed charges ,"2,270.80",percent of total billed charges ,"1,946.40",percent of total billed charges ,"1,946.40",percent of total billed charges ,"1,946.40",percent of total billed charges ,"1,946.40",percent of total billed charges ,,,,,"1,725.81",percent of total billed charges ,,,,,"1,639.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,,,908.32,percent of total billed charges,
EXPLORATION OF PENETRATING WOUND,20101,CDM,,,,both,,,542,542,151.76,542,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,401.08,percent of total billed charges,401.08,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,,,390.24,percent of total billed charges ,,,433.6,percent of total billed charges ,455.28,percent of total billed charges ,455.28,percent of total billed charges ,422.76,percent of total billed charges ,422.76,percent of total billed charges ,433.6,percent of total billed charges ,433.6,percent of total billed charges ,379.4,percent of total billed charges ,379.4,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,,,,,288.34,percent of total billed charges ,,,,,273.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,
EXPLOR PENETRATING WND EXTREMITY,20103,CDM,,,,both,,,"3,389.00","3,389.00",948.92,"3,389.00","3,389.00",percent of total billed charges,"3,389.00",percent of total billed charges,"3,389.00",percent of total billed charges,"3,389.00",percent of total billed charges,"3,389.00",percent of total billed charges,"3,389.00",percent of total billed charges,"3,389.00",percent of total billed charges,"3,389.00",percent of total billed charges,"2,440.08",percent of total billed charges,"2,440.08",percent of total billed charges,"2,440.08",percent of total billed charges,"2,440.08",percent of total billed charges,"2,440.08",percent of total billed charges,"2,440.08",percent of total billed charges,"2,507.86",percent of total billed charges,"2,507.86",percent of total billed charges,"2,711.20",percent of total billed charges,"2,711.20",percent of total billed charges,,,"2,440.08",percent of total billed charges ,,,"2,711.20",percent of total billed charges ,"2,846.76",percent of total billed charges ,"2,846.76",percent of total billed charges ,"2,643.42",percent of total billed charges ,"2,643.42",percent of total billed charges ,"2,711.20",percent of total billed charges ,"2,711.20",percent of total billed charges ,"2,372.30",percent of total billed charges ,"2,372.30",percent of total billed charges ,"2,033.40",percent of total billed charges ,"2,033.40",percent of total billed charges ,"2,033.40",percent of total billed charges ,"2,033.40",percent of total billed charges ,,,,,"1,802.95",percent of total billed charges ,,,,,"1,712.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,,,948.92,percent of total billed charges,
REPAIR NAILBED,11760,CDM,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
"REPAIR BLOOD VESSEL,DIRECT-LWR EXTREMITY",35226,CDM,,,,both,,,"3,280.00","3,280.00",918.4,"3,280.00","3,280.00",percent of total billed charges,"3,280.00",percent of total billed charges,"3,280.00",percent of total billed charges,"3,280.00",percent of total billed charges,"3,280.00",percent of total billed charges,"3,280.00",percent of total billed charges,"3,280.00",percent of total billed charges,"3,280.00",percent of total billed charges,"2,361.60",percent of total billed charges,"2,361.60",percent of total billed charges,"2,361.60",percent of total billed charges,"2,361.60",percent of total billed charges,"2,361.60",percent of total billed charges,"2,361.60",percent of total billed charges,"2,427.20",percent of total billed charges,"2,427.20",percent of total billed charges,"2,624.00",percent of total billed charges,"2,624.00",percent of total billed charges,,,"2,361.60",percent of total billed charges ,,,"2,624.00",percent of total billed charges ,"2,755.20",percent of total billed charges ,"2,755.20",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,558.40",percent of total billed charges ,"2,624.00",percent of total billed charges ,"2,624.00",percent of total billed charges ,"2,296.00",percent of total billed charges ,"2,296.00",percent of total billed charges ,"1,968.00",percent of total billed charges ,"1,968.00",percent of total billed charges ,"1,968.00",percent of total billed charges ,"1,968.00",percent of total billed charges ,,,,,"1,744.96",percent of total billed charges ,,,,,"1,657.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,,,918.4,percent of total billed charges,
REMOVE FORGN BODY MUSCLE/TENDON SIMP,20520,CDM,,,,both,,,"5,119.00","5,119.00","1,433.32","5,119.00","5,119.00",percent of total billed charges,"5,119.00",percent of total billed charges,"5,119.00",percent of total billed charges,"5,119.00",percent of total billed charges,"5,119.00",percent of total billed charges,"5,119.00",percent of total billed charges,"5,119.00",percent of total billed charges,"5,119.00",percent of total billed charges,"3,685.68",percent of total billed charges,"3,685.68",percent of total billed charges,"3,685.68",percent of total billed charges,"3,685.68",percent of total billed charges,"3,685.68",percent of total billed charges,"3,685.68",percent of total billed charges,"3,788.06",percent of total billed charges,"3,788.06",percent of total billed charges,"4,095.20",percent of total billed charges,"4,095.20",percent of total billed charges,,,"3,685.68",percent of total billed charges ,,,"4,095.20",percent of total billed charges ,"4,299.96",percent of total billed charges ,"4,299.96",percent of total billed charges ,"3,992.82",percent of total billed charges ,"3,992.82",percent of total billed charges ,"4,095.20",percent of total billed charges ,"4,095.20",percent of total billed charges ,"3,583.30",percent of total billed charges ,"3,583.30",percent of total billed charges ,"3,071.40",percent of total billed charges ,"3,071.40",percent of total billed charges ,"3,071.40",percent of total billed charges ,"3,071.40",percent of total billed charges ,,,,,"2,723.31",percent of total billed charges ,,,,,"2,587.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,,,"1,433.32",percent of total billed charges,
REPAIR LAC 2.5/LESS MOUTH 2/3 TONGUE,41250,CDM,,,,both,,,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
REPAIR LACERATION TONGUE 3CM,41252,CDM,,,,both,,,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
**ARTHRCENT ASPIRA &/OR INJ SML JT CYS,20600,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
IV PUSH OR IV SEQ 15 MIN OR LESS,96375,CDM,,,,both,,,369,369,103.32,369,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,273.06,percent of total billed charges,273.06,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,,,265.68,percent of total billed charges ,,,295.2,percent of total billed charges ,309.96,percent of total billed charges ,309.96,percent of total billed charges ,287.82,percent of total billed charges ,287.82,percent of total billed charges ,295.2,percent of total billed charges ,295.2,percent of total billed charges ,258.3,percent of total billed charges ,258.3,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,,,,,196.31,percent of total billed charges ,,,,,186.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,
ARTHRCENT ASPIRA &/OR INJ SML JT CYS,20600,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
IV INJ ADD SEQ IVP SAME DRUG,96376,CDM,,,,both,,,265,265,74.2,265,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,196.1,percent of total billed charges,196.1,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,,,190.8,percent of total billed charges ,,,212,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,206.7,percent of total billed charges ,206.7,percent of total billed charges ,212,percent of total billed charges ,212,percent of total billed charges ,185.5,percent of total billed charges ,185.5,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,,,,,140.98,percent of total billed charges ,,,,,133.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,
**INTRA MUSCULAR INJ OF ANTIBIOTIC ER,96372,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,,both,,,462,462,129.36,462,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,341.88,percent of total billed charges,341.88,percent of total billed charges,369.6,percent of total billed charges,369.6,percent of total billed charges,,,332.64,percent of total billed charges ,,,369.6,percent of total billed charges ,388.08,percent of total billed charges ,388.08,percent of total billed charges ,360.36,percent of total billed charges ,360.36,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,,,,,245.78,percent of total billed charges ,,,,,233.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,
REMOVAL OF FECAL IMPACTION OR FB,45915,CDM,,,,both,,,"5,604.00","5,604.00","1,569.12","5,604.00","5,604.00",percent of total billed charges,"5,604.00",percent of total billed charges,"5,604.00",percent of total billed charges,"5,604.00",percent of total billed charges,"5,604.00",percent of total billed charges,"5,604.00",percent of total billed charges,"5,604.00",percent of total billed charges,"5,604.00",percent of total billed charges,"4,034.88",percent of total billed charges,"4,034.88",percent of total billed charges,"4,034.88",percent of total billed charges,"4,034.88",percent of total billed charges,"4,034.88",percent of total billed charges,"4,034.88",percent of total billed charges,"4,146.96",percent of total billed charges,"4,146.96",percent of total billed charges,"4,483.20",percent of total billed charges,"4,483.20",percent of total billed charges,,,"4,034.88",percent of total billed charges ,,,"4,483.20",percent of total billed charges ,"4,707.36",percent of total billed charges ,"4,707.36",percent of total billed charges ,"4,371.12",percent of total billed charges ,"4,371.12",percent of total billed charges ,"4,483.20",percent of total billed charges ,"4,483.20",percent of total billed charges ,"3,922.80",percent of total billed charges ,"3,922.80",percent of total billed charges ,"3,362.40",percent of total billed charges ,"3,362.40",percent of total billed charges ,"3,362.40",percent of total billed charges ,"3,362.40",percent of total billed charges ,,,,,"2,981.33",percent of total billed charges ,,,,,"2,832.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,,,"1,569.12",percent of total billed charges,
IMMUNIZATION ADMINISTRATION,90471,CDM,,,,both,,,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
IV INF HYDR 31 MIN TO 1 HR,96360,CDM,,,,both,,,640,640,179.2,640,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,473.6,percent of total billed charges,473.6,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,,,460.8,percent of total billed charges ,,,512,percent of total billed charges ,537.6,percent of total billed charges ,537.6,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,512,percent of total billed charges ,512,percent of total billed charges ,448,percent of total billed charges ,448,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,,,,,340.48,percent of total billed charges ,,,,,323.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,
IV INFUS HYDRATION EACH ADD'L HR,96361,CDM,,,,both,,,254,254,71.12,254,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,187.96,percent of total billed charges,187.96,percent of total billed charges,203.2,percent of total billed charges,203.2,percent of total billed charges,,,182.88,percent of total billed charges ,,,203.2,percent of total billed charges ,213.36,percent of total billed charges ,213.36,percent of total billed charges ,198.12,percent of total billed charges ,198.12,percent of total billed charges ,203.2,percent of total billed charges ,203.2,percent of total billed charges ,177.8,percent of total billed charges ,177.8,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,,,,,135.13,percent of total billed charges ,,,,,128.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,
IV INFUS THERAPY UP TO 1 HR,96365,CDM,,,59,both,,,730,730,204.4,730,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,540.2,percent of total billed charges,540.2,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,,,525.6,percent of total billed charges ,,,584,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,584,percent of total billed charges ,584,percent of total billed charges ,511,percent of total billed charges ,511,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,,,,,388.36,percent of total billed charges ,,,,,368.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,
IV INFUS THERAPY UP TO 1 HOUR,96365,CDM,,,,both,,,730,730,204.4,730,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,730,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,525.6,percent of total billed charges,540.2,percent of total billed charges,540.2,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,,,525.6,percent of total billed charges ,,,584,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,584,percent of total billed charges ,584,percent of total billed charges ,511,percent of total billed charges ,511,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,438,percent of total billed charges ,,,,,388.36,percent of total billed charges ,,,,,368.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,,,204.4,percent of total billed charges,
IV INFUS THERAPY EA ADD'L HOUR,96366,CDM,,,,both,,,268,268,75.04,268,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,198.32,percent of total billed charges,198.32,percent of total billed charges,214.4,percent of total billed charges,214.4,percent of total billed charges,,,192.96,percent of total billed charges ,,,214.4,percent of total billed charges ,225.12,percent of total billed charges ,225.12,percent of total billed charges ,209.04,percent of total billed charges ,209.04,percent of total billed charges ,214.4,percent of total billed charges ,214.4,percent of total billed charges ,187.6,percent of total billed charges ,187.6,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,,,,,142.58,percent of total billed charges ,,,,,135.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,
IV INFUS THERAPY SEQ NEW DRUG,96367,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
IV INFUS THERAPY CONCURRENT,96368,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
IMMUNIZATION ADMINISTRATION ADD VACCINE,90472,CDM,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
ARTHROC ASPIRA/INJ INTERMED JT CYST,20605,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
ASPIR/INJ GANGLION CYST (S)ANY LOCATION,20612,CDM,,,,both,,,370,370,103.6,370,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,273.8,percent of total billed charges,273.8,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,,,266.4,percent of total billed charges ,,,296,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,296,percent of total billed charges ,296,percent of total billed charges ,259,percent of total billed charges ,259,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,,,,,196.84,percent of total billed charges ,,,,,187,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,
IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,,,377,377,105.56,377,377,percent of total billed charges,377,percent of total billed charges,377,percent of total billed charges,377,percent of total billed charges,377,percent of total billed charges,377,percent of total billed charges,377,percent of total billed charges,377,percent of total billed charges,271.44,percent of total billed charges,271.44,percent of total billed charges,271.44,percent of total billed charges,271.44,percent of total billed charges,271.44,percent of total billed charges,271.44,percent of total billed charges,278.98,percent of total billed charges,278.98,percent of total billed charges,301.6,percent of total billed charges,301.6,percent of total billed charges,,,271.44,percent of total billed charges ,,,301.6,percent of total billed charges ,316.68,percent of total billed charges ,316.68,percent of total billed charges ,294.06,percent of total billed charges ,294.06,percent of total billed charges ,301.6,percent of total billed charges ,301.6,percent of total billed charges ,263.9,percent of total billed charges ,263.9,percent of total billed charges ,226.2,percent of total billed charges ,226.2,percent of total billed charges ,226.2,percent of total billed charges ,226.2,percent of total billed charges ,,,,,200.56,percent of total billed charges ,,,,,190.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,,,105.56,percent of total billed charges,
IV HYDR 31 MIN TO 1 HR SEPAR SITE,96360,CDM,,,59,both,,,640,640,179.2,640,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,640,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,473.6,percent of total billed charges,473.6,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,,,460.8,percent of total billed charges ,,,512,percent of total billed charges ,537.6,percent of total billed charges ,537.6,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,512,percent of total billed charges ,512,percent of total billed charges ,448,percent of total billed charges ,448,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,384,percent of total billed charges ,,,,,340.48,percent of total billed charges ,,,,,323.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,,,179.2,percent of total billed charges,
ARTHROC ASPIR/INJ MAJOR JT OR BURSA,20610,CDM,,,,both,,,"1,301.00","1,301.00",364.28,"1,301.00","1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,962.74,percent of total billed charges,962.74,percent of total billed charges,"1,040.80",percent of total billed charges,"1,040.80",percent of total billed charges,,,936.72,percent of total billed charges ,,,"1,040.80",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,040.80",percent of total billed charges ,"1,040.80",percent of total billed charges ,910.7,percent of total billed charges ,910.7,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,,,,,692.13,percent of total billed charges ,,,,,657.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,
THROMBOLYSIS CEREBRAL BY IV INFUSION,37195,CDM,,,,both,,,734,734,205.52,734,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,543.16,percent of total billed charges,543.16,percent of total billed charges,587.2,percent of total billed charges,587.2,percent of total billed charges,,,528.48,percent of total billed charges ,,,587.2,percent of total billed charges ,616.56,percent of total billed charges ,616.56,percent of total billed charges ,572.52,percent of total billed charges ,572.52,percent of total billed charges ,587.2,percent of total billed charges ,587.2,percent of total billed charges ,513.8,percent of total billed charges ,513.8,percent of total billed charges ,440.4,percent of total billed charges ,440.4,percent of total billed charges ,440.4,percent of total billed charges ,440.4,percent of total billed charges ,,,,,390.49,percent of total billed charges ,,,,,370.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,
CLOSED TRTMT NASAL BONE FX WO MANIP,21310,CDM,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
CLOSED TRTMT NASAL BONE FX WO STABLI,21315,CDM,,,,both,,,"2,748.00","2,748.00",769.44,"2,748.00","2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,"2,748.00",percent of total billed charges,"1,978.56",percent of total billed charges,"1,978.56",percent of total billed charges,"1,978.56",percent of total billed charges,"1,978.56",percent of total billed charges,"1,978.56",percent of total billed charges,"1,978.56",percent of total billed charges,"2,033.52",percent of total billed charges,"2,033.52",percent of total billed charges,"2,198.40",percent of total billed charges,"2,198.40",percent of total billed charges,,,"1,978.56",percent of total billed charges ,,,"2,198.40",percent of total billed charges ,"2,308.32",percent of total billed charges ,"2,308.32",percent of total billed charges ,"2,143.44",percent of total billed charges ,"2,143.44",percent of total billed charges ,"2,198.40",percent of total billed charges ,"2,198.40",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,648.80",percent of total billed charges ,"1,648.80",percent of total billed charges ,"1,648.80",percent of total billed charges ,"1,648.80",percent of total billed charges ,,,,,"1,461.94",percent of total billed charges ,,,,,"1,388.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,,,769.44,percent of total billed charges,
CLSD TRMT TEMPORMAN DISLOC INIT/SUBS,21480,CDM,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
**CLOSD TRMT RIB FX UNCOMPLIC EACH,21800,CDM,,,,both,,,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
**CLOSD TRMT VERTEBRAL PROCESS FX,22305,CDM,,,,both,,,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
CLSD VERTEB BDY FX WO MANIP CAST/BRA,22310,CDM,,,,both,,,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
**CLOSD TRMT CLAVICLE FX WO MANIP,23500,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLOSD FX CLAV WO MANIP,23500,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLOSD TRMT CLAVICLE FX W/MANIP,23505,CDM,,,,both,,,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
**CLSD TRMT ACROMIOCLAV DISLOC WO MANI,23540,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLOSD TRMT ACROMIOCLAV DISLOC WO MAN,23540,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLOSD TRMT ACROMIOCLAV DISLOC W/MANI,23545,CDM,,,,both,,,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
CLOSD TRMT ANKLE DISLOCATION W ANES,27842,CDM,,,,both,,,"2,378.00","2,378.00",665.84,"2,378.00","2,378.00",percent of total billed charges,"2,378.00",percent of total billed charges,"2,378.00",percent of total billed charges,"2,378.00",percent of total billed charges,"2,378.00",percent of total billed charges,"2,378.00",percent of total billed charges,"2,378.00",percent of total billed charges,"2,378.00",percent of total billed charges,"1,712.16",percent of total billed charges,"1,712.16",percent of total billed charges,"1,712.16",percent of total billed charges,"1,712.16",percent of total billed charges,"1,712.16",percent of total billed charges,"1,712.16",percent of total billed charges,"1,759.72",percent of total billed charges,"1,759.72",percent of total billed charges,"1,902.40",percent of total billed charges,"1,902.40",percent of total billed charges,,,"1,712.16",percent of total billed charges ,,,"1,902.40",percent of total billed charges ,"1,997.52",percent of total billed charges ,"1,997.52",percent of total billed charges ,"1,854.84",percent of total billed charges ,"1,854.84",percent of total billed charges ,"1,902.40",percent of total billed charges ,"1,902.40",percent of total billed charges ,"1,664.60",percent of total billed charges ,"1,664.60",percent of total billed charges ,"1,426.80",percent of total billed charges ,"1,426.80",percent of total billed charges ,"1,426.80",percent of total billed charges ,"1,426.80",percent of total billed charges ,,,,,"1,265.10",percent of total billed charges ,,,,,"1,201.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,,,665.84,percent of total billed charges,
CLOSD TRMT INTER PHAL JNT DISLOC W/ANES,28660,CDM,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
CLOSD TRMT INTER PHAL JNT DISLOC W/ANES,28665,CDM,,,,both,,,"2,566.00","2,566.00",718.48,"2,566.00","2,566.00",percent of total billed charges,"2,566.00",percent of total billed charges,"2,566.00",percent of total billed charges,"2,566.00",percent of total billed charges,"2,566.00",percent of total billed charges,"2,566.00",percent of total billed charges,"2,566.00",percent of total billed charges,"2,566.00",percent of total billed charges,"1,847.52",percent of total billed charges,"1,847.52",percent of total billed charges,"1,847.52",percent of total billed charges,"1,847.52",percent of total billed charges,"1,847.52",percent of total billed charges,"1,847.52",percent of total billed charges,"1,898.84",percent of total billed charges,"1,898.84",percent of total billed charges,"2,052.80",percent of total billed charges,"2,052.80",percent of total billed charges,,,"1,847.52",percent of total billed charges ,,,"2,052.80",percent of total billed charges ,"2,155.44",percent of total billed charges ,"2,155.44",percent of total billed charges ,"2,001.48",percent of total billed charges ,"2,001.48",percent of total billed charges ,"2,052.80",percent of total billed charges ,"2,052.80",percent of total billed charges ,"1,796.20",percent of total billed charges ,"1,796.20",percent of total billed charges ,"1,539.60",percent of total billed charges ,"1,539.60",percent of total billed charges ,"1,539.60",percent of total billed charges ,"1,539.60",percent of total billed charges ,,,,,"1,365.11",percent of total billed charges ,,,,,"1,296.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,,,718.48,percent of total billed charges,
CLOSD TRMT SHLDER DIS W SURG W MANIP,23675,CDM,,,,both,,,823,823,230.44,823,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,609.02,percent of total billed charges,609.02,percent of total billed charges,658.4,percent of total billed charges,658.4,percent of total billed charges,,,592.56,percent of total billed charges ,,,658.4,percent of total billed charges ,691.32,percent of total billed charges ,691.32,percent of total billed charges ,641.94,percent of total billed charges ,641.94,percent of total billed charges ,658.4,percent of total billed charges ,658.4,percent of total billed charges ,576.1,percent of total billed charges ,576.1,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,,,,,437.84,percent of total billed charges ,,,,,415.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,
CLOSD TRMT SHLDER DIS W FX W MANIP,23665,CDM,,,,both,,,466,466,130.48,466,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,344.84,percent of total billed charges,344.84,percent of total billed charges,372.8,percent of total billed charges,372.8,percent of total billed charges,,,335.52,percent of total billed charges ,,,372.8,percent of total billed charges ,391.44,percent of total billed charges ,391.44,percent of total billed charges ,363.48,percent of total billed charges ,363.48,percent of total billed charges ,372.8,percent of total billed charges ,372.8,percent of total billed charges ,326.2,percent of total billed charges ,326.2,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,,,,,247.91,percent of total billed charges ,,,,,235.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,
CLOSD TRMT SCAPULAR FX WO MANIP,23570,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
CLOSD TRMT(not greatoe)PHALANX w/MANPLTN,28515,CDM,,,,both,,,474,474,132.72,474,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,350.76,percent of total billed charges,350.76,percent of total billed charges,379.2,percent of total billed charges,379.2,percent of total billed charges,,,341.28,percent of total billed charges ,,,379.2,percent of total billed charges ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,,,,,252.17,percent of total billed charges ,,,,,239.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,
CLOSD SHOULDR DISLOC W/MANIP WO ANES,23650,CDM,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
**CLSD SHOULDR DISLOC W/MANIP WO ANES,23650,CDM,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
CLSD SHOULDER DISLOC W/MANIP W/ANES,23655,CDM,,,,both,,,"1,266.00","1,266.00",354.48,"1,266.00","1,266.00",percent of total billed charges,"1,266.00",percent of total billed charges,"1,266.00",percent of total billed charges,"1,266.00",percent of total billed charges,"1,266.00",percent of total billed charges,"1,266.00",percent of total billed charges,"1,266.00",percent of total billed charges,"1,266.00",percent of total billed charges,911.52,percent of total billed charges,911.52,percent of total billed charges,911.52,percent of total billed charges,911.52,percent of total billed charges,911.52,percent of total billed charges,911.52,percent of total billed charges,936.84,percent of total billed charges,936.84,percent of total billed charges,"1,012.80",percent of total billed charges,"1,012.80",percent of total billed charges,,,911.52,percent of total billed charges ,,,"1,012.80",percent of total billed charges ,"1,063.44",percent of total billed charges ,"1,063.44",percent of total billed charges ,987.48,percent of total billed charges ,987.48,percent of total billed charges ,"1,012.80",percent of total billed charges ,"1,012.80",percent of total billed charges ,886.2,percent of total billed charges ,886.2,percent of total billed charges ,759.6,percent of total billed charges ,759.6,percent of total billed charges ,759.6,percent of total billed charges ,759.6,percent of total billed charges ,,,,,673.51,percent of total billed charges ,,,,,639.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,,,354.48,percent of total billed charges,
CLSD REDUCTN W/O INTERNAL FRCTN HUMERAL,23605,CDM,,,,both,,,"3,380.00","3,380.00",946.4,"3,380.00","3,380.00",percent of total billed charges,"3,380.00",percent of total billed charges,"3,380.00",percent of total billed charges,"3,380.00",percent of total billed charges,"3,380.00",percent of total billed charges,"3,380.00",percent of total billed charges,"3,380.00",percent of total billed charges,"3,380.00",percent of total billed charges,"2,433.60",percent of total billed charges,"2,433.60",percent of total billed charges,"2,433.60",percent of total billed charges,"2,433.60",percent of total billed charges,"2,433.60",percent of total billed charges,"2,433.60",percent of total billed charges,"2,501.20",percent of total billed charges,"2,501.20",percent of total billed charges,"2,704.00",percent of total billed charges,"2,704.00",percent of total billed charges,,,"2,433.60",percent of total billed charges ,,,"2,704.00",percent of total billed charges ,"2,839.20",percent of total billed charges ,"2,839.20",percent of total billed charges ,"2,636.40",percent of total billed charges ,"2,636.40",percent of total billed charges ,"2,704.00",percent of total billed charges ,"2,704.00",percent of total billed charges ,"2,366.00",percent of total billed charges ,"2,366.00",percent of total billed charges ,"2,028.00",percent of total billed charges ,"2,028.00",percent of total billed charges ,"2,028.00",percent of total billed charges ,"2,028.00",percent of total billed charges ,,,,,"1,798.16",percent of total billed charges ,,,,,"1,708.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,,,946.4,percent of total billed charges,
REM FOREIGN BODY UPPER ARM ELB SUBC,24200,CDM,,,,both,,,569,569,159.32,569,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,421.06,percent of total billed charges,421.06,percent of total billed charges,455.2,percent of total billed charges,455.2,percent of total billed charges,,,409.68,percent of total billed charges ,,,455.2,percent of total billed charges ,477.96,percent of total billed charges ,477.96,percent of total billed charges ,443.82,percent of total billed charges ,443.82,percent of total billed charges ,455.2,percent of total billed charges ,455.2,percent of total billed charges ,398.3,percent of total billed charges ,398.3,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,,,,,302.71,percent of total billed charges ,,,,,287.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,
CLSR FX HUMERAL SHAFT W/O MANIP,24500,CDM,,,,both,,,259,259,72.52,259,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,191.66,percent of total billed charges,191.66,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,,,186.48,percent of total billed charges ,,,207.2,percent of total billed charges ,217.56,percent of total billed charges ,217.56,percent of total billed charges ,202.02,percent of total billed charges ,202.02,percent of total billed charges ,207.2,percent of total billed charges ,207.2,percent of total billed charges ,181.3,percent of total billed charges ,181.3,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,,,,,137.79,percent of total billed charges ,,,,,130.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,
CLSR FX HUMERAL SHAFT W/MANIP,24505,CDM,,,,both,,,454,454,127.12,454,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,335.96,percent of total billed charges,335.96,percent of total billed charges,363.2,percent of total billed charges,363.2,percent of total billed charges,,,326.88,percent of total billed charges ,,,363.2,percent of total billed charges ,381.36,percent of total billed charges ,381.36,percent of total billed charges ,354.12,percent of total billed charges ,354.12,percent of total billed charges ,363.2,percent of total billed charges ,363.2,percent of total billed charges ,317.8,percent of total billed charges ,317.8,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,,,,,241.53,percent of total billed charges ,,,,,229.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,
CLSR HUMERAL FX W/WO INTER EXT WO MA,24530,CDM,,,,both,,,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
CLOS HUMERAL FX W/WO INTER MANIP,24535,CDM,,,,both,,,367,367,102.76,367,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,271.58,percent of total billed charges,271.58,percent of total billed charges,293.6,percent of total billed charges,293.6,percent of total billed charges,,,264.24,percent of total billed charges ,,,293.6,percent of total billed charges ,308.28,percent of total billed charges ,308.28,percent of total billed charges ,286.26,percent of total billed charges ,286.26,percent of total billed charges ,293.6,percent of total billed charges ,293.6,percent of total billed charges ,256.9,percent of total billed charges ,256.9,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,,,,,195.24,percent of total billed charges ,,,,,185.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,
CLOS TREATMENT ANKLE DISLOC.W/O ANES,27840,CDM,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
CLOS ELBOW DISLOC W/O ANES,24600,CDM,,,,both,,,360,360,100.8,360,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,,,259.2,percent of total billed charges ,,,288,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,288,percent of total billed charges ,288,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,,,,,191.52,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,
**CLOSED ELBOW DISLOC W/O ANES,24600,CDM,,,,both,,,360,360,100.8,360,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,,,259.2,percent of total billed charges ,,,288,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,288,percent of total billed charges ,288,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,,,,,191.52,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,
**CLOS ELBOW DISLOC REG ANES,24605,CDM,,,,both,,,"1,966.00","1,966.00",550.48,"1,966.00","1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,454.84",percent of total billed charges,"1,454.84",percent of total billed charges,"1,572.80",percent of total billed charges,"1,572.80",percent of total billed charges,,,"1,415.52",percent of total billed charges ,,,"1,572.80",percent of total billed charges ,"1,651.44",percent of total billed charges ,"1,651.44",percent of total billed charges ,"1,533.48",percent of total billed charges ,"1,533.48",percent of total billed charges ,"1,572.80",percent of total billed charges ,"1,572.80",percent of total billed charges ,"1,376.20",percent of total billed charges ,"1,376.20",percent of total billed charges ,"1,179.60",percent of total billed charges ,"1,179.60",percent of total billed charges ,"1,179.60",percent of total billed charges ,"1,179.60",percent of total billed charges ,,,,,"1,045.91",percent of total billed charges ,,,,,993.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,
CLSD ELBOW DISLOC REG ANES,24605,CDM,,,,both,,,"1,966.00","1,966.00",550.48,"1,966.00","1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,966.00",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,415.52",percent of total billed charges,"1,454.84",percent of total billed charges,"1,454.84",percent of total billed charges,"1,572.80",percent of total billed charges,"1,572.80",percent of total billed charges,,,"1,415.52",percent of total billed charges ,,,"1,572.80",percent of total billed charges ,"1,651.44",percent of total billed charges ,"1,651.44",percent of total billed charges ,"1,533.48",percent of total billed charges ,"1,533.48",percent of total billed charges ,"1,572.80",percent of total billed charges ,"1,572.80",percent of total billed charges ,"1,376.20",percent of total billed charges ,"1,376.20",percent of total billed charges ,"1,179.60",percent of total billed charges ,"1,179.60",percent of total billed charges ,"1,179.60",percent of total billed charges ,"1,179.60",percent of total billed charges ,,,,,"1,045.91",percent of total billed charges ,,,,,993.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,,,550.48,percent of total billed charges,
CLSED RADIAL HEAD SUBL CHILD W/MANIP,24640,CDM,,,,both,,,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
**CLSD RADIAL HEAD SUBL CHILD W/MANIP,24640,CDM,,,,both,,,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
CLOS RADIAL HEAD/NECK FX W/O MANIP,24650,CDM,,,,both,,,134,134,37.52,134,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,99.16,percent of total billed charges,99.16,percent of total billed charges,107.2,percent of total billed charges,107.2,percent of total billed charges,,,96.48,percent of total billed charges ,,,107.2,percent of total billed charges ,112.56,percent of total billed charges ,112.56,percent of total billed charges ,104.52,percent of total billed charges ,104.52,percent of total billed charges ,107.2,percent of total billed charges ,107.2,percent of total billed charges ,93.8,percent of total billed charges ,93.8,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,,,,,71.29,percent of total billed charges ,,,,,67.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,
**CLOS ULNAR FX PROXIMAL END W/O MANIP,24670,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLSD ULNAR FX PROXIMAL END W/O MANIP,24670,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLOS RADIAL SHAFT FX W/MANIP,25505,CDM,,,,both,,,658,658,184.24,658,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,486.92,percent of total billed charges,486.92,percent of total billed charges,526.4,percent of total billed charges,526.4,percent of total billed charges,,,473.76,percent of total billed charges ,,,526.4,percent of total billed charges ,552.72,percent of total billed charges ,552.72,percent of total billed charges ,513.24,percent of total billed charges ,513.24,percent of total billed charges ,526.4,percent of total billed charges ,526.4,percent of total billed charges ,460.6,percent of total billed charges ,460.6,percent of total billed charges ,394.8,percent of total billed charges ,394.8,percent of total billed charges ,394.8,percent of total billed charges ,394.8,percent of total billed charges ,,,,,350.06,percent of total billed charges ,,,,,332.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,
CLOS ULNAR SHAFT FX W/O MANIP,25530,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
CLOS ULNAR SHAFT FX W/MANIP,25535,CDM,,,,both,,,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
CLOS RAD & ULNAR SHAFT FX W/O MANIP,25560,CDM,,,,both,,,405,405,113.4,405,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,299.7,percent of total billed charges,299.7,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,,,291.6,percent of total billed charges ,,,324,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,315.9,percent of total billed charges ,315.9,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,283.5,percent of total billed charges ,283.5,percent of total billed charges ,243,percent of total billed charges ,243,percent of total billed charges ,243,percent of total billed charges ,243,percent of total billed charges ,,,,,215.46,percent of total billed charges ,,,,,204.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,
CLOS RAD & ULNAR SHAFT FX W/MANIP,25565,CDM,,,,both,,,337,337,94.36,337,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,337,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,242.64,percent of total billed charges,249.38,percent of total billed charges,249.38,percent of total billed charges,269.6,percent of total billed charges,269.6,percent of total billed charges,,,242.64,percent of total billed charges ,,,269.6,percent of total billed charges ,283.08,percent of total billed charges ,283.08,percent of total billed charges ,262.86,percent of total billed charges ,262.86,percent of total billed charges ,269.6,percent of total billed charges ,269.6,percent of total billed charges ,235.9,percent of total billed charges ,235.9,percent of total billed charges ,202.2,percent of total billed charges ,202.2,percent of total billed charges ,202.2,percent of total billed charges ,202.2,percent of total billed charges ,,,,,179.28,percent of total billed charges ,,,,,170.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,,,94.36,percent of total billed charges,
**CLOS DISTAL RADIAL FX W/WO OF ULNAR,25600,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLOS DISTAL RAD FX W/WO FX OF ULNAR,25600,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLOS DISTAL RADIAL FX W/WO FX ULNAR,25605,CDM,,,,both,,,364,364,101.92,364,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,269.36,percent of total billed charges,269.36,percent of total billed charges,291.2,percent of total billed charges,291.2,percent of total billed charges,,,262.08,percent of total billed charges ,,,291.2,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,254.8,percent of total billed charges ,254.8,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,,,,,193.65,percent of total billed charges ,,,,,183.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,
**CLS FX CARPAL SCAPHOID W/O MANIP,25622,CDM,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
CLSD FX CARPAL SCAPHOID W/O MANIP,25622,CDM,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
**CLOS FX METACARPAL SINGLE W/O MANIP,26600,CDM,,,,both,,,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
CLS FX METACRAPAL SINGLE W/O MANIP,26600,CDM,,,,both,,,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
CLS FX METACARPAL SINGLE W/MANIP,26605,CDM,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
CLS CARPOMTCARPL DISLC THUMB W/MANIP,26641,CDM,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
**CLS CRPMETCRPL FX DISL THUMB W MANIP,26645,CDM,,,,both,,,279,279,78.12,279,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,206.46,percent of total billed charges,206.46,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,,,200.88,percent of total billed charges ,,,223.2,percent of total billed charges ,234.36,percent of total billed charges ,234.36,percent of total billed charges ,217.62,percent of total billed charges ,217.62,percent of total billed charges ,223.2,percent of total billed charges ,223.2,percent of total billed charges ,195.3,percent of total billed charges ,195.3,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,,,,,148.43,percent of total billed charges ,,,,,141.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,
CLS CRPMTCRPL FX DISL THUMB W MANIP,26645,CDM,,,,both,,,279,279,78.12,279,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,206.46,percent of total billed charges,206.46,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,,,200.88,percent of total billed charges ,,,223.2,percent of total billed charges ,234.36,percent of total billed charges ,234.36,percent of total billed charges ,217.62,percent of total billed charges ,217.62,percent of total billed charges ,223.2,percent of total billed charges ,223.2,percent of total billed charges ,195.3,percent of total billed charges ,195.3,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,,,,,148.43,percent of total billed charges ,,,,,141.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,
CLS CRPMTCRL DL OT THMB S W/M WO/ANE,26670,CDM,,,,both,,,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
CLS CRPMTCRL DL NOT THUMB W/ MAN ANES,26675,CDM,,,,both,,,663,663,185.64,663,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,490.62,percent of total billed charges,490.62,percent of total billed charges,530.4,percent of total billed charges,530.4,percent of total billed charges,,,477.36,percent of total billed charges ,,,530.4,percent of total billed charges ,556.92,percent of total billed charges ,556.92,percent of total billed charges ,517.14,percent of total billed charges ,517.14,percent of total billed charges ,530.4,percent of total billed charges ,530.4,percent of total billed charges ,464.1,percent of total billed charges ,464.1,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,,,,,352.72,percent of total billed charges ,,,,,335.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,
**CLS MTCRPHL DSLC W/MANIP WO/ANES,26700,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
CLS MTCRPHL DSLC S W/MANIP WO/ANES,26700,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
CLS MTCRPHL DSLC SNGL W/MANIP,26705,CDM,,,,both,,,"1,132.00","1,132.00",316.96,"1,132.00","1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,"1,132.00",percent of total billed charges,815.04,percent of total billed charges,815.04,percent of total billed charges,815.04,percent of total billed charges,815.04,percent of total billed charges,815.04,percent of total billed charges,815.04,percent of total billed charges,837.68,percent of total billed charges,837.68,percent of total billed charges,905.6,percent of total billed charges,905.6,percent of total billed charges,,,815.04,percent of total billed charges ,,,905.6,percent of total billed charges ,950.88,percent of total billed charges ,950.88,percent of total billed charges ,882.96,percent of total billed charges ,882.96,percent of total billed charges ,905.6,percent of total billed charges ,905.6,percent of total billed charges ,792.4,percent of total billed charges ,792.4,percent of total billed charges ,679.2,percent of total billed charges ,679.2,percent of total billed charges ,679.2,percent of total billed charges ,679.2,percent of total billed charges ,,,,,602.22,percent of total billed charges ,,,,,572.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,,,316.96,percent of total billed charges,
CLS FX PHLGL SHAFT PRORML OR MD PHLG,26720,CDM,,,,both,,,105,105,29.4,105,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,,,75.6,percent of total billed charges ,,,84,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,73.5,percent of total billed charges ,73.5,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,,,,,55.86,percent of total billed charges ,,,,,53.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,
CLS FX PHLNGL SHAFT PRXML OR MD PHAL,26725,CDM,,,,both,,,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
**CLS FX PHALANGL SHAFT PROX MID PHAL,26725,CDM,,,,both,,,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
CLS DSTL PHAL FX FNGR OR THMB WO/MAN,26750,CDM,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
CLS DISTL PHAL FX FNGR THMB W/MANIP,26755,CDM,,,,both,,,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
CLS TX PIP JOINT FX W MANIPULATION,26742,CDM,,,,both,,,331,331,92.68,331,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,244.94,percent of total billed charges,244.94,percent of total billed charges,264.8,percent of total billed charges,264.8,percent of total billed charges,,,238.32,percent of total billed charges ,,,264.8,percent of total billed charges ,278.04,percent of total billed charges ,278.04,percent of total billed charges ,258.18,percent of total billed charges ,258.18,percent of total billed charges ,264.8,percent of total billed charges ,264.8,percent of total billed charges ,231.7,percent of total billed charges ,231.7,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,,,,,176.09,percent of total billed charges ,,,,,167.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,
OPEN FX DISTL PHAL W/WO I/E FIX EACH,26765,CDM,,,,both,,,"4,261.00","4,261.00","1,193.08","4,261.00","4,261.00",percent of total billed charges,"4,261.00",percent of total billed charges,"4,261.00",percent of total billed charges,"4,261.00",percent of total billed charges,"4,261.00",percent of total billed charges,"4,261.00",percent of total billed charges,"4,261.00",percent of total billed charges,"4,261.00",percent of total billed charges,"3,067.92",percent of total billed charges,"3,067.92",percent of total billed charges,"3,067.92",percent of total billed charges,"3,067.92",percent of total billed charges,"3,067.92",percent of total billed charges,"3,067.92",percent of total billed charges,"3,153.14",percent of total billed charges,"3,153.14",percent of total billed charges,"3,408.80",percent of total billed charges,"3,408.80",percent of total billed charges,,,"3,067.92",percent of total billed charges ,,,"3,408.80",percent of total billed charges ,"3,579.24",percent of total billed charges ,"3,579.24",percent of total billed charges ,"3,323.58",percent of total billed charges ,"3,323.58",percent of total billed charges ,"3,408.80",percent of total billed charges ,"3,408.80",percent of total billed charges ,"2,982.70",percent of total billed charges ,"2,982.70",percent of total billed charges ,"2,556.60",percent of total billed charges ,"2,556.60",percent of total billed charges ,"2,556.60",percent of total billed charges ,"2,556.60",percent of total billed charges ,,,,,"2,266.85",percent of total billed charges ,,,,,"2,153.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,,,"1,193.08",percent of total billed charges,
CLS INTRPHLGL JNT DL W/MANI WO/ANES,26770,CDM,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
**CLS INTRPHAL JNT DL S W/MANI WO/ANES,26770,CDM,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
CLS INTRPHL JNT DSL W/MANIP W/ANES,26775,CDM,,,,both,,,453,453,126.84,453,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,335.22,percent of total billed charges,335.22,percent of total billed charges,362.4,percent of total billed charges,362.4,percent of total billed charges,,,326.16,percent of total billed charges ,,,362.4,percent of total billed charges ,380.52,percent of total billed charges ,380.52,percent of total billed charges ,353.34,percent of total billed charges ,353.34,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,317.1,percent of total billed charges ,317.1,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,,,,,241,percent of total billed charges ,,,,,228.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,
CLS FX COCCYGEAL,27200,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLS DISLC HIP TRAUM WO/ANES,27250,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
CLS FX FEMRL PROIML END NCK WO/MANIP,27230,CDM,,,,both,,,633,633,177.24,633,633,percent of total billed charges,633,percent of total billed charges,633,percent of total billed charges,633,percent of total billed charges,633,percent of total billed charges,633,percent of total billed charges,633,percent of total billed charges,633,percent of total billed charges,455.76,percent of total billed charges,455.76,percent of total billed charges,455.76,percent of total billed charges,455.76,percent of total billed charges,455.76,percent of total billed charges,455.76,percent of total billed charges,468.42,percent of total billed charges,468.42,percent of total billed charges,506.4,percent of total billed charges,506.4,percent of total billed charges,,,455.76,percent of total billed charges ,,,506.4,percent of total billed charges ,531.72,percent of total billed charges ,531.72,percent of total billed charges ,493.74,percent of total billed charges ,493.74,percent of total billed charges ,506.4,percent of total billed charges ,506.4,percent of total billed charges ,443.1,percent of total billed charges ,443.1,percent of total billed charges ,379.8,percent of total billed charges ,379.8,percent of total billed charges ,379.8,percent of total billed charges ,379.8,percent of total billed charges ,,,,,336.76,percent of total billed charges ,,,,,319.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,,,177.24,percent of total billed charges,
CLS FX SUPRCND OR TRANSC FEMROAL,27502,CDM,,,,both,,,366,366,102.48,366,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,270.84,percent of total billed charges,270.84,percent of total billed charges,292.8,percent of total billed charges,292.8,percent of total billed charges,,,263.52,percent of total billed charges ,,,292.8,percent of total billed charges ,307.44,percent of total billed charges ,307.44,percent of total billed charges ,285.48,percent of total billed charges ,285.48,percent of total billed charges ,292.8,percent of total billed charges ,292.8,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,219.6,percent of total billed charges ,219.6,percent of total billed charges ,219.6,percent of total billed charges ,219.6,percent of total billed charges ,,,,,194.71,percent of total billed charges ,,,,,184.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,
CLS TREATMENT HIP PROSTHESIS DISLOCATED,27265,CDM,,,,both,,,784,784,219.52,784,784,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,784,percent of total billed charges,564.48,percent of total billed charges,564.48,percent of total billed charges,564.48,percent of total billed charges,564.48,percent of total billed charges,564.48,percent of total billed charges,564.48,percent of total billed charges,580.16,percent of total billed charges,580.16,percent of total billed charges,627.2,percent of total billed charges,627.2,percent of total billed charges,,,564.48,percent of total billed charges ,,,627.2,percent of total billed charges ,658.56,percent of total billed charges ,658.56,percent of total billed charges ,611.52,percent of total billed charges ,611.52,percent of total billed charges ,627.2,percent of total billed charges ,627.2,percent of total billed charges ,548.8,percent of total billed charges ,548.8,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,,,,,417.09,percent of total billed charges ,,,,,396.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,,,219.52,percent of total billed charges,
CLSD FX PATELLAR WO/MANIP,27520,CDM,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
**CLS DSLC PATELLAR WO/ANES,27560,CDM,,,,both,,,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
CLSD DSLC PATELLAR WO/ANES,27560,CDM,,,,both,,,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
CLSD TX PATELLAR DSLC W/ANES,27562,CDM,,,,both,,,"3,443.00","3,443.00",964.04,"3,443.00","3,443.00",percent of total billed charges,"3,443.00",percent of total billed charges,"3,443.00",percent of total billed charges,"3,443.00",percent of total billed charges,"3,443.00",percent of total billed charges,"3,443.00",percent of total billed charges,"3,443.00",percent of total billed charges,"3,443.00",percent of total billed charges,"2,478.96",percent of total billed charges,"2,478.96",percent of total billed charges,"2,478.96",percent of total billed charges,"2,478.96",percent of total billed charges,"2,478.96",percent of total billed charges,"2,478.96",percent of total billed charges,"2,547.82",percent of total billed charges,"2,547.82",percent of total billed charges,"2,754.40",percent of total billed charges,"2,754.40",percent of total billed charges,,,"2,478.96",percent of total billed charges ,,,"2,754.40",percent of total billed charges ,"2,892.12",percent of total billed charges ,"2,892.12",percent of total billed charges ,"2,685.54",percent of total billed charges ,"2,685.54",percent of total billed charges ,"2,754.40",percent of total billed charges ,"2,754.40",percent of total billed charges ,"2,410.10",percent of total billed charges ,"2,410.10",percent of total billed charges ,"2,065.80",percent of total billed charges ,"2,065.80",percent of total billed charges ,"2,065.80",percent of total billed charges ,"2,065.80",percent of total billed charges ,,,,,"1,831.68",percent of total billed charges ,,,,,"1,740.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,,,964.04,percent of total billed charges,
CLSD FX TIBIAL SHAFT WO/MANIP,27750,CDM,,,,both,,,362,362,101.36,362,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,267.88,percent of total billed charges,267.88,percent of total billed charges,289.6,percent of total billed charges,289.6,percent of total billed charges,,,260.64,percent of total billed charges ,,,289.6,percent of total billed charges ,304.08,percent of total billed charges ,304.08,percent of total billed charges ,282.36,percent of total billed charges ,282.36,percent of total billed charges ,289.6,percent of total billed charges ,289.6,percent of total billed charges ,253.4,percent of total billed charges ,253.4,percent of total billed charges ,217.2,percent of total billed charges ,217.2,percent of total billed charges ,217.2,percent of total billed charges ,217.2,percent of total billed charges ,,,,,192.58,percent of total billed charges ,,,,,182.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,
CLS FX TIBIAL SHFT W/MANI W/WO SKEL,27752,CDM,,,,both,,,"4,037.00","4,037.00","1,130.36","4,037.00","4,037.00",percent of total billed charges,"4,037.00",percent of total billed charges,"4,037.00",percent of total billed charges,"4,037.00",percent of total billed charges,"4,037.00",percent of total billed charges,"4,037.00",percent of total billed charges,"4,037.00",percent of total billed charges,"4,037.00",percent of total billed charges,"2,906.64",percent of total billed charges,"2,906.64",percent of total billed charges,"2,906.64",percent of total billed charges,"2,906.64",percent of total billed charges,"2,906.64",percent of total billed charges,"2,906.64",percent of total billed charges,"2,987.38",percent of total billed charges,"2,987.38",percent of total billed charges,"3,229.60",percent of total billed charges,"3,229.60",percent of total billed charges,,,"2,906.64",percent of total billed charges ,,,"3,229.60",percent of total billed charges ,"3,391.08",percent of total billed charges ,"3,391.08",percent of total billed charges ,"3,148.86",percent of total billed charges ,"3,148.86",percent of total billed charges ,"3,229.60",percent of total billed charges ,"3,229.60",percent of total billed charges ,"2,825.90",percent of total billed charges ,"2,825.90",percent of total billed charges ,"2,422.20",percent of total billed charges ,"2,422.20",percent of total billed charges ,"2,422.20",percent of total billed charges ,"2,422.20",percent of total billed charges ,,,,,"2,147.68",percent of total billed charges ,,,,,"2,040.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,,,"1,130.36",percent of total billed charges,
CLSD FX MEDIAL MALLEOLUS WO MANIP,27760,CDM,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
CLSD FX MEDL MALL W/MANIP W/WO SKIN,27762,CDM,,,,both,,,716,716,200.48,716,716,percent of total billed charges,716,percent of total billed charges,716,percent of total billed charges,716,percent of total billed charges,716,percent of total billed charges,716,percent of total billed charges,716,percent of total billed charges,716,percent of total billed charges,515.52,percent of total billed charges,515.52,percent of total billed charges,515.52,percent of total billed charges,515.52,percent of total billed charges,515.52,percent of total billed charges,515.52,percent of total billed charges,529.84,percent of total billed charges,529.84,percent of total billed charges,572.8,percent of total billed charges,572.8,percent of total billed charges,,,515.52,percent of total billed charges ,,,572.8,percent of total billed charges ,601.44,percent of total billed charges ,601.44,percent of total billed charges ,558.48,percent of total billed charges ,558.48,percent of total billed charges ,572.8,percent of total billed charges ,572.8,percent of total billed charges ,501.2,percent of total billed charges ,501.2,percent of total billed charges ,429.6,percent of total billed charges ,429.6,percent of total billed charges ,429.6,percent of total billed charges ,429.6,percent of total billed charges ,,,,,380.91,percent of total billed charges ,,,,,361.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,,,200.48,percent of total billed charges,
CLSD PROX FIBULA OR SHAFT FX WO MANI,27780,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLSD PROX FIBULA OR SHAFT FX W MANIP,27781,CDM,,,,both,,,105,105,29.4,105,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,,,75.6,percent of total billed charges ,,,84,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,73.5,percent of total billed charges ,73.5,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,,,,,55.86,percent of total billed charges ,,,,,53.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,
CLSD FX DISTL FIB (LAT MALL) WO MANIP,27786,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLSD FX DISTL FIB (LAT MALL) W/MANI,27788,CDM,,,,both,,,345,345,96.6,345,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,255.3,percent of total billed charges,255.3,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,,,248.4,percent of total billed charges ,,,276,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,269.1,percent of total billed charges ,269.1,percent of total billed charges ,276,percent of total billed charges ,276,percent of total billed charges ,241.5,percent of total billed charges ,241.5,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,,,,,183.54,percent of total billed charges ,,,,,174.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,
CLSD FX BIMALL ANKLE W MANIP,27810,CDM,,,,both,,,420,420,117.6,420,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,310.8,percent of total billed charges,310.8,percent of total billed charges,336,percent of total billed charges,336,percent of total billed charges,,,302.4,percent of total billed charges ,,,336,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,,,,,223.44,percent of total billed charges ,,,,,212.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,
CLSD FX TRIMALL ANKLE W MANIP,27818,CDM,,,,both,,,345,345,96.6,345,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,255.3,percent of total billed charges,255.3,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,,,248.4,percent of total billed charges ,,,276,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,269.1,percent of total billed charges ,269.1,percent of total billed charges ,276,percent of total billed charges ,276,percent of total billed charges ,241.5,percent of total billed charges ,241.5,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,,,,,183.54,percent of total billed charges ,,,,,174.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,
REMOVAL NAIL/NAIL BED/NAIL FOLD,11765,CDM,,,,both,,,532,532,148.96,532,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,393.68,percent of total billed charges,393.68,percent of total billed charges,425.6,percent of total billed charges,425.6,percent of total billed charges,,,383.04,percent of total billed charges ,,,425.6,percent of total billed charges ,446.88,percent of total billed charges ,446.88,percent of total billed charges ,414.96,percent of total billed charges ,414.96,percent of total billed charges ,425.6,percent of total billed charges ,425.6,percent of total billed charges ,372.4,percent of total billed charges ,372.4,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,268.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,
REMOVAL FOREIGN BODY FOOT SUBCUT,28190,CDM,,,,both,,,"3,093.00","3,093.00",866.04,"3,093.00","3,093.00",percent of total billed charges,"3,093.00",percent of total billed charges,"3,093.00",percent of total billed charges,"3,093.00",percent of total billed charges,"3,093.00",percent of total billed charges,"3,093.00",percent of total billed charges,"3,093.00",percent of total billed charges,"3,093.00",percent of total billed charges,"2,226.96",percent of total billed charges,"2,226.96",percent of total billed charges,"2,226.96",percent of total billed charges,"2,226.96",percent of total billed charges,"2,226.96",percent of total billed charges,"2,226.96",percent of total billed charges,"2,288.82",percent of total billed charges,"2,288.82",percent of total billed charges,"2,474.40",percent of total billed charges,"2,474.40",percent of total billed charges,,,"2,226.96",percent of total billed charges ,,,"2,474.40",percent of total billed charges ,"2,598.12",percent of total billed charges ,"2,598.12",percent of total billed charges ,"2,412.54",percent of total billed charges ,"2,412.54",percent of total billed charges ,"2,474.40",percent of total billed charges ,"2,474.40",percent of total billed charges ,"2,165.10",percent of total billed charges ,"2,165.10",percent of total billed charges ,"1,855.80",percent of total billed charges ,"1,855.80",percent of total billed charges ,"1,855.80",percent of total billed charges ,"1,855.80",percent of total billed charges ,,,,,"1,645.48",percent of total billed charges ,,,,,"1,563.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,,,866.04,percent of total billed charges,
**REMOVAL FOREIGN BODY FOOT SUBCUT,28190,CDM,,,,both,,,609,609,170.52,609,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,450.66,percent of total billed charges,450.66,percent of total billed charges,487.2,percent of total billed charges,487.2,percent of total billed charges,,,438.48,percent of total billed charges ,,,487.2,percent of total billed charges ,511.56,percent of total billed charges ,511.56,percent of total billed charges ,475.02,percent of total billed charges ,475.02,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,426.3,percent of total billed charges ,426.3,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,,,,,323.99,percent of total billed charges ,,,,,307.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,
REMOVAL SKIN TAGS UP TO 15 LESIONS,11200,CDM,,,,both,,,279,279,78.12,279,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,206.46,percent of total billed charges,206.46,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,,,200.88,percent of total billed charges ,,,223.2,percent of total billed charges ,234.36,percent of total billed charges ,234.36,percent of total billed charges ,217.62,percent of total billed charges ,217.62,percent of total billed charges ,223.2,percent of total billed charges ,223.2,percent of total billed charges ,195.3,percent of total billed charges ,195.3,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,,,,,148.43,percent of total billed charges ,,,,,141.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,
REMOVAL SKIN TAGS EACH ADD 10 LESIONS,11201,CDM,,,,both,,,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
CLSD FX CALCANEAL WO MANIP,28400,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CLSD FX TALUS WO MANIP,28430,CDM,,,,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
FX TARSAL BONE WO MANIP EACH,28450,CDM,,,,both,,,63,63,17.64,63,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,46.62,percent of total billed charges,46.62,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,,,45.36,percent of total billed charges ,,,50.4,percent of total billed charges ,52.92,percent of total billed charges ,52.92,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,44.1,percent of total billed charges ,44.1,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,,,,,33.52,percent of total billed charges ,,,,,31.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,
**CLSD FX METATARSAL WO MANIP EACH,28470,CDM,,,,both,,,134,134,37.52,134,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,99.16,percent of total billed charges,99.16,percent of total billed charges,107.2,percent of total billed charges,107.2,percent of total billed charges,,,96.48,percent of total billed charges ,,,107.2,percent of total billed charges ,112.56,percent of total billed charges ,112.56,percent of total billed charges ,104.52,percent of total billed charges ,104.52,percent of total billed charges ,107.2,percent of total billed charges ,107.2,percent of total billed charges ,93.8,percent of total billed charges ,93.8,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,,,,,71.29,percent of total billed charges ,,,,,67.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,
CLSD FX MAETATARSAL WO MANIP EACH,28470,CDM,,,,both,,,134,134,37.52,134,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,99.16,percent of total billed charges,99.16,percent of total billed charges,107.2,percent of total billed charges,107.2,percent of total billed charges,,,96.48,percent of total billed charges ,,,107.2,percent of total billed charges ,112.56,percent of total billed charges ,112.56,percent of total billed charges ,104.52,percent of total billed charges ,104.52,percent of total billed charges ,107.2,percent of total billed charges ,107.2,percent of total billed charges ,93.8,percent of total billed charges ,93.8,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,,,,,71.29,percent of total billed charges ,,,,,67.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,
**CLSD FX GT TOE PHALX/PHALG WO MANIP,28490,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLSD FX GR TOE PHALX/PHALG WO MANIP,28490,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**CLSD FX GR TOE/PHALX/PHALG W MANIP,28495,CDM,,,,both,,,219,219,61.32,219,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,162.06,percent of total billed charges,162.06,percent of total billed charges,175.2,percent of total billed charges,175.2,percent of total billed charges,,,157.68,percent of total billed charges ,,,175.2,percent of total billed charges ,183.96,percent of total billed charges ,183.96,percent of total billed charges ,170.82,percent of total billed charges ,170.82,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,153.3,percent of total billed charges ,153.3,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,,,,,116.51,percent of total billed charges ,,,,,110.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,
CLSD FX GR TOE PHALX/PHALG W MANIP,28495,CDM,,,,both,,,219,219,61.32,219,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,162.06,percent of total billed charges,162.06,percent of total billed charges,175.2,percent of total billed charges,175.2,percent of total billed charges,,,157.68,percent of total billed charges ,,,175.2,percent of total billed charges ,183.96,percent of total billed charges ,183.96,percent of total billed charges ,170.82,percent of total billed charges ,170.82,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,153.3,percent of total billed charges ,153.3,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,,,,,116.51,percent of total billed charges ,,,,,110.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,
OPEN FX GR TOE/PHALX/PHALG W WO FIXA,28505,CDM,,,,both,,,"10,165.00","10,165.00","2,846.20","10,165.00","10,165.00",percent of total billed charges,"10,165.00",percent of total billed charges,"10,165.00",percent of total billed charges,"10,165.00",percent of total billed charges,"10,165.00",percent of total billed charges,"10,165.00",percent of total billed charges,"10,165.00",percent of total billed charges,"10,165.00",percent of total billed charges,"7,318.80",percent of total billed charges,"7,318.80",percent of total billed charges,"7,318.80",percent of total billed charges,"7,318.80",percent of total billed charges,"7,318.80",percent of total billed charges,"7,318.80",percent of total billed charges,"7,522.10",percent of total billed charges,"7,522.10",percent of total billed charges,"8,132.00",percent of total billed charges,"8,132.00",percent of total billed charges,,,"7,318.80",percent of total billed charges ,,,"8,132.00",percent of total billed charges ,"8,538.60",percent of total billed charges ,"8,538.60",percent of total billed charges ,"7,928.70",percent of total billed charges ,"7,928.70",percent of total billed charges ,"8,132.00",percent of total billed charges ,"8,132.00",percent of total billed charges ,"7,115.50",percent of total billed charges ,"7,115.50",percent of total billed charges ,"6,099.00",percent of total billed charges ,"6,099.00",percent of total billed charges ,"6,099.00",percent of total billed charges ,"6,099.00",percent of total billed charges ,,,,,"5,407.78",percent of total billed charges ,,,,,"5,137.39",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,,,"2,846.20",percent of total billed charges,
CLSD FX PHALX/PHALG WO MANIP EACH,28510,CDM,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
APP SHORT LEG CAST OP,29425,CDM,,,,both,,,453,453,126.84,453,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,335.22,percent of total billed charges,335.22,percent of total billed charges,362.4,percent of total billed charges,362.4,percent of total billed charges,,,326.16,percent of total billed charges ,,,362.4,percent of total billed charges ,380.52,percent of total billed charges ,380.52,percent of total billed charges ,353.34,percent of total billed charges ,353.34,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,317.1,percent of total billed charges ,317.1,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,,,,,241,percent of total billed charges ,,,,,228.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,
APP SHOULDER TO HAND (LONG ARM),29065,CDM,,,,both,,,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
APPLC OF LONG LEG SPLINT (THIGH TO ANKLE,29505,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**APPLC OF SHORT LEG SPLINT (CALF TO FOO,29515,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**APP ELBOW TO FINGER (SHORT ARM),29075,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
APP ELBOW TO FINGER (SHORT ARM),29075,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**APP SHORT ARM SPLINT (FOREARM TO HAN,29125,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
APP SHORT ARM SPLINT (FOREARM TO HAN,29125,CDM,,,,both,,,506,506,141.68,506,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,374.44,percent of total billed charges,374.44,percent of total billed charges,404.8,percent of total billed charges,404.8,percent of total billed charges,,,364.32,percent of total billed charges ,,,404.8,percent of total billed charges ,425.04,percent of total billed charges ,425.04,percent of total billed charges ,394.68,percent of total billed charges ,394.68,percent of total billed charges ,404.8,percent of total billed charges ,404.8,percent of total billed charges ,354.2,percent of total billed charges ,354.2,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,,,,,269.19,percent of total billed charges ,,,,,255.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,
**APP FINGER SPLINT STATIC,29130,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
FINGER SPLINT STATIC,29130,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**REMOVAL BIVALVING GAUNTLET BT/BODY C,29700,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
REMOVAL OF IUD,58301,CDM,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
REMOVAL OR BIVALVING GAUNTLET BT/BDY,29700,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
REMOVAL/BIVALVING FULL ARM/LEG CAST,29705,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
WINDOWING OF CAST,29730,CDM,,,,both,,,415,415,116.2,415,415,percent of total billed charges,415,percent of total billed charges,415,percent of total billed charges,415,percent of total billed charges,415,percent of total billed charges,415,percent of total billed charges,415,percent of total billed charges,415,percent of total billed charges,298.8,percent of total billed charges,298.8,percent of total billed charges,298.8,percent of total billed charges,298.8,percent of total billed charges,298.8,percent of total billed charges,298.8,percent of total billed charges,307.1,percent of total billed charges,307.1,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,,,298.8,percent of total billed charges ,,,332,percent of total billed charges ,348.6,percent of total billed charges ,348.6,percent of total billed charges ,323.7,percent of total billed charges ,323.7,percent of total billed charges ,332,percent of total billed charges ,332,percent of total billed charges ,290.5,percent of total billed charges ,290.5,percent of total billed charges ,249,percent of total billed charges ,249,percent of total billed charges ,249,percent of total billed charges ,249,percent of total billed charges ,,,,,220.78,percent of total billed charges ,,,,,209.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,,,116.2,percent of total billed charges,
REMOVAL FOREIGN BODY INTRANASAL OFF,30300,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**CONTROL NASAL HEM ANTERIOR SIMPLE,30901,CDM,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
CONTROL NASAL HEM ANTERIOR SIMPLE,30901,CDM,,,,both,,,643,643,180.04,643,643,percent of total billed charges,643,percent of total billed charges,643,percent of total billed charges,643,percent of total billed charges,643,percent of total billed charges,643,percent of total billed charges,643,percent of total billed charges,643,percent of total billed charges,462.96,percent of total billed charges,462.96,percent of total billed charges,462.96,percent of total billed charges,462.96,percent of total billed charges,462.96,percent of total billed charges,462.96,percent of total billed charges,475.82,percent of total billed charges,475.82,percent of total billed charges,514.4,percent of total billed charges,514.4,percent of total billed charges,,,462.96,percent of total billed charges ,,,514.4,percent of total billed charges ,540.12,percent of total billed charges ,540.12,percent of total billed charges ,501.54,percent of total billed charges ,501.54,percent of total billed charges ,514.4,percent of total billed charges ,514.4,percent of total billed charges ,450.1,percent of total billed charges ,450.1,percent of total billed charges ,385.8,percent of total billed charges ,385.8,percent of total billed charges ,385.8,percent of total billed charges ,385.8,percent of total billed charges ,,,,,342.08,percent of total billed charges ,,,,,324.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,,,180.04,percent of total billed charges,
CONTROL NASAL HEM POST W/NASAL PACK,30905,CDM,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
INTUBATION ENDOTRACH EMER PROC,31500,CDM,,,,both,,,"1,140.00","1,140.00",319.2,"1,140.00","1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,843.6,percent of total billed charges,843.6,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,,,820.8,percent of total billed charges ,,,912,percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,889.2,percent of total billed charges ,889.2,percent of total billed charges ,912,percent of total billed charges ,912,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,,,,,606.48,percent of total billed charges ,,,,,576.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,
LARYNGOSCOPY INDIRECT DX,31505,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
LARYNGOSCOPY INDIRECT W RMVL FRGN BD,31511,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
LARYNGOSCOPY FLEX FIB W/RMVL FRGN BD,31577,CDM,,,,both,,,"2,991.00","2,991.00",837.48,"2,991.00","2,991.00",percent of total billed charges,"2,991.00",percent of total billed charges,"2,991.00",percent of total billed charges,"2,991.00",percent of total billed charges,"2,991.00",percent of total billed charges,"2,991.00",percent of total billed charges,"2,991.00",percent of total billed charges,"2,991.00",percent of total billed charges,"2,153.52",percent of total billed charges,"2,153.52",percent of total billed charges,"2,153.52",percent of total billed charges,"2,153.52",percent of total billed charges,"2,153.52",percent of total billed charges,"2,153.52",percent of total billed charges,"2,213.34",percent of total billed charges,"2,213.34",percent of total billed charges,"2,392.80",percent of total billed charges,"2,392.80",percent of total billed charges,,,"2,153.52",percent of total billed charges ,,,"2,392.80",percent of total billed charges ,"2,512.44",percent of total billed charges ,"2,512.44",percent of total billed charges ,"2,332.98",percent of total billed charges ,"2,332.98",percent of total billed charges ,"2,392.80",percent of total billed charges ,"2,392.80",percent of total billed charges ,"2,093.70",percent of total billed charges ,"2,093.70",percent of total billed charges ,"1,794.60",percent of total billed charges ,"1,794.60",percent of total billed charges ,"1,794.60",percent of total billed charges ,"1,794.60",percent of total billed charges ,,,,,"1,591.21",percent of total billed charges ,,,,,"1,511.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,,,837.48,percent of total billed charges,
LARYNGOSCOPY FLEX DIAGNOSTIC,31575,CDM,,,,both,,,545,545,152.6,545,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,403.3,percent of total billed charges,403.3,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,,,392.4,percent of total billed charges ,,,436,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,425.1,percent of total billed charges ,425.1,percent of total billed charges ,436,percent of total billed charges ,436,percent of total billed charges ,381.5,percent of total billed charges ,381.5,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,,,,,289.94,percent of total billed charges ,,,,,275.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,
LARYNGOSCOPY DIRECT,31525,CDM,,,,both,,,"5,311.00","5,311.00","1,487.08","5,311.00","5,311.00",percent of total billed charges,"5,311.00",percent of total billed charges,"5,311.00",percent of total billed charges,"5,311.00",percent of total billed charges,"5,311.00",percent of total billed charges,"5,311.00",percent of total billed charges,"5,311.00",percent of total billed charges,"5,311.00",percent of total billed charges,"3,823.92",percent of total billed charges,"3,823.92",percent of total billed charges,"3,823.92",percent of total billed charges,"3,823.92",percent of total billed charges,"3,823.92",percent of total billed charges,"3,823.92",percent of total billed charges,"3,930.14",percent of total billed charges,"3,930.14",percent of total billed charges,"4,248.80",percent of total billed charges,"4,248.80",percent of total billed charges,,,"3,823.92",percent of total billed charges ,,,"4,248.80",percent of total billed charges ,"4,461.24",percent of total billed charges ,"4,461.24",percent of total billed charges ,"4,142.58",percent of total billed charges ,"4,142.58",percent of total billed charges ,"4,248.80",percent of total billed charges ,"4,248.80",percent of total billed charges ,"3,717.70",percent of total billed charges ,"3,717.70",percent of total billed charges ,"3,186.60",percent of total billed charges ,"3,186.60",percent of total billed charges ,"3,186.60",percent of total billed charges ,"3,186.60",percent of total billed charges ,,,,,"2,825.45",percent of total billed charges ,,,,,"2,684.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,,,"1,487.08",percent of total billed charges,
TRACHESOSTOMY TRANSTRACHEAL EMERG,31603,CDM,,,,both,,,"1,269.00","1,269.00",355.32,"1,269.00","1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,939.06,percent of total billed charges,939.06,percent of total billed charges,"1,015.20",percent of total billed charges,"1,015.20",percent of total billed charges,,,913.68,percent of total billed charges ,,,"1,015.20",percent of total billed charges ,"1,065.96",percent of total billed charges ,"1,065.96",percent of total billed charges ,989.82,percent of total billed charges ,989.82,percent of total billed charges ,"1,015.20",percent of total billed charges ,"1,015.20",percent of total billed charges ,888.3,percent of total billed charges ,888.3,percent of total billed charges ,761.4,percent of total billed charges ,761.4,percent of total billed charges ,761.4,percent of total billed charges ,761.4,percent of total billed charges ,,,,,675.11,percent of total billed charges ,,,,,641.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,
LARYNGOSCOPY W/ FB REMOVAL,31530,CDM,,,,both,,,"5,981.00","5,981.00","1,674.68","5,981.00","5,981.00",percent of total billed charges,"5,981.00",percent of total billed charges,"5,981.00",percent of total billed charges,"5,981.00",percent of total billed charges,"5,981.00",percent of total billed charges,"5,981.00",percent of total billed charges,"5,981.00",percent of total billed charges,"5,981.00",percent of total billed charges,"4,306.32",percent of total billed charges,"4,306.32",percent of total billed charges,"4,306.32",percent of total billed charges,"4,306.32",percent of total billed charges,"4,306.32",percent of total billed charges,"4,306.32",percent of total billed charges,"4,425.94",percent of total billed charges,"4,425.94",percent of total billed charges,"4,784.80",percent of total billed charges,"4,784.80",percent of total billed charges,,,"4,306.32",percent of total billed charges ,,,"4,784.80",percent of total billed charges ,"5,024.04",percent of total billed charges ,"5,024.04",percent of total billed charges ,"4,665.18",percent of total billed charges ,"4,665.18",percent of total billed charges ,"4,784.80",percent of total billed charges ,"4,784.80",percent of total billed charges ,"4,186.70",percent of total billed charges ,"4,186.70",percent of total billed charges ,"3,588.60",percent of total billed charges ,"3,588.60",percent of total billed charges ,"3,588.60",percent of total billed charges ,"3,588.60",percent of total billed charges ,,,,,"3,181.89",percent of total billed charges ,,,,,"3,022.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,,,"1,674.68",percent of total billed charges,
THORACENTESIS PUNCT PLEURAL W/O IMAGING,32554,CDM,,,,both,,,"1,073.00","1,073.00",300.44,"1,073.00","1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,"1,073.00",percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,772.56,percent of total billed charges,794.02,percent of total billed charges,794.02,percent of total billed charges,858.4,percent of total billed charges,858.4,percent of total billed charges,,,772.56,percent of total billed charges ,,,858.4,percent of total billed charges ,901.32,percent of total billed charges ,901.32,percent of total billed charges ,836.94,percent of total billed charges ,836.94,percent of total billed charges ,858.4,percent of total billed charges ,858.4,percent of total billed charges ,751.1,percent of total billed charges ,751.1,percent of total billed charges ,643.8,percent of total billed charges ,643.8,percent of total billed charges ,643.8,percent of total billed charges ,643.8,percent of total billed charges ,,,,,570.84,percent of total billed charges ,,,,,542.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,,,300.44,percent of total billed charges,
TUBE THORACENTESIS PNEUMOTHORA W/IMAGING,32555,CDM,,,,both,,,"1,798.00","1,798.00",503.44,"1,798.00","1,798.00",percent of total billed charges,"1,798.00",percent of total billed charges,"1,798.00",percent of total billed charges,"1,798.00",percent of total billed charges,"1,798.00",percent of total billed charges,"1,798.00",percent of total billed charges,"1,798.00",percent of total billed charges,"1,798.00",percent of total billed charges,"1,294.56",percent of total billed charges,"1,294.56",percent of total billed charges,"1,294.56",percent of total billed charges,"1,294.56",percent of total billed charges,"1,294.56",percent of total billed charges,"1,294.56",percent of total billed charges,"1,330.52",percent of total billed charges,"1,330.52",percent of total billed charges,"1,438.40",percent of total billed charges,"1,438.40",percent of total billed charges,,,"1,294.56",percent of total billed charges ,,,"1,438.40",percent of total billed charges ,"1,510.32",percent of total billed charges ,"1,510.32",percent of total billed charges ,"1,402.44",percent of total billed charges ,"1,402.44",percent of total billed charges ,"1,438.40",percent of total billed charges ,"1,438.40",percent of total billed charges ,"1,258.60",percent of total billed charges ,"1,258.60",percent of total billed charges ,"1,078.80",percent of total billed charges ,"1,078.80",percent of total billed charges ,"1,078.80",percent of total billed charges ,"1,078.80",percent of total billed charges ,,,,,956.54,percent of total billed charges ,,,,,908.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,,,503.44,percent of total billed charges,
TUBE THORACOSTOMY W WATER SEAL,32551,CDM,,,,both,,,568,568,159.04,568,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,420.32,percent of total billed charges,420.32,percent of total billed charges,454.4,percent of total billed charges,454.4,percent of total billed charges,,,408.96,percent of total billed charges ,,,454.4,percent of total billed charges ,477.12,percent of total billed charges ,477.12,percent of total billed charges ,443.04,percent of total billed charges ,443.04,percent of total billed charges ,454.4,percent of total billed charges ,454.4,percent of total billed charges ,397.6,percent of total billed charges ,397.6,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,,,,,302.18,percent of total billed charges ,,,,,287.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,
**TUBE THORACOSTOMY W WO WATER SEAL,32020,CDM,,,,both,,,556,556,155.68,556,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,411.44,percent of total billed charges,411.44,percent of total billed charges,444.8,percent of total billed charges,444.8,percent of total billed charges,,,400.32,percent of total billed charges ,,,444.8,percent of total billed charges ,467.04,percent of total billed charges ,467.04,percent of total billed charges ,433.68,percent of total billed charges ,433.68,percent of total billed charges ,444.8,percent of total billed charges ,444.8,percent of total billed charges ,389.2,percent of total billed charges ,389.2,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,,,,,295.79,percent of total billed charges ,,,,,281,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,
NON TUNNELED CENTRAL VENOUS CATH >5YRS,36556,CDM,,,,both,,,"3,382.00","3,382.00",946.96,"3,382.00","3,382.00",percent of total billed charges,"3,382.00",percent of total billed charges,"3,382.00",percent of total billed charges,"3,382.00",percent of total billed charges,"3,382.00",percent of total billed charges,"3,382.00",percent of total billed charges,"3,382.00",percent of total billed charges,"3,382.00",percent of total billed charges,"2,435.04",percent of total billed charges,"2,435.04",percent of total billed charges,"2,435.04",percent of total billed charges,"2,435.04",percent of total billed charges,"2,435.04",percent of total billed charges,"2,435.04",percent of total billed charges,"2,502.68",percent of total billed charges,"2,502.68",percent of total billed charges,"2,705.60",percent of total billed charges,"2,705.60",percent of total billed charges,,,"2,435.04",percent of total billed charges ,,,"2,705.60",percent of total billed charges ,"2,840.88",percent of total billed charges ,"2,840.88",percent of total billed charges ,"2,637.96",percent of total billed charges ,"2,637.96",percent of total billed charges ,"2,705.60",percent of total billed charges ,"2,705.60",percent of total billed charges ,"2,367.40",percent of total billed charges ,"2,367.40",percent of total billed charges ,"2,029.20",percent of total billed charges ,"2,029.20",percent of total billed charges ,"2,029.20",percent of total billed charges ,"2,029.20",percent of total billed charges ,,,,,"1,799.22",percent of total billed charges ,,,,,"1,709.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,,,946.96,percent of total billed charges,
**PERICARDIOCENTESIS INITIAL,33010,CDM,,,,both,,,843,843,236.04,843,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,623.82,percent of total billed charges,623.82,percent of total billed charges,674.4,percent of total billed charges,674.4,percent of total billed charges,,,606.96,percent of total billed charges ,,,674.4,percent of total billed charges ,708.12,percent of total billed charges ,708.12,percent of total billed charges ,657.54,percent of total billed charges ,657.54,percent of total billed charges ,674.4,percent of total billed charges ,674.4,percent of total billed charges ,590.1,percent of total billed charges ,590.1,percent of total billed charges ,505.8,percent of total billed charges ,505.8,percent of total billed charges ,505.8,percent of total billed charges ,505.8,percent of total billed charges ,,,,,448.48,percent of total billed charges ,,,,,426.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,
ER-PIC INSERT W/O SUB PORT OR PUMP,36569,CDM,,,,both,,,"3,123.00","3,123.00",874.44,"3,123.00","3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,311.02",percent of total billed charges,"2,311.02",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,,,"2,248.56",percent of total billed charges ,,,"2,498.40",percent of total billed charges ,"2,623.32",percent of total billed charges ,"2,623.32",percent of total billed charges ,"2,435.94",percent of total billed charges ,"2,435.94",percent of total billed charges ,"2,498.40",percent of total billed charges ,"2,498.40",percent of total billed charges ,"2,186.10",percent of total billed charges ,"2,186.10",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,,,,,"1,661.44",percent of total billed charges ,,,,,"1,578.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,
**SUTURE ARTERY,37609,CDM,,,,both,,,"1,571.00","1,571.00",439.88,"1,571.00","1,571.00",percent of total billed charges,"1,571.00",percent of total billed charges,"1,571.00",percent of total billed charges,"1,571.00",percent of total billed charges,"1,571.00",percent of total billed charges,"1,571.00",percent of total billed charges,"1,571.00",percent of total billed charges,"1,571.00",percent of total billed charges,"1,131.12",percent of total billed charges,"1,131.12",percent of total billed charges,"1,131.12",percent of total billed charges,"1,131.12",percent of total billed charges,"1,131.12",percent of total billed charges,"1,131.12",percent of total billed charges,"1,162.54",percent of total billed charges,"1,162.54",percent of total billed charges,"1,256.80",percent of total billed charges,"1,256.80",percent of total billed charges,,,"1,131.12",percent of total billed charges ,,,"1,256.80",percent of total billed charges ,"1,319.64",percent of total billed charges ,"1,319.64",percent of total billed charges ,"1,225.38",percent of total billed charges ,"1,225.38",percent of total billed charges ,"1,256.80",percent of total billed charges ,"1,256.80",percent of total billed charges ,"1,099.70",percent of total billed charges ,"1,099.70",percent of total billed charges ,942.6,percent of total billed charges ,942.6,percent of total billed charges ,942.6,percent of total billed charges ,942.6,percent of total billed charges ,,,,,835.77,percent of total billed charges ,,,,,793.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,,,439.88,percent of total billed charges,
I OR R TEMP TRANSV S CHAMBER CARD EL,33210,CDM,,,,both,,,"12,354.00","12,354.00","3,459.12","12,354.00","12,354.00",percent of total billed charges,"12,354.00",percent of total billed charges,"12,354.00",percent of total billed charges,"12,354.00",percent of total billed charges,"12,354.00",percent of total billed charges,"12,354.00",percent of total billed charges,"12,354.00",percent of total billed charges,"12,354.00",percent of total billed charges,"8,894.88",percent of total billed charges,"8,894.88",percent of total billed charges,"8,894.88",percent of total billed charges,"8,894.88",percent of total billed charges,"8,894.88",percent of total billed charges,"8,894.88",percent of total billed charges,"9,141.96",percent of total billed charges,"9,141.96",percent of total billed charges,"9,883.20",percent of total billed charges,"9,883.20",percent of total billed charges,,,"8,894.88",percent of total billed charges ,,,"9,883.20",percent of total billed charges ,"10,377.36",percent of total billed charges ,"10,377.36",percent of total billed charges ,"9,636.12",percent of total billed charges ,"9,636.12",percent of total billed charges ,"9,883.20",percent of total billed charges ,"9,883.20",percent of total billed charges ,"8,647.80",percent of total billed charges ,"8,647.80",percent of total billed charges ,"7,412.40",percent of total billed charges ,"7,412.40",percent of total billed charges ,"7,412.40",percent of total billed charges ,"7,412.40",percent of total billed charges ,,,,,"6,572.33",percent of total billed charges ,,,,,"6,243.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,,,"3,459.12",percent of total billed charges,
PLACEMT CENTRL VEN CATH PER >AGE 2,36555,CDM,,,,both,,,"1,978.00","1,978.00",553.84,"1,978.00","1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,463.72",percent of total billed charges,"1,463.72",percent of total billed charges,"1,582.40",percent of total billed charges,"1,582.40",percent of total billed charges,,,"1,424.16",percent of total billed charges ,,,"1,582.40",percent of total billed charges ,"1,661.52",percent of total billed charges ,"1,661.52",percent of total billed charges ,"1,542.84",percent of total billed charges ,"1,542.84",percent of total billed charges ,"1,582.40",percent of total billed charges ,"1,582.40",percent of total billed charges ,"1,384.60",percent of total billed charges ,"1,384.60",percent of total billed charges ,"1,186.80",percent of total billed charges ,"1,186.80",percent of total billed charges ,"1,186.80",percent of total billed charges ,"1,186.80",percent of total billed charges ,,,,,"1,052.30",percent of total billed charges ,,,,,999.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
RMVL URETER STENT,50386,CDM,,,,both,,,"7,964.00","7,964.00","2,229.92","7,964.00","7,964.00",percent of total billed charges,"7,964.00",percent of total billed charges,"7,964.00",percent of total billed charges,"7,964.00",percent of total billed charges,"7,964.00",percent of total billed charges,"7,964.00",percent of total billed charges,"7,964.00",percent of total billed charges,"7,964.00",percent of total billed charges,"5,734.08",percent of total billed charges,"5,734.08",percent of total billed charges,"5,734.08",percent of total billed charges,"5,734.08",percent of total billed charges,"5,734.08",percent of total billed charges,"5,734.08",percent of total billed charges,"5,893.36",percent of total billed charges,"5,893.36",percent of total billed charges,"6,371.20",percent of total billed charges,"6,371.20",percent of total billed charges,,,"5,734.08",percent of total billed charges ,,,"6,371.20",percent of total billed charges ,"6,689.76",percent of total billed charges ,"6,689.76",percent of total billed charges ,"6,211.92",percent of total billed charges ,"6,211.92",percent of total billed charges ,"6,371.20",percent of total billed charges ,"6,371.20",percent of total billed charges ,"5,574.80",percent of total billed charges ,"5,574.80",percent of total billed charges ,"4,778.40",percent of total billed charges ,"4,778.40",percent of total billed charges ,"4,778.40",percent of total billed charges ,"4,778.40",percent of total billed charges ,,,,,"4,236.85",percent of total billed charges ,,,,,"4,025.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,,,"2,229.92",percent of total billed charges,
**REMVAL EMBD FOREIGN BODY VSTBL MOUTH,40804,CDM,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
RMVL EMBD FOREIGN BODY VESTBL MOUTH,40804,CDM,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
CLOSURE LAC 2.5 OR LESS,40830,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLOSURE LAC VESTIBULE MOUTH 2.5 OR OVER,40831,CDM,,,,both,,,"1,352.00","1,352.00",378.56,"1,352.00","1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,"1,000.48",percent of total billed charges,"1,000.48",percent of total billed charges,"1,081.60",percent of total billed charges,"1,081.60",percent of total billed charges,,,973.44,percent of total billed charges ,,,"1,081.60",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,081.60",percent of total billed charges ,"1,081.60",percent of total billed charges ,946.4,percent of total billed charges ,946.4,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,,,,,719.26,percent of total billed charges ,,,,,683.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,
INCISION & DRNG ABCESS PALATE,42000,CDM,,,,both,,,489,489,136.92,489,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,361.86,percent of total billed charges,361.86,percent of total billed charges,391.2,percent of total billed charges,391.2,percent of total billed charges,,,352.08,percent of total billed charges ,,,391.2,percent of total billed charges ,410.76,percent of total billed charges ,410.76,percent of total billed charges ,381.42,percent of total billed charges ,381.42,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,342.3,percent of total billed charges ,342.3,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,,,,,260.15,percent of total billed charges ,,,,,247.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,
INCISION & DRNG ISHRCTL/PERCTAL ABCESS,46040,CDM,,,,both,,,"2,347.00","2,347.00",657.16,"2,347.00","2,347.00",percent of total billed charges,"2,347.00",percent of total billed charges,"2,347.00",percent of total billed charges,"2,347.00",percent of total billed charges,"2,347.00",percent of total billed charges,"2,347.00",percent of total billed charges,"2,347.00",percent of total billed charges,"2,347.00",percent of total billed charges,"1,689.84",percent of total billed charges,"1,689.84",percent of total billed charges,"1,689.84",percent of total billed charges,"1,689.84",percent of total billed charges,"1,689.84",percent of total billed charges,"1,689.84",percent of total billed charges,"1,736.78",percent of total billed charges,"1,736.78",percent of total billed charges,"1,877.60",percent of total billed charges,"1,877.60",percent of total billed charges,,,"1,689.84",percent of total billed charges ,,,"1,877.60",percent of total billed charges ,"1,971.48",percent of total billed charges ,"1,971.48",percent of total billed charges ,"1,830.66",percent of total billed charges ,"1,830.66",percent of total billed charges ,"1,877.60",percent of total billed charges ,"1,877.60",percent of total billed charges ,"1,642.90",percent of total billed charges ,"1,642.90",percent of total billed charges ,"1,408.20",percent of total billed charges ,"1,408.20",percent of total billed charges ,"1,408.20",percent of total billed charges ,"1,408.20",percent of total billed charges ,,,,,"1,248.60",percent of total billed charges ,,,,,"1,186.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,,,657.16,percent of total billed charges,
INCISION & DRNG BARTHOLIN'S ABCESS,56420,CDM,,,,both,,,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
INCISION & DRN PERIANAL ABCESS SUPRFCL,46050,CDM,,,,both,,,641,641,179.48,641,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,474.34,percent of total billed charges,474.34,percent of total billed charges,512.8,percent of total billed charges,512.8,percent of total billed charges,,,461.52,percent of total billed charges ,,,512.8,percent of total billed charges ,538.44,percent of total billed charges ,538.44,percent of total billed charges ,499.98,percent of total billed charges ,499.98,percent of total billed charges ,512.8,percent of total billed charges ,512.8,percent of total billed charges ,448.7,percent of total billed charges ,448.7,percent of total billed charges ,384.6,percent of total billed charges ,384.6,percent of total billed charges ,384.6,percent of total billed charges ,384.6,percent of total billed charges ,,,,,341.01,percent of total billed charges ,,,,,323.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,
"INC/DRAIN EPIDIDYMIS,TESTES/SCROTL SPACE",54700,CDM,,,,both,,,"6,693.00","6,693.00","1,874.04","6,693.00","6,693.00",percent of total billed charges,"6,693.00",percent of total billed charges,"6,693.00",percent of total billed charges,"6,693.00",percent of total billed charges,"6,693.00",percent of total billed charges,"6,693.00",percent of total billed charges,"6,693.00",percent of total billed charges,"6,693.00",percent of total billed charges,"4,818.96",percent of total billed charges,"4,818.96",percent of total billed charges,"4,818.96",percent of total billed charges,"4,818.96",percent of total billed charges,"4,818.96",percent of total billed charges,"4,818.96",percent of total billed charges,"4,952.82",percent of total billed charges,"4,952.82",percent of total billed charges,"5,354.40",percent of total billed charges,"5,354.40",percent of total billed charges,,,"4,818.96",percent of total billed charges ,,,"5,354.40",percent of total billed charges ,"5,622.12",percent of total billed charges ,"5,622.12",percent of total billed charges ,"5,220.54",percent of total billed charges ,"5,220.54",percent of total billed charges ,"5,354.40",percent of total billed charges ,"5,354.40",percent of total billed charges ,"4,685.10",percent of total billed charges ,"4,685.10",percent of total billed charges ,"4,015.80",percent of total billed charges ,"4,015.80",percent of total billed charges ,"4,015.80",percent of total billed charges ,"4,015.80",percent of total billed charges ,,,,,"3,560.68",percent of total billed charges ,,,,,"3,382.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,,,"1,874.04",percent of total billed charges,
INCISION HEMORRHOID NON THROMBOSED,46999,CDM,,,,both,,,"2,737.00","2,737.00",766.36,"2,737.00","2,737.00",percent of total billed charges,"2,737.00",percent of total billed charges,"2,737.00",percent of total billed charges,"2,737.00",percent of total billed charges,"2,737.00",percent of total billed charges,"2,737.00",percent of total billed charges,"2,737.00",percent of total billed charges,"2,737.00",percent of total billed charges,"1,970.64",percent of total billed charges,"1,970.64",percent of total billed charges,"1,970.64",percent of total billed charges,"1,970.64",percent of total billed charges,"1,970.64",percent of total billed charges,"1,970.64",percent of total billed charges,"2,025.38",percent of total billed charges,"2,025.38",percent of total billed charges,"2,189.60",percent of total billed charges,"2,189.60",percent of total billed charges,,,"1,970.64",percent of total billed charges ,,,"2,189.60",percent of total billed charges ,"2,299.08",percent of total billed charges ,"2,299.08",percent of total billed charges ,"2,134.86",percent of total billed charges ,"2,134.86",percent of total billed charges ,"2,189.60",percent of total billed charges ,"2,189.60",percent of total billed charges ,"1,915.90",percent of total billed charges ,"1,915.90",percent of total billed charges ,"1,642.20",percent of total billed charges ,"1,642.20",percent of total billed charges ,"1,642.20",percent of total billed charges ,"1,642.20",percent of total billed charges ,,,,,"1,456.08",percent of total billed charges ,,,,,"1,383.28",percent of total billed charges ,,,,,,,,,,,,,,,,,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,,,766.36,percent of total billed charges,
INCISION & DRN EXTERNL HEMORROID-THROMBO,46083,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
ANOSCOPY DIAGN W/WO COL SPECM BY W/B,46600,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
SCOPE BLADDER COMPLEX REMOVAL,52315,CDM,,,,both,,,"8,340.00","8,340.00","2,335.20","8,340.00","8,340.00",percent of total billed charges,"8,340.00",percent of total billed charges,"8,340.00",percent of total billed charges,"8,340.00",percent of total billed charges,"8,340.00",percent of total billed charges,"8,340.00",percent of total billed charges,"8,340.00",percent of total billed charges,"8,340.00",percent of total billed charges,"6,004.80",percent of total billed charges,"6,004.80",percent of total billed charges,"6,004.80",percent of total billed charges,"6,004.80",percent of total billed charges,"6,004.80",percent of total billed charges,"6,004.80",percent of total billed charges,"6,171.60",percent of total billed charges,"6,171.60",percent of total billed charges,"6,672.00",percent of total billed charges,"6,672.00",percent of total billed charges,,,"6,004.80",percent of total billed charges ,,,"6,672.00",percent of total billed charges ,"7,005.60",percent of total billed charges ,"7,005.60",percent of total billed charges ,"6,505.20",percent of total billed charges ,"6,505.20",percent of total billed charges ,"6,672.00",percent of total billed charges ,"6,672.00",percent of total billed charges ,"5,838.00",percent of total billed charges ,"5,838.00",percent of total billed charges ,"5,004.00",percent of total billed charges ,"5,004.00",percent of total billed charges ,"5,004.00",percent of total billed charges ,"5,004.00",percent of total billed charges ,,,,,"4,436.88",percent of total billed charges ,,,,,"4,215.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,,,"2,335.20",percent of total billed charges,
BLADDER IRRIG SMPL LAVAGE/INSTILLTN,51700,CDM,,,,both,,,819,819,229.32,819,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,606.06,percent of total billed charges,606.06,percent of total billed charges,655.2,percent of total billed charges,655.2,percent of total billed charges,,,589.68,percent of total billed charges ,,,655.2,percent of total billed charges ,687.96,percent of total billed charges ,687.96,percent of total billed charges ,638.82,percent of total billed charges ,638.82,percent of total billed charges ,655.2,percent of total billed charges ,655.2,percent of total billed charges ,573.3,percent of total billed charges ,573.3,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,,,,,435.71,percent of total billed charges ,,,,,413.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,
I & D VULVA OR PERINEAL ABSCESS,56405,CDM,,,,both,,,"1,165.00","1,165.00",326.2,"1,165.00","1,165.00",percent of total billed charges,"1,165.00",percent of total billed charges,"1,165.00",percent of total billed charges,"1,165.00",percent of total billed charges,"1,165.00",percent of total billed charges,"1,165.00",percent of total billed charges,"1,165.00",percent of total billed charges,"1,165.00",percent of total billed charges,838.8,percent of total billed charges,838.8,percent of total billed charges,838.8,percent of total billed charges,838.8,percent of total billed charges,838.8,percent of total billed charges,838.8,percent of total billed charges,862.1,percent of total billed charges,862.1,percent of total billed charges,932,percent of total billed charges,932,percent of total billed charges,,,838.8,percent of total billed charges ,,,932,percent of total billed charges ,978.6,percent of total billed charges ,978.6,percent of total billed charges ,908.7,percent of total billed charges ,908.7,percent of total billed charges ,932,percent of total billed charges ,932,percent of total billed charges ,815.5,percent of total billed charges ,815.5,percent of total billed charges ,699,percent of total billed charges ,699,percent of total billed charges ,699,percent of total billed charges ,699,percent of total billed charges ,,,,,619.78,percent of total billed charges ,,,,,588.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,,,326.2,percent of total billed charges,
**CATHETERIZATION URETHRA SIMPLE,53670,CDM,,,,both,,,409,409,114.52,409,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,302.66,percent of total billed charges,302.66,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,,,294.48,percent of total billed charges ,,,327.2,percent of total billed charges ,343.56,percent of total billed charges ,343.56,percent of total billed charges ,319.02,percent of total billed charges ,319.02,percent of total billed charges ,327.2,percent of total billed charges ,327.2,percent of total billed charges ,286.3,percent of total billed charges ,286.3,percent of total billed charges ,245.4,percent of total billed charges ,245.4,percent of total billed charges ,245.4,percent of total billed charges ,245.4,percent of total billed charges ,,,,,217.59,percent of total billed charges ,,,,,206.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,
**CATHETERIZATION URETHRA SIMPLE,53670,CDM,,,,both,,,409,409,114.52,409,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,409,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,294.48,percent of total billed charges,302.66,percent of total billed charges,302.66,percent of total billed charges,327.2,percent of total billed charges,327.2,percent of total billed charges,,,294.48,percent of total billed charges ,,,327.2,percent of total billed charges ,343.56,percent of total billed charges ,343.56,percent of total billed charges ,319.02,percent of total billed charges ,319.02,percent of total billed charges ,327.2,percent of total billed charges ,327.2,percent of total billed charges ,286.3,percent of total billed charges ,286.3,percent of total billed charges ,245.4,percent of total billed charges ,245.4,percent of total billed charges ,245.4,percent of total billed charges ,245.4,percent of total billed charges ,,,,,217.59,percent of total billed charges ,,,,,206.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,,,114.52,percent of total billed charges,
"REPLACEMENT OF CYSTOSTOMY TUBE,SIMPLE",51705,CDM,,,,both,,,577,577,161.56,577,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,426.98,percent of total billed charges,426.98,percent of total billed charges,461.6,percent of total billed charges,461.6,percent of total billed charges,,,415.44,percent of total billed charges ,,,461.6,percent of total billed charges ,484.68,percent of total billed charges ,484.68,percent of total billed charges ,450.06,percent of total billed charges ,450.06,percent of total billed charges ,461.6,percent of total billed charges ,461.6,percent of total billed charges ,403.9,percent of total billed charges ,403.9,percent of total billed charges ,346.2,percent of total billed charges ,346.2,percent of total billed charges ,346.2,percent of total billed charges ,346.2,percent of total billed charges ,,,,,306.96,percent of total billed charges ,,,,,291.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,
VAGINAL DELIVERY ONLY W/WO EPIS/FRCP,59409,CDM,,,,both,,,"4,175.00","4,175.00","1,169.00","4,175.00","4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,089.50",percent of total billed charges,"3,089.50",percent of total billed charges,"3,340.00",percent of total billed charges,"3,340.00",percent of total billed charges,,,"3,006.00",percent of total billed charges ,,,"3,340.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,256.50",percent of total billed charges ,"3,256.50",percent of total billed charges ,"3,340.00",percent of total billed charges ,"3,340.00",percent of total billed charges ,"2,922.50",percent of total billed charges ,"2,922.50",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,,,,,"2,221.10",percent of total billed charges ,,,,,"2,110.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,
DELIVERY OF PLACENTA SEP PROC,59414,CDM,,,,both,,,"4,175.00","4,175.00","1,169.00","4,175.00","4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,089.50",percent of total billed charges,"3,089.50",percent of total billed charges,"3,340.00",percent of total billed charges,"3,340.00",percent of total billed charges,,,"3,006.00",percent of total billed charges ,,,"3,340.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,256.50",percent of total billed charges ,"3,256.50",percent of total billed charges ,"3,340.00",percent of total billed charges ,"3,340.00",percent of total billed charges ,"2,922.50",percent of total billed charges ,"2,922.50",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,,,,,"2,221.10",percent of total billed charges ,,,,,"2,110.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,
SPINAL BLOOD PATCH,62273,CDM,,,,both,,,"1,005.00","1,005.00",281.4,"1,005.00","1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,743.7,percent of total billed charges,743.7,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,,,723.6,percent of total billed charges ,,,804,percent of total billed charges ,844.2,percent of total billed charges ,844.2,percent of total billed charges ,783.9,percent of total billed charges ,783.9,percent of total billed charges ,804,percent of total billed charges ,804,percent of total billed charges ,703.5,percent of total billed charges ,703.5,percent of total billed charges ,603,percent of total billed charges ,603,percent of total billed charges ,603,percent of total billed charges ,603,percent of total billed charges ,,,,,534.66,percent of total billed charges ,,,,,507.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,
SPINAL PUNCTURE LUMBAR DIAGNOSTIC,62270,CDM,,,,both,,,"1,550.00","1,550.00",434,"1,550.00","1,550.00",percent of total billed charges,"1,550.00",percent of total billed charges,"1,550.00",percent of total billed charges,"1,550.00",percent of total billed charges,"1,550.00",percent of total billed charges,"1,550.00",percent of total billed charges,"1,550.00",percent of total billed charges,"1,550.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,147.00",percent of total billed charges,"1,240.00",percent of total billed charges,"1,240.00",percent of total billed charges,,,"1,116.00",percent of total billed charges ,,,"1,240.00",percent of total billed charges ,"1,302.00",percent of total billed charges ,"1,302.00",percent of total billed charges ,"1,209.00",percent of total billed charges ,"1,209.00",percent of total billed charges ,"1,240.00",percent of total billed charges ,"1,240.00",percent of total billed charges ,"1,085.00",percent of total billed charges ,"1,085.00",percent of total billed charges ,930,percent of total billed charges ,930,percent of total billed charges ,930,percent of total billed charges ,930,percent of total billed charges ,,,,,824.6,percent of total billed charges ,,,,,783.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,,,434,percent of total billed charges,
INJ ANES AGENT OT PERIPHECAL NERV/BR,64450,CDM,,,,both,,,"1,553.00","1,553.00",434.84,"1,553.00","1,553.00",percent of total billed charges,"1,553.00",percent of total billed charges,"1,553.00",percent of total billed charges,"1,553.00",percent of total billed charges,"1,553.00",percent of total billed charges,"1,553.00",percent of total billed charges,"1,553.00",percent of total billed charges,"1,553.00",percent of total billed charges,"1,118.16",percent of total billed charges,"1,118.16",percent of total billed charges,"1,118.16",percent of total billed charges,"1,118.16",percent of total billed charges,"1,118.16",percent of total billed charges,"1,118.16",percent of total billed charges,"1,149.22",percent of total billed charges,"1,149.22",percent of total billed charges,"1,242.40",percent of total billed charges,"1,242.40",percent of total billed charges,,,"1,118.16",percent of total billed charges ,,,"1,242.40",percent of total billed charges ,"1,304.52",percent of total billed charges ,"1,304.52",percent of total billed charges ,"1,211.34",percent of total billed charges ,"1,211.34",percent of total billed charges ,"1,242.40",percent of total billed charges ,"1,242.40",percent of total billed charges ,"1,087.10",percent of total billed charges ,"1,087.10",percent of total billed charges ,931.8,percent of total billed charges ,931.8,percent of total billed charges ,931.8,percent of total billed charges ,931.8,percent of total billed charges ,,,,,826.2,percent of total billed charges ,,,,,784.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,,,434.84,percent of total billed charges,
REMOVL FOREIGN BODY EYE CONJ SUPFCL,65205,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**REMVL FOREIGN BODY EYE CONJ SPFCL,65205,CDM,,,,both,,,499,499,139.72,499,499,percent of total billed charges,499,percent of total billed charges,499,percent of total billed charges,499,percent of total billed charges,499,percent of total billed charges,499,percent of total billed charges,499,percent of total billed charges,499,percent of total billed charges,359.28,percent of total billed charges,359.28,percent of total billed charges,359.28,percent of total billed charges,359.28,percent of total billed charges,359.28,percent of total billed charges,359.28,percent of total billed charges,369.26,percent of total billed charges,369.26,percent of total billed charges,399.2,percent of total billed charges,399.2,percent of total billed charges,,,359.28,percent of total billed charges ,,,399.2,percent of total billed charges ,419.16,percent of total billed charges ,419.16,percent of total billed charges ,389.22,percent of total billed charges ,389.22,percent of total billed charges ,399.2,percent of total billed charges ,399.2,percent of total billed charges ,349.3,percent of total billed charges ,349.3,percent of total billed charges ,299.4,percent of total billed charges ,299.4,percent of total billed charges ,299.4,percent of total billed charges ,299.4,percent of total billed charges ,,,,,265.47,percent of total billed charges ,,,,,252.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,,,139.72,percent of total billed charges,
RMVL FOREIGN BODY EYE CONJ EMB SUBCN,65210,CDM,,,,both,,,111,111,31.08,111,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,82.14,percent of total billed charges,82.14,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,,,79.92,percent of total billed charges ,,,88.8,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,,,,,59.05,percent of total billed charges ,,,,,56.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,
RMVL FRGN BODY EYE CORNEAL WO SL LMP,65220,CDM,,,,both,,,63,63,17.64,63,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,46.62,percent of total billed charges,46.62,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,,,45.36,percent of total billed charges ,,,50.4,percent of total billed charges ,52.92,percent of total billed charges ,52.92,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,44.1,percent of total billed charges ,44.1,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,,,,,33.52,percent of total billed charges ,,,,,31.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,
REMVL FOREIGN BODY EYE CORNAL W LAMP,65222,CDM,,,,both,,,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
**RMVL EMBED FRGN BODY EYELID,67938,CDM,,,,both,,,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
RMVL EMBED FOREIGN BODY EYELID,67938,CDM,,,,both,,,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
RMVL FRGN BODY EX AUDITORY CANAL,69205,CDM,,,,both,,,"6,813.00","6,813.00","1,907.64","6,813.00","6,813.00",percent of total billed charges,"6,813.00",percent of total billed charges,"6,813.00",percent of total billed charges,"6,813.00",percent of total billed charges,"6,813.00",percent of total billed charges,"6,813.00",percent of total billed charges,"6,813.00",percent of total billed charges,"6,813.00",percent of total billed charges,"4,905.36",percent of total billed charges,"4,905.36",percent of total billed charges,"4,905.36",percent of total billed charges,"4,905.36",percent of total billed charges,"4,905.36",percent of total billed charges,"4,905.36",percent of total billed charges,"5,041.62",percent of total billed charges,"5,041.62",percent of total billed charges,"5,450.40",percent of total billed charges,"5,450.40",percent of total billed charges,,,"4,905.36",percent of total billed charges ,,,"5,450.40",percent of total billed charges ,"5,722.92",percent of total billed charges ,"5,722.92",percent of total billed charges ,"5,314.14",percent of total billed charges ,"5,314.14",percent of total billed charges ,"5,450.40",percent of total billed charges ,"5,450.40",percent of total billed charges ,"4,769.10",percent of total billed charges ,"4,769.10",percent of total billed charges ,"4,087.80",percent of total billed charges ,"4,087.80",percent of total billed charges ,"4,087.80",percent of total billed charges ,"4,087.80",percent of total billed charges ,,,,,"3,624.52",percent of total billed charges ,,,,,"3,443.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,,,"1,907.64",percent of total billed charges,
"BLEPHAROTOMY, DRAIN ABSCESS,EYELID",67700,CDM,,,,both,,,392,392,109.76,392,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,290.08,percent of total billed charges,290.08,percent of total billed charges,313.6,percent of total billed charges,313.6,percent of total billed charges,,,282.24,percent of total billed charges ,,,313.6,percent of total billed charges ,329.28,percent of total billed charges ,329.28,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,313.6,percent of total billed charges ,313.6,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,,,,,208.54,percent of total billed charges ,,,,,198.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,
DRAINAGE OF ABCESS/CYST,41800,CDM,,,,both,,,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
DRAINAGE EXT EAR ABCESS OR HEMOTOMA,69000,CDM,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,69020,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
DRAINAGE SCROTAL WALL ABSESS,55100,CDM,,,,both,,,"3,768.00","3,768.00","1,055.04","3,768.00","3,768.00",percent of total billed charges,"3,768.00",percent of total billed charges,"3,768.00",percent of total billed charges,"3,768.00",percent of total billed charges,"3,768.00",percent of total billed charges,"3,768.00",percent of total billed charges,"3,768.00",percent of total billed charges,"3,768.00",percent of total billed charges,"2,712.96",percent of total billed charges,"2,712.96",percent of total billed charges,"2,712.96",percent of total billed charges,"2,712.96",percent of total billed charges,"2,712.96",percent of total billed charges,"2,712.96",percent of total billed charges,"2,788.32",percent of total billed charges,"2,788.32",percent of total billed charges,"3,014.40",percent of total billed charges,"3,014.40",percent of total billed charges,,,"2,712.96",percent of total billed charges ,,,"3,014.40",percent of total billed charges ,"3,165.12",percent of total billed charges ,"3,165.12",percent of total billed charges ,"2,939.04",percent of total billed charges ,"2,939.04",percent of total billed charges ,"3,014.40",percent of total billed charges ,"3,014.40",percent of total billed charges ,"2,637.60",percent of total billed charges ,"2,637.60",percent of total billed charges ,"2,260.80",percent of total billed charges ,"2,260.80",percent of total billed charges ,"2,260.80",percent of total billed charges ,"2,260.80",percent of total billed charges ,,,,,"2,004.58",percent of total billed charges ,,,,,"1,904.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,,,"1,055.04",percent of total billed charges,
RMV FRGN BODY/EXT AUDIT CANAL WO/ANE,69200,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,30020,CDM,,,,both,,,"3,461.00","3,461.00",969.08,"3,461.00","3,461.00",percent of total billed charges,"3,461.00",percent of total billed charges,"3,461.00",percent of total billed charges,"3,461.00",percent of total billed charges,"3,461.00",percent of total billed charges,"3,461.00",percent of total billed charges,"3,461.00",percent of total billed charges,"3,461.00",percent of total billed charges,"2,491.92",percent of total billed charges,"2,491.92",percent of total billed charges,"2,491.92",percent of total billed charges,"2,491.92",percent of total billed charges,"2,491.92",percent of total billed charges,"2,491.92",percent of total billed charges,"2,561.14",percent of total billed charges,"2,561.14",percent of total billed charges,"2,768.80",percent of total billed charges,"2,768.80",percent of total billed charges,,,"2,491.92",percent of total billed charges ,,,"2,768.80",percent of total billed charges ,"2,907.24",percent of total billed charges ,"2,907.24",percent of total billed charges ,"2,699.58",percent of total billed charges ,"2,699.58",percent of total billed charges ,"2,768.80",percent of total billed charges ,"2,768.80",percent of total billed charges ,"2,422.70",percent of total billed charges ,"2,422.70",percent of total billed charges ,"2,076.60",percent of total billed charges ,"2,076.60",percent of total billed charges ,"2,076.60",percent of total billed charges ,"2,076.60",percent of total billed charges ,,,,,"1,841.25",percent of total billed charges ,,,,,"1,749.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,,,969.08,percent of total billed charges,
**RMVL FRGN BODY/EXT AUDIT CANL WO/ANE,69200,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
REDUCTION OF PROCIDENTIA SEP PROC W ANES,45900,CDM,,,,both,,,857,857,239.96,857,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,634.18,percent of total billed charges,634.18,percent of total billed charges,685.6,percent of total billed charges,685.6,percent of total billed charges,,,617.04,percent of total billed charges ,,,685.6,percent of total billed charges ,719.88,percent of total billed charges ,719.88,percent of total billed charges ,668.46,percent of total billed charges ,668.46,percent of total billed charges ,685.6,percent of total billed charges ,685.6,percent of total billed charges ,599.9,percent of total billed charges ,599.9,percent of total billed charges ,514.2,percent of total billed charges ,514.2,percent of total billed charges ,514.2,percent of total billed charges ,514.2,percent of total billed charges ,,,,,455.92,percent of total billed charges ,,,,,433.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,
RMVL IMPACTED CERUMEN 1 OR BOTH EARS,69210,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**RMVL IMPACTED CERUMEN 1 OR BOTH EARS,69210,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
UNLISTED PROC HANDS OR FINGERS,26989,CDM,,,,both,,,"5,147.00","5,147.00","1,441.16","5,147.00","5,147.00",percent of total billed charges,"5,147.00",percent of total billed charges,"5,147.00",percent of total billed charges,"5,147.00",percent of total billed charges,"5,147.00",percent of total billed charges,"5,147.00",percent of total billed charges,"5,147.00",percent of total billed charges,"5,147.00",percent of total billed charges,"3,705.84",percent of total billed charges,"3,705.84",percent of total billed charges,"3,705.84",percent of total billed charges,"3,705.84",percent of total billed charges,"3,705.84",percent of total billed charges,"3,705.84",percent of total billed charges,"3,808.78",percent of total billed charges,"3,808.78",percent of total billed charges,"4,117.60",percent of total billed charges,"4,117.60",percent of total billed charges,,,"3,705.84",percent of total billed charges ,,,"4,117.60",percent of total billed charges ,"4,323.48",percent of total billed charges ,"4,323.48",percent of total billed charges ,"4,014.66",percent of total billed charges ,"4,014.66",percent of total billed charges ,"4,117.60",percent of total billed charges ,"4,117.60",percent of total billed charges ,"3,602.90",percent of total billed charges ,"3,602.90",percent of total billed charges ,"3,088.20",percent of total billed charges ,"3,088.20",percent of total billed charges ,"3,088.20",percent of total billed charges ,"3,088.20",percent of total billed charges ,,,,,"2,738.20",percent of total billed charges ,,,,,"2,601.29",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,,,"1,441.16",percent of total billed charges,
UNLISTED PROC DENTOALVEOLAR STRUCTURE,41899,CDM,,,,both,,,304,304,85.12,304,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,224.96,percent of total billed charges,224.96,percent of total billed charges,243.2,percent of total billed charges,243.2,percent of total billed charges,,,218.88,percent of total billed charges ,,,243.2,percent of total billed charges ,255.36,percent of total billed charges ,255.36,percent of total billed charges ,237.12,percent of total billed charges ,237.12,percent of total billed charges ,243.2,percent of total billed charges ,243.2,percent of total billed charges ,212.8,percent of total billed charges ,212.8,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,,,,,161.73,percent of total billed charges ,,,,,153.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,
**GASTRIC INTUBATION&ASPRIN LV TREATMN,91105,CDM,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
UNLISTED PROC PHARYNX ABENOIDS TONSILS,42999,CDM,,,,both,,,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
REPOSITION GASTRIC FEED TUBE,43761,CDM,,,,both,,,431,431,120.68,431,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,318.94,percent of total billed charges,318.94,percent of total billed charges,344.8,percent of total billed charges,344.8,percent of total billed charges,,,310.32,percent of total billed charges ,,,344.8,percent of total billed charges ,362.04,percent of total billed charges ,362.04,percent of total billed charges ,336.18,percent of total billed charges ,336.18,percent of total billed charges ,344.8,percent of total billed charges ,344.8,percent of total billed charges ,301.7,percent of total billed charges ,301.7,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,,,,,229.29,percent of total billed charges ,,,,,217.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,
CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,,,"1,355.00","1,355.00",379.4,"1,355.00","1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,"1,002.70",percent of total billed charges,"1,002.70",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,,,975.6,percent of total billed charges ,,,"1,084.00",percent of total billed charges ,"1,138.20",percent of total billed charges ,"1,138.20",percent of total billed charges ,"1,056.90",percent of total billed charges ,"1,056.90",percent of total billed charges ,"1,084.00",percent of total billed charges ,"1,084.00",percent of total billed charges ,948.5,percent of total billed charges ,948.5,percent of total billed charges ,813,percent of total billed charges ,813,percent of total billed charges ,813,percent of total billed charges ,813,percent of total billed charges ,,,,,720.86,percent of total billed charges ,,,,,684.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,
GASTROSTOMY TUBE CHANGE,43762,CDM,,,,both,,,"1,207.00","1,207.00",337.96,"1,207.00","1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,893.18,percent of total billed charges,893.18,percent of total billed charges,965.6,percent of total billed charges,965.6,percent of total billed charges,,,869.04,percent of total billed charges ,,,965.6,percent of total billed charges ,"1,013.88",percent of total billed charges ,"1,013.88",percent of total billed charges ,941.46,percent of total billed charges ,941.46,percent of total billed charges ,965.6,percent of total billed charges ,965.6,percent of total billed charges ,844.9,percent of total billed charges ,844.9,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,,,,,642.12,percent of total billed charges ,,,,,610.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,
CARDVRSN ELCTV ELCTCL CONVSN ARRHYTH,92960,CDM,,,,both,,,"1,691.00","1,691.00",473.48,"1,691.00","1,691.00",percent of total billed charges,"1,691.00",percent of total billed charges,"1,691.00",percent of total billed charges,"1,691.00",percent of total billed charges,"1,691.00",percent of total billed charges,"1,691.00",percent of total billed charges,"1,691.00",percent of total billed charges,"1,691.00",percent of total billed charges,"1,217.52",percent of total billed charges,"1,217.52",percent of total billed charges,"1,217.52",percent of total billed charges,"1,217.52",percent of total billed charges,"1,217.52",percent of total billed charges,"1,217.52",percent of total billed charges,"1,251.34",percent of total billed charges,"1,251.34",percent of total billed charges,"1,352.80",percent of total billed charges,"1,352.80",percent of total billed charges,,,"1,217.52",percent of total billed charges ,,,"1,352.80",percent of total billed charges ,"1,420.44",percent of total billed charges ,"1,420.44",percent of total billed charges ,"1,318.98",percent of total billed charges ,"1,318.98",percent of total billed charges ,"1,352.80",percent of total billed charges ,"1,352.80",percent of total billed charges ,"1,183.70",percent of total billed charges ,"1,183.70",percent of total billed charges ,"1,014.60",percent of total billed charges ,"1,014.60",percent of total billed charges ,"1,014.60",percent of total billed charges ,"1,014.60",percent of total billed charges ,,,,,899.61,percent of total billed charges ,,,,,854.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,,,473.48,percent of total billed charges,
CARDIOASSIST-METHOD CIRCLTR ASSIT/EX,92971,CDM,,,,both,,,"1,299.00","1,299.00",363.72,"1,299.00","1,299.00",percent of total billed charges,"1,299.00",percent of total billed charges,"1,299.00",percent of total billed charges,"1,299.00",percent of total billed charges,"1,299.00",percent of total billed charges,"1,299.00",percent of total billed charges,"1,299.00",percent of total billed charges,"1,299.00",percent of total billed charges,935.28,percent of total billed charges,935.28,percent of total billed charges,935.28,percent of total billed charges,935.28,percent of total billed charges,935.28,percent of total billed charges,935.28,percent of total billed charges,961.26,percent of total billed charges,961.26,percent of total billed charges,"1,039.20",percent of total billed charges,"1,039.20",percent of total billed charges,,,935.28,percent of total billed charges ,,,"1,039.20",percent of total billed charges ,"1,091.16",percent of total billed charges ,"1,091.16",percent of total billed charges ,"1,013.22",percent of total billed charges ,"1,013.22",percent of total billed charges ,"1,039.20",percent of total billed charges ,"1,039.20",percent of total billed charges ,909.3,percent of total billed charges ,909.3,percent of total billed charges ,779.4,percent of total billed charges ,779.4,percent of total billed charges ,779.4,percent of total billed charges ,779.4,percent of total billed charges ,,,,,691.07,percent of total billed charges ,,,,,656.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,,,363.72,percent of total billed charges,
IPECAC OR SIMILR ADMIN INDV EMESIS,99175,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLOSED TREATMENT DISTAL TIBIA W/O MANIP,27824,CDM,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
CLSD FX BIMALL ANKLE WO MANIP,27808,CDM,,,,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
LAYER CLOS 20.1-30.0 CM NECK HAND FT,12046,CDM,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
**HAND & LOWER FOREARM (GUAUNTLET),29085,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**HAND & LOWER FOREARM (GAUNTLET),29085,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
LONG ARM SPLINT (SHOULDER TO HA,29105,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**LONG ARM SPLINT (SHOULDER TO HA,29105,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLOS RADIAL SHAFT FX W/O MANIP,25500,CDM,,,,both,,,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
STRAPPING SHOULDER,29240,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
STRAPPING ELBOW OR WRIST,29260,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
TEMP TRANSCUT PACING,92953,CDM,,,,both,,,"1,354.00","1,354.00",379.12,"1,354.00","1,354.00",percent of total billed charges,"1,354.00",percent of total billed charges,"1,354.00",percent of total billed charges,"1,354.00",percent of total billed charges,"1,354.00",percent of total billed charges,"1,354.00",percent of total billed charges,"1,354.00",percent of total billed charges,"1,354.00",percent of total billed charges,974.88,percent of total billed charges,974.88,percent of total billed charges,974.88,percent of total billed charges,974.88,percent of total billed charges,974.88,percent of total billed charges,974.88,percent of total billed charges,"1,001.96",percent of total billed charges,"1,001.96",percent of total billed charges,"1,083.20",percent of total billed charges,"1,083.20",percent of total billed charges,,,974.88,percent of total billed charges ,,,"1,083.20",percent of total billed charges ,"1,137.36",percent of total billed charges ,"1,137.36",percent of total billed charges ,"1,056.12",percent of total billed charges ,"1,056.12",percent of total billed charges ,"1,083.20",percent of total billed charges ,"1,083.20",percent of total billed charges ,947.8,percent of total billed charges ,947.8,percent of total billed charges ,812.4,percent of total billed charges ,812.4,percent of total billed charges ,812.4,percent of total billed charges ,812.4,percent of total billed charges ,,,,,720.33,percent of total billed charges ,,,,,684.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,,,379.12,percent of total billed charges,
STRAPPING HAND OR FINGER,29280,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
STRAPPING ANKLE AND/OR FOOT,29540,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
STRAPPING KNEE,29530,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**STRAPPING ANKLE,29540,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
STRAPPING TOES,29550,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CONTROL NASAL HEMOR ANT COMPLEX,30903,CDM,,,,both,,,116,116,32.48,116,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,85.84,percent of total billed charges,85.84,percent of total billed charges,92.8,percent of total billed charges,92.8,percent of total billed charges,,,83.52,percent of total billed charges ,,,92.8,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,90.48,percent of total billed charges ,90.48,percent of total billed charges ,92.8,percent of total billed charges ,92.8,percent of total billed charges ,81.2,percent of total billed charges ,81.2,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,,,,,61.71,percent of total billed charges ,,,,,58.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,
TRACHEOSTOMY CRICOTHYROID MEMBRANE,31605,CDM,,,,both,,,"2,054.00","2,054.00",575.12,"2,054.00","2,054.00",percent of total billed charges,"2,054.00",percent of total billed charges,"2,054.00",percent of total billed charges,"2,054.00",percent of total billed charges,"2,054.00",percent of total billed charges,"2,054.00",percent of total billed charges,"2,054.00",percent of total billed charges,"2,054.00",percent of total billed charges,"1,478.88",percent of total billed charges,"1,478.88",percent of total billed charges,"1,478.88",percent of total billed charges,"1,478.88",percent of total billed charges,"1,478.88",percent of total billed charges,"1,478.88",percent of total billed charges,"1,519.96",percent of total billed charges,"1,519.96",percent of total billed charges,"1,643.20",percent of total billed charges,"1,643.20",percent of total billed charges,,,"1,478.88",percent of total billed charges ,,,"1,643.20",percent of total billed charges ,"1,725.36",percent of total billed charges ,"1,725.36",percent of total billed charges ,"1,602.12",percent of total billed charges ,"1,602.12",percent of total billed charges ,"1,643.20",percent of total billed charges ,"1,643.20",percent of total billed charges ,"1,437.80",percent of total billed charges ,"1,437.80",percent of total billed charges ,"1,232.40",percent of total billed charges ,"1,232.40",percent of total billed charges ,"1,232.40",percent of total billed charges ,"1,232.40",percent of total billed charges ,,,,,"1,092.73",percent of total billed charges ,,,,,"1,038.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,,,575.12,percent of total billed charges,
**THORACENTESIS W/INS CHEST TUBE,32002,CDM,,,,both,,,530,530,148.4,530,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,392.2,percent of total billed charges,392.2,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,,,381.6,percent of total billed charges ,,,424,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,413.4,percent of total billed charges ,413.4,percent of total billed charges ,424,percent of total billed charges ,424,percent of total billed charges ,371,percent of total billed charges ,371,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,,,,,281.96,percent of total billed charges ,,,,,267.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,
BLOOD TRANSFUSION < 2 HRS,36430,CDM,,,,both,,,"1,418.00","1,418.00",397.04,"1,418.00","1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,049.32",percent of total billed charges,"1,049.32",percent of total billed charges,"1,134.40",percent of total billed charges,"1,134.40",percent of total billed charges,,,"1,020.96",percent of total billed charges ,,,"1,134.40",percent of total billed charges ,"1,191.12",percent of total billed charges ,"1,191.12",percent of total billed charges ,"1,106.04",percent of total billed charges ,"1,106.04",percent of total billed charges ,"1,134.40",percent of total billed charges ,"1,134.40",percent of total billed charges ,992.6,percent of total billed charges ,992.6,percent of total billed charges ,850.8,percent of total billed charges ,850.8,percent of total billed charges ,850.8,percent of total billed charges ,850.8,percent of total billed charges ,,,,,754.38,percent of total billed charges ,,,,,716.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,
**INJECTION ANESTHETIC AGENT FACIAL NERV,64402,CDM,,,,both,,,392,392,109.76,392,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,290.08,percent of total billed charges,290.08,percent of total billed charges,313.6,percent of total billed charges,313.6,percent of total billed charges,,,282.24,percent of total billed charges ,,,313.6,percent of total billed charges ,329.28,percent of total billed charges ,329.28,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,313.6,percent of total billed charges ,313.6,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,,,,,208.54,percent of total billed charges ,,,,,198.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,
IRRIGATION OF IMPLANTED VENOUS ACCESS,96523,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
APP SHORT LEG SPLINT,29515,CDM,,,,both,,,567,567,158.76,567,567,percent of total billed charges,567,percent of total billed charges,567,percent of total billed charges,567,percent of total billed charges,567,percent of total billed charges,567,percent of total billed charges,567,percent of total billed charges,567,percent of total billed charges,408.24,percent of total billed charges,408.24,percent of total billed charges,408.24,percent of total billed charges,408.24,percent of total billed charges,408.24,percent of total billed charges,408.24,percent of total billed charges,419.58,percent of total billed charges,419.58,percent of total billed charges,453.6,percent of total billed charges,453.6,percent of total billed charges,,,408.24,percent of total billed charges ,,,453.6,percent of total billed charges ,476.28,percent of total billed charges ,476.28,percent of total billed charges ,442.26,percent of total billed charges ,442.26,percent of total billed charges ,453.6,percent of total billed charges ,453.6,percent of total billed charges ,396.9,percent of total billed charges ,396.9,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,,,,,301.64,percent of total billed charges ,,,,,286.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,,,158.76,percent of total billed charges,
**I & D ABSCESS OF LABIA,56405,CDM,,,,both,,,"1,123.00","1,123.00",314.44,"1,123.00","1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,831.02,percent of total billed charges,831.02,percent of total billed charges,898.4,percent of total billed charges,898.4,percent of total billed charges,,,808.56,percent of total billed charges ,,,898.4,percent of total billed charges ,943.32,percent of total billed charges ,943.32,percent of total billed charges ,875.94,percent of total billed charges ,875.94,percent of total billed charges ,898.4,percent of total billed charges ,898.4,percent of total billed charges ,786.1,percent of total billed charges ,786.1,percent of total billed charges ,673.8,percent of total billed charges ,673.8,percent of total billed charges ,673.8,percent of total billed charges ,673.8,percent of total billed charges ,,,,,597.44,percent of total billed charges ,,,,,567.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,
DRAINAGE FINGER ABSCESS COMPLICATED,26011,CDM,,,,both,,,"3,172.00","3,172.00",888.16,"3,172.00","3,172.00",percent of total billed charges,"3,172.00",percent of total billed charges,"3,172.00",percent of total billed charges,"3,172.00",percent of total billed charges,"3,172.00",percent of total billed charges,"3,172.00",percent of total billed charges,"3,172.00",percent of total billed charges,"3,172.00",percent of total billed charges,"2,283.84",percent of total billed charges,"2,283.84",percent of total billed charges,"2,283.84",percent of total billed charges,"2,283.84",percent of total billed charges,"2,283.84",percent of total billed charges,"2,283.84",percent of total billed charges,"2,347.28",percent of total billed charges,"2,347.28",percent of total billed charges,"2,537.60",percent of total billed charges,"2,537.60",percent of total billed charges,,,"2,283.84",percent of total billed charges ,,,"2,537.60",percent of total billed charges ,"2,664.48",percent of total billed charges ,"2,664.48",percent of total billed charges ,"2,474.16",percent of total billed charges ,"2,474.16",percent of total billed charges ,"2,537.60",percent of total billed charges ,"2,537.60",percent of total billed charges ,"2,220.40",percent of total billed charges ,"2,220.40",percent of total billed charges ,"1,903.20",percent of total billed charges ,"1,903.20",percent of total billed charges ,"1,903.20",percent of total billed charges ,"1,903.20",percent of total billed charges ,,,,,"1,687.50",percent of total billed charges ,,,,,"1,603.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,,,888.16,percent of total billed charges,
"CLSD RED, HIP ATHROPLASTY DISLC W/ANEST",27266,CDM,,,,both,,,"4,066.00","4,066.00","1,138.48","4,066.00","4,066.00",percent of total billed charges,"4,066.00",percent of total billed charges,"4,066.00",percent of total billed charges,"4,066.00",percent of total billed charges,"4,066.00",percent of total billed charges,"4,066.00",percent of total billed charges,"4,066.00",percent of total billed charges,"4,066.00",percent of total billed charges,"2,927.52",percent of total billed charges,"2,927.52",percent of total billed charges,"2,927.52",percent of total billed charges,"2,927.52",percent of total billed charges,"2,927.52",percent of total billed charges,"2,927.52",percent of total billed charges,"3,008.84",percent of total billed charges,"3,008.84",percent of total billed charges,"3,252.80",percent of total billed charges,"3,252.80",percent of total billed charges,,,"2,927.52",percent of total billed charges ,,,"3,252.80",percent of total billed charges ,"3,415.44",percent of total billed charges ,"3,415.44",percent of total billed charges ,"3,171.48",percent of total billed charges ,"3,171.48",percent of total billed charges ,"3,252.80",percent of total billed charges ,"3,252.80",percent of total billed charges ,"2,846.20",percent of total billed charges ,"2,846.20",percent of total billed charges ,"2,439.60",percent of total billed charges ,"2,439.60",percent of total billed charges ,"2,439.60",percent of total billed charges ,"2,439.60",percent of total billed charges ,,,,,"2,163.11",percent of total billed charges ,,,,,"2,054.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,,,"1,138.48",percent of total billed charges,
CLTX HUMERAL CONDYLAR FX MEDIA/LATERAL,24577,CDM,,,,both,,,"1,523.00","1,523.00",426.44,"1,523.00","1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,523.00",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,096.56",percent of total billed charges,"1,127.02",percent of total billed charges,"1,127.02",percent of total billed charges,"1,218.40",percent of total billed charges,"1,218.40",percent of total billed charges,,,"1,096.56",percent of total billed charges ,,,"1,218.40",percent of total billed charges ,"1,279.32",percent of total billed charges ,"1,279.32",percent of total billed charges ,"1,187.94",percent of total billed charges ,"1,187.94",percent of total billed charges ,"1,218.40",percent of total billed charges ,"1,218.40",percent of total billed charges ,"1,066.10",percent of total billed charges ,"1,066.10",percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,913.8,percent of total billed charges ,,,,,810.24,percent of total billed charges ,,,,,769.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,,,426.44,percent of total billed charges,
ABDOMINAL PARACENTESIS DX/THER W/ IMAGIN,49083,CDM,,,,both,,,"2,638.00","2,638.00",738.64,"2,638.00","2,638.00",percent of total billed charges,"2,638.00",percent of total billed charges,"2,638.00",percent of total billed charges,"2,638.00",percent of total billed charges,"2,638.00",percent of total billed charges,"2,638.00",percent of total billed charges,"2,638.00",percent of total billed charges,"2,638.00",percent of total billed charges,"1,899.36",percent of total billed charges,"1,899.36",percent of total billed charges,"1,899.36",percent of total billed charges,"1,899.36",percent of total billed charges,"1,899.36",percent of total billed charges,"1,899.36",percent of total billed charges,"1,952.12",percent of total billed charges,"1,952.12",percent of total billed charges,"2,110.40",percent of total billed charges,"2,110.40",percent of total billed charges,,,"1,899.36",percent of total billed charges ,,,"2,110.40",percent of total billed charges ,"2,215.92",percent of total billed charges ,"2,215.92",percent of total billed charges ,"2,057.64",percent of total billed charges ,"2,057.64",percent of total billed charges ,"2,110.40",percent of total billed charges ,"2,110.40",percent of total billed charges ,"1,846.60",percent of total billed charges ,"1,846.60",percent of total billed charges ,"1,582.80",percent of total billed charges ,"1,582.80",percent of total billed charges ,"1,582.80",percent of total billed charges ,"1,582.80",percent of total billed charges ,,,,,"1,403.42",percent of total billed charges ,,,,,"1,333.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,,,738.64,percent of total billed charges,
VAGINAL DELIVERY AFTER CESAREAN DELIVERY,59612,CDM,,,,both,,,"2,397.00","2,397.00",671.16,"2,397.00","2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,773.78",percent of total billed charges,"1,773.78",percent of total billed charges,"1,917.60",percent of total billed charges,"1,917.60",percent of total billed charges,,,"1,725.84",percent of total billed charges ,,,"1,917.60",percent of total billed charges ,"2,013.48",percent of total billed charges ,"2,013.48",percent of total billed charges ,"1,869.66",percent of total billed charges ,"1,869.66",percent of total billed charges ,"1,917.60",percent of total billed charges ,"1,917.60",percent of total billed charges ,"1,677.90",percent of total billed charges ,"1,677.90",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,,,,,"1,275.20",percent of total billed charges ,,,,,"1,211.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,
EPISIOTOMY/VAG REPAIR BY OTHER THAN ATTE,59300,CDM,,,,both,,,"2,397.00","2,397.00",671.16,"2,397.00","2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"2,397.00",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,725.84",percent of total billed charges,"1,773.78",percent of total billed charges,"1,773.78",percent of total billed charges,"1,917.60",percent of total billed charges,"1,917.60",percent of total billed charges,,,"1,725.84",percent of total billed charges ,,,"1,917.60",percent of total billed charges ,"2,013.48",percent of total billed charges ,"2,013.48",percent of total billed charges ,"1,869.66",percent of total billed charges ,"1,869.66",percent of total billed charges ,"1,917.60",percent of total billed charges ,"1,917.60",percent of total billed charges ,"1,677.90",percent of total billed charges ,"1,677.90",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,"1,438.20",percent of total billed charges ,,,,,"1,275.20",percent of total billed charges ,,,,,"1,211.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,,,671.16,percent of total billed charges,
ACNE SURGERY,10040,CDM,,,,both,,,249,249,69.72,249,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,184.26,percent of total billed charges,184.26,percent of total billed charges,199.2,percent of total billed charges,199.2,percent of total billed charges,,,179.28,percent of total billed charges ,,,199.2,percent of total billed charges ,209.16,percent of total billed charges ,209.16,percent of total billed charges ,194.22,percent of total billed charges ,194.22,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,174.3,percent of total billed charges ,174.3,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,,,,,132.47,percent of total billed charges ,,,,,125.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,
PLACEMENT NEEDLE INTRAOSSEOUS INFUSION,36680,CDM,,,,both,,,595,595,166.6,595,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,440.3,percent of total billed charges,440.3,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,,,428.4,percent of total billed charges ,,,476,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,464.1,percent of total billed charges ,464.1,percent of total billed charges ,476,percent of total billed charges ,476,percent of total billed charges ,416.5,percent of total billed charges ,416.5,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,,,,,316.54,percent of total billed charges ,,,,,300.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,
**INJECTION ANESTHETIC AGENT CERVICAL PL,64413,CDM,,,,both,,,"1,782.00","1,782.00",498.96,"1,782.00","1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,782.00",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,283.04",percent of total billed charges,"1,318.68",percent of total billed charges,"1,318.68",percent of total billed charges,"1,425.60",percent of total billed charges,"1,425.60",percent of total billed charges,,,"1,283.04",percent of total billed charges ,,,"1,425.60",percent of total billed charges ,"1,496.88",percent of total billed charges ,"1,496.88",percent of total billed charges ,"1,389.96",percent of total billed charges ,"1,389.96",percent of total billed charges ,"1,425.60",percent of total billed charges ,"1,425.60",percent of total billed charges ,"1,247.40",percent of total billed charges ,"1,247.40",percent of total billed charges ,"1,069.20",percent of total billed charges ,"1,069.20",percent of total billed charges ,"1,069.20",percent of total billed charges ,"1,069.20",percent of total billed charges ,,,,,948.02,percent of total billed charges ,,,,,900.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,,,498.96,percent of total billed charges,
REMOVAL OF FOREIGN BODY DEEP,28192,CDM,,,,both,,,"5,843.00","5,843.00","1,636.04","5,843.00","5,843.00",percent of total billed charges,"5,843.00",percent of total billed charges,"5,843.00",percent of total billed charges,"5,843.00",percent of total billed charges,"5,843.00",percent of total billed charges,"5,843.00",percent of total billed charges,"5,843.00",percent of total billed charges,"5,843.00",percent of total billed charges,"4,206.96",percent of total billed charges,"4,206.96",percent of total billed charges,"4,206.96",percent of total billed charges,"4,206.96",percent of total billed charges,"4,206.96",percent of total billed charges,"4,206.96",percent of total billed charges,"4,323.82",percent of total billed charges,"4,323.82",percent of total billed charges,"4,674.40",percent of total billed charges,"4,674.40",percent of total billed charges,,,"4,206.96",percent of total billed charges ,,,"4,674.40",percent of total billed charges ,"4,908.12",percent of total billed charges ,"4,908.12",percent of total billed charges ,"4,557.54",percent of total billed charges ,"4,557.54",percent of total billed charges ,"4,674.40",percent of total billed charges ,"4,674.40",percent of total billed charges ,"4,090.10",percent of total billed charges ,"4,090.10",percent of total billed charges ,"3,505.80",percent of total billed charges ,"3,505.80",percent of total billed charges ,"3,505.80",percent of total billed charges ,"3,505.80",percent of total billed charges ,,,,,"3,108.48",percent of total billed charges ,,,,,"2,953.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,,,"1,636.04",percent of total billed charges,
REMOVAL DRUG IMPLANT DEVICE,11982,CDM,,,,both,,,"3,302.00","3,302.00",924.56,"3,302.00","3,302.00",percent of total billed charges,"3,302.00",percent of total billed charges,"3,302.00",percent of total billed charges,"3,302.00",percent of total billed charges,"3,302.00",percent of total billed charges,"3,302.00",percent of total billed charges,"3,302.00",percent of total billed charges,"3,302.00",percent of total billed charges,"2,377.44",percent of total billed charges,"2,377.44",percent of total billed charges,"2,377.44",percent of total billed charges,"2,377.44",percent of total billed charges,"2,377.44",percent of total billed charges,"2,377.44",percent of total billed charges,"2,443.48",percent of total billed charges,"2,443.48",percent of total billed charges,"2,641.60",percent of total billed charges,"2,641.60",percent of total billed charges,,,"2,377.44",percent of total billed charges ,,,"2,641.60",percent of total billed charges ,"2,773.68",percent of total billed charges ,"2,773.68",percent of total billed charges ,"2,575.56",percent of total billed charges ,"2,575.56",percent of total billed charges ,"2,641.60",percent of total billed charges ,"2,641.60",percent of total billed charges ,"2,311.40",percent of total billed charges ,"2,311.40",percent of total billed charges ,"1,981.20",percent of total billed charges ,"1,981.20",percent of total billed charges ,"1,981.20",percent of total billed charges ,"1,981.20",percent of total billed charges ,,,,,"1,756.66",percent of total billed charges ,,,,,"1,668.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,,,924.56,percent of total billed charges,
CRITICAL CARE 30 TO 74 MINUTES,99291,CDM,,,,both,,,"3,882.00","3,882.00","1,086.96","3,882.00","3,882.00",percent of total billed charges,"3,882.00",percent of total billed charges,"3,882.00",percent of total billed charges,"3,882.00",percent of total billed charges,"3,882.00",percent of total billed charges,"3,882.00",percent of total billed charges,"3,882.00",percent of total billed charges,"3,882.00",percent of total billed charges,"2,795.04",percent of total billed charges,"2,795.04",percent of total billed charges,"2,795.04",percent of total billed charges,"2,795.04",percent of total billed charges,"2,795.04",percent of total billed charges,"2,795.04",percent of total billed charges,"2,872.68",percent of total billed charges,"2,872.68",percent of total billed charges,"3,105.60",percent of total billed charges,"3,105.60",percent of total billed charges,,,"2,795.04",percent of total billed charges ,,,"3,105.60",percent of total billed charges ,"3,260.88",percent of total billed charges ,"3,260.88",percent of total billed charges ,"3,027.96",percent of total billed charges ,"3,027.96",percent of total billed charges ,"3,105.60",percent of total billed charges ,"3,105.60",percent of total billed charges ,"2,717.40",percent of total billed charges ,"2,717.40",percent of total billed charges ,"2,329.20",percent of total billed charges ,"2,329.20",percent of total billed charges ,"2,329.20",percent of total billed charges ,"2,329.20",percent of total billed charges ,,,,,"2,065.22",percent of total billed charges ,,,,,"1,961.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,,,"1,086.96",percent of total billed charges,
CRITICAL CARE EACH ADDL 30 MIN,99292,CDM,,,,both,,,"1,330.00","1,330.00",372.4,"1,330.00","1,330.00",percent of total billed charges,"1,330.00",percent of total billed charges,"1,330.00",percent of total billed charges,"1,330.00",percent of total billed charges,"1,330.00",percent of total billed charges,"1,330.00",percent of total billed charges,"1,330.00",percent of total billed charges,"1,330.00",percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,957.6,percent of total billed charges,984.2,percent of total billed charges,984.2,percent of total billed charges,"1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,,,957.6,percent of total billed charges ,,,"1,064.00",percent of total billed charges ,"1,117.20",percent of total billed charges ,"1,117.20",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,037.40",percent of total billed charges ,"1,064.00",percent of total billed charges ,"1,064.00",percent of total billed charges ,931,percent of total billed charges ,931,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,,,,,707.56,percent of total billed charges ,,,,,672.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,,,372.4,percent of total billed charges,
BLOOD TRANSFUSION 2-4 HRS,36430,CDM,,,,both,,,"1,498.00","1,498.00",419.44,"1,498.00","1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,108.52",percent of total billed charges,"1,108.52",percent of total billed charges,"1,198.40",percent of total billed charges,"1,198.40",percent of total billed charges,,,"1,078.56",percent of total billed charges ,,,"1,198.40",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,048.60",percent of total billed charges ,"1,048.60",percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,,,,,796.94,percent of total billed charges ,,,,,757.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,
BLOOD TRANSFUSION > 4 HRS,36430,CDM,,,,both,,,"1,498.00","1,498.00",419.44,"1,498.00","1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,108.52",percent of total billed charges,"1,108.52",percent of total billed charges,"1,198.40",percent of total billed charges,"1,198.40",percent of total billed charges,,,"1,078.56",percent of total billed charges ,,,"1,198.40",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,048.60",percent of total billed charges ,"1,048.60",percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,,,,,796.94,percent of total billed charges ,,,,,757.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,
INITIAL TREATMENT 1ST DEGREE BURN,16000,CDM,,,,both,,,445,445,124.6,445,445,percent of total billed charges,445,percent of total billed charges,445,percent of total billed charges,445,percent of total billed charges,445,percent of total billed charges,445,percent of total billed charges,445,percent of total billed charges,445,percent of total billed charges,320.4,percent of total billed charges,320.4,percent of total billed charges,320.4,percent of total billed charges,320.4,percent of total billed charges,320.4,percent of total billed charges,320.4,percent of total billed charges,329.3,percent of total billed charges,329.3,percent of total billed charges,356,percent of total billed charges,356,percent of total billed charges,,,320.4,percent of total billed charges ,,,356,percent of total billed charges ,373.8,percent of total billed charges ,373.8,percent of total billed charges ,347.1,percent of total billed charges ,347.1,percent of total billed charges ,356,percent of total billed charges ,356,percent of total billed charges ,311.5,percent of total billed charges ,311.5,percent of total billed charges ,267,percent of total billed charges ,267,percent of total billed charges ,267,percent of total billed charges ,267,percent of total billed charges ,,,,,236.74,percent of total billed charges ,,,,,224.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,,,124.6,percent of total billed charges,
IV NEEDLE INSERTION,36000,CDM,,,,both,,,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
BLOOD COLLECTION IMPLANTED PORT,36591,CDM,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
BLOOD COLLECT EST PICC/CTRL/IV SITE,36592,CDM,,,,both,,,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
GASTRIC INTUBATION AND ASPIRATION,43753,CDM,,,,both,,,564,564,157.92,564,564,percent of total billed charges,564,percent of total billed charges,564,percent of total billed charges,564,percent of total billed charges,564,percent of total billed charges,564,percent of total billed charges,564,percent of total billed charges,564,percent of total billed charges,406.08,percent of total billed charges,406.08,percent of total billed charges,406.08,percent of total billed charges,406.08,percent of total billed charges,406.08,percent of total billed charges,406.08,percent of total billed charges,417.36,percent of total billed charges,417.36,percent of total billed charges,451.2,percent of total billed charges,451.2,percent of total billed charges,,,406.08,percent of total billed charges ,,,451.2,percent of total billed charges ,473.76,percent of total billed charges ,473.76,percent of total billed charges ,439.92,percent of total billed charges ,439.92,percent of total billed charges ,451.2,percent of total billed charges ,451.2,percent of total billed charges ,394.8,percent of total billed charges ,394.8,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,338.4,percent of total billed charges ,,,,,300.05,percent of total billed charges ,,,,,285.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,,,157.92,percent of total billed charges,
STRAIGHT CATH URINE SPECIMEN,P9612,CDM,,,,both,,,134,134,37.52,134,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,99.16,percent of total billed charges,99.16,percent of total billed charges,107.2,percent of total billed charges,107.2,percent of total billed charges,,,96.48,percent of total billed charges ,,,107.2,percent of total billed charges ,112.56,percent of total billed charges ,112.56,percent of total billed charges ,104.52,percent of total billed charges ,104.52,percent of total billed charges ,107.2,percent of total billed charges ,107.2,percent of total billed charges ,93.8,percent of total billed charges ,93.8,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,,,,,71.29,percent of total billed charges ,,,,,67.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,
BLADDER SCAN FOR RESIDUAL URINE,51798,CDM,,,,both,,,280,280,78.4,280,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,,,201.6,percent of total billed charges ,,,224,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,224,percent of total billed charges ,224,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,,,,,148.96,percent of total billed charges ,,,,,141.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,
SACROILIAC JOINT INJECTION,27096,CDM,,,,both,,,"1,458.00","1,458.00",408.24,"1,458.00","1,458.00",percent of total billed charges,"1,458.00",percent of total billed charges,"1,458.00",percent of total billed charges,"1,458.00",percent of total billed charges,"1,458.00",percent of total billed charges,"1,458.00",percent of total billed charges,"1,458.00",percent of total billed charges,"1,458.00",percent of total billed charges,"1,049.76",percent of total billed charges,"1,049.76",percent of total billed charges,"1,049.76",percent of total billed charges,"1,049.76",percent of total billed charges,"1,049.76",percent of total billed charges,"1,049.76",percent of total billed charges,"1,078.92",percent of total billed charges,"1,078.92",percent of total billed charges,"1,166.40",percent of total billed charges,"1,166.40",percent of total billed charges,,,"1,049.76",percent of total billed charges ,,,"1,166.40",percent of total billed charges ,"1,224.72",percent of total billed charges ,"1,224.72",percent of total billed charges ,"1,137.24",percent of total billed charges ,"1,137.24",percent of total billed charges ,"1,166.40",percent of total billed charges ,"1,166.40",percent of total billed charges ,"1,020.60",percent of total billed charges ,"1,020.60",percent of total billed charges ,874.8,percent of total billed charges ,874.8,percent of total billed charges ,874.8,percent of total billed charges ,874.8,percent of total billed charges ,,,,,775.66,percent of total billed charges ,,,,,736.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,,,408.24,percent of total billed charges,
REMOVAL IMPACTED CERUMEN USING IRRIGATIO,69209,CDM,,,,both,,,338,338,94.64,338,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,250.12,percent of total billed charges,250.12,percent of total billed charges,270.4,percent of total billed charges,270.4,percent of total billed charges,,,243.36,percent of total billed charges ,,,270.4,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,263.64,percent of total billed charges ,263.64,percent of total billed charges ,270.4,percent of total billed charges ,270.4,percent of total billed charges ,236.6,percent of total billed charges ,236.6,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,,,,,179.82,percent of total billed charges ,,,,,170.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,
REMOVAL OF IMPLANT; SUPERFICIAL,20670,CDM,,,,both,,,"7,711.00","7,711.00","2,159.08","7,711.00","7,711.00",percent of total billed charges,"7,711.00",percent of total billed charges,"7,711.00",percent of total billed charges,"7,711.00",percent of total billed charges,"7,711.00",percent of total billed charges,"7,711.00",percent of total billed charges,"7,711.00",percent of total billed charges,"7,711.00",percent of total billed charges,"5,551.92",percent of total billed charges,"5,551.92",percent of total billed charges,"5,551.92",percent of total billed charges,"5,551.92",percent of total billed charges,"5,551.92",percent of total billed charges,"5,551.92",percent of total billed charges,"5,706.14",percent of total billed charges,"5,706.14",percent of total billed charges,"6,168.80",percent of total billed charges,"6,168.80",percent of total billed charges,,,"5,551.92",percent of total billed charges ,,,"6,168.80",percent of total billed charges ,"6,477.24",percent of total billed charges ,"6,477.24",percent of total billed charges ,"6,014.58",percent of total billed charges ,"6,014.58",percent of total billed charges ,"6,168.80",percent of total billed charges ,"6,168.80",percent of total billed charges ,"5,397.70",percent of total billed charges ,"5,397.70",percent of total billed charges ,"4,626.60",percent of total billed charges ,"4,626.60",percent of total billed charges ,"4,626.60",percent of total billed charges ,"4,626.60",percent of total billed charges ,,,,,"4,102.25",percent of total billed charges ,,,,,"3,897.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,,,"2,159.08",percent of total billed charges,
SPINAL PUNCTURE THERAPEUTIC,62272,CDM,,,,both,,,"1,847.00","1,847.00",517.16,"1,847.00","1,847.00",percent of total billed charges,"1,847.00",percent of total billed charges,"1,847.00",percent of total billed charges,"1,847.00",percent of total billed charges,"1,847.00",percent of total billed charges,"1,847.00",percent of total billed charges,"1,847.00",percent of total billed charges,"1,847.00",percent of total billed charges,"1,329.84",percent of total billed charges,"1,329.84",percent of total billed charges,"1,329.84",percent of total billed charges,"1,329.84",percent of total billed charges,"1,329.84",percent of total billed charges,"1,329.84",percent of total billed charges,"1,366.78",percent of total billed charges,"1,366.78",percent of total billed charges,"1,477.60",percent of total billed charges,"1,477.60",percent of total billed charges,,,"1,329.84",percent of total billed charges ,,,"1,477.60",percent of total billed charges ,"1,551.48",percent of total billed charges ,"1,551.48",percent of total billed charges ,"1,440.66",percent of total billed charges ,"1,440.66",percent of total billed charges ,"1,477.60",percent of total billed charges ,"1,477.60",percent of total billed charges ,"1,292.90",percent of total billed charges ,"1,292.90",percent of total billed charges ,"1,108.20",percent of total billed charges ,"1,108.20",percent of total billed charges ,"1,108.20",percent of total billed charges ,"1,108.20",percent of total billed charges ,,,,,982.6,percent of total billed charges ,,,,,933.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,,,517.16,percent of total billed charges,
ABDOMINAL PARACENTESIS W/O IMAGINH GUIDA,49082,CDM,,,,both,,,"2,327.00","2,327.00",651.56,"2,327.00","2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,721.98",percent of total billed charges,"1,721.98",percent of total billed charges,"1,861.60",percent of total billed charges,"1,861.60",percent of total billed charges,,,"1,675.44",percent of total billed charges ,,,"1,861.60",percent of total billed charges ,"1,954.68",percent of total billed charges ,"1,954.68",percent of total billed charges ,"1,815.06",percent of total billed charges ,"1,815.06",percent of total billed charges ,"1,861.60",percent of total billed charges ,"1,861.60",percent of total billed charges ,"1,628.90",percent of total billed charges ,"1,628.90",percent of total billed charges ,"1,396.20",percent of total billed charges ,"1,396.20",percent of total billed charges ,"1,396.20",percent of total billed charges ,"1,396.20",percent of total billed charges ,,,,,"1,237.96",percent of total billed charges ,,,,,"1,176.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,
**MOD SEDATION 1ST 30 MINS >5 YRS OLD,99144,CDM,,,,both,,,684,684,191.52,684,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,506.16,percent of total billed charges,506.16,percent of total billed charges,547.2,percent of total billed charges,547.2,percent of total billed charges,,,492.48,percent of total billed charges ,,,547.2,percent of total billed charges ,574.56,percent of total billed charges ,574.56,percent of total billed charges ,533.52,percent of total billed charges ,533.52,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,478.8,percent of total billed charges ,478.8,percent of total billed charges ,410.4,percent of total billed charges ,410.4,percent of total billed charges ,410.4,percent of total billed charges ,410.4,percent of total billed charges ,,,,,363.89,percent of total billed charges ,,,,,345.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,
**MOD SEDATION E/ADD 15 MINS >5 YRS O,99145,CDM,,,,both,,,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,64400,CDM,,,,both,,,"1,024.00","1,024.00",286.72,"1,024.00","1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,757.76,percent of total billed charges,757.76,percent of total billed charges,819.2,percent of total billed charges,819.2,percent of total billed charges,,,737.28,percent of total billed charges ,,,819.2,percent of total billed charges ,860.16,percent of total billed charges ,860.16,percent of total billed charges ,798.72,percent of total billed charges ,798.72,percent of total billed charges ,819.2,percent of total billed charges ,819.2,percent of total billed charges ,716.8,percent of total billed charges ,716.8,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,,,,,544.77,percent of total billed charges ,,,,,517.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,
CHANGE OF BLADDER TUBE-COMPLICATED,51710,CDM,,,,both,,,"3,005.00","3,005.00",841.4,"3,005.00","3,005.00",percent of total billed charges,"3,005.00",percent of total billed charges,"3,005.00",percent of total billed charges,"3,005.00",percent of total billed charges,"3,005.00",percent of total billed charges,"3,005.00",percent of total billed charges,"3,005.00",percent of total billed charges,"3,005.00",percent of total billed charges,"2,163.60",percent of total billed charges,"2,163.60",percent of total billed charges,"2,163.60",percent of total billed charges,"2,163.60",percent of total billed charges,"2,163.60",percent of total billed charges,"2,163.60",percent of total billed charges,"2,223.70",percent of total billed charges,"2,223.70",percent of total billed charges,"2,404.00",percent of total billed charges,"2,404.00",percent of total billed charges,,,"2,163.60",percent of total billed charges ,,,"2,404.00",percent of total billed charges ,"2,524.20",percent of total billed charges ,"2,524.20",percent of total billed charges ,"2,343.90",percent of total billed charges ,"2,343.90",percent of total billed charges ,"2,404.00",percent of total billed charges ,"2,404.00",percent of total billed charges ,"2,103.50",percent of total billed charges ,"2,103.50",percent of total billed charges ,"1,803.00",percent of total billed charges ,"1,803.00",percent of total billed charges ,"1,803.00",percent of total billed charges ,"1,803.00",percent of total billed charges ,,,,,"1,598.66",percent of total billed charges ,,,,,"1,518.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,,,841.4,percent of total billed charges,
REMOVAL OF TUNNELED CV CATH,36590,CDM,,,,both,,,"4,944.00","4,944.00","1,384.32","4,944.00","4,944.00",percent of total billed charges,"4,944.00",percent of total billed charges,"4,944.00",percent of total billed charges,"4,944.00",percent of total billed charges,"4,944.00",percent of total billed charges,"4,944.00",percent of total billed charges,"4,944.00",percent of total billed charges,"4,944.00",percent of total billed charges,"3,559.68",percent of total billed charges,"3,559.68",percent of total billed charges,"3,559.68",percent of total billed charges,"3,559.68",percent of total billed charges,"3,559.68",percent of total billed charges,"3,559.68",percent of total billed charges,"3,658.56",percent of total billed charges,"3,658.56",percent of total billed charges,"3,955.20",percent of total billed charges,"3,955.20",percent of total billed charges,,,"3,559.68",percent of total billed charges ,,,"3,955.20",percent of total billed charges ,"4,152.96",percent of total billed charges ,"4,152.96",percent of total billed charges ,"3,856.32",percent of total billed charges ,"3,856.32",percent of total billed charges ,"3,955.20",percent of total billed charges ,"3,955.20",percent of total billed charges ,"3,460.80",percent of total billed charges ,"3,460.80",percent of total billed charges ,"2,966.40",percent of total billed charges ,"2,966.40",percent of total billed charges ,"2,966.40",percent of total billed charges ,"2,966.40",percent of total billed charges ,,,,,"2,630.21",percent of total billed charges ,,,,,"2,498.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,,,"1,384.32",percent of total billed charges,
ER-I&D DEEP ABSC BURSA.HEMATOMA THIGH/K,27301,CDM,,,,both,,,"7,763.00","7,763.00","2,173.64","7,763.00","7,763.00",percent of total billed charges,"7,763.00",percent of total billed charges,"7,763.00",percent of total billed charges,"7,763.00",percent of total billed charges,"7,763.00",percent of total billed charges,"7,763.00",percent of total billed charges,"7,763.00",percent of total billed charges,"7,763.00",percent of total billed charges,"5,589.36",percent of total billed charges,"5,589.36",percent of total billed charges,"5,589.36",percent of total billed charges,"5,589.36",percent of total billed charges,"5,589.36",percent of total billed charges,"5,589.36",percent of total billed charges,"5,744.62",percent of total billed charges,"5,744.62",percent of total billed charges,"6,210.40",percent of total billed charges,"6,210.40",percent of total billed charges,,,"5,589.36",percent of total billed charges ,,,"6,210.40",percent of total billed charges ,"6,520.92",percent of total billed charges ,"6,520.92",percent of total billed charges ,"6,055.14",percent of total billed charges ,"6,055.14",percent of total billed charges ,"6,210.40",percent of total billed charges ,"6,210.40",percent of total billed charges ,"5,434.10",percent of total billed charges ,"5,434.10",percent of total billed charges ,"4,657.80",percent of total billed charges ,"4,657.80",percent of total billed charges ,"4,657.80",percent of total billed charges ,"4,657.80",percent of total billed charges ,,,,,"4,129.92",percent of total billed charges ,,,,,"3,923.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,,,"2,173.64",percent of total billed charges,
ER LEVEL 1 (25),99281,CDM,,,25,both,,,250,250,70,250,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,,,180,percent of total billed charges ,,,200,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,200,percent of total billed charges ,200,percent of total billed charges ,175,percent of total billed charges ,175,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,,,,,133,percent of total billed charges ,,,,,126.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,
ER LEVEL 2 (25),99282,CDM,,,25,both,,,450,450,126,450,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,324,percent of total billed charges ,,,360,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,360,percent of total billed charges ,360,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,,,,,239.4,percent of total billed charges ,,,,,227.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,
ER LEVEL 3 (25),99283,CDM,,,25,both,,,950,950,266,950,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,760,percent of total billed charges,760,percent of total billed charges,,,684,percent of total billed charges ,,,760,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,741,percent of total billed charges ,741,percent of total billed charges ,760,percent of total billed charges ,760,percent of total billed charges ,665,percent of total billed charges ,665,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,,,,,505.4,percent of total billed charges ,,,,,480.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,
ER LEVEL 4 (25),99284,CDM,,,25,both,,,"1,350.00","1,350.00",378,"1,350.00","1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,"1,350.00",percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,972,percent of total billed charges,999,percent of total billed charges,999,percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,,,972,percent of total billed charges ,,,"1,080.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,"1,134.00",percent of total billed charges ,"1,053.00",percent of total billed charges ,"1,053.00",percent of total billed charges ,"1,080.00",percent of total billed charges ,"1,080.00",percent of total billed charges ,945,percent of total billed charges ,945,percent of total billed charges ,810,percent of total billed charges ,810,percent of total billed charges ,810,percent of total billed charges ,810,percent of total billed charges ,,,,,718.2,percent of total billed charges ,,,,,682.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,,,378,percent of total billed charges,
ER LEVEL 5 (25),99285,CDM,,,25,both,,,"1,750.00","1,750.00",490,"1,750.00","1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,750.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,260.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,295.00",percent of total billed charges,"1,400.00",percent of total billed charges,"1,400.00",percent of total billed charges,,,"1,260.00",percent of total billed charges ,,,"1,400.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,470.00",percent of total billed charges ,"1,365.00",percent of total billed charges ,"1,365.00",percent of total billed charges ,"1,400.00",percent of total billed charges ,"1,400.00",percent of total billed charges ,"1,225.00",percent of total billed charges ,"1,225.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,"1,050.00",percent of total billed charges ,,,,,931,percent of total billed charges ,,,,,884.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,,,490,percent of total billed charges,
DECLOT BY THROMBOLYTIC AGENT,36593,CDM,,,,both,,,933,933,261.24,933,933,percent of total billed charges,933,percent of total billed charges,933,percent of total billed charges,933,percent of total billed charges,933,percent of total billed charges,933,percent of total billed charges,933,percent of total billed charges,933,percent of total billed charges,671.76,percent of total billed charges,671.76,percent of total billed charges,671.76,percent of total billed charges,671.76,percent of total billed charges,671.76,percent of total billed charges,671.76,percent of total billed charges,690.42,percent of total billed charges,690.42,percent of total billed charges,746.4,percent of total billed charges,746.4,percent of total billed charges,,,671.76,percent of total billed charges ,,,746.4,percent of total billed charges ,783.72,percent of total billed charges ,783.72,percent of total billed charges ,727.74,percent of total billed charges ,727.74,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,653.1,percent of total billed charges ,653.1,percent of total billed charges ,559.8,percent of total billed charges ,559.8,percent of total billed charges ,559.8,percent of total billed charges ,559.8,percent of total billed charges ,,,,,496.36,percent of total billed charges ,,,,,471.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,,,261.24,percent of total billed charges,
"VENIPUNCTURE, AGE 3 OR OLDER",36410,CDM,,,,both,,,265,265,74.2,265,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,196.1,percent of total billed charges,196.1,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,,,190.8,percent of total billed charges ,,,212,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,206.7,percent of total billed charges ,206.7,percent of total billed charges ,212,percent of total billed charges ,212,percent of total billed charges ,185.5,percent of total billed charges ,185.5,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,,,,,140.98,percent of total billed charges ,,,,,133.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,
TRAUMA RESPONSE ACTIVATION WITHOUT CRITI,G0390,CDM,,,,both,,,"8,087.00","8,087.00","2,264.36","8,087.00","8,087.00",percent of total billed charges,"8,087.00",percent of total billed charges,"8,087.00",percent of total billed charges,"8,087.00",percent of total billed charges,"8,087.00",percent of total billed charges,"8,087.00",percent of total billed charges,"8,087.00",percent of total billed charges,"8,087.00",percent of total billed charges,"5,822.64",percent of total billed charges,"5,822.64",percent of total billed charges,"5,822.64",percent of total billed charges,"5,822.64",percent of total billed charges,"5,822.64",percent of total billed charges,"5,822.64",percent of total billed charges,"5,984.38",percent of total billed charges,"5,984.38",percent of total billed charges,"6,469.60",percent of total billed charges,"6,469.60",percent of total billed charges,,,"5,822.64",percent of total billed charges ,,,"6,469.60",percent of total billed charges ,"6,793.08",percent of total billed charges ,"6,793.08",percent of total billed charges ,"6,307.86",percent of total billed charges ,"6,307.86",percent of total billed charges ,"6,469.60",percent of total billed charges ,"6,469.60",percent of total billed charges ,"5,660.90",percent of total billed charges ,"5,660.90",percent of total billed charges ,"4,852.20",percent of total billed charges ,"4,852.20",percent of total billed charges ,"4,852.20",percent of total billed charges ,"4,852.20",percent of total billed charges ,,,,,"4,302.28",percent of total billed charges ,,,,,"4,087.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,,,"2,264.36",percent of total billed charges,
EPLEY MANEUVER,95992,CDM,,,,both,,,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
EXC TR-EXT B9+MARG 1.1-2 CM,11402,CDM,,,,both,,,"2,206.00","2,206.00",617.68,"2,206.00","2,206.00",percent of total billed charges,"2,206.00",percent of total billed charges,"2,206.00",percent of total billed charges,"2,206.00",percent of total billed charges,"2,206.00",percent of total billed charges,"2,206.00",percent of total billed charges,"2,206.00",percent of total billed charges,"2,206.00",percent of total billed charges,"1,588.32",percent of total billed charges,"1,588.32",percent of total billed charges,"1,588.32",percent of total billed charges,"1,588.32",percent of total billed charges,"1,588.32",percent of total billed charges,"1,588.32",percent of total billed charges,"1,632.44",percent of total billed charges,"1,632.44",percent of total billed charges,"1,764.80",percent of total billed charges,"1,764.80",percent of total billed charges,,,"1,588.32",percent of total billed charges ,,,"1,764.80",percent of total billed charges ,"1,853.04",percent of total billed charges ,"1,853.04",percent of total billed charges ,"1,720.68",percent of total billed charges ,"1,720.68",percent of total billed charges ,"1,764.80",percent of total billed charges ,"1,764.80",percent of total billed charges ,"1,544.20",percent of total billed charges ,"1,544.20",percent of total billed charges ,"1,323.60",percent of total billed charges ,"1,323.60",percent of total billed charges ,"1,323.60",percent of total billed charges ,"1,323.60",percent of total billed charges ,,,,,"1,173.59",percent of total billed charges ,,,,,"1,114.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,,,617.68,percent of total billed charges,
INSERT PERIPH INSRTD CTR VENOUS CATH(PIC,36573,CDM,,,,both,,,"4,167.00","4,167.00","1,166.76","4,167.00","4,167.00",percent of total billed charges,"4,167.00",percent of total billed charges,"4,167.00",percent of total billed charges,"4,167.00",percent of total billed charges,"4,167.00",percent of total billed charges,"4,167.00",percent of total billed charges,"4,167.00",percent of total billed charges,"4,167.00",percent of total billed charges,"3,000.24",percent of total billed charges,"3,000.24",percent of total billed charges,"3,000.24",percent of total billed charges,"3,000.24",percent of total billed charges,"3,000.24",percent of total billed charges,"3,000.24",percent of total billed charges,"3,083.58",percent of total billed charges,"3,083.58",percent of total billed charges,"3,333.60",percent of total billed charges,"3,333.60",percent of total billed charges,,,"3,000.24",percent of total billed charges ,,,"3,333.60",percent of total billed charges ,"3,500.28",percent of total billed charges ,"3,500.28",percent of total billed charges ,"3,250.26",percent of total billed charges ,"3,250.26",percent of total billed charges ,"3,333.60",percent of total billed charges ,"3,333.60",percent of total billed charges ,"2,916.90",percent of total billed charges ,"2,916.90",percent of total billed charges ,"2,500.20",percent of total billed charges ,"2,500.20",percent of total billed charges ,"2,500.20",percent of total billed charges ,"2,500.20",percent of total billed charges ,,,,,"2,216.84",percent of total billed charges ,,,,,"2,106.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,,,"1,166.76",percent of total billed charges,
IRRIGATION OF CORPORA CAVERNOSA,54220,CDM,,,,both,,,"1,146.00","1,146.00",320.88,"1,146.00","1,146.00",percent of total billed charges,"1,146.00",percent of total billed charges,"1,146.00",percent of total billed charges,"1,146.00",percent of total billed charges,"1,146.00",percent of total billed charges,"1,146.00",percent of total billed charges,"1,146.00",percent of total billed charges,"1,146.00",percent of total billed charges,825.12,percent of total billed charges,825.12,percent of total billed charges,825.12,percent of total billed charges,825.12,percent of total billed charges,825.12,percent of total billed charges,825.12,percent of total billed charges,848.04,percent of total billed charges,848.04,percent of total billed charges,916.8,percent of total billed charges,916.8,percent of total billed charges,,,825.12,percent of total billed charges ,,,916.8,percent of total billed charges ,962.64,percent of total billed charges ,962.64,percent of total billed charges ,893.88,percent of total billed charges ,893.88,percent of total billed charges ,916.8,percent of total billed charges ,916.8,percent of total billed charges ,802.2,percent of total billed charges ,802.2,percent of total billed charges ,687.6,percent of total billed charges ,687.6,percent of total billed charges ,687.6,percent of total billed charges ,687.6,percent of total billed charges ,,,,,609.67,percent of total billed charges ,,,,,579.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,,,320.88,percent of total billed charges,
THROMBOLYTIC VENOUS THERAPY,37212,CDM,,,,both,,,"6,606.00","6,606.00","1,849.68","6,606.00","6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"6,606.00",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,756.32",percent of total billed charges,"4,888.44",percent of total billed charges,"4,888.44",percent of total billed charges,"5,284.80",percent of total billed charges,"5,284.80",percent of total billed charges,,,"4,756.32",percent of total billed charges ,,,"5,284.80",percent of total billed charges ,"5,549.04",percent of total billed charges ,"5,549.04",percent of total billed charges ,"5,152.68",percent of total billed charges ,"5,152.68",percent of total billed charges ,"5,284.80",percent of total billed charges ,"5,284.80",percent of total billed charges ,"4,624.20",percent of total billed charges ,"4,624.20",percent of total billed charges ,"3,963.60",percent of total billed charges ,"3,963.60",percent of total billed charges ,"3,963.60",percent of total billed charges ,"3,963.60",percent of total billed charges ,,,,,"3,514.39",percent of total billed charges ,,,,,"3,338.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,,,"1,849.68",percent of total billed charges,
MOD SED OTHER PHYS/QHP<5 YRS 15 MIN,99156,CDM,,,,both,,,693,693,194.04,693,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,512.82,percent of total billed charges,512.82,percent of total billed charges,554.4,percent of total billed charges,554.4,percent of total billed charges,,,498.96,percent of total billed charges ,,,554.4,percent of total billed charges ,582.12,percent of total billed charges ,582.12,percent of total billed charges ,540.54,percent of total billed charges ,540.54,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,485.1,percent of total billed charges ,485.1,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,,,,,368.68,percent of total billed charges ,,,,,350.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,
INTRAOSSEUS NEEDLE,LOCAL,LOCAL,,,,both,,,"1,207.00","1,207.00",337.96,"1,207.00","1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,893.18,percent of total billed charges,893.18,percent of total billed charges,965.6,percent of total billed charges,965.6,percent of total billed charges,,,869.04,percent of total billed charges ,,,965.6,percent of total billed charges ,"1,013.88",percent of total billed charges ,"1,013.88",percent of total billed charges ,941.46,percent of total billed charges ,941.46,percent of total billed charges ,965.6,percent of total billed charges ,965.6,percent of total billed charges ,844.9,percent of total billed charges ,844.9,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,,,,,642.12,percent of total billed charges ,,,,,610.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,
CUTTER BLADE,LOCAL,LOCAL,,,,both,,,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
BLOOD PUMP,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
EPIDURAL TRAY-DISP,LOCAL,LOCAL,,,,both,,,330,330,92.4,330,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,244.2,percent of total billed charges,244.2,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,,,237.6,percent of total billed charges ,,,264,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,231,percent of total billed charges ,231,percent of total billed charges ,198,percent of total billed charges ,198,percent of total billed charges ,198,percent of total billed charges ,198,percent of total billed charges ,,,,,175.56,percent of total billed charges ,,,,,166.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,
BONE INSTRUMENTS,LOCAL,LOCAL,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
B/P CUFF COMPLETE DISPOSABLE,LOCAL,LOCAL,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
**CARDIOVERSION,92960,CDM,,,,both,,,970,970,271.6,970,970,percent of total billed charges,970,percent of total billed charges,970,percent of total billed charges,970,percent of total billed charges,970,percent of total billed charges,970,percent of total billed charges,970,percent of total billed charges,970,percent of total billed charges,698.4,percent of total billed charges,698.4,percent of total billed charges,698.4,percent of total billed charges,698.4,percent of total billed charges,698.4,percent of total billed charges,698.4,percent of total billed charges,717.8,percent of total billed charges,717.8,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,,,698.4,percent of total billed charges ,,,776,percent of total billed charges ,814.8,percent of total billed charges ,814.8,percent of total billed charges ,756.6,percent of total billed charges ,756.6,percent of total billed charges ,776,percent of total billed charges ,776,percent of total billed charges ,679,percent of total billed charges ,679,percent of total billed charges ,582,percent of total billed charges ,582,percent of total billed charges ,582,percent of total billed charges ,582,percent of total billed charges ,,,,,516.04,percent of total billed charges ,,,,,490.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,,,271.6,percent of total billed charges,
SPLINT AIR,LOCAL,LOCAL,,,,both,,,302,302,84.56,302,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,223.48,percent of total billed charges,223.48,percent of total billed charges,241.6,percent of total billed charges,241.6,percent of total billed charges,,,217.44,percent of total billed charges ,,,241.6,percent of total billed charges ,253.68,percent of total billed charges ,253.68,percent of total billed charges ,235.56,percent of total billed charges ,235.56,percent of total billed charges ,241.6,percent of total billed charges ,241.6,percent of total billed charges ,211.4,percent of total billed charges ,211.4,percent of total billed charges ,181.2,percent of total billed charges ,181.2,percent of total billed charges ,181.2,percent of total billed charges ,181.2,percent of total billed charges ,,,,,160.66,percent of total billed charges ,,,,,152.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,
**CODE BLUE EASY LAVAGE,LOCAL,LOCAL,,,,both,,,625,625,175,625,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,462.5,percent of total billed charges,462.5,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,,,450,percent of total billed charges ,,,500,percent of total billed charges ,525,percent of total billed charges ,525,percent of total billed charges ,487.5,percent of total billed charges ,487.5,percent of total billed charges ,500,percent of total billed charges ,500,percent of total billed charges ,437.5,percent of total billed charges ,437.5,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,,,,,332.5,percent of total billed charges ,,,,,315.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,
ENDOTRACHEAL TUBE-DISP,LOCAL,LOCAL,,,,both,,,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
GASTRIC LAVAGE,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
GASTRIC LAVAGE KIT DISP,LOCAL,LOCAL,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
TYMPANOGRAM,LOCAL,LOCAL,,,,both,,,65,65,18.2,65,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,48.1,percent of total billed charges,48.1,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,,,46.8,percent of total billed charges ,,,52,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,50.7,percent of total billed charges ,50.7,percent of total billed charges ,52,percent of total billed charges ,52,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,,,,,34.58,percent of total billed charges ,,,,,32.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,
DISPOSABLE SURGICAL CAUTERY,LOCAL,LOCAL,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
CLAVICLE SPLINT,LOCAL,LOCAL,,,,both,,,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
OCL PLASTER SPLINT 6IN,LOCAL,LOCAL,,,,both,,,62,62,17.36,62,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,45.88,percent of total billed charges,45.88,percent of total billed charges,49.6,percent of total billed charges,49.6,percent of total billed charges,,,44.64,percent of total billed charges ,,,49.6,percent of total billed charges ,52.08,percent of total billed charges ,52.08,percent of total billed charges ,48.36,percent of total billed charges ,48.36,percent of total billed charges ,49.6,percent of total billed charges ,49.6,percent of total billed charges ,43.4,percent of total billed charges ,43.4,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,,,,,32.98,percent of total billed charges ,,,,,31.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,
OCL PLASTER SPLINT 4 IN TO 6 IN,LOCAL,LOCAL,,,,both,,,61,61,17.08,61,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,45.14,percent of total billed charges,45.14,percent of total billed charges,48.8,percent of total billed charges,48.8,percent of total billed charges,,,43.92,percent of total billed charges ,,,48.8,percent of total billed charges ,51.24,percent of total billed charges ,51.24,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,48.8,percent of total billed charges ,48.8,percent of total billed charges ,42.7,percent of total billed charges ,42.7,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,,,,,32.45,percent of total billed charges ,,,,,30.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,
OCL PLASTER SPLINT 1 IN TO 3 IN,LOCAL,LOCAL,,,,both,,,57,57,15.96,57,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,42.18,percent of total billed charges,42.18,percent of total billed charges,45.6,percent of total billed charges,45.6,percent of total billed charges,,,41.04,percent of total billed charges ,,,45.6,percent of total billed charges ,47.88,percent of total billed charges ,47.88,percent of total billed charges ,44.46,percent of total billed charges ,44.46,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,39.9,percent of total billed charges ,39.9,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,28.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,
QUICK COMB PATCHES,LOCAL,LOCAL,,,,both,,,367,367,102.76,367,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,271.58,percent of total billed charges,271.58,percent of total billed charges,293.6,percent of total billed charges,293.6,percent of total billed charges,,,264.24,percent of total billed charges ,,,293.6,percent of total billed charges ,308.28,percent of total billed charges ,308.28,percent of total billed charges ,286.26,percent of total billed charges ,286.26,percent of total billed charges ,293.6,percent of total billed charges ,293.6,percent of total billed charges ,256.9,percent of total billed charges ,256.9,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,,,,,195.24,percent of total billed charges ,,,,,185.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,
EXTERNAL PACER USAGE,LOCAL,LOCAL,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
PACING ELECTRODES DISP,LOCAL,LOCAL,,,,both,,,497,497,139.16,497,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,497,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,357.84,percent of total billed charges,367.78,percent of total billed charges,367.78,percent of total billed charges,397.6,percent of total billed charges,397.6,percent of total billed charges,,,357.84,percent of total billed charges ,,,397.6,percent of total billed charges ,417.48,percent of total billed charges ,417.48,percent of total billed charges ,387.66,percent of total billed charges ,387.66,percent of total billed charges ,397.6,percent of total billed charges ,397.6,percent of total billed charges ,347.9,percent of total billed charges ,347.9,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,,,,,264.4,percent of total billed charges ,,,,,251.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,,,139.16,percent of total billed charges,
DINAMAP 1 HR,LOCAL,LOCAL,,,,both,,,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
DERMABOND,LOCAL,LOCAL,,,,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
SURE CLOSE SKIN GLUE,LOCAL,LOCAL,,,,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
ADHESIVE SKIN CLOSURE,LOCAL,LOCAL,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
HANGING CAST SLING,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
ELAS KNEE CAP BRACE,LOCAL,LOCAL,,,,both,,,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
METACARPAL SPLINT,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
CARDIAC MONITOR,LOCAL,LOCAL,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
MORGAN LENS AND DELIVERY SET-DISP,LOCAL,LOCAL,,,,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
ANOSCOPE,LOCAL,LOCAL,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
NASAL BALLOON,LOCAL,LOCAL,,,,both,,,121,121,33.88,121,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,96.8,percent of total billed charges,96.8,percent of total billed charges,,,87.12,percent of total billed charges ,,,96.8,percent of total billed charges ,101.64,percent of total billed charges ,101.64,percent of total billed charges ,94.38,percent of total billed charges ,94.38,percent of total billed charges ,96.8,percent of total billed charges ,96.8,percent of total billed charges ,84.7,percent of total billed charges ,84.7,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,,,,,64.37,percent of total billed charges ,,,,,61.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,
RHINO-ROCKET (NASAL),LOCAL,LOCAL,,,,both,,,121,121,33.88,121,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,96.8,percent of total billed charges,96.8,percent of total billed charges,,,87.12,percent of total billed charges ,,,96.8,percent of total billed charges ,101.64,percent of total billed charges ,101.64,percent of total billed charges ,94.38,percent of total billed charges ,94.38,percent of total billed charges ,96.8,percent of total billed charges ,96.8,percent of total billed charges ,84.7,percent of total billed charges ,84.7,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,,,,,64.37,percent of total billed charges ,,,,,61.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,
PENROSE DRAIN DISP,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
C-COLLAR,L0120,CDM,,,,both,,,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
PHILADELPHIA COLLAR,L0172,CDM,,,,both,,,408,408,114.24,408,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,301.92,percent of total billed charges,301.92,percent of total billed charges,326.4,percent of total billed charges,326.4,percent of total billed charges,,,293.76,percent of total billed charges ,,,326.4,percent of total billed charges ,342.72,percent of total billed charges ,342.72,percent of total billed charges ,318.24,percent of total billed charges ,318.24,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,,,,,217.06,percent of total billed charges ,,,,,206.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,
FAST PATCH DEFIB PADS DISP,LOCAL,LOCAL,,,,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
INSYTE CATHETER,LOCAL,LOCAL,,,,both,,,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
REESE SHOE-POST OPER,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
FIXATION PIN,LOCAL,LOCAL,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
ANKLET ELASTIC,LOCAL,LOCAL,,,,both,,,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
GEL ANKLE BRACE,L1902,CDM,,,,both,,,364,364,101.92,364,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,269.36,percent of total billed charges,269.36,percent of total billed charges,291.2,percent of total billed charges,291.2,percent of total billed charges,,,262.08,percent of total billed charges ,,,291.2,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,254.8,percent of total billed charges ,254.8,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,,,,,193.65,percent of total billed charges ,,,,,183.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,
ANKLE BRACE SPORTS MEDICINE,L1902,CDM,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
EXCISION NAIL PART/COMP PERM REMOVE,11750,CDM,,,,both,,,"1,498.00","1,498.00",419.44,"1,498.00","1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,498.00",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,078.56",percent of total billed charges,"1,108.52",percent of total billed charges,"1,108.52",percent of total billed charges,"1,198.40",percent of total billed charges,"1,198.40",percent of total billed charges,,,"1,078.56",percent of total billed charges ,,,"1,198.40",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,258.32",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,168.44",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,198.40",percent of total billed charges ,"1,048.60",percent of total billed charges ,"1,048.60",percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,898.8,percent of total billed charges ,,,,,796.94,percent of total billed charges ,,,,,757.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,,,419.44,percent of total billed charges,
SPLINT-ELBOW,LOCAL,LOCAL,,,,both,,,316,316,88.48,316,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,233.84,percent of total billed charges,233.84,percent of total billed charges,252.8,percent of total billed charges,252.8,percent of total billed charges,,,227.52,percent of total billed charges ,,,252.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,252.8,percent of total billed charges ,252.8,percent of total billed charges ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,,,,,168.11,percent of total billed charges ,,,,,159.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,
SLING (IMMOBILIZED),LOCAL,LOCAL,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
WRIST SPLINT-COCKUP,L3908,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
LEVIN STERN THUMB SPLINT,LOCAL,LOCAL,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
THUMB SPICA,LOCAL,LOCAL,,,,both,,,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
WRIST SUPPORT,L3809,CDM,,,,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
ADJUSTABLE WRIST BRACE,L3916,CDM,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
SPLINT-ARM FOREARM,LOCAL,LOCAL,,,,both,,,116,116,32.48,116,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,85.84,percent of total billed charges,85.84,percent of total billed charges,92.8,percent of total billed charges,92.8,percent of total billed charges,,,83.52,percent of total billed charges ,,,92.8,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,90.48,percent of total billed charges ,90.48,percent of total billed charges ,92.8,percent of total billed charges ,92.8,percent of total billed charges ,81.2,percent of total billed charges ,81.2,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,,,,,61.71,percent of total billed charges ,,,,,58.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,
SPLINT HARE TRACTION,LOCAL,LOCAL,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
SPLINT-LEG-TIB + FIB,LOCAL,LOCAL,,,,both,,,570,570,159.6,570,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,421.8,percent of total billed charges,421.8,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,,,410.4,percent of total billed charges ,,,456,percent of total billed charges ,478.8,percent of total billed charges ,478.8,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,456,percent of total billed charges ,456,percent of total billed charges ,399,percent of total billed charges ,399,percent of total billed charges ,342,percent of total billed charges ,342,percent of total billed charges ,342,percent of total billed charges ,342,percent of total billed charges ,,,,,303.24,percent of total billed charges ,,,,,288.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,
SPLINT-LEG-INC FEMUR,LOCAL,LOCAL,,,,both,,,741,741,207.48,741,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,548.34,percent of total billed charges,548.34,percent of total billed charges,592.8,percent of total billed charges,592.8,percent of total billed charges,,,533.52,percent of total billed charges ,,,592.8,percent of total billed charges ,622.44,percent of total billed charges ,622.44,percent of total billed charges ,577.98,percent of total billed charges ,577.98,percent of total billed charges ,592.8,percent of total billed charges ,592.8,percent of total billed charges ,518.7,percent of total billed charges ,518.7,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,,,,,394.21,percent of total billed charges ,,,,,374.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,
SPLINT-EXT FINGER,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
SPLINT-BASEBALL,LOCAL,LOCAL,,,,both,,,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
SPLINT-KNEE POST OPER,L1830,CDM,,,,both,,,390,390,109.2,390,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,288.6,percent of total billed charges,288.6,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,,,280.8,percent of total billed charges ,,,312,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,304.2,percent of total billed charges ,304.2,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,,,,,207.48,percent of total billed charges ,,,,,197.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,
SPLINT-UNIVERSAL HAND,L3924,CDM,,,,both,,,231,231,64.68,231,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,184.8,percent of total billed charges,184.8,percent of total billed charges,,,166.32,percent of total billed charges ,,,184.8,percent of total billed charges ,194.04,percent of total billed charges ,194.04,percent of total billed charges ,180.18,percent of total billed charges ,180.18,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,161.7,percent of total billed charges ,161.7,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,,,,,122.89,percent of total billed charges ,,,,,116.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,
**SPLINT-POST KNEE,LOCAL,LOCAL,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
SUCTION,LOCAL,LOCAL,,,,both,,,322,322,90.16,322,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,322,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,231.84,percent of total billed charges,238.28,percent of total billed charges,238.28,percent of total billed charges,257.6,percent of total billed charges,257.6,percent of total billed charges,,,231.84,percent of total billed charges ,,,257.6,percent of total billed charges ,270.48,percent of total billed charges ,270.48,percent of total billed charges ,251.16,percent of total billed charges ,251.16,percent of total billed charges ,257.6,percent of total billed charges ,257.6,percent of total billed charges ,225.4,percent of total billed charges ,225.4,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,,,,,171.3,percent of total billed charges ,,,,,162.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,,,90.16,percent of total billed charges,
SUCTION PORTABLE,LOCAL,LOCAL,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
SUTURES-PLN + CHROM,LOCAL,LOCAL,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
SUTURES-PLASTIC,LOCAL,LOCAL,,,,both,,,79,79,22.12,79,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,63.2,percent of total billed charges,63.2,percent of total billed charges,,,56.88,percent of total billed charges ,,,63.2,percent of total billed charges ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,,,,,42.03,percent of total billed charges ,,,,,39.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,
SURGICAL ABSORBABLE HEMOSTAT-SUTURES,LOCAL,LOCAL,,,,both,,,111,111,31.08,111,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,82.14,percent of total billed charges,82.14,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,,,79.92,percent of total billed charges ,,,88.8,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,,,,,59.05,percent of total billed charges ,,,,,56.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,
REFLEX ONE DISPOSABLE SKIN STAPLER,LOCAL,LOCAL,,,,both,,,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
PELVIC TRAY,LOCAL,LOCAL,,,,both,,,249,249,69.72,249,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,184.26,percent of total billed charges,184.26,percent of total billed charges,199.2,percent of total billed charges,199.2,percent of total billed charges,,,179.28,percent of total billed charges ,,,199.2,percent of total billed charges ,209.16,percent of total billed charges ,209.16,percent of total billed charges ,194.22,percent of total billed charges ,194.22,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,174.3,percent of total billed charges ,174.3,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,,,,,132.47,percent of total billed charges ,,,,,125.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,
CAST SHOE,LOCAL,LOCAL,,,,both,,,192,192,53.76,192,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,142.08,percent of total billed charges,142.08,percent of total billed charges,153.6,percent of total billed charges,153.6,percent of total billed charges,,,138.24,percent of total billed charges ,,,153.6,percent of total billed charges ,161.28,percent of total billed charges ,161.28,percent of total billed charges ,149.76,percent of total billed charges ,149.76,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,,,,,102.14,percent of total billed charges ,,,,,97.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,
OXYCEL COTTON,LOCAL,LOCAL,,,,both,,,405,405,113.4,405,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,405,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,291.6,percent of total billed charges,299.7,percent of total billed charges,299.7,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,,,291.6,percent of total billed charges ,,,324,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,315.9,percent of total billed charges ,315.9,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,283.5,percent of total billed charges ,283.5,percent of total billed charges ,243,percent of total billed charges ,243,percent of total billed charges ,243,percent of total billed charges ,243,percent of total billed charges ,,,,,215.46,percent of total billed charges ,,,,,204.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,,,113.4,percent of total billed charges,
NAIL DRILL,LOCAL,LOCAL,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
DRESSING-MEDIUM,LOCAL,LOCAL,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
RIB BELT,LOCAL,LOCAL,,,,both,,,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
CERVICAL COLLAR,L0120,CDM,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
ARM CAST-WRIST,LOCAL,LOCAL,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
REMOVE CAST-ARM,LOCAL,LOCAL,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
ARM CAST-ABOVE ELBOW,LOCAL,LOCAL,,,,both,,,278,278,77.84,278,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,205.72,percent of total billed charges,205.72,percent of total billed charges,222.4,percent of total billed charges,222.4,percent of total billed charges,,,200.16,percent of total billed charges ,,,222.4,percent of total billed charges ,233.52,percent of total billed charges ,233.52,percent of total billed charges ,216.84,percent of total billed charges ,216.84,percent of total billed charges ,222.4,percent of total billed charges ,222.4,percent of total billed charges ,194.6,percent of total billed charges ,194.6,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,,,,,147.9,percent of total billed charges ,,,,,140.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,
EPISTAT,LOCAL,LOCAL,,,,both,,,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
HAND CAST,LOCAL,LOCAL,,,,both,,,141,141,39.48,141,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,104.34,percent of total billed charges,104.34,percent of total billed charges,112.8,percent of total billed charges,112.8,percent of total billed charges,,,101.52,percent of total billed charges ,,,112.8,percent of total billed charges ,118.44,percent of total billed charges ,118.44,percent of total billed charges ,109.98,percent of total billed charges ,109.98,percent of total billed charges ,112.8,percent of total billed charges ,112.8,percent of total billed charges ,98.7,percent of total billed charges ,98.7,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,,,,,75.01,percent of total billed charges ,,,,,71.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,
ARTHROXIX CAST THUMB RING,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
REMOVE CAST-HAND,LOCAL,LOCAL,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
HANDING ARM CAST,LOCAL,LOCAL,,,,both,,,387,387,108.36,387,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,286.38,percent of total billed charges,286.38,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,,,278.64,percent of total billed charges ,,,309.6,percent of total billed charges ,325.08,percent of total billed charges ,325.08,percent of total billed charges ,301.86,percent of total billed charges ,301.86,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,270.9,percent of total billed charges ,270.9,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,,,,,205.88,percent of total billed charges ,,,,,195.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,
REMOVE CAST,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
LEG CAST-BELOW KNEE,LOCAL,LOCAL,,,,both,,,278,278,77.84,278,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,205.72,percent of total billed charges,205.72,percent of total billed charges,222.4,percent of total billed charges,222.4,percent of total billed charges,,,200.16,percent of total billed charges ,,,222.4,percent of total billed charges ,233.52,percent of total billed charges ,233.52,percent of total billed charges ,216.84,percent of total billed charges ,216.84,percent of total billed charges ,222.4,percent of total billed charges ,222.4,percent of total billed charges ,194.6,percent of total billed charges ,194.6,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,,,,,147.9,percent of total billed charges ,,,,,140.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,
REVISION OF CAST,LOCAL,LOCAL,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
LEG CAST-ABOVE KNEE,LOCAL,LOCAL,,,,both,,,370,370,103.6,370,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,273.8,percent of total billed charges,273.8,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,,,266.4,percent of total billed charges ,,,296,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,296,percent of total billed charges ,296,percent of total billed charges ,259,percent of total billed charges ,259,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,,,,,196.84,percent of total billed charges ,,,,,187,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,
EAR TRAY,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
EYE TRAY,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
FIBERGLASS WEBRIL 2 IN,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
FIBERGLASS WEBRIL 3 IN,LOCAL,LOCAL,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
FIBERGLASS WEBRIL 4 IN,LOCAL,LOCAL,,,,both,,,38,38,10.64,38,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,30.4,percent of total billed charges,30.4,percent of total billed charges,,,27.36,percent of total billed charges ,,,30.4,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,29.64,percent of total billed charges ,29.64,percent of total billed charges ,30.4,percent of total billed charges ,30.4,percent of total billed charges ,26.6,percent of total billed charges ,26.6,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,19.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,
FIBERGLASS WEBRIL 5 IN,LOCAL,LOCAL,,,,both,,,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
CASTING TAPE 2 IN,LOCAL,LOCAL,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
CASTING TAPE 3 IN,LOCAL,LOCAL,,,,both,,,121,121,33.88,121,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,121,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,87.12,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,96.8,percent of total billed charges,96.8,percent of total billed charges,,,87.12,percent of total billed charges ,,,96.8,percent of total billed charges ,101.64,percent of total billed charges ,101.64,percent of total billed charges ,94.38,percent of total billed charges ,94.38,percent of total billed charges ,96.8,percent of total billed charges ,96.8,percent of total billed charges ,84.7,percent of total billed charges ,84.7,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,72.6,percent of total billed charges ,,,,,64.37,percent of total billed charges ,,,,,61.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,,,33.88,percent of total billed charges,
CASTING TAPE 4 IN,LOCAL,LOCAL,,,,both,,,153,153,42.84,153,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,113.22,percent of total billed charges,113.22,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,,,110.16,percent of total billed charges ,,,122.4,percent of total billed charges ,128.52,percent of total billed charges ,128.52,percent of total billed charges ,119.34,percent of total billed charges ,119.34,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,107.1,percent of total billed charges ,107.1,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,,,,,81.4,percent of total billed charges ,,,,,77.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,
CASTING TAPE 5 IN,LOCAL,LOCAL,,,,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
EGTA TUBE,LOCAL,LOCAL,,,,both,,,701,701,196.28,701,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,518.74,percent of total billed charges,518.74,percent of total billed charges,560.8,percent of total billed charges,560.8,percent of total billed charges,,,504.72,percent of total billed charges ,,,560.8,percent of total billed charges ,588.84,percent of total billed charges ,588.84,percent of total billed charges ,546.78,percent of total billed charges ,546.78,percent of total billed charges ,560.8,percent of total billed charges ,560.8,percent of total billed charges ,490.7,percent of total billed charges ,490.7,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,,,,,372.93,percent of total billed charges ,,,,,354.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,
EWALD TUBE-DISP,LOCAL,LOCAL,,,,both,,,55,55,15.4,55,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,,,39.6,percent of total billed charges ,,,44,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,42.9,percent of total billed charges ,42.9,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,38.5,percent of total billed charges ,38.5,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,,,,,29.26,percent of total billed charges ,,,,,27.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,
CULTURETT II - BAXTER,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
SPANDAGE STRETCH BANDAGE PER FOOT,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
SLIT LAMP,LOCAL,LOCAL,,,,both,,,145,145,40.6,145,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,107.3,percent of total billed charges,107.3,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,,,104.4,percent of total billed charges ,,,116,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,113.1,percent of total billed charges ,113.1,percent of total billed charges ,116,percent of total billed charges ,116,percent of total billed charges ,101.5,percent of total billed charges ,101.5,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,,,,,77.14,percent of total billed charges ,,,,,73.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,
SLING ARM CHILD,LOCAL,LOCAL,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
SLING ARM MEDIUM,LOCAL,LOCAL,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
SLING ARM LARGE,LOCAL,LOCAL,,,,both,,,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
SLING ARM X-LARGE,LOCAL,LOCAL,,,,both,,,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
**OPINSERTN OF NONINDWELLING BLADDER,51701,CDM,,,,both,,,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
**NEGATIVE PRESSURE WOUND THERA,97605,CDM,,,,both,,,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
**IV INFUS THERAPY UP TO 1 HR SEPAR SITE,96365,CDM,,,59,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**CHEMO ADMIN IV INFUS UP TO 1 HR SINGLE,96413,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**CHEMO ADMIN IV INFUS ADD HOUR,96415,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**IV HYDR OF 31 MIN TO 1 HOUR,96360,CDM,,,,both,,,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV HYDR 31 MIN TO 1 HR SEP SITE,96360,CDM,,,59,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV HYDR EACH ADD HOUR,96361,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
**INTRA MUSCULAR INJ THERAP OR DX,96372,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**ADMINISTRATION DPT,90471,CDM,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV INFUS THER EACH ADD HR 31 MIN TO 1,96366,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
**IV INFUS THERAPY SEQ UP TO 1 HOUR,96367,CDM,,,,both,,,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV INFUS THERAPY CONCUR NEW DRUG,96368,CDM,,,,both,,,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**IV PUSH OR IV SEQ 15 MIN OR LESS,96375,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**IV PUSH OR IV SAME DRUG ADD,96376,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**IV PUSH OR IV 15 MIN OR LESS INITIAL,96374,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**IMMUNE GLOBULIN RHO D INJ,J2790,CDM,,,,both,,,565,565,158.2,565,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,418.1,percent of total billed charges,418.1,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,,,406.8,percent of total billed charges ,,,452,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,440.7,percent of total billed charges ,440.7,percent of total billed charges ,452,percent of total billed charges ,452,percent of total billed charges ,395.5,percent of total billed charges ,395.5,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,,,,,300.58,percent of total billed charges ,,,,,285.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,
**IV INFUS THERAPY UP TO 1 HR SEPAR SITE,96365,CDM,,,59,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV PUSH OR IV 15 MIN INITIAL SEP SITE,96374,CDM,,,59,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**IV HYDR OF 31 MIN TO 1 HOUR,96360,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV HYDR 31 MIN TO 1 HR SEP SITE,96360,CDM,,,59,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV HYDR EACH ADD HOUR,96361,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**INTRA MUSCULAR INJ THERAP OR DX,96372,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**ADMINISTRATION DPT,90471,CDM,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**IV INFUS THERAPY UP TO 1 HOUR CPT,96365,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV INFUS THER EACH ADD HR 31 MIN TO,96366,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV INFUS THERAPY SEQ UP TO 1 HOUR,96367,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV INFUS THERAPY CONCUR NEW DRUG,96368,CDM,,,,both,,,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
**IV PUSH OR IV SEQ 15 MIN OR LESS,96375,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**IV PUSH OR IV SAME DRUG ADD,96376,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**IV PUSH OR IV 15 MIN OR LESS INITIAL,96374,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**IRRIGATION OF BLADDER,51700,CDM,,,,both,,,569,569,159.32,569,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,421.06,percent of total billed charges,421.06,percent of total billed charges,455.2,percent of total billed charges,455.2,percent of total billed charges,,,409.68,percent of total billed charges ,,,455.2,percent of total billed charges ,477.96,percent of total billed charges ,477.96,percent of total billed charges ,443.82,percent of total billed charges ,443.82,percent of total billed charges ,455.2,percent of total billed charges ,455.2,percent of total billed charges ,398.3,percent of total billed charges ,398.3,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,,,,,302.71,percent of total billed charges ,,,,,287.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,
**IRRIGATION OF IMPLANT VEN ACC DEVICE,96523,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
CBC-W/AUTO DIFF,85025,CDM,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
WET PREP,87210,CDM,,,,both,,,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
FECAL FAT QUALITATIVE(*),82705,CDM,,,,both,,,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
HERPES VIRUS I IGG(*),86695,CDM,,,,both,,,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
HERPES VIRUS I IGM(*),86695,CDM,,,,both,,,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
HERPES VIRUS II IGG(*),86696,CDM,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
HERPES VIRUS II IGM(*),86696,CDM,,,,both,,,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
VALIUM(*),82542,CDM,,,,both,,,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
HEXAGONAL PHOSPHOLIPID NEUTRALIZATION,85597,CDM,,,,both,,,221,221,61.88,221,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,163.54,percent of total billed charges,163.54,percent of total billed charges,176.8,percent of total billed charges,176.8,percent of total billed charges,,,159.12,percent of total billed charges ,,,176.8,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,172.38,percent of total billed charges ,172.38,percent of total billed charges ,176.8,percent of total billed charges ,176.8,percent of total billed charges ,154.7,percent of total billed charges ,154.7,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,,,,,117.57,percent of total billed charges ,,,,,111.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,
TOXOPLASMOSIS-IGG(*),86777,CDM,,,,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
*HEPATITIS B CORE ANTIBODY IGM(*),86704,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**ARGININE STIMULATION TEST(*),83003,CDM,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
ESTRONE(*),82679,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
BB TRANSFUSION REACTION WORKUP,LOCAL,LOCAL,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
PTH INTACT W/CALCIUM (*),83970,CDM,,,,both,,,474,474,132.72,474,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,350.76,percent of total billed charges,350.76,percent of total billed charges,379.2,percent of total billed charges,379.2,percent of total billed charges,,,341.28,percent of total billed charges ,,,379.2,percent of total billed charges ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,,,,,252.17,percent of total billed charges ,,,,,239.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,
**URINE COLLECTION FOR DRUG SCREEN,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**URINE COLLECTION FOR ADMA DRUG TEST,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
URINE COLLECTION CYDE ENTERPRISES,LOCAL,LOCAL,,,,both,,,110,110,30.8,110,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,81.4,percent of total billed charges,81.4,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,,,79.2,percent of total billed charges ,,,88,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,88,percent of total billed charges ,88,percent of total billed charges ,77,percent of total billed charges ,77,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,,,,,58.52,percent of total billed charges ,,,,,55.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,
CYSTIC FIBROSIS GENOTYPE(*),81220,CDM,,,,both,,,489,489,136.92,489,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,361.86,percent of total billed charges,361.86,percent of total billed charges,391.2,percent of total billed charges,391.2,percent of total billed charges,,,352.08,percent of total billed charges ,,,391.2,percent of total billed charges ,410.76,percent of total billed charges ,410.76,percent of total billed charges ,381.42,percent of total billed charges ,381.42,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,342.3,percent of total billed charges ,342.3,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,,,,,260.15,percent of total billed charges ,,,,,247.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,
5 PRIME NUCLEOTIDASE(*),83915,CDM,,,,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
SPECIMEN PROCUREMENT H/C,LOCAL,LOCAL,,,,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
SPECIMEN RECUT-BREAST BIOPSY,88399,CDM,,,,both,,,528,528,147.84,528,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,390.72,percent of total billed charges,390.72,percent of total billed charges,422.4,percent of total billed charges,422.4,percent of total billed charges,,,380.16,percent of total billed charges ,,,422.4,percent of total billed charges ,443.52,percent of total billed charges ,443.52,percent of total billed charges ,411.84,percent of total billed charges ,411.84,percent of total billed charges ,422.4,percent of total billed charges ,422.4,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,,,,,280.9,percent of total billed charges ,,,,,266.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,
GIARDIA INFECTIOUS AGENT ANTIGEN,87329,CDM,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
URINE SULFATE ASSAY,84392,CDM,,,,both,,,57,57,15.96,57,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,42.18,percent of total billed charges,42.18,percent of total billed charges,45.6,percent of total billed charges,45.6,percent of total billed charges,,,41.04,percent of total billed charges ,,,45.6,percent of total billed charges ,47.88,percent of total billed charges ,47.88,percent of total billed charges ,44.46,percent of total billed charges ,44.46,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,39.9,percent of total billed charges ,39.9,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,28.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,
AMINO ACIDS SINGLE QUANT,82131,CDM,,,,both,,,252,252,70.56,252,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,,,181.44,percent of total billed charges ,,,201.6,percent of total billed charges ,211.68,percent of total billed charges ,211.68,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,127.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,
GLUCOSE POINT OF CARE TEST,82962,CDM,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
MRSA BY PCR,87641,CDM,,,,both,,,317,317,88.76,317,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,234.58,percent of total billed charges,234.58,percent of total billed charges,253.6,percent of total billed charges,253.6,percent of total billed charges,,,228.24,percent of total billed charges ,,,253.6,percent of total billed charges ,266.28,percent of total billed charges ,266.28,percent of total billed charges ,247.26,percent of total billed charges ,247.26,percent of total billed charges ,253.6,percent of total billed charges ,253.6,percent of total billed charges ,221.9,percent of total billed charges ,221.9,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,,,,,168.64,percent of total billed charges ,,,,,160.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,
**COLD AGGLUTINS TITER,86157,CDM,,,,both,,,64,64,17.92,64,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,51.2,percent of total billed charges,51.2,percent of total billed charges,,,46.08,percent of total billed charges ,,,51.2,percent of total billed charges ,53.76,percent of total billed charges ,53.76,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,,,,,34.05,percent of total billed charges ,,,,,32.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,
**FEBRILE AGGLUTINATIONS,86000,CDM,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
**ACID PHOSPHATASE,84060,CDM,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
**ANTI-DNA ANTIBODIES,86225,CDM,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
**AKLALINE PHOSPHATASE ISOENZYM,84080,CDM,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
**AMYLASE - URINE,82150,CDM,,,,both,,,82,82,22.96,82,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,60.68,percent of total billed charges,60.68,percent of total billed charges,65.6,percent of total billed charges,65.6,percent of total billed charges,,,59.04,percent of total billed charges ,,,65.6,percent of total billed charges ,68.88,percent of total billed charges ,68.88,percent of total billed charges ,63.96,percent of total billed charges ,63.96,percent of total billed charges ,65.6,percent of total billed charges ,65.6,percent of total billed charges ,57.4,percent of total billed charges ,57.4,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,,,,,43.62,percent of total billed charges ,,,,,41.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,
**EXTRACTRABLE NUCLEAR ANTIGEN,86235,CDM,,,,both,,,95,95,26.6,95,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,70.3,percent of total billed charges,70.3,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,,,68.4,percent of total billed charges ,,,76,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,74.1,percent of total billed charges ,74.1,percent of total billed charges ,76,percent of total billed charges ,76,percent of total billed charges ,66.5,percent of total billed charges ,66.5,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,48.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,
ANGIOTENSIN CONVERTING ENZYME(*)0,82164,CDM,,,,both,,,126,126,35.28,126,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,93.24,percent of total billed charges,93.24,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,,,90.72,percent of total billed charges ,,,100.8,percent of total billed charges ,105.84,percent of total billed charges ,105.84,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,,,,,67.03,percent of total billed charges ,,,,,63.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,
**ANTIBODY PANEL EACH,86870,CDM,,,,both,,,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
**ANTIBODY SCREEN,86850,CDM,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**ASTO,86060,CDM,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
**BETA HCG QUANTITATIVE,84702,CDM,,,,both,,,114,114,31.92,114,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,84.36,percent of total billed charges,84.36,percent of total billed charges,91.2,percent of total billed charges,91.2,percent of total billed charges,,,82.08,percent of total billed charges ,,,91.2,percent of total billed charges ,95.76,percent of total billed charges ,95.76,percent of total billed charges ,88.92,percent of total billed charges ,88.92,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,57.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,
**SPEC BACT PROC 2,87147,CDM,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**BILIRUBIN - TOTAL,82247,CDM,,,,both,,,132,132,36.96,132,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,97.68,percent of total billed charges,97.68,percent of total billed charges,105.6,percent of total billed charges,105.6,percent of total billed charges,,,95.04,percent of total billed charges ,,,105.6,percent of total billed charges ,110.88,percent of total billed charges ,110.88,percent of total billed charges ,102.96,percent of total billed charges ,102.96,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,,,,,70.22,percent of total billed charges ,,,,,66.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,
**AUTO CYTE PAP SMEAR,88142,CDM,,,,both,,,105,105,29.4,105,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,,,75.6,percent of total billed charges ,,,84,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,73.5,percent of total billed charges ,73.5,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,,,,,55.86,percent of total billed charges ,,,,,53.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,
**BLOOD TYPING; ABO,86900,CDM,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
**CH 50,86162,CDM,,,,both,,,138,138,38.64,138,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,102.12,percent of total billed charges,102.12,percent of total billed charges,110.4,percent of total billed charges,110.4,percent of total billed charges,,,99.36,percent of total billed charges ,,,110.4,percent of total billed charges ,115.92,percent of total billed charges ,115.92,percent of total billed charges ,107.64,percent of total billed charges ,107.64,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,,,,,73.42,percent of total billed charges ,,,,,69.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,
**CBC,85025,CDM,,,,both,,,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
**CO2,82374,CDM,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
**CA-15-3,86316,CDM,,,,both,,,136,136,38.08,136,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,100.64,percent of total billed charges,100.64,percent of total billed charges,108.8,percent of total billed charges,108.8,percent of total billed charges,,,97.92,percent of total billed charges ,,,108.8,percent of total billed charges ,114.24,percent of total billed charges ,114.24,percent of total billed charges ,106.08,percent of total billed charges ,106.08,percent of total billed charges ,108.8,percent of total billed charges ,108.8,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,,,,,72.35,percent of total billed charges ,,,,,68.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,
**CALCIUM - BLOOD,82310,CDM,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**CHLORIDE (SERUM),82435,CDM,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
**CHLORIDE (URINE),82436,CDM,,,,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**DHEA SULFATE,82627,CDM,,,,both,,,138,138,38.64,138,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,102.12,percent of total billed charges,102.12,percent of total billed charges,110.4,percent of total billed charges,110.4,percent of total billed charges,,,99.36,percent of total billed charges ,,,110.4,percent of total billed charges ,115.92,percent of total billed charges ,115.92,percent of total billed charges ,107.64,percent of total billed charges ,107.64,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,,,,,73.42,percent of total billed charges ,,,,,69.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,
**SOMATOMEDIN IDF-1,84305,CDM,,,,both,,,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
**CHOLESTEROL,82465,CDM,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
**C2 COMPLEMENT TEST,86160,CDM,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
**C4 COMPLEMENT TEST,86160,CDM,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
**PROGESTERONE,84144,CDM,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
**BLOOD CULTURE,87040,CDM,,,,both,,,153,153,42.84,153,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,113.22,percent of total billed charges,113.22,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,,,110.16,percent of total billed charges ,,,122.4,percent of total billed charges ,128.52,percent of total billed charges ,128.52,percent of total billed charges ,119.34,percent of total billed charges ,119.34,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,107.1,percent of total billed charges ,107.1,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,,,,,81.4,percent of total billed charges ,,,,,77.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,
**CULTURE/URETHERAL GC,87070,CDM,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
**FUNGUS CULTURE BLOOD,87103,CDM,,,,both,,,104,104,29.12,104,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,76.96,percent of total billed charges,76.96,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,,,74.88,percent of total billed charges ,,,83.2,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,81.12,percent of total billed charges ,81.12,percent of total billed charges ,83.2,percent of total billed charges ,83.2,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,,,,,55.33,percent of total billed charges ,,,,,52.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,
**CULTURE STOOL,87045,CDM,,,,both,,,151,151,42.28,151,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,111.74,percent of total billed charges,111.74,percent of total billed charges,120.8,percent of total billed charges,120.8,percent of total billed charges,,,108.72,percent of total billed charges ,,,120.8,percent of total billed charges ,126.84,percent of total billed charges ,126.84,percent of total billed charges ,117.78,percent of total billed charges ,117.78,percent of total billed charges ,120.8,percent of total billed charges ,120.8,percent of total billed charges ,105.7,percent of total billed charges ,105.7,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,,,,,80.33,percent of total billed charges ,,,,,76.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,
**CULTURE/WOUND,87070,CDM,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
**CULTURE/STERILE BODY FL,87070,CDM,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
**CARBON MONOXIDE,82375,CDM,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
**CAT 4 GROSS & MICRO,88305,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
**IMMUNOHISTO ANTIBODY,88341,CDM,,,,both,,,105,105,29.4,105,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,,,75.6,percent of total billed charges ,,,84,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,73.5,percent of total billed charges ,73.5,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,,,,,55.86,percent of total billed charges ,,,,,53.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,
**C E A,82378,CDM,,,,both,,,142,142,39.76,142,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,105.08,percent of total billed charges,105.08,percent of total billed charges,113.6,percent of total billed charges,113.6,percent of total billed charges,,,102.24,percent of total billed charges ,,,113.6,percent of total billed charges ,119.28,percent of total billed charges ,119.28,percent of total billed charges ,110.76,percent of total billed charges ,110.76,percent of total billed charges ,113.6,percent of total billed charges ,113.6,percent of total billed charges ,99.4,percent of total billed charges ,99.4,percent of total billed charges ,85.2,percent of total billed charges ,85.2,percent of total billed charges ,85.2,percent of total billed charges ,85.2,percent of total billed charges ,,,,,75.54,percent of total billed charges ,,,,,71.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,
**DILANTIN (PHENYTOIN),80185,CDM,,,,both,,,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
**DRUG SCREEN URINE,80300,CDM,,,,both,,,142,142,39.76,142,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,142,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,102.24,percent of total billed charges,105.08,percent of total billed charges,105.08,percent of total billed charges,113.6,percent of total billed charges,113.6,percent of total billed charges,,,102.24,percent of total billed charges ,,,113.6,percent of total billed charges ,119.28,percent of total billed charges ,119.28,percent of total billed charges ,110.76,percent of total billed charges ,110.76,percent of total billed charges ,113.6,percent of total billed charges ,113.6,percent of total billed charges ,99.4,percent of total billed charges ,99.4,percent of total billed charges ,85.2,percent of total billed charges ,85.2,percent of total billed charges ,85.2,percent of total billed charges ,85.2,percent of total billed charges ,,,,,75.54,percent of total billed charges ,,,,,71.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,,,39.76,percent of total billed charges,
**DRUG CONFIRMATION,80303,CDM,,,,both,,,98,98,27.44,98,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,78.4,percent of total billed charges,78.4,percent of total billed charges,,,70.56,percent of total billed charges ,,,78.4,percent of total billed charges ,82.32,percent of total billed charges ,82.32,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,68.6,percent of total billed charges ,68.6,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,,,,,52.14,percent of total billed charges ,,,,,49.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,
**CHLAMYDIA,87320,CDM,,,,both,,,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
**FECAL FAT QUANTITATIVE,82710,CDM,,,,both,,,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
**GENTAMICIN TROUGH,80170,CDM,,,,both,,,309,309,86.52,309,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,228.66,percent of total billed charges,228.66,percent of total billed charges,247.2,percent of total billed charges,247.2,percent of total billed charges,,,222.48,percent of total billed charges ,,,247.2,percent of total billed charges ,259.56,percent of total billed charges ,259.56,percent of total billed charges ,241.02,percent of total billed charges ,241.02,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,216.3,percent of total billed charges ,216.3,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,,,,,164.39,percent of total billed charges ,,,,,156.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,
**GENTAMICIN PEAK,80170,CDM,,,,both,,,309,309,86.52,309,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,228.66,percent of total billed charges,228.66,percent of total billed charges,247.2,percent of total billed charges,247.2,percent of total billed charges,,,222.48,percent of total billed charges ,,,247.2,percent of total billed charges ,259.56,percent of total billed charges ,259.56,percent of total billed charges ,241.02,percent of total billed charges ,241.02,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,216.3,percent of total billed charges ,216.3,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,,,,,164.39,percent of total billed charges ,,,,,156.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,
**HEPATITIS B PROFILE(*),80074,CDM,,,,both,,,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
**LIPASE,83690,CDM,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
**MAGNESIUM,83735,CDM,,,,both,,,55,55,15.4,55,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,,,39.6,percent of total billed charges ,,,44,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,42.9,percent of total billed charges ,42.9,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,38.5,percent of total billed charges ,38.5,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,,,,,29.26,percent of total billed charges ,,,,,27.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,
**MICROALBUMIN,82043,CDM,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
**OVA+PARASITES,87177,CDM,,,,both,,,95,95,26.6,95,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,70.3,percent of total billed charges,70.3,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,,,68.4,percent of total billed charges ,,,76,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,74.1,percent of total billed charges ,74.1,percent of total billed charges ,76,percent of total billed charges ,76,percent of total billed charges ,66.5,percent of total billed charges ,66.5,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,48.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,
**PROTHROMBIN TIME,85610,CDM,,,,both,,,46,46,12.88,46,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,36.8,percent of total billed charges,36.8,percent of total billed charges,,,33.12,percent of total billed charges ,,,36.8,percent of total billed charges ,38.64,percent of total billed charges ,38.64,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,36.8,percent of total billed charges ,36.8,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,,,,,24.47,percent of total billed charges ,,,,,23.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,
**PTT,85730,CDM,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
**PRIMIDONE,80188,CDM,,,,both,,,122,122,34.16,122,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,90.28,percent of total billed charges,90.28,percent of total billed charges,97.6,percent of total billed charges,97.6,percent of total billed charges,,,87.84,percent of total billed charges ,,,97.6,percent of total billed charges ,102.48,percent of total billed charges ,102.48,percent of total billed charges ,95.16,percent of total billed charges ,95.16,percent of total billed charges ,97.6,percent of total billed charges ,97.6,percent of total billed charges ,85.4,percent of total billed charges ,85.4,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,,,,,64.9,percent of total billed charges ,,,,,61.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,
**PROTEIN ELECTROPHORE-SERUM,84165,CDM,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
**URINARY PROTEIN 24 HR,84155,CDM,,,,both,,,30,30,8.4,30,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,,,21.6,percent of total billed charges ,,,24,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,,,,,15.96,percent of total billed charges ,,,,,15.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,
**NAPA (PROCAINAMIDE) PRONESTYL,80192,CDM,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
**R-A TEST,86430,CDM,,,,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
**R-A TITRATION,86431,CDM,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
**ROUTINE TISSUE (LNP/TC),88305,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
**EOSINOPHILE COUNT,89190,CDM,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
**STAINS,87205,CDM,,,,both,,,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
**STOOL/REDUCING SUB,81002,CDM,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
**TESTOSTERONE- TOTAL(*),84403,CDM,,,,both,,,201,201,56.28,201,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,148.74,percent of total billed charges,148.74,percent of total billed charges,160.8,percent of total billed charges,160.8,percent of total billed charges,,,144.72,percent of total billed charges ,,,160.8,percent of total billed charges ,168.84,percent of total billed charges ,168.84,percent of total billed charges ,156.78,percent of total billed charges ,156.78,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,140.7,percent of total billed charges ,140.7,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,,,,,106.93,percent of total billed charges ,,,,,101.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,
**THEOPHYLLINE,80198,CDM,,,,both,,,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
**TRANSFERRIN,84466,CDM,,,,both,,,91,91,25.48,91,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,67.34,percent of total billed charges,67.34,percent of total billed charges,72.8,percent of total billed charges,72.8,percent of total billed charges,,,65.52,percent of total billed charges ,,,72.8,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,70.98,percent of total billed charges ,70.98,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,63.7,percent of total billed charges ,63.7,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,,,,,48.41,percent of total billed charges ,,,,,45.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,
**TOBRAMYCIN PEAK,80200,CDM,,,,both,,,202,202,56.56,202,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,149.48,percent of total billed charges,149.48,percent of total billed charges,161.6,percent of total billed charges,161.6,percent of total billed charges,,,145.44,percent of total billed charges ,,,161.6,percent of total billed charges ,169.68,percent of total billed charges ,169.68,percent of total billed charges ,157.56,percent of total billed charges ,157.56,percent of total billed charges ,161.6,percent of total billed charges ,161.6,percent of total billed charges ,141.4,percent of total billed charges ,141.4,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,,,,,107.46,percent of total billed charges ,,,,,102.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,
**URIC ACID,84550,CDM,,,,both,,,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
**VMA (24 HR),84585,CDM,,,,both,,,122,122,34.16,122,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,90.28,percent of total billed charges,90.28,percent of total billed charges,97.6,percent of total billed charges,97.6,percent of total billed charges,,,87.84,percent of total billed charges ,,,97.6,percent of total billed charges ,102.48,percent of total billed charges ,102.48,percent of total billed charges ,95.16,percent of total billed charges ,95.16,percent of total billed charges ,97.6,percent of total billed charges ,97.6,percent of total billed charges ,85.4,percent of total billed charges ,85.4,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,,,,,64.9,percent of total billed charges ,,,,,61.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,
**GAMMA GLUTAMYL TRANSPEPTIDASE (GGT),82977,CDM,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
**ESTROGEN TOTAL,82672,CDM,,,,both,,,153,153,42.84,153,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,113.22,percent of total billed charges,113.22,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,,,110.16,percent of total billed charges ,,,122.4,percent of total billed charges ,128.52,percent of total billed charges ,128.52,percent of total billed charges ,119.34,percent of total billed charges ,119.34,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,107.1,percent of total billed charges ,107.1,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,,,,,81.4,percent of total billed charges ,,,,,77.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,
**CA 125,86316,CDM,,,,both,,,136,136,38.08,136,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,100.64,percent of total billed charges,100.64,percent of total billed charges,108.8,percent of total billed charges,108.8,percent of total billed charges,,,97.92,percent of total billed charges ,,,108.8,percent of total billed charges ,114.24,percent of total billed charges ,114.24,percent of total billed charges ,106.08,percent of total billed charges ,106.08,percent of total billed charges ,108.8,percent of total billed charges ,108.8,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,,,,,72.35,percent of total billed charges ,,,,,68.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,
**HEPATITIS B SURFACE ANTIBODY,86706,CDM,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
**ANTITRYPSIN,82103,CDM,,,,both,,,104,104,29.12,104,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,76.96,percent of total billed charges,76.96,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,,,74.88,percent of total billed charges ,,,83.2,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,81.12,percent of total billed charges ,81.12,percent of total billed charges ,83.2,percent of total billed charges ,83.2,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,,,,,55.33,percent of total billed charges ,,,,,52.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,
**ISOENZYMES LDH,83625,CDM,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
**24HR POTASSIUM URINE,84133,CDM,,,,both,,,46,46,12.88,46,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,36.8,percent of total billed charges,36.8,percent of total billed charges,,,33.12,percent of total billed charges ,,,36.8,percent of total billed charges ,38.64,percent of total billed charges ,38.64,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,36.8,percent of total billed charges ,36.8,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,,,,,24.47,percent of total billed charges ,,,,,23.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,
**PROTEIN ELECTROPHORE-URINE,84165,CDM,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
**R S V,86756,CDM,,,,both,,,138,138,38.64,138,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,102.12,percent of total billed charges,102.12,percent of total billed charges,110.4,percent of total billed charges,110.4,percent of total billed charges,,,99.36,percent of total billed charges ,,,110.4,percent of total billed charges ,115.92,percent of total billed charges ,115.92,percent of total billed charges ,107.64,percent of total billed charges ,107.64,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,,,,,73.42,percent of total billed charges ,,,,,69.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,
**ACETONE - SERUM,82009,CDM,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**INFECTION SCREEN-WESTERN BLOT,86703,CDM,,,,both,,,92,92,25.76,92,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,68.08,percent of total billed charges,68.08,percent of total billed charges,73.6,percent of total billed charges,73.6,percent of total billed charges,,,66.24,percent of total billed charges ,,,73.6,percent of total billed charges ,77.28,percent of total billed charges ,77.28,percent of total billed charges ,71.76,percent of total billed charges ,71.76,percent of total billed charges ,73.6,percent of total billed charges ,73.6,percent of total billed charges ,64.4,percent of total billed charges ,64.4,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,,,,,48.94,percent of total billed charges ,,,,,46.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,
**ANTIHISTONE,86520,CDM,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
**ASPERGILLUS; INFECTIOUS AGENT ANTIGEN,87305,CDM,,,,both,,,331,331,92.68,331,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,244.94,percent of total billed charges,244.94,percent of total billed charges,264.8,percent of total billed charges,264.8,percent of total billed charges,,,238.32,percent of total billed charges ,,,264.8,percent of total billed charges ,278.04,percent of total billed charges ,278.04,percent of total billed charges ,258.18,percent of total billed charges ,258.18,percent of total billed charges ,264.8,percent of total billed charges ,264.8,percent of total billed charges ,231.7,percent of total billed charges ,231.7,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,,,,,176.09,percent of total billed charges ,,,,,167.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,
SOMATOMEDIN(*),84305,CDM,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
CHLAMYDIA URINE PCR*,87491,CDM,,,,both,,,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
IMMUNOASSAY TUMOR OTHER,86316,CDM,,,,both,,,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
COPPER SERUM*,82525,CDM,,,,both,,,146,146,40.88,146,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,108.04,percent of total billed charges,108.04,percent of total billed charges,116.8,percent of total billed charges,116.8,percent of total billed charges,,,105.12,percent of total billed charges ,,,116.8,percent of total billed charges ,122.64,percent of total billed charges ,122.64,percent of total billed charges ,113.88,percent of total billed charges ,113.88,percent of total billed charges ,116.8,percent of total billed charges ,116.8,percent of total billed charges ,102.2,percent of total billed charges ,102.2,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,,,,,77.67,percent of total billed charges ,,,,,73.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,
COPPER URINE 24*,82525,CDM,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
NICOTINE,80323,CDM,,,,both,,,141,141,39.48,141,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,104.34,percent of total billed charges,104.34,percent of total billed charges,112.8,percent of total billed charges,112.8,percent of total billed charges,,,101.52,percent of total billed charges ,,,112.8,percent of total billed charges ,118.44,percent of total billed charges ,118.44,percent of total billed charges ,109.98,percent of total billed charges ,109.98,percent of total billed charges ,112.8,percent of total billed charges ,112.8,percent of total billed charges ,98.7,percent of total billed charges ,98.7,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,,,,,75.01,percent of total billed charges ,,,,,71.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,
PARIETAL CELL AB*,86255,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
SSA*,86235,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
SSB*,86235,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
TOPAMAX (TOPIRAMATE)*,80201,CDM,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
T3 REVERSE*,84482,CDM,,,,both,,,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
ZINC*,84630,CDM,,,,both,,,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
"FREE LIGHT CHAINS KAPPA, LAMBDA EA",83521,CDM,,,,both,,,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
IGA,83516,CDM,,,,both,,,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
THIAMINE (VIT BI) (*),84425,CDM,,,,both,,,281,281,78.68,281,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,207.94,percent of total billed charges,207.94,percent of total billed charges,224.8,percent of total billed charges,224.8,percent of total billed charges,,,202.32,percent of total billed charges ,,,224.8,percent of total billed charges ,236.04,percent of total billed charges ,236.04,percent of total billed charges ,219.18,percent of total billed charges ,219.18,percent of total billed charges ,224.8,percent of total billed charges ,224.8,percent of total billed charges ,196.7,percent of total billed charges ,196.7,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,,,,,149.49,percent of total billed charges ,,,,,142.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,
THYROID STIMULATING HORMONE RECPTOR(*),83519,CDM,,,,both,,,378,378,105.84,378,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,279.72,percent of total billed charges,279.72,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,,,272.16,percent of total billed charges ,,,302.4,percent of total billed charges ,317.52,percent of total billed charges ,317.52,percent of total billed charges ,294.84,percent of total billed charges ,294.84,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,,,,,201.1,percent of total billed charges ,,,,,191.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,
PROCALCITONIN (PCT),84145,CDM,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
QUANTIFERON TB GOLD (*),86480,CDM,,,,both,,,410,410,114.8,410,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,303.4,percent of total billed charges,303.4,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,,,295.2,percent of total billed charges ,,,328,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,328,percent of total billed charges ,328,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,,,,,218.12,percent of total billed charges ,,,,,207.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,
CELIAC DISEASE PANEL (*),86364,CDM,,,,both,,,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
SINEMET LEVEL- GEN SEND(*),80299,CDM,,,,both,,,278,278,77.84,278,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,205.72,percent of total billed charges,205.72,percent of total billed charges,222.4,percent of total billed charges,222.4,percent of total billed charges,,,200.16,percent of total billed charges ,,,222.4,percent of total billed charges ,233.52,percent of total billed charges ,233.52,percent of total billed charges ,216.84,percent of total billed charges ,216.84,percent of total billed charges ,222.4,percent of total billed charges ,222.4,percent of total billed charges ,194.6,percent of total billed charges ,194.6,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,,,,,147.9,percent of total billed charges ,,,,,140.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,
NEUTROPHIL ANTIBODIES,86021,CDM,,,,both,,,309,309,86.52,309,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,228.66,percent of total billed charges,228.66,percent of total billed charges,247.2,percent of total billed charges,247.2,percent of total billed charges,,,222.48,percent of total billed charges ,,,247.2,percent of total billed charges ,259.56,percent of total billed charges ,259.56,percent of total billed charges ,241.02,percent of total billed charges ,241.02,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,216.3,percent of total billed charges ,216.3,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,,,,,164.39,percent of total billed charges ,,,,,156.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,
PLATELET ANTIBODIES (*),86022,CDM,,,,both,,,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
HUMAN EPIDIDYMIS PROTEIN 4,86305,CDM,,,,both,,,418,418,117.04,418,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,309.32,percent of total billed charges,309.32,percent of total billed charges,334.4,percent of total billed charges,334.4,percent of total billed charges,,,300.96,percent of total billed charges ,,,334.4,percent of total billed charges ,351.12,percent of total billed charges ,351.12,percent of total billed charges ,326.04,percent of total billed charges ,326.04,percent of total billed charges ,334.4,percent of total billed charges ,334.4,percent of total billed charges ,292.6,percent of total billed charges ,292.6,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,,,,,222.38,percent of total billed charges ,,,,,211.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,
CMV PCR SALIVA,87496,CDM,,,,both,,,534,534,149.52,534,534,percent of total billed charges,534,percent of total billed charges,534,percent of total billed charges,534,percent of total billed charges,534,percent of total billed charges,534,percent of total billed charges,534,percent of total billed charges,534,percent of total billed charges,384.48,percent of total billed charges,384.48,percent of total billed charges,384.48,percent of total billed charges,384.48,percent of total billed charges,384.48,percent of total billed charges,384.48,percent of total billed charges,395.16,percent of total billed charges,395.16,percent of total billed charges,427.2,percent of total billed charges,427.2,percent of total billed charges,,,384.48,percent of total billed charges ,,,427.2,percent of total billed charges ,448.56,percent of total billed charges ,448.56,percent of total billed charges ,416.52,percent of total billed charges ,416.52,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,373.8,percent of total billed charges ,373.8,percent of total billed charges ,320.4,percent of total billed charges ,320.4,percent of total billed charges ,320.4,percent of total billed charges ,320.4,percent of total billed charges ,,,,,284.09,percent of total billed charges ,,,,,269.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,,,149.52,percent of total billed charges,
SOLUABLE TRANSFERRIN RECP.AB(*),83520,CDM,,,,both,,,227,227,63.56,227,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,167.98,percent of total billed charges,167.98,percent of total billed charges,181.6,percent of total billed charges,181.6,percent of total billed charges,,,163.44,percent of total billed charges ,,,181.6,percent of total billed charges ,190.68,percent of total billed charges ,190.68,percent of total billed charges ,177.06,percent of total billed charges ,177.06,percent of total billed charges ,181.6,percent of total billed charges ,181.6,percent of total billed charges ,158.9,percent of total billed charges ,158.9,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,,,,,120.76,percent of total billed charges ,,,,,114.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,
ZINC TRANSPORTER AB,86341,CDM,,,,both,,,227,227,63.56,227,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,167.98,percent of total billed charges,167.98,percent of total billed charges,181.6,percent of total billed charges,181.6,percent of total billed charges,,,163.44,percent of total billed charges ,,,181.6,percent of total billed charges ,190.68,percent of total billed charges ,190.68,percent of total billed charges ,177.06,percent of total billed charges ,177.06,percent of total billed charges ,181.6,percent of total billed charges ,181.6,percent of total billed charges ,158.9,percent of total billed charges ,158.9,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,,,,,120.76,percent of total billed charges ,,,,,114.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,
SICKLE CELL PANEL,85660,CDM,,,,both,,,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
CYTOMEGALOVIRUS QUANTIFICATION,87497,CDM,,,,both,,,561,561,157.08,561,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,415.14,percent of total billed charges,415.14,percent of total billed charges,448.8,percent of total billed charges,448.8,percent of total billed charges,,,403.92,percent of total billed charges ,,,448.8,percent of total billed charges ,471.24,percent of total billed charges ,471.24,percent of total billed charges ,437.58,percent of total billed charges ,437.58,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,392.7,percent of total billed charges ,392.7,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,,,,,298.45,percent of total billed charges ,,,,,283.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,
URINE COTININE,80305,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
ALCOHOLS BIOMARKERS,80321,CDM,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
MOG-IGG1 ANTB CBA,86362,CDM,,,,both,,,203,203,56.84,203,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,150.22,percent of total billed charges,150.22,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,,,146.16,percent of total billed charges ,,,162.4,percent of total billed charges ,170.52,percent of total billed charges ,170.52,percent of total billed charges ,158.34,percent of total billed charges ,158.34,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,142.1,percent of total billed charges ,142.1,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,,,,,108,percent of total billed charges ,,,,,102.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,
**DRUG SCREEN ONE/MULT CLASS,80304,CDM,,,,both,,,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
ALLERGY SPECIFIC IGE RECOMB EA,86008,CDM,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
VORICONAZOLE LEVEL,80285,CDM,,,,both,,,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
HIV-1 GENOTYPE,87906,CDM,,,,both,,,"1,375.00","1,375.00",385,"1,375.00","1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,"1,375.00",percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,990,percent of total billed charges,"1,017.50",percent of total billed charges,"1,017.50",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,,,990,percent of total billed charges ,,,"1,100.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,155.00",percent of total billed charges ,"1,072.50",percent of total billed charges ,"1,072.50",percent of total billed charges ,"1,100.00",percent of total billed charges ,"1,100.00",percent of total billed charges ,962.5,percent of total billed charges ,962.5,percent of total billed charges ,825,percent of total billed charges ,825,percent of total billed charges ,825,percent of total billed charges ,825,percent of total billed charges ,,,,,731.5,percent of total billed charges ,,,,,694.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,,,385,percent of total billed charges,
HIV RAPID TEST,86701,CDM,,,,both,,,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
PROTEIN WESTERN BLOT TEST,84182,CDM,,,,both,,,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
BNP (B-NATRIURETIC PEPTIDE),83880,CDM,,,,both,,,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
COMPLEMENT AG C7 (*),86160,CDM,,,,both,,,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
URINE 24 HR NTX PEPTIDE(*),82523,CDM,,,,both,,,278,278,77.84,278,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,205.72,percent of total billed charges,205.72,percent of total billed charges,222.4,percent of total billed charges,222.4,percent of total billed charges,,,200.16,percent of total billed charges ,,,222.4,percent of total billed charges ,233.52,percent of total billed charges ,233.52,percent of total billed charges ,216.84,percent of total billed charges ,216.84,percent of total billed charges ,222.4,percent of total billed charges ,222.4,percent of total billed charges ,194.6,percent of total billed charges ,194.6,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,,,,,147.9,percent of total billed charges ,,,,,140.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,
URINE FOR HISTOPLASMOSIS(*),87385,CDM,,,,both,,,369,369,103.32,369,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,273.06,percent of total billed charges,273.06,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,,,265.68,percent of total billed charges ,,,295.2,percent of total billed charges ,309.96,percent of total billed charges ,309.96,percent of total billed charges ,287.82,percent of total billed charges ,287.82,percent of total billed charges ,295.2,percent of total billed charges ,295.2,percent of total billed charges ,258.3,percent of total billed charges ,258.3,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,,,,,196.31,percent of total billed charges ,,,,,186.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,
URINE FOR SULFONAREA(*),82542,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
URINE URIC ACID(*),84560,CDM,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
24 HR URINE FOR FREE CORTISOL(*),82530,CDM,,,,both,,,192,192,53.76,192,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,142.08,percent of total billed charges,142.08,percent of total billed charges,153.6,percent of total billed charges,153.6,percent of total billed charges,,,138.24,percent of total billed charges ,,,153.6,percent of total billed charges ,161.28,percent of total billed charges ,161.28,percent of total billed charges ,149.76,percent of total billed charges ,149.76,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,,,,,102.14,percent of total billed charges ,,,,,97.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,
CALPROTECTIN,83993,CDM,,,,both,,,371,371,103.88,371,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,274.54,percent of total billed charges,274.54,percent of total billed charges,296.8,percent of total billed charges,296.8,percent of total billed charges,,,267.12,percent of total billed charges ,,,296.8,percent of total billed charges ,311.64,percent of total billed charges ,311.64,percent of total billed charges ,289.38,percent of total billed charges ,289.38,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,259.7,percent of total billed charges ,259.7,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,,,,,197.37,percent of total billed charges ,,,,,187.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,
N-TERMINAL PEPTIDE,83880,CDM,,,,both,,,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
ARGININE STIMULATION TEST(*),83003,CDM,,,,both,,,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
HANDLING FEE - NIDA,LOCAL,LOCAL,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
HANDLING FEE-CHAIN OF CUSTODY,99001,CDM,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
DRUG SCREEN DOT NIDA QUEST (*),80307,CDM,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
DRUG SCREEN 10 PANEL QUEST(*),80307,CDM,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
DRUG SCREEN 10 PANEL (MMC)(*),80307,CDM,,,,both,,,309,309,86.52,309,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,228.66,percent of total billed charges,228.66,percent of total billed charges,247.2,percent of total billed charges,247.2,percent of total billed charges,,,222.48,percent of total billed charges ,,,247.2,percent of total billed charges ,259.56,percent of total billed charges ,259.56,percent of total billed charges ,241.02,percent of total billed charges ,241.02,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,216.3,percent of total billed charges ,216.3,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,,,,,164.39,percent of total billed charges ,,,,,156.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,
T3 UPTAKE (*),84479,CDM,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
CARDARONE LEVEL(*),80299,CDM,,,,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
IGFBP3(*),82397,CDM,,,,both,,,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
**DRUG SCREEN QUEST INDIVIDUAL(*),82489,CDM,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
DRUG SCREEN BLOOD,80307,CDM,,,,both,,,105,105,29.4,105,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,,,75.6,percent of total billed charges ,,,84,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,73.5,percent of total billed charges ,73.5,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,,,,,55.86,percent of total billed charges ,,,,,53.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,
STIMULANTS SYNTHETIC,80371,CDM,,,,both,,,565,565,158.2,565,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,418.1,percent of total billed charges,418.1,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,,,406.8,percent of total billed charges ,,,452,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,440.7,percent of total billed charges ,440.7,percent of total billed charges ,452,percent of total billed charges ,452,percent of total billed charges ,395.5,percent of total billed charges ,395.5,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,,,,,300.58,percent of total billed charges ,,,,,285.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,
SKELETAL MUSCLE RELAXANT,80369,CDM,,,,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
PRE ALBUMIN,84134,CDM,,,,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
PREGABALIN DRUG SCREEN,80366,CDM,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
24 HR URINE STONE RISK PROFILE(*),89060,CDM,,,,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
MICROALBUMIN-QUANT(*),82043,CDM,,,,both,,,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
SMN1 GENE DOS,81329,CDM,,,,both,,,"1,116.00","1,116.00",312.48,"1,116.00","1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,"1,116.00",percent of total billed charges,803.52,percent of total billed charges,803.52,percent of total billed charges,803.52,percent of total billed charges,803.52,percent of total billed charges,803.52,percent of total billed charges,803.52,percent of total billed charges,825.84,percent of total billed charges,825.84,percent of total billed charges,892.8,percent of total billed charges,892.8,percent of total billed charges,,,803.52,percent of total billed charges ,,,892.8,percent of total billed charges ,937.44,percent of total billed charges ,937.44,percent of total billed charges ,870.48,percent of total billed charges ,870.48,percent of total billed charges ,892.8,percent of total billed charges ,892.8,percent of total billed charges ,781.2,percent of total billed charges ,781.2,percent of total billed charges ,669.6,percent of total billed charges ,669.6,percent of total billed charges ,669.6,percent of total billed charges ,669.6,percent of total billed charges ,,,,,593.71,percent of total billed charges ,,,,,564.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,,,312.48,percent of total billed charges,
KETAMINE AND NORKETAMINE,80357,CDM,,,,both,,,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
ANTIBODY-DNA SINGLE STRANDED(*),86226,CDM,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
SMOOTH MUSCLE ANTIBODY(*),86015,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
HLAB27(*),81373,CDM,,,,both,,,360,360,100.8,360,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,,,259.2,percent of total billed charges ,,,288,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,288,percent of total billed charges ,288,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,,,,,191.52,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,
CAT SCRATCH FEVER IgM (*),86611,CDM,,,,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
ANTITHYROIDGLOBULIN(*),86800,CDM,,,,both,,,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
ANTI DNA ANTIBODIES(*),86225,CDM,,,,both,,,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
ANTI RNP ANTIBODIES(*),86235,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
ANTIGLIADIN ANTIBODY(*),86258,CDM,,,,both,,,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
**ANTI ENDOMYSIAL ANTIBODY(*),88347,CDM,,,,both,,,355,355,99.4,355,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,262.7,percent of total billed charges,262.7,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,,,255.6,percent of total billed charges ,,,284,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,276.9,percent of total billed charges ,276.9,percent of total billed charges ,284,percent of total billed charges ,284,percent of total billed charges ,248.5,percent of total billed charges ,248.5,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,,,,,188.86,percent of total billed charges ,,,,,179.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,
HEAVY METALS(*),83018,CDM,,,,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
HEMOCHROMOCYTOSIS INTERP/R*,81256,CDM,,,,both,,,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
**ENZYMATIC DIGESTION(*),83892,CDM,,,,both,,,64,64,17.92,64,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,51.2,percent of total billed charges,51.2,percent of total billed charges,,,46.08,percent of total billed charges ,,,51.2,percent of total billed charges ,53.76,percent of total billed charges ,53.76,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,,,,,34.05,percent of total billed charges ,,,,,32.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,
HLA Typing,81381,CDM,,,,both,,,662,662,185.36,662,662,percent of total billed charges,662,percent of total billed charges,662,percent of total billed charges,662,percent of total billed charges,662,percent of total billed charges,662,percent of total billed charges,662,percent of total billed charges,662,percent of total billed charges,476.64,percent of total billed charges,476.64,percent of total billed charges,476.64,percent of total billed charges,476.64,percent of total billed charges,476.64,percent of total billed charges,476.64,percent of total billed charges,489.88,percent of total billed charges,489.88,percent of total billed charges,529.6,percent of total billed charges,529.6,percent of total billed charges,,,476.64,percent of total billed charges ,,,529.6,percent of total billed charges ,556.08,percent of total billed charges ,556.08,percent of total billed charges ,516.36,percent of total billed charges ,516.36,percent of total billed charges ,529.6,percent of total billed charges ,529.6,percent of total billed charges ,463.4,percent of total billed charges ,463.4,percent of total billed charges ,397.2,percent of total billed charges ,397.2,percent of total billed charges ,397.2,percent of total billed charges ,397.2,percent of total billed charges ,,,,,352.18,percent of total billed charges ,,,,,334.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,,,185.36,percent of total billed charges,
WORKUP FOR RAPE CASE,84999,CDM,,,,both,,,450,450,126,450,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,324,percent of total billed charges ,,,360,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,360,percent of total billed charges ,360,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,,,,,239.4,percent of total billed charges ,,,,,227.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,
HLA II,86832,CDM,,,,both,,,967,967,270.76,967,967,percent of total billed charges,967,percent of total billed charges,967,percent of total billed charges,967,percent of total billed charges,967,percent of total billed charges,967,percent of total billed charges,967,percent of total billed charges,967,percent of total billed charges,696.24,percent of total billed charges,696.24,percent of total billed charges,696.24,percent of total billed charges,696.24,percent of total billed charges,696.24,percent of total billed charges,696.24,percent of total billed charges,715.58,percent of total billed charges,715.58,percent of total billed charges,773.6,percent of total billed charges,773.6,percent of total billed charges,,,696.24,percent of total billed charges ,,,773.6,percent of total billed charges ,812.28,percent of total billed charges ,812.28,percent of total billed charges ,754.26,percent of total billed charges ,754.26,percent of total billed charges ,773.6,percent of total billed charges ,773.6,percent of total billed charges ,676.9,percent of total billed charges ,676.9,percent of total billed charges ,580.2,percent of total billed charges ,580.2,percent of total billed charges ,580.2,percent of total billed charges ,580.2,percent of total billed charges ,,,,,514.44,percent of total billed charges ,,,,,488.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,,,270.76,percent of total billed charges,
FLUORESCENT Ab. SCREEN,86255,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
TITER FOR EACH ANTIBODY,86256,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
SYNTHETIC CANNABINOID,80352,CDM,,,,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
FREE T3,84481,CDM,,,,both,,,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
T3 BY RIA(*),84480,CDM,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
EXTRACTRABLE NUCLEAR ANTIGEN(*),86235,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
NUCLEAR ANTIGEN ANTIBODY,86235,CDM,,,,both,,,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
CLOT FACTOR VIII RISTOCTN,85245,CDM,,,,both,,,312,312,87.36,312,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,230.88,percent of total billed charges,230.88,percent of total billed charges,249.6,percent of total billed charges,249.6,percent of total billed charges,,,224.64,percent of total billed charges ,,,249.6,percent of total billed charges ,262.08,percent of total billed charges ,262.08,percent of total billed charges ,243.36,percent of total billed charges ,243.36,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,,,,,165.98,percent of total billed charges ,,,,,157.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,
FREE T4,84439,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
TRILEPTAL LEVEL(*),80183,CDM,,,,both,,,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
INSITU HYBRIDIZATION FISH (INITIAL),88365,CDM,,,,both,,,516,516,144.48,516,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,381.84,percent of total billed charges,381.84,percent of total billed charges,412.8,percent of total billed charges,412.8,percent of total billed charges,,,371.52,percent of total billed charges ,,,412.8,percent of total billed charges ,433.44,percent of total billed charges ,433.44,percent of total billed charges ,402.48,percent of total billed charges ,402.48,percent of total billed charges ,412.8,percent of total billed charges ,412.8,percent of total billed charges ,361.2,percent of total billed charges ,361.2,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,,,,,274.51,percent of total billed charges ,,,,,260.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,
RENIN(*),84244,CDM,,,,both,,,287,287,80.36,287,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,212.38,percent of total billed charges,212.38,percent of total billed charges,229.6,percent of total billed charges,229.6,percent of total billed charges,,,206.64,percent of total billed charges ,,,229.6,percent of total billed charges ,241.08,percent of total billed charges ,241.08,percent of total billed charges ,223.86,percent of total billed charges ,223.86,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,200.9,percent of total billed charges ,200.9,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,,,,,152.68,percent of total billed charges ,,,,,145.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,
FREE CORTISOL(*),82530,CDM,,,,both,,,192,192,53.76,192,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,142.08,percent of total billed charges,142.08,percent of total billed charges,153.6,percent of total billed charges,153.6,percent of total billed charges,,,138.24,percent of total billed charges ,,,153.6,percent of total billed charges ,161.28,percent of total billed charges ,161.28,percent of total billed charges ,149.76,percent of total billed charges ,149.76,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,,,,,102.14,percent of total billed charges ,,,,,97.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,
FREE DILANTIN(*),80185,CDM,,,,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
PYRUVATE KINASE,84220,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
DEOXYRIBONUCLEASE ANTIBODY,86215,CDM,,,,both,,,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
HLA I & II Typing LR,81370,CDM,,,,both,,,"2,824.00","2,824.00",790.72,"2,824.00","2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,"2,824.00",percent of total billed charges,"2,033.28",percent of total billed charges,"2,033.28",percent of total billed charges,"2,033.28",percent of total billed charges,"2,033.28",percent of total billed charges,"2,033.28",percent of total billed charges,"2,033.28",percent of total billed charges,"2,089.76",percent of total billed charges,"2,089.76",percent of total billed charges,"2,259.20",percent of total billed charges,"2,259.20",percent of total billed charges,,,"2,033.28",percent of total billed charges ,,,"2,259.20",percent of total billed charges ,"2,372.16",percent of total billed charges ,"2,372.16",percent of total billed charges ,"2,202.72",percent of total billed charges ,"2,202.72",percent of total billed charges ,"2,259.20",percent of total billed charges ,"2,259.20",percent of total billed charges ,"1,976.80",percent of total billed charges ,"1,976.80",percent of total billed charges ,"1,694.40",percent of total billed charges ,"1,694.40",percent of total billed charges ,"1,694.40",percent of total billed charges ,"1,694.40",percent of total billed charges ,,,,,"1,502.37",percent of total billed charges ,,,,,"1,427.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,,,790.72,percent of total billed charges,
HLA II TYPING 1 LOCUS LR,81376,CDM,,,,both,,,556,556,155.68,556,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,411.44,percent of total billed charges,411.44,percent of total billed charges,444.8,percent of total billed charges,444.8,percent of total billed charges,,,400.32,percent of total billed charges ,,,444.8,percent of total billed charges ,467.04,percent of total billed charges ,467.04,percent of total billed charges ,433.68,percent of total billed charges ,433.68,percent of total billed charges ,444.8,percent of total billed charges ,444.8,percent of total billed charges ,389.2,percent of total billed charges ,389.2,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,,,,,295.79,percent of total billed charges ,,,,,281,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,
HC03 -BICARB,82374,CDM,,,,both,,,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
PH BODY FLUID,83986,CDM,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
ACID PHOSPHATASE PROSTATIC(*),84066,CDM,,,,both,,,145,145,40.6,145,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,107.3,percent of total billed charges,107.3,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,,,104.4,percent of total billed charges ,,,116,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,113.1,percent of total billed charges ,113.1,percent of total billed charges ,116,percent of total billed charges ,116,percent of total billed charges ,101.5,percent of total billed charges ,101.5,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,,,,,77.14,percent of total billed charges ,,,,,73.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,
APOB(*),82172,CDM,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
LP (A)(*),83695,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
ALKALINE PHOSPHATASE ISOENZYME(*),84080,CDM,,,,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
EBV NUCLEAR ANTIGEN,86664,CDM,,,,both,,,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
ANTI ENDOMYSIAL ANTIBODY(*),83516,CDM,,,,both,,,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
COCCIODOIDES ANTIBODY(*),86635,CDM,,,,both,,,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
BLASTOMYCES SEROLOGY(*),86612,CDM,,,,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
ALPHA FETOPROTEIN SERUM(*),82105,CDM,,,,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
ALPHA FETOPROTEIN AMNIOTIC FLUID(*),82106,CDM,,,,both,,,219,219,61.32,219,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,162.06,percent of total billed charges,162.06,percent of total billed charges,175.2,percent of total billed charges,175.2,percent of total billed charges,,,157.68,percent of total billed charges ,,,175.2,percent of total billed charges ,183.96,percent of total billed charges ,183.96,percent of total billed charges ,170.82,percent of total billed charges ,170.82,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,153.3,percent of total billed charges ,153.3,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,,,,,116.51,percent of total billed charges ,,,,,110.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,
AFP3(*),82105,CDM,,,,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
BETA II MICROGLOBULIN(*),82232,CDM,,,,both,,,221,221,61.88,221,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,163.54,percent of total billed charges,163.54,percent of total billed charges,176.8,percent of total billed charges,176.8,percent of total billed charges,,,159.12,percent of total billed charges ,,,176.8,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,172.38,percent of total billed charges ,172.38,percent of total billed charges ,176.8,percent of total billed charges ,176.8,percent of total billed charges ,154.7,percent of total billed charges ,154.7,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,,,,,117.57,percent of total billed charges ,,,,,111.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,
CAT 9 HELICOBACTER PYLORI,86677,CDM,,,,both,,,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
**NORTRIPTYLINE (ELAVIL)(*),80299,CDM,,,,both,,,370,370,103.6,370,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,273.8,percent of total billed charges,273.8,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,,,266.4,percent of total billed charges ,,,296,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,296,percent of total billed charges ,296,percent of total billed charges ,259,percent of total billed charges ,259,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,,,,,196.84,percent of total billed charges ,,,,,187,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,
ALPHA 2 MACROGLOBULIN,83883,CDM,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
FETAL CONGENITAL ABN PANEL,81511,CDM,,,,both,,,503,503,140.84,503,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,372.22,percent of total billed charges,372.22,percent of total billed charges,402.4,percent of total billed charges,402.4,percent of total billed charges,,,362.16,percent of total billed charges ,,,402.4,percent of total billed charges ,422.52,percent of total billed charges ,422.52,percent of total billed charges ,392.34,percent of total billed charges ,392.34,percent of total billed charges ,402.4,percent of total billed charges ,402.4,percent of total billed charges ,352.1,percent of total billed charges ,352.1,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,,,,,267.6,percent of total billed charges ,,,,,254.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,
ALPHA FETOPROTEIN L3,82107,CDM,,,,both,,,364,364,101.92,364,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,269.36,percent of total billed charges,269.36,percent of total billed charges,291.2,percent of total billed charges,291.2,percent of total billed charges,,,262.08,percent of total billed charges ,,,291.2,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,254.8,percent of total billed charges ,254.8,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,,,,,193.65,percent of total billed charges ,,,,,183.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,
CARBAMAZEPINE TEGRETOL,80156,CDM,,,,both,,,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
CARNITINE,82379,CDM,,,,both,,,269,269,75.32,269,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,199.06,percent of total billed charges,199.06,percent of total billed charges,215.2,percent of total billed charges,215.2,percent of total billed charges,,,193.68,percent of total billed charges ,,,215.2,percent of total billed charges ,225.96,percent of total billed charges ,225.96,percent of total billed charges ,209.82,percent of total billed charges ,209.82,percent of total billed charges ,215.2,percent of total billed charges ,215.2,percent of total billed charges ,188.3,percent of total billed charges ,188.3,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,,,,,143.11,percent of total billed charges ,,,,,135.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,
EBV ANTIBODY PANEL I (*),86663,CDM,,,,both,,,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
DETECT AGENT NOS DNA AMP,87798,CDM,,,,both,,,330,330,92.4,330,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,330,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,244.2,percent of total billed charges,244.2,percent of total billed charges,264,percent of total billed charges,264,percent of total billed charges,,,237.6,percent of total billed charges ,,,264,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,231,percent of total billed charges ,231,percent of total billed charges ,198,percent of total billed charges ,198,percent of total billed charges ,198,percent of total billed charges ,198,percent of total billed charges ,,,,,175.56,percent of total billed charges ,,,,,166.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,,,92.4,percent of total billed charges,
BETA HCG QUANTITATIVE,84702,CDM,,,,both,,,326,326,91.28,326,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,241.24,percent of total billed charges,241.24,percent of total billed charges,260.8,percent of total billed charges,260.8,percent of total billed charges,,,234.72,percent of total billed charges ,,,260.8,percent of total billed charges ,273.84,percent of total billed charges ,273.84,percent of total billed charges ,254.28,percent of total billed charges ,254.28,percent of total billed charges ,260.8,percent of total billed charges ,260.8,percent of total billed charges ,228.2,percent of total billed charges ,228.2,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,,,,,173.43,percent of total billed charges ,,,,,164.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,
CLONAZEPAN(*),80346,CDM,,,,both,,,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
CLOZAPINE,80159,CDM,,,,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
TRICYCLIC ANTIDEPRESSANT,80335,CDM,,,,both,,,353,353,98.84,353,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,353,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,254.16,percent of total billed charges,261.22,percent of total billed charges,261.22,percent of total billed charges,282.4,percent of total billed charges,282.4,percent of total billed charges,,,254.16,percent of total billed charges ,,,282.4,percent of total billed charges ,296.52,percent of total billed charges ,296.52,percent of total billed charges ,275.34,percent of total billed charges ,275.34,percent of total billed charges ,282.4,percent of total billed charges ,282.4,percent of total billed charges ,247.1,percent of total billed charges ,247.1,percent of total billed charges ,211.8,percent of total billed charges ,211.8,percent of total billed charges ,211.8,percent of total billed charges ,211.8,percent of total billed charges ,,,,,187.8,percent of total billed charges ,,,,,178.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,,,98.84,percent of total billed charges,
TRICYCLIC & CICLICALS; 6/MORE,80337,CDM,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
POSACONAZOLE,80187,CDM,,,,both,,,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
PREGNENOLONE,84140,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
C-PEPTIDE(*),84681,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
AMIKACIN,80150,CDM,,,,both,,,236,236,66.08,236,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,174.64,percent of total billed charges,174.64,percent of total billed charges,188.8,percent of total billed charges,188.8,percent of total billed charges,,,169.92,percent of total billed charges ,,,188.8,percent of total billed charges ,198.24,percent of total billed charges ,198.24,percent of total billed charges ,184.08,percent of total billed charges ,184.08,percent of total billed charges ,188.8,percent of total billed charges ,188.8,percent of total billed charges ,165.2,percent of total billed charges ,165.2,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,,,,,125.55,percent of total billed charges ,,,,,119.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,
DEPAKENE (VALPROIC ACID),80164,CDM,,,,both,,,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
DIPROPYLACETIC ACID FREE,80165,CDM,,,,both,,,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
DHEA SULFATE(*),82627,CDM,,,,both,,,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
INHIBIN A(*),86336,CDM,,,,both,,,231,231,64.68,231,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,184.8,percent of total billed charges,184.8,percent of total billed charges,,,166.32,percent of total billed charges ,,,184.8,percent of total billed charges ,194.04,percent of total billed charges ,194.04,percent of total billed charges ,180.18,percent of total billed charges ,180.18,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,161.7,percent of total billed charges ,161.7,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,,,,,122.89,percent of total billed charges ,,,,,116.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,
INSULIN ANTIBODIES,86337,CDM,,,,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
FERRITIN,82728,CDM,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
TEICHOIC ACID ANTIBODY(*),86331,CDM,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
FOLATE RBC(*),82747,CDM,,,,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
FSH (FOLLICLE STIMULATING HORMONE)*,83001,CDM,,,,both,,,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
HCV FIBROSURE,81599,CDM,,,,both,,,"1,380.00","1,380.00",386.4,"1,380.00","1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,"1,021.20",percent of total billed charges,"1,021.20",percent of total billed charges,"1,104.00",percent of total billed charges,"1,104.00",percent of total billed charges,,,993.6,percent of total billed charges ,,,"1,104.00",percent of total billed charges ,"1,159.20",percent of total billed charges ,"1,159.20",percent of total billed charges ,"1,076.40",percent of total billed charges ,"1,076.40",percent of total billed charges ,"1,104.00",percent of total billed charges ,"1,104.00",percent of total billed charges ,966,percent of total billed charges ,966,percent of total billed charges ,828,percent of total billed charges ,828,percent of total billed charges ,828,percent of total billed charges ,828,percent of total billed charges ,,,,,734.16,percent of total billed charges ,,,,,697.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,
MUMPS TITER(*),86735,CDM,,,,both,,,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
MUCOPOLYSACCHARIDES,83864,CDM,,,,both,,,333,333,93.24,333,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,246.42,percent of total billed charges,246.42,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,,,239.76,percent of total billed charges ,,,266.4,percent of total billed charges ,279.72,percent of total billed charges ,279.72,percent of total billed charges ,259.74,percent of total billed charges ,259.74,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,233.1,percent of total billed charges ,233.1,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,,,,,177.16,percent of total billed charges ,,,,,168.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,
GGT GAMMA GLUTAMYL TRANST(*),82977,CDM,,,,both,,,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
HAPTOGLOBIN(*),83010,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
HEPATITIS C QUANT RNA(PCR)(*),87522,CDM,,,,both,,,723,723,202.44,723,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,535.02,percent of total billed charges,535.02,percent of total billed charges,578.4,percent of total billed charges,578.4,percent of total billed charges,,,520.56,percent of total billed charges ,,,578.4,percent of total billed charges ,607.32,percent of total billed charges ,607.32,percent of total billed charges ,563.94,percent of total billed charges ,563.94,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,506.1,percent of total billed charges ,506.1,percent of total billed charges ,433.8,percent of total billed charges ,433.8,percent of total billed charges ,433.8,percent of total billed charges ,433.8,percent of total billed charges ,,,,,384.64,percent of total billed charges ,,,,,365.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,
HEPATITIS C GENOTYPE DNA/RNA,87902,CDM,,,,both,,,"1,371.00","1,371.00",383.88,"1,371.00","1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,"1,014.54",percent of total billed charges,"1,014.54",percent of total billed charges,"1,096.80",percent of total billed charges,"1,096.80",percent of total billed charges,,,987.12,percent of total billed charges ,,,"1,096.80",percent of total billed charges ,"1,151.64",percent of total billed charges ,"1,151.64",percent of total billed charges ,"1,069.38",percent of total billed charges ,"1,069.38",percent of total billed charges ,"1,096.80",percent of total billed charges ,"1,096.80",percent of total billed charges ,959.7,percent of total billed charges ,959.7,percent of total billed charges ,822.6,percent of total billed charges ,822.6,percent of total billed charges ,822.6,percent of total billed charges ,822.6,percent of total billed charges ,,,,,729.37,percent of total billed charges ,,,,,692.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,
RBC PROTOPORPHYRIN,84202,CDM,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
SPECTROPHOTOMETRY,84311,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
HEPATITIS B SURF AG(*),87340,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
DNA/RNA SEQUENCING,87153,CDM,,,,both,,,508,508,142.24,508,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,375.92,percent of total billed charges,375.92,percent of total billed charges,406.4,percent of total billed charges,406.4,percent of total billed charges,,,365.76,percent of total billed charges ,,,406.4,percent of total billed charges ,426.72,percent of total billed charges ,426.72,percent of total billed charges ,396.24,percent of total billed charges ,396.24,percent of total billed charges ,406.4,percent of total billed charges ,406.4,percent of total billed charges ,355.6,percent of total billed charges ,355.6,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,,,,,270.26,percent of total billed charges ,,,,,256.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,
**IMIPRAMINE(*),80299,CDM,,,,both,,,258,258,72.24,258,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,190.92,percent of total billed charges,190.92,percent of total billed charges,206.4,percent of total billed charges,206.4,percent of total billed charges,,,185.76,percent of total billed charges ,,,206.4,percent of total billed charges ,216.72,percent of total billed charges ,216.72,percent of total billed charges ,201.24,percent of total billed charges ,201.24,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,,,,,137.26,percent of total billed charges ,,,,,130.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,
HEPATITIS C RIBA(*),86804,CDM,,,,both,,,368,368,103.04,368,368,percent of total billed charges,368,percent of total billed charges,368,percent of total billed charges,368,percent of total billed charges,368,percent of total billed charges,368,percent of total billed charges,368,percent of total billed charges,368,percent of total billed charges,264.96,percent of total billed charges,264.96,percent of total billed charges,264.96,percent of total billed charges,264.96,percent of total billed charges,264.96,percent of total billed charges,264.96,percent of total billed charges,272.32,percent of total billed charges,272.32,percent of total billed charges,294.4,percent of total billed charges,294.4,percent of total billed charges,,,264.96,percent of total billed charges ,,,294.4,percent of total billed charges ,309.12,percent of total billed charges ,309.12,percent of total billed charges ,287.04,percent of total billed charges ,287.04,percent of total billed charges ,294.4,percent of total billed charges ,294.4,percent of total billed charges ,257.6,percent of total billed charges ,257.6,percent of total billed charges ,220.8,percent of total billed charges ,220.8,percent of total billed charges ,220.8,percent of total billed charges ,220.8,percent of total billed charges ,,,,,195.78,percent of total billed charges ,,,,,185.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,,,103.04,percent of total billed charges,
HEPATITIS B DNA,87517,CDM,,,,both,,,556,556,155.68,556,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,411.44,percent of total billed charges,411.44,percent of total billed charges,444.8,percent of total billed charges,444.8,percent of total billed charges,,,400.32,percent of total billed charges ,,,444.8,percent of total billed charges ,467.04,percent of total billed charges ,467.04,percent of total billed charges ,433.68,percent of total billed charges ,433.68,percent of total billed charges ,444.8,percent of total billed charges ,444.8,percent of total billed charges ,389.2,percent of total billed charges ,389.2,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,,,,,295.79,percent of total billed charges ,,,,,281,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,
IGE(*),82785,CDM,,,,both,,,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
CHRNC HCV 6 ASSAYS378,81596,CDM,,,,both,,,446,446,124.88,446,446,percent of total billed charges,446,percent of total billed charges,446,percent of total billed charges,446,percent of total billed charges,446,percent of total billed charges,446,percent of total billed charges,446,percent of total billed charges,446,percent of total billed charges,321.12,percent of total billed charges,321.12,percent of total billed charges,321.12,percent of total billed charges,321.12,percent of total billed charges,321.12,percent of total billed charges,321.12,percent of total billed charges,330.04,percent of total billed charges,330.04,percent of total billed charges,356.8,percent of total billed charges,356.8,percent of total billed charges,,,321.12,percent of total billed charges ,,,356.8,percent of total billed charges ,374.64,percent of total billed charges ,374.64,percent of total billed charges ,347.88,percent of total billed charges ,347.88,percent of total billed charges ,356.8,percent of total billed charges ,356.8,percent of total billed charges ,312.2,percent of total billed charges ,312.2,percent of total billed charges ,267.6,percent of total billed charges ,267.6,percent of total billed charges ,267.6,percent of total billed charges ,267.6,percent of total billed charges ,,,,,237.27,percent of total billed charges ,,,,,225.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,,,124.88,percent of total billed charges,
CHOLINESTERASE,82480,CDM,,,,both,,,94,94,26.32,94,94,percent of total billed charges,94,percent of total billed charges,94,percent of total billed charges,94,percent of total billed charges,94,percent of total billed charges,94,percent of total billed charges,94,percent of total billed charges,94,percent of total billed charges,67.68,percent of total billed charges,67.68,percent of total billed charges,67.68,percent of total billed charges,67.68,percent of total billed charges,67.68,percent of total billed charges,67.68,percent of total billed charges,69.56,percent of total billed charges,69.56,percent of total billed charges,75.2,percent of total billed charges,75.2,percent of total billed charges,,,67.68,percent of total billed charges ,,,75.2,percent of total billed charges ,78.96,percent of total billed charges ,78.96,percent of total billed charges ,73.32,percent of total billed charges ,73.32,percent of total billed charges ,75.2,percent of total billed charges ,75.2,percent of total billed charges ,65.8,percent of total billed charges ,65.8,percent of total billed charges ,56.4,percent of total billed charges ,56.4,percent of total billed charges ,56.4,percent of total billed charges ,56.4,percent of total billed charges ,,,,,50.01,percent of total billed charges ,,,,,47.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,,,26.32,percent of total billed charges,
PROGESTERONE(*),84144,CDM,,,,both,,,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
NICOTINE-SERUM,G0480,CDM,,,,both,,,345,345,96.6,345,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,255.3,percent of total billed charges,255.3,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,,,248.4,percent of total billed charges ,,,276,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,269.1,percent of total billed charges ,269.1,percent of total billed charges ,276,percent of total billed charges ,276,percent of total billed charges ,241.5,percent of total billed charges ,241.5,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,,,,,183.54,percent of total billed charges ,,,,,174.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,
PROLACTIN(*),84146,CDM,,,,both,,,326,326,91.28,326,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,241.24,percent of total billed charges,241.24,percent of total billed charges,260.8,percent of total billed charges,260.8,percent of total billed charges,,,234.72,percent of total billed charges ,,,260.8,percent of total billed charges ,273.84,percent of total billed charges ,273.84,percent of total billed charges ,254.28,percent of total billed charges ,254.28,percent of total billed charges ,260.8,percent of total billed charges ,260.8,percent of total billed charges ,228.2,percent of total billed charges ,228.2,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,,,,,173.43,percent of total billed charges ,,,,,164.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,
PROSTAGLANDIN,84150,CDM,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
HISTAMINE,83088,CDM,,,,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
AMNIOTIC FLUID FOR FETAL LUNG MATURI(*),83661,CDM,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
ANGIOTENSIN CONVERTING ENZYME(*),82164,CDM,,,,both,,,183,183,51.24,183,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,135.42,percent of total billed charges,135.42,percent of total billed charges,146.4,percent of total billed charges,146.4,percent of total billed charges,,,131.76,percent of total billed charges ,,,146.4,percent of total billed charges ,153.72,percent of total billed charges ,153.72,percent of total billed charges ,142.74,percent of total billed charges ,142.74,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,128.1,percent of total billed charges ,128.1,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,,,,,97.36,percent of total billed charges ,,,,,92.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,
AMIODARONE LEVEL(*),80299,CDM,,,,both,,,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
PARVO VIRUS IGM(*),86747,CDM,,,,both,,,146,146,40.88,146,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,108.04,percent of total billed charges,108.04,percent of total billed charges,116.8,percent of total billed charges,116.8,percent of total billed charges,,,105.12,percent of total billed charges ,,,116.8,percent of total billed charges ,122.64,percent of total billed charges ,122.64,percent of total billed charges ,113.88,percent of total billed charges ,113.88,percent of total billed charges ,116.8,percent of total billed charges ,116.8,percent of total billed charges ,102.2,percent of total billed charges ,102.2,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,,,,,77.67,percent of total billed charges ,,,,,73.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,
RUBEOLA IGM(*),86765,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
RUBEOLA IGG(*),86765,CDM,,,,both,,,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
CHROMOSOME ANALYSIS(*),88262,CDM,,,,both,,,"1,537.00","1,537.00",430.36,"1,537.00","1,537.00",percent of total billed charges,"1,537.00",percent of total billed charges,"1,537.00",percent of total billed charges,"1,537.00",percent of total billed charges,"1,537.00",percent of total billed charges,"1,537.00",percent of total billed charges,"1,537.00",percent of total billed charges,"1,537.00",percent of total billed charges,"1,106.64",percent of total billed charges,"1,106.64",percent of total billed charges,"1,106.64",percent of total billed charges,"1,106.64",percent of total billed charges,"1,106.64",percent of total billed charges,"1,106.64",percent of total billed charges,"1,137.38",percent of total billed charges,"1,137.38",percent of total billed charges,"1,229.60",percent of total billed charges,"1,229.60",percent of total billed charges,,,"1,106.64",percent of total billed charges ,,,"1,229.60",percent of total billed charges ,"1,291.08",percent of total billed charges ,"1,291.08",percent of total billed charges ,"1,198.86",percent of total billed charges ,"1,198.86",percent of total billed charges ,"1,229.60",percent of total billed charges ,"1,229.60",percent of total billed charges ,"1,075.90",percent of total billed charges ,"1,075.90",percent of total billed charges ,922.2,percent of total billed charges ,922.2,percent of total billed charges ,922.2,percent of total billed charges ,922.2,percent of total billed charges ,,,,,817.68,percent of total billed charges ,,,,,776.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,,,430.36,percent of total billed charges,
PREMATURE FATS(*),82172,CDM,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
ALPHA 1 ANTI-TRYPSIN (*),82103,CDM,,,,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
**ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY*,83520,CDM,,,,both,,,188,188,52.64,188,188,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,135.36,percent of total billed charges,135.36,percent of total billed charges,135.36,percent of total billed charges,135.36,percent of total billed charges,135.36,percent of total billed charges,135.36,percent of total billed charges,139.12,percent of total billed charges,139.12,percent of total billed charges,150.4,percent of total billed charges,150.4,percent of total billed charges,,,135.36,percent of total billed charges ,,,150.4,percent of total billed charges ,157.92,percent of total billed charges ,157.92,percent of total billed charges ,146.64,percent of total billed charges ,146.64,percent of total billed charges ,150.4,percent of total billed charges ,150.4,percent of total billed charges ,131.6,percent of total billed charges ,131.6,percent of total billed charges ,112.8,percent of total billed charges ,112.8,percent of total billed charges ,112.8,percent of total billed charges ,112.8,percent of total billed charges ,,,,,100.02,percent of total billed charges ,,,,,95.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,,,52.64,percent of total billed charges,
FUNGAL PRECIPITATION(*),86329,CDM,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
FRUCTOSAMINE,82985,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
**HIGH RESOLUTION CHROMOSOMES(*),88230,CDM,,,,both,,,912,912,255.36,912,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,656.64,percent of total billed charges,674.88,percent of total billed charges,674.88,percent of total billed charges,729.6,percent of total billed charges,729.6,percent of total billed charges,,,656.64,percent of total billed charges ,,,729.6,percent of total billed charges ,766.08,percent of total billed charges ,766.08,percent of total billed charges ,711.36,percent of total billed charges ,711.36,percent of total billed charges ,729.6,percent of total billed charges ,729.6,percent of total billed charges ,638.4,percent of total billed charges ,638.4,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,,,,,485.18,percent of total billed charges ,,,,,460.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,,,255.36,percent of total billed charges,
ALPHA-1-ANTITRYPSIN PHENO,82104,CDM,,,,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
ALDOSTERONE SERUM PLASMA,82088,CDM,,,,both,,,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
FTL CGEN ABNOR TWO PROTEINS,81508,CDM,,,,both,,,84,84,23.52,84,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,62.16,percent of total billed charges,62.16,percent of total billed charges,67.2,percent of total billed charges,67.2,percent of total billed charges,,,60.48,percent of total billed charges ,,,67.2,percent of total billed charges ,70.56,percent of total billed charges ,70.56,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,,,,,44.69,percent of total billed charges ,,,,,42.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,
ALDOSTERONE URINE(*),82088,CDM,,,,both,,,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
LYME DISEASE(*),86618,CDM,,,,both,,,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
LYME DNA AMP PROBE,87476,CDM,,,,both,,,439,439,122.92,439,439,percent of total billed charges,439,percent of total billed charges,439,percent of total billed charges,439,percent of total billed charges,439,percent of total billed charges,439,percent of total billed charges,439,percent of total billed charges,439,percent of total billed charges,316.08,percent of total billed charges,316.08,percent of total billed charges,316.08,percent of total billed charges,316.08,percent of total billed charges,316.08,percent of total billed charges,316.08,percent of total billed charges,324.86,percent of total billed charges,324.86,percent of total billed charges,351.2,percent of total billed charges,351.2,percent of total billed charges,,,316.08,percent of total billed charges ,,,351.2,percent of total billed charges ,368.76,percent of total billed charges ,368.76,percent of total billed charges ,342.42,percent of total billed charges ,342.42,percent of total billed charges ,351.2,percent of total billed charges ,351.2,percent of total billed charges ,307.3,percent of total billed charges ,307.3,percent of total billed charges ,263.4,percent of total billed charges ,263.4,percent of total billed charges ,263.4,percent of total billed charges ,263.4,percent of total billed charges ,,,,,233.55,percent of total billed charges ,,,,,221.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,,,122.92,percent of total billed charges,
LYME DIS CONF TEST WEST BLOT OR MMUNOBLO,86617,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
ROTAVIRUS(*),86759,CDM,,,,both,,,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
PARA PERTUSSIS(*),87798,CDM,,,,both,,,450,450,126,450,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,324,percent of total billed charges ,,,360,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,360,percent of total billed charges ,360,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,,,,,239.4,percent of total billed charges ,,,,,227.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,
PERTUSSIS TOXIN(*),86615,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
BORDETELLA PERTUSSIS(*),86615,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
FILAMENUOUS HEMAGGLUTININ(*),86615,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
LEGIONELLA(*),86713,CDM,,,,both,,,258,258,72.24,258,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,190.92,percent of total billed charges,190.92,percent of total billed charges,206.4,percent of total billed charges,206.4,percent of total billed charges,,,185.76,percent of total billed charges ,,,206.4,percent of total billed charges ,216.72,percent of total billed charges ,216.72,percent of total billed charges ,201.24,percent of total billed charges ,201.24,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,,,,,137.26,percent of total billed charges ,,,,,130.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,
PKU(*),84030,CDM,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
BRUCELLA ANTIBODY,86622,CDM,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
BRAF GENE,81210,CDM,,,,both,,,904,904,253.12,904,904,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,904,percent of total billed charges,650.88,percent of total billed charges,650.88,percent of total billed charges,650.88,percent of total billed charges,650.88,percent of total billed charges,650.88,percent of total billed charges,650.88,percent of total billed charges,668.96,percent of total billed charges,668.96,percent of total billed charges,723.2,percent of total billed charges,723.2,percent of total billed charges,,,650.88,percent of total billed charges ,,,723.2,percent of total billed charges ,759.36,percent of total billed charges ,759.36,percent of total billed charges ,705.12,percent of total billed charges ,705.12,percent of total billed charges ,723.2,percent of total billed charges ,723.2,percent of total billed charges ,632.8,percent of total billed charges ,632.8,percent of total billed charges ,542.4,percent of total billed charges ,542.4,percent of total billed charges ,542.4,percent of total billed charges ,542.4,percent of total billed charges ,,,,,480.93,percent of total billed charges ,,,,,456.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,,,253.12,percent of total billed charges,
INFLUENZA VIRUS ANTIBODY,86710,CDM,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
ROCKY MOUNTAIN ANTIGEN(*),86757,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
ROTAVIRUS AG IA,87425,CDM,,,,both,,,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
SALMONELLA ANTIBODY,86768,CDM,,,,both,,,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
TETANUS ANTITOXIN LEVEL(*),86774,CDM,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
DIPTHERIA ANTIBODY(*),86317,CDM,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
CMV IGM (CYTOMEGALOVIRUS)(*),86645,CDM,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
CMV IGG(*),86644,CDM,,,,both,,,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
TETANUS,86317,CDM,,,,both,,,115,115,32.2,115,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,85.1,percent of total billed charges,85.1,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,,,82.8,percent of total billed charges ,,,92,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,89.7,percent of total billed charges ,89.7,percent of total billed charges ,92,percent of total billed charges ,92,percent of total billed charges ,80.5,percent of total billed charges ,80.5,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,,,,,61.18,percent of total billed charges ,,,,,58.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,
JC ANTIBODY,86711,CDM,,,,both,1,each,966,966,270.48,966,966,percent of total billed charges,966,percent of total billed charges,966,percent of total billed charges,966,percent of total billed charges,966,percent of total billed charges,966,percent of total billed charges,966,percent of total billed charges,966,percent of total billed charges,695.52,percent of total billed charges,695.52,percent of total billed charges,695.52,percent of total billed charges,695.52,percent of total billed charges,695.52,percent of total billed charges,695.52,percent of total billed charges,714.84,percent of total billed charges,714.84,percent of total billed charges,772.8,percent of total billed charges,772.8,percent of total billed charges,,,695.52,percent of total billed charges ,,,772.8,percent of total billed charges ,811.44,percent of total billed charges ,811.44,percent of total billed charges ,753.48,percent of total billed charges ,753.48,percent of total billed charges ,772.8,percent of total billed charges ,772.8,percent of total billed charges ,676.2,percent of total billed charges ,676.2,percent of total billed charges ,579.6,percent of total billed charges ,579.6,percent of total billed charges ,579.6,percent of total billed charges ,579.6,percent of total billed charges ,,,,,513.91,percent of total billed charges ,,,,,488.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,,,270.48,percent of total billed charges,
ENCAINIDE ENKAID(*),LOCAL,LOCAL,,,,both,1,each,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
FECAL FAT QUANTATATIVE(*),82710,CDM,,,,both,1,each,290,290,81.2,290,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,214.6,percent of total billed charges,214.6,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,,,208.8,percent of total billed charges ,,,232,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,226.2,percent of total billed charges ,226.2,percent of total billed charges ,232,percent of total billed charges ,232,percent of total billed charges ,203,percent of total billed charges ,203,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,,,,,154.28,percent of total billed charges ,,,,,146.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,
URINE CREATININE RANDOM,82570,CDM,,,,both,1,each,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
URINE FOR OLIGOSACCHARIDE(*),84376,CDM,,,,both,1,each,111,111,31.08,111,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,82.14,percent of total billed charges,82.14,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,,,79.92,percent of total billed charges ,,,88.8,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,,,,,59.05,percent of total billed charges ,,,,,56.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,
URINE PROTEIN RANDOM,84156,CDM,,,,both,1,each,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
DHEA (DEHYDROEPIANDROSTERONE)*,82626,CDM,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
URINE PHOSPHORUS,84105,CDM,,,,both,1,each,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
SUGARS SINGLE QUAL,84376,CDM,,,,both,1,each,62,62,17.36,62,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,62,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,44.64,percent of total billed charges,45.88,percent of total billed charges,45.88,percent of total billed charges,49.6,percent of total billed charges,49.6,percent of total billed charges,,,44.64,percent of total billed charges ,,,49.6,percent of total billed charges ,52.08,percent of total billed charges ,52.08,percent of total billed charges ,48.36,percent of total billed charges ,48.36,percent of total billed charges ,49.6,percent of total billed charges ,49.6,percent of total billed charges ,43.4,percent of total billed charges ,43.4,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,,,,,32.98,percent of total billed charges ,,,,,31.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,,,17.36,percent of total billed charges,
DISOPYRAMIDE (NORPACE)(*),80299,CDM,,,,both,,,520,520,145.6,520,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,384.8,percent of total billed charges,384.8,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,,,374.4,percent of total billed charges ,,,416,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,405.6,percent of total billed charges ,405.6,percent of total billed charges ,416,percent of total billed charges ,416,percent of total billed charges ,364,percent of total billed charges ,364,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,,,,,276.64,percent of total billed charges ,,,,,262.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,
ANTI DOUBLE STRANDED DNA,86225,CDM,,,,both,1,each,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
CELONTIN(METHSUXIMIDE+NORMETHSUXIMID*,80339,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
CERULOPLASMIN(*),82390,CDM,,,,both,1,each,140,140,39.2,140,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,103.6,percent of total billed charges,103.6,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,,,100.8,percent of total billed charges ,,,112,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,112,percent of total billed charges ,112,percent of total billed charges ,98,percent of total billed charges ,98,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,,,,,74.48,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,
MEXILETINE (MEXITRIL)(*),80299,CDM,,,,both,1,each,329,329,92.12,329,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,243.46,percent of total billed charges,243.46,percent of total billed charges,263.2,percent of total billed charges,263.2,percent of total billed charges,,,236.88,percent of total billed charges ,,,263.2,percent of total billed charges ,276.36,percent of total billed charges ,276.36,percent of total billed charges ,256.62,percent of total billed charges ,256.62,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,230.3,percent of total billed charges ,230.3,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,,,,,175.03,percent of total billed charges ,,,,,166.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,
VERAPAMIL (CALON)(*),82542,CDM,,,,both,1,each,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
VITAMIN D3 (25HYDROXY)(*),82306,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
ASSAY OF VASOPRESSEN,84588,CDM,,,,both,1,each,284,284,79.52,284,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,210.16,percent of total billed charges,210.16,percent of total billed charges,227.2,percent of total billed charges,227.2,percent of total billed charges,,,204.48,percent of total billed charges ,,,227.2,percent of total billed charges ,238.56,percent of total billed charges ,238.56,percent of total billed charges ,221.52,percent of total billed charges ,221.52,percent of total billed charges ,227.2,percent of total billed charges ,227.2,percent of total billed charges ,198.8,percent of total billed charges ,198.8,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,,,,,151.09,percent of total billed charges ,,,,,143.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,
MOPATH PROCEDURE LEVEL 7,81406,CDM,,,,both,1,each,"2,518.00","2,518.00",705.04,"2,518.00","2,518.00",percent of total billed charges,"2,518.00",percent of total billed charges,"2,518.00",percent of total billed charges,"2,518.00",percent of total billed charges,"2,518.00",percent of total billed charges,"2,518.00",percent of total billed charges,"2,518.00",percent of total billed charges,"2,518.00",percent of total billed charges,"1,812.96",percent of total billed charges,"1,812.96",percent of total billed charges,"1,812.96",percent of total billed charges,"1,812.96",percent of total billed charges,"1,812.96",percent of total billed charges,"1,812.96",percent of total billed charges,"1,863.32",percent of total billed charges,"1,863.32",percent of total billed charges,"2,014.40",percent of total billed charges,"2,014.40",percent of total billed charges,,,"1,812.96",percent of total billed charges ,,,"2,014.40",percent of total billed charges ,"2,115.12",percent of total billed charges ,"2,115.12",percent of total billed charges ,"1,964.04",percent of total billed charges ,"1,964.04",percent of total billed charges ,"2,014.40",percent of total billed charges ,"2,014.40",percent of total billed charges ,"1,762.60",percent of total billed charges ,"1,762.60",percent of total billed charges ,"1,510.80",percent of total billed charges ,"1,510.80",percent of total billed charges ,"1,510.80",percent of total billed charges ,"1,510.80",percent of total billed charges ,,,,,"1,339.58",percent of total billed charges ,,,,,"1,272.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,,,705.04,percent of total billed charges,
**VITAMIN D(*),82307,CDM,,,,both,1,each,207,207,57.96,207,207,percent of total billed charges,207,percent of total billed charges,207,percent of total billed charges,207,percent of total billed charges,207,percent of total billed charges,207,percent of total billed charges,207,percent of total billed charges,207,percent of total billed charges,149.04,percent of total billed charges,149.04,percent of total billed charges,149.04,percent of total billed charges,149.04,percent of total billed charges,149.04,percent of total billed charges,149.04,percent of total billed charges,153.18,percent of total billed charges,153.18,percent of total billed charges,165.6,percent of total billed charges,165.6,percent of total billed charges,,,149.04,percent of total billed charges ,,,165.6,percent of total billed charges ,173.88,percent of total billed charges ,173.88,percent of total billed charges ,161.46,percent of total billed charges ,161.46,percent of total billed charges ,165.6,percent of total billed charges ,165.6,percent of total billed charges ,144.9,percent of total billed charges ,144.9,percent of total billed charges ,124.2,percent of total billed charges ,124.2,percent of total billed charges ,124.2,percent of total billed charges ,124.2,percent of total billed charges ,,,,,110.12,percent of total billed charges ,,,,,104.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,,,57.96,percent of total billed charges,
VITAMIN E(*),84446,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
MYCOPHENOLATE,80180,CDM,,,,both,,,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
LACOSAMIDE,80235,CDM,,,,both,1,each,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
ITRACONAZOLE (SPORANOX),80189,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FRAGILE X,81243,CDM,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
PANCREATIC ELASTASE,82653,CDM,,,,both,1,each,227,227,63.56,227,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,167.98,percent of total billed charges,167.98,percent of total billed charges,181.6,percent of total billed charges,181.6,percent of total billed charges,,,163.44,percent of total billed charges ,,,181.6,percent of total billed charges ,190.68,percent of total billed charges ,190.68,percent of total billed charges ,177.06,percent of total billed charges ,177.06,percent of total billed charges ,181.6,percent of total billed charges ,181.6,percent of total billed charges ,158.9,percent of total billed charges ,158.9,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,,,,,120.76,percent of total billed charges ,,,,,114.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,
ANTI GLOMERULAR BASEMENT ANTIBODY,86255,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
SULFONYLUREA LEVEL,83789,CDM,,,,both,1,each,258,258,72.24,258,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,190.92,percent of total billed charges,190.92,percent of total billed charges,206.4,percent of total billed charges,206.4,percent of total billed charges,,,185.76,percent of total billed charges ,,,206.4,percent of total billed charges ,216.72,percent of total billed charges ,216.72,percent of total billed charges ,201.24,percent of total billed charges ,201.24,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,,,,,137.26,percent of total billed charges ,,,,,130.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,
RIA NONANTIBODY,83519,CDM,,,,both,1,each,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
**IMMUNOFLOURESCENT STUDY,88347,CDM,,,,both,,,310,310,86.8,310,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,229.4,percent of total billed charges,229.4,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,,,223.2,percent of total billed charges ,,,248,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,248,percent of total billed charges ,248,percent of total billed charges ,217,percent of total billed charges ,217,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,,,,,164.92,percent of total billed charges ,,,,,156.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,
RAST TEST-ASPERIGILLUS(*),86606,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
ARSENIC,82175,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
FATTY ACID PROFILE,82542,CDM,,,,both,1,each,268,268,75.04,268,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,198.32,percent of total billed charges,198.32,percent of total billed charges,214.4,percent of total billed charges,214.4,percent of total billed charges,,,192.96,percent of total billed charges ,,,214.4,percent of total billed charges ,225.12,percent of total billed charges ,225.12,percent of total billed charges ,209.04,percent of total billed charges ,209.04,percent of total billed charges ,214.4,percent of total billed charges ,214.4,percent of total billed charges ,187.6,percent of total billed charges ,187.6,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,,,,,142.58,percent of total billed charges ,,,,,135.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,
FATTY ACID LONG CHAIN,82726,CDM,,,,both,1,each,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
ROHYPANOL GHB(*),80307,CDM,,,,both,1,each,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
BARTONELLA DNA,87471,CDM,,,,both,1,each,503,503,140.84,503,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,503,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,362.16,percent of total billed charges,372.22,percent of total billed charges,372.22,percent of total billed charges,402.4,percent of total billed charges,402.4,percent of total billed charges,,,362.16,percent of total billed charges ,,,402.4,percent of total billed charges ,422.52,percent of total billed charges ,422.52,percent of total billed charges ,392.34,percent of total billed charges ,392.34,percent of total billed charges ,402.4,percent of total billed charges ,402.4,percent of total billed charges ,352.1,percent of total billed charges ,352.1,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,301.8,percent of total billed charges ,,,,,267.6,percent of total billed charges ,,,,,254.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,,,140.84,percent of total billed charges,
AMITRIPYLINE(*),80335,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
AMINO ACIDS SINGLE QUALIT EACH SPEC(*),82127,CDM,,,,both,,,259,259,72.52,259,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,191.66,percent of total billed charges,191.66,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,,,186.48,percent of total billed charges ,,,207.2,percent of total billed charges ,217.56,percent of total billed charges ,217.56,percent of total billed charges ,202.02,percent of total billed charges ,202.02,percent of total billed charges ,207.2,percent of total billed charges ,207.2,percent of total billed charges ,181.3,percent of total billed charges ,181.3,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,,,,,137.79,percent of total billed charges ,,,,,130.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,
AMINO ACIDS 6 OR MORE QUANTIT EACH(*),82139,CDM,,,,both,1,each,625,625,175,625,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,462.5,percent of total billed charges,462.5,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,,,450,percent of total billed charges ,,,500,percent of total billed charges ,525,percent of total billed charges ,525,percent of total billed charges ,487.5,percent of total billed charges ,487.5,percent of total billed charges ,500,percent of total billed charges ,500,percent of total billed charges ,437.5,percent of total billed charges ,437.5,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,,,,,332.5,percent of total billed charges ,,,,,315.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,
**SYNOVIAL FLUID EXAM,89051,CDM,,,,both,1,each,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
IRON TOTAL,83540,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
HEPATITIS B SURF AB(*),86706,CDM,,,,both,1,each,162,162,45.36,162,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,119.88,percent of total billed charges,119.88,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,,,116.64,percent of total billed charges ,,,129.6,percent of total billed charges ,136.08,percent of total billed charges ,136.08,percent of total billed charges ,126.36,percent of total billed charges ,126.36,percent of total billed charges ,129.6,percent of total billed charges ,129.6,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,,,,,86.18,percent of total billed charges ,,,,,81.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,
HEPATITIS A AB IGG(*),86708,CDM,,,,both,1,each,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
HEPATITIS B ANTIBODY(*),86707,CDM,,,,both,1,each,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
GENTAMICIN RANDOM,80170,CDM,,,,both,1,each,240,240,67.2,240,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,,,172.8,percent of total billed charges ,,,192,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,192,percent of total billed charges ,192,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,,,,,127.68,percent of total billed charges ,,,,,121.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,
HEPATITIS C ANTIBODY(*),86803,CDM,,,,both,1,each,258,258,72.24,258,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,190.92,percent of total billed charges,190.92,percent of total billed charges,206.4,percent of total billed charges,206.4,percent of total billed charges,,,185.76,percent of total billed charges ,,,206.4,percent of total billed charges ,216.72,percent of total billed charges ,216.72,percent of total billed charges ,201.24,percent of total billed charges ,201.24,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,,,,,137.26,percent of total billed charges ,,,,,130.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,
TTAD(*),86000,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
TROPONIN I,84484,CDM,,,,both,1,each,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
*HEPATITIS B CORE ANTIBODY IGG(*),86704,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
HEPATITIS B SURF AB TITER,86706,CDM,,,,both,1,each,162,162,45.36,162,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,119.88,percent of total billed charges,119.88,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,,,116.64,percent of total billed charges ,,,129.6,percent of total billed charges ,136.08,percent of total billed charges ,136.08,percent of total billed charges ,126.36,percent of total billed charges ,126.36,percent of total billed charges ,129.6,percent of total billed charges ,129.6,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,,,,,86.18,percent of total billed charges ,,,,,81.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,
ESTRADIOL(*),82670,CDM,,,,both,,,329,329,92.12,329,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,243.46,percent of total billed charges,243.46,percent of total billed charges,263.2,percent of total billed charges,263.2,percent of total billed charges,,,236.88,percent of total billed charges ,,,263.2,percent of total billed charges ,276.36,percent of total billed charges ,276.36,percent of total billed charges ,256.62,percent of total billed charges ,256.62,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,230.3,percent of total billed charges ,230.3,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,,,,,175.03,percent of total billed charges ,,,,,166.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,
ACTH(*),82024,CDM,,,,both,1,each,477,477,133.56,477,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,352.98,percent of total billed charges,352.98,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,,,343.44,percent of total billed charges ,,,381.6,percent of total billed charges ,400.68,percent of total billed charges ,400.68,percent of total billed charges ,372.06,percent of total billed charges ,372.06,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,333.9,percent of total billed charges ,333.9,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,,,,,253.76,percent of total billed charges ,,,,,241.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,
TOXOPLASMOSIS IGM(*),86778,CDM,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
BARTONELLA HENSELAE IgG (*),86611,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
CEA,82378,CDM,,,,both,1,each,309,309,86.52,309,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,228.66,percent of total billed charges,228.66,percent of total billed charges,247.2,percent of total billed charges,247.2,percent of total billed charges,,,222.48,percent of total billed charges ,,,247.2,percent of total billed charges ,259.56,percent of total billed charges ,259.56,percent of total billed charges ,241.02,percent of total billed charges ,241.02,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,216.3,percent of total billed charges ,216.3,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,,,,,164.39,percent of total billed charges ,,,,,156.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,
COXSACKIE A(*),86658,CDM,,,,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
COXSACKIE B(*),86658,CDM,,,,both,,,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
PARVOVIRUS IGG(*),86747,CDM,,,,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
TRAZADONE(*),82542,CDM,,,,both,,,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
FELBATOL(*),82542,CDM,,,,both,,,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
PHILADELPHIA CHROMOSOME(*),88237,CDM,,,,both,,,"1,976.00","1,976.00",553.28,"1,976.00","1,976.00",percent of total billed charges,"1,976.00",percent of total billed charges,"1,976.00",percent of total billed charges,"1,976.00",percent of total billed charges,"1,976.00",percent of total billed charges,"1,976.00",percent of total billed charges,"1,976.00",percent of total billed charges,"1,976.00",percent of total billed charges,"1,422.72",percent of total billed charges,"1,422.72",percent of total billed charges,"1,422.72",percent of total billed charges,"1,422.72",percent of total billed charges,"1,422.72",percent of total billed charges,"1,422.72",percent of total billed charges,"1,462.24",percent of total billed charges,"1,462.24",percent of total billed charges,"1,580.80",percent of total billed charges,"1,580.80",percent of total billed charges,,,"1,422.72",percent of total billed charges ,,,"1,580.80",percent of total billed charges ,"1,659.84",percent of total billed charges ,"1,659.84",percent of total billed charges ,"1,541.28",percent of total billed charges ,"1,541.28",percent of total billed charges ,"1,580.80",percent of total billed charges ,"1,580.80",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,383.20",percent of total billed charges ,"1,185.60",percent of total billed charges ,"1,185.60",percent of total billed charges ,"1,185.60",percent of total billed charges ,"1,185.60",percent of total billed charges ,,,,,"1,051.23",percent of total billed charges ,,,,,998.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,,,553.28,percent of total billed charges,
DNA ANTIBODIES-LUPUS(*),86225,CDM,,,,both,1,each,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
MELLORIL LEVEL(*),82542,CDM,,,,both,,,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
 ACETYCHOLINE RECEPTOR AB *,84238,CDM,,,,both,,,438,438,122.64,438,438,percent of total billed charges,438,percent of total billed charges,438,percent of total billed charges,438,percent of total billed charges,438,percent of total billed charges,438,percent of total billed charges,438,percent of total billed charges,438,percent of total billed charges,315.36,percent of total billed charges,315.36,percent of total billed charges,315.36,percent of total billed charges,315.36,percent of total billed charges,315.36,percent of total billed charges,315.36,percent of total billed charges,324.12,percent of total billed charges,324.12,percent of total billed charges,350.4,percent of total billed charges,350.4,percent of total billed charges,,,315.36,percent of total billed charges ,,,350.4,percent of total billed charges ,367.92,percent of total billed charges ,367.92,percent of total billed charges ,341.64,percent of total billed charges ,341.64,percent of total billed charges ,350.4,percent of total billed charges ,350.4,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,262.8,percent of total billed charges ,262.8,percent of total billed charges ,262.8,percent of total billed charges ,262.8,percent of total billed charges ,,,,,233.02,percent of total billed charges ,,,,,221.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,,,122.64,percent of total billed charges,
PHENYTOIN (DILANTIN),80185,CDM,,,,both,1,each,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
*HEPATITIS C CORE ANTIGEN(*),86704,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
ANCA(*),86036,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
ANDROSTENEDIONE(*),82157,CDM,,,,both,1,each,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
THYROID STIMULATING GLOBULIN,84445,CDM,,,,both,1,each,532,532,148.96,532,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,393.68,percent of total billed charges,393.68,percent of total billed charges,425.6,percent of total billed charges,425.6,percent of total billed charges,,,383.04,percent of total billed charges ,,,425.6,percent of total billed charges ,446.88,percent of total billed charges ,446.88,percent of total billed charges ,414.96,percent of total billed charges ,414.96,percent of total billed charges ,425.6,percent of total billed charges ,425.6,percent of total billed charges ,372.4,percent of total billed charges ,372.4,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,268.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,
LIDOCAINE(*),80176,CDM,,,,both,1,each,198,198,55.44,198,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,146.52,percent of total billed charges,146.52,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,,,142.56,percent of total billed charges ,,,158.4,percent of total billed charges ,166.32,percent of total billed charges ,166.32,percent of total billed charges ,154.44,percent of total billed charges ,154.44,percent of total billed charges ,158.4,percent of total billed charges ,158.4,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,,,,,105.34,percent of total billed charges ,,,,,100.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,
RAST(*),86003,CDM,,,,both,1,each,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
**FLUORESCENT TREPONEMAL ANTIBODY(*),86781,CDM,,,,both,1,each,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
LAMICTAL LEVEL(*),80175,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
ANTI-THYROID ANTIBODY(*),86800,CDM,,,,both,1,each,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
GLYCATED HEMOGLOBIN,83036,CDM,,,,both,1,each,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
ERYTHROPOETIN LEVEL(*),82668,CDM,,,,both,1,each,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
HYPERSEN PNEUMONITITS SCREEN(*),86331,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
LDL CHOLESTEROL,83721,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
HEMOSIDERIN(*),83070,CDM,,,,both,1,each,111,111,31.08,111,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,82.14,percent of total billed charges,82.14,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,,,79.92,percent of total billed charges ,,,88.8,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,,,,,59.05,percent of total billed charges ,,,,,56.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,
HAPTOGLOBIN,83010,CDM,,,,both,1,each,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CA 19-09(*),86301,CDM,,,,both,1,each,272,272,76.16,272,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,201.28,percent of total billed charges,201.28,percent of total billed charges,217.6,percent of total billed charges,217.6,percent of total billed charges,,,195.84,percent of total billed charges ,,,217.6,percent of total billed charges ,228.48,percent of total billed charges ,228.48,percent of total billed charges ,212.16,percent of total billed charges ,212.16,percent of total billed charges ,217.6,percent of total billed charges ,217.6,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,,,,,144.7,percent of total billed charges ,,,,,137.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,
HOMOCYSTEINE(*),83090,CDM,,,,both,1,each,273,273,76.44,273,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,202.02,percent of total billed charges,202.02,percent of total billed charges,218.4,percent of total billed charges,218.4,percent of total billed charges,,,196.56,percent of total billed charges ,,,218.4,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,212.94,percent of total billed charges ,212.94,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,,,,,145.24,percent of total billed charges ,,,,,137.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,
WEST NILE VIRUS IgM,86788,CDM,,,,both,1,each,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
17 HYDROXY PROGESTERONE 24 HR(*),83498,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
ACETAMINOPHEN,80329,CDM,,,,both,1,each,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
ALDOSTERONE(*),82088,CDM,,,,both,1,each,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
NEUROTIN LEVEL(*),80299,CDM,,,,both,1,each,258,258,72.24,258,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,190.92,percent of total billed charges,190.92,percent of total billed charges,206.4,percent of total billed charges,206.4,percent of total billed charges,,,185.76,percent of total billed charges ,,,206.4,percent of total billed charges ,216.72,percent of total billed charges ,216.72,percent of total billed charges ,201.24,percent of total billed charges ,201.24,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,,,,,137.26,percent of total billed charges ,,,,,130.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,
ALDOLASE(*),82085,CDM,,,,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
CA15-3(27.29) IMMUNOASSAY TUMOR ANTIGEN,86300,CDM,,,,both,1,each,272,272,76.16,272,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,201.28,percent of total billed charges,201.28,percent of total billed charges,217.6,percent of total billed charges,217.6,percent of total billed charges,,,195.84,percent of total billed charges ,,,217.6,percent of total billed charges ,228.48,percent of total billed charges ,228.48,percent of total billed charges ,212.16,percent of total billed charges ,212.16,percent of total billed charges ,217.6,percent of total billed charges ,217.6,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,,,,,144.7,percent of total billed charges ,,,,,137.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,
**CA 15-3(*),86300,CDM,,,,both,1,each,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
CHLAMYDIA PNEUMONI AE(*),87485,CDM,,,,both,1,each,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
FASTING ATHEROSCLEROSIS STUDY*,80061,CDM,,,,both,1,each,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
IGA(*),82784,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
BLOOD VISCOSITY(*),85810,CDM,,,,both,1,each,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
MYOGLOBIN(*),83874,CDM,,,,both,1,each,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
FK 506 (PROGRAF)(*),80197,CDM,,,,both,1,each,280,280,78.4,280,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,,,201.6,percent of total billed charges ,,,224,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,224,percent of total billed charges ,224,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,,,,,148.96,percent of total billed charges ,,,,,141.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,
ALUMINUM LEVEL(*),82108,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
CYCLOSPORINE(*),80158,CDM,,,,both,1,each,379,379,106.12,379,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,280.46,percent of total billed charges,280.46,percent of total billed charges,303.2,percent of total billed charges,303.2,percent of total billed charges,,,272.88,percent of total billed charges ,,,303.2,percent of total billed charges ,318.36,percent of total billed charges ,318.36,percent of total billed charges ,295.62,percent of total billed charges ,295.62,percent of total billed charges ,303.2,percent of total billed charges ,303.2,percent of total billed charges ,265.3,percent of total billed charges ,265.3,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,,,,,201.63,percent of total billed charges ,,,,,191.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,
CYTOGENETICS(*),88230,CDM,,,,both,1,each,683,683,191.24,683,683,percent of total billed charges,683,percent of total billed charges,683,percent of total billed charges,683,percent of total billed charges,683,percent of total billed charges,683,percent of total billed charges,683,percent of total billed charges,683,percent of total billed charges,491.76,percent of total billed charges,491.76,percent of total billed charges,491.76,percent of total billed charges,491.76,percent of total billed charges,491.76,percent of total billed charges,491.76,percent of total billed charges,505.42,percent of total billed charges,505.42,percent of total billed charges,546.4,percent of total billed charges,546.4,percent of total billed charges,,,491.76,percent of total billed charges ,,,546.4,percent of total billed charges ,573.72,percent of total billed charges ,573.72,percent of total billed charges ,532.74,percent of total billed charges ,532.74,percent of total billed charges ,546.4,percent of total billed charges ,546.4,percent of total billed charges ,478.1,percent of total billed charges ,478.1,percent of total billed charges ,409.8,percent of total billed charges ,409.8,percent of total billed charges ,409.8,percent of total billed charges ,409.8,percent of total billed charges ,,,,,363.36,percent of total billed charges ,,,,,345.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,,,191.24,percent of total billed charges,
ACID PHOSPHATASE (*),84060,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
VARICELLA TITER(*),86787,CDM,,,,both,1,each,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
IGG(*),82784,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
ANAFRANIL LEVEL(*),80299,CDM,,,,both,1,each,329,329,92.12,329,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,243.46,percent of total billed charges,243.46,percent of total billed charges,263.2,percent of total billed charges,263.2,percent of total billed charges,,,236.88,percent of total billed charges ,,,263.2,percent of total billed charges ,276.36,percent of total billed charges ,276.36,percent of total billed charges ,256.62,percent of total billed charges ,256.62,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,230.3,percent of total billed charges ,230.3,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,,,,,175.03,percent of total billed charges ,,,,,166.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,
AMYLASE FRACTIONATION(*),82150,CDM,,,,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
AMYLASE-URINE,82150,CDM,,,,both,1,each,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
CHRONIC LYMPHATIC FLOW CYTOMETRY*,88182,CDM,,,,both,1,each,632,632,176.96,632,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,467.68,percent of total billed charges,467.68,percent of total billed charges,505.6,percent of total billed charges,505.6,percent of total billed charges,,,455.04,percent of total billed charges ,,,505.6,percent of total billed charges ,530.88,percent of total billed charges ,530.88,percent of total billed charges ,492.96,percent of total billed charges ,492.96,percent of total billed charges ,505.6,percent of total billed charges ,505.6,percent of total billed charges ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,,,,,336.22,percent of total billed charges ,,,,,319.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,
THYROGLOBULIN(*),84432,CDM,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
CKMB QUANTITATIVE,82553,CDM,,,,both,1,each,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
CK MB QUANTITATIVE(WITH INDEX),82553,CDM,,,,both,1,each,273,273,76.44,273,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,202.02,percent of total billed charges,202.02,percent of total billed charges,218.4,percent of total billed charges,218.4,percent of total billed charges,,,196.56,percent of total billed charges ,,,218.4,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,212.94,percent of total billed charges ,212.94,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,,,,,145.24,percent of total billed charges ,,,,,137.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,
RUBELLA,86762,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
CYSTATIN C,82610,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
THYROID BINDING GLOBULIN(*),84442,CDM,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
PMS2 GENE DUP VARIANTS,81319,CDM,,,,both,1,each,"1,223.00","1,223.00",342.44,"1,223.00","1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,905.02,percent of total billed charges,905.02,percent of total billed charges,978.4,percent of total billed charges,978.4,percent of total billed charges,,,880.56,percent of total billed charges ,,,978.4,percent of total billed charges ,"1,027.32",percent of total billed charges ,"1,027.32",percent of total billed charges ,953.94,percent of total billed charges ,953.94,percent of total billed charges ,978.4,percent of total billed charges ,978.4,percent of total billed charges ,856.1,percent of total billed charges ,856.1,percent of total billed charges ,733.8,percent of total billed charges ,733.8,percent of total billed charges ,733.8,percent of total billed charges ,733.8,percent of total billed charges ,,,,,650.64,percent of total billed charges ,,,,,618.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,
CD4 T CELL PHENO(*),88182,CDM,,,,both,1,each,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
ALKALINE PHOSPHATASE,84075,CDM,,,,both,1,each,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
CD4/CD8 LYMPHOCYTE PANEL(*),86360,CDM,,,,both,1,each,396,396,110.88,396,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,,,285.12,percent of total billed charges ,,,316.8,percent of total billed charges ,332.64,percent of total billed charges ,332.64,percent of total billed charges ,308.88,percent of total billed charges ,308.88,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,,,,,210.67,percent of total billed charges ,,,,,200.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,
VIRAL LOAD(*),87536,CDM,,,,both,1,each,686,686,192.08,686,686,percent of total billed charges,686,percent of total billed charges,686,percent of total billed charges,686,percent of total billed charges,686,percent of total billed charges,686,percent of total billed charges,686,percent of total billed charges,686,percent of total billed charges,493.92,percent of total billed charges,493.92,percent of total billed charges,493.92,percent of total billed charges,493.92,percent of total billed charges,493.92,percent of total billed charges,493.92,percent of total billed charges,507.64,percent of total billed charges,507.64,percent of total billed charges,548.8,percent of total billed charges,548.8,percent of total billed charges,,,493.92,percent of total billed charges ,,,548.8,percent of total billed charges ,576.24,percent of total billed charges ,576.24,percent of total billed charges ,535.08,percent of total billed charges ,535.08,percent of total billed charges ,548.8,percent of total billed charges ,548.8,percent of total billed charges ,480.2,percent of total billed charges ,480.2,percent of total billed charges ,411.6,percent of total billed charges ,411.6,percent of total billed charges ,411.6,percent of total billed charges ,411.6,percent of total billed charges ,,,,,364.95,percent of total billed charges ,,,,,346.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,,,192.08,percent of total billed charges,
PSA-FREE(*),84154,CDM,,,,both,1,each,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
**ANTI-NUETROPHIL CYTOPLASMIC ANTIBODY*,83520,CDM,,,,both,1,each,520,520,145.6,520,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,384.8,percent of total billed charges,384.8,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,,,374.4,percent of total billed charges ,,,416,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,405.6,percent of total billed charges ,405.6,percent of total billed charges ,416,percent of total billed charges ,416,percent of total billed charges ,364,percent of total billed charges ,364,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,,,,,276.64,percent of total billed charges ,,,,,262.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,
ALBUMIN SERUM,82040,CDM,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
INSULIN LEVEL(*),83525,CDM,,,,both,1,each,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
ISLET CELL ANTIBODY,86341,CDM,,,,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
METYLPHENIDATE(*),80299,CDM,,,,both,,,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
LEPTOSPIROSIS(*),86720,CDM,,,,both,1,each,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
AMYLASE-SERUM,82150,CDM,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
SEROTONIN SERUM *,84260,CDM,,,,both,1,each,390,390,109.2,390,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,288.6,percent of total billed charges,288.6,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,,,280.8,percent of total billed charges ,,,312,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,304.2,percent of total billed charges ,304.2,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,,,,,207.48,percent of total billed charges ,,,,,197.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,
AMINO ACIDS 2 TO 5 QUALITA EACH(*),82136,CDM,,,,both,1,each,333,333,93.24,333,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,246.42,percent of total billed charges,246.42,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,,,239.76,percent of total billed charges ,,,266.4,percent of total billed charges ,279.72,percent of total billed charges ,279.72,percent of total billed charges ,259.74,percent of total billed charges ,259.74,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,233.1,percent of total billed charges ,233.1,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,,,,,177.16,percent of total billed charges ,,,,,168.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,
PTH RELATED HORMONE(*),83519,CDM,,,,both,1,each,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
ACYLCARNITINE,82017,CDM,,,,both,1,each,417,417,116.76,417,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,308.58,percent of total billed charges,308.58,percent of total billed charges,333.6,percent of total billed charges,333.6,percent of total billed charges,,,300.24,percent of total billed charges ,,,333.6,percent of total billed charges ,350.28,percent of total billed charges ,350.28,percent of total billed charges ,325.26,percent of total billed charges ,325.26,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,291.9,percent of total billed charges ,291.9,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,,,,,221.84,percent of total billed charges ,,,,,210.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,
.TOTAL IRON BINDING CAPACITY,83550,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
SEX HORMONE BINDING GLOBULIN(*),84270,CDM,,,,both,1,each,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
MSH6 GENE DUP VARIANTS,81300,CDM,,,,both,,,"1,179.00","1,179.00",330.12,"1,179.00","1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,872.46,percent of total billed charges,872.46,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,,,848.88,percent of total billed charges ,,,943.2,percent of total billed charges ,990.36,percent of total billed charges ,990.36,percent of total billed charges ,919.62,percent of total billed charges ,919.62,percent of total billed charges ,943.2,percent of total billed charges ,943.2,percent of total billed charges ,825.3,percent of total billed charges ,825.3,percent of total billed charges ,707.4,percent of total billed charges ,707.4,percent of total billed charges ,707.4,percent of total billed charges ,707.4,percent of total billed charges ,,,,,627.23,percent of total billed charges ,,,,,595.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,
MSH6 GENE FULL SEQ,81298,CDM,,,,both,1,each,"1,179.00","1,179.00",330.12,"1,179.00","1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,"1,179.00",percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,848.88,percent of total billed charges,872.46,percent of total billed charges,872.46,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,,,848.88,percent of total billed charges ,,,943.2,percent of total billed charges ,990.36,percent of total billed charges ,990.36,percent of total billed charges ,919.62,percent of total billed charges ,919.62,percent of total billed charges ,943.2,percent of total billed charges ,943.2,percent of total billed charges ,825.3,percent of total billed charges ,825.3,percent of total billed charges ,707.4,percent of total billed charges ,707.4,percent of total billed charges ,707.4,percent of total billed charges ,707.4,percent of total billed charges ,,,,,627.23,percent of total billed charges ,,,,,595.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,,,330.12,percent of total billed charges,
PROPAFENONE(*),82542,CDM,,,,both,1,each,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
BILIRUBIN-TOTAL,82247,CDM,,,,both,1,each,92,92,25.76,92,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,68.08,percent of total billed charges,68.08,percent of total billed charges,73.6,percent of total billed charges,73.6,percent of total billed charges,,,66.24,percent of total billed charges ,,,73.6,percent of total billed charges ,77.28,percent of total billed charges ,77.28,percent of total billed charges ,71.76,percent of total billed charges ,71.76,percent of total billed charges ,73.6,percent of total billed charges ,73.6,percent of total billed charges ,64.4,percent of total billed charges ,64.4,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,,,,,48.94,percent of total billed charges ,,,,,46.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,
PMS2 GENE FULL SEQ ANALYSIS,81317,CDM,,,,both,1,each,"1,223.00","1,223.00",342.44,"1,223.00","1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,"1,223.00",percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,880.56,percent of total billed charges,905.02,percent of total billed charges,905.02,percent of total billed charges,978.4,percent of total billed charges,978.4,percent of total billed charges,,,880.56,percent of total billed charges ,,,978.4,percent of total billed charges ,"1,027.32",percent of total billed charges ,"1,027.32",percent of total billed charges ,953.94,percent of total billed charges ,953.94,percent of total billed charges ,978.4,percent of total billed charges ,978.4,percent of total billed charges ,856.1,percent of total billed charges ,856.1,percent of total billed charges ,733.8,percent of total billed charges ,733.8,percent of total billed charges ,733.8,percent of total billed charges ,733.8,percent of total billed charges ,,,,,650.64,percent of total billed charges ,,,,,618.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,,,342.44,percent of total billed charges,
TISSUE TRNSGLTMNASE EA IG,86364,CDM,,,,both,1,each,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
HISTONE,83516,CDM,,,,both,1,each,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
INSITU HYBRIDIZATION (FISH) ADDITIONAL,88364,CDM,,,,both,1,each,422,422,118.16,422,422,percent of total billed charges,422,percent of total billed charges,422,percent of total billed charges,422,percent of total billed charges,422,percent of total billed charges,422,percent of total billed charges,422,percent of total billed charges,422,percent of total billed charges,303.84,percent of total billed charges,303.84,percent of total billed charges,303.84,percent of total billed charges,303.84,percent of total billed charges,303.84,percent of total billed charges,303.84,percent of total billed charges,312.28,percent of total billed charges,312.28,percent of total billed charges,337.6,percent of total billed charges,337.6,percent of total billed charges,,,303.84,percent of total billed charges ,,,337.6,percent of total billed charges ,354.48,percent of total billed charges ,354.48,percent of total billed charges ,329.16,percent of total billed charges ,329.16,percent of total billed charges ,337.6,percent of total billed charges ,337.6,percent of total billed charges ,295.4,percent of total billed charges ,295.4,percent of total billed charges ,253.2,percent of total billed charges ,253.2,percent of total billed charges ,253.2,percent of total billed charges ,253.2,percent of total billed charges ,,,,,224.5,percent of total billed charges ,,,,,213.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,,,118.16,percent of total billed charges,
TSH SERUM,84443,CDM,,,,both,,,231,231,64.68,231,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,184.8,percent of total billed charges,184.8,percent of total billed charges,,,166.32,percent of total billed charges ,,,184.8,percent of total billed charges ,194.04,percent of total billed charges ,194.04,percent of total billed charges ,180.18,percent of total billed charges ,180.18,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,161.7,percent of total billed charges ,161.7,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,,,,,122.89,percent of total billed charges ,,,,,116.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,
VASOACTIVE INTESTINAL PEPTIDE,84586,CDM,,,,both,,,408,408,114.24,408,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,301.92,percent of total billed charges,301.92,percent of total billed charges,326.4,percent of total billed charges,326.4,percent of total billed charges,,,293.76,percent of total billed charges ,,,326.4,percent of total billed charges ,342.72,percent of total billed charges ,342.72,percent of total billed charges ,318.24,percent of total billed charges ,318.24,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,,,,,217.06,percent of total billed charges ,,,,,206.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,
CYSTIC FIBROSIS PANEL,81223,CDM,,,,both,1,each,971,971,271.88,971,971,percent of total billed charges,971,percent of total billed charges,971,percent of total billed charges,971,percent of total billed charges,971,percent of total billed charges,971,percent of total billed charges,971,percent of total billed charges,971,percent of total billed charges,699.12,percent of total billed charges,699.12,percent of total billed charges,699.12,percent of total billed charges,699.12,percent of total billed charges,699.12,percent of total billed charges,699.12,percent of total billed charges,718.54,percent of total billed charges,718.54,percent of total billed charges,776.8,percent of total billed charges,776.8,percent of total billed charges,,,699.12,percent of total billed charges ,,,776.8,percent of total billed charges ,815.64,percent of total billed charges ,815.64,percent of total billed charges ,757.38,percent of total billed charges ,757.38,percent of total billed charges ,776.8,percent of total billed charges ,776.8,percent of total billed charges ,679.7,percent of total billed charges ,679.7,percent of total billed charges ,582.6,percent of total billed charges ,582.6,percent of total billed charges ,582.6,percent of total billed charges ,582.6,percent of total billed charges ,,,,,516.57,percent of total billed charges ,,,,,490.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,,,271.88,percent of total billed charges,
COLUMN CHROMOTOGRAPHY,82542,CDM,,,,both,,,268,268,75.04,268,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,198.32,percent of total billed charges,198.32,percent of total billed charges,214.4,percent of total billed charges,214.4,percent of total billed charges,,,192.96,percent of total billed charges ,,,214.4,percent of total billed charges ,225.12,percent of total billed charges ,225.12,percent of total billed charges ,209.04,percent of total billed charges ,209.04,percent of total billed charges ,214.4,percent of total billed charges ,214.4,percent of total billed charges ,187.6,percent of total billed charges ,187.6,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,,,,,142.58,percent of total billed charges ,,,,,135.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,
MOPATH PROCEDURE LEVEL 3,81402,CDM,,,,both,1,each,"1,065.00","1,065.00",298.2,"1,065.00","1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,788.1,percent of total billed charges,788.1,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,,,766.8,percent of total billed charges ,,,852,percent of total billed charges ,894.6,percent of total billed charges ,894.6,percent of total billed charges ,830.7,percent of total billed charges ,830.7,percent of total billed charges ,852,percent of total billed charges ,852,percent of total billed charges ,745.5,percent of total billed charges ,745.5,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,,,,,566.58,percent of total billed charges ,,,,,538.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,
BILIRUBIN DIRECT,82248,CDM,,,,both,1,each,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
ALKALOIDS NOS,80323,CDM,,,,both,1,each,369,369,103.32,369,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,369,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,265.68,percent of total billed charges,273.06,percent of total billed charges,273.06,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,,,265.68,percent of total billed charges ,,,295.2,percent of total billed charges ,309.96,percent of total billed charges ,309.96,percent of total billed charges ,287.82,percent of total billed charges ,287.82,percent of total billed charges ,295.2,percent of total billed charges ,295.2,percent of total billed charges ,258.3,percent of total billed charges ,258.3,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,221.4,percent of total billed charges ,,,,,196.31,percent of total billed charges ,,,,,186.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,,,103.32,percent of total billed charges,
ANTIEPILEPTIC NOS,80299,CDM,,,,both,1,each,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
BILE ACIDS TOTAL,82239,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
CELL FUNCTION ASSAY,86352,CDM,,,,both,1,each,538,538,150.64,538,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,538,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,387.36,percent of total billed charges,398.12,percent of total billed charges,398.12,percent of total billed charges,430.4,percent of total billed charges,430.4,percent of total billed charges,,,387.36,percent of total billed charges ,,,430.4,percent of total billed charges ,451.92,percent of total billed charges ,451.92,percent of total billed charges ,419.64,percent of total billed charges ,419.64,percent of total billed charges ,430.4,percent of total billed charges ,430.4,percent of total billed charges ,376.6,percent of total billed charges ,376.6,percent of total billed charges ,322.8,percent of total billed charges ,322.8,percent of total billed charges ,322.8,percent of total billed charges ,322.8,percent of total billed charges ,,,,,286.22,percent of total billed charges ,,,,,271.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,,,150.64,percent of total billed charges,
BILIRUBIN-NEWBORN,82247,CDM,,,,both,1,each,92,92,25.76,92,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,68.08,percent of total billed charges,68.08,percent of total billed charges,73.6,percent of total billed charges,73.6,percent of total billed charges,,,66.24,percent of total billed charges ,,,73.6,percent of total billed charges ,77.28,percent of total billed charges ,77.28,percent of total billed charges ,71.76,percent of total billed charges ,71.76,percent of total billed charges ,73.6,percent of total billed charges ,73.6,percent of total billed charges ,64.4,percent of total billed charges ,64.4,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,,,,,48.94,percent of total billed charges ,,,,,46.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,
INTRINSIC FACTOR ANTIBODY,86340,CDM,,,,both,,,165,165,46.2,165,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,,,118.8,percent of total billed charges ,,,132,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,128.7,percent of total billed charges ,128.7,percent of total billed charges ,132,percent of total billed charges ,132,percent of total billed charges ,115.5,percent of total billed charges ,115.5,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,,,,,87.78,percent of total billed charges ,,,,,83.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,
CALRECTICULILN GENE MUTATION,81219,CDM,,,,both,1,each,360,360,100.8,360,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,,,259.2,percent of total billed charges ,,,288,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,288,percent of total billed charges ,288,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,,,,,191.52,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,
URINE STONE RISK PROFILE(*),82365,CDM,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
HEMOGLOBIN A2(*),83021,CDM,,,,both,1,each,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
CALCIUM-TOTAL,82310,CDM,,,,both,1,each,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
CHAMYDIA PSITTACI ANTIBODY,86631,CDM,,,,both,1,each,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
PYRUVIC ACID,84210,CDM,,,,both,1,each,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
WEST NILE VIRUS,86789,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
ANCA TITER,86037,CDM,,,,both,1,each,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
CARBON MONOXIDE,82375,CDM,,,,both,1,each,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
TOTAL T3,84480,CDM,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
UREA CLEARANCE,84540,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
CHLORIDES URINE,82436,CDM,,,,both,1,each,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
METHYLMALONIC ACID(*),83921,CDM,,,,both,1,each,252,252,70.56,252,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,,,181.44,percent of total billed charges ,,,201.6,percent of total billed charges ,211.68,percent of total billed charges ,211.68,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,127.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,
ADENOVIRUS ANTIBODY,86603,CDM,,,,both,1,each,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
EVEROLIMUS,80169,CDM,,,,both,1,each,329,329,92.12,329,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,243.46,percent of total billed charges,243.46,percent of total billed charges,263.2,percent of total billed charges,263.2,percent of total billed charges,,,236.88,percent of total billed charges ,,,263.2,percent of total billed charges ,276.36,percent of total billed charges ,276.36,percent of total billed charges ,256.62,percent of total billed charges ,256.62,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,230.3,percent of total billed charges ,230.3,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,,,,,175.03,percent of total billed charges ,,,,,166.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,
METHOTREXATE DRUG,80204,CDM,,,,both,1,each,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
HDL,83718,CDM,,,,both,1,each,111,111,31.08,111,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,82.14,percent of total billed charges,82.14,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,,,79.92,percent of total billed charges ,,,88.8,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,,,,,59.05,percent of total billed charges ,,,,,56.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,
HAMS ACID TEST(*),85475,CDM,,,,both,1,each,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
T4,84436,CDM,,,,both,1,each,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
TRYPSIN-STOOL(*),84488,CDM,,,,both,1,each,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
HEMOCHROMATOSIS MUTATION,81256,CDM,,,,both,,,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
CHOLESTEROL,82465,CDM,,,,both,,,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
LIPOPROTEIN BLD QUANT,83704,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
GLUCAGON,82943,CDM,,,,both,,,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
CO2 CONTENT,82374,CDM,,,,both,1,each,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
CALCIUM-IONIZED(*),82330,CDM,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
CPK,82550,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
**CPK WITH CKMB (ER USE ONLY),82550,CDM,,,,both,1,each,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
HEPATITIS B CORE AB,86704,CDM,,,,both,1,each,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
HEPATITIS B CORE AB,87350,CDM,,,,both,1,each,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
VARICELLA ZOSTER AG IF,87290,CDM,,,,both,1,each,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
CREATININE-BLOOD,82565,CDM,,,,both,1,each,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
HIGH SENSITIVITY TROPONIN,84484,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
CADMIUM,82300,CDM,,,,both,,,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
CREATININE CLEARANCE 24 HOUR URINE,82575,CDM,,,,both,1,each,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
CRYOGLOBULINS(*),82595,CDM,,,,both,1,each,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
**VOLUME MEASUREMENT TIMED COLLECTION,81050,CDM,,,,both,1,each,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
ELECTROPH-PROTEIN SERUM(*),84165,CDM,,,,both,1,each,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
GABITRIL LEVEL(*),80299,CDM,,,,both,1,each,329,329,92.12,329,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,243.46,percent of total billed charges,243.46,percent of total billed charges,263.2,percent of total billed charges,263.2,percent of total billed charges,,,236.88,percent of total billed charges ,,,263.2,percent of total billed charges ,276.36,percent of total billed charges ,276.36,percent of total billed charges ,256.62,percent of total billed charges ,256.62,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,230.3,percent of total billed charges ,230.3,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,,,,,175.03,percent of total billed charges ,,,,,166.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,
EHRLICHIA ANTIBODY,86666,CDM,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
"HEPATITIS B CORE ANTIBODY (HBcAb), IgMab",86705,CDM,,,,both,1,each,182,182,50.96,182,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,134.68,percent of total billed charges,134.68,percent of total billed charges,145.6,percent of total billed charges,145.6,percent of total billed charges,,,131.04,percent of total billed charges ,,,145.6,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,145.6,percent of total billed charges ,145.6,percent of total billed charges ,127.4,percent of total billed charges ,127.4,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,,,,,96.82,percent of total billed charges ,,,,,91.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,
INFECTION SCREEN W/WESTERN BLOT(*),86689,CDM,,,,both,1,each,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
JAK 2 GENE MUTATION,81270,CDM,,,,both,1,each,835,835,233.8,835,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,835,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,601.2,percent of total billed charges,617.9,percent of total billed charges,617.9,percent of total billed charges,668,percent of total billed charges,668,percent of total billed charges,,,601.2,percent of total billed charges ,,,668,percent of total billed charges ,701.4,percent of total billed charges ,701.4,percent of total billed charges ,651.3,percent of total billed charges ,651.3,percent of total billed charges ,668,percent of total billed charges ,668,percent of total billed charges ,584.5,percent of total billed charges ,584.5,percent of total billed charges ,501,percent of total billed charges ,501,percent of total billed charges ,501,percent of total billed charges ,501,percent of total billed charges ,,,,,444.22,percent of total billed charges ,,,,,422.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,,,233.8,percent of total billed charges,
IGHV MUTATION ANALYSIS,81263,CDM,,,,both,1,each,"1,102.00","1,102.00",308.56,"1,102.00","1,102.00",percent of total billed charges,"1,102.00",percent of total billed charges,"1,102.00",percent of total billed charges,"1,102.00",percent of total billed charges,"1,102.00",percent of total billed charges,"1,102.00",percent of total billed charges,"1,102.00",percent of total billed charges,"1,102.00",percent of total billed charges,793.44,percent of total billed charges,793.44,percent of total billed charges,793.44,percent of total billed charges,793.44,percent of total billed charges,793.44,percent of total billed charges,793.44,percent of total billed charges,815.48,percent of total billed charges,815.48,percent of total billed charges,881.6,percent of total billed charges,881.6,percent of total billed charges,,,793.44,percent of total billed charges ,,,881.6,percent of total billed charges ,925.68,percent of total billed charges ,925.68,percent of total billed charges ,859.56,percent of total billed charges ,859.56,percent of total billed charges ,881.6,percent of total billed charges ,881.6,percent of total billed charges ,771.4,percent of total billed charges ,771.4,percent of total billed charges ,661.2,percent of total billed charges ,661.2,percent of total billed charges ,661.2,percent of total billed charges ,661.2,percent of total billed charges ,,,,,586.26,percent of total billed charges ,,,,,556.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,,,308.56,percent of total billed charges,
ELECTROPHORETIC TEST,82664,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
MPL GENE Common Variants,81338,CDM,,,,both,1,each,511,511,143.08,511,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,378.14,percent of total billed charges,378.14,percent of total billed charges,408.8,percent of total billed charges,408.8,percent of total billed charges,,,367.92,percent of total billed charges ,,,408.8,percent of total billed charges ,429.24,percent of total billed charges ,429.24,percent of total billed charges ,398.58,percent of total billed charges ,398.58,percent of total billed charges ,408.8,percent of total billed charges ,408.8,percent of total billed charges ,357.7,percent of total billed charges ,357.7,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,,,,,271.85,percent of total billed charges ,,,,,258.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,
ENZYME CELL ACTIVITY RA,82658,CDM,,,,both,,,577,577,161.56,577,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,577,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,415.44,percent of total billed charges,426.98,percent of total billed charges,426.98,percent of total billed charges,461.6,percent of total billed charges,461.6,percent of total billed charges,,,415.44,percent of total billed charges ,,,461.6,percent of total billed charges ,484.68,percent of total billed charges ,484.68,percent of total billed charges ,450.06,percent of total billed charges ,450.06,percent of total billed charges ,461.6,percent of total billed charges ,461.6,percent of total billed charges ,403.9,percent of total billed charges ,403.9,percent of total billed charges ,346.2,percent of total billed charges ,346.2,percent of total billed charges ,346.2,percent of total billed charges ,346.2,percent of total billed charges ,,,,,306.96,percent of total billed charges ,,,,,291.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,,,161.56,percent of total billed charges,
GLUCOSE,82947,CDM,,,,both,1,each,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
ISOENZYMES LDH(*),83625,CDM,,,,both,1,each,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
IODINE,83018,CDM,,,,both,1,each,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
FETAL CHROMOML ANEUPLOIDY,81420,CDM,,,,both,1,each,"1,978.00","1,978.00",553.84,"1,978.00","1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,978.00",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,424.16",percent of total billed charges,"1,463.72",percent of total billed charges,"1,463.72",percent of total billed charges,"1,582.40",percent of total billed charges,"1,582.40",percent of total billed charges,,,"1,424.16",percent of total billed charges ,,,"1,582.40",percent of total billed charges ,"1,661.52",percent of total billed charges ,"1,661.52",percent of total billed charges ,"1,542.84",percent of total billed charges ,"1,542.84",percent of total billed charges ,"1,582.40",percent of total billed charges ,"1,582.40",percent of total billed charges ,"1,384.60",percent of total billed charges ,"1,384.60",percent of total billed charges ,"1,186.80",percent of total billed charges ,"1,186.80",percent of total billed charges ,"1,186.80",percent of total billed charges ,"1,186.80",percent of total billed charges ,,,,,"1,052.30",percent of total billed charges ,,,,,999.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,,,553.84,percent of total billed charges,
FETAL CHROMOML MICRODEL TJ,81422,CDM,,,,both,,,"1,461.00","1,461.00",409.08,"1,461.00","1,461.00",percent of total billed charges,"1,461.00",percent of total billed charges,"1,461.00",percent of total billed charges,"1,461.00",percent of total billed charges,"1,461.00",percent of total billed charges,"1,461.00",percent of total billed charges,"1,461.00",percent of total billed charges,"1,461.00",percent of total billed charges,"1,051.92",percent of total billed charges,"1,051.92",percent of total billed charges,"1,051.92",percent of total billed charges,"1,051.92",percent of total billed charges,"1,051.92",percent of total billed charges,"1,051.92",percent of total billed charges,"1,081.14",percent of total billed charges,"1,081.14",percent of total billed charges,"1,168.80",percent of total billed charges,"1,168.80",percent of total billed charges,,,"1,051.92",percent of total billed charges ,,,"1,168.80",percent of total billed charges ,"1,227.24",percent of total billed charges ,"1,227.24",percent of total billed charges ,"1,139.58",percent of total billed charges ,"1,139.58",percent of total billed charges ,"1,168.80",percent of total billed charges ,"1,168.80",percent of total billed charges ,"1,022.70",percent of total billed charges ,"1,022.70",percent of total billed charges ,876.6,percent of total billed charges ,876.6,percent of total billed charges ,876.6,percent of total billed charges ,876.6,percent of total billed charges ,,,,,777.25,percent of total billed charges ,,,,,738.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,,,409.08,percent of total billed charges,
CPK ISOENYZMES,82552,CDM,,,,both,1,each,198,198,55.44,198,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,146.52,percent of total billed charges,146.52,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,,,142.56,percent of total billed charges ,,,158.4,percent of total billed charges ,166.32,percent of total billed charges ,166.32,percent of total billed charges ,154.44,percent of total billed charges ,154.44,percent of total billed charges ,158.4,percent of total billed charges ,158.4,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,,,,,105.34,percent of total billed charges ,,,,,100.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,
PLASMIN INHIBITOR ALPHA 2 (*),85410,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
PLASMINOGEN(*),85420,CDM,,,,both,,,254,254,71.12,254,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,187.96,percent of total billed charges,187.96,percent of total billed charges,203.2,percent of total billed charges,203.2,percent of total billed charges,,,182.88,percent of total billed charges ,,,203.2,percent of total billed charges ,213.36,percent of total billed charges ,213.36,percent of total billed charges ,198.12,percent of total billed charges ,198.12,percent of total billed charges ,203.2,percent of total billed charges ,203.2,percent of total billed charges ,177.8,percent of total billed charges ,177.8,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,,,,,135.13,percent of total billed charges ,,,,,128.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,
PROGRAF LEVEL (FK 506)(*),80197,CDM,,,,both,1,each,280,280,78.4,280,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,224,percent of total billed charges,224,percent of total billed charges,,,201.6,percent of total billed charges ,,,224,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,224,percent of total billed charges ,224,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,,,,,148.96,percent of total billed charges ,,,,,141.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,,,78.4,percent of total billed charges,
**ARTHRITIS PROFILE,80072,CDM,,,,both,1,each,410,410,114.8,410,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,303.4,percent of total billed charges,303.4,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,,,295.2,percent of total billed charges ,,,328,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,328,percent of total billed charges ,328,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,,,,,218.12,percent of total billed charges ,,,,,207.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,
ASSAY OF INSULIN,83527,CDM,,,,both,1,each,152,152,42.56,152,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,112.48,percent of total billed charges,112.48,percent of total billed charges,121.6,percent of total billed charges,121.6,percent of total billed charges,,,109.44,percent of total billed charges ,,,121.6,percent of total billed charges ,127.68,percent of total billed charges ,127.68,percent of total billed charges ,118.56,percent of total billed charges ,118.56,percent of total billed charges ,121.6,percent of total billed charges ,121.6,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,,,,,80.86,percent of total billed charges ,,,,,76.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,
OPIOIDS AND OPIATE ANALOGS,80362,CDM,,,,both,1,each,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
ASSAY THIOPURIN S-MTHYLTRNSFRS,84433,CDM,,,,both,1,each,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
CA - 125(*),86304,CDM,,,,both,1,each,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
OPIATES (*),80361,CDM,,,,both,1,each,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
RAPAMYCIN(*),80195,CDM,,,,both,1,each,298,298,83.44,298,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,220.52,percent of total billed charges,220.52,percent of total billed charges,238.4,percent of total billed charges,238.4,percent of total billed charges,,,214.56,percent of total billed charges ,,,238.4,percent of total billed charges ,250.32,percent of total billed charges ,250.32,percent of total billed charges ,232.44,percent of total billed charges ,232.44,percent of total billed charges ,238.4,percent of total billed charges ,238.4,percent of total billed charges ,208.6,percent of total billed charges ,208.6,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,,,,,158.54,percent of total billed charges ,,,,,150.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,
RENAL PANEL,80069,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
BASIC METABOLIC PANEL,80048,CDM,,,,both,,,265,265,74.2,265,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,196.1,percent of total billed charges,196.1,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,,,190.8,percent of total billed charges ,,,212,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,206.7,percent of total billed charges ,206.7,percent of total billed charges ,212,percent of total billed charges ,212,percent of total billed charges ,185.5,percent of total billed charges ,185.5,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,,,,,140.98,percent of total billed charges ,,,,,133.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,
COMPLETE METABOLIC PANEL,80053,CDM,,,,both,1,each,338,338,94.64,338,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,250.12,percent of total billed charges,250.12,percent of total billed charges,270.4,percent of total billed charges,270.4,percent of total billed charges,,,243.36,percent of total billed charges ,,,270.4,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,263.64,percent of total billed charges ,263.64,percent of total billed charges ,270.4,percent of total billed charges ,270.4,percent of total billed charges ,236.6,percent of total billed charges ,236.6,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,,,,,179.82,percent of total billed charges ,,,,,170.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,
HEPATIC PROFILE,80076,CDM,,,,both,1,each,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
IGM(*),82784,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
OSMOLALITY BLOOD,83930,CDM,,,,both,,,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
CYTOGENETICS & MOLECULAR CYTOGENETIC*,88291,CDM,,,,both,1,each,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
ROCKY MOUNTAIN-ANTIBODY(*),86757,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
CYTOGENETICS DNA PROBE,88271,CDM,,,,both,1,each,254,254,71.12,254,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,187.96,percent of total billed charges,187.96,percent of total billed charges,203.2,percent of total billed charges,203.2,percent of total billed charges,,,182.88,percent of total billed charges ,,,203.2,percent of total billed charges ,213.36,percent of total billed charges ,213.36,percent of total billed charges ,198.12,percent of total billed charges ,198.12,percent of total billed charges ,203.2,percent of total billed charges ,203.2,percent of total billed charges ,177.8,percent of total billed charges ,177.8,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,,,,,135.13,percent of total billed charges ,,,,,128.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,
RIA NONANTIBODY,83519,CDM,,,,both,1,each,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
GENERAL HEALTH PANEL,80050,CDM,,,,both,1,each,410,410,114.8,410,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,303.4,percent of total billed charges,303.4,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,,,295.2,percent of total billed charges ,,,328,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,328,percent of total billed charges ,328,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,,,,,218.12,percent of total billed charges ,,,,,207.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,
CYTOGENETICS 10-30,88273,CDM,,,,both,1,each,450,450,126,450,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,324,percent of total billed charges ,,,360,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,360,percent of total billed charges ,360,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,,,,,239.4,percent of total billed charges ,,,,,227.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,
FUNGUS ANTIBODY,86671,CDM,,,,both,,,183,183,51.24,183,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,135.42,percent of total billed charges,135.42,percent of total billed charges,146.4,percent of total billed charges,146.4,percent of total billed charges,,,131.76,percent of total billed charges ,,,146.4,percent of total billed charges ,153.72,percent of total billed charges ,153.72,percent of total billed charges ,142.74,percent of total billed charges ,142.74,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,128.1,percent of total billed charges ,128.1,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,,,,,97.36,percent of total billed charges ,,,,,92.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,
FLOURESCENT AB SCREEN,86255,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
THEOPHYLLINE,80198,CDM,,,,both,1,each,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
CYTOGEN M ARRAY,81229,CDM,,,,both,,,"4,600.00","4,600.00","1,288.00","4,600.00","4,600.00",percent of total billed charges,"4,600.00",percent of total billed charges,"4,600.00",percent of total billed charges,"4,600.00",percent of total billed charges,"4,600.00",percent of total billed charges,"4,600.00",percent of total billed charges,"4,600.00",percent of total billed charges,"4,600.00",percent of total billed charges,"3,312.00",percent of total billed charges,"3,312.00",percent of total billed charges,"3,312.00",percent of total billed charges,"3,312.00",percent of total billed charges,"3,312.00",percent of total billed charges,"3,312.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,680.00",percent of total billed charges,"3,680.00",percent of total billed charges,,,"3,312.00",percent of total billed charges ,,,"3,680.00",percent of total billed charges ,"3,864.00",percent of total billed charges ,"3,864.00",percent of total billed charges ,"3,588.00",percent of total billed charges ,"3,588.00",percent of total billed charges ,"3,680.00",percent of total billed charges ,"3,680.00",percent of total billed charges ,"3,220.00",percent of total billed charges ,"3,220.00",percent of total billed charges ,"2,760.00",percent of total billed charges ,"2,760.00",percent of total billed charges ,"2,760.00",percent of total billed charges ,"2,760.00",percent of total billed charges ,,,,,"2,447.20",percent of total billed charges ,,,,,"2,324.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,,,"1,288.00",percent of total billed charges,
CHLMYD PNEUM DNA AMP PROBE,87486,CDM,,,,both,1,each,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
M. PNEUMON DNA AMP PROBE,87581,CDM,,,,both,1,each,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
HISTOPLASMIN(*),86698,CDM,,,,both,1,each,120,120,33.6,120,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,,,86.4,percent of total billed charges ,,,96,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,96,percent of total billed charges ,96,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,,,,,63.84,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,
PHENOBARBITAL,80184,CDM,,,,both,1,each,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
C1 ESTERASE(*),86161,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
**TUBERCULIN TINE,86580,CDM,,,,both,1,each,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
LACTIC ACID,83605,CDM,,,,both,1,each,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
HERPES SIMPLEX VIRUS BY PCR(*),87529,CDM,,,,both,1,each,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
**ENTEROVIRUS BY PCR(*),87498,CDM,,,,both,1,each,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
MURAMIDASE,85549,CDM,,,,both,1,each,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
TUBERCULIN INTRADERMAL,86580,CDM,,,,both,1,each,60,60,16.8,60,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,44.4,percent of total billed charges,44.4,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,,,43.2,percent of total billed charges ,,,48,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,,,,,31.92,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,
METHEMOGLOBIN,83050,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
ESTROGEN RECEPTOR ASSAY(*),84233,CDM,,,,both,1,each,708,708,198.24,708,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,523.92,percent of total billed charges,523.92,percent of total billed charges,566.4,percent of total billed charges,566.4,percent of total billed charges,,,509.76,percent of total billed charges ,,,566.4,percent of total billed charges ,594.72,percent of total billed charges ,594.72,percent of total billed charges ,552.24,percent of total billed charges ,552.24,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,,,,,376.66,percent of total billed charges ,,,,,357.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,
**PROGESTERONE RECEPTOR ASSAY,84234,CDM,,,,both,1,each,596,596,166.88,596,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,441.04,percent of total billed charges,441.04,percent of total billed charges,476.8,percent of total billed charges,476.8,percent of total billed charges,,,429.12,percent of total billed charges ,,,476.8,percent of total billed charges ,500.64,percent of total billed charges ,500.64,percent of total billed charges ,464.88,percent of total billed charges ,464.88,percent of total billed charges ,476.8,percent of total billed charges ,476.8,percent of total billed charges ,417.2,percent of total billed charges ,417.2,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,,,,,317.07,percent of total billed charges ,,,,,301.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,
CHLORIDES-SP FLUID,82438,CDM,,,,both,1,each,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
DRUG CONFIRMATION(*),80307,CDM,,,,both,1,each,255,255,71.4,255,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,255,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,183.6,percent of total billed charges,188.7,percent of total billed charges,188.7,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,,,183.6,percent of total billed charges ,,,204,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,198.9,percent of total billed charges ,198.9,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,178.5,percent of total billed charges ,178.5,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,153,percent of total billed charges ,,,,,135.66,percent of total billed charges ,,,,,128.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,,,71.4,percent of total billed charges,
PROTEIN C(*),85303,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
PROTEIN STERILE BODY FLUID,84157,CDM,,,,both,1,each,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
PROTEIN S(*),85306,CDM,,,,both,1,each,362,362,101.36,362,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,362,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,260.64,percent of total billed charges,267.88,percent of total billed charges,267.88,percent of total billed charges,289.6,percent of total billed charges,289.6,percent of total billed charges,,,260.64,percent of total billed charges ,,,289.6,percent of total billed charges ,304.08,percent of total billed charges ,304.08,percent of total billed charges ,282.36,percent of total billed charges ,282.36,percent of total billed charges ,289.6,percent of total billed charges ,289.6,percent of total billed charges ,253.4,percent of total billed charges ,253.4,percent of total billed charges ,217.2,percent of total billed charges ,217.2,percent of total billed charges ,217.2,percent of total billed charges ,217.2,percent of total billed charges ,,,,,192.58,percent of total billed charges ,,,,,182.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,,,101.36,percent of total billed charges,
PROTEIN CSF,83873,CDM,,,,both,1,each,273,273,76.44,273,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,202.02,percent of total billed charges,202.02,percent of total billed charges,218.4,percent of total billed charges,218.4,percent of total billed charges,,,196.56,percent of total billed charges ,,,218.4,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,212.94,percent of total billed charges ,212.94,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,,,,,145.24,percent of total billed charges ,,,,,137.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,
CLOT INHIBIT PROT C ANTIGEN,85302,CDM,,,,both,1,each,243,243,68.04,243,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,179.82,percent of total billed charges,179.82,percent of total billed charges,194.4,percent of total billed charges,194.4,percent of total billed charges,,,174.96,percent of total billed charges ,,,194.4,percent of total billed charges ,204.12,percent of total billed charges ,204.12,percent of total billed charges ,189.54,percent of total billed charges ,189.54,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,170.1,percent of total billed charges ,170.1,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,,,,,129.28,percent of total billed charges ,,,,,122.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,
ANTITHROMBIN III,85301,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
GLUCOSE-SPINAL FLUID,82945,CDM,,,,both,1,each,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
TOBRAMYCIN TROUGH,80200,CDM,,,,both,1,each,243,243,68.04,243,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,179.82,percent of total billed charges,179.82,percent of total billed charges,194.4,percent of total billed charges,194.4,percent of total billed charges,,,174.96,percent of total billed charges ,,,194.4,percent of total billed charges ,204.12,percent of total billed charges ,204.12,percent of total billed charges ,189.54,percent of total billed charges ,189.54,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,170.1,percent of total billed charges ,170.1,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,,,,,129.28,percent of total billed charges ,,,,,122.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,
MTHFR GENE,81291,CDM,,,,both,1,each,738,738,206.64,738,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,546.12,percent of total billed charges,546.12,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,,,531.36,percent of total billed charges ,,,590.4,percent of total billed charges ,619.92,percent of total billed charges ,619.92,percent of total billed charges ,575.64,percent of total billed charges ,575.64,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,516.6,percent of total billed charges ,516.6,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,,,,,392.62,percent of total billed charges ,,,,,372.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,
C KIT MUTATION ANALYSIS,81404,CDM,,,,both,1,each,"1,754.00","1,754.00",491.12,"1,754.00","1,754.00",percent of total billed charges,"1,754.00",percent of total billed charges,"1,754.00",percent of total billed charges,"1,754.00",percent of total billed charges,"1,754.00",percent of total billed charges,"1,754.00",percent of total billed charges,"1,754.00",percent of total billed charges,"1,754.00",percent of total billed charges,"1,262.88",percent of total billed charges,"1,262.88",percent of total billed charges,"1,262.88",percent of total billed charges,"1,262.88",percent of total billed charges,"1,262.88",percent of total billed charges,"1,262.88",percent of total billed charges,"1,297.96",percent of total billed charges,"1,297.96",percent of total billed charges,"1,403.20",percent of total billed charges,"1,403.20",percent of total billed charges,,,"1,262.88",percent of total billed charges ,,,"1,403.20",percent of total billed charges ,"1,473.36",percent of total billed charges ,"1,473.36",percent of total billed charges ,"1,368.12",percent of total billed charges ,"1,368.12",percent of total billed charges ,"1,403.20",percent of total billed charges ,"1,403.20",percent of total billed charges ,"1,227.80",percent of total billed charges ,"1,227.80",percent of total billed charges ,"1,052.40",percent of total billed charges ,"1,052.40",percent of total billed charges ,"1,052.40",percent of total billed charges ,"1,052.40",percent of total billed charges ,,,,,933.13,percent of total billed charges ,,,,,886.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,,,491.12,percent of total billed charges,
C2 COMPLEMENT(*),86160,CDM,,,,both,1,each,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
C3 COMPLEMENT TEST(*),86160,CDM,,,,both,1,each,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
TULAREMIA TITER(*),86668,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
**HEPATITIS C PCR(*),87521,CDM,,,,both,1,each,576,576,161.28,576,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,414.72,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,460.8,percent of total billed charges,460.8,percent of total billed charges,,,414.72,percent of total billed charges ,,,460.8,percent of total billed charges ,483.84,percent of total billed charges ,483.84,percent of total billed charges ,449.28,percent of total billed charges ,449.28,percent of total billed charges ,460.8,percent of total billed charges ,460.8,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,345.6,percent of total billed charges ,,,,,306.43,percent of total billed charges ,,,,,291.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,,,161.28,percent of total billed charges,
HEPATITIS PANEL(*),80074,CDM,,,,both,1,each,684,684,191.52,684,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,492.48,percent of total billed charges,506.16,percent of total billed charges,506.16,percent of total billed charges,547.2,percent of total billed charges,547.2,percent of total billed charges,,,492.48,percent of total billed charges ,,,547.2,percent of total billed charges ,574.56,percent of total billed charges ,574.56,percent of total billed charges ,533.52,percent of total billed charges ,533.52,percent of total billed charges ,547.2,percent of total billed charges ,547.2,percent of total billed charges ,478.8,percent of total billed charges ,478.8,percent of total billed charges ,410.4,percent of total billed charges ,410.4,percent of total billed charges ,410.4,percent of total billed charges ,410.4,percent of total billed charges ,,,,,363.89,percent of total billed charges ,,,,,345.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,,,191.52,percent of total billed charges,
EBV CAPSID(*),86665,CDM,,,,both,1,each,211,211,59.08,211,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,156.14,percent of total billed charges,156.14,percent of total billed charges,168.8,percent of total billed charges,168.8,percent of total billed charges,,,151.92,percent of total billed charges ,,,168.8,percent of total billed charges ,177.24,percent of total billed charges ,177.24,percent of total billed charges ,164.58,percent of total billed charges ,164.58,percent of total billed charges ,168.8,percent of total billed charges ,168.8,percent of total billed charges ,147.7,percent of total billed charges ,147.7,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,,,,,112.25,percent of total billed charges ,,,,,106.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,
IMMUNE COMPLEX ASSAY,86332,CDM,,,,both,1,each,252,252,70.56,252,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,,,181.44,percent of total billed charges ,,,201.6,percent of total billed charges ,211.68,percent of total billed charges ,211.68,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,127.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,
PTH INTACT(*),83970,CDM,,,,both,1,each,474,474,132.72,474,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,350.76,percent of total billed charges,350.76,percent of total billed charges,379.2,percent of total billed charges,379.2,percent of total billed charges,,,341.28,percent of total billed charges ,,,379.2,percent of total billed charges ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,,,,,252.17,percent of total billed charges ,,,,,239.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,
CERULOPLASMIN,82390,CDM,,,,both,1,each,140,140,39.2,140,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,103.6,percent of total billed charges,103.6,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,,,100.8,percent of total billed charges ,,,112,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,112,percent of total billed charges ,112,percent of total billed charges ,98,percent of total billed charges ,98,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,,,,,74.48,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,
ANTI-CARDIOLIPIN ANTIBODY(*),86147,CDM,,,,both,,,193,193,54.04,193,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,142.82,percent of total billed charges,142.82,percent of total billed charges,154.4,percent of total billed charges,154.4,percent of total billed charges,,,138.96,percent of total billed charges ,,,154.4,percent of total billed charges ,162.12,percent of total billed charges ,162.12,percent of total billed charges ,150.54,percent of total billed charges ,150.54,percent of total billed charges ,154.4,percent of total billed charges ,154.4,percent of total billed charges ,135.1,percent of total billed charges ,135.1,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,,,,,102.68,percent of total billed charges ,,,,,97.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,
HISTOPLASMOSIS(*),86510,CDM,,,,both,1,each,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
Special Stain for inclusion bodies(*),87207,CDM,,,,both,1,each,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
ELECTROLYTES,80051,CDM,,,,both,1,each,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
C4 COMPLEMENT TEST(*),86160,CDM,,,,both,1,each,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
CH 50(*),86162,CDM,,,,both,1,each,329,329,92.12,329,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,329,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,236.88,percent of total billed charges,243.46,percent of total billed charges,243.46,percent of total billed charges,263.2,percent of total billed charges,263.2,percent of total billed charges,,,236.88,percent of total billed charges ,,,263.2,percent of total billed charges ,276.36,percent of total billed charges ,276.36,percent of total billed charges ,256.62,percent of total billed charges ,256.62,percent of total billed charges ,263.2,percent of total billed charges ,263.2,percent of total billed charges ,230.3,percent of total billed charges ,230.3,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,,,,,175.03,percent of total billed charges ,,,,,166.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,,,92.12,percent of total billed charges,
ANTI HISTONE ANTIBODY(*),86255,CDM,,,,both,1,each,287,287,80.36,287,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,212.38,percent of total billed charges,212.38,percent of total billed charges,229.6,percent of total billed charges,229.6,percent of total billed charges,,,206.64,percent of total billed charges ,,,229.6,percent of total billed charges ,241.08,percent of total billed charges ,241.08,percent of total billed charges ,223.86,percent of total billed charges ,223.86,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,200.9,percent of total billed charges ,200.9,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,,,,,152.68,percent of total billed charges ,,,,,145.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,
SPECKLED ANTIBODY(*),86235,CDM,,,,both,1,each,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
SGOT (AST),84450,CDM,,,,both,1,each,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
THORAZINE LEVEL(*),80299,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
SULFA LEVEL(*),80299,CDM,,,,both,1,each,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
ANTI MICROSOMAL ANTIBODIES(*),86376,CDM,,,,both,1,each,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
ANTI-MITOCHONDRIAL ANTIBODIES(*),86381,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
SGPT (ALT),84460,CDM,,,,both,1,each,79,79,22.12,79,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,63.2,percent of total billed charges,63.2,percent of total billed charges,,,56.88,percent of total billed charges ,,,63.2,percent of total billed charges ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,,,,,42.03,percent of total billed charges ,,,,,39.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,
URINE PORPHYRINS(*),84120,CDM,,,,both,1,each,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
C1 INHIBITOR COMPENMENT ANTIGEN,86160,CDM,,,,both,1,each,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
TRAMADOL,80373,CDM,,,,both,1,each,60,60,16.8,60,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,44.4,percent of total billed charges,44.4,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,,,43.2,percent of total billed charges ,,,48,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,,,,,31.92,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,
LDH,83615,CDM,,,,both,1,each,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
ORGANIC ACIDS(*),83918,CDM,,,,both,1,each,454,454,127.12,454,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,335.96,percent of total billed charges,335.96,percent of total billed charges,363.2,percent of total billed charges,363.2,percent of total billed charges,,,326.88,percent of total billed charges ,,,363.2,percent of total billed charges ,381.36,percent of total billed charges ,381.36,percent of total billed charges ,354.12,percent of total billed charges ,354.12,percent of total billed charges ,363.2,percent of total billed charges ,363.2,percent of total billed charges ,317.8,percent of total billed charges ,317.8,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,,,,,241.53,percent of total billed charges ,,,,,229.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,
OLIGOSSACCHARIDE SUGARS,84377,CDM,,,,both,1,each,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
IMMUNOELECTROPHORESIS-SERUM(*),86334,CDM,,,,both,1,each,298,298,83.44,298,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,220.52,percent of total billed charges,220.52,percent of total billed charges,238.4,percent of total billed charges,238.4,percent of total billed charges,,,214.56,percent of total billed charges ,,,238.4,percent of total billed charges ,250.32,percent of total billed charges ,250.32,percent of total billed charges ,232.44,percent of total billed charges ,232.44,percent of total billed charges ,238.4,percent of total billed charges ,238.4,percent of total billed charges ,208.6,percent of total billed charges ,208.6,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,,,,,158.54,percent of total billed charges ,,,,,150.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,
SODIUM-SERUM,84295,CDM,,,,both,1,each,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
**IMMUNOELECTROPHORESIS-URINE (*),86325,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
IMMUNFIX E-PHORSIS/URINE/CSF (*),86335,CDM,,,,both,1,each,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
TOTAL PROTEIN,84155,CDM,,,,both,1,each,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
IMMUNOGLOBULIN IGG(*),82784,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
TRANSFERRIN,84466,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
NEUROTIN-GABAPENTIN,80299,CDM,,,,both,1,each,278,278,77.84,278,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,278,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,200.16,percent of total billed charges,205.72,percent of total billed charges,205.72,percent of total billed charges,222.4,percent of total billed charges,222.4,percent of total billed charges,,,200.16,percent of total billed charges ,,,222.4,percent of total billed charges ,233.52,percent of total billed charges ,233.52,percent of total billed charges ,216.84,percent of total billed charges ,216.84,percent of total billed charges ,222.4,percent of total billed charges ,222.4,percent of total billed charges ,194.6,percent of total billed charges ,194.6,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,166.8,percent of total billed charges ,,,,,147.9,percent of total billed charges ,,,,,140.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,,,77.84,percent of total billed charges,
IGG SUBCLASS,82787,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
BUN,84520,CDM,,,,both,1,each,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
URINE BUN,84540,CDM,,,,both,1,each,122,122,34.16,122,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,90.28,percent of total billed charges,90.28,percent of total billed charges,97.6,percent of total billed charges,97.6,percent of total billed charges,,,87.84,percent of total billed charges ,,,97.6,percent of total billed charges ,102.48,percent of total billed charges ,102.48,percent of total billed charges ,95.16,percent of total billed charges ,95.16,percent of total billed charges ,97.6,percent of total billed charges ,97.6,percent of total billed charges ,85.4,percent of total billed charges ,85.4,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,,,,,64.9,percent of total billed charges ,,,,,61.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,
URIC ACID,84550,CDM,,,,both,1,each,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
ARTERIAL BLOOD GAS,82803,CDM,,,,both,,,365,365,102.2,365,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,270.1,percent of total billed charges,270.1,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,,,262.8,percent of total billed charges ,,,292,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,284.7,percent of total billed charges ,284.7,percent of total billed charges ,292,percent of total billed charges ,292,percent of total billed charges ,255.5,percent of total billed charges ,255.5,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,,,,,194.18,percent of total billed charges ,,,,,184.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,
VENOUS BLOOD GAS,82803,CDM,,,,both,1,each,365,365,102.2,365,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,270.1,percent of total billed charges,270.1,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,,,262.8,percent of total billed charges ,,,292,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,284.7,percent of total billed charges ,284.7,percent of total billed charges ,292,percent of total billed charges ,292,percent of total billed charges ,255.5,percent of total billed charges ,255.5,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,,,,,194.18,percent of total billed charges ,,,,,184.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,
TRIGLYCERIDES,84478,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
LIPID PROFILE,80061,CDM,,,,both,1,each,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
LIPOPROTEIN ELECTROPHORETIC SEPARATE*,83698,CDM,,,,both,1,each,365,365,102.2,365,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,262.8,percent of total billed charges,270.1,percent of total billed charges,270.1,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,,,262.8,percent of total billed charges ,,,292,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,284.7,percent of total billed charges ,284.7,percent of total billed charges ,292,percent of total billed charges ,292,percent of total billed charges ,255.5,percent of total billed charges ,255.5,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,219,percent of total billed charges ,,,,,194.18,percent of total billed charges ,,,,,184.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,,,102.2,percent of total billed charges,
ACETONE-SERUM,82009,CDM,,,,both,1,each,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
BETA HYDROXYBUTYRATE ACETONE QUANTITI,82010,CDM,,,,both,1,each,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
LITHIUM(*),80178,CDM,,,,both,1,each,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
LUTEINIZING HORMONE(*),83002,CDM,,,,both,1,each,290,290,81.2,290,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,214.6,percent of total billed charges,214.6,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,,,208.8,percent of total billed charges ,,,232,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,226.2,percent of total billed charges ,226.2,percent of total billed charges ,232,percent of total billed charges ,232,percent of total billed charges ,203,percent of total billed charges ,203,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,,,,,154.28,percent of total billed charges ,,,,,146.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,
LIPOPROTEIN FRACTION,83701,CDM,,,,both,1,each,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
GLUCOSE TOL TEST-3 HR (5) SPECIMEN,82951,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
GLUCOSE TOL TEST EACH ADD OVER 3,82952,CDM,,,,both,1,each,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
GLUCOSE TOLERANCE TEST - 1 HR,82950,CDM,,,,both,1,each,84,84,23.52,84,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,62.16,percent of total billed charges,62.16,percent of total billed charges,67.2,percent of total billed charges,67.2,percent of total billed charges,,,60.48,percent of total billed charges ,,,67.2,percent of total billed charges ,70.56,percent of total billed charges ,70.56,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,,,,,44.69,percent of total billed charges ,,,,,42.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,
GLUCOSE TOL TEST-5 HR (7 SPECIMENS),82951,CDM,,,,both,1,each,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
GLUCOSE TOL TEST-6 HR (8 SPECIMENS),82951,CDM,,,,both,1,each,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
GLUCOSE TOL TEST -2HR (4 SPECIMENS),82951,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
LACTOSE TEST QUANT(*),82950,CDM,,,,both,1,each,393,393,110.04,393,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,393,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,282.96,percent of total billed charges,290.82,percent of total billed charges,290.82,percent of total billed charges,314.4,percent of total billed charges,314.4,percent of total billed charges,,,282.96,percent of total billed charges ,,,314.4,percent of total billed charges ,330.12,percent of total billed charges ,330.12,percent of total billed charges ,306.54,percent of total billed charges ,306.54,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,275.1,percent of total billed charges ,275.1,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,235.8,percent of total billed charges ,,,,,209.08,percent of total billed charges ,,,,,198.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,,,110.04,percent of total billed charges,
LIPASE,83690,CDM,,,,both,1,each,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
GLUCOSE TOL TEST-4HR (6 SPECIMENS),82951,CDM,,,,both,1,each,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
MAGNESIUM,83735,CDM,,,,both,1,each,145,145,40.6,145,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,107.3,percent of total billed charges,107.3,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,,,104.4,percent of total billed charges ,,,116,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,113.1,percent of total billed charges ,113.1,percent of total billed charges ,116,percent of total billed charges ,116,percent of total billed charges ,101.5,percent of total billed charges ,101.5,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,,,,,77.14,percent of total billed charges ,,,,,73.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,
GLYCO MARK (SUGARS),84378,CDM,,,,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
MASS SPECTROMETRY,83789,CDM,,,,both,1,each,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
HIV 1/ HIV 2 ANTIBODY,86703,CDM,,,,both,1,each,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
MANGANESE,83785,CDM,,,,both,1,each,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
PHOSPHORUS,84100,CDM,,,,both,1,each,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
ANTI PHOSPHOLIPID ANTIBODY,86148,CDM,,,,both,1,each,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
HIV 1&2 AG/AB,87389,CDM,,,,both,1,each,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
LYMPHOCYTE TRANSFORMATION,86353,CDM,,,,both,1,each,574,574,160.72,574,574,percent of total billed charges,574,percent of total billed charges,574,percent of total billed charges,574,percent of total billed charges,574,percent of total billed charges,574,percent of total billed charges,574,percent of total billed charges,574,percent of total billed charges,413.28,percent of total billed charges,413.28,percent of total billed charges,413.28,percent of total billed charges,413.28,percent of total billed charges,413.28,percent of total billed charges,413.28,percent of total billed charges,424.76,percent of total billed charges,424.76,percent of total billed charges,459.2,percent of total billed charges,459.2,percent of total billed charges,,,413.28,percent of total billed charges ,,,459.2,percent of total billed charges ,482.16,percent of total billed charges ,482.16,percent of total billed charges ,447.72,percent of total billed charges ,447.72,percent of total billed charges ,459.2,percent of total billed charges ,459.2,percent of total billed charges ,401.8,percent of total billed charges ,401.8,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,,,,,305.37,percent of total billed charges ,,,,,290.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,,,160.72,percent of total billed charges,
NK CELLS TOTAL COUNT,86357,CDM,,,,both,,,246,246,68.88,246,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,182.04,percent of total billed charges,182.04,percent of total billed charges,196.8,percent of total billed charges,196.8,percent of total billed charges,,,177.12,percent of total billed charges ,,,196.8,percent of total billed charges ,206.64,percent of total billed charges ,206.64,percent of total billed charges ,191.88,percent of total billed charges ,191.88,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,,,,,130.87,percent of total billed charges ,,,,,124.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,
POTASSIUM-SERUM,84132,CDM,,,,both,1,each,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
SALICYLATES(*),80307,CDM,,,,both,,,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
SELENIUM,84255,CDM,,,,both,1,each,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
VENIPUNCTURE,36415,CDM,,,,both,,,38,38,10.64,38,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,30.4,percent of total billed charges,30.4,percent of total billed charges,,,27.36,percent of total billed charges ,,,30.4,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,29.64,percent of total billed charges ,29.64,percent of total billed charges ,30.4,percent of total billed charges ,30.4,percent of total billed charges ,26.6,percent of total billed charges ,26.6,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,19.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,
VENIPUNCTURE (DRUG SCREEN AT TMH),36415,CDM,,,,both,1,each,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
CAPILLARY STICK,36416,CDM,,,,both,1,each,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
ARTERIAL PUNCTURE,36600,CDM,,,,both,1,each,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
VITAMIN B6(*),84207,CDM,,,,both,1,each,338,338,94.64,338,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,250.12,percent of total billed charges,250.12,percent of total billed charges,270.4,percent of total billed charges,270.4,percent of total billed charges,,,243.36,percent of total billed charges ,,,270.4,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,263.64,percent of total billed charges ,263.64,percent of total billed charges ,270.4,percent of total billed charges ,270.4,percent of total billed charges ,236.6,percent of total billed charges ,236.6,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,,,,,179.82,percent of total billed charges ,,,,,170.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,
VITAMIN B2,84252,CDM,,,,both,1,each,293,293,82.04,293,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,216.82,percent of total billed charges,216.82,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,210.96,percent of total billed charges ,,,234.4,percent of total billed charges ,246.12,percent of total billed charges ,246.12,percent of total billed charges ,228.54,percent of total billed charges ,228.54,percent of total billed charges ,234.4,percent of total billed charges ,234.4,percent of total billed charges ,205.1,percent of total billed charges ,205.1,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,,,,,155.88,percent of total billed charges ,,,,,148.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,
ASCORBIC ACID,82180,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
ASSAY OF NOS VITAMIN,84591,CDM,,,,both,,,208,208,58.24,208,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,153.92,percent of total billed charges,153.92,percent of total billed charges,166.4,percent of total billed charges,166.4,percent of total billed charges,,,149.76,percent of total billed charges ,,,166.4,percent of total billed charges ,174.72,percent of total billed charges ,174.72,percent of total billed charges ,162.24,percent of total billed charges ,162.24,percent of total billed charges ,166.4,percent of total billed charges ,166.4,percent of total billed charges ,145.6,percent of total billed charges ,145.6,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,,,,,110.66,percent of total billed charges ,,,,,105.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,
"VITAMIN D2(1,25 DiHYDROXY)(*)",82652,CDM,,,,both,1,each,433,433,121.24,433,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,320.42,percent of total billed charges,320.42,percent of total billed charges,346.4,percent of total billed charges,346.4,percent of total billed charges,,,311.76,percent of total billed charges ,,,346.4,percent of total billed charges ,363.72,percent of total billed charges ,363.72,percent of total billed charges ,337.74,percent of total billed charges ,337.74,percent of total billed charges ,346.4,percent of total billed charges ,346.4,percent of total billed charges ,303.1,percent of total billed charges ,303.1,percent of total billed charges ,259.8,percent of total billed charges ,259.8,percent of total billed charges ,259.8,percent of total billed charges ,259.8,percent of total billed charges ,,,,,230.36,percent of total billed charges ,,,,,218.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,
PRIMIDONE(*),80188,CDM,,,,both,1,each,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
ANTIDEPRESSANT NOT SPECIFIED,80338,CDM,,,,both,1,each,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
URINE SODIUM RANDOM(*),84300,CDM,,,,both,,,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
URINE POTASSIUM RANDOM(*),84133,CDM,,,,both,,,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
URINE PHOSPHORUS(*),84100,CDM,,,,both,1,each,115,115,32.2,115,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,85.1,percent of total billed charges,85.1,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,,,82.8,percent of total billed charges ,,,92,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,89.7,percent of total billed charges ,89.7,percent of total billed charges ,92,percent of total billed charges ,92,percent of total billed charges ,80.5,percent of total billed charges ,80.5,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,,,,,61.18,percent of total billed charges ,,,,,58.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,
URINE CHLORIDE (24 HR)(*),82436,CDM,,,,both,1,each,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
GLUCOSE STERILE BODY FLUID,82945,CDM,,,,both,,,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
URINE CITRATE(*),82507,CDM,,,,both,1,each,311,311,87.08,311,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,230.14,percent of total billed charges,230.14,percent of total billed charges,248.8,percent of total billed charges,248.8,percent of total billed charges,,,223.92,percent of total billed charges ,,,248.8,percent of total billed charges ,261.24,percent of total billed charges ,261.24,percent of total billed charges ,242.58,percent of total billed charges ,242.58,percent of total billed charges ,248.8,percent of total billed charges ,248.8,percent of total billed charges ,217.7,percent of total billed charges ,217.7,percent of total billed charges ,186.6,percent of total billed charges ,186.6,percent of total billed charges ,186.6,percent of total billed charges ,186.6,percent of total billed charges ,,,,,165.45,percent of total billed charges ,,,,,157.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,
URINE OXALATE(*),83945,CDM,,,,both,1,each,180,180,50.4,180,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,,,129.6,percent of total billed charges ,,,144,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,,,,,95.76,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,
URINE URATES (24 HR)(*),84560,CDM,,,,both,1,each,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
CYPT URINE 3-5 PROBES,88121,CDM,,,,both,1,each,"1,337.00","1,337.00",374.36,"1,337.00","1,337.00",percent of total billed charges,"1,337.00",percent of total billed charges,"1,337.00",percent of total billed charges,"1,337.00",percent of total billed charges,"1,337.00",percent of total billed charges,"1,337.00",percent of total billed charges,"1,337.00",percent of total billed charges,"1,337.00",percent of total billed charges,962.64,percent of total billed charges,962.64,percent of total billed charges,962.64,percent of total billed charges,962.64,percent of total billed charges,962.64,percent of total billed charges,962.64,percent of total billed charges,989.38,percent of total billed charges,989.38,percent of total billed charges,"1,069.60",percent of total billed charges,"1,069.60",percent of total billed charges,,,962.64,percent of total billed charges ,,,"1,069.60",percent of total billed charges ,"1,123.08",percent of total billed charges ,"1,123.08",percent of total billed charges ,"1,042.86",percent of total billed charges ,"1,042.86",percent of total billed charges ,"1,069.60",percent of total billed charges ,"1,069.60",percent of total billed charges ,935.9,percent of total billed charges ,935.9,percent of total billed charges ,802.2,percent of total billed charges ,802.2,percent of total billed charges ,802.2,percent of total billed charges ,802.2,percent of total billed charges ,,,,,711.28,percent of total billed charges ,,,,,675.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,,,374.36,percent of total billed charges,
URINE CALCIUM,82340,CDM,,,,both,1,each,100,100,28,100,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,,,72,percent of total billed charges ,,,80,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,80,percent of total billed charges ,80,percent of total billed charges ,70,percent of total billed charges ,70,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,,,,,53.2,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,
URINE CREATNINE (24 HR),82570,CDM,,,,both,1,each,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
**CHLORDIAZEPOX(*),80154,CDM,,,,both,,,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
CHEMILUMINESCENT ASSAY,82397,CDM,,,,both,1,each,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
SPECIMEN INFECT AGENT,87015,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
HERPES SIMPLEX 1,87274,CDM,,,,both,1,each,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
HERPES SIMPLEX 2,87273,CDM,,,,both,1,each,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
OSMOLALITY URINE,83935,CDM,,,,both,1,each,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
URINE PROTEIN ELECTROPHRESIS(*),84166,CDM,,,,both,1,each,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
GROWTH HORMONE,83003,CDM,,,,both,1,each,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
**SERUM DRUG SCREEN QU(*),80302,CDM,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
SUCROSE LYSIS SCREEN(*),86941,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
G-6PD SCREEN(*),82955,CDM,,,,both,1,each,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
**DRUG ABUSE SCREEN URINE(*),80101,CDM,,,,both,1,each,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
**TRICYCLIC ANTIDEPRESSENT,80307,CDM,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
URINE PROTEIN (24 HR)(*),84156,CDM,,,,both,1,each,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
TOXICOLOGY URINE TRIAGE,80307,CDM,,,,both,1,each,314,314,87.92,314,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,314,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,226.08,percent of total billed charges,232.36,percent of total billed charges,232.36,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,,,226.08,percent of total billed charges ,,,251.2,percent of total billed charges ,263.76,percent of total billed charges ,263.76,percent of total billed charges ,244.92,percent of total billed charges ,244.92,percent of total billed charges ,251.2,percent of total billed charges ,251.2,percent of total billed charges ,219.8,percent of total billed charges ,219.8,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,,,,,167.05,percent of total billed charges ,,,,,158.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,,,87.92,percent of total billed charges,
ALCOHOL - ETHANOL,80307,CDM,,,,both,1,each,219,219,61.32,219,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,162.06,percent of total billed charges,162.06,percent of total billed charges,175.2,percent of total billed charges,175.2,percent of total billed charges,,,157.68,percent of total billed charges ,,,175.2,percent of total billed charges ,183.96,percent of total billed charges ,183.96,percent of total billed charges ,170.82,percent of total billed charges ,170.82,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,153.3,percent of total billed charges ,153.3,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,,,,,116.51,percent of total billed charges ,,,,,110.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,
ALCOHOL - URINE,80320,CDM,,,,both,1,each,272,272,76.16,272,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,201.28,percent of total billed charges,201.28,percent of total billed charges,217.6,percent of total billed charges,217.6,percent of total billed charges,,,195.84,percent of total billed charges ,,,217.6,percent of total billed charges ,228.48,percent of total billed charges ,228.48,percent of total billed charges ,212.16,percent of total billed charges ,212.16,percent of total billed charges ,217.6,percent of total billed charges ,217.6,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,,,,,144.7,percent of total billed charges ,,,,,137.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,
**ALCOHOL - SERUM,82055,CDM,,,,both,1,each,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
ALCOHOL - BREATHALIZER,82075,CDM,,,,both,1,each,126,126,35.28,126,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,93.24,percent of total billed charges,93.24,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,,,90.72,percent of total billed charges ,,,100.8,percent of total billed charges ,105.84,percent of total billed charges ,105.84,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,,,,,67.03,percent of total billed charges ,,,,,63.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,
AMMONIA,82140,CDM,,,,both,1,each,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
CATECHOLAMINES 24 HR(*),82382,CDM,,,,both,1,each,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
CALCITONIN,82308,CDM,,,,both,1,each,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
5-HIAA 24 HR(*),83497,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CATECHOLAMINES; FRACTIONED,82384,CDM,,,,both,1,each,317,317,88.76,317,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,317,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,228.24,percent of total billed charges,234.58,percent of total billed charges,234.58,percent of total billed charges,253.6,percent of total billed charges,253.6,percent of total billed charges,,,228.24,percent of total billed charges ,,,253.6,percent of total billed charges ,266.28,percent of total billed charges ,266.28,percent of total billed charges ,247.26,percent of total billed charges ,247.26,percent of total billed charges ,253.6,percent of total billed charges ,253.6,percent of total billed charges ,221.9,percent of total billed charges ,221.9,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,190.2,percent of total billed charges ,,,,,168.64,percent of total billed charges ,,,,,160.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,,,88.76,percent of total billed charges,
17-KETOSTEROIDS (24 HR)(*),83586,CDM,,,,both,1,each,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
INFECTIOUS AGENT DETECTION DNA QUANT,87799,CDM,,,,both,1,each,685,685,191.8,685,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,506.9,percent of total billed charges,506.9,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,,,493.2,percent of total billed charges ,,,548,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,534.3,percent of total billed charges ,534.3,percent of total billed charges ,548,percent of total billed charges ,548,percent of total billed charges ,479.5,percent of total billed charges ,479.5,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,,,,,364.42,percent of total billed charges ,,,,,346.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,
17-HYROXYCORTICO 24 HR(*),83491,CDM,,,,both,1,each,231,231,64.68,231,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,184.8,percent of total billed charges,184.8,percent of total billed charges,,,166.32,percent of total billed charges ,,,184.8,percent of total billed charges ,194.04,percent of total billed charges ,194.04,percent of total billed charges ,180.18,percent of total billed charges ,180.18,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,161.7,percent of total billed charges ,161.7,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,,,,,122.89,percent of total billed charges ,,,,,116.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,
VMA-24 HOUR URINE(*),84585,CDM,,,,both,1,each,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
XYLOSE (ABSORPTION)(*),84620,CDM,,,,both,1,each,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
PROCAIN (PRONESTYL) NAPA(*),80192,CDM,,,,both,1,each,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
PROCOLLAGEN PEPTIDE,83519,CDM,,,,both,1,each,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
PROGESTERONE 17-D,83498,CDM,,,,both,1,each,221,221,61.88,221,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,163.54,percent of total billed charges,163.54,percent of total billed charges,176.8,percent of total billed charges,176.8,percent of total billed charges,,,159.12,percent of total billed charges ,,,176.8,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,172.38,percent of total billed charges ,172.38,percent of total billed charges ,176.8,percent of total billed charges ,176.8,percent of total billed charges ,154.7,percent of total billed charges ,154.7,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,,,,,117.57,percent of total billed charges ,,,,,111.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,
METANEPHRINES(*),83835,CDM,,,,both,,,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
DRUG/SUBSTANCE NOS,80375,CDM,,,,both,1,each,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
DRUG LEVEL - QUANT(*),82542,CDM,,,,both,1,each,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
DRUG MISC QUANT,80299,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
LAMOTRIGINE LEVEL,80175,CDM,,,,both,1,each,180,180,50.4,180,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,,,129.6,percent of total billed charges ,,,144,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,,,,,95.76,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,
CAROTENE(*),82380,CDM,,,,both,1,each,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
VEDOLIZUMB DRUG ASSAY,80280,CDM,,,,both,1,each,419,419,117.32,419,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,310.06,percent of total billed charges,310.06,percent of total billed charges,335.2,percent of total billed charges,335.2,percent of total billed charges,,,301.68,percent of total billed charges ,,,335.2,percent of total billed charges ,351.96,percent of total billed charges ,351.96,percent of total billed charges ,326.82,percent of total billed charges ,326.82,percent of total billed charges ,335.2,percent of total billed charges ,335.2,percent of total billed charges ,293.3,percent of total billed charges ,293.3,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,,,,,222.91,percent of total billed charges ,,,,,211.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,
**TESTOSTERONE TOTAL,84403,CDM,,,,both,1,each,247,247,69.16,247,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,182.78,percent of total billed charges,182.78,percent of total billed charges,197.6,percent of total billed charges,197.6,percent of total billed charges,,,177.84,percent of total billed charges ,,,197.6,percent of total billed charges ,207.48,percent of total billed charges ,207.48,percent of total billed charges ,192.66,percent of total billed charges ,192.66,percent of total billed charges ,197.6,percent of total billed charges ,197.6,percent of total billed charges ,172.9,percent of total billed charges ,172.9,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,,,,,131.4,percent of total billed charges ,,,,,124.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,
FREE TESTOSTERONE(*),84402,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**DHEA-TMS,80327,CDM,,,,both,1,each,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
ADALIMUMAB,80145,CDM,,,,both,1,each,572,572,160.16,572,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,423.28,percent of total billed charges,423.28,percent of total billed charges,457.6,percent of total billed charges,457.6,percent of total billed charges,,,411.84,percent of total billed charges ,,,457.6,percent of total billed charges ,480.48,percent of total billed charges ,480.48,percent of total billed charges ,446.16,percent of total billed charges ,446.16,percent of total billed charges ,457.6,percent of total billed charges ,457.6,percent of total billed charges ,400.4,percent of total billed charges ,400.4,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,,,,,304.3,percent of total billed charges ,,,,,289.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,
LEAD(*),83655,CDM,,,,both,1,each,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
MERCURY,83825,CDM,,,,both,,,183,183,51.24,183,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,135.42,percent of total billed charges,135.42,percent of total billed charges,146.4,percent of total billed charges,146.4,percent of total billed charges,,,131.76,percent of total billed charges ,,,146.4,percent of total billed charges ,153.72,percent of total billed charges ,153.72,percent of total billed charges ,142.74,percent of total billed charges ,142.74,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,128.1,percent of total billed charges ,128.1,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,,,,,97.36,percent of total billed charges ,,,,,92.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,
ESTROGEN FRACTIONATED(*),82671,CDM,,,,both,,,290,290,81.2,290,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,290,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,214.6,percent of total billed charges,214.6,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,,,208.8,percent of total billed charges ,,,232,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,226.2,percent of total billed charges ,226.2,percent of total billed charges ,232,percent of total billed charges ,232,percent of total billed charges ,203,percent of total billed charges ,203,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,174,percent of total billed charges ,,,,,154.28,percent of total billed charges ,,,,,146.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,,,81.2,percent of total billed charges,
ESTROGEN/TOTAL(*),82672,CDM,,,,both,1,each,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
IMMUNOASSAY QUANT,83520,CDM,,,,both,1,each,304,304,85.12,304,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,224.96,percent of total billed charges,224.96,percent of total billed charges,243.2,percent of total billed charges,243.2,percent of total billed charges,,,218.88,percent of total billed charges ,,,243.2,percent of total billed charges ,255.36,percent of total billed charges ,255.36,percent of total billed charges ,237.12,percent of total billed charges ,237.12,percent of total billed charges ,243.2,percent of total billed charges ,243.2,percent of total billed charges ,212.8,percent of total billed charges ,212.8,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,,,,,161.73,percent of total billed charges ,,,,,153.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,
IMMUNOASSY NON ANTIBODY,83516,CDM,,,,both,1,each,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
QUINIDINE(*),80194,CDM,,,,both,1,each,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
Q FEVER ANTIBODY,86638,CDM,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
VANCOMYCIN RANDOM,80202,CDM,,,,both,1,each,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
VITAMIN K LEVEL(*),84597,CDM,,,,both,1,each,360,360,100.8,360,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,,,259.2,percent of total billed charges ,,,288,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,288,percent of total billed charges ,288,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,216,percent of total billed charges ,,,,,191.52,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,,,100.8,percent of total billed charges,
VANCOMYCIN TROUGH,80202,CDM,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
VANCOMYCIN PEAK,80202,CDM,,,,both,1,each,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
PSA SCREENING,G0103,CDM,,,,both,1,each,259,259,72.52,259,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,191.66,percent of total billed charges,191.66,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,,,186.48,percent of total billed charges ,,,207.2,percent of total billed charges ,217.56,percent of total billed charges ,217.56,percent of total billed charges ,202.02,percent of total billed charges ,202.02,percent of total billed charges ,207.2,percent of total billed charges ,207.2,percent of total billed charges ,181.3,percent of total billed charges ,181.3,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,,,,,137.79,percent of total billed charges ,,,,,130.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,
PLASMINOGEN,85420,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
CYTOGENETICS 100-300,88275,CDM,,,,both,1,each,491,491,137.48,491,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,363.34,percent of total billed charges,363.34,percent of total billed charges,392.8,percent of total billed charges,392.8,percent of total billed charges,,,353.52,percent of total billed charges ,,,392.8,percent of total billed charges ,412.44,percent of total billed charges ,412.44,percent of total billed charges ,382.98,percent of total billed charges ,382.98,percent of total billed charges ,392.8,percent of total billed charges ,392.8,percent of total billed charges ,343.7,percent of total billed charges ,343.7,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,,,,,261.21,percent of total billed charges ,,,,,248.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,
ENZYME CELL ACTIVITY,82657,CDM,,,,both,1,each,462,462,129.36,462,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,462,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,332.64,percent of total billed charges,341.88,percent of total billed charges,341.88,percent of total billed charges,369.6,percent of total billed charges,369.6,percent of total billed charges,,,332.64,percent of total billed charges ,,,369.6,percent of total billed charges ,388.08,percent of total billed charges ,388.08,percent of total billed charges ,360.36,percent of total billed charges ,360.36,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,,,,,245.78,percent of total billed charges ,,,,,233.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,,,129.36,percent of total billed charges,
VITAMIN A,84590,CDM,,,,both,1,each,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
STOOL MUSCLE FIBERS,89160,CDM,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
OLIGOCLONAL BANDS,83916,CDM,,,,both,,,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
"CA-50,  72-4, 549, EACH",86316,CDM,,,,both,,,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
IMMUNOHISTO ANTIBODY,88341,CDM,,,,both,1,each,327,327,91.56,327,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,241.98,percent of total billed charges,241.98,percent of total billed charges,261.6,percent of total billed charges,261.6,percent of total billed charges,,,235.44,percent of total billed charges ,,,261.6,percent of total billed charges ,274.68,percent of total billed charges ,274.68,percent of total billed charges ,255.06,percent of total billed charges ,255.06,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,228.9,percent of total billed charges ,228.9,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,,,,,173.96,percent of total billed charges ,,,,,165.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,
GENTAMICIN TROUGH,80170,CDM,,,,both,1,each,240,240,67.2,240,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,,,172.8,percent of total billed charges ,,,192,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,192,percent of total billed charges ,192,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,,,,,127.68,percent of total billed charges ,,,,,121.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,
GENTAMICIN PEAK,80170,CDM,,,,both,1,each,240,240,67.2,240,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,,,172.8,percent of total billed charges ,,,192,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,192,percent of total billed charges ,192,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,,,,,127.68,percent of total billed charges ,,,,,121.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,
TESTOSTERONE TOTAL(*),84403,CDM,,,,both,1,each,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
TOBRAMYCIN PEAK,80200,CDM,,,,both,1,each,243,243,68.04,243,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,179.82,percent of total billed charges,179.82,percent of total billed charges,194.4,percent of total billed charges,194.4,percent of total billed charges,,,174.96,percent of total billed charges ,,,194.4,percent of total billed charges ,204.12,percent of total billed charges ,204.12,percent of total billed charges ,189.54,percent of total billed charges ,189.54,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,170.1,percent of total billed charges ,170.1,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,,,,,129.28,percent of total billed charges ,,,,,122.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,
ASPERGILLUS; INFECTIOUS AGENT ANTIGEN,87305,CDM,,,,both,1,each,331,331,92.68,331,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,244.94,percent of total billed charges,244.94,percent of total billed charges,264.8,percent of total billed charges,264.8,percent of total billed charges,,,238.32,percent of total billed charges ,,,264.8,percent of total billed charges ,278.04,percent of total billed charges ,278.04,percent of total billed charges ,258.18,percent of total billed charges ,258.18,percent of total billed charges ,264.8,percent of total billed charges ,264.8,percent of total billed charges ,231.7,percent of total billed charges ,231.7,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,,,,,176.09,percent of total billed charges ,,,,,167.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,
**DIHYDROTESTOSTERONE,G6047,CDM,,,,both,1,each,198,198,55.44,198,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,146.52,percent of total billed charges,146.52,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,,,142.56,percent of total billed charges ,,,158.4,percent of total billed charges ,166.32,percent of total billed charges ,166.32,percent of total billed charges ,154.44,percent of total billed charges ,154.44,percent of total billed charges ,158.4,percent of total billed charges ,158.4,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,,,,,105.34,percent of total billed charges ,,,,,100.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,
ENTERVIRUS,87498,CDM,,,,both,1,each,484,484,135.52,484,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,358.16,percent of total billed charges,358.16,percent of total billed charges,387.2,percent of total billed charges,387.2,percent of total billed charges,,,348.48,percent of total billed charges ,,,387.2,percent of total billed charges ,406.56,percent of total billed charges ,406.56,percent of total billed charges ,377.52,percent of total billed charges ,377.52,percent of total billed charges ,387.2,percent of total billed charges ,387.2,percent of total billed charges ,338.8,percent of total billed charges ,338.8,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,,,,,257.49,percent of total billed charges ,,,,,244.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,
GENOMIC SEQUENCE,81455,CDM,,,,both,1,each,"5,671.00","5,671.00","1,587.88","5,671.00","5,671.00",percent of total billed charges,"5,671.00",percent of total billed charges,"5,671.00",percent of total billed charges,"5,671.00",percent of total billed charges,"5,671.00",percent of total billed charges,"5,671.00",percent of total billed charges,"5,671.00",percent of total billed charges,"5,671.00",percent of total billed charges,"4,083.12",percent of total billed charges,"4,083.12",percent of total billed charges,"4,083.12",percent of total billed charges,"4,083.12",percent of total billed charges,"4,083.12",percent of total billed charges,"4,083.12",percent of total billed charges,"4,196.54",percent of total billed charges,"4,196.54",percent of total billed charges,"4,536.80",percent of total billed charges,"4,536.80",percent of total billed charges,,,"4,083.12",percent of total billed charges ,,,"4,536.80",percent of total billed charges ,"4,763.64",percent of total billed charges ,"4,763.64",percent of total billed charges ,"4,423.38",percent of total billed charges ,"4,423.38",percent of total billed charges ,"4,536.80",percent of total billed charges ,"4,536.80",percent of total billed charges ,"3,969.70",percent of total billed charges ,"3,969.70",percent of total billed charges ,"3,402.60",percent of total billed charges ,"3,402.60",percent of total billed charges ,"3,402.60",percent of total billed charges ,"3,402.60",percent of total billed charges ,,,,,"3,016.97",percent of total billed charges ,,,,,"2,866.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,,,"1,587.88",percent of total billed charges,
DIHYDROTESTOSTERONE,82642,CDM,,,,both,1,each,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
CYTOG ALYS CHRML ABNR CGH,81228,CDM,,,,both,1,each,"2,546.00","2,546.00",712.88,"2,546.00","2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,884.04",percent of total billed charges,"1,884.04",percent of total billed charges,"2,036.80",percent of total billed charges,"2,036.80",percent of total billed charges,,,"1,833.12",percent of total billed charges ,,,"2,036.80",percent of total billed charges ,"2,138.64",percent of total billed charges ,"2,138.64",percent of total billed charges ,"1,985.88",percent of total billed charges ,"1,985.88",percent of total billed charges ,"2,036.80",percent of total billed charges ,"2,036.80",percent of total billed charges ,"1,782.20",percent of total billed charges ,"1,782.20",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,,,,,"1,354.47",percent of total billed charges ,,,,,"1,286.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,
HRDTRY BRST CA-RLATD DISORDERS,81432,CDM,,,,both,1,each,"2,546.00","2,546.00",712.88,"2,546.00","2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,884.04",percent of total billed charges,"1,884.04",percent of total billed charges,"2,036.80",percent of total billed charges,"2,036.80",percent of total billed charges,,,"1,833.12",percent of total billed charges ,,,"2,036.80",percent of total billed charges ,"2,138.64",percent of total billed charges ,"2,138.64",percent of total billed charges ,"1,985.88",percent of total billed charges ,"1,985.88",percent of total billed charges ,"2,036.80",percent of total billed charges ,"2,036.80",percent of total billed charges ,"1,782.20",percent of total billed charges ,"1,782.20",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,,,,,"1,354.47",percent of total billed charges ,,,,,"1,286.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,
HRDTRY BRST CA-DISORDERS,81433,CDM,,,,both,1,each,"2,546.00","2,546.00",712.88,"2,546.00","2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"2,546.00",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,833.12",percent of total billed charges,"1,884.04",percent of total billed charges,"1,884.04",percent of total billed charges,"2,036.80",percent of total billed charges,"2,036.80",percent of total billed charges,,,"1,833.12",percent of total billed charges ,,,"2,036.80",percent of total billed charges ,"2,138.64",percent of total billed charges ,"2,138.64",percent of total billed charges ,"1,985.88",percent of total billed charges ,"1,985.88",percent of total billed charges ,"2,036.80",percent of total billed charges ,"2,036.80",percent of total billed charges ,"1,782.20",percent of total billed charges ,"1,782.20",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,"1,527.60",percent of total billed charges ,,,,,"1,354.47",percent of total billed charges ,,,,,"1,286.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,,,712.88,percent of total billed charges,
PSA TOTAL DIAGNOSTIC,84153,CDM,,,,both,1,each,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
GASTRIC PARIETAL AB,86340,CDM,,,,both,1,each,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
GASTRIN(*),82941,CDM,,,,both,1,each,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
ANA(*),86038,CDM,,,,both,1,each,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
ANA-TITER(*),86039,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
METHANOL LEVEL(*),84600,CDM,,,,both,1,each,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
ASSAY OF VOLATILES,84600,CDM,,,,both,1,each,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
KEPPRA LEVEL(*),80177,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
KRAS GENE VARIANTS,81275,CDM,,,,both,1,each,"1,188.00","1,188.00",332.64,"1,188.00","1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,950.4,percent of total billed charges,950.4,percent of total billed charges,,,855.36,percent of total billed charges ,,,950.4,percent of total billed charges ,997.92,percent of total billed charges ,997.92,percent of total billed charges ,926.64,percent of total billed charges ,926.64,percent of total billed charges ,950.4,percent of total billed charges ,950.4,percent of total billed charges ,831.6,percent of total billed charges ,831.6,percent of total billed charges ,712.8,percent of total billed charges ,712.8,percent of total billed charges ,712.8,percent of total billed charges ,712.8,percent of total billed charges ,,,,,632.02,percent of total billed charges ,,,,,600.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,
EGFR GENE VARIANTS,81235,CDM,,,,both,1,each,"2,049.00","2,049.00",573.72,"2,049.00","2,049.00",percent of total billed charges,"2,049.00",percent of total billed charges,"2,049.00",percent of total billed charges,"2,049.00",percent of total billed charges,"2,049.00",percent of total billed charges,"2,049.00",percent of total billed charges,"2,049.00",percent of total billed charges,"2,049.00",percent of total billed charges,"1,475.28",percent of total billed charges,"1,475.28",percent of total billed charges,"1,475.28",percent of total billed charges,"1,475.28",percent of total billed charges,"1,475.28",percent of total billed charges,"1,475.28",percent of total billed charges,"1,516.26",percent of total billed charges,"1,516.26",percent of total billed charges,"1,639.20",percent of total billed charges,"1,639.20",percent of total billed charges,,,"1,475.28",percent of total billed charges ,,,"1,639.20",percent of total billed charges ,"1,721.16",percent of total billed charges ,"1,721.16",percent of total billed charges ,"1,598.22",percent of total billed charges ,"1,598.22",percent of total billed charges ,"1,639.20",percent of total billed charges ,"1,639.20",percent of total billed charges ,"1,434.30",percent of total billed charges ,"1,434.30",percent of total billed charges ,"1,229.40",percent of total billed charges ,"1,229.40",percent of total billed charges ,"1,229.40",percent of total billed charges ,"1,229.40",percent of total billed charges ,,,,,"1,090.07",percent of total billed charges ,,,,,"1,035.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,,,573.72,percent of total billed charges,
HISTOPLASMOSIS COMPLEMENT FIXATION(*),86698,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
HISTOPLASMOSIS IMMUNODIFFUSION(*),86698,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
HISTOPLOSMA TITER(*),86698,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
B12,82607,CDM,,,,both,1,each,231,231,64.68,231,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,231,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,166.32,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,184.8,percent of total billed charges,184.8,percent of total billed charges,,,166.32,percent of total billed charges ,,,184.8,percent of total billed charges ,194.04,percent of total billed charges ,194.04,percent of total billed charges ,180.18,percent of total billed charges ,180.18,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,161.7,percent of total billed charges ,161.7,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,,,,,122.89,percent of total billed charges ,,,,,116.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,,,64.68,percent of total billed charges,
B-12 BINDING CAPACITY,82608,CDM,,,,both,1,each,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
BETA 2 GLYCOPROTEIN ANTIBODY,86146,CDM,,,,both,1,each,212,212,59.36,212,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,152.64,percent of total billed charges,156.88,percent of total billed charges,156.88,percent of total billed charges,169.6,percent of total billed charges,169.6,percent of total billed charges,,,152.64,percent of total billed charges ,,,169.6,percent of total billed charges ,178.08,percent of total billed charges ,178.08,percent of total billed charges ,165.36,percent of total billed charges ,165.36,percent of total billed charges ,169.6,percent of total billed charges ,169.6,percent of total billed charges ,148.4,percent of total billed charges ,148.4,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,,,,,112.78,percent of total billed charges ,,,,,107.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,,,59.36,percent of total billed charges,
AG DETECT NOS IA MULT,87449,CDM,,,,both,1,each,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
CORTISOL (RANDOM),82533,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
CORTISOL AM,82533,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
CORTISOL PM,82533,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
DIGOXIN (LANOXIN),80162,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
ESTRIOL(*),82677,CDM,,,,both,1,each,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
ETHOSUXIMIDE,80168,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
C-D TRANSFER MEASURE,82373,CDM,,,,both,1,each,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
ETHYLENE GLYCOL,82693,CDM,,,,both,1,each,252,252,70.56,252,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,,,181.44,percent of total billed charges ,,,201.6,percent of total billed charges ,211.68,percent of total billed charges ,211.68,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,127.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,
FOLIC ACID SERUM,82746,CDM,,,,both,1,each,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
FENTANYL,80354,CDM,,,,both,1,each,91,91,25.48,91,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,67.34,percent of total billed charges,67.34,percent of total billed charges,72.8,percent of total billed charges,72.8,percent of total billed charges,,,65.52,percent of total billed charges ,,,72.8,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,70.98,percent of total billed charges ,70.98,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,63.7,percent of total billed charges ,63.7,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,,,,,48.41,percent of total billed charges ,,,,,45.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,
RUBELLA-IMMUNE 1 SPEC(*),86762,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
FACTOR V LEIDEN MUTATION,81241,CDM,,,,both,1,each,421,421,117.88,421,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,311.54,percent of total billed charges,311.54,percent of total billed charges,336.8,percent of total billed charges,336.8,percent of total billed charges,,,303.12,percent of total billed charges ,,,336.8,percent of total billed charges ,353.64,percent of total billed charges ,353.64,percent of total billed charges ,328.38,percent of total billed charges ,328.38,percent of total billed charges ,336.8,percent of total billed charges ,336.8,percent of total billed charges ,294.7,percent of total billed charges ,294.7,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,,,,,223.97,percent of total billed charges ,,,,,212.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,
CCP ANTIBODY (*),86200,CDM,,,,both,1,each,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
METHADONE LEVEL,80358,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
CTX (*),82523,CDM,,,,both,1,each,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
FECAL OSMOLALITY  (*),83930,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
ZONEGRAM LEVEL  (*),80299,CDM,,,,both,1,each,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
OXCARBAZEPINE  (*),80183,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
ANTIMULLERIAN HORMONE  (*),83520,CDM,,,,both,1,each,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
DEXAMETHASONE SUPPRESSION  (*),82533,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
STOOL SUDAN STAIN  (*),82705,CDM,,,,both,1,each,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
FECAL ELASTASE  (*),83519,CDM,,,,both,1,each,379,379,106.12,379,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,280.46,percent of total billed charges,280.46,percent of total billed charges,303.2,percent of total billed charges,303.2,percent of total billed charges,,,272.88,percent of total billed charges ,,,303.2,percent of total billed charges ,318.36,percent of total billed charges ,318.36,percent of total billed charges ,295.62,percent of total billed charges ,295.62,percent of total billed charges ,303.2,percent of total billed charges ,303.2,percent of total billed charges ,265.3,percent of total billed charges ,265.3,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,,,,,201.63,percent of total billed charges ,,,,,191.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,
THYROID PEROXIDE ANTIBODY  (*),84432,CDM,,,,both,1,each,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
SERUM TRYPTASE  (*),83520,CDM,,,,both,1,each,227,227,63.56,227,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,167.98,percent of total billed charges,167.98,percent of total billed charges,181.6,percent of total billed charges,181.6,percent of total billed charges,,,163.44,percent of total billed charges ,,,181.6,percent of total billed charges ,190.68,percent of total billed charges ,190.68,percent of total billed charges ,177.06,percent of total billed charges ,177.06,percent of total billed charges ,181.6,percent of total billed charges ,181.6,percent of total billed charges ,158.9,percent of total billed charges ,158.9,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,,,,,120.76,percent of total billed charges ,,,,,114.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,
DOXYCLINE& DAPROMYCIN  (*),87186,CDM,,,,both,1,each,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
ANTI-TPO ANTIBODY  (*),86376,CDM,,,,both,1,each,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
FECAL CALPROTECTIN  (*),83993,CDM,,,,both,1,each,371,371,103.88,371,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,274.54,percent of total billed charges,274.54,percent of total billed charges,296.8,percent of total billed charges,296.8,percent of total billed charges,,,267.12,percent of total billed charges ,,,296.8,percent of total billed charges ,311.64,percent of total billed charges ,311.64,percent of total billed charges ,289.38,percent of total billed charges ,289.38,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,259.7,percent of total billed charges ,259.7,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,,,,,197.37,percent of total billed charges ,,,,,187.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,
PAROXYSMAL NOCTURAL HEMOGLOBINURIS  (*),86356,CDM,,,,both,1,each,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
FECAL NA+  (*),84302,CDM,,,,both,1,each,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
PNH (RBC+WBC)  (*),88184,CDM,,,,both,1,each,307,307,85.96,307,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,227.18,percent of total billed charges,227.18,percent of total billed charges,245.6,percent of total billed charges,245.6,percent of total billed charges,,,221.04,percent of total billed charges ,,,245.6,percent of total billed charges ,257.88,percent of total billed charges ,257.88,percent of total billed charges ,239.46,percent of total billed charges ,239.46,percent of total billed charges ,245.6,percent of total billed charges ,245.6,percent of total billed charges ,214.9,percent of total billed charges ,214.9,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,,,,,163.32,percent of total billed charges ,,,,,155.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,
NSE  (*),86316,CDM,,,,both,1,each,309,309,86.52,309,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,309,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,222.48,percent of total billed charges,228.66,percent of total billed charges,228.66,percent of total billed charges,247.2,percent of total billed charges,247.2,percent of total billed charges,,,222.48,percent of total billed charges ,,,247.2,percent of total billed charges ,259.56,percent of total billed charges ,259.56,percent of total billed charges ,241.02,percent of total billed charges ,241.02,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,216.3,percent of total billed charges ,216.3,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,185.4,percent of total billed charges ,,,,,164.39,percent of total billed charges ,,,,,156.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,,,86.52,percent of total billed charges,
BCR/ABL  (*),81206,CDM,,,,both,1,each,815,815,228.2,815,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,603.1,percent of total billed charges,603.1,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,,,586.8,percent of total billed charges ,,,652,percent of total billed charges ,684.6,percent of total billed charges ,684.6,percent of total billed charges ,635.7,percent of total billed charges ,635.7,percent of total billed charges ,652,percent of total billed charges ,652,percent of total billed charges ,570.5,percent of total billed charges ,570.5,percent of total billed charges ,489,percent of total billed charges ,489,percent of total billed charges ,489,percent of total billed charges ,489,percent of total billed charges ,,,,,433.58,percent of total billed charges ,,,,,411.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,
LEGIONELLA URINE DFA  (*),87278,CDM,,,,both,1,each,284,284,79.52,284,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,210.16,percent of total billed charges,210.16,percent of total billed charges,227.2,percent of total billed charges,227.2,percent of total billed charges,,,204.48,percent of total billed charges ,,,227.2,percent of total billed charges ,238.56,percent of total billed charges ,238.56,percent of total billed charges ,221.52,percent of total billed charges ,221.52,percent of total billed charges ,227.2,percent of total billed charges ,227.2,percent of total billed charges ,198.8,percent of total billed charges ,198.8,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,,,,,151.09,percent of total billed charges ,,,,,143.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,
CHROMIUM,82495,CDM,,,,both,1,each,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
COBALT,83018,CDM,,,,both,1,each,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
BCR/ABL EX,81207,CDM,,,,both,1,each,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
**MOLECULAR PATH,G0452,CDM,,,,both,1,each,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
ZONISAMIDE,80203,CDM,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
MOPATH PROCEDURE LEVEL 4,81403,CDM,,,,both,1,each,803,803,224.84,803,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,594.22,percent of total billed charges,594.22,percent of total billed charges,642.4,percent of total billed charges,642.4,percent of total billed charges,,,578.16,percent of total billed charges ,,,642.4,percent of total billed charges ,674.52,percent of total billed charges ,674.52,percent of total billed charges ,626.34,percent of total billed charges ,626.34,percent of total billed charges ,642.4,percent of total billed charges ,642.4,percent of total billed charges ,562.1,percent of total billed charges ,562.1,percent of total billed charges ,481.8,percent of total billed charges ,481.8,percent of total billed charges ,481.8,percent of total billed charges ,481.8,percent of total billed charges ,,,,,427.2,percent of total billed charges ,,,,,405.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,
MOPATH PROCEDURE LEVEL 5,81404,CDM,,,,both,1,each,"1,270.00","1,270.00",355.6,"1,270.00","1,270.00",percent of total billed charges,"1,270.00",percent of total billed charges,"1,270.00",percent of total billed charges,"1,270.00",percent of total billed charges,"1,270.00",percent of total billed charges,"1,270.00",percent of total billed charges,"1,270.00",percent of total billed charges,"1,270.00",percent of total billed charges,914.4,percent of total billed charges,914.4,percent of total billed charges,914.4,percent of total billed charges,914.4,percent of total billed charges,914.4,percent of total billed charges,914.4,percent of total billed charges,939.8,percent of total billed charges,939.8,percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,,,914.4,percent of total billed charges ,,,"1,016.00",percent of total billed charges ,"1,066.80",percent of total billed charges ,"1,066.80",percent of total billed charges ,990.6,percent of total billed charges ,990.6,percent of total billed charges ,"1,016.00",percent of total billed charges ,"1,016.00",percent of total billed charges ,889,percent of total billed charges ,889,percent of total billed charges ,762,percent of total billed charges ,762,percent of total billed charges ,762,percent of total billed charges ,762,percent of total billed charges ,,,,,675.64,percent of total billed charges ,,,,,641.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,,,355.6,percent of total billed charges,
MOPATH PROCEDURE LEVEL 6,81405,CDM,,,,both,1,each,"1,547.00","1,547.00",433.16,"1,547.00","1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,144.78",percent of total billed charges,"1,144.78",percent of total billed charges,"1,237.60",percent of total billed charges,"1,237.60",percent of total billed charges,,,"1,113.84",percent of total billed charges ,,,"1,237.60",percent of total billed charges ,"1,299.48",percent of total billed charges ,"1,299.48",percent of total billed charges ,"1,206.66",percent of total billed charges ,"1,206.66",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,082.90",percent of total billed charges ,"1,082.90",percent of total billed charges ,928.2,percent of total billed charges ,928.2,percent of total billed charges ,928.2,percent of total billed charges ,928.2,percent of total billed charges ,,,,,823,percent of total billed charges ,,,,,781.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,
T4 PANEL,84436,CDM,,,,both,1,each,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
T3 PANEL,84480,CDM,,,,both,1,each,505,505,141.4,505,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,373.7,percent of total billed charges,373.7,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,,,363.6,percent of total billed charges ,,,404,percent of total billed charges ,424.2,percent of total billed charges ,424.2,percent of total billed charges ,393.9,percent of total billed charges ,393.9,percent of total billed charges ,404,percent of total billed charges ,404,percent of total billed charges ,353.5,percent of total billed charges ,353.5,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,,,,,268.66,percent of total billed charges ,,,,,255.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,
NUCLEAR ANTIGEN ANTIBODY,86235,CDM,,,,both,1,each,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
METHLENEDIOXYAMPHETAMINES-CONFIRMATION,80359,CDM,,,,both,1,each,384,384,107.52,384,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,384,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,276.48,percent of total billed charges,284.16,percent of total billed charges,284.16,percent of total billed charges,307.2,percent of total billed charges,307.2,percent of total billed charges,,,276.48,percent of total billed charges ,,,307.2,percent of total billed charges ,322.56,percent of total billed charges ,322.56,percent of total billed charges ,299.52,percent of total billed charges ,299.52,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,,,,,204.29,percent of total billed charges ,,,,,194.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,,,107.52,percent of total billed charges,
COCAINE-CONFIRMATION,80353,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
CANNABINOIDS (THC)-CONFIRMATION,80349,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
BENZODIAZEPINES-CONFIRMATION,80346,CDM,,,,both,1,each,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
BARBITURATES-CONFIRMATION,80345,CDM,,,,both,1,each,340,340,95.2,340,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,251.6,percent of total billed charges,251.6,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,,,244.8,percent of total billed charges ,,,272,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,265.2,percent of total billed charges ,265.2,percent of total billed charges ,272,percent of total billed charges ,272,percent of total billed charges ,238,percent of total billed charges ,238,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,,,,,180.88,percent of total billed charges ,,,,,171.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,
AMPHETAMINES-CONFIRMATION,80324,CDM,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
PROPOXYPHENE-CONFIRMATION,80367,CDM,,,,both,1,each,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
PHENCYCLIDINE-CONFIRMATION,83992,CDM,,,,both,1,each,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
ANTIEPOLEPTICS,80339,CDM,,,,both,1,each,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
BRCA D31FS4,81162,CDM,,,,both,1,each,"5,852.00","5,852.00","1,638.56","5,852.00","5,852.00",percent of total billed charges,"5,852.00",percent of total billed charges,"5,852.00",percent of total billed charges,"5,852.00",percent of total billed charges,"5,852.00",percent of total billed charges,"5,852.00",percent of total billed charges,"5,852.00",percent of total billed charges,"5,852.00",percent of total billed charges,"4,213.44",percent of total billed charges,"4,213.44",percent of total billed charges,"4,213.44",percent of total billed charges,"4,213.44",percent of total billed charges,"4,213.44",percent of total billed charges,"4,213.44",percent of total billed charges,"4,330.48",percent of total billed charges,"4,330.48",percent of total billed charges,"4,681.60",percent of total billed charges,"4,681.60",percent of total billed charges,,,"4,213.44",percent of total billed charges ,,,"4,681.60",percent of total billed charges ,"4,915.68",percent of total billed charges ,"4,915.68",percent of total billed charges ,"4,564.56",percent of total billed charges ,"4,564.56",percent of total billed charges ,"4,681.60",percent of total billed charges ,"4,681.60",percent of total billed charges ,"4,096.40",percent of total billed charges ,"4,096.40",percent of total billed charges ,"3,511.20",percent of total billed charges ,"3,511.20",percent of total billed charges ,"3,511.20",percent of total billed charges ,"3,511.20",percent of total billed charges ,,,,,"3,113.26",percent of total billed charges ,,,,,"2,957.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,,,"1,638.56",percent of total billed charges,
DRUG SCREENING OXYCODONE,80365,CDM,,,,both,1,each,128,128,35.84,128,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,94.72,percent of total billed charges,94.72,percent of total billed charges,102.4,percent of total billed charges,102.4,percent of total billed charges,,,92.16,percent of total billed charges ,,,102.4,percent of total billed charges ,107.52,percent of total billed charges ,107.52,percent of total billed charges ,99.84,percent of total billed charges ,99.84,percent of total billed charges ,102.4,percent of total billed charges ,102.4,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,,,,,68.1,percent of total billed charges ,,,,,64.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,
AMPHETAMINES 3 OR 4,80325,CDM,,,,both,1,each,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
BUPRENORPHINE,80348,CDM,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
METHYLPHENIDATE,80360,CDM,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
GENE REARRANGEMENT,81342,CDM,,,,both,1,each,950,950,266,950,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,760,percent of total billed charges,760,percent of total billed charges,,,684,percent of total billed charges ,,,760,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,741,percent of total billed charges ,741,percent of total billed charges ,760,percent of total billed charges ,760,percent of total billed charges ,665,percent of total billed charges ,665,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,,,,,505.4,percent of total billed charges ,,,,,480.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,
BCR/ABL1 GENE OTHER,81208,CDM,,,,both,1,each,457,457,127.96,457,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,338.18,percent of total billed charges,338.18,percent of total billed charges,365.6,percent of total billed charges,365.6,percent of total billed charges,,,329.04,percent of total billed charges ,,,365.6,percent of total billed charges ,383.88,percent of total billed charges ,383.88,percent of total billed charges ,356.46,percent of total billed charges ,356.46,percent of total billed charges ,365.6,percent of total billed charges ,365.6,percent of total billed charges ,319.9,percent of total billed charges ,319.9,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,,,,,243.12,percent of total billed charges ,,,,,230.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,
TESTOSTERONE FREE AND TOTAL (*),84403,CDM,,,,both,1,each,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
TISSUE HOMOGENIZATION CULTR,87176,CDM,,,,both,1,each,84,84,23.52,84,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,62.16,percent of total billed charges,62.16,percent of total billed charges,67.2,percent of total billed charges,67.2,percent of total billed charges,,,60.48,percent of total billed charges ,,,67.2,percent of total billed charges ,70.56,percent of total billed charges ,70.56,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,,,,,44.69,percent of total billed charges ,,,,,42.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,
ANTIPSYCHOTICS NOS 1-3,80342,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
FREE TESTOSTERONE,84402,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**C DIFICILE TOXIN,87230,CDM,,,,both,1,each,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
C DIFFICILE PCR-TMH,87493,CDM,,,,both,1,each,367,367,102.76,367,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,367,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,264.24,percent of total billed charges,271.58,percent of total billed charges,271.58,percent of total billed charges,293.6,percent of total billed charges,293.6,percent of total billed charges,,,264.24,percent of total billed charges ,,,293.6,percent of total billed charges ,308.28,percent of total billed charges ,308.28,percent of total billed charges ,286.26,percent of total billed charges ,286.26,percent of total billed charges ,293.6,percent of total billed charges ,293.6,percent of total billed charges ,256.9,percent of total billed charges ,256.9,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,220.2,percent of total billed charges ,,,,,195.24,percent of total billed charges ,,,,,185.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,,,102.76,percent of total billed charges,
C DIFFICILE EIA,87324,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
SCHLITER TEST -MIC,87197,CDM,,,,both,1,each,536,536,150.08,536,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,396.64,percent of total billed charges,396.64,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,,,385.92,percent of total billed charges ,,,428.8,percent of total billed charges ,450.24,percent of total billed charges ,450.24,percent of total billed charges ,418.08,percent of total billed charges ,418.08,percent of total billed charges ,428.8,percent of total billed charges ,428.8,percent of total billed charges ,375.2,percent of total billed charges ,375.2,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,,,,,285.15,percent of total billed charges ,,,,,270.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,
SCHLICTER TEST -MBC (*),87197,CDM,,,,both,1,each,536,536,150.08,536,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,396.64,percent of total billed charges,396.64,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,,,385.92,percent of total billed charges ,,,428.8,percent of total billed charges ,450.24,percent of total billed charges ,450.24,percent of total billed charges ,418.08,percent of total billed charges ,418.08,percent of total billed charges ,428.8,percent of total billed charges ,428.8,percent of total billed charges ,375.2,percent of total billed charges ,375.2,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,,,,,285.15,percent of total billed charges ,,,,,270.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,
HELMINTH ANTIBODY,86682,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
VIRUS CULTURE(*),87252,CDM,,,,both,,,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
VIRUS INOCULATION TISSUE ADDL STUDIES,87253,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
VIRUS ANTIBODY,86790,CDM,,,,both,,,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
CHLAYMDIA BY PCR(*),87491,CDM,,,,both,,,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
URINE CHLAMYDIA(*),87491,CDM,,,,both,1,each,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
VIRUS INOCULATION TISSUE,87252,CDM,,,,both,,,328,328,91.84,328,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,236.16,percent of total billed charges,242.72,percent of total billed charges,242.72,percent of total billed charges,262.4,percent of total billed charges,262.4,percent of total billed charges,,,236.16,percent of total billed charges ,,,262.4,percent of total billed charges ,275.52,percent of total billed charges ,275.52,percent of total billed charges ,255.84,percent of total billed charges ,255.84,percent of total billed charges ,262.4,percent of total billed charges ,262.4,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,,,,,174.5,percent of total billed charges ,,,,,165.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,,,91.84,percent of total billed charges,
VIRUS INOCULATION SHELL,87254,CDM,,,,both,1,each,193,193,54.04,193,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,142.82,percent of total billed charges,142.82,percent of total billed charges,154.4,percent of total billed charges,154.4,percent of total billed charges,,,138.96,percent of total billed charges ,,,154.4,percent of total billed charges ,162.12,percent of total billed charges ,162.12,percent of total billed charges ,150.54,percent of total billed charges ,150.54,percent of total billed charges ,154.4,percent of total billed charges ,154.4,percent of total billed charges ,135.1,percent of total billed charges ,135.1,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,,,,,102.68,percent of total billed charges ,,,,,97.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,
CHLAMYDIA ENZYME,87320,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
TRICHOMONAS VAG PROBE,87660,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
CANDIDA DNA PROBE,87480,CDM,,,,both,1,each,113,113,31.64,113,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,83.62,percent of total billed charges,83.62,percent of total billed charges,90.4,percent of total billed charges,90.4,percent of total billed charges,,,81.36,percent of total billed charges ,,,90.4,percent of total billed charges ,94.92,percent of total billed charges ,94.92,percent of total billed charges ,88.14,percent of total billed charges ,88.14,percent of total billed charges ,90.4,percent of total billed charges ,90.4,percent of total billed charges ,79.1,percent of total billed charges ,79.1,percent of total billed charges ,67.8,percent of total billed charges ,67.8,percent of total billed charges ,67.8,percent of total billed charges ,67.8,percent of total billed charges ,,,,,60.12,percent of total billed charges ,,,,,57.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,
GARDNER VAG DNA PROBE,87510,CDM,,,,both,1,each,113,113,31.64,113,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,113,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,81.36,percent of total billed charges,83.62,percent of total billed charges,83.62,percent of total billed charges,90.4,percent of total billed charges,90.4,percent of total billed charges,,,81.36,percent of total billed charges ,,,90.4,percent of total billed charges ,94.92,percent of total billed charges ,94.92,percent of total billed charges ,88.14,percent of total billed charges ,88.14,percent of total billed charges ,90.4,percent of total billed charges ,90.4,percent of total billed charges ,79.1,percent of total billed charges ,79.1,percent of total billed charges ,67.8,percent of total billed charges ,67.8,percent of total billed charges ,67.8,percent of total billed charges ,67.8,percent of total billed charges ,,,,,60.12,percent of total billed charges ,,,,,57.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,,,31.64,percent of total billed charges,
"STREP PNEUM ANTIB TITR TYPS 3,8,12,14(*)",86317,CDM,,,,both,1,each,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
STREP PNEUMO ANTIGEN,87899,CDM,,,,both,1,each,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
HEMOPHILUS INFLUENZAE ANTIBODY TITER*,86317,CDM,,,,both,1,each,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
HUMAN HERPES VIRUS,86790,CDM,,,,both,1,each,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
HUMAN PAPALOMA VIRUS(*),87623,CDM,,,,both,1,each,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
HPV HIGH RISK AUTO CYTE PAP(*),87625,CDM,,,,both,1,each,326,326,91.28,326,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,241.24,percent of total billed charges,241.24,percent of total billed charges,260.8,percent of total billed charges,260.8,percent of total billed charges,,,234.72,percent of total billed charges ,,,260.8,percent of total billed charges ,273.84,percent of total billed charges ,273.84,percent of total billed charges ,254.28,percent of total billed charges ,254.28,percent of total billed charges ,260.8,percent of total billed charges ,260.8,percent of total billed charges ,228.2,percent of total billed charges ,228.2,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,,,,,173.43,percent of total billed charges ,,,,,164.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,
HPV HIGH RISK TYPES,87624,CDM,,,,both,1,each,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
CULTURE/ANAEROBIC ID,87076,CDM,,,,both,1,each,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
CULTURE/ANAEROBIC,87075,CDM,,,,both,1,each,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
CULTURE TYPING,87158,CDM,,,,both,,,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
CULTURE/FUNGUS OTHER(*),87102,CDM,,,,both,1,each,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
CULTURE DNA PROBE,87149,CDM,,,,both,1,each,246,246,68.88,246,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,182.04,percent of total billed charges,182.04,percent of total billed charges,196.8,percent of total billed charges,196.8,percent of total billed charges,,,177.12,percent of total billed charges ,,,196.8,percent of total billed charges ,206.64,percent of total billed charges ,206.64,percent of total billed charges ,191.88,percent of total billed charges ,191.88,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,,,,,130.87,percent of total billed charges ,,,,,124.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,
CULTURE /ID FUNGUS SKIN (*),87101,CDM,,,,both,1,each,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
CULTURE STOOL,87045,CDM,,,,both,1,each,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
CULTURE/THROAT,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/GC ONLY,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/EYE,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/EAR,87070,CDM,,,,both,,,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE EAR TEST,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
"CX ACID FAST ANY SOURCE (TB,AFB,MYCOB)",87116,CDM,,,,both,1,each,273,273,76.44,273,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,273,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,196.56,percent of total billed charges,202.02,percent of total billed charges,202.02,percent of total billed charges,218.4,percent of total billed charges,218.4,percent of total billed charges,,,196.56,percent of total billed charges ,,,218.4,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,212.94,percent of total billed charges ,212.94,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,,,,,145.24,percent of total billed charges ,,,,,137.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,,,76.44,percent of total billed charges,
CULTURE AFB(*),87118,CDM,,,,both,1,each,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
CULTURE/C S F,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/URINE,87088,CDM,,,,both,,,120,120,33.6,120,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,,,86.4,percent of total billed charges ,,,96,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,96,percent of total billed charges ,96,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,,,,,63.84,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,
CULTURE/NOSE,87070,CDM,,,,both,1,each,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
CULTURE/VAGINAL,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/SPUTUM/AND OR BRONCH WASHING,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/NASAL MRSA,87070,CDM,,,,both,,,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/WOUND,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/STERILE BODY FL,87070,CDM,,,,both,1,each,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
CULTURE/RECTAL,87070,CDM,,,,both,1,each,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
TISSUE CULTURE BONE MARROW,88237,CDM,,,,both,1,each,823,823,230.44,823,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,823,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,592.56,percent of total billed charges,609.02,percent of total billed charges,609.02,percent of total billed charges,658.4,percent of total billed charges,658.4,percent of total billed charges,,,592.56,percent of total billed charges ,,,658.4,percent of total billed charges ,691.32,percent of total billed charges ,691.32,percent of total billed charges ,641.94,percent of total billed charges ,641.94,percent of total billed charges ,658.4,percent of total billed charges ,658.4,percent of total billed charges ,576.1,percent of total billed charges ,576.1,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,493.8,percent of total billed charges ,,,,,437.84,percent of total billed charges ,,,,,415.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,,,230.44,percent of total billed charges,
"LAB, HPV HIGH RISK ONLY",87624,CDM,,,,both,1,each,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
AGENT DETECTION GI,87505,CDM,,,,both,1,each,701,701,196.28,701,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,518.74,percent of total billed charges,518.74,percent of total billed charges,560.8,percent of total billed charges,560.8,percent of total billed charges,,,504.72,percent of total billed charges ,,,560.8,percent of total billed charges ,588.84,percent of total billed charges ,588.84,percent of total billed charges ,546.78,percent of total billed charges ,546.78,percent of total billed charges ,560.8,percent of total billed charges ,560.8,percent of total billed charges ,490.7,percent of total billed charges ,490.7,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,,,,,372.93,percent of total billed charges ,,,,,354.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,
IADNA-DNA/RNA PROBE,87507,CDM,,,,both,1,each,"2,957.00","2,957.00",827.96,"2,957.00","2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,188.18",percent of total billed charges,"2,188.18",percent of total billed charges,"2,365.60",percent of total billed charges,"2,365.60",percent of total billed charges,,,"2,129.04",percent of total billed charges ,,,"2,365.60",percent of total billed charges ,"2,483.88",percent of total billed charges ,"2,483.88",percent of total billed charges ,"2,306.46",percent of total billed charges ,"2,306.46",percent of total billed charges ,"2,365.60",percent of total billed charges ,"2,365.60",percent of total billed charges ,"2,069.90",percent of total billed charges ,"2,069.90",percent of total billed charges ,"1,774.20",percent of total billed charges ,"1,774.20",percent of total billed charges ,"1,774.20",percent of total billed charges ,"1,774.20",percent of total billed charges ,,,,,"1,573.12",percent of total billed charges ,,,,,"1,494.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,
CULTURE FUNGUS ID (*),87106,CDM,,,,both,1,each,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
CULTURE GROUP B STREP ONLY,87081,CDM,,,,both,1,each,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
CULTURE BLOOD,87040,CDM,,,,both,1,each,318,318,89.04,318,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,235.32,percent of total billed charges,235.32,percent of total billed charges,254.4,percent of total billed charges,254.4,percent of total billed charges,,,228.96,percent of total billed charges ,,,254.4,percent of total billed charges ,267.12,percent of total billed charges ,267.12,percent of total billed charges ,248.04,percent of total billed charges ,248.04,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,,,,,169.18,percent of total billed charges ,,,,,160.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,
CULTURE CHLAMYDIA,87110,CDM,,,,both,1,each,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
CULTURE TISSUE,88233,CDM,,,,both,1,each,"1,123.00","1,123.00",314.44,"1,123.00","1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,"1,123.00",percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,808.56,percent of total billed charges,831.02,percent of total billed charges,831.02,percent of total billed charges,898.4,percent of total billed charges,898.4,percent of total billed charges,,,808.56,percent of total billed charges ,,,898.4,percent of total billed charges ,943.32,percent of total billed charges ,943.32,percent of total billed charges ,875.94,percent of total billed charges ,875.94,percent of total billed charges ,898.4,percent of total billed charges ,898.4,percent of total billed charges ,786.1,percent of total billed charges ,786.1,percent of total billed charges ,673.8,percent of total billed charges ,673.8,percent of total billed charges ,673.8,percent of total billed charges ,673.8,percent of total billed charges ,,,,,597.44,percent of total billed charges ,,,,,567.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,,,314.44,percent of total billed charges,
MIC-MBC (*),87187,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
MENGIOCOCCAL ANTIGEN(*),86403,CDM,,,,both,1,each,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
E-TEST,87186,CDM,,,,both,1,each,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
BETALACTAMASE,87185,CDM,,,,both,1,each,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
CRYPTOCOCCAL ANTIGEN(*),86641,CDM,,,,both,1,each,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
ENTAMOEBA HIST AG,87337,CDM,,,,both,1,each,140,140,39.2,140,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,103.6,percent of total billed charges,103.6,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,,,100.8,percent of total billed charges ,,,112,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,112,percent of total billed charges ,112,percent of total billed charges ,98,percent of total billed charges ,98,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,,,,,74.48,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,
CRYPTOSPORIDIA ANTIGEN(*),87272,CDM,,,,both,1,each,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
RAPID STREP TEST,87880,CDM,,,,both,1,each,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
LACTOFERRIN FECAL,83630,CDM,,,,both,1,each,178,178,49.84,178,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,131.72,percent of total billed charges,131.72,percent of total billed charges,142.4,percent of total billed charges,142.4,percent of total billed charges,,,128.16,percent of total billed charges ,,,142.4,percent of total billed charges ,149.52,percent of total billed charges ,149.52,percent of total billed charges ,138.84,percent of total billed charges ,138.84,percent of total billed charges ,142.4,percent of total billed charges ,142.4,percent of total billed charges ,124.6,percent of total billed charges ,124.6,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
STREP B DNA AMP PROBE,87653,CDM,,,,both,1,each,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
LATEX AGGLUTINATION (*),86403,CDM,,,,both,1,each,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
MIC,87186,CDM,,,,both,1,each,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
KIRBY BAUER SENSITIVITY,87184,CDM,,,,both,1,each,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
STAPH/STREP NOT UA ANAEROBIC,87076,CDM,,,,both,1,each,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
STAPH/STREP NOT UA AEROBIC,87077,CDM,,,,both,1,each,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
BACT ID FOR UA ONLY,87088,CDM,,,,both,1,each,120,120,33.6,120,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,,,86.4,percent of total billed charges ,,,96,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,96,percent of total billed charges ,96,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,,,,,63.84,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,
E-COLEX (*),87335,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
VDRL(*),86592,CDM,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
CNS DNA AMP PROBE TYPE 12-25,87483,CDM,,,,both,1,each,"1,748.00","1,748.00",489.44,"1,748.00","1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,"1,748.00",percent of total billed charges,"1,258.56",percent of total billed charges,"1,258.56",percent of total billed charges,"1,258.56",percent of total billed charges,"1,258.56",percent of total billed charges,"1,258.56",percent of total billed charges,"1,258.56",percent of total billed charges,"1,293.52",percent of total billed charges,"1,293.52",percent of total billed charges,"1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,,,"1,258.56",percent of total billed charges ,,,"1,398.40",percent of total billed charges ,"1,468.32",percent of total billed charges ,"1,468.32",percent of total billed charges ,"1,363.44",percent of total billed charges ,"1,363.44",percent of total billed charges ,"1,398.40",percent of total billed charges ,"1,398.40",percent of total billed charges ,"1,223.60",percent of total billed charges ,"1,223.60",percent of total billed charges ,"1,048.80",percent of total billed charges ,"1,048.80",percent of total billed charges ,"1,048.80",percent of total billed charges ,"1,048.80",percent of total billed charges ,,,,,929.94,percent of total billed charges ,,,,,883.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,,,489.44,percent of total billed charges,
FAT IN FECES QUANTITATIVE (*),82710,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
**CULTURE VIRUS,87252,CDM,,,,both,1,each,396,396,110.88,396,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,,,285.12,percent of total billed charges ,,,316.8,percent of total billed charges ,332.64,percent of total billed charges ,332.64,percent of total billed charges ,308.88,percent of total billed charges ,308.88,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,,,,,210.67,percent of total billed charges ,,,,,200.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,
PROTOZOA ANTIBODY,86753,CDM,,,,both,1,each,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
YEAST ID,87102,CDM,,,,both,1,each,279,279,78.12,279,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,206.46,percent of total billed charges,206.46,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,,,200.88,percent of total billed charges ,,,223.2,percent of total billed charges ,234.36,percent of total billed charges ,234.36,percent of total billed charges ,217.62,percent of total billed charges ,217.62,percent of total billed charges ,223.2,percent of total billed charges ,223.2,percent of total billed charges ,195.3,percent of total billed charges ,195.3,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,,,,,148.43,percent of total billed charges ,,,,,141.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,
GC BY PCR(*),87591,CDM,,,,both,1,each,281,281,78.68,281,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,207.94,percent of total billed charges,207.94,percent of total billed charges,224.8,percent of total billed charges,224.8,percent of total billed charges,,,202.32,percent of total billed charges ,,,224.8,percent of total billed charges ,236.04,percent of total billed charges ,236.04,percent of total billed charges ,219.18,percent of total billed charges ,219.18,percent of total billed charges ,224.8,percent of total billed charges ,224.8,percent of total billed charges ,196.7,percent of total billed charges ,196.7,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,,,,,149.49,percent of total billed charges ,,,,,142.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,
CULTURE-FUNGUS BLOOD(*),87103,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
INDIA INK PREP(*),86641,CDM,,,,both,1,each,145,145,40.6,145,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,107.3,percent of total billed charges,107.3,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,,,104.4,percent of total billed charges ,,,116,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,113.1,percent of total billed charges ,113.1,percent of total billed charges ,116,percent of total billed charges ,116,percent of total billed charges ,101.5,percent of total billed charges ,101.5,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,,,,,77.14,percent of total billed charges ,,,,,73.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,
GIARDIAZYME(GIARDIA ANTIGEN)(*),87269,CDM,,,,both,1,each,115,115,32.2,115,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,85.1,percent of total billed charges,85.1,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,,,82.8,percent of total billed charges ,,,92,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,89.7,percent of total billed charges ,89.7,percent of total billed charges ,92,percent of total billed charges ,92,percent of total billed charges ,80.5,percent of total billed charges ,80.5,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,,,,,61.18,percent of total billed charges ,,,,,58.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,
**PCR MYCOBACTERIUM TUBERCULOSIS(*),87556,CDM,,,,both,1,each,458,458,128.24,458,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,338.92,percent of total billed charges,338.92,percent of total billed charges,366.4,percent of total billed charges,366.4,percent of total billed charges,,,329.76,percent of total billed charges ,,,366.4,percent of total billed charges ,384.72,percent of total billed charges ,384.72,percent of total billed charges ,357.24,percent of total billed charges ,357.24,percent of total billed charges ,366.4,percent of total billed charges ,366.4,percent of total billed charges ,320.6,percent of total billed charges ,320.6,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,,,,,243.66,percent of total billed charges ,,,,,231.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,
OVA AND PARASITES(*),87177,CDM,,,,both,,,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
PARASITE ID,87169,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
TRICHOMONAS VAGINALIS,87661,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
PINWORM(*),87172,CDM,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
GRAM STAIN,87205,CDM,,,,both,1,each,98,98,27.44,98,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,78.4,percent of total billed charges,78.4,percent of total billed charges,,,70.56,percent of total billed charges ,,,78.4,percent of total billed charges ,82.32,percent of total billed charges ,82.32,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,68.6,percent of total billed charges ,68.6,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,,,,,52.14,percent of total billed charges ,,,,,49.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,
SMEAR COMPLEX STAIN FOR OVA AND PARASITE,87209,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
AFB STAIN TISSUE,88312,CDM,,,,both,1,each,246,246,68.88,246,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,182.04,percent of total billed charges,182.04,percent of total billed charges,196.8,percent of total billed charges,196.8,percent of total billed charges,,,177.12,percent of total billed charges ,,,196.8,percent of total billed charges ,206.64,percent of total billed charges ,206.64,percent of total billed charges ,191.88,percent of total billed charges ,191.88,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,,,,,130.87,percent of total billed charges ,,,,,124.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,
AFB STAIN BACTERIA,87206,CDM,,,,both,,,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
STOOL FOR WBCS,87205,CDM,,,,both,1,each,98,98,27.44,98,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,78.4,percent of total billed charges,78.4,percent of total billed charges,,,70.56,percent of total billed charges ,,,78.4,percent of total billed charges ,82.32,percent of total billed charges ,82.32,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,68.6,percent of total billed charges ,68.6,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,,,,,52.14,percent of total billed charges ,,,,,49.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,
WET PREP (VAG ONLY),87210,CDM,,,,both,1,each,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
DFA FOR PERTUSSIS(*),87265,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
BACT ID ANAEROBIC,87076,CDM,,,,both,1,each,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
BACT ID AEROBIC,87077,CDM,,,,both,1,each,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
EXTRA SLIDES-,LOCAL,LOCAL,,,,both,1,each,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
**CAT 14 FNA BY PATH 10021,10021,CDM,,,,both,1,each,"1,042.00","1,042.00",291.76,"1,042.00","1,042.00",percent of total billed charges,"1,042.00",percent of total billed charges,"1,042.00",percent of total billed charges,"1,042.00",percent of total billed charges,"1,042.00",percent of total billed charges,"1,042.00",percent of total billed charges,"1,042.00",percent of total billed charges,"1,042.00",percent of total billed charges,750.24,percent of total billed charges,750.24,percent of total billed charges,750.24,percent of total billed charges,750.24,percent of total billed charges,750.24,percent of total billed charges,750.24,percent of total billed charges,771.08,percent of total billed charges,771.08,percent of total billed charges,833.6,percent of total billed charges,833.6,percent of total billed charges,,,750.24,percent of total billed charges ,,,833.6,percent of total billed charges ,875.28,percent of total billed charges ,875.28,percent of total billed charges ,812.76,percent of total billed charges ,812.76,percent of total billed charges ,833.6,percent of total billed charges ,833.6,percent of total billed charges ,729.4,percent of total billed charges ,729.4,percent of total billed charges ,625.2,percent of total billed charges ,625.2,percent of total billed charges ,625.2,percent of total billed charges ,625.2,percent of total billed charges ,,,,,554.34,percent of total billed charges ,,,,,526.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,,,291.76,percent of total billed charges,
**CAT 15 FNA BY RAD 10022,10022,CDM,,,,both,1,each,"1,380.00","1,380.00",386.4,"1,380.00","1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,"1,380.00",percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,993.6,percent of total billed charges,"1,021.20",percent of total billed charges,"1,021.20",percent of total billed charges,"1,104.00",percent of total billed charges,"1,104.00",percent of total billed charges,,,993.6,percent of total billed charges ,,,"1,104.00",percent of total billed charges ,"1,159.20",percent of total billed charges ,"1,159.20",percent of total billed charges ,"1,076.40",percent of total billed charges ,"1,076.40",percent of total billed charges ,"1,104.00",percent of total billed charges ,"1,104.00",percent of total billed charges ,966,percent of total billed charges ,966,percent of total billed charges ,828,percent of total billed charges ,828,percent of total billed charges ,828,percent of total billed charges ,828,percent of total billed charges ,,,,,734.16,percent of total billed charges ,,,,,697.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,,,386.4,percent of total billed charges,
CAT 12 CYTOLOGY NON-GYN-88104,88104,CDM,,,,both,1,each,256,256,71.68,256,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,189.44,percent of total billed charges,189.44,percent of total billed charges,204.8,percent of total billed charges,204.8,percent of total billed charges,,,184.32,percent of total billed charges ,,,204.8,percent of total billed charges ,215.04,percent of total billed charges ,215.04,percent of total billed charges ,199.68,percent of total billed charges ,199.68,percent of total billed charges ,204.8,percent of total billed charges ,204.8,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,,,,,136.19,percent of total billed charges ,,,,,129.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,
CAT 26 FNA CYTO,88173,CDM,,,,both,1,each,421,421,117.88,421,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,311.54,percent of total billed charges,311.54,percent of total billed charges,336.8,percent of total billed charges,336.8,percent of total billed charges,,,303.12,percent of total billed charges ,,,336.8,percent of total billed charges ,353.64,percent of total billed charges ,353.64,percent of total billed charges ,328.38,percent of total billed charges ,328.38,percent of total billed charges ,336.8,percent of total billed charges ,336.8,percent of total billed charges ,294.7,percent of total billed charges ,294.7,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,,,,,223.97,percent of total billed charges ,,,,,212.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,
CAT 13 CSF-CYTOLOGY-88108,88108,CDM,,,,both,1,each,254,254,71.12,254,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,187.96,percent of total billed charges,187.96,percent of total billed charges,203.2,percent of total billed charges,203.2,percent of total billed charges,,,182.88,percent of total billed charges ,,,203.2,percent of total billed charges ,213.36,percent of total billed charges ,213.36,percent of total billed charges ,198.12,percent of total billed charges ,198.12,percent of total billed charges ,203.2,percent of total billed charges ,203.2,percent of total billed charges ,177.8,percent of total billed charges ,177.8,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,,,,,135.13,percent of total billed charges ,,,,,128.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,
ELECTRON MICROSCOPY(*),88348,CDM,,,,both,1,each,"2,079.00","2,079.00",582.12,"2,079.00","2,079.00",percent of total billed charges,"2,079.00",percent of total billed charges,"2,079.00",percent of total billed charges,"2,079.00",percent of total billed charges,"2,079.00",percent of total billed charges,"2,079.00",percent of total billed charges,"2,079.00",percent of total billed charges,"2,079.00",percent of total billed charges,"1,496.88",percent of total billed charges,"1,496.88",percent of total billed charges,"1,496.88",percent of total billed charges,"1,496.88",percent of total billed charges,"1,496.88",percent of total billed charges,"1,496.88",percent of total billed charges,"1,538.46",percent of total billed charges,"1,538.46",percent of total billed charges,"1,663.20",percent of total billed charges,"1,663.20",percent of total billed charges,,,"1,496.88",percent of total billed charges ,,,"1,663.20",percent of total billed charges ,"1,746.36",percent of total billed charges ,"1,746.36",percent of total billed charges ,"1,621.62",percent of total billed charges ,"1,621.62",percent of total billed charges ,"1,663.20",percent of total billed charges ,"1,663.20",percent of total billed charges ,"1,455.30",percent of total billed charges ,"1,455.30",percent of total billed charges ,"1,247.40",percent of total billed charges ,"1,247.40",percent of total billed charges ,"1,247.40",percent of total billed charges ,"1,247.40",percent of total billed charges ,,,,,"1,106.03",percent of total billed charges ,,,,,"1,050.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,,,582.12,percent of total billed charges,
MICRODISSECTION MANUAL,88381,CDM,,,,both,1,each,528,528,147.84,528,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,390.72,percent of total billed charges,390.72,percent of total billed charges,422.4,percent of total billed charges,422.4,percent of total billed charges,,,380.16,percent of total billed charges ,,,422.4,percent of total billed charges ,443.52,percent of total billed charges ,443.52,percent of total billed charges ,411.84,percent of total billed charges ,411.84,percent of total billed charges ,422.4,percent of total billed charges ,422.4,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,,,,,280.9,percent of total billed charges ,,,,,266.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,
CAT 25 FNA EVAL Ea Addl.,88177,CDM,,,,both,1,each,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
CYTO PATH CONSULT 2,88334,CDM,,,,both,1,each,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
CYTO PATH CONSULT 1,88333,CDM,,,,both,1,each,236,236,66.08,236,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,174.64,percent of total billed charges,174.64,percent of total billed charges,188.8,percent of total billed charges,188.8,percent of total billed charges,,,169.92,percent of total billed charges ,,,188.8,percent of total billed charges ,198.24,percent of total billed charges ,198.24,percent of total billed charges ,184.08,percent of total billed charges ,184.08,percent of total billed charges ,188.8,percent of total billed charges ,188.8,percent of total billed charges ,165.2,percent of total billed charges ,165.2,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,141.6,percent of total billed charges ,,,,,125.55,percent of total billed charges ,,,,,119.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,,,66.08,percent of total billed charges,
CHROMOSOME ANALYSIS,88230,CDM,,,,both,1,each,785,785,219.8,785,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,580.9,percent of total billed charges,580.9,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,,,565.2,percent of total billed charges ,,,628,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,612.3,percent of total billed charges ,612.3,percent of total billed charges ,628,percent of total billed charges ,628,percent of total billed charges ,549.5,percent of total billed charges ,549.5,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,,,,,417.62,percent of total billed charges ,,,,,396.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,
GENETIC AMNIOCENTHESIS,88267,CDM,,,,both,1,each,"1,454.00","1,454.00",407.12,"1,454.00","1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,075.96",percent of total billed charges,"1,075.96",percent of total billed charges,"1,163.20",percent of total billed charges,"1,163.20",percent of total billed charges,,,"1,046.88",percent of total billed charges ,,,"1,163.20",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,017.80",percent of total billed charges ,"1,017.80",percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,,,,,773.53,percent of total billed charges ,,,,,734.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,
PROGESTERONE STUDIES(*),84234,CDM,,,,both,1,each,596,596,166.88,596,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,441.04,percent of total billed charges,441.04,percent of total billed charges,476.8,percent of total billed charges,476.8,percent of total billed charges,,,429.12,percent of total billed charges ,,,476.8,percent of total billed charges ,500.64,percent of total billed charges ,500.64,percent of total billed charges ,464.88,percent of total billed charges ,464.88,percent of total billed charges ,476.8,percent of total billed charges ,476.8,percent of total billed charges ,417.2,percent of total billed charges ,417.2,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,,,,,317.07,percent of total billed charges ,,,,,301.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,
CAT 07 DECAL-88311,88311,CDM,,,,both,1,each,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
CAT 01 GROSS-88300,88300,CDM,,,,both,1,each,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
CAT 02 GROSS & MICRO-88302,88302,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
CAT 03 GROSS & MICRO-88304,88304,CDM,,,,both,1,each,387,387,108.36,387,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,286.38,percent of total billed charges,286.38,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,,,278.64,percent of total billed charges ,,,309.6,percent of total billed charges ,325.08,percent of total billed charges ,325.08,percent of total billed charges ,301.86,percent of total billed charges ,301.86,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,270.9,percent of total billed charges ,270.9,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,,,,,205.88,percent of total billed charges ,,,,,195.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,
BX/TISSUE - LEVEL 4,88305,CDM,,,,both,1,each,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
CAT 05 GROSS & MICRO-88307,88307,CDM,,,,both,,,706,706,197.68,706,706,percent of total billed charges,706,percent of total billed charges,706,percent of total billed charges,706,percent of total billed charges,706,percent of total billed charges,706,percent of total billed charges,706,percent of total billed charges,706,percent of total billed charges,508.32,percent of total billed charges,508.32,percent of total billed charges,508.32,percent of total billed charges,508.32,percent of total billed charges,508.32,percent of total billed charges,508.32,percent of total billed charges,522.44,percent of total billed charges,522.44,percent of total billed charges,564.8,percent of total billed charges,564.8,percent of total billed charges,,,508.32,percent of total billed charges ,,,564.8,percent of total billed charges ,593.04,percent of total billed charges ,593.04,percent of total billed charges ,550.68,percent of total billed charges ,550.68,percent of total billed charges ,564.8,percent of total billed charges ,564.8,percent of total billed charges ,494.2,percent of total billed charges ,494.2,percent of total billed charges ,423.6,percent of total billed charges ,423.6,percent of total billed charges ,423.6,percent of total billed charges ,423.6,percent of total billed charges ,,,,,375.59,percent of total billed charges ,,,,,356.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,,,197.68,percent of total billed charges,
BX - LEVEL 6,88309,CDM,,,,both,1,each,973,973,272.44,973,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,720.02,percent of total billed charges,720.02,percent of total billed charges,778.4,percent of total billed charges,778.4,percent of total billed charges,,,700.56,percent of total billed charges ,,,778.4,percent of total billed charges ,817.32,percent of total billed charges ,817.32,percent of total billed charges ,758.94,percent of total billed charges ,758.94,percent of total billed charges ,778.4,percent of total billed charges ,778.4,percent of total billed charges ,681.1,percent of total billed charges ,681.1,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,,,,,517.64,percent of total billed charges ,,,,,491.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,
CAT 06 GROSS AND MICRO-88309,88309,CDM,,,,both,1,each,973,973,272.44,973,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,720.02,percent of total billed charges,720.02,percent of total billed charges,778.4,percent of total billed charges,778.4,percent of total billed charges,,,700.56,percent of total billed charges ,,,778.4,percent of total billed charges ,817.32,percent of total billed charges ,817.32,percent of total billed charges ,758.94,percent of total billed charges ,758.94,percent of total billed charges ,778.4,percent of total billed charges ,778.4,percent of total billed charges ,681.1,percent of total billed charges ,681.1,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,,,,,517.64,percent of total billed charges ,,,,,491.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,
CAT 17 BONE MARROW SMEAR INTERP-85097,85097,CDM,,,,both,,,390,390,109.2,390,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,288.6,percent of total billed charges,288.6,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,,,280.8,percent of total billed charges ,,,312,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,304.2,percent of total billed charges ,304.2,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,,,,,207.48,percent of total billed charges ,,,,,197.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,
CHROMOSOME ANALYSIS 20-25,88264,CDM,,,,both,1,each,"1,021.00","1,021.00",285.88,"1,021.00","1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,755.54,percent of total billed charges,755.54,percent of total billed charges,816.8,percent of total billed charges,816.8,percent of total billed charges,,,735.12,percent of total billed charges ,,,816.8,percent of total billed charges ,857.64,percent of total billed charges ,857.64,percent of total billed charges ,796.38,percent of total billed charges ,796.38,percent of total billed charges ,816.8,percent of total billed charges ,816.8,percent of total billed charges ,714.7,percent of total billed charges ,714.7,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,,,,,543.17,percent of total billed charges ,,,,,516.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,
INSITU HYBRIDIZATION MANUAL,88368,CDM,,,,both,1,each,764,764,213.92,764,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,565.36,percent of total billed charges,565.36,percent of total billed charges,611.2,percent of total billed charges,611.2,percent of total billed charges,,,550.08,percent of total billed charges ,,,611.2,percent of total billed charges ,641.76,percent of total billed charges ,641.76,percent of total billed charges ,595.92,percent of total billed charges ,595.92,percent of total billed charges ,611.2,percent of total billed charges ,611.2,percent of total billed charges ,534.8,percent of total billed charges ,534.8,percent of total billed charges ,458.4,percent of total billed charges ,458.4,percent of total billed charges ,458.4,percent of total billed charges ,458.4,percent of total billed charges ,,,,,406.45,percent of total billed charges ,,,,,386.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,
CAT 20 ER/PR-84233,84233,CDM,,,,both,1,each,708,708,198.24,708,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,523.92,percent of total billed charges,523.92,percent of total billed charges,566.4,percent of total billed charges,566.4,percent of total billed charges,,,509.76,percent of total billed charges ,,,566.4,percent of total billed charges ,594.72,percent of total billed charges ,594.72,percent of total billed charges ,552.24,percent of total billed charges ,552.24,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,,,,,376.66,percent of total billed charges ,,,,,357.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,
CAT 21 TUMOR HISTO,88360,CDM,,,,both,1,each,491,491,137.48,491,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,491,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,353.52,percent of total billed charges,363.34,percent of total billed charges,363.34,percent of total billed charges,392.8,percent of total billed charges,392.8,percent of total billed charges,,,353.52,percent of total billed charges ,,,392.8,percent of total billed charges ,412.44,percent of total billed charges ,412.44,percent of total billed charges ,382.98,percent of total billed charges ,382.98,percent of total billed charges ,392.8,percent of total billed charges ,392.8,percent of total billed charges ,343.7,percent of total billed charges ,343.7,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,294.6,percent of total billed charges ,,,,,261.21,percent of total billed charges ,,,,,248.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,,,137.48,percent of total billed charges,
CAT 22 TUMOR HISTO,88361,CDM,,,,both,1,each,673,673,188.44,673,673,percent of total billed charges,673,percent of total billed charges,673,percent of total billed charges,673,percent of total billed charges,673,percent of total billed charges,673,percent of total billed charges,673,percent of total billed charges,673,percent of total billed charges,484.56,percent of total billed charges,484.56,percent of total billed charges,484.56,percent of total billed charges,484.56,percent of total billed charges,484.56,percent of total billed charges,484.56,percent of total billed charges,498.02,percent of total billed charges,498.02,percent of total billed charges,538.4,percent of total billed charges,538.4,percent of total billed charges,,,484.56,percent of total billed charges ,,,538.4,percent of total billed charges ,565.32,percent of total billed charges ,565.32,percent of total billed charges ,524.94,percent of total billed charges ,524.94,percent of total billed charges ,538.4,percent of total billed charges ,538.4,percent of total billed charges ,471.1,percent of total billed charges ,471.1,percent of total billed charges ,403.8,percent of total billed charges ,403.8,percent of total billed charges ,403.8,percent of total billed charges ,403.8,percent of total billed charges ,,,,,358.04,percent of total billed charges ,,,,,340.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,,,188.44,percent of total billed charges,
PATH CONSULT HISTO LEVEL I,88321,CDM,,,,both,1,each,440,440,123.2,440,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,325.6,percent of total billed charges,325.6,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,,,316.8,percent of total billed charges ,,,352,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,352,percent of total billed charges ,352,percent of total billed charges ,308,percent of total billed charges ,308,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,264,percent of total billed charges ,,,,,234.08,percent of total billed charges ,,,,,222.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,,,123.2,percent of total billed charges,
PATH CONSULT HISTO LEVEL III,88323,CDM,,,,both,1,each,541,541,151.48,541,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,400.34,percent of total billed charges,400.34,percent of total billed charges,432.8,percent of total billed charges,432.8,percent of total billed charges,,,389.52,percent of total billed charges ,,,432.8,percent of total billed charges ,454.44,percent of total billed charges ,454.44,percent of total billed charges ,421.98,percent of total billed charges ,421.98,percent of total billed charges ,432.8,percent of total billed charges ,432.8,percent of total billed charges ,378.7,percent of total billed charges ,378.7,percent of total billed charges ,324.6,percent of total billed charges ,324.6,percent of total billed charges ,324.6,percent of total billed charges ,324.6,percent of total billed charges ,,,,,287.81,percent of total billed charges ,,,,,273.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,
**CAT 18 BONE MARROW W/ COLL-85095,85095,CDM,,,,both,1,each,528,528,147.84,528,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,390.72,percent of total billed charges,390.72,percent of total billed charges,422.4,percent of total billed charges,422.4,percent of total billed charges,,,380.16,percent of total billed charges ,,,422.4,percent of total billed charges ,443.52,percent of total billed charges ,443.52,percent of total billed charges ,411.84,percent of total billed charges ,411.84,percent of total billed charges ,422.4,percent of total billed charges ,422.4,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,,,,,280.9,percent of total billed charges ,,,,,266.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,
**SMEAR INTERPRETATION,85097,CDM,,,,both,1,each,383,383,107.24,383,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,283.42,percent of total billed charges,283.42,percent of total billed charges,306.4,percent of total billed charges,306.4,percent of total billed charges,,,275.76,percent of total billed charges ,,,306.4,percent of total billed charges ,321.72,percent of total billed charges ,321.72,percent of total billed charges ,298.74,percent of total billed charges ,298.74,percent of total billed charges ,306.4,percent of total billed charges ,306.4,percent of total billed charges ,268.1,percent of total billed charges ,268.1,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,,,,,203.76,percent of total billed charges ,,,,,193.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,
CAT 16 FNA EVAL-88172,88172,CDM,,,,both,1,each,331,331,92.68,331,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,331,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,238.32,percent of total billed charges,244.94,percent of total billed charges,244.94,percent of total billed charges,264.8,percent of total billed charges,264.8,percent of total billed charges,,,238.32,percent of total billed charges ,,,264.8,percent of total billed charges ,278.04,percent of total billed charges ,278.04,percent of total billed charges ,258.18,percent of total billed charges ,258.18,percent of total billed charges ,264.8,percent of total billed charges ,264.8,percent of total billed charges ,231.7,percent of total billed charges ,231.7,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,,,,,176.09,percent of total billed charges ,,,,,167.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,,,92.68,percent of total billed charges,
CAT 10 FROZEN SECTION-88331,88331,CDM,,,,both,1,each,443,443,124.04,443,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,327.82,percent of total billed charges,327.82,percent of total billed charges,354.4,percent of total billed charges,354.4,percent of total billed charges,,,318.96,percent of total billed charges ,,,354.4,percent of total billed charges ,372.12,percent of total billed charges ,372.12,percent of total billed charges ,345.54,percent of total billed charges ,345.54,percent of total billed charges ,354.4,percent of total billed charges ,354.4,percent of total billed charges ,310.1,percent of total billed charges ,310.1,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,,,,,235.68,percent of total billed charges ,,,,,223.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,
IMMUNOHISTO/CYTO CHEM,88341,CDM,,,,both,1,each,327,327,91.56,327,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,327,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,235.44,percent of total billed charges,241.98,percent of total billed charges,241.98,percent of total billed charges,261.6,percent of total billed charges,261.6,percent of total billed charges,,,235.44,percent of total billed charges ,,,261.6,percent of total billed charges ,274.68,percent of total billed charges ,274.68,percent of total billed charges ,255.06,percent of total billed charges ,255.06,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,228.9,percent of total billed charges ,228.9,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,196.2,percent of total billed charges ,,,,,173.96,percent of total billed charges ,,,,,165.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,,,91.56,percent of total billed charges,
CAT 11 ADD BLOCK FS-88332,88332,CDM,,,,both,1,each,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
CAT 04 GROSS & MICRO-88305,88305,CDM,,,,both,,,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
CYTOLOGY-CELL BLOCK,88305,CDM,,,,both,,,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
CYTOPATHOLOGY CELL ENHANCE,88112,CDM,,,,both,1,each,326,326,91.28,326,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,326,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,234.72,percent of total billed charges,241.24,percent of total billed charges,241.24,percent of total billed charges,260.8,percent of total billed charges,260.8,percent of total billed charges,,,234.72,percent of total billed charges ,,,260.8,percent of total billed charges ,273.84,percent of total billed charges ,273.84,percent of total billed charges ,254.28,percent of total billed charges ,254.28,percent of total billed charges ,260.8,percent of total billed charges ,260.8,percent of total billed charges ,228.2,percent of total billed charges ,228.2,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,195.6,percent of total billed charges ,,,,,173.43,percent of total billed charges ,,,,,164.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,,,91.28,percent of total billed charges,
CYTOPATH CONCENTRATE,88108,CDM,,,,both,1,each,254,254,71.12,254,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,187.96,percent of total billed charges,187.96,percent of total billed charges,203.2,percent of total billed charges,203.2,percent of total billed charges,,,182.88,percent of total billed charges ,,,203.2,percent of total billed charges ,213.36,percent of total billed charges ,213.36,percent of total billed charges ,198.12,percent of total billed charges ,198.12,percent of total billed charges ,203.2,percent of total billed charges ,203.2,percent of total billed charges ,177.8,percent of total billed charges ,177.8,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,,,,,135.13,percent of total billed charges ,,,,,128.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,
CYTOPATH TBS C/V REDO,88165,CDM,,,,both,1,each,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
CAT 6 GROSS & MICRO-88307,88307,CDM,,,,both,,,751,751,210.28,751,751,percent of total billed charges,751,percent of total billed charges,751,percent of total billed charges,751,percent of total billed charges,751,percent of total billed charges,751,percent of total billed charges,751,percent of total billed charges,751,percent of total billed charges,540.72,percent of total billed charges,540.72,percent of total billed charges,540.72,percent of total billed charges,540.72,percent of total billed charges,540.72,percent of total billed charges,540.72,percent of total billed charges,555.74,percent of total billed charges,555.74,percent of total billed charges,600.8,percent of total billed charges,600.8,percent of total billed charges,,,540.72,percent of total billed charges ,,,600.8,percent of total billed charges ,630.84,percent of total billed charges ,630.84,percent of total billed charges ,585.78,percent of total billed charges ,585.78,percent of total billed charges ,600.8,percent of total billed charges ,600.8,percent of total billed charges ,525.7,percent of total billed charges ,525.7,percent of total billed charges ,450.6,percent of total billed charges ,450.6,percent of total billed charges ,450.6,percent of total billed charges ,450.6,percent of total billed charges ,,,,,399.53,percent of total billed charges ,,,,,379.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,,,210.28,percent of total billed charges,
GROSS TISSUE EXAM,88300,CDM,,,,both,1,each,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
CAT 09 CLO TEST,87077,CDM,,,,both,1,each,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
LAB TISSUE-ROUTINE,88305,CDM,,,,both,1,each,482,482,134.96,482,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,356.68,percent of total billed charges,356.68,percent of total billed charges,385.6,percent of total billed charges,385.6,percent of total billed charges,,,347.04,percent of total billed charges ,,,385.6,percent of total billed charges ,404.88,percent of total billed charges ,404.88,percent of total billed charges ,375.96,percent of total billed charges ,375.96,percent of total billed charges ,385.6,percent of total billed charges ,385.6,percent of total billed charges ,337.4,percent of total billed charges ,337.4,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,,,,,256.42,percent of total billed charges ,,,,,243.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,
GROSS TISSUE EXAM (LNP / TC),88300,CDM,,,,both,1,each,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
ROUTINE TISSUE (LNP / TC),88305,CDM,,,,both,,,482,482,134.96,482,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,356.68,percent of total billed charges,356.68,percent of total billed charges,385.6,percent of total billed charges,385.6,percent of total billed charges,,,347.04,percent of total billed charges ,,,385.6,percent of total billed charges ,404.88,percent of total billed charges ,404.88,percent of total billed charges ,375.96,percent of total billed charges ,375.96,percent of total billed charges ,385.6,percent of total billed charges ,385.6,percent of total billed charges ,337.4,percent of total billed charges ,337.4,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,,,,,256.42,percent of total billed charges ,,,,,243.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,
ESTROGEN / PROGESTERONE STUDIES,84233,CDM,,,,both,1,each,708,708,198.24,708,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,509.76,percent of total billed charges,523.92,percent of total billed charges,523.92,percent of total billed charges,566.4,percent of total billed charges,566.4,percent of total billed charges,,,509.76,percent of total billed charges ,,,566.4,percent of total billed charges ,594.72,percent of total billed charges ,594.72,percent of total billed charges ,552.24,percent of total billed charges ,552.24,percent of total billed charges ,566.4,percent of total billed charges ,566.4,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,424.8,percent of total billed charges ,,,,,376.66,percent of total billed charges ,,,,,357.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,,,198.24,percent of total billed charges,
PAP SMEAR(*),88150,CDM,,,,both,1,each,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
AUTO CYTE PAP SMEAR,88142,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
PAP SMEAR PROF COMPONENT,88141,CDM,,,,both,1,each,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
CAT 08 SPECIAL STAINS - CLASS II,88313,CDM,,,,both,1,each,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
CAT 08 SPECIAL STAINS-CLASS I-88312,88312,CDM,,,,both,1,each,246,246,68.88,246,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,182.04,percent of total billed charges,182.04,percent of total billed charges,196.8,percent of total billed charges,196.8,percent of total billed charges,,,177.12,percent of total billed charges ,,,196.8,percent of total billed charges ,206.64,percent of total billed charges ,206.64,percent of total billed charges ,191.88,percent of total billed charges ,191.88,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,,,,,130.87,percent of total billed charges ,,,,,124.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,
TISSUE-CONSULT-RPT-ADD-STUDIES,88325,CDM,,,,both,1,each,787,787,220.36,787,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,787,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,566.64,percent of total billed charges,582.38,percent of total billed charges,582.38,percent of total billed charges,629.6,percent of total billed charges,629.6,percent of total billed charges,,,566.64,percent of total billed charges ,,,629.6,percent of total billed charges ,661.08,percent of total billed charges ,661.08,percent of total billed charges ,613.86,percent of total billed charges ,613.86,percent of total billed charges ,629.6,percent of total billed charges ,629.6,percent of total billed charges ,550.9,percent of total billed charges ,550.9,percent of total billed charges ,472.2,percent of total billed charges ,472.2,percent of total billed charges ,472.2,percent of total billed charges ,472.2,percent of total billed charges ,,,,,418.68,percent of total billed charges ,,,,,397.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,,,220.36,percent of total billed charges,
IMMUNOFLUOR AB 1ST STAIN,88346,CDM,,,,both,1,each,375,375,105,375,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,277.5,percent of total billed charges,277.5,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,,,270,percent of total billed charges ,,,300,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,292.5,percent of total billed charges ,292.5,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,262.5,percent of total billed charges ,262.5,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,,,,,199.5,percent of total billed charges ,,,,,189.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,
IMMUNOFLUOR AB ADDL STAIN,88350,CDM,,,,both,1,each,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
CAT 8 SPECIAL STAIN-88312,88312,CDM,,,,both,1,each,269,269,75.32,269,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,199.06,percent of total billed charges,199.06,percent of total billed charges,215.2,percent of total billed charges,215.2,percent of total billed charges,,,193.68,percent of total billed charges ,,,215.2,percent of total billed charges ,225.96,percent of total billed charges ,225.96,percent of total billed charges ,209.82,percent of total billed charges ,209.82,percent of total billed charges ,215.2,percent of total billed charges ,215.2,percent of total billed charges ,188.3,percent of total billed charges ,188.3,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,,,,,143.11,percent of total billed charges ,,,,,135.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,
JAK 2 EXON,81403,CDM,,,,both,1,each,606,606,169.68,606,606,percent of total billed charges,606,percent of total billed charges,606,percent of total billed charges,606,percent of total billed charges,606,percent of total billed charges,606,percent of total billed charges,606,percent of total billed charges,606,percent of total billed charges,436.32,percent of total billed charges,436.32,percent of total billed charges,436.32,percent of total billed charges,436.32,percent of total billed charges,436.32,percent of total billed charges,436.32,percent of total billed charges,448.44,percent of total billed charges,448.44,percent of total billed charges,484.8,percent of total billed charges,484.8,percent of total billed charges,,,436.32,percent of total billed charges ,,,484.8,percent of total billed charges ,509.04,percent of total billed charges ,509.04,percent of total billed charges ,472.68,percent of total billed charges ,472.68,percent of total billed charges ,484.8,percent of total billed charges ,484.8,percent of total billed charges ,424.2,percent of total billed charges ,424.2,percent of total billed charges ,363.6,percent of total billed charges ,363.6,percent of total billed charges ,363.6,percent of total billed charges ,363.6,percent of total billed charges ,,,,,322.39,percent of total billed charges ,,,,,306.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,,,169.68,percent of total billed charges,
MOLECULAR PATHOLOGY,81479,CDM,,,,both,1,each,728,728,203.84,728,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,538.72,percent of total billed charges,538.72,percent of total billed charges,582.4,percent of total billed charges,582.4,percent of total billed charges,,,524.16,percent of total billed charges ,,,582.4,percent of total billed charges ,611.52,percent of total billed charges ,611.52,percent of total billed charges ,567.84,percent of total billed charges ,567.84,percent of total billed charges ,582.4,percent of total billed charges ,582.4,percent of total billed charges ,509.6,percent of total billed charges ,509.6,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,,,,,387.3,percent of total billed charges ,,,,,367.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,
MOPATH PROCEDURE LEVEL 2,81401,CDM,,,,both,1,each,"1,080.00","1,080.00",302.4,"1,080.00","1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,,,777.6,percent of total billed charges ,,,864,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,,,,,574.56,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,
HISTOCHEMICAL STAINS ADD ON,88314,CDM,,,,both,1,each,302,302,84.56,302,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,302,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,217.44,percent of total billed charges,223.48,percent of total billed charges,223.48,percent of total billed charges,241.6,percent of total billed charges,241.6,percent of total billed charges,,,217.44,percent of total billed charges ,,,241.6,percent of total billed charges ,253.68,percent of total billed charges ,253.68,percent of total billed charges ,235.56,percent of total billed charges ,235.56,percent of total billed charges ,241.6,percent of total billed charges ,241.6,percent of total billed charges ,211.4,percent of total billed charges ,211.4,percent of total billed charges ,181.2,percent of total billed charges ,181.2,percent of total billed charges ,181.2,percent of total billed charges ,181.2,percent of total billed charges ,,,,,160.66,percent of total billed charges ,,,,,152.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,,,84.56,percent of total billed charges,
MICROSATELLITE INSTABILITY ANALYSIS,81301,CDM,,,,both,1,each,"1,440.00","1,440.00",403.2,"1,440.00","1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,440.00",percent of total billed charges,"1,036.80",percent of total billed charges,"1,036.80",percent of total billed charges,"1,036.80",percent of total billed charges,"1,036.80",percent of total billed charges,"1,036.80",percent of total billed charges,"1,036.80",percent of total billed charges,"1,065.60",percent of total billed charges,"1,065.60",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,,,"1,036.80",percent of total billed charges ,,,"1,152.00",percent of total billed charges ,"1,209.60",percent of total billed charges ,"1,209.60",percent of total billed charges ,"1,123.20",percent of total billed charges ,"1,123.20",percent of total billed charges ,"1,152.00",percent of total billed charges ,"1,152.00",percent of total billed charges ,"1,008.00",percent of total billed charges ,"1,008.00",percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,,,,,766.08,percent of total billed charges ,,,,,727.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,,,403.2,percent of total billed charges,
CAT 19 IMMUNOHISTOCHEM,88342,CDM,,,,both,1,each,443,443,124.04,443,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,327.82,percent of total billed charges,327.82,percent of total billed charges,354.4,percent of total billed charges,354.4,percent of total billed charges,,,318.96,percent of total billed charges ,,,354.4,percent of total billed charges ,372.12,percent of total billed charges ,372.12,percent of total billed charges ,345.54,percent of total billed charges ,345.54,percent of total billed charges ,354.4,percent of total billed charges ,354.4,percent of total billed charges ,310.1,percent of total billed charges ,310.1,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,,,,,235.68,percent of total billed charges ,,,,,223.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,
HER 2 NEU BY FISH,88374,CDM,,,,both,1,each,"1,216.00","1,216.00",340.48,"1,216.00","1,216.00",percent of total billed charges,"1,216.00",percent of total billed charges,"1,216.00",percent of total billed charges,"1,216.00",percent of total billed charges,"1,216.00",percent of total billed charges,"1,216.00",percent of total billed charges,"1,216.00",percent of total billed charges,"1,216.00",percent of total billed charges,875.52,percent of total billed charges,875.52,percent of total billed charges,875.52,percent of total billed charges,875.52,percent of total billed charges,875.52,percent of total billed charges,875.52,percent of total billed charges,899.84,percent of total billed charges,899.84,percent of total billed charges,972.8,percent of total billed charges,972.8,percent of total billed charges,,,875.52,percent of total billed charges ,,,972.8,percent of total billed charges ,"1,021.44",percent of total billed charges ,"1,021.44",percent of total billed charges ,948.48,percent of total billed charges ,948.48,percent of total billed charges ,972.8,percent of total billed charges ,972.8,percent of total billed charges ,851.2,percent of total billed charges ,851.2,percent of total billed charges ,729.6,percent of total billed charges ,729.6,percent of total billed charges ,729.6,percent of total billed charges ,729.6,percent of total billed charges ,,,,,646.91,percent of total billed charges ,,,,,614.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,,,340.48,percent of total billed charges,
KIDNEY STONE(*),82360,CDM,,,,both,1,each,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
LEUKOCYTE AKLA PHOSTH,85540,CDM,,,,both,1,each,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
CONTINUED STUDIES,88325,CDM,,,,both,,,786,786,220.08,786,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,581.64,percent of total billed charges,581.64,percent of total billed charges,628.8,percent of total billed charges,628.8,percent of total billed charges,,,565.92,percent of total billed charges ,,,628.8,percent of total billed charges ,660.24,percent of total billed charges ,660.24,percent of total billed charges ,613.08,percent of total billed charges ,613.08,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,471.6,percent of total billed charges ,471.6,percent of total billed charges ,471.6,percent of total billed charges ,471.6,percent of total billed charges ,,,,,418.15,percent of total billed charges ,,,,,397.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,
CYTOPATH SMEAR OTHER SOURCE,88161,CDM,,,,both,1,each,202,202,56.56,202,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,149.48,percent of total billed charges,149.48,percent of total billed charges,161.6,percent of total billed charges,161.6,percent of total billed charges,,,145.44,percent of total billed charges ,,,161.6,percent of total billed charges ,169.68,percent of total billed charges ,169.68,percent of total billed charges ,157.56,percent of total billed charges ,157.56,percent of total billed charges ,161.6,percent of total billed charges ,161.6,percent of total billed charges ,141.4,percent of total billed charges ,141.4,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,,,,,107.46,percent of total billed charges ,,,,,102.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,
H PYLORI (SERUM),83009,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
H PYLORI (STOOL)(*),87338,CDM,,,,both,1,each,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
RAST (*) EACH ALLERG,86003,CDM,,,,both,1,each,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
RAST PROFILE A(*),86003,CDM,,,,both,1,each,55,55,15.4,55,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,,,39.6,percent of total billed charges ,,,44,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,42.9,percent of total billed charges ,42.9,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,38.5,percent of total billed charges ,38.5,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,,,,,29.26,percent of total billed charges ,,,,,27.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,
ALLER SCAN(*),86005,CDM,,,,both,1,each,146,146,40.88,146,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,108.04,percent of total billed charges,108.04,percent of total billed charges,116.8,percent of total billed charges,116.8,percent of total billed charges,,,105.12,percent of total billed charges ,,,116.8,percent of total billed charges ,122.64,percent of total billed charges ,122.64,percent of total billed charges ,113.88,percent of total billed charges ,113.88,percent of total billed charges ,116.8,percent of total billed charges ,116.8,percent of total billed charges ,102.2,percent of total billed charges ,102.2,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,,,,,77.67,percent of total billed charges ,,,,,73.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,
ALLERGEN SPECIFIC IGE,86003,CDM,,,,both,1,each,55,55,15.4,55,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,,,39.6,percent of total billed charges ,,,44,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,42.9,percent of total billed charges ,42.9,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,38.5,percent of total billed charges ,38.5,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,,,,,29.26,percent of total billed charges ,,,,,27.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,
CYTOGENOMIC SNP MICROARY,81299,CDM,,,,both,1,each,"5,312.00","5,312.00","1,487.36","5,312.00","5,312.00",percent of total billed charges,"5,312.00",percent of total billed charges,"5,312.00",percent of total billed charges,"5,312.00",percent of total billed charges,"5,312.00",percent of total billed charges,"5,312.00",percent of total billed charges,"5,312.00",percent of total billed charges,"5,312.00",percent of total billed charges,"3,824.64",percent of total billed charges,"3,824.64",percent of total billed charges,"3,824.64",percent of total billed charges,"3,824.64",percent of total billed charges,"3,824.64",percent of total billed charges,"3,824.64",percent of total billed charges,"3,930.88",percent of total billed charges,"3,930.88",percent of total billed charges,"4,249.60",percent of total billed charges,"4,249.60",percent of total billed charges,,,"3,824.64",percent of total billed charges ,,,"4,249.60",percent of total billed charges ,"4,462.08",percent of total billed charges ,"4,462.08",percent of total billed charges ,"4,143.36",percent of total billed charges ,"4,143.36",percent of total billed charges ,"4,249.60",percent of total billed charges ,"4,249.60",percent of total billed charges ,"3,718.40",percent of total billed charges ,"3,718.40",percent of total billed charges ,"3,187.20",percent of total billed charges ,"3,187.20",percent of total billed charges ,"3,187.20",percent of total billed charges ,"3,187.20",percent of total billed charges ,,,,,"2,825.98",percent of total billed charges ,,,,,"2,684.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,,,"1,487.36",percent of total billed charges,
ASO TITER(*),86060,CDM,,,,both,1,each,120,120,33.6,120,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,,,86.4,percent of total billed charges ,,,96,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,96,percent of total billed charges ,96,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,,,,,63.84,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,
**ACTIN ANTIBODY,86015,CDM,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
MITOCHONDRIAL ANTIBODY,86381,CDM,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
MOG-IGG1 ANTB CBA,86051,CDM,,,,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
COLD AGGLUTINS TITER,86157,CDM,,,,both,1,each,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
FEBRILE AGGLUTINATION(*),86000,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FRANCISELLA TULARENSIS TITER(*),86000,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FUNGAL SEROLOGY(*),86329,CDM,,,,both,1,each,190,190,53.2,190,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,140.6,percent of total billed charges,140.6,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,,,136.8,percent of total billed charges ,,,152,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,152,percent of total billed charges ,152,percent of total billed charges ,133,percent of total billed charges ,133,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,,,,,101.08,percent of total billed charges ,,,,,96.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,
FEB AGGLU BRUCELLA(*),86000,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FEB AGGLU PARA-TY A(*),86000,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FEB AGGLU PARA-TY B(*),86000,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FEB AGGLU PRO OX 19(*),86000,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FEB AGGLU TYPHOID H(*),86000,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
FEB AGGLU TYPHOID O(*),86000,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
PHADIOTOPE RAST SCREEN(*),83516,CDM,,,,both,1,each,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
C-REACTIVE PROTEIN,86140,CDM,,,,both,1,each,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
PM-1(*),86235,CDM,,,,both,1,each,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
JO-1(*),86235,CDM,,,,both,1,each,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
MONO TEST,86308,CDM,,,,both,1,each,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
HETEROPHILEANTIBODY SCREEN,86308,CDM,,,,both,1,each,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
RPR (*),86780,CDM,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
TREPONEMA PALLIDIUM,86780,CDM,,,,both,,,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
SYPHILIS TEST QUANTITATIVE,86593,CDM,,,,both,,,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
RA TEST (RHUMATOID FACTOR)(*),86431,CDM,,,,both,1,each,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
RICKETTSIAL TITER(*),86757,CDM,,,,both,,,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
HEPATITIS A AB IGM(*),86709,CDM,,,,both,1,each,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
R-A TITRATION-QUANT,86431,CDM,,,,both,,,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
AUTOIMMUNE RHEUMATOID ARTHR,81490,CDM,,,,both,1,each,"1,385.00","1,385.00",387.8,"1,385.00","1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,"1,024.90",percent of total billed charges,"1,024.90",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,,,997.2,percent of total billed charges ,,,"1,108.00",percent of total billed charges ,"1,163.40",percent of total billed charges ,"1,163.40",percent of total billed charges ,"1,080.30",percent of total billed charges ,"1,080.30",percent of total billed charges ,"1,108.00",percent of total billed charges ,"1,108.00",percent of total billed charges ,969.5,percent of total billed charges ,969.5,percent of total billed charges ,831,percent of total billed charges ,831,percent of total billed charges ,831,percent of total billed charges ,831,percent of total billed charges ,,,,,736.82,percent of total billed charges ,,,,,699.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,
MYCOPLASMA(*),86738,CDM,,,,both,1,each,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
MYELOPEROXIDASE,83876,CDM,,,,both,1,each,249,249,69.72,249,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,184.26,percent of total billed charges,184.26,percent of total billed charges,199.2,percent of total billed charges,199.2,percent of total billed charges,,,179.28,percent of total billed charges ,,,199.2,percent of total billed charges ,209.16,percent of total billed charges ,209.16,percent of total billed charges ,194.22,percent of total billed charges ,194.22,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,174.3,percent of total billed charges ,174.3,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,,,,,132.47,percent of total billed charges ,,,,,125.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,
ALBUMIN-URINE OR OTHER SOURCE,82042,CDM,,,,both,,,145,145,40.6,145,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,107.3,percent of total billed charges,107.3,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,,,104.4,percent of total billed charges ,,,116,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,113.1,percent of total billed charges ,113.1,percent of total billed charges ,116,percent of total billed charges ,116,percent of total billed charges ,101.5,percent of total billed charges ,101.5,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,,,,,77.14,percent of total billed charges ,,,,,73.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,
BENCE-JONES PROTEIN(*),84165,CDM,,,,both,1,each,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
BLOOD URINE,81003,CDM,,,,both,1,each,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
BILE TEST,81003,CDM,,,,both,,,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
STOOLS/REDUCING SUB,81002,CDM,,,,both,1,each,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
IADNA-DNA/RNA PROVE TQ,87506,CDM,,,,both,1,each,926,926,259.28,926,926,percent of total billed charges,926,percent of total billed charges,926,percent of total billed charges,926,percent of total billed charges,926,percent of total billed charges,926,percent of total billed charges,926,percent of total billed charges,926,percent of total billed charges,666.72,percent of total billed charges,666.72,percent of total billed charges,666.72,percent of total billed charges,666.72,percent of total billed charges,666.72,percent of total billed charges,666.72,percent of total billed charges,685.24,percent of total billed charges,685.24,percent of total billed charges,740.8,percent of total billed charges,740.8,percent of total billed charges,,,666.72,percent of total billed charges ,,,740.8,percent of total billed charges ,777.84,percent of total billed charges ,777.84,percent of total billed charges ,722.28,percent of total billed charges ,722.28,percent of total billed charges ,740.8,percent of total billed charges ,740.8,percent of total billed charges ,648.2,percent of total billed charges ,648.2,percent of total billed charges ,555.6,percent of total billed charges ,555.6,percent of total billed charges ,555.6,percent of total billed charges ,555.6,percent of total billed charges ,,,,,492.63,percent of total billed charges ,,,,,468,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,,,259.28,percent of total billed charges,
URINALYSIS,81001,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
URINE DIP ONLY,81002,CDM,,,,both,1,each,44,44,12.32,44,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,32.56,percent of total billed charges,32.56,percent of total billed charges,35.2,percent of total billed charges,35.2,percent of total billed charges,,,31.68,percent of total billed charges ,,,35.2,percent of total billed charges ,36.96,percent of total billed charges ,36.96,percent of total billed charges ,34.32,percent of total billed charges ,34.32,percent of total billed charges ,35.2,percent of total billed charges ,35.2,percent of total billed charges ,30.8,percent of total billed charges ,30.8,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,,,,,23.41,percent of total billed charges ,,,,,22.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,
INDICAN URINE,81005,CDM,,,,both,1,each,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
URINALYSIS-MICRO,81015,CDM,,,,both,1,each,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
**URINALYSIS MANUAL,81000,CDM,,,,both,1,each,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
UROBILINOGEN-URINE-QUAL(*),84578,CDM,,,,both,1,each,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
SPECIFIC GRAVITY,81003,CDM,,,,both,1,each,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
PH-STICK,83986,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
PORPHOBILINOGEN-URINE-QUAL(*),84110,CDM,,,,both,1,each,115,115,32.2,115,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,85.1,percent of total billed charges,85.1,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,,,82.8,percent of total billed charges ,,,92,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,89.7,percent of total billed charges ,89.7,percent of total billed charges ,92,percent of total billed charges ,92,percent of total billed charges ,80.5,percent of total billed charges ,80.5,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,,,,,61.18,percent of total billed charges ,,,,,58.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,
ACETONE - URINE,82009,CDM,,,,both,1,each,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
GLUCOSE TEST-STICK,81003,CDM,,,,both,1,each,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
PREGNANCY TEST URINE,84703,CDM,,,,both,1,each,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
INFLUENZA A&B,87502,CDM,,,,both,1,each,458,458,128.24,458,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,338.92,percent of total billed charges,338.92,percent of total billed charges,366.4,percent of total billed charges,366.4,percent of total billed charges,,,329.76,percent of total billed charges ,,,366.4,percent of total billed charges ,384.72,percent of total billed charges ,384.72,percent of total billed charges ,357.24,percent of total billed charges ,357.24,percent of total billed charges ,366.4,percent of total billed charges ,366.4,percent of total billed charges ,320.6,percent of total billed charges ,320.6,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,,,,,243.66,percent of total billed charges ,,,,,231.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,
**INFLUENZA DNA AMP PROB,87502,CDM,,,,both,,,530,530,148.4,530,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,530,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,392.2,percent of total billed charges,392.2,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,,,381.6,percent of total billed charges ,,,424,percent of total billed charges ,445.2,percent of total billed charges ,445.2,percent of total billed charges ,413.4,percent of total billed charges ,413.4,percent of total billed charges ,424,percent of total billed charges ,424,percent of total billed charges ,371,percent of total billed charges ,371,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,318,percent of total billed charges ,,,,,281.96,percent of total billed charges ,,,,,267.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,,,148.4,percent of total billed charges,
.INFLUENZA DNA AMP PROB ADD,87503,CDM,,,,both,1,each,140,140,39.2,140,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,103.6,percent of total billed charges,103.6,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,,,100.8,percent of total billed charges ,,,112,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,112,percent of total billed charges ,112,percent of total billed charges ,98,percent of total billed charges ,98,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,,,,,74.48,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,
LEUKOCYTE ALKALINE PHOSPHATASE(*),85540,CDM,,,,both,1,each,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
ANTIPLATELET ANTIBODY TITER(*),86022,CDM,,,,both,1,each,411,411,115.08,411,411,percent of total billed charges,411,percent of total billed charges,411,percent of total billed charges,411,percent of total billed charges,411,percent of total billed charges,411,percent of total billed charges,411,percent of total billed charges,411,percent of total billed charges,295.92,percent of total billed charges,295.92,percent of total billed charges,295.92,percent of total billed charges,295.92,percent of total billed charges,295.92,percent of total billed charges,295.92,percent of total billed charges,304.14,percent of total billed charges,304.14,percent of total billed charges,328.8,percent of total billed charges,328.8,percent of total billed charges,,,295.92,percent of total billed charges ,,,328.8,percent of total billed charges ,345.24,percent of total billed charges ,345.24,percent of total billed charges ,320.58,percent of total billed charges ,320.58,percent of total billed charges ,328.8,percent of total billed charges ,328.8,percent of total billed charges ,287.7,percent of total billed charges ,287.7,percent of total billed charges ,246.6,percent of total billed charges ,246.6,percent of total billed charges ,246.6,percent of total billed charges ,246.6,percent of total billed charges ,,,,,218.65,percent of total billed charges ,,,,,207.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,,,115.08,percent of total billed charges,
FACTOR X(*),85260,CDM,,,,both,1,each,383,383,107.24,383,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,283.42,percent of total billed charges,283.42,percent of total billed charges,306.4,percent of total billed charges,306.4,percent of total billed charges,,,275.76,percent of total billed charges ,,,306.4,percent of total billed charges ,321.72,percent of total billed charges ,321.72,percent of total billed charges ,298.74,percent of total billed charges ,298.74,percent of total billed charges ,306.4,percent of total billed charges ,306.4,percent of total billed charges ,268.1,percent of total billed charges ,268.1,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,,,,,203.76,percent of total billed charges ,,,,,193.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,
FACTOR V LEIDEN #1(*),81241,CDM,,,,both,1,each,399,399,111.72,399,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,295.26,percent of total billed charges,295.26,percent of total billed charges,319.2,percent of total billed charges,319.2,percent of total billed charges,,,287.28,percent of total billed charges ,,,319.2,percent of total billed charges ,335.16,percent of total billed charges ,335.16,percent of total billed charges ,311.22,percent of total billed charges ,311.22,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,279.3,percent of total billed charges ,279.3,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,,,,,212.27,percent of total billed charges ,,,,,201.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,
FACTOR V LEIDEN(*),85220,CDM,,,,both,1,each,392,392,109.76,392,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,290.08,percent of total billed charges,290.08,percent of total billed charges,313.6,percent of total billed charges,313.6,percent of total billed charges,,,282.24,percent of total billed charges ,,,313.6,percent of total billed charges ,329.28,percent of total billed charges ,329.28,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,313.6,percent of total billed charges ,313.6,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,,,,,208.54,percent of total billed charges ,,,,,198.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,
**MOLCLR DGN ENZYMATIC DIGESTION(*),83892,CDM,,,,both,1,each,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**MOLCLR DGN AMP NUCL ACID SNGL PRIMER,83898,CDM,,,,both,1,each,68,68,19.04,68,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,,,48.96,percent of total billed charges ,,,54.4,percent of total billed charges ,57.12,percent of total billed charges ,57.12,percent of total billed charges ,53.04,percent of total billed charges ,53.04,percent of total billed charges ,54.4,percent of total billed charges ,54.4,percent of total billed charges ,47.6,percent of total billed charges ,47.6,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,,,,,36.18,percent of total billed charges ,,,,,34.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,
**MOLCLR DGN MUTATION SCANNING SGL SGM,83903,CDM,,,,both,1,each,68,68,19.04,68,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,,,48.96,percent of total billed charges ,,,54.4,percent of total billed charges ,57.12,percent of total billed charges ,57.12,percent of total billed charges ,53.04,percent of total billed charges ,53.04,percent of total billed charges ,54.4,percent of total billed charges ,54.4,percent of total billed charges ,47.6,percent of total billed charges ,47.6,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,,,,,36.18,percent of total billed charges ,,,,,34.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,
**MOLCLR DGN INTERP AND REPORT(*),83912,CDM,,,,both,1,each,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
MOLCLR DGN NUCLEIC ACID PROBE EA(*),87801,CDM,,,,both,1,each,452,452,126.56,452,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,334.48,percent of total billed charges,334.48,percent of total billed charges,361.6,percent of total billed charges,361.6,percent of total billed charges,,,325.44,percent of total billed charges ,,,361.6,percent of total billed charges ,379.68,percent of total billed charges ,379.68,percent of total billed charges ,352.56,percent of total billed charges ,352.56,percent of total billed charges ,361.6,percent of total billed charges ,361.6,percent of total billed charges ,316.4,percent of total billed charges ,316.4,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,,,,,240.46,percent of total billed charges ,,,,,228.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,
**SMEAR INTEPRETATION,85060,CDM,,,,both,,,172,172,48.16,172,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,123.84,percent of total billed charges,127.28,percent of total billed charges,127.28,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,,,123.84,percent of total billed charges ,,,137.6,percent of total billed charges ,144.48,percent of total billed charges ,144.48,percent of total billed charges ,134.16,percent of total billed charges ,134.16,percent of total billed charges ,137.6,percent of total billed charges ,137.6,percent of total billed charges ,120.4,percent of total billed charges ,120.4,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,,,,,91.5,percent of total billed charges ,,,,,86.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,,,48.16,percent of total billed charges,
*HCP INHIBITOR STUDY,85300,CDM,,,,both,1,each,243,243,68.04,243,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,179.82,percent of total billed charges,179.82,percent of total billed charges,194.4,percent of total billed charges,194.4,percent of total billed charges,,,174.96,percent of total billed charges ,,,194.4,percent of total billed charges ,204.12,percent of total billed charges ,204.12,percent of total billed charges ,189.54,percent of total billed charges ,189.54,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,170.1,percent of total billed charges ,170.1,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,,,,,129.28,percent of total billed charges ,,,,,122.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,
*HCP ATB FUNCTIONAL,85300,CDM,,,,both,1,each,243,243,68.04,243,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,179.82,percent of total billed charges,179.82,percent of total billed charges,194.4,percent of total billed charges,194.4,percent of total billed charges,,,174.96,percent of total billed charges ,,,194.4,percent of total billed charges ,204.12,percent of total billed charges ,204.12,percent of total billed charges ,189.54,percent of total billed charges ,189.54,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,170.1,percent of total billed charges ,170.1,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,,,,,129.28,percent of total billed charges ,,,,,122.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,
HCP PROTHROMBIN TIME,85610,CDM,,,,both,1,each,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
HCP PTT,85730,CDM,,,,both,1,each,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
*HCP MIXING STUDIES,85613,CDM,,,,both,1,each,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
*HCP FACTOR V LEVEL,81241,CDM,,,,both,1,each,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
**HCP ENZYMATIC DIGESTION,83892,CDM,,,,both,1,each,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
**HCP MOLCLR DGN AMP NUCL ACID SGL PRMR,83898,CDM,,,,both,1,each,200,200,56,200,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,,,144,percent of total billed charges ,,,160,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,160,percent of total billed charges ,160,percent of total billed charges ,140,percent of total billed charges ,140,percent of total billed charges ,120,percent of total billed charges ,120,percent of total billed charges ,120,percent of total billed charges ,120,percent of total billed charges ,,,,,106.4,percent of total billed charges ,,,,,101.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,
**HCP MOLCLR DGN MUTN SCANNING SGL SGMT,83903,CDM,,,,both,1,each,228,228,63.84,228,228,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,164.16,percent of total billed charges,164.16,percent of total billed charges,164.16,percent of total billed charges,164.16,percent of total billed charges,164.16,percent of total billed charges,164.16,percent of total billed charges,168.72,percent of total billed charges,168.72,percent of total billed charges,182.4,percent of total billed charges,182.4,percent of total billed charges,,,164.16,percent of total billed charges ,,,182.4,percent of total billed charges ,191.52,percent of total billed charges ,191.52,percent of total billed charges ,177.84,percent of total billed charges ,177.84,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,,,,,121.3,percent of total billed charges ,,,,,115.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,,,63.84,percent of total billed charges,
**HCP MOLCLR DGN INTERP AND REPORT,83912,CDM,,,,both,1,each,105,105,29.4,105,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,,,75.6,percent of total billed charges ,,,84,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,73.5,percent of total billed charges ,73.5,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,,,,,55.86,percent of total billed charges ,,,,,53.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,
*HCP MOLCLR DGN NUCLEIC ACID PROBE EA,87801,CDM,,,,both,1,each,387,387,108.36,387,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,286.38,percent of total billed charges,286.38,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,,,278.64,percent of total billed charges ,,,309.6,percent of total billed charges ,325.08,percent of total billed charges ,325.08,percent of total billed charges ,301.86,percent of total billed charges ,301.86,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,270.9,percent of total billed charges ,270.9,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,,,,,205.88,percent of total billed charges ,,,,,195.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,
FACTOR VIII VW ANTIGEN,85246,CDM,,,,both,1,each,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
CLOT FACTOR VIII MULTIMETRIC,85247,CDM,,,,both,1,each,308,308,86.24,308,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,221.76,percent of total billed charges,227.92,percent of total billed charges,227.92,percent of total billed charges,246.4,percent of total billed charges,246.4,percent of total billed charges,,,221.76,percent of total billed charges ,,,246.4,percent of total billed charges ,258.72,percent of total billed charges ,258.72,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,215.6,percent of total billed charges ,215.6,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,,,,,163.86,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,,,86.24,percent of total billed charges,
FIBRINOGEN,85384,CDM,,,,both,1,each,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
**BLEEDING TIME,85002,CDM,,,,both,1,each,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
PLATELET ASSOCIATED ANTIBODIES,86023,CDM,,,,both,1,each,279,279,78.12,279,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,206.46,percent of total billed charges,206.46,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,,,200.88,percent of total billed charges ,,,223.2,percent of total billed charges ,234.36,percent of total billed charges ,234.36,percent of total billed charges ,217.62,percent of total billed charges ,217.62,percent of total billed charges ,223.2,percent of total billed charges ,223.2,percent of total billed charges ,195.3,percent of total billed charges ,195.3,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,,,,,148.43,percent of total billed charges ,,,,,141.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,
PLATELET AGGREGATION - MANUAL COUNT,85576,CDM,,,,both,,,276,276,77.28,276,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,198.72,percent of total billed charges,204.24,percent of total billed charges,204.24,percent of total billed charges,220.8,percent of total billed charges,220.8,percent of total billed charges,,,198.72,percent of total billed charges ,,,220.8,percent of total billed charges ,231.84,percent of total billed charges ,231.84,percent of total billed charges ,215.28,percent of total billed charges ,215.28,percent of total billed charges ,220.8,percent of total billed charges ,220.8,percent of total billed charges ,193.2,percent of total billed charges ,193.2,percent of total billed charges ,165.6,percent of total billed charges ,165.6,percent of total billed charges ,165.6,percent of total billed charges ,165.6,percent of total billed charges ,,,,,146.83,percent of total billed charges ,,,,,139.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,,,77.28,percent of total billed charges,
T-CELL TOTAL COUNT(*),86359,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
B-CELLS TOTAL COUNT(*),86355,CDM,,,,both,,,258,258,72.24,258,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,258,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,185.76,percent of total billed charges,190.92,percent of total billed charges,190.92,percent of total billed charges,206.4,percent of total billed charges,206.4,percent of total billed charges,,,185.76,percent of total billed charges ,,,206.4,percent of total billed charges ,216.72,percent of total billed charges ,216.72,percent of total billed charges ,201.24,percent of total billed charges ,201.24,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,154.8,percent of total billed charges ,,,,,137.26,percent of total billed charges ,,,,,130.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,,,72.24,percent of total billed charges,
NATURAL KILLER CELLS TOTAL COUNT(*),88184,CDM,,,,both,,,288,288,80.64,288,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,288,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,207.36,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,230.4,percent of total billed charges,230.4,percent of total billed charges,,,207.36,percent of total billed charges ,,,230.4,percent of total billed charges ,241.92,percent of total billed charges ,241.92,percent of total billed charges ,224.64,percent of total billed charges ,224.64,percent of total billed charges ,230.4,percent of total billed charges ,230.4,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,172.8,percent of total billed charges ,,,,,153.22,percent of total billed charges ,,,,,145.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,,,80.64,percent of total billed charges,
ADDITIONAL CELL SURFACE MARKER(*),88185,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**ENZYMATIC DIGESTION,83892,CDM,,,,both,1,each,30,30,8.4,30,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,,,21.6,percent of total billed charges ,,,24,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,,,,,15.96,percent of total billed charges ,,,,,15.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,
**MOLECULAR DX;AMPLIFI NUCL ACID EA PR(,83898,CDM,,,,both,1,each,348,348,97.44,348,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,257.52,percent of total billed charges,257.52,percent of total billed charges,278.4,percent of total billed charges,278.4,percent of total billed charges,,,250.56,percent of total billed charges ,,,278.4,percent of total billed charges ,292.32,percent of total billed charges ,292.32,percent of total billed charges ,271.44,percent of total billed charges ,271.44,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,,,,,185.14,percent of total billed charges ,,,,,175.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,
CD57,86356,CDM,,,,both,1,each,193,193,54.04,193,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,142.82,percent of total billed charges,142.82,percent of total billed charges,154.4,percent of total billed charges,154.4,percent of total billed charges,,,138.96,percent of total billed charges ,,,154.4,percent of total billed charges ,162.12,percent of total billed charges ,162.12,percent of total billed charges ,150.54,percent of total billed charges ,150.54,percent of total billed charges ,154.4,percent of total billed charges ,154.4,percent of total billed charges ,135.1,percent of total billed charges ,135.1,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,,,,,102.68,percent of total billed charges ,,,,,97.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,
**PLATELET COUNT - MANUAL,85032,CDM,,,,both,1,each,64,64,17.92,64,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,51.2,percent of total billed charges,51.2,percent of total billed charges,,,46.08,percent of total billed charges ,,,51.2,percent of total billed charges ,53.76,percent of total billed charges ,53.76,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,,,,,34.05,percent of total billed charges ,,,,,32.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,
CRYSTALS-ANY SOURCE NOT URINE,89060,CDM,,,,both,1,each,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
T-CELL ABSOLUTE COUNT,86361,CDM,,,,both,1,each,257,257,71.96,257,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,190.18,percent of total billed charges,190.18,percent of total billed charges,205.6,percent of total billed charges,205.6,percent of total billed charges,,,185.04,percent of total billed charges ,,,205.6,percent of total billed charges ,215.88,percent of total billed charges ,215.88,percent of total billed charges ,200.46,percent of total billed charges ,200.46,percent of total billed charges ,205.6,percent of total billed charges ,205.6,percent of total billed charges ,179.9,percent of total billed charges ,179.9,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,,,,,136.72,percent of total billed charges ,,,,,129.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,
**CLOTTING TIME-LEE & WHITE,85345,CDM,,,,both,1,each,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
GASTROCCULT,82271,CDM,,,,both,1,each,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
MIXING STUDIES(*),85613,CDM,,,,both,,,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
FACTOR VIII(*),85240,CDM,,,,both,1,each,388,388,108.64,388,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,287.12,percent of total billed charges,287.12,percent of total billed charges,310.4,percent of total billed charges,310.4,percent of total billed charges,,,279.36,percent of total billed charges ,,,310.4,percent of total billed charges ,325.92,percent of total billed charges ,325.92,percent of total billed charges ,302.64,percent of total billed charges ,302.64,percent of total billed charges ,310.4,percent of total billed charges ,310.4,percent of total billed charges ,271.6,percent of total billed charges ,271.6,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,,,,,206.42,percent of total billed charges ,,,,,196.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,
RUSSELL VIPER VENOM,85613,CDM,,,,both,1,each,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
**CLOT RETRACTION,85170,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
HEINZ BODY PREP(*),85441,CDM,,,,both,1,each,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
ANTITHROMBIN III(*),85300,CDM,,,,both,,,243,243,68.04,243,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,179.82,percent of total billed charges,179.82,percent of total billed charges,194.4,percent of total billed charges,194.4,percent of total billed charges,,,174.96,percent of total billed charges ,,,194.4,percent of total billed charges ,204.12,percent of total billed charges ,204.12,percent of total billed charges ,189.54,percent of total billed charges ,189.54,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,170.1,percent of total billed charges ,170.1,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,,,,,129.28,percent of total billed charges ,,,,,122.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,
BODY FLUID ANALYSIS,89050,CDM,,,,both,1,each,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
HEMOGRAM,85027,CDM,,,,both,1,each,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
**CBC MANUAL,85023,CDM,,,,both,1,each,246,246,68.88,246,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,246,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,177.12,percent of total billed charges,182.04,percent of total billed charges,182.04,percent of total billed charges,196.8,percent of total billed charges,196.8,percent of total billed charges,,,177.12,percent of total billed charges ,,,196.8,percent of total billed charges ,206.64,percent of total billed charges ,206.64,percent of total billed charges ,191.88,percent of total billed charges ,191.88,percent of total billed charges ,196.8,percent of total billed charges ,196.8,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,147.6,percent of total billed charges ,,,,,130.87,percent of total billed charges ,,,,,124.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,,,68.88,percent of total billed charges,
%CBC W/MANUAL DIFF,85027,CDM,,,,both,1,each,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
% MANUAL DIFFERENTIAL,85007,CDM,,,,both,1,each,79,79,22.12,79,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,63.2,percent of total billed charges,63.2,percent of total billed charges,,,56.88,percent of total billed charges ,,,63.2,percent of total billed charges ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,,,,,42.03,percent of total billed charges ,,,,,39.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,
FLOW CYTOMETRY(*),88182,CDM,,,,both,1,each,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
FLOW CYTOMETRY/BONE MARROW(*),88184,CDM,,,,both,1,each,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
FLOW CYTOMETRY/BONE MARROW 16 OR MORE*,88189,CDM,,,,both,1,each,387,387,108.36,387,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,286.38,percent of total billed charges,286.38,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,,,278.64,percent of total billed charges ,,,309.6,percent of total billed charges ,325.08,percent of total billed charges ,325.08,percent of total billed charges ,301.86,percent of total billed charges ,301.86,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,270.9,percent of total billed charges ,270.9,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,,,,,205.88,percent of total billed charges ,,,,,195.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,
FLOW CYTOMETRY FIRST MARKER BLOOD,88184,CDM,,,,both,1,each,294,294,82.32,294,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,294,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,211.68,percent of total billed charges,217.56,percent of total billed charges,217.56,percent of total billed charges,235.2,percent of total billed charges,235.2,percent of total billed charges,,,211.68,percent of total billed charges ,,,235.2,percent of total billed charges ,246.96,percent of total billed charges ,246.96,percent of total billed charges ,229.32,percent of total billed charges ,229.32,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,,,,,156.41,percent of total billed charges ,,,,,148.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,,,82.32,percent of total billed charges,
HEMOGLOBIN,85018,CDM,,,,both,1,each,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
HEMOGLOBIN ELECTROPHORESIS(*),83020,CDM,,,,both,,,245,245,68.6,245,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,245,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,176.4,percent of total billed charges,181.3,percent of total billed charges,181.3,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,,,176.4,percent of total billed charges ,,,196,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,191.1,percent of total billed charges ,191.1,percent of total billed charges ,196,percent of total billed charges ,196,percent of total billed charges ,171.5,percent of total billed charges ,171.5,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,,,,,130.34,percent of total billed charges ,,,,,123.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,,,68.6,percent of total billed charges,
HEMATOCRIT,85014,CDM,,,,both,1,each,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
OCCULT BLOOD COLO/RECT SCREEN,82270,CDM,,,,both,1,each,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
OCCULT BLOOD OTH THAN COLOREC NEO SCR,82272,CDM,,,,both,1,each,64,64,17.92,64,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,51.2,percent of total billed charges,51.2,percent of total billed charges,,,46.08,percent of total billed charges ,,,51.2,percent of total billed charges ,53.76,percent of total billed charges ,53.76,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,,,,,34.05,percent of total billed charges ,,,,,32.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,
D-DIMER,85378,CDM,,,,both,1,each,201,201,56.28,201,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,148.74,percent of total billed charges,148.74,percent of total billed charges,160.8,percent of total billed charges,160.8,percent of total billed charges,,,144.72,percent of total billed charges ,,,160.8,percent of total billed charges ,168.84,percent of total billed charges ,168.84,percent of total billed charges ,156.78,percent of total billed charges ,156.78,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,140.7,percent of total billed charges ,140.7,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,,,,,106.93,percent of total billed charges ,,,,,101.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,
WHITE BLOOD COUNT,85048,CDM,,,,both,1,each,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
CELL COUNT BODY FLUID,89051,CDM,,,,both,1,each,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
NASAL SMEAR EOSINOPHILS,89190,CDM,,,,both,1,each,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
FIBRIN SPLIT (FDP),85362,CDM,,,,both,1,each,291,291,81.48,291,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,291,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,209.52,percent of total billed charges,215.34,percent of total billed charges,215.34,percent of total billed charges,232.8,percent of total billed charges,232.8,percent of total billed charges,,,209.52,percent of total billed charges ,,,232.8,percent of total billed charges ,244.44,percent of total billed charges ,244.44,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,203.7,percent of total billed charges ,203.7,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,174.6,percent of total billed charges ,,,,,154.81,percent of total billed charges ,,,,,147.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,,,81.48,percent of total billed charges,
FIBRINOGEN ANTIGEN,85385,CDM,,,,both,1,each,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
FETAL FIBRONECTIN,82731,CDM,,,,both,1,each,822,822,230.16,822,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,822,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,591.84,percent of total billed charges,608.28,percent of total billed charges,608.28,percent of total billed charges,657.6,percent of total billed charges,657.6,percent of total billed charges,,,591.84,percent of total billed charges ,,,657.6,percent of total billed charges ,690.48,percent of total billed charges ,690.48,percent of total billed charges ,641.16,percent of total billed charges ,641.16,percent of total billed charges ,657.6,percent of total billed charges ,657.6,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,493.2,percent of total billed charges ,493.2,percent of total billed charges ,493.2,percent of total billed charges ,493.2,percent of total billed charges ,,,,,437.3,percent of total billed charges ,,,,,415.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,,,230.16,percent of total billed charges,
**L-E PREP(*),86317,CDM,,,,both,1,each,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
PLATELET COUNT - AUTOMATED,85049,CDM,,,,both,1,each,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
PLATELET ANTIBODIES(*),86022,CDM,,,,both,1,each,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
PTT,85730,CDM,,,,both,1,each,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
FACTOR IX CHRISTMAS,85250,CDM,,,,both,1,each,436,436,122.08,436,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,313.92,percent of total billed charges,322.64,percent of total billed charges,322.64,percent of total billed charges,348.8,percent of total billed charges,348.8,percent of total billed charges,,,313.92,percent of total billed charges ,,,348.8,percent of total billed charges ,366.24,percent of total billed charges ,366.24,percent of total billed charges ,340.08,percent of total billed charges ,340.08,percent of total billed charges ,348.8,percent of total billed charges ,348.8,percent of total billed charges ,305.2,percent of total billed charges ,305.2,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,261.6,percent of total billed charges ,,,,,231.95,percent of total billed charges ,,,,,220.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,,,122.08,percent of total billed charges,
FACTOR XI,85270,CDM,,,,both,1,each,408,408,114.24,408,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,301.92,percent of total billed charges,301.92,percent of total billed charges,326.4,percent of total billed charges,326.4,percent of total billed charges,,,293.76,percent of total billed charges ,,,326.4,percent of total billed charges ,342.72,percent of total billed charges ,342.72,percent of total billed charges ,318.24,percent of total billed charges ,318.24,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,,,,,217.06,percent of total billed charges ,,,,,206.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,
FACTOR XII HAGEMAN,85280,CDM,,,,both,1,each,443,443,124.04,443,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,443,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,318.96,percent of total billed charges,327.82,percent of total billed charges,327.82,percent of total billed charges,354.4,percent of total billed charges,354.4,percent of total billed charges,,,318.96,percent of total billed charges ,,,354.4,percent of total billed charges ,372.12,percent of total billed charges ,372.12,percent of total billed charges ,345.54,percent of total billed charges ,345.54,percent of total billed charges ,354.4,percent of total billed charges ,354.4,percent of total billed charges ,310.1,percent of total billed charges ,310.1,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,265.8,percent of total billed charges ,,,,,235.68,percent of total billed charges ,,,,,223.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,,,124.04,percent of total billed charges,
THROMBOPLASTIN TIME PARTIAL,85732,CDM,,,,both,1,each,101,101,28.28,101,101,percent of total billed charges,101,percent of total billed charges,101,percent of total billed charges,101,percent of total billed charges,101,percent of total billed charges,101,percent of total billed charges,101,percent of total billed charges,101,percent of total billed charges,72.72,percent of total billed charges,72.72,percent of total billed charges,72.72,percent of total billed charges,72.72,percent of total billed charges,72.72,percent of total billed charges,72.72,percent of total billed charges,74.74,percent of total billed charges,74.74,percent of total billed charges,80.8,percent of total billed charges,80.8,percent of total billed charges,,,72.72,percent of total billed charges ,,,80.8,percent of total billed charges ,84.84,percent of total billed charges ,84.84,percent of total billed charges ,78.78,percent of total billed charges ,78.78,percent of total billed charges ,80.8,percent of total billed charges ,80.8,percent of total billed charges ,70.7,percent of total billed charges ,70.7,percent of total billed charges ,60.6,percent of total billed charges ,60.6,percent of total billed charges ,60.6,percent of total billed charges ,60.6,percent of total billed charges ,,,,,53.73,percent of total billed charges ,,,,,51.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,,,28.28,percent of total billed charges,
LPS PTT(*),85610,CDM,,,,both,1,each,91,91,25.48,91,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,91,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,67.34,percent of total billed charges,67.34,percent of total billed charges,72.8,percent of total billed charges,72.8,percent of total billed charges,,,65.52,percent of total billed charges ,,,72.8,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,70.98,percent of total billed charges ,70.98,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,63.7,percent of total billed charges ,63.7,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,,,,,48.41,percent of total billed charges ,,,,,45.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,,,25.48,percent of total billed charges,
LPS PTT DI,85613,CDM,,,,both,1,each,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
LPS ANA(*),86038,CDM,,,,both,1,each,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
LPS CARD ANTI(*),86147,CDM,,,,both,1,each,193,193,54.04,193,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,142.82,percent of total billed charges,142.82,percent of total billed charges,154.4,percent of total billed charges,154.4,percent of total billed charges,,,138.96,percent of total billed charges ,,,154.4,percent of total billed charges ,162.12,percent of total billed charges ,162.12,percent of total billed charges ,150.54,percent of total billed charges ,150.54,percent of total billed charges ,154.4,percent of total billed charges ,154.4,percent of total billed charges ,135.1,percent of total billed charges ,135.1,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,,,,,102.68,percent of total billed charges ,,,,,97.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,
LPS ANTI PROTEIN S(*),85306,CDM,,,,both,1,each,366,366,102.48,366,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,366,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,263.52,percent of total billed charges,270.84,percent of total billed charges,270.84,percent of total billed charges,292.8,percent of total billed charges,292.8,percent of total billed charges,,,263.52,percent of total billed charges ,,,292.8,percent of total billed charges ,307.44,percent of total billed charges ,307.44,percent of total billed charges ,285.48,percent of total billed charges ,285.48,percent of total billed charges ,292.8,percent of total billed charges ,292.8,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,219.6,percent of total billed charges ,219.6,percent of total billed charges ,219.6,percent of total billed charges ,219.6,percent of total billed charges ,,,,,194.71,percent of total billed charges ,,,,,184.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,,,102.48,percent of total billed charges,
LPS P PTT PL OR WB(*),85730,CDM,,,,both,1,each,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
LPS ANTI PRO C(*),85303,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
ACTIVATE PROTEIN,85307,CDM,,,,both,1,each,307,307,85.96,307,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,227.18,percent of total billed charges,227.18,percent of total billed charges,245.6,percent of total billed charges,245.6,percent of total billed charges,,,221.04,percent of total billed charges ,,,245.6,percent of total billed charges ,257.88,percent of total billed charges ,257.88,percent of total billed charges ,239.46,percent of total billed charges ,239.46,percent of total billed charges ,245.6,percent of total billed charges ,245.6,percent of total billed charges ,214.9,percent of total billed charges ,214.9,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,,,,,163.32,percent of total billed charges ,,,,,155.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,
F2/ PROTHROMBIN,81240,CDM,,,,both,1,each,611,611,171.08,611,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,452.14,percent of total billed charges,452.14,percent of total billed charges,488.8,percent of total billed charges,488.8,percent of total billed charges,,,439.92,percent of total billed charges ,,,488.8,percent of total billed charges ,513.24,percent of total billed charges ,513.24,percent of total billed charges ,476.58,percent of total billed charges ,476.58,percent of total billed charges ,488.8,percent of total billed charges ,488.8,percent of total billed charges ,427.7,percent of total billed charges ,427.7,percent of total billed charges ,366.6,percent of total billed charges ,366.6,percent of total billed charges ,366.6,percent of total billed charges ,366.6,percent of total billed charges ,,,,,325.05,percent of total billed charges ,,,,,308.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,
FACTOR II,85210,CDM,,,,both,1,each,340,340,95.2,340,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,340,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,251.6,percent of total billed charges,251.6,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,,,244.8,percent of total billed charges ,,,272,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,265.2,percent of total billed charges ,265.2,percent of total billed charges ,272,percent of total billed charges ,272,percent of total billed charges ,238,percent of total billed charges ,238,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,204,percent of total billed charges ,,,,,180.88,percent of total billed charges ,,,,,171.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,,,95.2,percent of total billed charges,
HEXAGNAL PHOSPH PLT NEUTRL,85598,CDM,,,,both,1,each,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
PROTHROMBIN TIME,85610,CDM,,,,both,1,each,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
HEPARIN ANTI XA,85520,CDM,,,,both,,,355,355,99.4,355,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,262.7,percent of total billed charges,262.7,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,,,255.6,percent of total billed charges ,,,284,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,276.9,percent of total billed charges ,276.9,percent of total billed charges ,284,percent of total billed charges ,284,percent of total billed charges ,248.5,percent of total billed charges ,248.5,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,,,,,188.86,percent of total billed charges ,,,,,179.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,
FACTOR INHIBITOR TEST,85335,CDM,,,,both,,,356,356,99.68,356,356,percent of total billed charges,356,percent of total billed charges,356,percent of total billed charges,356,percent of total billed charges,356,percent of total billed charges,356,percent of total billed charges,356,percent of total billed charges,356,percent of total billed charges,256.32,percent of total billed charges,256.32,percent of total billed charges,256.32,percent of total billed charges,256.32,percent of total billed charges,256.32,percent of total billed charges,256.32,percent of total billed charges,263.44,percent of total billed charges,263.44,percent of total billed charges,284.8,percent of total billed charges,284.8,percent of total billed charges,,,256.32,percent of total billed charges ,,,284.8,percent of total billed charges ,299.04,percent of total billed charges ,299.04,percent of total billed charges ,277.68,percent of total billed charges ,277.68,percent of total billed charges ,284.8,percent of total billed charges ,284.8,percent of total billed charges ,249.2,percent of total billed charges ,249.2,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,,,,,189.39,percent of total billed charges ,,,,,179.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,,,99.68,percent of total billed charges,
THROMBIN TIME,85670,CDM,,,,both,1,each,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
**URINE FOR EOSINOPHILS,81099,CDM,,,,both,1,each,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
CLOTTING FUNCT ACTIVITY,85397,CDM,,,,both,1,each,363,363,101.64,363,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,363,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,261.36,percent of total billed charges,268.62,percent of total billed charges,268.62,percent of total billed charges,290.4,percent of total billed charges,290.4,percent of total billed charges,,,261.36,percent of total billed charges ,,,290.4,percent of total billed charges ,304.92,percent of total billed charges ,304.92,percent of total billed charges ,283.14,percent of total billed charges ,283.14,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,254.1,percent of total billed charges ,254.1,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,,,,,193.12,percent of total billed charges ,,,,,183.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,,,101.64,percent of total billed charges,
MIXING STUDIES PLASMA FRACTIONS,85611,CDM,,,,both,1,each,111,111,31.08,111,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,82.14,percent of total billed charges,82.14,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,,,79.92,percent of total billed charges ,,,88.8,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,66.6,percent of total billed charges ,,,,,59.05,percent of total billed charges ,,,,,56.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,,,31.08,percent of total billed charges,
**RETICULOCYTE COUNT - MANUAL,85044,CDM,,,,both,1,each,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
RETICULOCYTE AUTOMATED,85045,CDM,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
SED RATE,85652,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
PROGESTERONE RECEPTOR ASSAY (*),84234,CDM,,,,both,1,each,596,596,166.88,596,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,441.04,percent of total billed charges,441.04,percent of total billed charges,476.8,percent of total billed charges,476.8,percent of total billed charges,,,429.12,percent of total billed charges ,,,476.8,percent of total billed charges ,500.64,percent of total billed charges ,500.64,percent of total billed charges ,464.88,percent of total billed charges ,464.88,percent of total billed charges ,476.8,percent of total billed charges ,476.8,percent of total billed charges ,417.2,percent of total billed charges ,417.2,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,,,,,317.07,percent of total billed charges ,,,,,301.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,
SPERM COUNT(*),89320,CDM,,,,both,,,284,284,79.52,284,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,204.48,percent of total billed charges,210.16,percent of total billed charges,210.16,percent of total billed charges,227.2,percent of total billed charges,227.2,percent of total billed charges,,,204.48,percent of total billed charges ,,,227.2,percent of total billed charges ,238.56,percent of total billed charges ,238.56,percent of total billed charges ,221.52,percent of total billed charges ,221.52,percent of total billed charges ,227.2,percent of total billed charges ,227.2,percent of total billed charges ,198.8,percent of total billed charges ,198.8,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,170.4,percent of total billed charges ,,,,,151.09,percent of total billed charges ,,,,,143.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,,,79.52,percent of total billed charges,
RESP. COVID/FLU/RSV,0241U,CDM,,,,both,1,each,220,220,61.6,220,220,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,220,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,162.8,percent of total billed charges,162.8,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,,,158.4,percent of total billed charges ,,,176,percent of total billed charges ,184.8,percent of total billed charges ,184.8,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,176,percent of total billed charges ,176,percent of total billed charges ,154,percent of total billed charges ,154,percent of total billed charges ,132,percent of total billed charges ,132,percent of total billed charges ,132,percent of total billed charges ,132,percent of total billed charges ,,,,,117.04,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,,,61.6,percent of total billed charges,
RSV,87801,CDM,,,,both,1,each,479,479,134.12,479,479,percent of total billed charges,479,percent of total billed charges,479,percent of total billed charges,479,percent of total billed charges,479,percent of total billed charges,479,percent of total billed charges,479,percent of total billed charges,479,percent of total billed charges,344.88,percent of total billed charges,344.88,percent of total billed charges,344.88,percent of total billed charges,344.88,percent of total billed charges,344.88,percent of total billed charges,344.88,percent of total billed charges,354.46,percent of total billed charges,354.46,percent of total billed charges,383.2,percent of total billed charges,383.2,percent of total billed charges,,,344.88,percent of total billed charges ,,,383.2,percent of total billed charges ,402.36,percent of total billed charges ,402.36,percent of total billed charges ,373.62,percent of total billed charges ,373.62,percent of total billed charges ,383.2,percent of total billed charges ,383.2,percent of total billed charges ,335.3,percent of total billed charges ,335.3,percent of total billed charges ,287.4,percent of total billed charges ,287.4,percent of total billed charges ,287.4,percent of total billed charges ,287.4,percent of total billed charges ,,,,,254.83,percent of total billed charges ,,,,,242.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,,,134.12,percent of total billed charges,
AG DETECTION POLYVAL IF,87300,CDM,,,,both,1,each,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
COVID-19-SARS-COV-2-MMC,87635,CDM,,,,both,1,each,312,312,87.36,312,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,230.88,percent of total billed charges,230.88,percent of total billed charges,249.6,percent of total billed charges,249.6,percent of total billed charges,,,224.64,percent of total billed charges ,,,249.6,percent of total billed charges ,262.08,percent of total billed charges ,262.08,percent of total billed charges ,243.36,percent of total billed charges ,243.36,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,,,,,165.98,percent of total billed charges ,,,,,157.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,
**COVID-19-SARS-COV2-REF,87635,CDM,,,,both,1,each,312,312,87.36,312,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,230.88,percent of total billed charges,230.88,percent of total billed charges,249.6,percent of total billed charges,249.6,percent of total billed charges,,,224.64,percent of total billed charges ,,,249.6,percent of total billed charges ,262.08,percent of total billed charges ,262.08,percent of total billed charges ,243.36,percent of total billed charges ,243.36,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,,,,,165.98,percent of total billed charges ,,,,,157.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,
COVID-TMH-ABBOTT,87635,CDM,,,,both,1,each,312,312,87.36,312,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,230.88,percent of total billed charges,230.88,percent of total billed charges,249.6,percent of total billed charges,249.6,percent of total billed charges,,,224.64,percent of total billed charges ,,,249.6,percent of total billed charges ,262.08,percent of total billed charges ,262.08,percent of total billed charges ,243.36,percent of total billed charges ,243.36,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,,,,,165.98,percent of total billed charges ,,,,,157.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,
COVID TMH CEPHEID,87635,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
COVID ANTIBODY QUANTITATIVE,86769,CDM,,,,both,1,each,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
COVID ANTIBODY QUALITATIVE,86328,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
RESP VIRUS 12-25 TARGETS,87633,CDM,,,,both,1,each,"1,737.00","1,737.00",486.36,"1,737.00","1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,737.00",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,250.64",percent of total billed charges,"1,285.38",percent of total billed charges,"1,285.38",percent of total billed charges,"1,389.60",percent of total billed charges,"1,389.60",percent of total billed charges,,,"1,250.64",percent of total billed charges ,,,"1,389.60",percent of total billed charges ,"1,459.08",percent of total billed charges ,"1,459.08",percent of total billed charges ,"1,354.86",percent of total billed charges ,"1,354.86",percent of total billed charges ,"1,389.60",percent of total billed charges ,"1,389.60",percent of total billed charges ,"1,215.90",percent of total billed charges ,"1,215.90",percent of total billed charges ,"1,042.20",percent of total billed charges ,"1,042.20",percent of total billed charges ,"1,042.20",percent of total billed charges ,"1,042.20",percent of total billed charges ,,,,,924.08,percent of total billed charges ,,,,,877.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,,,486.36,percent of total billed charges,
RSV DNA/RNA MMC,87634,CDM,,,,both,1,each,259,259,72.52,259,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,191.66,percent of total billed charges,191.66,percent of total billed charges,207.2,percent of total billed charges,207.2,percent of total billed charges,,,186.48,percent of total billed charges ,,,207.2,percent of total billed charges ,217.56,percent of total billed charges ,217.56,percent of total billed charges ,202.02,percent of total billed charges ,202.02,percent of total billed charges ,207.2,percent of total billed charges ,207.2,percent of total billed charges ,181.3,percent of total billed charges ,181.3,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,,,,,137.79,percent of total billed charges ,,,,,130.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,,,72.52,percent of total billed charges,
INFLUENZAE A&B MMC,87502,CDM,,,,both,1,each,406,406,113.68,406,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,300.44,percent of total billed charges,300.44,percent of total billed charges,324.8,percent of total billed charges,324.8,percent of total billed charges,,,292.32,percent of total billed charges ,,,324.8,percent of total billed charges ,341.04,percent of total billed charges ,341.04,percent of total billed charges ,316.68,percent of total billed charges ,316.68,percent of total billed charges ,324.8,percent of total billed charges ,324.8,percent of total billed charges ,284.2,percent of total billed charges ,284.2,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,,,,,215.99,percent of total billed charges ,,,,,205.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,
ORTHOPOXVIRUS,87593,CDM,,,,both,1,each,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
**VOLUME MEASURMENT FOR TIMED COLL EA,81050,CDM,,,,both,1,each,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
RETOCULOCYTE COUNT FLOW CYTOMETRY(*),85045,CDM,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
RHOGAM 300mcg INJ,90384,CDM,,,,both,1,each,974,974,272.72,974,974,percent of total billed charges,974,percent of total billed charges,974,percent of total billed charges,974,percent of total billed charges,974,percent of total billed charges,974,percent of total billed charges,974,percent of total billed charges,974,percent of total billed charges,701.28,percent of total billed charges,701.28,percent of total billed charges,701.28,percent of total billed charges,701.28,percent of total billed charges,701.28,percent of total billed charges,701.28,percent of total billed charges,720.76,percent of total billed charges,720.76,percent of total billed charges,779.2,percent of total billed charges,779.2,percent of total billed charges,,,701.28,percent of total billed charges ,,,779.2,percent of total billed charges ,818.16,percent of total billed charges ,818.16,percent of total billed charges ,759.72,percent of total billed charges ,759.72,percent of total billed charges ,779.2,percent of total billed charges ,779.2,percent of total billed charges ,681.8,percent of total billed charges ,681.8,percent of total billed charges ,584.4,percent of total billed charges ,584.4,percent of total billed charges ,584.4,percent of total billed charges ,584.4,percent of total billed charges ,,,,,518.17,percent of total billed charges ,,,,,492.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,,,272.72,percent of total billed charges,
RBC ANTIBODY ELUTION,86860,CDM,,,,both,1,each,265,265,74.2,265,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,196.1,percent of total billed charges,196.1,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,,,190.8,percent of total billed charges ,,,212,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,206.7,percent of total billed charges ,206.7,percent of total billed charges ,212,percent of total billed charges ,212,percent of total billed charges ,185.5,percent of total billed charges ,185.5,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,,,,,140.98,percent of total billed charges ,,,,,133.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,
BB PLATELET PHERESIS,P9034,CDM,,,,both,1,each,"2,111.00","2,111.00",591.08,"2,111.00","2,111.00",percent of total billed charges,"2,111.00",percent of total billed charges,"2,111.00",percent of total billed charges,"2,111.00",percent of total billed charges,"2,111.00",percent of total billed charges,"2,111.00",percent of total billed charges,"2,111.00",percent of total billed charges,"2,111.00",percent of total billed charges,"1,519.92",percent of total billed charges,"1,519.92",percent of total billed charges,"1,519.92",percent of total billed charges,"1,519.92",percent of total billed charges,"1,519.92",percent of total billed charges,"1,519.92",percent of total billed charges,"1,562.14",percent of total billed charges,"1,562.14",percent of total billed charges,"1,688.80",percent of total billed charges,"1,688.80",percent of total billed charges,,,"1,519.92",percent of total billed charges ,,,"1,688.80",percent of total billed charges ,"1,773.24",percent of total billed charges ,"1,773.24",percent of total billed charges ,"1,646.58",percent of total billed charges ,"1,646.58",percent of total billed charges ,"1,688.80",percent of total billed charges ,"1,688.80",percent of total billed charges ,"1,477.70",percent of total billed charges ,"1,477.70",percent of total billed charges ,"1,266.60",percent of total billed charges ,"1,266.60",percent of total billed charges ,"1,266.60",percent of total billed charges ,"1,266.60",percent of total billed charges ,,,,,"1,123.05",percent of total billed charges ,,,,,"1,066.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,,,591.08,percent of total billed charges,
BB BLOOD TYPING; ABO,86900,CDM,,,,both,1,each,115,115,32.2,115,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,85.1,percent of total billed charges,85.1,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,,,82.8,percent of total billed charges ,,,92,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,89.7,percent of total billed charges ,89.7,percent of total billed charges ,92,percent of total billed charges ,92,percent of total billed charges ,80.5,percent of total billed charges ,80.5,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,,,,,61.18,percent of total billed charges ,,,,,58.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,
BB CROSSMATCH IMM SPIN,86920,CDM,,,,both,1,each,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
BB COMP INCUBATION,86921,CDM,,,,both,1,each,269,269,75.32,269,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,199.06,percent of total billed charges,199.06,percent of total billed charges,215.2,percent of total billed charges,215.2,percent of total billed charges,,,193.68,percent of total billed charges ,,,215.2,percent of total billed charges ,225.96,percent of total billed charges ,225.96,percent of total billed charges ,209.82,percent of total billed charges ,209.82,percent of total billed charges ,215.2,percent of total billed charges ,215.2,percent of total billed charges ,188.3,percent of total billed charges ,188.3,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,,,,,143.11,percent of total billed charges ,,,,,135.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,
BB COMP ANTIGLOBULIN TECHNIQUE,86922,CDM,,,,both,1,each,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
BB PLATELET PHERESIS IRRAD,P9036,CDM,,,,both,1,each,"2,114.00","2,114.00",591.92,"2,114.00","2,114.00",percent of total billed charges,"2,114.00",percent of total billed charges,"2,114.00",percent of total billed charges,"2,114.00",percent of total billed charges,"2,114.00",percent of total billed charges,"2,114.00",percent of total billed charges,"2,114.00",percent of total billed charges,"2,114.00",percent of total billed charges,"1,522.08",percent of total billed charges,"1,522.08",percent of total billed charges,"1,522.08",percent of total billed charges,"1,522.08",percent of total billed charges,"1,522.08",percent of total billed charges,"1,522.08",percent of total billed charges,"1,564.36",percent of total billed charges,"1,564.36",percent of total billed charges,"1,691.20",percent of total billed charges,"1,691.20",percent of total billed charges,,,"1,522.08",percent of total billed charges ,,,"1,691.20",percent of total billed charges ,"1,775.76",percent of total billed charges ,"1,775.76",percent of total billed charges ,"1,648.92",percent of total billed charges ,"1,648.92",percent of total billed charges ,"1,691.20",percent of total billed charges ,"1,691.20",percent of total billed charges ,"1,479.80",percent of total billed charges ,"1,479.80",percent of total billed charges ,"1,268.40",percent of total billed charges ,"1,268.40",percent of total billed charges ,"1,268.40",percent of total billed charges ,"1,268.40",percent of total billed charges ,,,,,"1,124.65",percent of total billed charges ,,,,,"1,068.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,,,591.92,percent of total billed charges,
BB BLOOD TYPE W/ RH,86901,CDM,,,,both,1,each,108,108,30.24,108,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,77.76,percent of total billed charges,79.92,percent of total billed charges,79.92,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,,,77.76,percent of total billed charges ,,,86.4,percent of total billed charges ,90.72,percent of total billed charges ,90.72,percent of total billed charges ,84.24,percent of total billed charges ,84.24,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,,,,,57.46,percent of total billed charges ,,,,,54.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,,,30.24,percent of total billed charges,
**BB P. TYPING,82103,CDM,,,,both,1,each,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
BB Du TEST,86905,CDM,,,,both,1,each,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
BB PHENOTYPE,86906,CDM,,,,both,,,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
BB KELL-ANTIGEN TEST,86905,CDM,,,,both,1,each,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
BB ANTIGEN NEGATIVE UNITS,86902,CDM,,,,both,1,each,183,183,51.24,183,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,135.42,percent of total billed charges,135.42,percent of total billed charges,146.4,percent of total billed charges,146.4,percent of total billed charges,,,131.76,percent of total billed charges ,,,146.4,percent of total billed charges ,153.72,percent of total billed charges ,153.72,percent of total billed charges ,142.74,percent of total billed charges ,142.74,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,128.1,percent of total billed charges ,128.1,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,,,,,97.36,percent of total billed charges ,,,,,92.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,
BLOOD TYPING RBC ANTIGENS,86905,CDM,,,,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
BB ANTIBODY SCREEN,86850,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
BB ANTIBODY TITER,86886,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
BB COOMBS - DIRECTCOMB'S TEST,86880,CDM,,,,both,1,each,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
BB CROSSMATCH,86922,CDM,,,,both,1,each,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
**BB BLOOD BANK PROCESSING,LOCAL,LOCAL,,,,both,,,455,455,127.4,455,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,455,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,327.6,percent of total billed charges,336.7,percent of total billed charges,336.7,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,,,327.6,percent of total billed charges ,,,364,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,354.9,percent of total billed charges ,354.9,percent of total billed charges ,364,percent of total billed charges ,364,percent of total billed charges ,318.5,percent of total billed charges ,318.5,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,,,,,242.06,percent of total billed charges ,,,,,229.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,,,127.4,percent of total billed charges,
**BB BLOOD PROCESSING-PLATELET,86999,CDM,,,,both,1,each,396,396,110.88,396,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,285.12,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,316.8,percent of total billed charges,316.8,percent of total billed charges,,,285.12,percent of total billed charges ,,,316.8,percent of total billed charges ,332.64,percent of total billed charges ,332.64,percent of total billed charges ,308.88,percent of total billed charges ,308.88,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,277.2,percent of total billed charges ,277.2,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,,,,,210.67,percent of total billed charges ,,,,,200.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,,,110.88,percent of total billed charges,
**BB LEUKOCYTE-POOR RBC,86999,CDM,,,,both,1,each,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
BB RHOGAM WORKUP,J2790,CDM,,,,both,1,each,572,572,160.16,572,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,423.28,percent of total billed charges,423.28,percent of total billed charges,457.6,percent of total billed charges,457.6,percent of total billed charges,,,411.84,percent of total billed charges ,,,457.6,percent of total billed charges ,480.48,percent of total billed charges ,480.48,percent of total billed charges ,446.16,percent of total billed charges ,446.16,percent of total billed charges ,457.6,percent of total billed charges ,457.6,percent of total billed charges ,400.4,percent of total billed charges ,400.4,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,,,,,304.3,percent of total billed charges ,,,,,289.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,
HLA CLASS II HIGH DEFINITION,86833,CDM,,,,both,1,each,"1,057.00","1,057.00",295.96,"1,057.00","1,057.00",percent of total billed charges,"1,057.00",percent of total billed charges,"1,057.00",percent of total billed charges,"1,057.00",percent of total billed charges,"1,057.00",percent of total billed charges,"1,057.00",percent of total billed charges,"1,057.00",percent of total billed charges,"1,057.00",percent of total billed charges,761.04,percent of total billed charges,761.04,percent of total billed charges,761.04,percent of total billed charges,761.04,percent of total billed charges,761.04,percent of total billed charges,761.04,percent of total billed charges,782.18,percent of total billed charges,782.18,percent of total billed charges,845.6,percent of total billed charges,845.6,percent of total billed charges,,,761.04,percent of total billed charges ,,,845.6,percent of total billed charges ,887.88,percent of total billed charges ,887.88,percent of total billed charges ,824.46,percent of total billed charges ,824.46,percent of total billed charges ,845.6,percent of total billed charges ,845.6,percent of total billed charges ,739.9,percent of total billed charges ,739.9,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,,,,,562.32,percent of total billed charges ,,,,,534.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,,,295.96,percent of total billed charges,
HLA Class I&II AB QUAL,86828,CDM,,,,both,1,each,546,546,152.88,546,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,404.04,percent of total billed charges,404.04,percent of total billed charges,436.8,percent of total billed charges,436.8,percent of total billed charges,,,393.12,percent of total billed charges ,,,436.8,percent of total billed charges ,458.64,percent of total billed charges ,458.64,percent of total billed charges ,425.88,percent of total billed charges ,425.88,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,,,,,290.47,percent of total billed charges ,,,,,275.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,
BB ANTIBODY PANEL-EACH,86870,CDM,,,,both,1,each,378,378,105.84,378,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,279.72,percent of total billed charges,279.72,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,,,272.16,percent of total billed charges ,,,302.4,percent of total billed charges ,317.52,percent of total billed charges ,317.52,percent of total billed charges ,294.84,percent of total billed charges ,294.84,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,,,,,201.1,percent of total billed charges ,,,,,191.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,
RBC ANTIBODY ID,86870,CDM,,,,both,,,383,383,107.24,383,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,383,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,275.76,percent of total billed charges,283.42,percent of total billed charges,283.42,percent of total billed charges,306.4,percent of total billed charges,306.4,percent of total billed charges,,,275.76,percent of total billed charges ,,,306.4,percent of total billed charges ,321.72,percent of total billed charges ,321.72,percent of total billed charges ,298.74,percent of total billed charges ,298.74,percent of total billed charges ,306.4,percent of total billed charges ,306.4,percent of total billed charges ,268.1,percent of total billed charges ,268.1,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,229.8,percent of total billed charges ,,,,,203.76,percent of total billed charges ,,,,,193.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,,,107.24,percent of total billed charges,
RETIC/SICKLE CELL SEP,86972,CDM,,,,both,1,each,298,298,83.44,298,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,220.52,percent of total billed charges,220.52,percent of total billed charges,238.4,percent of total billed charges,238.4,percent of total billed charges,,,214.56,percent of total billed charges ,,,238.4,percent of total billed charges ,250.32,percent of total billed charges ,250.32,percent of total billed charges ,232.44,percent of total billed charges ,232.44,percent of total billed charges ,238.4,percent of total billed charges ,238.4,percent of total billed charges ,208.6,percent of total billed charges ,208.6,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,,,,,158.54,percent of total billed charges ,,,,,150.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,
RBC ENZYME TREATMENT,86971,CDM,,,,both,1,each,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
BB CRYOPRECIPITATE,P9044,CDM,,,,both,1,each,390,390,109.2,390,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,390,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,288.6,percent of total billed charges,288.6,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,,,280.8,percent of total billed charges ,,,312,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,304.2,percent of total billed charges ,304.2,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,234,percent of total billed charges ,,,,,207.48,percent of total billed charges ,,,,,197.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,,,109.2,percent of total billed charges,
**BB FROZEN RBC'S DEGLYCER,P9054,CDM,,,,both,1,each,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
BB FROZEN PLASMA & THAW-EACH,86927,CDM,,,,both,1,each,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
**BB PACKED RED BLOOD CELLS,P9021,CDM,,,,both,1,each,786,786,220.08,786,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,786,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,565.92,percent of total billed charges,581.64,percent of total billed charges,581.64,percent of total billed charges,628.8,percent of total billed charges,628.8,percent of total billed charges,,,565.92,percent of total billed charges ,,,628.8,percent of total billed charges ,660.24,percent of total billed charges ,660.24,percent of total billed charges ,613.08,percent of total billed charges ,613.08,percent of total billed charges ,628.8,percent of total billed charges ,628.8,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,471.6,percent of total billed charges ,471.6,percent of total billed charges ,471.6,percent of total billed charges ,471.6,percent of total billed charges ,,,,,418.15,percent of total billed charges ,,,,,397.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,,,220.08,percent of total billed charges,
**PRENATAL #1,80055,CDM,,,,both,1,each,203,203,56.84,203,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,150.22,percent of total billed charges,150.22,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,,,146.16,percent of total billed charges ,,,162.4,percent of total billed charges ,170.52,percent of total billed charges ,170.52,percent of total billed charges ,158.34,percent of total billed charges ,158.34,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,142.1,percent of total billed charges ,142.1,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,,,,,108,percent of total billed charges ,,,,,102.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,
BB PACKED RBC'S/LEUKOPOOR,P9016,CDM,,,,both,1,each,907,907,253.96,907,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,907,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,653.04,percent of total billed charges,671.18,percent of total billed charges,671.18,percent of total billed charges,725.6,percent of total billed charges,725.6,percent of total billed charges,,,653.04,percent of total billed charges ,,,725.6,percent of total billed charges ,761.88,percent of total billed charges ,761.88,percent of total billed charges ,707.46,percent of total billed charges ,707.46,percent of total billed charges ,725.6,percent of total billed charges ,725.6,percent of total billed charges ,634.9,percent of total billed charges ,634.9,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,544.2,percent of total billed charges ,,,,,482.52,percent of total billed charges ,,,,,458.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,,,253.96,percent of total billed charges,
IRRADIATION OF BLOOD PRODUCT,86945,CDM,,,,both,1,each,193,193,54.04,193,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,138.96,percent of total billed charges,142.82,percent of total billed charges,142.82,percent of total billed charges,154.4,percent of total billed charges,154.4,percent of total billed charges,,,138.96,percent of total billed charges ,,,154.4,percent of total billed charges ,162.12,percent of total billed charges ,162.12,percent of total billed charges ,150.54,percent of total billed charges ,150.54,percent of total billed charges ,154.4,percent of total billed charges ,154.4,percent of total billed charges ,135.1,percent of total billed charges ,135.1,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,115.8,percent of total billed charges ,,,,,102.68,percent of total billed charges ,,,,,97.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,,,54.04,percent of total billed charges,
"**BB PRBC LEUK,IN, EMV NEG",C1010,CDM,,,,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
BB FRESH FROZEN PLASMA,P9017,CDM,,,,both,1,each,387,387,108.36,387,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,387,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,278.64,percent of total billed charges,286.38,percent of total billed charges,286.38,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,,,278.64,percent of total billed charges ,,,309.6,percent of total billed charges ,325.08,percent of total billed charges ,325.08,percent of total billed charges ,301.86,percent of total billed charges ,301.86,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,270.9,percent of total billed charges ,270.9,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,232.2,percent of total billed charges ,,,,,205.88,percent of total billed charges ,,,,,195.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,,,108.36,percent of total billed charges,
**BB PHERESIS PLATELETS,P9034,CDM,,,,both,1,each,689,689,192.92,689,689,percent of total billed charges,689,percent of total billed charges,689,percent of total billed charges,689,percent of total billed charges,689,percent of total billed charges,689,percent of total billed charges,689,percent of total billed charges,689,percent of total billed charges,496.08,percent of total billed charges,496.08,percent of total billed charges,496.08,percent of total billed charges,496.08,percent of total billed charges,496.08,percent of total billed charges,496.08,percent of total billed charges,509.86,percent of total billed charges,509.86,percent of total billed charges,551.2,percent of total billed charges,551.2,percent of total billed charges,,,496.08,percent of total billed charges ,,,551.2,percent of total billed charges ,578.76,percent of total billed charges ,578.76,percent of total billed charges ,537.42,percent of total billed charges ,537.42,percent of total billed charges ,551.2,percent of total billed charges ,551.2,percent of total billed charges ,482.3,percent of total billed charges ,482.3,percent of total billed charges ,413.4,percent of total billed charges ,413.4,percent of total billed charges ,413.4,percent of total billed charges ,413.4,percent of total billed charges ,,,,,366.55,percent of total billed charges ,,,,,348.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,,,192.92,percent of total billed charges,
RBC PRETREATMENT SERUM,86978,CDM,,,,both,1,each,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
CHEMICAL TREATMENT RBC'S,86970,CDM,,,,both,1,each,208,208,58.24,208,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,153.92,percent of total billed charges,153.92,percent of total billed charges,166.4,percent of total billed charges,166.4,percent of total billed charges,,,149.76,percent of total billed charges ,,,166.4,percent of total billed charges ,174.72,percent of total billed charges ,174.72,percent of total billed charges ,162.24,percent of total billed charges ,162.24,percent of total billed charges ,166.4,percent of total billed charges ,166.4,percent of total billed charges ,145.6,percent of total billed charges ,145.6,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,,,,,110.66,percent of total billed charges ,,,,,105.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,
**EVENT MONITOR 30 DAY PRABHU,93270,CDM,,,,both,1,each,528,528,147.84,528,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,390.72,percent of total billed charges,390.72,percent of total billed charges,422.4,percent of total billed charges,422.4,percent of total billed charges,,,380.16,percent of total billed charges ,,,422.4,percent of total billed charges ,443.52,percent of total billed charges ,443.52,percent of total billed charges ,411.84,percent of total billed charges ,411.84,percent of total billed charges ,422.4,percent of total billed charges ,422.4,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,,,,,280.9,percent of total billed charges ,,,,,266.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,
EVENT MONITOR 30 DAY GILL,93270,CDM,,,,both,1,each,528,528,147.84,528,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,390.72,percent of total billed charges,390.72,percent of total billed charges,422.4,percent of total billed charges,422.4,percent of total billed charges,,,380.16,percent of total billed charges ,,,422.4,percent of total billed charges ,443.52,percent of total billed charges ,443.52,percent of total billed charges ,411.84,percent of total billed charges ,411.84,percent of total billed charges ,422.4,percent of total billed charges ,422.4,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,,,,,280.9,percent of total billed charges ,,,,,266.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,
**EVENT MONITOR 30 DAY DELVALLE,93270,CDM,,,,both,1,each,528,528,147.84,528,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,390.72,percent of total billed charges,390.72,percent of total billed charges,422.4,percent of total billed charges,422.4,percent of total billed charges,,,380.16,percent of total billed charges ,,,422.4,percent of total billed charges ,443.52,percent of total billed charges ,443.52,percent of total billed charges ,411.84,percent of total billed charges ,411.84,percent of total billed charges ,422.4,percent of total billed charges ,422.4,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,,,,,280.9,percent of total billed charges ,,,,,266.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,
**EVENT MONITOR HOOK-UP,93270,CDM,,,,both,1,each,403,403,112.84,403,403,percent of total billed charges,403,percent of total billed charges,403,percent of total billed charges,403,percent of total billed charges,403,percent of total billed charges,403,percent of total billed charges,403,percent of total billed charges,403,percent of total billed charges,290.16,percent of total billed charges,290.16,percent of total billed charges,290.16,percent of total billed charges,290.16,percent of total billed charges,290.16,percent of total billed charges,290.16,percent of total billed charges,298.22,percent of total billed charges,298.22,percent of total billed charges,322.4,percent of total billed charges,322.4,percent of total billed charges,,,290.16,percent of total billed charges ,,,322.4,percent of total billed charges ,338.52,percent of total billed charges ,338.52,percent of total billed charges ,314.34,percent of total billed charges ,314.34,percent of total billed charges ,322.4,percent of total billed charges ,322.4,percent of total billed charges ,282.1,percent of total billed charges ,282.1,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,,,,,214.4,percent of total billed charges ,,,,,203.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,,,112.84,percent of total billed charges,
**KING OF HEARTS MONITOR,93268,CDM,,,,both,1,each,"1,245.00","1,245.00",348.6,"1,245.00","1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,"1,245.00",percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,896.4,percent of total billed charges,921.3,percent of total billed charges,921.3,percent of total billed charges,996,percent of total billed charges,996,percent of total billed charges,,,896.4,percent of total billed charges ,,,996,percent of total billed charges ,"1,045.80",percent of total billed charges ,"1,045.80",percent of total billed charges ,971.1,percent of total billed charges ,971.1,percent of total billed charges ,996,percent of total billed charges ,996,percent of total billed charges ,871.5,percent of total billed charges ,871.5,percent of total billed charges ,747,percent of total billed charges ,747,percent of total billed charges ,747,percent of total billed charges ,747,percent of total billed charges ,,,,,662.34,percent of total billed charges ,,,,,629.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,,,348.6,percent of total billed charges,
**STRESS TESTING (DEL VALLE)W/O PROFEE,93017,CDM,,,,both,1,each,"1,781.00","1,781.00",498.68,"1,781.00","1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,317.94",percent of total billed charges,"1,317.94",percent of total billed charges,"1,424.80",percent of total billed charges,"1,424.80",percent of total billed charges,,,"1,282.32",percent of total billed charges ,,,"1,424.80",percent of total billed charges ,"1,496.04",percent of total billed charges ,"1,496.04",percent of total billed charges ,"1,389.18",percent of total billed charges ,"1,389.18",percent of total billed charges ,"1,424.80",percent of total billed charges ,"1,424.80",percent of total billed charges ,"1,246.70",percent of total billed charges ,"1,246.70",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,,,,,947.49,percent of total billed charges ,,,,,900.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,
**STRESS TESTING (PRABHU)W/O PROFEE,93017,CDM,,,,both,1,each,"1,781.00","1,781.00",498.68,"1,781.00","1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,317.94",percent of total billed charges,"1,317.94",percent of total billed charges,"1,424.80",percent of total billed charges,"1,424.80",percent of total billed charges,,,"1,282.32",percent of total billed charges ,,,"1,424.80",percent of total billed charges ,"1,496.04",percent of total billed charges ,"1,496.04",percent of total billed charges ,"1,389.18",percent of total billed charges ,"1,389.18",percent of total billed charges ,"1,424.80",percent of total billed charges ,"1,424.80",percent of total billed charges ,"1,246.70",percent of total billed charges ,"1,246.70",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,,,,,947.49,percent of total billed charges ,,,,,900.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,
STRESS TESTING (GILL) W/O PROFEE,93017,CDM,,,,both,1,each,"1,552.00","1,552.00",434.56,"1,552.00","1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,148.48",percent of total billed charges,"1,148.48",percent of total billed charges,"1,241.60",percent of total billed charges,"1,241.60",percent of total billed charges,,,"1,117.44",percent of total billed charges ,,,"1,241.60",percent of total billed charges ,"1,303.68",percent of total billed charges ,"1,303.68",percent of total billed charges ,"1,210.56",percent of total billed charges ,"1,210.56",percent of total billed charges ,"1,241.60",percent of total billed charges ,"1,241.60",percent of total billed charges ,"1,086.40",percent of total billed charges ,"1,086.40",percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,,,,,825.66,percent of total billed charges ,,,,,784.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,
**TREADMILL W/O PROFEE (00150),93017,CDM,,,,both,1,each,458,458,128.24,458,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,338.92,percent of total billed charges,338.92,percent of total billed charges,366.4,percent of total billed charges,366.4,percent of total billed charges,,,329.76,percent of total billed charges ,,,366.4,percent of total billed charges ,384.72,percent of total billed charges ,384.72,percent of total billed charges ,357.24,percent of total billed charges ,357.24,percent of total billed charges ,366.4,percent of total billed charges ,366.4,percent of total billed charges ,320.6,percent of total billed charges ,320.6,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,,,,,243.66,percent of total billed charges ,,,,,231.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,
**TREADMILL W/O PRO FEE,93017,CDM,,,,both,1,each,458,458,128.24,458,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,458,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,329.76,percent of total billed charges,338.92,percent of total billed charges,338.92,percent of total billed charges,366.4,percent of total billed charges,366.4,percent of total billed charges,,,329.76,percent of total billed charges ,,,366.4,percent of total billed charges ,384.72,percent of total billed charges ,384.72,percent of total billed charges ,357.24,percent of total billed charges ,357.24,percent of total billed charges ,366.4,percent of total billed charges ,366.4,percent of total billed charges ,320.6,percent of total billed charges ,320.6,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,274.8,percent of total billed charges ,,,,,243.66,percent of total billed charges ,,,,,231.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,,,128.24,percent of total billed charges,
**STRESS TESTING (MARTIN) W/O PROFEE,93017,CDM,,,,both,1,each,"1,781.00","1,781.00",498.68,"1,781.00","1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,781.00",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,282.32",percent of total billed charges,"1,317.94",percent of total billed charges,"1,317.94",percent of total billed charges,"1,424.80",percent of total billed charges,"1,424.80",percent of total billed charges,,,"1,282.32",percent of total billed charges ,,,"1,424.80",percent of total billed charges ,"1,496.04",percent of total billed charges ,"1,496.04",percent of total billed charges ,"1,389.18",percent of total billed charges ,"1,389.18",percent of total billed charges ,"1,424.80",percent of total billed charges ,"1,424.80",percent of total billed charges ,"1,246.70",percent of total billed charges ,"1,246.70",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,"1,068.60",percent of total billed charges ,,,,,947.49,percent of total billed charges ,,,,,900.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,,,498.68,percent of total billed charges,
**TREADMILL (KANCHA)W/O PROFEE,93017,CDM,,,,both,1,each,375,375,105,375,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,277.5,percent of total billed charges,277.5,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,,,270,percent of total billed charges ,,,300,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,292.5,percent of total billed charges ,292.5,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,262.5,percent of total billed charges ,262.5,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,,,,,199.5,percent of total billed charges ,,,,,189.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,
STRESS TESTING (McCLINTOCK)W/O PROFEE,93017,CDM,,,,both,1,each,"1,552.00","1,552.00",434.56,"1,552.00","1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,148.48",percent of total billed charges,"1,148.48",percent of total billed charges,"1,241.60",percent of total billed charges,"1,241.60",percent of total billed charges,,,"1,117.44",percent of total billed charges ,,,"1,241.60",percent of total billed charges ,"1,303.68",percent of total billed charges ,"1,303.68",percent of total billed charges ,"1,210.56",percent of total billed charges ,"1,210.56",percent of total billed charges ,"1,241.60",percent of total billed charges ,"1,241.60",percent of total billed charges ,"1,086.40",percent of total billed charges ,"1,086.40",percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,,,,,825.66,percent of total billed charges ,,,,,784.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,
**TREADMILL (DAVE)W/O PROFEE,93017,CDM,,,,both,1,each,375,375,105,375,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,375,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,270,percent of total billed charges,277.5,percent of total billed charges,277.5,percent of total billed charges,300,percent of total billed charges,300,percent of total billed charges,,,270,percent of total billed charges ,,,300,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,292.5,percent of total billed charges ,292.5,percent of total billed charges ,300,percent of total billed charges ,300,percent of total billed charges ,262.5,percent of total billed charges ,262.5,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,225,percent of total billed charges ,,,,,199.5,percent of total billed charges ,,,,,189.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,,,105,percent of total billed charges,
**RHYTHM STRIP,93041,CDM,,,,both,1,each,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
**EKG (KANCHA),93005,CDM,,,,both,1,each,312,312,87.36,312,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,230.88,percent of total billed charges,230.88,percent of total billed charges,249.6,percent of total billed charges,249.6,percent of total billed charges,,,224.64,percent of total billed charges ,,,249.6,percent of total billed charges ,262.08,percent of total billed charges ,262.08,percent of total billed charges ,243.36,percent of total billed charges ,243.36,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,,,,,165.98,percent of total billed charges ,,,,,157.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,
EKG (McCLINTOCK),93005,CDM,,,,both,1,each,388,388,108.64,388,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,287.12,percent of total billed charges,287.12,percent of total billed charges,310.4,percent of total billed charges,310.4,percent of total billed charges,,,279.36,percent of total billed charges ,,,310.4,percent of total billed charges ,325.92,percent of total billed charges ,325.92,percent of total billed charges ,302.64,percent of total billed charges ,302.64,percent of total billed charges ,310.4,percent of total billed charges ,310.4,percent of total billed charges ,271.6,percent of total billed charges ,271.6,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,,,,,206.42,percent of total billed charges ,,,,,196.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,
**HOLTER MONITOR HOOK UP,93225,CDM,,,,both,1,each,568,568,159.04,568,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,420.32,percent of total billed charges,420.32,percent of total billed charges,454.4,percent of total billed charges,454.4,percent of total billed charges,,,408.96,percent of total billed charges ,,,454.4,percent of total billed charges ,477.12,percent of total billed charges ,477.12,percent of total billed charges ,443.04,percent of total billed charges ,443.04,percent of total billed charges ,454.4,percent of total billed charges ,454.4,percent of total billed charges ,397.6,percent of total billed charges ,397.6,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,,,,,302.18,percent of total billed charges ,,,,,287.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,
**HOLTER MONITOR (KANCHA),93225,CDM,,,,both,1,each,407,407,113.96,407,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,301.18,percent of total billed charges,301.18,percent of total billed charges,325.6,percent of total billed charges,325.6,percent of total billed charges,,,293.04,percent of total billed charges ,,,325.6,percent of total billed charges ,341.88,percent of total billed charges ,341.88,percent of total billed charges ,317.46,percent of total billed charges ,317.46,percent of total billed charges ,325.6,percent of total billed charges ,325.6,percent of total billed charges ,284.9,percent of total billed charges ,284.9,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,,,,,216.52,percent of total billed charges ,,,,,205.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,
**EKG (08217),93005,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
**BIO IMPEDANCE MONITORING,93701,CDM,,,,both,1,each,418,418,117.04,418,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,309.32,percent of total billed charges,309.32,percent of total billed charges,334.4,percent of total billed charges,334.4,percent of total billed charges,,,300.96,percent of total billed charges ,,,334.4,percent of total billed charges ,351.12,percent of total billed charges ,351.12,percent of total billed charges ,326.04,percent of total billed charges ,326.04,percent of total billed charges ,334.4,percent of total billed charges ,334.4,percent of total billed charges ,292.6,percent of total billed charges ,292.6,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,,,,,222.38,percent of total billed charges ,,,,,211.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,
**CARDIODAIRY,93012,CDM,,,,both,,,935,935,261.8,935,935,percent of total billed charges,935,percent of total billed charges,935,percent of total billed charges,935,percent of total billed charges,935,percent of total billed charges,935,percent of total billed charges,935,percent of total billed charges,935,percent of total billed charges,673.2,percent of total billed charges,673.2,percent of total billed charges,673.2,percent of total billed charges,673.2,percent of total billed charges,673.2,percent of total billed charges,673.2,percent of total billed charges,691.9,percent of total billed charges,691.9,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,,,673.2,percent of total billed charges ,,,748,percent of total billed charges ,785.4,percent of total billed charges ,785.4,percent of total billed charges ,729.3,percent of total billed charges ,729.3,percent of total billed charges ,748,percent of total billed charges ,748,percent of total billed charges ,654.5,percent of total billed charges ,654.5,percent of total billed charges ,561,percent of total billed charges ,561,percent of total billed charges ,561,percent of total billed charges ,561,percent of total billed charges ,,,,,497.42,percent of total billed charges ,,,,,472.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,,,261.8,percent of total billed charges,
**EKG (00170),93005,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
**EKG (MARTIN) 861000,93005,CDM,,,,both,,,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
**EKG (PRABHU),93005,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
**EKG (DEL VALLE),93005,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
EKG (GILL),93005,CDM,,,,both,1,each,388,388,108.64,388,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,287.12,percent of total billed charges,287.12,percent of total billed charges,310.4,percent of total billed charges,310.4,percent of total billed charges,,,279.36,percent of total billed charges ,,,310.4,percent of total billed charges ,325.92,percent of total billed charges ,325.92,percent of total billed charges ,302.64,percent of total billed charges ,302.64,percent of total billed charges ,310.4,percent of total billed charges ,310.4,percent of total billed charges ,271.6,percent of total billed charges ,271.6,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,,,,,206.42,percent of total billed charges ,,,,,196.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,
**EKG (DAVE),93005,CDM,,,,both,1,each,312,312,87.36,312,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,312,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,224.64,percent of total billed charges,230.88,percent of total billed charges,230.88,percent of total billed charges,249.6,percent of total billed charges,249.6,percent of total billed charges,,,224.64,percent of total billed charges ,,,249.6,percent of total billed charges ,262.08,percent of total billed charges ,262.08,percent of total billed charges ,243.36,percent of total billed charges ,243.36,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,,,,,165.98,percent of total billed charges ,,,,,157.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,,,87.36,percent of total billed charges,
**EKG (FREIJ),93005,CDM,,,,both,1,each,414,414,115.92,414,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,414,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,298.08,percent of total billed charges,306.36,percent of total billed charges,306.36,percent of total billed charges,331.2,percent of total billed charges,331.2,percent of total billed charges,,,298.08,percent of total billed charges ,,,331.2,percent of total billed charges ,347.76,percent of total billed charges ,347.76,percent of total billed charges ,322.92,percent of total billed charges ,322.92,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,248.4,percent of total billed charges ,,,,,220.25,percent of total billed charges ,,,,,209.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,,,115.92,percent of total billed charges,
AMBULATORY(RECORD ONLY)BLOOD PRESS 24HR,93786,CDM,,,,both,1,each,401,401,112.28,401,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,296.74,percent of total billed charges,296.74,percent of total billed charges,320.8,percent of total billed charges,320.8,percent of total billed charges,,,288.72,percent of total billed charges ,,,320.8,percent of total billed charges ,336.84,percent of total billed charges ,336.84,percent of total billed charges ,312.78,percent of total billed charges ,312.78,percent of total billed charges ,320.8,percent of total billed charges ,320.8,percent of total billed charges ,280.7,percent of total billed charges ,280.7,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,,,,,213.33,percent of total billed charges ,,,,,202.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,
**HOLTER MNTR CONNECTION & RECORD DELVAL,93225,CDM,,,,both,1,each,785,785,219.8,785,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,580.9,percent of total billed charges,580.9,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,,,565.2,percent of total billed charges ,,,628,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,612.3,percent of total billed charges ,612.3,percent of total billed charges ,628,percent of total billed charges ,628,percent of total billed charges ,549.5,percent of total billed charges ,549.5,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,,,,,417.62,percent of total billed charges ,,,,,396.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,
**HOLTER MNTR CONNECTION & RECORD PRABHU,93225,CDM,,,,both,1,each,785,785,219.8,785,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,580.9,percent of total billed charges,580.9,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,,,565.2,percent of total billed charges ,,,628,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,612.3,percent of total billed charges ,612.3,percent of total billed charges ,628,percent of total billed charges ,628,percent of total billed charges ,549.5,percent of total billed charges ,549.5,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,,,,,417.62,percent of total billed charges ,,,,,396.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,
**HOLTOR MONITOR (00180),93225,CDM,,,,both,1,each,316,316,88.48,316,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,316,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,233.84,percent of total billed charges,233.84,percent of total billed charges,252.8,percent of total billed charges,252.8,percent of total billed charges,,,227.52,percent of total billed charges ,,,252.8,percent of total billed charges ,265.44,percent of total billed charges ,265.44,percent of total billed charges ,246.48,percent of total billed charges ,246.48,percent of total billed charges ,252.8,percent of total billed charges ,252.8,percent of total billed charges ,221.2,percent of total billed charges ,221.2,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,,,,,168.11,percent of total billed charges ,,,,,159.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,,,88.48,percent of total billed charges,
**HOLTER MONITOR (DAVE),93225,CDM,,,,both,1,each,407,407,113.96,407,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,301.18,percent of total billed charges,301.18,percent of total billed charges,325.6,percent of total billed charges,325.6,percent of total billed charges,,,293.04,percent of total billed charges ,,,325.6,percent of total billed charges ,341.88,percent of total billed charges ,341.88,percent of total billed charges ,317.46,percent of total billed charges ,317.46,percent of total billed charges ,325.6,percent of total billed charges ,325.6,percent of total billed charges ,284.9,percent of total billed charges ,284.9,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,,,,,216.52,percent of total billed charges ,,,,,205.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,
AMBULATORY (SCAN ANALYSIS)BLOOD PRESSURE,93788,CDM,,,,both,1,each,44,44,12.32,44,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,32.56,percent of total billed charges,32.56,percent of total billed charges,35.2,percent of total billed charges,35.2,percent of total billed charges,,,31.68,percent of total billed charges ,,,35.2,percent of total billed charges ,36.96,percent of total billed charges ,36.96,percent of total billed charges ,34.32,percent of total billed charges ,34.32,percent of total billed charges ,35.2,percent of total billed charges ,35.2,percent of total billed charges ,30.8,percent of total billed charges ,30.8,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,,,,,23.41,percent of total billed charges ,,,,,22.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,
**HOLTER MONITOR (FREIJ),93225,CDM,,,,both,,,498,498,139.44,498,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,368.52,percent of total billed charges,368.52,percent of total billed charges,398.4,percent of total billed charges,398.4,percent of total billed charges,,,358.56,percent of total billed charges ,,,398.4,percent of total billed charges ,418.32,percent of total billed charges ,418.32,percent of total billed charges ,388.44,percent of total billed charges ,388.44,percent of total billed charges ,398.4,percent of total billed charges ,398.4,percent of total billed charges ,348.6,percent of total billed charges ,348.6,percent of total billed charges ,298.8,percent of total billed charges ,298.8,percent of total billed charges ,298.8,percent of total billed charges ,298.8,percent of total billed charges ,,,,,264.94,percent of total billed charges ,,,,,251.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,
**HOLTER MONITOR (MARTIN),93225,CDM,,,,both,1,each,498,498,139.44,498,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,498,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,358.56,percent of total billed charges,368.52,percent of total billed charges,368.52,percent of total billed charges,398.4,percent of total billed charges,398.4,percent of total billed charges,,,358.56,percent of total billed charges ,,,398.4,percent of total billed charges ,418.32,percent of total billed charges ,418.32,percent of total billed charges ,388.44,percent of total billed charges ,388.44,percent of total billed charges ,398.4,percent of total billed charges ,398.4,percent of total billed charges ,348.6,percent of total billed charges ,348.6,percent of total billed charges ,298.8,percent of total billed charges ,298.8,percent of total billed charges ,298.8,percent of total billed charges ,298.8,percent of total billed charges ,,,,,264.94,percent of total billed charges ,,,,,251.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,,,139.44,percent of total billed charges,
HOLTER MNTR CONNECTION & RECORD GILL,93225,CDM,,,,both,1,each,783,783,219.24,783,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,579.42,percent of total billed charges,579.42,percent of total billed charges,626.4,percent of total billed charges,626.4,percent of total billed charges,,,563.76,percent of total billed charges ,,,626.4,percent of total billed charges ,657.72,percent of total billed charges ,657.72,percent of total billed charges ,610.74,percent of total billed charges ,610.74,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,548.1,percent of total billed charges ,548.1,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,,,,,416.56,percent of total billed charges ,,,,,395.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,
TELEHEALTH-ORGINATING SITE FACILITY FEE,Q3014,CDM,,,,both,,,120,120,33.6,120,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,,,86.4,percent of total billed charges ,,,96,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,96,percent of total billed charges ,96,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,,,,,63.84,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,
HOLTER MONITOR,93225,CDM,,,,both,1,each,783,783,219.24,783,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,579.42,percent of total billed charges,579.42,percent of total billed charges,626.4,percent of total billed charges,626.4,percent of total billed charges,,,563.76,percent of total billed charges ,,,626.4,percent of total billed charges ,657.72,percent of total billed charges ,657.72,percent of total billed charges ,610.74,percent of total billed charges ,610.74,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,548.1,percent of total billed charges ,548.1,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,,,,,416.56,percent of total billed charges ,,,,,395.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,
HOLTER MONITOR 48 HR>7 DAYS,93242,CDM,,,,both,1,each,783,783,219.24,783,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,579.42,percent of total billed charges,579.42,percent of total billed charges,626.4,percent of total billed charges,626.4,percent of total billed charges,,,563.76,percent of total billed charges ,,,626.4,percent of total billed charges ,657.72,percent of total billed charges ,657.72,percent of total billed charges ,610.74,percent of total billed charges ,610.74,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,548.1,percent of total billed charges ,548.1,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,,,,,416.56,percent of total billed charges ,,,,,395.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,
**HOLTER MNTR CONNECTION & RECORD PRABHU,93225,CDM,,,,both,1,each,785,785,219.8,785,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,580.9,percent of total billed charges,580.9,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,,,565.2,percent of total billed charges ,,,628,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,612.3,percent of total billed charges ,612.3,percent of total billed charges ,628,percent of total billed charges ,628,percent of total billed charges ,549.5,percent of total billed charges ,549.5,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,,,,,417.62,percent of total billed charges ,,,,,396.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,
HOLTER MNTR 24HR CONNECTION & REC MARTIN,93225,CDM,,,,both,1,each,783,783,219.24,783,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,579.42,percent of total billed charges,579.42,percent of total billed charges,626.4,percent of total billed charges,626.4,percent of total billed charges,,,563.76,percent of total billed charges ,,,626.4,percent of total billed charges ,657.72,percent of total billed charges ,657.72,percent of total billed charges ,610.74,percent of total billed charges ,610.74,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,548.1,percent of total billed charges ,548.1,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,,,,,416.56,percent of total billed charges ,,,,,395.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,
**MICROVOLT T-WAVE ALTERNANS (GILL),93025,CDM,,,,both,1,each,"1,071.00","1,071.00",299.88,"1,071.00","1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,792.54,percent of total billed charges,792.54,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,,,771.12,percent of total billed charges ,,,856.8,percent of total billed charges ,899.64,percent of total billed charges ,899.64,percent of total billed charges ,835.38,percent of total billed charges ,835.38,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,749.7,percent of total billed charges ,749.7,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,,,,,569.77,percent of total billed charges ,,,,,541.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,
**MICROVOLT T-WAVE ALTERNANS (MARTIN),93025,CDM,,,,both,1,each,"1,071.00","1,071.00",299.88,"1,071.00","1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,792.54,percent of total billed charges,792.54,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,,,771.12,percent of total billed charges ,,,856.8,percent of total billed charges ,899.64,percent of total billed charges ,899.64,percent of total billed charges ,835.38,percent of total billed charges ,835.38,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,749.7,percent of total billed charges ,749.7,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,,,,,569.77,percent of total billed charges ,,,,,541.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,
**MICROVOLT T-WAVE ALTERNANS (PRABHU),93025,CDM,,,,both,1,each,"1,071.00","1,071.00",299.88,"1,071.00","1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,"1,071.00",percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,771.12,percent of total billed charges,792.54,percent of total billed charges,792.54,percent of total billed charges,856.8,percent of total billed charges,856.8,percent of total billed charges,,,771.12,percent of total billed charges ,,,856.8,percent of total billed charges ,899.64,percent of total billed charges ,899.64,percent of total billed charges ,835.38,percent of total billed charges ,835.38,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,749.7,percent of total billed charges ,749.7,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,642.6,percent of total billed charges ,,,,,569.77,percent of total billed charges ,,,,,541.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,,,299.88,percent of total billed charges,
EKG ( No Doctor),93005,CDM,,,,both,1,each,388,388,108.64,388,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,279.36,percent of total billed charges,287.12,percent of total billed charges,287.12,percent of total billed charges,310.4,percent of total billed charges,310.4,percent of total billed charges,,,279.36,percent of total billed charges ,,,310.4,percent of total billed charges ,325.92,percent of total billed charges ,325.92,percent of total billed charges ,302.64,percent of total billed charges ,302.64,percent of total billed charges ,310.4,percent of total billed charges ,310.4,percent of total billed charges ,271.6,percent of total billed charges ,271.6,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,232.8,percent of total billed charges ,,,,,206.42,percent of total billed charges ,,,,,196.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,,,108.64,percent of total billed charges,
**HF-NEW PATIENT OFFICE VISIT LEVEL 3,99203,CDM,,,,both,1,each,441,441,123.48,441,441,percent of total billed charges,441,percent of total billed charges,441,percent of total billed charges,441,percent of total billed charges,441,percent of total billed charges,441,percent of total billed charges,441,percent of total billed charges,441,percent of total billed charges,317.52,percent of total billed charges,317.52,percent of total billed charges,317.52,percent of total billed charges,317.52,percent of total billed charges,317.52,percent of total billed charges,317.52,percent of total billed charges,326.34,percent of total billed charges,326.34,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,,,317.52,percent of total billed charges ,,,352.8,percent of total billed charges ,370.44,percent of total billed charges ,370.44,percent of total billed charges ,343.98,percent of total billed charges ,343.98,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,308.7,percent of total billed charges ,308.7,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,,,,,234.61,percent of total billed charges ,,,,,222.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,,,123.48,percent of total billed charges,
**HF-EST PATIENT OFFICE VISIT LEVEL 3,99213,CDM,,,,both,1,each,406,406,113.68,406,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,300.44,percent of total billed charges,300.44,percent of total billed charges,324.8,percent of total billed charges,324.8,percent of total billed charges,,,292.32,percent of total billed charges ,,,324.8,percent of total billed charges ,341.04,percent of total billed charges ,341.04,percent of total billed charges ,316.68,percent of total billed charges ,316.68,percent of total billed charges ,324.8,percent of total billed charges ,324.8,percent of total billed charges ,284.2,percent of total billed charges ,284.2,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,,,,,215.99,percent of total billed charges ,,,,,205.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,
**HF-T/P/D-IV PUSH INITIAL,96374,CDM,,,,both,1,each,351,351,98.28,351,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,259.74,percent of total billed charges,259.74,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,,,252.72,percent of total billed charges ,,,280.8,percent of total billed charges ,294.84,percent of total billed charges ,294.84,percent of total billed charges ,273.78,percent of total billed charges ,273.78,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,210.6,percent of total billed charges ,210.6,percent of total billed charges ,210.6,percent of total billed charges ,210.6,percent of total billed charges ,,,,,186.73,percent of total billed charges ,,,,,177.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,
**HF-IVP EACH ADDL SEQ-DIFF DRUG,96375,CDM,,,,both,,,202,202,56.56,202,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,149.48,percent of total billed charges,149.48,percent of total billed charges,161.6,percent of total billed charges,161.6,percent of total billed charges,,,145.44,percent of total billed charges ,,,161.6,percent of total billed charges ,169.68,percent of total billed charges ,169.68,percent of total billed charges ,157.56,percent of total billed charges ,157.56,percent of total billed charges ,161.6,percent of total billed charges ,161.6,percent of total billed charges ,141.4,percent of total billed charges ,141.4,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,,,,,107.46,percent of total billed charges ,,,,,102.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,
**HF-IVP EACH ADDL SEQ-SAME DRUG,96376,CDM,,,,both,1,each,202,202,56.56,202,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,202,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,145.44,percent of total billed charges,149.48,percent of total billed charges,149.48,percent of total billed charges,161.6,percent of total billed charges,161.6,percent of total billed charges,,,145.44,percent of total billed charges ,,,161.6,percent of total billed charges ,169.68,percent of total billed charges ,169.68,percent of total billed charges ,157.56,percent of total billed charges ,157.56,percent of total billed charges ,161.6,percent of total billed charges ,161.6,percent of total billed charges ,141.4,percent of total billed charges ,141.4,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,121.2,percent of total billed charges ,,,,,107.46,percent of total billed charges ,,,,,102.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,,,56.56,percent of total billed charges,
**HF-NEW PATIENT OFFICE VISIT LEVEL 1,99201,CDM,,,,both,,,310,310,86.8,310,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,229.4,percent of total billed charges,229.4,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,,,223.2,percent of total billed charges ,,,248,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,248,percent of total billed charges ,248,percent of total billed charges ,217,percent of total billed charges ,217,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,,,,,164.92,percent of total billed charges ,,,,,156.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,
**HF-NEW PATIENT OFFICE VISIT LEVEL 4,99204,CDM,,,,both,1,each,536,536,150.08,536,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,536,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,385.92,percent of total billed charges,396.64,percent of total billed charges,396.64,percent of total billed charges,428.8,percent of total billed charges,428.8,percent of total billed charges,,,385.92,percent of total billed charges ,,,428.8,percent of total billed charges ,450.24,percent of total billed charges ,450.24,percent of total billed charges ,418.08,percent of total billed charges ,418.08,percent of total billed charges ,428.8,percent of total billed charges ,428.8,percent of total billed charges ,375.2,percent of total billed charges ,375.2,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,,,,,285.15,percent of total billed charges ,,,,,270.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,,,150.08,percent of total billed charges,
HF-NEW PATIENT OFFICE VISIT LEVEL 5,99205,CDM,,,,both,1,each,727,727,203.56,727,727,percent of total billed charges,727,percent of total billed charges,727,percent of total billed charges,727,percent of total billed charges,727,percent of total billed charges,727,percent of total billed charges,727,percent of total billed charges,727,percent of total billed charges,523.44,percent of total billed charges,523.44,percent of total billed charges,523.44,percent of total billed charges,523.44,percent of total billed charges,523.44,percent of total billed charges,523.44,percent of total billed charges,537.98,percent of total billed charges,537.98,percent of total billed charges,581.6,percent of total billed charges,581.6,percent of total billed charges,,,523.44,percent of total billed charges ,,,581.6,percent of total billed charges ,610.68,percent of total billed charges ,610.68,percent of total billed charges ,567.06,percent of total billed charges ,567.06,percent of total billed charges ,581.6,percent of total billed charges ,581.6,percent of total billed charges ,508.9,percent of total billed charges ,508.9,percent of total billed charges ,436.2,percent of total billed charges ,436.2,percent of total billed charges ,436.2,percent of total billed charges ,436.2,percent of total billed charges ,,,,,386.76,percent of total billed charges ,,,,,367.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,,,203.56,percent of total billed charges,
HF-EST PATIENT OFFICE VISIT LEVEL 2,99212,CDM,,,,both,1,each,310,310,86.8,310,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,229.4,percent of total billed charges,229.4,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,,,223.2,percent of total billed charges ,,,248,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,248,percent of total billed charges ,248,percent of total billed charges ,217,percent of total billed charges ,217,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,,,,,164.92,percent of total billed charges ,,,,,156.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,
**HF-EST PATIENT OFFICE VISIT LEVEL 4,99214,CDM,,,,both,1,each,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
**HF-EST PATIENT OFFICE VISIT LEVEL 5,99215,CDM,,,,both,1,each,851,851,238.28,851,851,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,612.72,percent of total billed charges,612.72,percent of total billed charges,612.72,percent of total billed charges,612.72,percent of total billed charges,612.72,percent of total billed charges,612.72,percent of total billed charges,629.74,percent of total billed charges,629.74,percent of total billed charges,680.8,percent of total billed charges,680.8,percent of total billed charges,,,612.72,percent of total billed charges ,,,680.8,percent of total billed charges ,714.84,percent of total billed charges ,714.84,percent of total billed charges ,663.78,percent of total billed charges ,663.78,percent of total billed charges ,680.8,percent of total billed charges ,680.8,percent of total billed charges ,595.7,percent of total billed charges ,595.7,percent of total billed charges ,510.6,percent of total billed charges ,510.6,percent of total billed charges ,510.6,percent of total billed charges ,510.6,percent of total billed charges ,,,,,452.73,percent of total billed charges ,,,,,430.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,,,238.28,percent of total billed charges,
HOLTER MONITOR (NO DOCTOR),93225,CDM,,,,both,1,each,785,785,219.8,785,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,785,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,565.2,percent of total billed charges,580.9,percent of total billed charges,580.9,percent of total billed charges,628,percent of total billed charges,628,percent of total billed charges,,,565.2,percent of total billed charges ,,,628,percent of total billed charges ,659.4,percent of total billed charges ,659.4,percent of total billed charges ,612.3,percent of total billed charges ,612.3,percent of total billed charges ,628,percent of total billed charges ,628,percent of total billed charges ,549.5,percent of total billed charges ,549.5,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,471,percent of total billed charges ,,,,,417.62,percent of total billed charges ,,,,,396.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,,,219.8,percent of total billed charges,
EVENT MONITOR (NO DOCTOR),93270,CDM,,,,both,1,each,520,520,145.6,520,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,384.8,percent of total billed charges,384.8,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,,,374.4,percent of total billed charges ,,,416,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,405.6,percent of total billed charges ,405.6,percent of total billed charges ,416,percent of total billed charges ,416,percent of total billed charges ,364,percent of total billed charges ,364,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,312,percent of total billed charges ,,,,,276.64,percent of total billed charges ,,,,,262.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,,,145.6,percent of total billed charges,
ECHOCARDIOGRAM COMPLETE,93306,CDM,,,,both,1,each,"3,471.00","3,471.00",971.88,"3,471.00","3,471.00",percent of total billed charges,"3,471.00",percent of total billed charges,"3,471.00",percent of total billed charges,"3,471.00",percent of total billed charges,"3,471.00",percent of total billed charges,"3,471.00",percent of total billed charges,"3,471.00",percent of total billed charges,"3,471.00",percent of total billed charges,"2,499.12",percent of total billed charges,"2,499.12",percent of total billed charges,"2,499.12",percent of total billed charges,"2,499.12",percent of total billed charges,"2,499.12",percent of total billed charges,"2,499.12",percent of total billed charges,"2,568.54",percent of total billed charges,"2,568.54",percent of total billed charges,"2,776.80",percent of total billed charges,"2,776.80",percent of total billed charges,,,"2,499.12",percent of total billed charges ,,,"2,776.80",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,707.38",percent of total billed charges ,"2,707.38",percent of total billed charges ,"2,776.80",percent of total billed charges ,"2,776.80",percent of total billed charges ,"2,429.70",percent of total billed charges ,"2,429.70",percent of total billed charges ,"2,082.60",percent of total billed charges ,"2,082.60",percent of total billed charges ,"2,082.60",percent of total billed charges ,"2,082.60",percent of total billed charges ,,,,,"1,846.57",percent of total billed charges ,,,,,"1,754.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,,,971.88,percent of total billed charges,
ECHOCARDIOGRAM LIMITED/FOLLOW UP,93308,CDM,,,,both,1,each,"1,100.00","1,100.00",308,"1,100.00","1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,"1,100.00",percent of total billed charges,792,percent of total billed charges,792,percent of total billed charges,792,percent of total billed charges,792,percent of total billed charges,792,percent of total billed charges,792,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,880,percent of total billed charges,880,percent of total billed charges,,,792,percent of total billed charges ,,,880,percent of total billed charges ,924,percent of total billed charges ,924,percent of total billed charges ,858,percent of total billed charges ,858,percent of total billed charges ,880,percent of total billed charges ,880,percent of total billed charges ,770,percent of total billed charges ,770,percent of total billed charges ,660,percent of total billed charges ,660,percent of total billed charges ,660,percent of total billed charges ,660,percent of total billed charges ,,,,,585.2,percent of total billed charges ,,,,,555.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,,,308,percent of total billed charges,
COMPLETE ECHO  BUBBLE STUDY,93306,CDM,,,,both,,,"3,580.00","3,580.00","1,002.40","3,580.00","3,580.00",percent of total billed charges,"3,580.00",percent of total billed charges,"3,580.00",percent of total billed charges,"3,580.00",percent of total billed charges,"3,580.00",percent of total billed charges,"3,580.00",percent of total billed charges,"3,580.00",percent of total billed charges,"3,580.00",percent of total billed charges,"2,577.60",percent of total billed charges,"2,577.60",percent of total billed charges,"2,577.60",percent of total billed charges,"2,577.60",percent of total billed charges,"2,577.60",percent of total billed charges,"2,577.60",percent of total billed charges,"2,649.20",percent of total billed charges,"2,649.20",percent of total billed charges,"2,864.00",percent of total billed charges,"2,864.00",percent of total billed charges,,,"2,577.60",percent of total billed charges ,,,"2,864.00",percent of total billed charges ,"3,007.20",percent of total billed charges ,"3,007.20",percent of total billed charges ,"2,792.40",percent of total billed charges ,"2,792.40",percent of total billed charges ,"2,864.00",percent of total billed charges ,"2,864.00",percent of total billed charges ,"2,506.00",percent of total billed charges ,"2,506.00",percent of total billed charges ,"2,148.00",percent of total billed charges ,"2,148.00",percent of total billed charges ,"2,148.00",percent of total billed charges ,"2,148.00",percent of total billed charges ,,,,,"1,904.56",percent of total billed charges ,,,,,"1,809.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,,,"1,002.40",percent of total billed charges,
LIMITED ECHO  BUBBLE STUDY,93308,CDM,,,,both,1,each,"1,217.00","1,217.00",340.76,"1,217.00","1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,"1,217.00",percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,876.24,percent of total billed charges,900.58,percent of total billed charges,900.58,percent of total billed charges,973.6,percent of total billed charges,973.6,percent of total billed charges,,,876.24,percent of total billed charges ,,,973.6,percent of total billed charges ,"1,022.28",percent of total billed charges ,"1,022.28",percent of total billed charges ,949.26,percent of total billed charges ,949.26,percent of total billed charges ,973.6,percent of total billed charges ,973.6,percent of total billed charges ,851.9,percent of total billed charges ,851.9,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,730.2,percent of total billed charges ,,,,,647.44,percent of total billed charges ,,,,,615.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,,,340.76,percent of total billed charges,
STRESS ECHO,93350,CDM,,,,both,1,each,"2,890.00","2,890.00",809.2,"2,890.00","2,890.00",percent of total billed charges,"2,890.00",percent of total billed charges,"2,890.00",percent of total billed charges,"2,890.00",percent of total billed charges,"2,890.00",percent of total billed charges,"2,890.00",percent of total billed charges,"2,890.00",percent of total billed charges,"2,890.00",percent of total billed charges,"2,080.80",percent of total billed charges,"2,080.80",percent of total billed charges,"2,080.80",percent of total billed charges,"2,080.80",percent of total billed charges,"2,080.80",percent of total billed charges,"2,080.80",percent of total billed charges,"2,138.60",percent of total billed charges,"2,138.60",percent of total billed charges,"2,312.00",percent of total billed charges,"2,312.00",percent of total billed charges,,,"2,080.80",percent of total billed charges ,,,"2,312.00",percent of total billed charges ,"2,427.60",percent of total billed charges ,"2,427.60",percent of total billed charges ,"2,254.20",percent of total billed charges ,"2,254.20",percent of total billed charges ,"2,312.00",percent of total billed charges ,"2,312.00",percent of total billed charges ,"2,023.00",percent of total billed charges ,"2,023.00",percent of total billed charges ,"1,734.00",percent of total billed charges ,"1,734.00",percent of total billed charges ,"1,734.00",percent of total billed charges ,"1,734.00",percent of total billed charges ,,,,,"1,537.48",percent of total billed charges ,,,,,"1,460.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,,,809.2,percent of total billed charges,
STRESS ECHO WITH CONTRAST,93350,CDM,,,,both,1,each,"3,021.00","3,021.00",845.88,"3,021.00","3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"3,021.00",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,175.12",percent of total billed charges,"2,235.54",percent of total billed charges,"2,235.54",percent of total billed charges,"2,416.80",percent of total billed charges,"2,416.80",percent of total billed charges,,,"2,175.12",percent of total billed charges ,,,"2,416.80",percent of total billed charges ,"2,537.64",percent of total billed charges ,"2,537.64",percent of total billed charges ,"2,356.38",percent of total billed charges ,"2,356.38",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,416.80",percent of total billed charges ,"2,114.70",percent of total billed charges ,"2,114.70",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,"1,812.60",percent of total billed charges ,,,,,"1,607.17",percent of total billed charges ,,,,,"1,526.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,,,845.88,percent of total billed charges,
"INJECTION,SULFUR HEXAFLOURIDE PER ML",Q9950,CDM,,,,both,1,each,141,141,39.48,141,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,104.34,percent of total billed charges,104.34,percent of total billed charges,112.8,percent of total billed charges,112.8,percent of total billed charges,,,101.52,percent of total billed charges ,,,112.8,percent of total billed charges ,118.44,percent of total billed charges ,118.44,percent of total billed charges ,109.98,percent of total billed charges ,109.98,percent of total billed charges ,112.8,percent of total billed charges ,112.8,percent of total billed charges ,98.7,percent of total billed charges ,98.7,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,,,,,75.01,percent of total billed charges ,,,,,71.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,
STRESS TESTING (ECHO),93017,CDM,,,,both,1,each,"1,552.00","1,552.00",434.56,"1,552.00","1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,552.00",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,117.44",percent of total billed charges,"1,148.48",percent of total billed charges,"1,148.48",percent of total billed charges,"1,241.60",percent of total billed charges,"1,241.60",percent of total billed charges,,,"1,117.44",percent of total billed charges ,,,"1,241.60",percent of total billed charges ,"1,303.68",percent of total billed charges ,"1,303.68",percent of total billed charges ,"1,210.56",percent of total billed charges ,"1,210.56",percent of total billed charges ,"1,241.60",percent of total billed charges ,"1,241.60",percent of total billed charges ,"1,086.40",percent of total billed charges ,"1,086.40",percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,931.2,percent of total billed charges ,,,,,825.66,percent of total billed charges ,,,,,784.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,,,434.56,percent of total billed charges,
ECHO STRAIN,93356,CDM,,,,both,1,each,841,841,235.48,841,841,percent of total billed charges,841,percent of total billed charges,841,percent of total billed charges,841,percent of total billed charges,841,percent of total billed charges,841,percent of total billed charges,841,percent of total billed charges,841,percent of total billed charges,605.52,percent of total billed charges,605.52,percent of total billed charges,605.52,percent of total billed charges,605.52,percent of total billed charges,605.52,percent of total billed charges,605.52,percent of total billed charges,622.34,percent of total billed charges,622.34,percent of total billed charges,672.8,percent of total billed charges,672.8,percent of total billed charges,,,605.52,percent of total billed charges ,,,672.8,percent of total billed charges ,706.44,percent of total billed charges ,706.44,percent of total billed charges ,655.98,percent of total billed charges ,655.98,percent of total billed charges ,672.8,percent of total billed charges ,672.8,percent of total billed charges ,588.7,percent of total billed charges ,588.7,percent of total billed charges ,504.6,percent of total billed charges ,504.6,percent of total billed charges ,504.6,percent of total billed charges ,504.6,percent of total billed charges ,,,,,447.41,percent of total billed charges ,,,,,425.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,,,235.48,percent of total billed charges,
DOPPLER COLOR FLOW ADD ON,93325,CDM,,,,both,1,each,993,993,278.04,993,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,734.82,percent of total billed charges,734.82,percent of total billed charges,794.4,percent of total billed charges,794.4,percent of total billed charges,,,714.96,percent of total billed charges ,,,794.4,percent of total billed charges ,834.12,percent of total billed charges ,834.12,percent of total billed charges ,774.54,percent of total billed charges ,774.54,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,695.1,percent of total billed charges ,695.1,percent of total billed charges ,595.8,percent of total billed charges ,595.8,percent of total billed charges ,595.8,percent of total billed charges ,595.8,percent of total billed charges ,,,,,528.28,percent of total billed charges ,,,,,501.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,
DOPPLER ECHO COMPLETE,93320,CDM,,,,both,,,"1,111.00","1,111.00",311.08,"1,111.00","1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,822.14,percent of total billed charges,822.14,percent of total billed charges,888.8,percent of total billed charges,888.8,percent of total billed charges,,,799.92,percent of total billed charges ,,,888.8,percent of total billed charges ,933.24,percent of total billed charges ,933.24,percent of total billed charges ,866.58,percent of total billed charges ,866.58,percent of total billed charges ,888.8,percent of total billed charges ,888.8,percent of total billed charges ,777.7,percent of total billed charges ,777.7,percent of total billed charges ,666.6,percent of total billed charges ,666.6,percent of total billed charges ,666.6,percent of total billed charges ,666.6,percent of total billed charges ,,,,,591.05,percent of total billed charges ,,,,,561.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,
HOLTER MONITOR 8-15 DAYS,93246,CDM,,,,both,1,each,783,783,219.24,783,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,783,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,563.76,percent of total billed charges,579.42,percent of total billed charges,579.42,percent of total billed charges,626.4,percent of total billed charges,626.4,percent of total billed charges,,,563.76,percent of total billed charges ,,,626.4,percent of total billed charges ,657.72,percent of total billed charges ,657.72,percent of total billed charges ,610.74,percent of total billed charges ,610.74,percent of total billed charges ,626.4,percent of total billed charges ,626.4,percent of total billed charges ,548.1,percent of total billed charges ,548.1,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,469.8,percent of total billed charges ,,,,,416.56,percent of total billed charges ,,,,,395.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,,,219.24,percent of total billed charges,
**US ECHOCARDIOGRAM,93306,CDM,,,,both,,,"3,277.00","3,277.00",917.56,"3,277.00","3,277.00",percent of total billed charges,"3,277.00",percent of total billed charges,"3,277.00",percent of total billed charges,"3,277.00",percent of total billed charges,"3,277.00",percent of total billed charges,"3,277.00",percent of total billed charges,"3,277.00",percent of total billed charges,"3,277.00",percent of total billed charges,"2,359.44",percent of total billed charges,"2,359.44",percent of total billed charges,"2,359.44",percent of total billed charges,"2,359.44",percent of total billed charges,"2,359.44",percent of total billed charges,"2,359.44",percent of total billed charges,"2,424.98",percent of total billed charges,"2,424.98",percent of total billed charges,"2,621.60",percent of total billed charges,"2,621.60",percent of total billed charges,,,"2,359.44",percent of total billed charges ,,,"2,621.60",percent of total billed charges ,"2,752.68",percent of total billed charges ,"2,752.68",percent of total billed charges ,"2,556.06",percent of total billed charges ,"2,556.06",percent of total billed charges ,"2,621.60",percent of total billed charges ,"2,621.60",percent of total billed charges ,"2,293.90",percent of total billed charges ,"2,293.90",percent of total billed charges ,"1,966.20",percent of total billed charges ,"1,966.20",percent of total billed charges ,"1,966.20",percent of total billed charges ,"1,966.20",percent of total billed charges ,,,,,"1,743.36",percent of total billed charges ,,,,,"1,656.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,,,917.56,percent of total billed charges,
**US ECHOCARDIOGRAM,93307,CDM,,,,both,1,each,975,975,273,975,975,percent of total billed charges,975,percent of total billed charges,975,percent of total billed charges,975,percent of total billed charges,975,percent of total billed charges,975,percent of total billed charges,975,percent of total billed charges,975,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,702,percent of total billed charges,721.5,percent of total billed charges,721.5,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,,,702,percent of total billed charges ,,,780,percent of total billed charges ,819,percent of total billed charges ,819,percent of total billed charges ,760.5,percent of total billed charges ,760.5,percent of total billed charges ,780,percent of total billed charges ,780,percent of total billed charges ,682.5,percent of total billed charges ,682.5,percent of total billed charges ,585,percent of total billed charges ,585,percent of total billed charges ,585,percent of total billed charges ,585,percent of total billed charges ,,,,,518.7,percent of total billed charges ,,,,,492.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,,,273,percent of total billed charges,
**US DR. MARTIN ECHOCARDIOGRAM W/PROFEE,93306,CDM,,,,both,1,each,"1,522.00","1,522.00",426.16,"1,522.00","1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,126.28",percent of total billed charges,"1,126.28",percent of total billed charges,"1,217.60",percent of total billed charges,"1,217.60",percent of total billed charges,,,"1,095.84",percent of total billed charges ,,,"1,217.60",percent of total billed charges ,"1,278.48",percent of total billed charges ,"1,278.48",percent of total billed charges ,"1,187.16",percent of total billed charges ,"1,187.16",percent of total billed charges ,"1,217.60",percent of total billed charges ,"1,217.60",percent of total billed charges ,"1,065.40",percent of total billed charges ,"1,065.40",percent of total billed charges ,913.2,percent of total billed charges ,913.2,percent of total billed charges ,913.2,percent of total billed charges ,913.2,percent of total billed charges ,,,,,809.7,percent of total billed charges ,,,,,769.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,
**US DR. GILL ECHOCARDIOGRAM W/PROFEE,93306,CDM,,,,both,1,each,"1,522.00","1,522.00",426.16,"1,522.00","1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,522.00",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,095.84",percent of total billed charges,"1,126.28",percent of total billed charges,"1,126.28",percent of total billed charges,"1,217.60",percent of total billed charges,"1,217.60",percent of total billed charges,,,"1,095.84",percent of total billed charges ,,,"1,217.60",percent of total billed charges ,"1,278.48",percent of total billed charges ,"1,278.48",percent of total billed charges ,"1,187.16",percent of total billed charges ,"1,187.16",percent of total billed charges ,"1,217.60",percent of total billed charges ,"1,217.60",percent of total billed charges ,"1,065.40",percent of total billed charges ,"1,065.40",percent of total billed charges ,913.2,percent of total billed charges ,913.2,percent of total billed charges ,913.2,percent of total billed charges ,913.2,percent of total billed charges ,,,,,809.7,percent of total billed charges ,,,,,769.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,,,426.16,percent of total billed charges,
**US CARDIAC DOPPLER DR.GILL W/PROFEE,93320,CDM,,,,both,1,each,"1,287.00","1,287.00",360.36,"1,287.00","1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,952.38,percent of total billed charges,952.38,percent of total billed charges,"1,029.60",percent of total billed charges,"1,029.60",percent of total billed charges,,,926.64,percent of total billed charges ,,,"1,029.60",percent of total billed charges ,"1,081.08",percent of total billed charges ,"1,081.08",percent of total billed charges ,"1,003.86",percent of total billed charges ,"1,003.86",percent of total billed charges ,"1,029.60",percent of total billed charges ,"1,029.60",percent of total billed charges ,900.9,percent of total billed charges ,900.9,percent of total billed charges ,772.2,percent of total billed charges ,772.2,percent of total billed charges ,772.2,percent of total billed charges ,772.2,percent of total billed charges ,,,,,684.68,percent of total billed charges ,,,,,650.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,
**US COLOR DOPPLR MAPPING DR GILL W/PRO,93325,CDM,,,,both,1,each,"1,150.00","1,150.00",322,"1,150.00","1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,,,828,percent of total billed charges ,,,920,percent of total billed charges ,966,percent of total billed charges ,966,percent of total billed charges ,897,percent of total billed charges ,897,percent of total billed charges ,920,percent of total billed charges ,920,percent of total billed charges ,805,percent of total billed charges ,805,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,,,,,611.8,percent of total billed charges ,,,,,581.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,
**US CARDIAC DOPPLER,93320,CDM,,,,both,1,each,"1,111.00","1,111.00",311.08,"1,111.00","1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,"1,111.00",percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,799.92,percent of total billed charges,822.14,percent of total billed charges,822.14,percent of total billed charges,888.8,percent of total billed charges,888.8,percent of total billed charges,,,799.92,percent of total billed charges ,,,888.8,percent of total billed charges ,933.24,percent of total billed charges ,933.24,percent of total billed charges ,866.58,percent of total billed charges ,866.58,percent of total billed charges ,888.8,percent of total billed charges ,888.8,percent of total billed charges ,777.7,percent of total billed charges ,777.7,percent of total billed charges ,666.6,percent of total billed charges ,666.6,percent of total billed charges ,666.6,percent of total billed charges ,666.6,percent of total billed charges ,,,,,591.05,percent of total billed charges ,,,,,561.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,,,311.08,percent of total billed charges,
**US CARDIAC DOPPLER DR.MARTIN W/PROFEE,93320,CDM,,,,both,,,"1,287.00","1,287.00",360.36,"1,287.00","1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,"1,287.00",percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,926.64,percent of total billed charges,952.38,percent of total billed charges,952.38,percent of total billed charges,"1,029.60",percent of total billed charges,"1,029.60",percent of total billed charges,,,926.64,percent of total billed charges ,,,"1,029.60",percent of total billed charges ,"1,081.08",percent of total billed charges ,"1,081.08",percent of total billed charges ,"1,003.86",percent of total billed charges ,"1,003.86",percent of total billed charges ,"1,029.60",percent of total billed charges ,"1,029.60",percent of total billed charges ,900.9,percent of total billed charges ,900.9,percent of total billed charges ,772.2,percent of total billed charges ,772.2,percent of total billed charges ,772.2,percent of total billed charges ,772.2,percent of total billed charges ,,,,,684.68,percent of total billed charges ,,,,,650.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,,,360.36,percent of total billed charges,
**ECHOCARDIOGRAM 2003-04,93307,CDM,,,,both,1,each,"1,338.00","1,338.00",374.64,"1,338.00","1,338.00",percent of total billed charges,"1,338.00",percent of total billed charges,"1,338.00",percent of total billed charges,"1,338.00",percent of total billed charges,"1,338.00",percent of total billed charges,"1,338.00",percent of total billed charges,"1,338.00",percent of total billed charges,"1,338.00",percent of total billed charges,963.36,percent of total billed charges,963.36,percent of total billed charges,963.36,percent of total billed charges,963.36,percent of total billed charges,963.36,percent of total billed charges,963.36,percent of total billed charges,990.12,percent of total billed charges,990.12,percent of total billed charges,"1,070.40",percent of total billed charges,"1,070.40",percent of total billed charges,,,963.36,percent of total billed charges ,,,"1,070.40",percent of total billed charges ,"1,123.92",percent of total billed charges ,"1,123.92",percent of total billed charges ,"1,043.64",percent of total billed charges ,"1,043.64",percent of total billed charges ,"1,070.40",percent of total billed charges ,"1,070.40",percent of total billed charges ,936.6,percent of total billed charges ,936.6,percent of total billed charges ,802.8,percent of total billed charges ,802.8,percent of total billed charges ,802.8,percent of total billed charges ,802.8,percent of total billed charges ,,,,,711.82,percent of total billed charges ,,,,,676.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,,,374.64,percent of total billed charges,
**ECHOCARDIOGRAM 2003-04,93307,CDM,,,,both,1,each,847,847,237.16,847,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,626.78,percent of total billed charges,626.78,percent of total billed charges,677.6,percent of total billed charges,677.6,percent of total billed charges,,,609.84,percent of total billed charges ,,,677.6,percent of total billed charges ,711.48,percent of total billed charges ,711.48,percent of total billed charges ,660.66,percent of total billed charges ,660.66,percent of total billed charges ,677.6,percent of total billed charges ,677.6,percent of total billed charges ,592.9,percent of total billed charges ,592.9,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,,,,,450.6,percent of total billed charges ,,,,,428.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,
**ECHOCARDOPGRAM 2004,93307,CDM,,,,both,1,each,"1,432.00","1,432.00",400.96,"1,432.00","1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,"1,432.00",percent of total billed charges,"1,031.04",percent of total billed charges,"1,031.04",percent of total billed charges,"1,031.04",percent of total billed charges,"1,031.04",percent of total billed charges,"1,031.04",percent of total billed charges,"1,031.04",percent of total billed charges,"1,059.68",percent of total billed charges,"1,059.68",percent of total billed charges,"1,145.60",percent of total billed charges,"1,145.60",percent of total billed charges,,,"1,031.04",percent of total billed charges ,,,"1,145.60",percent of total billed charges ,"1,202.88",percent of total billed charges ,"1,202.88",percent of total billed charges ,"1,116.96",percent of total billed charges ,"1,116.96",percent of total billed charges ,"1,145.60",percent of total billed charges ,"1,145.60",percent of total billed charges ,"1,002.40",percent of total billed charges ,"1,002.40",percent of total billed charges ,859.2,percent of total billed charges ,859.2,percent of total billed charges ,859.2,percent of total billed charges ,859.2,percent of total billed charges ,,,,,761.82,percent of total billed charges ,,,,,723.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,,,400.96,percent of total billed charges,
**US ECHO-FOLLOW UP/LIMITED,93308,CDM,,,,both,1,each,"1,269.00","1,269.00",355.32,"1,269.00","1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,"1,269.00",percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,913.68,percent of total billed charges,939.06,percent of total billed charges,939.06,percent of total billed charges,"1,015.20",percent of total billed charges,"1,015.20",percent of total billed charges,,,913.68,percent of total billed charges ,,,"1,015.20",percent of total billed charges ,"1,065.96",percent of total billed charges ,"1,065.96",percent of total billed charges ,989.82,percent of total billed charges ,989.82,percent of total billed charges ,"1,015.20",percent of total billed charges ,"1,015.20",percent of total billed charges ,888.3,percent of total billed charges ,888.3,percent of total billed charges ,761.4,percent of total billed charges ,761.4,percent of total billed charges ,761.4,percent of total billed charges ,761.4,percent of total billed charges ,,,,,675.11,percent of total billed charges ,,,,,641.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,,,355.32,percent of total billed charges,
**US DR MARTIN ECHO-FOLLOW UP/LIMITED,93308,CDM,,,,both,1,each,"1,150.00","1,150.00",322,"1,150.00","1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,,,828,percent of total billed charges ,,,920,percent of total billed charges ,966,percent of total billed charges ,966,percent of total billed charges ,897,percent of total billed charges ,897,percent of total billed charges ,920,percent of total billed charges ,920,percent of total billed charges ,805,percent of total billed charges ,805,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,,,,,611.8,percent of total billed charges ,,,,,581.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,
**US TEE,93312,CDM,,,,both,1,each,"3,003.00","3,003.00",840.84,"3,003.00","3,003.00",percent of total billed charges,"3,003.00",percent of total billed charges,"3,003.00",percent of total billed charges,"3,003.00",percent of total billed charges,"3,003.00",percent of total billed charges,"3,003.00",percent of total billed charges,"3,003.00",percent of total billed charges,"3,003.00",percent of total billed charges,"2,162.16",percent of total billed charges,"2,162.16",percent of total billed charges,"2,162.16",percent of total billed charges,"2,162.16",percent of total billed charges,"2,162.16",percent of total billed charges,"2,162.16",percent of total billed charges,"2,222.22",percent of total billed charges,"2,222.22",percent of total billed charges,"2,402.40",percent of total billed charges,"2,402.40",percent of total billed charges,,,"2,162.16",percent of total billed charges ,,,"2,402.40",percent of total billed charges ,"2,522.52",percent of total billed charges ,"2,522.52",percent of total billed charges ,"2,342.34",percent of total billed charges ,"2,342.34",percent of total billed charges ,"2,402.40",percent of total billed charges ,"2,402.40",percent of total billed charges ,"2,102.10",percent of total billed charges ,"2,102.10",percent of total billed charges ,"1,801.80",percent of total billed charges ,"1,801.80",percent of total billed charges ,"1,801.80",percent of total billed charges ,"1,801.80",percent of total billed charges ,,,,,"1,597.60",percent of total billed charges ,,,,,"1,517.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,,,840.84,percent of total billed charges,
**TEE (ERROR),93312,CDM,,,,both,1,each,"1,357.00","1,357.00",379.96,"1,357.00","1,357.00",percent of total billed charges,"1,357.00",percent of total billed charges,"1,357.00",percent of total billed charges,"1,357.00",percent of total billed charges,"1,357.00",percent of total billed charges,"1,357.00",percent of total billed charges,"1,357.00",percent of total billed charges,"1,357.00",percent of total billed charges,977.04,percent of total billed charges,977.04,percent of total billed charges,977.04,percent of total billed charges,977.04,percent of total billed charges,977.04,percent of total billed charges,977.04,percent of total billed charges,"1,004.18",percent of total billed charges,"1,004.18",percent of total billed charges,"1,085.60",percent of total billed charges,"1,085.60",percent of total billed charges,,,977.04,percent of total billed charges ,,,"1,085.60",percent of total billed charges ,"1,139.88",percent of total billed charges ,"1,139.88",percent of total billed charges ,"1,058.46",percent of total billed charges ,"1,058.46",percent of total billed charges ,"1,085.60",percent of total billed charges ,"1,085.60",percent of total billed charges ,949.9,percent of total billed charges ,949.9,percent of total billed charges ,814.2,percent of total billed charges ,814.2,percent of total billed charges ,814.2,percent of total billed charges ,814.2,percent of total billed charges ,,,,,721.92,percent of total billed charges ,,,,,685.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,,,379.96,percent of total billed charges,
DOPPLER ECHO FOLLOW UP/LIMITED,93321,CDM,,,,both,1,each,665,665,186.2,665,665,percent of total billed charges,665,percent of total billed charges,665,percent of total billed charges,665,percent of total billed charges,665,percent of total billed charges,665,percent of total billed charges,665,percent of total billed charges,665,percent of total billed charges,478.8,percent of total billed charges,478.8,percent of total billed charges,478.8,percent of total billed charges,478.8,percent of total billed charges,478.8,percent of total billed charges,478.8,percent of total billed charges,492.1,percent of total billed charges,492.1,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,,,478.8,percent of total billed charges ,,,532,percent of total billed charges ,558.6,percent of total billed charges ,558.6,percent of total billed charges ,518.7,percent of total billed charges ,518.7,percent of total billed charges ,532,percent of total billed charges ,532,percent of total billed charges ,465.5,percent of total billed charges ,465.5,percent of total billed charges ,399,percent of total billed charges ,399,percent of total billed charges ,399,percent of total billed charges ,399,percent of total billed charges ,,,,,353.78,percent of total billed charges ,,,,,336.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,,,186.2,percent of total billed charges,
**US COLOR DOPPLER MAPPING,93325,CDM,,,,both,1,each,993,993,278.04,993,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,993,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,714.96,percent of total billed charges,734.82,percent of total billed charges,734.82,percent of total billed charges,794.4,percent of total billed charges,794.4,percent of total billed charges,,,714.96,percent of total billed charges ,,,794.4,percent of total billed charges ,834.12,percent of total billed charges ,834.12,percent of total billed charges ,774.54,percent of total billed charges ,774.54,percent of total billed charges ,794.4,percent of total billed charges ,794.4,percent of total billed charges ,695.1,percent of total billed charges ,695.1,percent of total billed charges ,595.8,percent of total billed charges ,595.8,percent of total billed charges ,595.8,percent of total billed charges ,595.8,percent of total billed charges ,,,,,528.28,percent of total billed charges ,,,,,501.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,,,278.04,percent of total billed charges,
**US COLOR DOPPLR MAPPING DR MARTIN W/PR,93325,CDM,,,,both,1,each,"1,150.00","1,150.00",322,"1,150.00","1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,,,828,percent of total billed charges ,,,920,percent of total billed charges ,966,percent of total billed charges ,966,percent of total billed charges ,897,percent of total billed charges ,897,percent of total billed charges ,920,percent of total billed charges ,920,percent of total billed charges ,805,percent of total billed charges ,805,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,,,,,611.8,percent of total billed charges ,,,,,581.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,
EEG INCLUDING REC AWAKE & ASLEEP,95819,CDM,,,,both,1,each,"1,335.00","1,335.00",373.8,"1,335.00","1,335.00",percent of total billed charges,"1,335.00",percent of total billed charges,"1,335.00",percent of total billed charges,"1,335.00",percent of total billed charges,"1,335.00",percent of total billed charges,"1,335.00",percent of total billed charges,"1,335.00",percent of total billed charges,"1,335.00",percent of total billed charges,961.2,percent of total billed charges,961.2,percent of total billed charges,961.2,percent of total billed charges,961.2,percent of total billed charges,961.2,percent of total billed charges,961.2,percent of total billed charges,987.9,percent of total billed charges,987.9,percent of total billed charges,"1,068.00",percent of total billed charges,"1,068.00",percent of total billed charges,,,961.2,percent of total billed charges ,,,"1,068.00",percent of total billed charges ,"1,121.40",percent of total billed charges ,"1,121.40",percent of total billed charges ,"1,041.30",percent of total billed charges ,"1,041.30",percent of total billed charges ,"1,068.00",percent of total billed charges ,"1,068.00",percent of total billed charges ,934.5,percent of total billed charges ,934.5,percent of total billed charges ,801,percent of total billed charges ,801,percent of total billed charges ,801,percent of total billed charges ,801,percent of total billed charges ,,,,,710.22,percent of total billed charges ,,,,,674.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,,,373.8,percent of total billed charges,
**MM UNILAT DIAGNOSTIC,77055,CDM,,,,both,1,each,370,370,103.6,370,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,370,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,273.8,percent of total billed charges,273.8,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,,,266.4,percent of total billed charges ,,,296,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,288.6,percent of total billed charges ,288.6,percent of total billed charges ,296,percent of total billed charges ,296,percent of total billed charges ,259,percent of total billed charges ,259,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,222,percent of total billed charges ,,,,,196.84,percent of total billed charges ,,,,,187,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,,,103.6,percent of total billed charges,
**MM BILATERAL SCREEN/DX,76091,CDM,,,GH,both,1,each,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
**MM UNILATERAL DIAGNOSTIC,76090,CDM,,,,both,1,each,237,237,66.36,237,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,237,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,170.64,percent of total billed charges,175.38,percent of total billed charges,175.38,percent of total billed charges,189.6,percent of total billed charges,189.6,percent of total billed charges,,,170.64,percent of total billed charges ,,,189.6,percent of total billed charges ,199.08,percent of total billed charges ,199.08,percent of total billed charges ,184.86,percent of total billed charges ,184.86,percent of total billed charges ,189.6,percent of total billed charges ,189.6,percent of total billed charges ,165.9,percent of total billed charges ,165.9,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,142.2,percent of total billed charges ,,,,,126.08,percent of total billed charges ,,,,,119.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,,,66.36,percent of total billed charges,
**MM SCREENING,77057,CDM,,,,both,1,each,343,343,96.04,343,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,253.82,percent of total billed charges,253.82,percent of total billed charges,274.4,percent of total billed charges,274.4,percent of total billed charges,,,246.96,percent of total billed charges ,,,274.4,percent of total billed charges ,288.12,percent of total billed charges ,288.12,percent of total billed charges ,267.54,percent of total billed charges ,267.54,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,240.1,percent of total billed charges ,240.1,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,,,,,182.48,percent of total billed charges ,,,,,173.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,
**MM BILAT DIAGNOSTIC,77056,CDM,,,,both,1,each,527,527,147.56,527,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,389.98,percent of total billed charges,389.98,percent of total billed charges,421.6,percent of total billed charges,421.6,percent of total billed charges,,,379.44,percent of total billed charges ,,,421.6,percent of total billed charges ,442.68,percent of total billed charges ,442.68,percent of total billed charges ,411.06,percent of total billed charges ,411.06,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,368.9,percent of total billed charges ,368.9,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,,,,,280.36,percent of total billed charges ,,,,,266.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,
**MM MAMMO GUIDANCE FOR NEEDLE,77032,CDM,,,,both,1,each,658,658,184.24,658,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,658,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,473.76,percent of total billed charges,486.92,percent of total billed charges,486.92,percent of total billed charges,526.4,percent of total billed charges,526.4,percent of total billed charges,,,473.76,percent of total billed charges ,,,526.4,percent of total billed charges ,552.72,percent of total billed charges ,552.72,percent of total billed charges ,513.24,percent of total billed charges ,513.24,percent of total billed charges ,526.4,percent of total billed charges ,526.4,percent of total billed charges ,460.6,percent of total billed charges ,460.6,percent of total billed charges ,394.8,percent of total billed charges ,394.8,percent of total billed charges ,394.8,percent of total billed charges ,394.8,percent of total billed charges ,,,,,350.06,percent of total billed charges ,,,,,332.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,,,184.24,percent of total billed charges,
MM BREAST LOCALIZATION RT-WIRE,19281,CDM,,,RT,both,1,each,"2,605.00","2,605.00",729.4,"2,605.00","2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,927.70",percent of total billed charges,"1,927.70",percent of total billed charges,"2,084.00",percent of total billed charges,"2,084.00",percent of total billed charges,,,"1,875.60",percent of total billed charges ,,,"2,084.00",percent of total billed charges ,"2,188.20",percent of total billed charges ,"2,188.20",percent of total billed charges ,"2,031.90",percent of total billed charges ,"2,031.90",percent of total billed charges ,"2,084.00",percent of total billed charges ,"2,084.00",percent of total billed charges ,"1,823.50",percent of total billed charges ,"1,823.50",percent of total billed charges ,"1,563.00",percent of total billed charges ,"1,563.00",percent of total billed charges ,"1,563.00",percent of total billed charges ,"1,563.00",percent of total billed charges ,,,,,"1,385.86",percent of total billed charges ,,,,,"1,316.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,
MM BREAST LOCALIZATION LT-WIRE,19281,CDM,,,LT,both,1,each,"2,605.00","2,605.00",729.4,"2,605.00","2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"2,605.00",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,875.60",percent of total billed charges,"1,927.70",percent of total billed charges,"1,927.70",percent of total billed charges,"2,084.00",percent of total billed charges,"2,084.00",percent of total billed charges,,,"1,875.60",percent of total billed charges ,,,"2,084.00",percent of total billed charges ,"2,188.20",percent of total billed charges ,"2,188.20",percent of total billed charges ,"2,031.90",percent of total billed charges ,"2,031.90",percent of total billed charges ,"2,084.00",percent of total billed charges ,"2,084.00",percent of total billed charges ,"1,823.50",percent of total billed charges ,"1,823.50",percent of total billed charges ,"1,563.00",percent of total billed charges ,"1,563.00",percent of total billed charges ,"1,563.00",percent of total billed charges ,"1,563.00",percent of total billed charges ,,,,,"1,385.86",percent of total billed charges ,,,,,"1,316.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,,,729.4,percent of total billed charges,
**MM BREAST LOCALIZATION BILAT WIRE,19281,CDM,,,50,both,1,each,"1,434.00","1,434.00",401.52,"1,434.00","1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,061.16",percent of total billed charges,"1,061.16",percent of total billed charges,"1,147.20",percent of total billed charges,"1,147.20",percent of total billed charges,,,"1,032.48",percent of total billed charges ,,,"1,147.20",percent of total billed charges ,"1,204.56",percent of total billed charges ,"1,204.56",percent of total billed charges ,"1,118.52",percent of total billed charges ,"1,118.52",percent of total billed charges ,"1,147.20",percent of total billed charges ,"1,147.20",percent of total billed charges ,"1,003.80",percent of total billed charges ,"1,003.80",percent of total billed charges ,860.4,percent of total billed charges ,860.4,percent of total billed charges ,860.4,percent of total billed charges ,860.4,percent of total billed charges ,,,,,762.89,percent of total billed charges ,,,,,724.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,
MM SURGICAL SPECIMEN  RADIOLOGICAL EXAM,76098,CDM,,,,both,1,each,923,923,258.44,923,923,percent of total billed charges,923,percent of total billed charges,923,percent of total billed charges,923,percent of total billed charges,923,percent of total billed charges,923,percent of total billed charges,923,percent of total billed charges,923,percent of total billed charges,664.56,percent of total billed charges,664.56,percent of total billed charges,664.56,percent of total billed charges,664.56,percent of total billed charges,664.56,percent of total billed charges,664.56,percent of total billed charges,683.02,percent of total billed charges,683.02,percent of total billed charges,738.4,percent of total billed charges,738.4,percent of total billed charges,,,664.56,percent of total billed charges ,,,738.4,percent of total billed charges ,775.32,percent of total billed charges ,775.32,percent of total billed charges ,719.94,percent of total billed charges ,719.94,percent of total billed charges ,738.4,percent of total billed charges ,738.4,percent of total billed charges ,646.1,percent of total billed charges ,646.1,percent of total billed charges ,553.8,percent of total billed charges ,553.8,percent of total billed charges ,553.8,percent of total billed charges ,553.8,percent of total billed charges ,,,,,491.04,percent of total billed charges ,,,,,466.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,,,258.44,percent of total billed charges,
**MM NEEDLE LOC OF TUMOR EA LESION,76096,CDM,,,,both,1,each,333,333,93.24,333,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,246.42,percent of total billed charges,246.42,percent of total billed charges,266.4,percent of total billed charges,266.4,percent of total billed charges,,,239.76,percent of total billed charges ,,,266.4,percent of total billed charges ,279.72,percent of total billed charges ,279.72,percent of total billed charges ,259.74,percent of total billed charges ,259.74,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,233.1,percent of total billed charges ,233.1,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,199.8,percent of total billed charges ,,,,,177.16,percent of total billed charges ,,,,,168.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,,,93.24,percent of total billed charges,
**MM BREAST LOCALIZATION WIRE,19281,CDM,,,,both,1,each,720,720,201.6,720,720,percent of total billed charges,720,percent of total billed charges,720,percent of total billed charges,720,percent of total billed charges,720,percent of total billed charges,720,percent of total billed charges,720,percent of total billed charges,720,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,518.4,percent of total billed charges,532.8,percent of total billed charges,532.8,percent of total billed charges,576,percent of total billed charges,576,percent of total billed charges,,,518.4,percent of total billed charges ,,,576,percent of total billed charges ,604.8,percent of total billed charges ,604.8,percent of total billed charges ,561.6,percent of total billed charges ,561.6,percent of total billed charges ,576,percent of total billed charges ,576,percent of total billed charges ,504,percent of total billed charges ,504,percent of total billed charges ,432,percent of total billed charges ,432,percent of total billed charges ,432,percent of total billed charges ,432,percent of total billed charges ,,,,,383.04,percent of total billed charges ,,,,,363.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,,,201.6,percent of total billed charges,
**MM BREAST LOCALIZATION EACH ADDITIONAL,19282,CDM,,,,both,1,each,"2,003.00","2,003.00",560.84,"2,003.00","2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,482.22",percent of total billed charges,"1,482.22",percent of total billed charges,"1,602.40",percent of total billed charges,"1,602.40",percent of total billed charges,,,"1,442.16",percent of total billed charges ,,,"1,602.40",percent of total billed charges ,"1,682.52",percent of total billed charges ,"1,682.52",percent of total billed charges ,"1,562.34",percent of total billed charges ,"1,562.34",percent of total billed charges ,"1,602.40",percent of total billed charges ,"1,602.40",percent of total billed charges ,"1,402.10",percent of total billed charges ,"1,402.10",percent of total billed charges ,"1,201.80",percent of total billed charges ,"1,201.80",percent of total billed charges ,"1,201.80",percent of total billed charges ,"1,201.80",percent of total billed charges ,,,,,"1,065.60",percent of total billed charges ,,,,,"1,012.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,
**MM NEEDLE LOC OF TUMOR LT EA LESION,76096,CDM,,,LT,both,1,each,"1,150.00","1,150.00",322,"1,150.00","1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,,,828,percent of total billed charges ,,,920,percent of total billed charges ,966,percent of total billed charges ,966,percent of total billed charges ,897,percent of total billed charges ,897,percent of total billed charges ,920,percent of total billed charges ,920,percent of total billed charges ,805,percent of total billed charges ,805,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,,,,,611.8,percent of total billed charges ,,,,,581.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,
**MM NEEDLE LOC OF TUMOR RT EA LESION,76096,CDM,,,RT,both,1,each,"1,150.00","1,150.00",322,"1,150.00","1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,"1,150.00",percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,828,percent of total billed charges,851,percent of total billed charges,851,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,,,828,percent of total billed charges ,,,920,percent of total billed charges ,966,percent of total billed charges ,966,percent of total billed charges ,897,percent of total billed charges ,897,percent of total billed charges ,920,percent of total billed charges ,920,percent of total billed charges ,805,percent of total billed charges ,805,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,690,percent of total billed charges ,,,,,611.8,percent of total billed charges ,,,,,581.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,,,322,percent of total billed charges,
**MM DIAGNOSTIC CAD,77051,CDM,,,,both,1,each,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
**MM SCREENING CAD,77052,CDM,,,,both,1,each,115,115,32.2,115,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,85.1,percent of total billed charges,85.1,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,,,82.8,percent of total billed charges ,,,92,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,89.7,percent of total billed charges ,89.7,percent of total billed charges ,92,percent of total billed charges ,92,percent of total billed charges ,80.5,percent of total billed charges ,80.5,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,,,,,61.18,percent of total billed charges ,,,,,58.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,
MM DIGITAL DIAGNOSTIC BILAT,77066,CDM,,,,both,1,each,746,746,208.88,746,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,552.04,percent of total billed charges,552.04,percent of total billed charges,596.8,percent of total billed charges,596.8,percent of total billed charges,,,537.12,percent of total billed charges ,,,596.8,percent of total billed charges ,626.64,percent of total billed charges ,626.64,percent of total billed charges ,581.88,percent of total billed charges ,581.88,percent of total billed charges ,596.8,percent of total billed charges ,596.8,percent of total billed charges ,522.2,percent of total billed charges ,522.2,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,,,,,396.87,percent of total billed charges ,,,,,377.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,
MM DIGITAL DIAGNOSTIC UNI LT,77065,CDM,,,LT,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
MM DIGITAL DIAGNOSTIC UNI RT,77065,CDM,,,RT,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
MM DIGITAL SCREENING,77067,CDM,,,,both,,,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM SCREENING TOMO,77063,CDM,,,,both,1,each,120,120,33.6,120,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,86.4,percent of total billed charges,88.8,percent of total billed charges,88.8,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,,,86.4,percent of total billed charges ,,,96,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,96,percent of total billed charges ,96,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,,,,,63.84,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,,,33.6,percent of total billed charges,
MM DIGITAL 3D SCREENING,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL IMPLANT SCREENING,77067,CDM,,,,both,,,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL 3D IMPLANT SCREENING,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL COMBO SCREENING,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL COMBO IMPLANT SCR,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL TOMO UNILATERAL,77061,CDM,,,,both,1,each,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
MM DIGITAL TOMO BILATERAL,77062,CDM,,,,both,1,each,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
MM DIGITAL DX 3D BILATERAL,77066,CDM,,,,both,1,each,746,746,208.88,746,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,552.04,percent of total billed charges,552.04,percent of total billed charges,596.8,percent of total billed charges,596.8,percent of total billed charges,,,537.12,percent of total billed charges ,,,596.8,percent of total billed charges ,626.64,percent of total billed charges ,626.64,percent of total billed charges ,581.88,percent of total billed charges ,581.88,percent of total billed charges ,596.8,percent of total billed charges ,596.8,percent of total billed charges ,522.2,percent of total billed charges ,522.2,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,,,,,396.87,percent of total billed charges ,,,,,377.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,
MM DIGITAL DX 3D UNI LT,77065,CDM,,,LT,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
MM DIGITAL DX 3D UNI RT,77065,CDM,,,RT,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
MM DIGITAL DX COMBO BILATERAL,77066,CDM,,,,both,1,each,746,746,208.88,746,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,746,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,537.12,percent of total billed charges,552.04,percent of total billed charges,552.04,percent of total billed charges,596.8,percent of total billed charges,596.8,percent of total billed charges,,,537.12,percent of total billed charges ,,,596.8,percent of total billed charges ,626.64,percent of total billed charges ,626.64,percent of total billed charges ,581.88,percent of total billed charges ,581.88,percent of total billed charges ,596.8,percent of total billed charges ,596.8,percent of total billed charges ,522.2,percent of total billed charges ,522.2,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,447.6,percent of total billed charges ,,,,,396.87,percent of total billed charges ,,,,,377.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,,,208.88,percent of total billed charges,
MM DIGITAL DX COMBO UNI LT,77065,CDM,,,LT,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
MM DIGITAL DX COMBO UNI RT,77065,CDM,,,RT,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
MM DIAGNOSTIC TOMO BILATERAL,77062,CDM,,,,both,1,each,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
MM DIAGNOSTIC TOMO UNILATERAL,77061,CDM,,,,both,,,134,134,37.52,134,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,99.16,percent of total billed charges,99.16,percent of total billed charges,107.2,percent of total billed charges,107.2,percent of total billed charges,,,96.48,percent of total billed charges ,,,107.2,percent of total billed charges ,112.56,percent of total billed charges ,112.56,percent of total billed charges ,104.52,percent of total billed charges ,104.52,percent of total billed charges ,107.2,percent of total billed charges ,107.2,percent of total billed charges ,93.8,percent of total billed charges ,93.8,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,,,,,71.29,percent of total billed charges ,,,,,67.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,
MM DIGITAL 3D UNI LT SCREENING,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL 3D UNI RT SCREENING,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL UNI LT SCREENING,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
MM DIGITAL UNI RT SCREENING,77067,CDM,,,,both,1,each,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
NM SENTINAL NODE IMAGING,78195,CDM,,,,both,1,each,"2,610.00","2,610.00",730.8,"2,610.00","2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,931.40",percent of total billed charges,"1,931.40",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,,,"1,879.20",percent of total billed charges ,,,"2,088.00",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,088.00",percent of total billed charges ,"2,088.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,,,,,"1,388.52",percent of total billed charges ,,,,,"1,319.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,
NM INJECTION FOR SENTINAL NODE IMAGING,38792,CDM,,,,both,1,each,"1,959.00","1,959.00",548.52,"1,959.00","1,959.00",percent of total billed charges,"1,959.00",percent of total billed charges,"1,959.00",percent of total billed charges,"1,959.00",percent of total billed charges,"1,959.00",percent of total billed charges,"1,959.00",percent of total billed charges,"1,959.00",percent of total billed charges,"1,959.00",percent of total billed charges,"1,410.48",percent of total billed charges,"1,410.48",percent of total billed charges,"1,410.48",percent of total billed charges,"1,410.48",percent of total billed charges,"1,410.48",percent of total billed charges,"1,410.48",percent of total billed charges,"1,449.66",percent of total billed charges,"1,449.66",percent of total billed charges,"1,567.20",percent of total billed charges,"1,567.20",percent of total billed charges,,,"1,410.48",percent of total billed charges ,,,"1,567.20",percent of total billed charges ,"1,645.56",percent of total billed charges ,"1,645.56",percent of total billed charges ,"1,528.02",percent of total billed charges ,"1,528.02",percent of total billed charges ,"1,567.20",percent of total billed charges ,"1,567.20",percent of total billed charges ,"1,371.30",percent of total billed charges ,"1,371.30",percent of total billed charges ,"1,175.40",percent of total billed charges ,"1,175.40",percent of total billed charges ,"1,175.40",percent of total billed charges ,"1,175.40",percent of total billed charges ,,,,,"1,042.19",percent of total billed charges ,,,,,990.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,,,548.52,percent of total billed charges,
NM THALLIUM,A9505,CDM,,,,both,1,each,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
NM PARATHYROID IMAGING,78071,CDM,,,,both,1,each,"2,520.00","2,520.00",705.6,"2,520.00","2,520.00",percent of total billed charges,"2,520.00",percent of total billed charges,"2,520.00",percent of total billed charges,"2,520.00",percent of total billed charges,"2,520.00",percent of total billed charges,"2,520.00",percent of total billed charges,"2,520.00",percent of total billed charges,"2,520.00",percent of total billed charges,"1,814.40",percent of total billed charges,"1,814.40",percent of total billed charges,"1,814.40",percent of total billed charges,"1,814.40",percent of total billed charges,"1,814.40",percent of total billed charges,"1,814.40",percent of total billed charges,"1,864.80",percent of total billed charges,"1,864.80",percent of total billed charges,"2,016.00",percent of total billed charges,"2,016.00",percent of total billed charges,,,"1,814.40",percent of total billed charges ,,,"2,016.00",percent of total billed charges ,"2,116.80",percent of total billed charges ,"2,116.80",percent of total billed charges ,"1,965.60",percent of total billed charges ,"1,965.60",percent of total billed charges ,"2,016.00",percent of total billed charges ,"2,016.00",percent of total billed charges ,"1,764.00",percent of total billed charges ,"1,764.00",percent of total billed charges ,"1,512.00",percent of total billed charges ,"1,512.00",percent of total billed charges ,"1,512.00",percent of total billed charges ,"1,512.00",percent of total billed charges ,,,,,"1,340.64",percent of total billed charges ,,,,,"1,273.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,,,705.6,percent of total billed charges,
NM PARATHYROID SPECT/CT IMAGING,78072,CDM,,,,both,1,each,"2,955.00","2,955.00",827.4,"2,955.00","2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,955.00",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,127.60",percent of total billed charges,"2,186.70",percent of total billed charges,"2,186.70",percent of total billed charges,"2,364.00",percent of total billed charges,"2,364.00",percent of total billed charges,,,"2,127.60",percent of total billed charges ,,,"2,364.00",percent of total billed charges ,"2,482.20",percent of total billed charges ,"2,482.20",percent of total billed charges ,"2,304.90",percent of total billed charges ,"2,304.90",percent of total billed charges ,"2,364.00",percent of total billed charges ,"2,364.00",percent of total billed charges ,"2,068.50",percent of total billed charges ,"2,068.50",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,"1,773.00",percent of total billed charges ,,,,,"1,572.06",percent of total billed charges ,,,,,"1,493.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,,,827.4,percent of total billed charges,
NM KINEVAC 5MCG,LOCAL,LOCAL,,,,both,,,153,153,42.84,153,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,113.22,percent of total billed charges,113.22,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,,,110.16,percent of total billed charges ,,,122.4,percent of total billed charges ,128.52,percent of total billed charges ,128.52,percent of total billed charges ,119.34,percent of total billed charges ,119.34,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,107.1,percent of total billed charges ,107.1,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,,,,,81.4,percent of total billed charges ,,,,,77.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,
NM 123 IODINE,A9516,CDM,,,,both,1,each,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
NM GALLIUM,A9556,CDM,,,,both,1,each,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
NM XENON GAS,A9558,CDM,,,,both,,,341,341,95.48,341,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,341,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,245.52,percent of total billed charges,252.34,percent of total billed charges,252.34,percent of total billed charges,272.8,percent of total billed charges,272.8,percent of total billed charges,,,245.52,percent of total billed charges ,,,272.8,percent of total billed charges ,286.44,percent of total billed charges ,286.44,percent of total billed charges ,265.98,percent of total billed charges ,265.98,percent of total billed charges ,272.8,percent of total billed charges ,272.8,percent of total billed charges ,238.7,percent of total billed charges ,238.7,percent of total billed charges ,204.6,percent of total billed charges ,204.6,percent of total billed charges ,204.6,percent of total billed charges ,204.6,percent of total billed charges ,,,,,181.41,percent of total billed charges ,,,,,172.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,,,95.48,percent of total billed charges,
NM MAG3,A9562,CDM,,,,both,1,each,"1,219.00","1,219.00",341.32,"1,219.00","1,219.00",percent of total billed charges,"1,219.00",percent of total billed charges,"1,219.00",percent of total billed charges,"1,219.00",percent of total billed charges,"1,219.00",percent of total billed charges,"1,219.00",percent of total billed charges,"1,219.00",percent of total billed charges,"1,219.00",percent of total billed charges,877.68,percent of total billed charges,877.68,percent of total billed charges,877.68,percent of total billed charges,877.68,percent of total billed charges,877.68,percent of total billed charges,877.68,percent of total billed charges,902.06,percent of total billed charges,902.06,percent of total billed charges,975.2,percent of total billed charges,975.2,percent of total billed charges,,,877.68,percent of total billed charges ,,,975.2,percent of total billed charges ,"1,023.96",percent of total billed charges ,"1,023.96",percent of total billed charges ,950.82,percent of total billed charges ,950.82,percent of total billed charges ,975.2,percent of total billed charges ,975.2,percent of total billed charges ,853.3,percent of total billed charges ,853.3,percent of total billed charges ,731.4,percent of total billed charges ,731.4,percent of total billed charges ,731.4,percent of total billed charges ,731.4,percent of total billed charges ,,,,,648.51,percent of total billed charges ,,,,,616.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,,,341.32,percent of total billed charges,
NM SULFUR COLLOID,A9541,CDM,,,,both,1,each,429,429,120.12,429,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,317.46,percent of total billed charges,317.46,percent of total billed charges,343.2,percent of total billed charges,343.2,percent of total billed charges,,,308.88,percent of total billed charges ,,,343.2,percent of total billed charges ,360.36,percent of total billed charges ,360.36,percent of total billed charges ,334.62,percent of total billed charges ,334.62,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,300.3,percent of total billed charges ,300.3,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,,,,,228.23,percent of total billed charges ,,,,,216.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,
NM 99MTC-PERTECHNETATE,A9512,CDM,,,,both,1,each,38,38,10.64,38,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,30.4,percent of total billed charges,30.4,percent of total billed charges,,,27.36,percent of total billed charges ,,,30.4,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,29.64,percent of total billed charges ,29.64,percent of total billed charges ,30.4,percent of total billed charges ,30.4,percent of total billed charges ,26.6,percent of total billed charges ,26.6,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,19.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,
NM CHOLETEC,A9537,CDM,,,,both,,,351,351,98.28,351,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,351,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,252.72,percent of total billed charges,259.74,percent of total billed charges,259.74,percent of total billed charges,280.8,percent of total billed charges,280.8,percent of total billed charges,,,252.72,percent of total billed charges ,,,280.8,percent of total billed charges ,294.84,percent of total billed charges ,294.84,percent of total billed charges ,273.78,percent of total billed charges ,273.78,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,210.6,percent of total billed charges ,210.6,percent of total billed charges ,210.6,percent of total billed charges ,210.6,percent of total billed charges ,,,,,186.73,percent of total billed charges ,,,,,177.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,,,98.28,percent of total billed charges,
NM MAA,A9540,CDM,,,,both,1,each,408,408,114.24,408,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,301.92,percent of total billed charges,301.92,percent of total billed charges,326.4,percent of total billed charges,326.4,percent of total billed charges,,,293.76,percent of total billed charges ,,,326.4,percent of total billed charges ,342.72,percent of total billed charges ,342.72,percent of total billed charges ,318.24,percent of total billed charges ,318.24,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,,,,,217.06,percent of total billed charges ,,,,,206.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,
NM CERETEC,A9569,CDM,,,,both,1,each,"5,391.00","5,391.00","1,509.48","5,391.00","5,391.00",percent of total billed charges,"5,391.00",percent of total billed charges,"5,391.00",percent of total billed charges,"5,391.00",percent of total billed charges,"5,391.00",percent of total billed charges,"5,391.00",percent of total billed charges,"5,391.00",percent of total billed charges,"5,391.00",percent of total billed charges,"3,881.52",percent of total billed charges,"3,881.52",percent of total billed charges,"3,881.52",percent of total billed charges,"3,881.52",percent of total billed charges,"3,881.52",percent of total billed charges,"3,881.52",percent of total billed charges,"3,989.34",percent of total billed charges,"3,989.34",percent of total billed charges,"4,312.80",percent of total billed charges,"4,312.80",percent of total billed charges,,,"3,881.52",percent of total billed charges ,,,"4,312.80",percent of total billed charges ,"4,528.44",percent of total billed charges ,"4,528.44",percent of total billed charges ,"4,204.98",percent of total billed charges ,"4,204.98",percent of total billed charges ,"4,312.80",percent of total billed charges ,"4,312.80",percent of total billed charges ,"3,773.70",percent of total billed charges ,"3,773.70",percent of total billed charges ,"3,234.60",percent of total billed charges ,"3,234.60",percent of total billed charges ,"3,234.60",percent of total billed charges ,"3,234.60",percent of total billed charges ,,,,,"2,868.01",percent of total billed charges ,,,,,"2,724.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,,,"1,509.48",percent of total billed charges,
NM INDIUM WBC,A9570,CDM,,,,both,1,each,"5,447.00","5,447.00","1,525.16","5,447.00","5,447.00",percent of total billed charges,"5,447.00",percent of total billed charges,"5,447.00",percent of total billed charges,"5,447.00",percent of total billed charges,"5,447.00",percent of total billed charges,"5,447.00",percent of total billed charges,"5,447.00",percent of total billed charges,"5,447.00",percent of total billed charges,"3,921.84",percent of total billed charges,"3,921.84",percent of total billed charges,"3,921.84",percent of total billed charges,"3,921.84",percent of total billed charges,"3,921.84",percent of total billed charges,"3,921.84",percent of total billed charges,"4,030.78",percent of total billed charges,"4,030.78",percent of total billed charges,"4,357.60",percent of total billed charges,"4,357.60",percent of total billed charges,,,"3,921.84",percent of total billed charges ,,,"4,357.60",percent of total billed charges ,"4,575.48",percent of total billed charges ,"4,575.48",percent of total billed charges ,"4,248.66",percent of total billed charges ,"4,248.66",percent of total billed charges ,"4,357.60",percent of total billed charges ,"4,357.60",percent of total billed charges ,"3,812.90",percent of total billed charges ,"3,812.90",percent of total billed charges ,"3,268.20",percent of total billed charges ,"3,268.20",percent of total billed charges ,"3,268.20",percent of total billed charges ,"3,268.20",percent of total billed charges ,,,,,"2,897.80",percent of total billed charges ,,,,,"2,752.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,,,"1,525.16",percent of total billed charges,
NM INDIUM OCTREOSCAN,A9572,CDM,,,,both,,,"10,599.00","10,599.00","2,967.72","10,599.00","10,599.00",percent of total billed charges,"10,599.00",percent of total billed charges,"10,599.00",percent of total billed charges,"10,599.00",percent of total billed charges,"10,599.00",percent of total billed charges,"10,599.00",percent of total billed charges,"10,599.00",percent of total billed charges,"10,599.00",percent of total billed charges,"7,631.28",percent of total billed charges,"7,631.28",percent of total billed charges,"7,631.28",percent of total billed charges,"7,631.28",percent of total billed charges,"7,631.28",percent of total billed charges,"7,631.28",percent of total billed charges,"7,843.26",percent of total billed charges,"7,843.26",percent of total billed charges,"8,479.20",percent of total billed charges,"8,479.20",percent of total billed charges,,,"7,631.28",percent of total billed charges ,,,"8,479.20",percent of total billed charges ,"8,903.16",percent of total billed charges ,"8,903.16",percent of total billed charges ,"8,267.22",percent of total billed charges ,"8,267.22",percent of total billed charges ,"8,479.20",percent of total billed charges ,"8,479.20",percent of total billed charges ,"7,419.30",percent of total billed charges ,"7,419.30",percent of total billed charges ,"6,359.40",percent of total billed charges ,"6,359.40",percent of total billed charges ,"6,359.40",percent of total billed charges ,"6,359.40",percent of total billed charges ,,,,,"5,638.67",percent of total billed charges ,,,,,"5,356.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,,,"2,967.72",percent of total billed charges,
NM INDIUM PROSTASCINT,A9507,CDM,,,,both,,,"9,738.00","9,738.00","2,726.64","9,738.00","9,738.00",percent of total billed charges,"9,738.00",percent of total billed charges,"9,738.00",percent of total billed charges,"9,738.00",percent of total billed charges,"9,738.00",percent of total billed charges,"9,738.00",percent of total billed charges,"9,738.00",percent of total billed charges,"9,738.00",percent of total billed charges,"7,011.36",percent of total billed charges,"7,011.36",percent of total billed charges,"7,011.36",percent of total billed charges,"7,011.36",percent of total billed charges,"7,011.36",percent of total billed charges,"7,011.36",percent of total billed charges,"7,206.12",percent of total billed charges,"7,206.12",percent of total billed charges,"7,790.40",percent of total billed charges,"7,790.40",percent of total billed charges,,,"7,011.36",percent of total billed charges ,,,"7,790.40",percent of total billed charges ,"8,179.92",percent of total billed charges ,"8,179.92",percent of total billed charges ,"7,595.64",percent of total billed charges ,"7,595.64",percent of total billed charges ,"7,790.40",percent of total billed charges ,"7,790.40",percent of total billed charges ,"6,816.60",percent of total billed charges ,"6,816.60",percent of total billed charges ,"5,842.80",percent of total billed charges ,"5,842.80",percent of total billed charges ,"5,842.80",percent of total billed charges ,"5,842.80",percent of total billed charges ,,,,,"5,180.62",percent of total billed charges ,,,,,"4,921.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,,,"2,726.64",percent of total billed charges,
**NM MYOCARD PERF/EJECTION FRACTION,78480,CDM,,,,both,1,each,736,736,206.08,736,736,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,529.92,percent of total billed charges,529.92,percent of total billed charges,529.92,percent of total billed charges,529.92,percent of total billed charges,529.92,percent of total billed charges,529.92,percent of total billed charges,544.64,percent of total billed charges,544.64,percent of total billed charges,588.8,percent of total billed charges,588.8,percent of total billed charges,,,529.92,percent of total billed charges ,,,588.8,percent of total billed charges ,618.24,percent of total billed charges ,618.24,percent of total billed charges ,574.08,percent of total billed charges ,574.08,percent of total billed charges ,588.8,percent of total billed charges ,588.8,percent of total billed charges ,515.2,percent of total billed charges ,515.2,percent of total billed charges ,441.6,percent of total billed charges ,441.6,percent of total billed charges ,441.6,percent of total billed charges ,441.6,percent of total billed charges ,,,,,391.55,percent of total billed charges ,,,,,371.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,,,206.08,percent of total billed charges,
**NM MYOCARDIAL PERF/WALL MOTION,78478,CDM,,,,both,1,each,752,752,210.56,752,752,percent of total billed charges,752,percent of total billed charges,752,percent of total billed charges,752,percent of total billed charges,752,percent of total billed charges,752,percent of total billed charges,752,percent of total billed charges,752,percent of total billed charges,541.44,percent of total billed charges,541.44,percent of total billed charges,541.44,percent of total billed charges,541.44,percent of total billed charges,541.44,percent of total billed charges,541.44,percent of total billed charges,556.48,percent of total billed charges,556.48,percent of total billed charges,601.6,percent of total billed charges,601.6,percent of total billed charges,,,541.44,percent of total billed charges ,,,601.6,percent of total billed charges ,631.68,percent of total billed charges ,631.68,percent of total billed charges ,586.56,percent of total billed charges ,586.56,percent of total billed charges ,601.6,percent of total billed charges ,601.6,percent of total billed charges ,526.4,percent of total billed charges ,526.4,percent of total billed charges ,451.2,percent of total billed charges ,451.2,percent of total billed charges ,451.2,percent of total billed charges ,451.2,percent of total billed charges ,,,,,400.06,percent of total billed charges ,,,,,380.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,,,210.56,percent of total billed charges,
NM HEPATOBILIARY SCAN,78226,CDM,,,,both,1,each,"2,910.00","2,910.00",814.8,"2,910.00","2,910.00",percent of total billed charges,"2,910.00",percent of total billed charges,"2,910.00",percent of total billed charges,"2,910.00",percent of total billed charges,"2,910.00",percent of total billed charges,"2,910.00",percent of total billed charges,"2,910.00",percent of total billed charges,"2,910.00",percent of total billed charges,"2,095.20",percent of total billed charges,"2,095.20",percent of total billed charges,"2,095.20",percent of total billed charges,"2,095.20",percent of total billed charges,"2,095.20",percent of total billed charges,"2,095.20",percent of total billed charges,"2,153.40",percent of total billed charges,"2,153.40",percent of total billed charges,"2,328.00",percent of total billed charges,"2,328.00",percent of total billed charges,,,"2,095.20",percent of total billed charges ,,,"2,328.00",percent of total billed charges ,"2,444.40",percent of total billed charges ,"2,444.40",percent of total billed charges ,"2,269.80",percent of total billed charges ,"2,269.80",percent of total billed charges ,"2,328.00",percent of total billed charges ,"2,328.00",percent of total billed charges ,"2,037.00",percent of total billed charges ,"2,037.00",percent of total billed charges ,"1,746.00",percent of total billed charges ,"1,746.00",percent of total billed charges ,"1,746.00",percent of total billed charges ,"1,746.00",percent of total billed charges ,,,,,"1,548.12",percent of total billed charges ,,,,,"1,470.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,,,814.8,percent of total billed charges,
NM HEPATOBILIARY SCAN W EF,78227,CDM,,,,both,,,"3,094.00","3,094.00",866.32,"3,094.00","3,094.00",percent of total billed charges,"3,094.00",percent of total billed charges,"3,094.00",percent of total billed charges,"3,094.00",percent of total billed charges,"3,094.00",percent of total billed charges,"3,094.00",percent of total billed charges,"3,094.00",percent of total billed charges,"3,094.00",percent of total billed charges,"2,227.68",percent of total billed charges,"2,227.68",percent of total billed charges,"2,227.68",percent of total billed charges,"2,227.68",percent of total billed charges,"2,227.68",percent of total billed charges,"2,227.68",percent of total billed charges,"2,289.56",percent of total billed charges,"2,289.56",percent of total billed charges,"2,475.20",percent of total billed charges,"2,475.20",percent of total billed charges,,,"2,227.68",percent of total billed charges ,,,"2,475.20",percent of total billed charges ,"2,598.96",percent of total billed charges ,"2,598.96",percent of total billed charges ,"2,413.32",percent of total billed charges ,"2,413.32",percent of total billed charges ,"2,475.20",percent of total billed charges ,"2,475.20",percent of total billed charges ,"2,165.80",percent of total billed charges ,"2,165.80",percent of total billed charges ,"1,856.40",percent of total billed charges ,"1,856.40",percent of total billed charges ,"1,856.40",percent of total billed charges ,"1,856.40",percent of total billed charges ,,,,,"1,646.01",percent of total billed charges ,,,,,"1,563.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,,,866.32,percent of total billed charges,
NM GASTRIC EMPTYING STUDY,78264,CDM,,,,both,1,each,"2,909.00","2,909.00",814.52,"2,909.00","2,909.00",percent of total billed charges,"2,909.00",percent of total billed charges,"2,909.00",percent of total billed charges,"2,909.00",percent of total billed charges,"2,909.00",percent of total billed charges,"2,909.00",percent of total billed charges,"2,909.00",percent of total billed charges,"2,909.00",percent of total billed charges,"2,094.48",percent of total billed charges,"2,094.48",percent of total billed charges,"2,094.48",percent of total billed charges,"2,094.48",percent of total billed charges,"2,094.48",percent of total billed charges,"2,094.48",percent of total billed charges,"2,152.66",percent of total billed charges,"2,152.66",percent of total billed charges,"2,327.20",percent of total billed charges,"2,327.20",percent of total billed charges,,,"2,094.48",percent of total billed charges ,,,"2,327.20",percent of total billed charges ,"2,443.56",percent of total billed charges ,"2,443.56",percent of total billed charges ,"2,269.02",percent of total billed charges ,"2,269.02",percent of total billed charges ,"2,327.20",percent of total billed charges ,"2,327.20",percent of total billed charges ,"2,036.30",percent of total billed charges ,"2,036.30",percent of total billed charges ,"1,745.40",percent of total billed charges ,"1,745.40",percent of total billed charges ,"1,745.40",percent of total billed charges ,"1,745.40",percent of total billed charges ,,,,,"1,547.59",percent of total billed charges ,,,,,"1,470.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,,,814.52,percent of total billed charges,
NM GI BLEEDING SCAN,78278,CDM,,,,both,1,each,"2,524.00","2,524.00",706.72,"2,524.00","2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,"2,524.00",percent of total billed charges,"1,817.28",percent of total billed charges,"1,817.28",percent of total billed charges,"1,817.28",percent of total billed charges,"1,817.28",percent of total billed charges,"1,817.28",percent of total billed charges,"1,817.28",percent of total billed charges,"1,867.76",percent of total billed charges,"1,867.76",percent of total billed charges,"2,019.20",percent of total billed charges,"2,019.20",percent of total billed charges,,,"1,817.28",percent of total billed charges ,,,"2,019.20",percent of total billed charges ,"2,120.16",percent of total billed charges ,"2,120.16",percent of total billed charges ,"1,968.72",percent of total billed charges ,"1,968.72",percent of total billed charges ,"2,019.20",percent of total billed charges ,"2,019.20",percent of total billed charges ,"1,766.80",percent of total billed charges ,"1,766.80",percent of total billed charges ,"1,514.40",percent of total billed charges ,"1,514.40",percent of total billed charges ,"1,514.40",percent of total billed charges ,"1,514.40",percent of total billed charges ,,,,,"1,342.77",percent of total billed charges ,,,,,"1,275.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,,,706.72,percent of total billed charges,
NM MUGA SCAN SINGLE,78472,CDM,,,,both,1,each,"2,952.00","2,952.00",826.56,"2,952.00","2,952.00",percent of total billed charges,"2,952.00",percent of total billed charges,"2,952.00",percent of total billed charges,"2,952.00",percent of total billed charges,"2,952.00",percent of total billed charges,"2,952.00",percent of total billed charges,"2,952.00",percent of total billed charges,"2,952.00",percent of total billed charges,"2,125.44",percent of total billed charges,"2,125.44",percent of total billed charges,"2,125.44",percent of total billed charges,"2,125.44",percent of total billed charges,"2,125.44",percent of total billed charges,"2,125.44",percent of total billed charges,"2,184.48",percent of total billed charges,"2,184.48",percent of total billed charges,"2,361.60",percent of total billed charges,"2,361.60",percent of total billed charges,,,"2,125.44",percent of total billed charges ,,,"2,361.60",percent of total billed charges ,"2,479.68",percent of total billed charges ,"2,479.68",percent of total billed charges ,"2,302.56",percent of total billed charges ,"2,302.56",percent of total billed charges ,"2,361.60",percent of total billed charges ,"2,361.60",percent of total billed charges ,"2,066.40",percent of total billed charges ,"2,066.40",percent of total billed charges ,"1,771.20",percent of total billed charges ,"1,771.20",percent of total billed charges ,"1,771.20",percent of total billed charges ,"1,771.20",percent of total billed charges ,,,,,"1,570.46",percent of total billed charges ,,,,,"1,491.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,,,826.56,percent of total billed charges,
NM MUGA SCAN STRESS & REST,78473,CDM,,,,both,1,each,"2,677.00","2,677.00",749.56,"2,677.00","2,677.00",percent of total billed charges,"2,677.00",percent of total billed charges,"2,677.00",percent of total billed charges,"2,677.00",percent of total billed charges,"2,677.00",percent of total billed charges,"2,677.00",percent of total billed charges,"2,677.00",percent of total billed charges,"2,677.00",percent of total billed charges,"1,927.44",percent of total billed charges,"1,927.44",percent of total billed charges,"1,927.44",percent of total billed charges,"1,927.44",percent of total billed charges,"1,927.44",percent of total billed charges,"1,927.44",percent of total billed charges,"1,980.98",percent of total billed charges,"1,980.98",percent of total billed charges,"2,141.60",percent of total billed charges,"2,141.60",percent of total billed charges,,,"1,927.44",percent of total billed charges ,,,"2,141.60",percent of total billed charges ,"2,248.68",percent of total billed charges ,"2,248.68",percent of total billed charges ,"2,088.06",percent of total billed charges ,"2,088.06",percent of total billed charges ,"2,141.60",percent of total billed charges ,"2,141.60",percent of total billed charges ,"1,873.90",percent of total billed charges ,"1,873.90",percent of total billed charges ,"1,606.20",percent of total billed charges ,"1,606.20",percent of total billed charges ,"1,606.20",percent of total billed charges ,"1,606.20",percent of total billed charges ,,,,,"1,424.16",percent of total billed charges ,,,,,"1,352.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,,,749.56,percent of total billed charges,
**NM THYROID SCAN UPTAKE-99MTC,78006,CDM,,,,both,1,each,"1,777.00","1,777.00",497.56,"1,777.00","1,777.00",percent of total billed charges,"1,777.00",percent of total billed charges,"1,777.00",percent of total billed charges,"1,777.00",percent of total billed charges,"1,777.00",percent of total billed charges,"1,777.00",percent of total billed charges,"1,777.00",percent of total billed charges,"1,777.00",percent of total billed charges,"1,279.44",percent of total billed charges,"1,279.44",percent of total billed charges,"1,279.44",percent of total billed charges,"1,279.44",percent of total billed charges,"1,279.44",percent of total billed charges,"1,279.44",percent of total billed charges,"1,314.98",percent of total billed charges,"1,314.98",percent of total billed charges,"1,421.60",percent of total billed charges,"1,421.60",percent of total billed charges,,,"1,279.44",percent of total billed charges ,,,"1,421.60",percent of total billed charges ,"1,492.68",percent of total billed charges ,"1,492.68",percent of total billed charges ,"1,386.06",percent of total billed charges ,"1,386.06",percent of total billed charges ,"1,421.60",percent of total billed charges ,"1,421.60",percent of total billed charges ,"1,243.90",percent of total billed charges ,"1,243.90",percent of total billed charges ,"1,066.20",percent of total billed charges ,"1,066.20",percent of total billed charges ,"1,066.20",percent of total billed charges ,"1,066.20",percent of total billed charges ,,,,,945.36,percent of total billed charges ,,,,,898.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,,,497.56,percent of total billed charges,
NM THYROID IMAGING AND UPTAKE,78014,CDM,,,,both,1,each,"2,081.00","2,081.00",582.68,"2,081.00","2,081.00",percent of total billed charges,"2,081.00",percent of total billed charges,"2,081.00",percent of total billed charges,"2,081.00",percent of total billed charges,"2,081.00",percent of total billed charges,"2,081.00",percent of total billed charges,"2,081.00",percent of total billed charges,"2,081.00",percent of total billed charges,"1,498.32",percent of total billed charges,"1,498.32",percent of total billed charges,"1,498.32",percent of total billed charges,"1,498.32",percent of total billed charges,"1,498.32",percent of total billed charges,"1,498.32",percent of total billed charges,"1,539.94",percent of total billed charges,"1,539.94",percent of total billed charges,"1,664.80",percent of total billed charges,"1,664.80",percent of total billed charges,,,"1,498.32",percent of total billed charges ,,,"1,664.80",percent of total billed charges ,"1,748.04",percent of total billed charges ,"1,748.04",percent of total billed charges ,"1,623.18",percent of total billed charges ,"1,623.18",percent of total billed charges ,"1,664.80",percent of total billed charges ,"1,664.80",percent of total billed charges ,"1,456.70",percent of total billed charges ,"1,456.70",percent of total billed charges ,"1,248.60",percent of total billed charges ,"1,248.60",percent of total billed charges ,"1,248.60",percent of total billed charges ,"1,248.60",percent of total billed charges ,,,,,"1,107.09",percent of total billed charges ,,,,,"1,051.74",percent of total billed charges ,,,,,,,,,,,,,,,,,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,,,582.68,percent of total billed charges,
**NM BONE IMAGING SPECT,78320,CDM,,,,both,1,each,"2,771.00","2,771.00",775.88,"2,771.00","2,771.00",percent of total billed charges,"2,771.00",percent of total billed charges,"2,771.00",percent of total billed charges,"2,771.00",percent of total billed charges,"2,771.00",percent of total billed charges,"2,771.00",percent of total billed charges,"2,771.00",percent of total billed charges,"2,771.00",percent of total billed charges,"1,995.12",percent of total billed charges,"1,995.12",percent of total billed charges,"1,995.12",percent of total billed charges,"1,995.12",percent of total billed charges,"1,995.12",percent of total billed charges,"1,995.12",percent of total billed charges,"2,050.54",percent of total billed charges,"2,050.54",percent of total billed charges,"2,216.80",percent of total billed charges,"2,216.80",percent of total billed charges,,,"1,995.12",percent of total billed charges ,,,"2,216.80",percent of total billed charges ,"2,327.64",percent of total billed charges ,"2,327.64",percent of total billed charges ,"2,161.38",percent of total billed charges ,"2,161.38",percent of total billed charges ,"2,216.80",percent of total billed charges ,"2,216.80",percent of total billed charges ,"1,939.70",percent of total billed charges ,"1,939.70",percent of total billed charges ,"1,662.60",percent of total billed charges ,"1,662.60",percent of total billed charges ,"1,662.60",percent of total billed charges ,"1,662.60",percent of total billed charges ,,,,,"1,474.17",percent of total billed charges ,,,,,"1,400.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,,,775.88,percent of total billed charges,
**NM THYROID SCAN IMAGING-99MTC,78010,CDM,,,,both,1,each,"1,212.00","1,212.00",339.36,"1,212.00","1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,"1,212.00",percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,872.64,percent of total billed charges,896.88,percent of total billed charges,896.88,percent of total billed charges,969.6,percent of total billed charges,969.6,percent of total billed charges,,,872.64,percent of total billed charges ,,,969.6,percent of total billed charges ,"1,018.08",percent of total billed charges ,"1,018.08",percent of total billed charges ,945.36,percent of total billed charges ,945.36,percent of total billed charges ,969.6,percent of total billed charges ,969.6,percent of total billed charges ,848.4,percent of total billed charges ,848.4,percent of total billed charges ,727.2,percent of total billed charges ,727.2,percent of total billed charges ,727.2,percent of total billed charges ,727.2,percent of total billed charges ,,,,,644.78,percent of total billed charges ,,,,,612.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,,,339.36,percent of total billed charges,
**NM THYROID SCAN IMAGING,78010,CDM,,,,both,1,each,"1,305.00","1,305.00",365.4,"1,305.00","1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,965.7,percent of total billed charges,965.7,percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,,,939.6,percent of total billed charges ,,,"1,044.00",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,044.00",percent of total billed charges ,"1,044.00",percent of total billed charges ,913.5,percent of total billed charges ,913.5,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,,,,,694.26,percent of total billed charges ,,,,,659.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,
NM SPLEEN SCAN-SULFUR COLLOID,78185,CDM,,,,both,1,each,"1,376.00","1,376.00",385.28,"1,376.00","1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,"1,376.00",percent of total billed charges,990.72,percent of total billed charges,990.72,percent of total billed charges,990.72,percent of total billed charges,990.72,percent of total billed charges,990.72,percent of total billed charges,990.72,percent of total billed charges,"1,018.24",percent of total billed charges,"1,018.24",percent of total billed charges,"1,100.80",percent of total billed charges,"1,100.80",percent of total billed charges,,,990.72,percent of total billed charges ,,,"1,100.80",percent of total billed charges ,"1,155.84",percent of total billed charges ,"1,155.84",percent of total billed charges ,"1,073.28",percent of total billed charges ,"1,073.28",percent of total billed charges ,"1,100.80",percent of total billed charges ,"1,100.80",percent of total billed charges ,963.2,percent of total billed charges ,963.2,percent of total billed charges ,825.6,percent of total billed charges ,825.6,percent of total billed charges ,825.6,percent of total billed charges ,825.6,percent of total billed charges ,,,,,732.03,percent of total billed charges ,,,,,695.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,,,385.28,percent of total billed charges,
NM LIVER SCAN-SULFUR COLLOID,78201,CDM,,,,both,1,each,"1,955.00","1,955.00",547.4,"1,955.00","1,955.00",percent of total billed charges,"1,955.00",percent of total billed charges,"1,955.00",percent of total billed charges,"1,955.00",percent of total billed charges,"1,955.00",percent of total billed charges,"1,955.00",percent of total billed charges,"1,955.00",percent of total billed charges,"1,955.00",percent of total billed charges,"1,407.60",percent of total billed charges,"1,407.60",percent of total billed charges,"1,407.60",percent of total billed charges,"1,407.60",percent of total billed charges,"1,407.60",percent of total billed charges,"1,407.60",percent of total billed charges,"1,446.70",percent of total billed charges,"1,446.70",percent of total billed charges,"1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,,,"1,407.60",percent of total billed charges ,,,"1,564.00",percent of total billed charges ,"1,642.20",percent of total billed charges ,"1,642.20",percent of total billed charges ,"1,524.90",percent of total billed charges ,"1,524.90",percent of total billed charges ,"1,564.00",percent of total billed charges ,"1,564.00",percent of total billed charges ,"1,368.50",percent of total billed charges ,"1,368.50",percent of total billed charges ,"1,173.00",percent of total billed charges ,"1,173.00",percent of total billed charges ,"1,173.00",percent of total billed charges ,"1,173.00",percent of total billed charges ,,,,,"1,040.06",percent of total billed charges ,,,,,988.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,,,547.4,percent of total billed charges,
**NM LIVER IMAGING SPECT,78205,CDM,,,,both,1,each,"2,805.00","2,805.00",785.4,"2,805.00","2,805.00",percent of total billed charges,"2,805.00",percent of total billed charges,"2,805.00",percent of total billed charges,"2,805.00",percent of total billed charges,"2,805.00",percent of total billed charges,"2,805.00",percent of total billed charges,"2,805.00",percent of total billed charges,"2,805.00",percent of total billed charges,"2,019.60",percent of total billed charges,"2,019.60",percent of total billed charges,"2,019.60",percent of total billed charges,"2,019.60",percent of total billed charges,"2,019.60",percent of total billed charges,"2,019.60",percent of total billed charges,"2,075.70",percent of total billed charges,"2,075.70",percent of total billed charges,"2,244.00",percent of total billed charges,"2,244.00",percent of total billed charges,,,"2,019.60",percent of total billed charges ,,,"2,244.00",percent of total billed charges ,"2,356.20",percent of total billed charges ,"2,356.20",percent of total billed charges ,"2,187.90",percent of total billed charges ,"2,187.90",percent of total billed charges ,"2,244.00",percent of total billed charges ,"2,244.00",percent of total billed charges ,"1,963.50",percent of total billed charges ,"1,963.50",percent of total billed charges ,"1,683.00",percent of total billed charges ,"1,683.00",percent of total billed charges ,"1,683.00",percent of total billed charges ,"1,683.00",percent of total billed charges ,,,,,"1,492.26",percent of total billed charges ,,,,,"1,417.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,,,785.4,percent of total billed charges,
NM LIVER & SPLEEN SCAN,78215,CDM,,,,both,1,each,"2,515.00","2,515.00",704.2,"2,515.00","2,515.00",percent of total billed charges,"2,515.00",percent of total billed charges,"2,515.00",percent of total billed charges,"2,515.00",percent of total billed charges,"2,515.00",percent of total billed charges,"2,515.00",percent of total billed charges,"2,515.00",percent of total billed charges,"2,515.00",percent of total billed charges,"1,810.80",percent of total billed charges,"1,810.80",percent of total billed charges,"1,810.80",percent of total billed charges,"1,810.80",percent of total billed charges,"1,810.80",percent of total billed charges,"1,810.80",percent of total billed charges,"1,861.10",percent of total billed charges,"1,861.10",percent of total billed charges,"2,012.00",percent of total billed charges,"2,012.00",percent of total billed charges,,,"1,810.80",percent of total billed charges ,,,"2,012.00",percent of total billed charges ,"2,112.60",percent of total billed charges ,"2,112.60",percent of total billed charges ,"1,961.70",percent of total billed charges ,"1,961.70",percent of total billed charges ,"2,012.00",percent of total billed charges ,"2,012.00",percent of total billed charges ,"1,760.50",percent of total billed charges ,"1,760.50",percent of total billed charges ,"1,509.00",percent of total billed charges ,"1,509.00",percent of total billed charges ,"1,509.00",percent of total billed charges ,"1,509.00",percent of total billed charges ,,,,,"1,337.98",percent of total billed charges ,,,,,"1,271.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,,,704.2,percent of total billed charges,
NM MECKLES SCAN,78290,CDM,,,,both,1,each,"2,040.00","2,040.00",571.2,"2,040.00","2,040.00",percent of total billed charges,"2,040.00",percent of total billed charges,"2,040.00",percent of total billed charges,"2,040.00",percent of total billed charges,"2,040.00",percent of total billed charges,"2,040.00",percent of total billed charges,"2,040.00",percent of total billed charges,"2,040.00",percent of total billed charges,"1,468.80",percent of total billed charges,"1,468.80",percent of total billed charges,"1,468.80",percent of total billed charges,"1,468.80",percent of total billed charges,"1,468.80",percent of total billed charges,"1,468.80",percent of total billed charges,"1,509.60",percent of total billed charges,"1,509.60",percent of total billed charges,"1,632.00",percent of total billed charges,"1,632.00",percent of total billed charges,,,"1,468.80",percent of total billed charges ,,,"1,632.00",percent of total billed charges ,"1,713.60",percent of total billed charges ,"1,713.60",percent of total billed charges ,"1,591.20",percent of total billed charges ,"1,591.20",percent of total billed charges ,"1,632.00",percent of total billed charges ,"1,632.00",percent of total billed charges ,"1,428.00",percent of total billed charges ,"1,428.00",percent of total billed charges ,"1,224.00",percent of total billed charges ,"1,224.00",percent of total billed charges ,"1,224.00",percent of total billed charges ,"1,224.00",percent of total billed charges ,,,,,"1,085.28",percent of total billed charges ,,,,,"1,031.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,,,571.2,percent of total billed charges,
NM BONE LIMITED,78300,CDM,,,,both,1,each,"1,677.00","1,677.00",469.56,"1,677.00","1,677.00",percent of total billed charges,"1,677.00",percent of total billed charges,"1,677.00",percent of total billed charges,"1,677.00",percent of total billed charges,"1,677.00",percent of total billed charges,"1,677.00",percent of total billed charges,"1,677.00",percent of total billed charges,"1,677.00",percent of total billed charges,"1,207.44",percent of total billed charges,"1,207.44",percent of total billed charges,"1,207.44",percent of total billed charges,"1,207.44",percent of total billed charges,"1,207.44",percent of total billed charges,"1,207.44",percent of total billed charges,"1,240.98",percent of total billed charges,"1,240.98",percent of total billed charges,"1,341.60",percent of total billed charges,"1,341.60",percent of total billed charges,,,"1,207.44",percent of total billed charges ,,,"1,341.60",percent of total billed charges ,"1,408.68",percent of total billed charges ,"1,408.68",percent of total billed charges ,"1,308.06",percent of total billed charges ,"1,308.06",percent of total billed charges ,"1,341.60",percent of total billed charges ,"1,341.60",percent of total billed charges ,"1,173.90",percent of total billed charges ,"1,173.90",percent of total billed charges ,"1,006.20",percent of total billed charges ,"1,006.20",percent of total billed charges ,"1,006.20",percent of total billed charges ,"1,006.20",percent of total billed charges ,,,,,892.16,percent of total billed charges ,,,,,847.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,,,469.56,percent of total billed charges,
NM BONE SCAN MULTIPLE-MDP,78305,CDM,,,,both,1,each,"2,093.00","2,093.00",586.04,"2,093.00","2,093.00",percent of total billed charges,"2,093.00",percent of total billed charges,"2,093.00",percent of total billed charges,"2,093.00",percent of total billed charges,"2,093.00",percent of total billed charges,"2,093.00",percent of total billed charges,"2,093.00",percent of total billed charges,"2,093.00",percent of total billed charges,"1,506.96",percent of total billed charges,"1,506.96",percent of total billed charges,"1,506.96",percent of total billed charges,"1,506.96",percent of total billed charges,"1,506.96",percent of total billed charges,"1,506.96",percent of total billed charges,"1,548.82",percent of total billed charges,"1,548.82",percent of total billed charges,"1,674.40",percent of total billed charges,"1,674.40",percent of total billed charges,,,"1,506.96",percent of total billed charges ,,,"1,674.40",percent of total billed charges ,"1,758.12",percent of total billed charges ,"1,758.12",percent of total billed charges ,"1,632.54",percent of total billed charges ,"1,632.54",percent of total billed charges ,"1,674.40",percent of total billed charges ,"1,674.40",percent of total billed charges ,"1,465.10",percent of total billed charges ,"1,465.10",percent of total billed charges ,"1,255.80",percent of total billed charges ,"1,255.80",percent of total billed charges ,"1,255.80",percent of total billed charges ,"1,255.80",percent of total billed charges ,,,,,"1,113.48",percent of total billed charges ,,,,,"1,057.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,,,586.04,percent of total billed charges,
NM BONE SCAN - WHOLE BODY,78306,CDM,,,,both,1,each,"3,077.00","3,077.00",861.56,"3,077.00","3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,276.98",percent of total billed charges,"2,276.98",percent of total billed charges,"2,461.60",percent of total billed charges,"2,461.60",percent of total billed charges,,,"2,215.44",percent of total billed charges ,,,"2,461.60",percent of total billed charges ,"2,584.68",percent of total billed charges ,"2,584.68",percent of total billed charges ,"2,400.06",percent of total billed charges ,"2,400.06",percent of total billed charges ,"2,461.60",percent of total billed charges ,"2,461.60",percent of total billed charges ,"2,153.90",percent of total billed charges ,"2,153.90",percent of total billed charges ,"1,846.20",percent of total billed charges ,"1,846.20",percent of total billed charges ,"1,846.20",percent of total billed charges ,"1,846.20",percent of total billed charges ,,,,,"1,636.96",percent of total billed charges ,,,,,"1,555.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,
NM BONE SCAN 3 PHASE,78315,CDM,,,,both,1,each,"3,242.00","3,242.00",907.76,"3,242.00","3,242.00",percent of total billed charges,"3,242.00",percent of total billed charges,"3,242.00",percent of total billed charges,"3,242.00",percent of total billed charges,"3,242.00",percent of total billed charges,"3,242.00",percent of total billed charges,"3,242.00",percent of total billed charges,"3,242.00",percent of total billed charges,"2,334.24",percent of total billed charges,"2,334.24",percent of total billed charges,"2,334.24",percent of total billed charges,"2,334.24",percent of total billed charges,"2,334.24",percent of total billed charges,"2,334.24",percent of total billed charges,"2,399.08",percent of total billed charges,"2,399.08",percent of total billed charges,"2,593.60",percent of total billed charges,"2,593.60",percent of total billed charges,,,"2,334.24",percent of total billed charges ,,,"2,593.60",percent of total billed charges ,"2,723.28",percent of total billed charges ,"2,723.28",percent of total billed charges ,"2,528.76",percent of total billed charges ,"2,528.76",percent of total billed charges ,"2,593.60",percent of total billed charges ,"2,593.60",percent of total billed charges ,"2,269.40",percent of total billed charges ,"2,269.40",percent of total billed charges ,"1,945.20",percent of total billed charges ,"1,945.20",percent of total billed charges ,"1,945.20",percent of total billed charges ,"1,945.20",percent of total billed charges ,,,,,"1,724.74",percent of total billed charges ,,,,,"1,638.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,,,907.76,percent of total billed charges,
**NM BONE SCAN-(SPECT)-MDP,78320,CDM,,,,both,1,each,"2,493.00","2,493.00",698.04,"2,493.00","2,493.00",percent of total billed charges,"2,493.00",percent of total billed charges,"2,493.00",percent of total billed charges,"2,493.00",percent of total billed charges,"2,493.00",percent of total billed charges,"2,493.00",percent of total billed charges,"2,493.00",percent of total billed charges,"2,493.00",percent of total billed charges,"1,794.96",percent of total billed charges,"1,794.96",percent of total billed charges,"1,794.96",percent of total billed charges,"1,794.96",percent of total billed charges,"1,794.96",percent of total billed charges,"1,794.96",percent of total billed charges,"1,844.82",percent of total billed charges,"1,844.82",percent of total billed charges,"1,994.40",percent of total billed charges,"1,994.40",percent of total billed charges,,,"1,794.96",percent of total billed charges ,,,"1,994.40",percent of total billed charges ,"2,094.12",percent of total billed charges ,"2,094.12",percent of total billed charges ,"1,944.54",percent of total billed charges ,"1,944.54",percent of total billed charges ,"1,994.40",percent of total billed charges ,"1,994.40",percent of total billed charges ,"1,745.10",percent of total billed charges ,"1,745.10",percent of total billed charges ,"1,495.80",percent of total billed charges ,"1,495.80",percent of total billed charges ,"1,495.80",percent of total billed charges ,"1,495.80",percent of total billed charges ,,,,,"1,326.28",percent of total billed charges ,,,,,"1,259.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,,,698.04,percent of total billed charges,
**NM MYOCARDI PERF TOMO SINGLE,78464,CDM,,,,both,1,each,"2,137.00","2,137.00",598.36,"2,137.00","2,137.00",percent of total billed charges,"2,137.00",percent of total billed charges,"2,137.00",percent of total billed charges,"2,137.00",percent of total billed charges,"2,137.00",percent of total billed charges,"2,137.00",percent of total billed charges,"2,137.00",percent of total billed charges,"2,137.00",percent of total billed charges,"1,538.64",percent of total billed charges,"1,538.64",percent of total billed charges,"1,538.64",percent of total billed charges,"1,538.64",percent of total billed charges,"1,538.64",percent of total billed charges,"1,538.64",percent of total billed charges,"1,581.38",percent of total billed charges,"1,581.38",percent of total billed charges,"1,709.60",percent of total billed charges,"1,709.60",percent of total billed charges,,,"1,538.64",percent of total billed charges ,,,"1,709.60",percent of total billed charges ,"1,795.08",percent of total billed charges ,"1,795.08",percent of total billed charges ,"1,666.86",percent of total billed charges ,"1,666.86",percent of total billed charges ,"1,709.60",percent of total billed charges ,"1,709.60",percent of total billed charges ,"1,495.90",percent of total billed charges ,"1,495.90",percent of total billed charges ,"1,282.20",percent of total billed charges ,"1,282.20",percent of total billed charges ,"1,282.20",percent of total billed charges ,"1,282.20",percent of total billed charges ,,,,,"1,136.88",percent of total billed charges ,,,,,"1,080.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,,,598.36,percent of total billed charges,
**NM MYOCARD PERF IMAGING MULT-CARDIOL,78465,CDM,,,,both,1,each,"2,996.00","2,996.00",838.88,"2,996.00","2,996.00",percent of total billed charges,"2,996.00",percent of total billed charges,"2,996.00",percent of total billed charges,"2,996.00",percent of total billed charges,"2,996.00",percent of total billed charges,"2,996.00",percent of total billed charges,"2,996.00",percent of total billed charges,"2,996.00",percent of total billed charges,"2,157.12",percent of total billed charges,"2,157.12",percent of total billed charges,"2,157.12",percent of total billed charges,"2,157.12",percent of total billed charges,"2,157.12",percent of total billed charges,"2,157.12",percent of total billed charges,"2,217.04",percent of total billed charges,"2,217.04",percent of total billed charges,"2,396.80",percent of total billed charges,"2,396.80",percent of total billed charges,,,"2,157.12",percent of total billed charges ,,,"2,396.80",percent of total billed charges ,"2,516.64",percent of total billed charges ,"2,516.64",percent of total billed charges ,"2,336.88",percent of total billed charges ,"2,336.88",percent of total billed charges ,"2,396.80",percent of total billed charges ,"2,396.80",percent of total billed charges ,"2,097.20",percent of total billed charges ,"2,097.20",percent of total billed charges ,"1,797.60",percent of total billed charges ,"1,797.60",percent of total billed charges ,"1,797.60",percent of total billed charges ,"1,797.60",percent of total billed charges ,,,,,"1,593.87",percent of total billed charges ,,,,,"1,514.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,,,838.88,percent of total billed charges,
NM LUNG PERF,78580,CDM,,,,both,1,each,"2,327.00","2,327.00",651.56,"2,327.00","2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"2,327.00",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,675.44",percent of total billed charges,"1,721.98",percent of total billed charges,"1,721.98",percent of total billed charges,"1,861.60",percent of total billed charges,"1,861.60",percent of total billed charges,,,"1,675.44",percent of total billed charges ,,,"1,861.60",percent of total billed charges ,"1,954.68",percent of total billed charges ,"1,954.68",percent of total billed charges ,"1,815.06",percent of total billed charges ,"1,815.06",percent of total billed charges ,"1,861.60",percent of total billed charges ,"1,861.60",percent of total billed charges ,"1,628.90",percent of total billed charges ,"1,628.90",percent of total billed charges ,"1,396.20",percent of total billed charges ,"1,396.20",percent of total billed charges ,"1,396.20",percent of total billed charges ,"1,396.20",percent of total billed charges ,,,,,"1,237.96",percent of total billed charges ,,,,,"1,176.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,,,651.56,percent of total billed charges,
NM LUNG VENT,78579,CDM,,,,both,1,each,"2,263.00","2,263.00",633.64,"2,263.00","2,263.00",percent of total billed charges,"2,263.00",percent of total billed charges,"2,263.00",percent of total billed charges,"2,263.00",percent of total billed charges,"2,263.00",percent of total billed charges,"2,263.00",percent of total billed charges,"2,263.00",percent of total billed charges,"2,263.00",percent of total billed charges,"1,629.36",percent of total billed charges,"1,629.36",percent of total billed charges,"1,629.36",percent of total billed charges,"1,629.36",percent of total billed charges,"1,629.36",percent of total billed charges,"1,629.36",percent of total billed charges,"1,674.62",percent of total billed charges,"1,674.62",percent of total billed charges,"1,810.40",percent of total billed charges,"1,810.40",percent of total billed charges,,,"1,629.36",percent of total billed charges ,,,"1,810.40",percent of total billed charges ,"1,900.92",percent of total billed charges ,"1,900.92",percent of total billed charges ,"1,765.14",percent of total billed charges ,"1,765.14",percent of total billed charges ,"1,810.40",percent of total billed charges ,"1,810.40",percent of total billed charges ,"1,584.10",percent of total billed charges ,"1,584.10",percent of total billed charges ,"1,357.80",percent of total billed charges ,"1,357.80",percent of total billed charges ,"1,357.80",percent of total billed charges ,"1,357.80",percent of total billed charges ,,,,,"1,203.92",percent of total billed charges ,,,,,"1,143.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,,,633.64,percent of total billed charges,
NM LUNG VENT/PERF,78582,CDM,,,,both,1,each,"3,328.00","3,328.00",931.84,"3,328.00","3,328.00",percent of total billed charges,"3,328.00",percent of total billed charges,"3,328.00",percent of total billed charges,"3,328.00",percent of total billed charges,"3,328.00",percent of total billed charges,"3,328.00",percent of total billed charges,"3,328.00",percent of total billed charges,"3,328.00",percent of total billed charges,"2,396.16",percent of total billed charges,"2,396.16",percent of total billed charges,"2,396.16",percent of total billed charges,"2,396.16",percent of total billed charges,"2,396.16",percent of total billed charges,"2,396.16",percent of total billed charges,"2,462.72",percent of total billed charges,"2,462.72",percent of total billed charges,"2,662.40",percent of total billed charges,"2,662.40",percent of total billed charges,,,"2,396.16",percent of total billed charges ,,,"2,662.40",percent of total billed charges ,"2,795.52",percent of total billed charges ,"2,795.52",percent of total billed charges ,"2,595.84",percent of total billed charges ,"2,595.84",percent of total billed charges ,"2,662.40",percent of total billed charges ,"2,662.40",percent of total billed charges ,"2,329.60",percent of total billed charges ,"2,329.60",percent of total billed charges ,"1,996.80",percent of total billed charges ,"1,996.80",percent of total billed charges ,"1,996.80",percent of total billed charges ,"1,996.80",percent of total billed charges ,,,,,"1,770.50",percent of total billed charges ,,,,,"1,681.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,,,931.84,percent of total billed charges,
NM KIDNEY FUNC W/LASIX,78708,CDM,,,,both,1,each,"3,049.00","3,049.00",853.72,"3,049.00","3,049.00",percent of total billed charges,"3,049.00",percent of total billed charges,"3,049.00",percent of total billed charges,"3,049.00",percent of total billed charges,"3,049.00",percent of total billed charges,"3,049.00",percent of total billed charges,"3,049.00",percent of total billed charges,"3,049.00",percent of total billed charges,"2,195.28",percent of total billed charges,"2,195.28",percent of total billed charges,"2,195.28",percent of total billed charges,"2,195.28",percent of total billed charges,"2,195.28",percent of total billed charges,"2,195.28",percent of total billed charges,"2,256.26",percent of total billed charges,"2,256.26",percent of total billed charges,"2,439.20",percent of total billed charges,"2,439.20",percent of total billed charges,,,"2,195.28",percent of total billed charges ,,,"2,439.20",percent of total billed charges ,"2,561.16",percent of total billed charges ,"2,561.16",percent of total billed charges ,"2,378.22",percent of total billed charges ,"2,378.22",percent of total billed charges ,"2,439.20",percent of total billed charges ,"2,439.20",percent of total billed charges ,"2,134.30",percent of total billed charges ,"2,134.30",percent of total billed charges ,"1,829.40",percent of total billed charges ,"1,829.40",percent of total billed charges ,"1,829.40",percent of total billed charges ,"1,829.40",percent of total billed charges ,,,,,"1,622.07",percent of total billed charges ,,,,,"1,540.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,,,853.72,percent of total billed charges,
NM KIDNEY FUNC SINGLE STUDY,78707,CDM,,,,both,1,each,"2,258.00","2,258.00",632.24,"2,258.00","2,258.00",percent of total billed charges,"2,258.00",percent of total billed charges,"2,258.00",percent of total billed charges,"2,258.00",percent of total billed charges,"2,258.00",percent of total billed charges,"2,258.00",percent of total billed charges,"2,258.00",percent of total billed charges,"2,258.00",percent of total billed charges,"1,625.76",percent of total billed charges,"1,625.76",percent of total billed charges,"1,625.76",percent of total billed charges,"1,625.76",percent of total billed charges,"1,625.76",percent of total billed charges,"1,625.76",percent of total billed charges,"1,670.92",percent of total billed charges,"1,670.92",percent of total billed charges,"1,806.40",percent of total billed charges,"1,806.40",percent of total billed charges,,,"1,625.76",percent of total billed charges ,,,"1,806.40",percent of total billed charges ,"1,896.72",percent of total billed charges ,"1,896.72",percent of total billed charges ,"1,761.24",percent of total billed charges ,"1,761.24",percent of total billed charges ,"1,806.40",percent of total billed charges ,"1,806.40",percent of total billed charges ,"1,580.60",percent of total billed charges ,"1,580.60",percent of total billed charges ,"1,354.80",percent of total billed charges ,"1,354.80",percent of total billed charges ,"1,354.80",percent of total billed charges ,"1,354.80",percent of total billed charges ,,,,,"1,201.26",percent of total billed charges ,,,,,"1,141.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,,,632.24,percent of total billed charges,
NM KIDNEY FUNC STUDY W/CAPTOPRIL,78709,CDM,,,,both,1,each,"3,206.00","3,206.00",897.68,"3,206.00","3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,372.44",percent of total billed charges,"2,372.44",percent of total billed charges,"2,564.80",percent of total billed charges,"2,564.80",percent of total billed charges,,,"2,308.32",percent of total billed charges ,,,"2,564.80",percent of total billed charges ,"2,693.04",percent of total billed charges ,"2,693.04",percent of total billed charges ,"2,500.68",percent of total billed charges ,"2,500.68",percent of total billed charges ,"2,564.80",percent of total billed charges ,"2,564.80",percent of total billed charges ,"2,244.20",percent of total billed charges ,"2,244.20",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,923.60",percent of total billed charges ,,,,,"1,705.59",percent of total billed charges ,,,,,"1,620.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,
NM TESTICULAR SCAN,78761,CDM,,,,both,1,each,"1,619.00","1,619.00",453.32,"1,619.00","1,619.00",percent of total billed charges,"1,619.00",percent of total billed charges,"1,619.00",percent of total billed charges,"1,619.00",percent of total billed charges,"1,619.00",percent of total billed charges,"1,619.00",percent of total billed charges,"1,619.00",percent of total billed charges,"1,619.00",percent of total billed charges,"1,165.68",percent of total billed charges,"1,165.68",percent of total billed charges,"1,165.68",percent of total billed charges,"1,165.68",percent of total billed charges,"1,165.68",percent of total billed charges,"1,165.68",percent of total billed charges,"1,198.06",percent of total billed charges,"1,198.06",percent of total billed charges,"1,295.20",percent of total billed charges,"1,295.20",percent of total billed charges,,,"1,165.68",percent of total billed charges ,,,"1,295.20",percent of total billed charges ,"1,359.96",percent of total billed charges ,"1,359.96",percent of total billed charges ,"1,262.82",percent of total billed charges ,"1,262.82",percent of total billed charges ,"1,295.20",percent of total billed charges ,"1,295.20",percent of total billed charges ,"1,133.30",percent of total billed charges ,"1,133.30",percent of total billed charges ,971.4,percent of total billed charges ,971.4,percent of total billed charges ,971.4,percent of total billed charges ,971.4,percent of total billed charges ,,,,,861.31,percent of total billed charges ,,,,,818.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,,,453.32,percent of total billed charges,
NM RADIOPHARM LOC WB,78802,CDM,,,,both,1,each,"3,931.00","3,931.00","1,100.68","3,931.00","3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,908.94",percent of total billed charges,"2,908.94",percent of total billed charges,"3,144.80",percent of total billed charges,"3,144.80",percent of total billed charges,,,"2,830.32",percent of total billed charges ,,,"3,144.80",percent of total billed charges ,"3,302.04",percent of total billed charges ,"3,302.04",percent of total billed charges ,"3,066.18",percent of total billed charges ,"3,066.18",percent of total billed charges ,"3,144.80",percent of total billed charges ,"3,144.80",percent of total billed charges ,"2,751.70",percent of total billed charges ,"2,751.70",percent of total billed charges ,"2,358.60",percent of total billed charges ,"2,358.60",percent of total billed charges ,"2,358.60",percent of total billed charges ,"2,358.60",percent of total billed charges ,,,,,"2,091.29",percent of total billed charges ,,,,,"1,986.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,
NM RADIOPHARM LOC SPECT SINGLE,78803,CDM,,,,both,1,each,"3,823.00","3,823.00","1,070.44","3,823.00","3,823.00",percent of total billed charges,"3,823.00",percent of total billed charges,"3,823.00",percent of total billed charges,"3,823.00",percent of total billed charges,"3,823.00",percent of total billed charges,"3,823.00",percent of total billed charges,"3,823.00",percent of total billed charges,"3,823.00",percent of total billed charges,"2,752.56",percent of total billed charges,"2,752.56",percent of total billed charges,"2,752.56",percent of total billed charges,"2,752.56",percent of total billed charges,"2,752.56",percent of total billed charges,"2,752.56",percent of total billed charges,"2,829.02",percent of total billed charges,"2,829.02",percent of total billed charges,"3,058.40",percent of total billed charges,"3,058.40",percent of total billed charges,,,"2,752.56",percent of total billed charges ,,,"3,058.40",percent of total billed charges ,"3,211.32",percent of total billed charges ,"3,211.32",percent of total billed charges ,"2,981.94",percent of total billed charges ,"2,981.94",percent of total billed charges ,"3,058.40",percent of total billed charges ,"3,058.40",percent of total billed charges ,"2,676.10",percent of total billed charges ,"2,676.10",percent of total billed charges ,"2,293.80",percent of total billed charges ,"2,293.80",percent of total billed charges ,"2,293.80",percent of total billed charges ,"2,293.80",percent of total billed charges ,,,,,"2,033.84",percent of total billed charges ,,,,,"1,932.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,,,"1,070.44",percent of total billed charges,
**NM RADIOPHARM LOC ABSC LTD,78805,CDM,,,,both,,,"2,818.00","2,818.00",789.04,"2,818.00","2,818.00",percent of total billed charges,"2,818.00",percent of total billed charges,"2,818.00",percent of total billed charges,"2,818.00",percent of total billed charges,"2,818.00",percent of total billed charges,"2,818.00",percent of total billed charges,"2,818.00",percent of total billed charges,"2,818.00",percent of total billed charges,"2,028.96",percent of total billed charges,"2,028.96",percent of total billed charges,"2,028.96",percent of total billed charges,"2,028.96",percent of total billed charges,"2,028.96",percent of total billed charges,"2,028.96",percent of total billed charges,"2,085.32",percent of total billed charges,"2,085.32",percent of total billed charges,"2,254.40",percent of total billed charges,"2,254.40",percent of total billed charges,,,"2,028.96",percent of total billed charges ,,,"2,254.40",percent of total billed charges ,"2,367.12",percent of total billed charges ,"2,367.12",percent of total billed charges ,"2,198.04",percent of total billed charges ,"2,198.04",percent of total billed charges ,"2,254.40",percent of total billed charges ,"2,254.40",percent of total billed charges ,"1,972.60",percent of total billed charges ,"1,972.60",percent of total billed charges ,"1,690.80",percent of total billed charges ,"1,690.80",percent of total billed charges ,"1,690.80",percent of total billed charges ,"1,690.80",percent of total billed charges ,,,,,"1,499.18",percent of total billed charges ,,,,,"1,424.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,,,789.04,percent of total billed charges,
**NM RADIOPHARM LOC ABSC WB,78806,CDM,,,,both,1,each,"4,129.00","4,129.00","1,156.12","4,129.00","4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"3,055.46",percent of total billed charges,"3,055.46",percent of total billed charges,"3,303.20",percent of total billed charges,"3,303.20",percent of total billed charges,,,"2,972.88",percent of total billed charges ,,,"3,303.20",percent of total billed charges ,"3,468.36",percent of total billed charges ,"3,468.36",percent of total billed charges ,"3,220.62",percent of total billed charges ,"3,220.62",percent of total billed charges ,"3,303.20",percent of total billed charges ,"3,303.20",percent of total billed charges ,"2,890.30",percent of total billed charges ,"2,890.30",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,,,,,"2,196.63",percent of total billed charges ,,,,,"2,086.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,
**NM RADIOPHARM LOC ABSC LTD W/SPECT,78807,CDM,,,,both,1,each,"2,299.00","2,299.00",643.72,"2,299.00","2,299.00",percent of total billed charges,"2,299.00",percent of total billed charges,"2,299.00",percent of total billed charges,"2,299.00",percent of total billed charges,"2,299.00",percent of total billed charges,"2,299.00",percent of total billed charges,"2,299.00",percent of total billed charges,"2,299.00",percent of total billed charges,"1,655.28",percent of total billed charges,"1,655.28",percent of total billed charges,"1,655.28",percent of total billed charges,"1,655.28",percent of total billed charges,"1,655.28",percent of total billed charges,"1,655.28",percent of total billed charges,"1,701.26",percent of total billed charges,"1,701.26",percent of total billed charges,"1,839.20",percent of total billed charges,"1,839.20",percent of total billed charges,,,"1,655.28",percent of total billed charges ,,,"1,839.20",percent of total billed charges ,"1,931.16",percent of total billed charges ,"1,931.16",percent of total billed charges ,"1,793.22",percent of total billed charges ,"1,793.22",percent of total billed charges ,"1,839.20",percent of total billed charges ,"1,839.20",percent of total billed charges ,"1,609.30",percent of total billed charges ,"1,609.30",percent of total billed charges ,"1,379.40",percent of total billed charges ,"1,379.40",percent of total billed charges ,"1,379.40",percent of total billed charges ,"1,379.40",percent of total billed charges ,,,,,"1,223.07",percent of total billed charges ,,,,,"1,161.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,,,643.72,percent of total billed charges,
NM MEDRONATE (MDP),A9503,CDM,,,,both,,,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
NM MYOCARD PERF SINGLE,78451,CDM,,,,both,1,each,"4,940.00","4,940.00","1,383.20","4,940.00","4,940.00",percent of total billed charges,"4,940.00",percent of total billed charges,"4,940.00",percent of total billed charges,"4,940.00",percent of total billed charges,"4,940.00",percent of total billed charges,"4,940.00",percent of total billed charges,"4,940.00",percent of total billed charges,"4,940.00",percent of total billed charges,"3,556.80",percent of total billed charges,"3,556.80",percent of total billed charges,"3,556.80",percent of total billed charges,"3,556.80",percent of total billed charges,"3,556.80",percent of total billed charges,"3,556.80",percent of total billed charges,"3,655.60",percent of total billed charges,"3,655.60",percent of total billed charges,"3,952.00",percent of total billed charges,"3,952.00",percent of total billed charges,,,"3,556.80",percent of total billed charges ,,,"3,952.00",percent of total billed charges ,"4,149.60",percent of total billed charges ,"4,149.60",percent of total billed charges ,"3,853.20",percent of total billed charges ,"3,853.20",percent of total billed charges ,"3,952.00",percent of total billed charges ,"3,952.00",percent of total billed charges ,"3,458.00",percent of total billed charges ,"3,458.00",percent of total billed charges ,"2,964.00",percent of total billed charges ,"2,964.00",percent of total billed charges ,"2,964.00",percent of total billed charges ,"2,964.00",percent of total billed charges ,,,,,"2,628.08",percent of total billed charges ,,,,,"2,496.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,,,"1,383.20",percent of total billed charges,
NM MYOCARD PERF MULTI,78452,CDM,,,,both,1,each,"6,923.00","6,923.00","1,938.44","6,923.00","6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"5,123.02",percent of total billed charges,"5,123.02",percent of total billed charges,"5,538.40",percent of total billed charges,"5,538.40",percent of total billed charges,,,"4,984.56",percent of total billed charges ,,,"5,538.40",percent of total billed charges ,"5,815.32",percent of total billed charges ,"5,815.32",percent of total billed charges ,"5,399.94",percent of total billed charges ,"5,399.94",percent of total billed charges ,"5,538.40",percent of total billed charges ,"5,538.40",percent of total billed charges ,"4,846.10",percent of total billed charges ,"4,846.10",percent of total billed charges ,"4,153.80",percent of total billed charges ,"4,153.80",percent of total billed charges ,"4,153.80",percent of total billed charges ,"4,153.80",percent of total billed charges ,,,,,"3,683.04",percent of total billed charges ,,,,,"3,498.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,
NM MYOCARD PERF PLANAR,78453,CDM,,,,both,1,each,"3,526.00","3,526.00",987.28,"3,526.00","3,526.00",percent of total billed charges,"3,526.00",percent of total billed charges,"3,526.00",percent of total billed charges,"3,526.00",percent of total billed charges,"3,526.00",percent of total billed charges,"3,526.00",percent of total billed charges,"3,526.00",percent of total billed charges,"3,526.00",percent of total billed charges,"2,538.72",percent of total billed charges,"2,538.72",percent of total billed charges,"2,538.72",percent of total billed charges,"2,538.72",percent of total billed charges,"2,538.72",percent of total billed charges,"2,538.72",percent of total billed charges,"2,609.24",percent of total billed charges,"2,609.24",percent of total billed charges,"2,820.80",percent of total billed charges,"2,820.80",percent of total billed charges,,,"2,538.72",percent of total billed charges ,,,"2,820.80",percent of total billed charges ,"2,961.84",percent of total billed charges ,"2,961.84",percent of total billed charges ,"2,750.28",percent of total billed charges ,"2,750.28",percent of total billed charges ,"2,820.80",percent of total billed charges ,"2,820.80",percent of total billed charges ,"2,468.20",percent of total billed charges ,"2,468.20",percent of total billed charges ,"2,115.60",percent of total billed charges ,"2,115.60",percent of total billed charges ,"2,115.60",percent of total billed charges ,"2,115.60",percent of total billed charges ,,,,,"1,875.83",percent of total billed charges ,,,,,"1,782.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,,,987.28,percent of total billed charges,
NM SESTAMIBI,A9500,CDM,,,,both,1,each,723,723,202.44,723,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,723,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,520.56,percent of total billed charges,535.02,percent of total billed charges,535.02,percent of total billed charges,578.4,percent of total billed charges,578.4,percent of total billed charges,,,520.56,percent of total billed charges ,,,578.4,percent of total billed charges ,607.32,percent of total billed charges ,607.32,percent of total billed charges ,563.94,percent of total billed charges ,563.94,percent of total billed charges ,578.4,percent of total billed charges ,578.4,percent of total billed charges ,506.1,percent of total billed charges ,506.1,percent of total billed charges ,433.8,percent of total billed charges ,433.8,percent of total billed charges ,433.8,percent of total billed charges ,433.8,percent of total billed charges ,,,,,384.64,percent of total billed charges ,,,,,365.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,,,202.44,percent of total billed charges,
NM MYOVIEW,A9502,CDM,,,,both,1,each,632,632,176.96,632,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,467.68,percent of total billed charges,467.68,percent of total billed charges,505.6,percent of total billed charges,505.6,percent of total billed charges,,,455.04,percent of total billed charges ,,,505.6,percent of total billed charges ,530.88,percent of total billed charges ,530.88,percent of total billed charges ,492.96,percent of total billed charges ,492.96,percent of total billed charges ,505.6,percent of total billed charges ,505.6,percent of total billed charges ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,,,,,336.22,percent of total billed charges ,,,,,319.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,
NM ULTRATAG KIT,LOCAL,LOCAL,,,,both,1,each,348,348,97.44,348,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,257.52,percent of total billed charges,257.52,percent of total billed charges,278.4,percent of total billed charges,278.4,percent of total billed charges,,,250.56,percent of total billed charges ,,,278.4,percent of total billed charges ,292.32,percent of total billed charges ,292.32,percent of total billed charges ,271.44,percent of total billed charges ,271.44,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,,,,,185.14,percent of total billed charges ,,,,,175.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,
NM RP LOC W/SPECT MULTI,78831,CDM,,,,both,1,each,"3,931.00","3,931.00","1,100.68","3,931.00","3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"3,931.00",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,830.32",percent of total billed charges,"2,908.94",percent of total billed charges,"2,908.94",percent of total billed charges,"3,144.80",percent of total billed charges,"3,144.80",percent of total billed charges,,,"2,830.32",percent of total billed charges ,,,"3,144.80",percent of total billed charges ,"3,302.04",percent of total billed charges ,"3,302.04",percent of total billed charges ,"3,066.18",percent of total billed charges ,"3,066.18",percent of total billed charges ,"3,144.80",percent of total billed charges ,"3,144.80",percent of total billed charges ,"2,751.70",percent of total billed charges ,"2,751.70",percent of total billed charges ,"2,358.60",percent of total billed charges ,"2,358.60",percent of total billed charges ,"2,358.60",percent of total billed charges ,"2,358.60",percent of total billed charges ,,,,,"2,091.29",percent of total billed charges ,,,,,"1,986.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,,,"1,100.68",percent of total billed charges,
NM RP LOC W/SPECT CT SINGLE,78830,CDM,,,,both,1,each,"4,129.00","4,129.00","1,156.12","4,129.00","4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"4,129.00",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"2,972.88",percent of total billed charges,"3,055.46",percent of total billed charges,"3,055.46",percent of total billed charges,"3,303.20",percent of total billed charges,"3,303.20",percent of total billed charges,,,"2,972.88",percent of total billed charges ,,,"3,303.20",percent of total billed charges ,"3,468.36",percent of total billed charges ,"3,468.36",percent of total billed charges ,"3,220.62",percent of total billed charges ,"3,220.62",percent of total billed charges ,"3,303.20",percent of total billed charges ,"3,303.20",percent of total billed charges ,"2,890.30",percent of total billed charges ,"2,890.30",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,"2,477.40",percent of total billed charges ,,,,,"2,196.63",percent of total billed charges ,,,,,"2,086.80",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,,,"1,156.12",percent of total billed charges,
NM RP LOC PLANAR IMAGING,78800,CDM,,,,both,1,each,"2,223.00","2,223.00",622.44,"2,223.00","2,223.00",percent of total billed charges,"2,223.00",percent of total billed charges,"2,223.00",percent of total billed charges,"2,223.00",percent of total billed charges,"2,223.00",percent of total billed charges,"2,223.00",percent of total billed charges,"2,223.00",percent of total billed charges,"2,223.00",percent of total billed charges,"1,600.56",percent of total billed charges,"1,600.56",percent of total billed charges,"1,600.56",percent of total billed charges,"1,600.56",percent of total billed charges,"1,600.56",percent of total billed charges,"1,600.56",percent of total billed charges,"1,645.02",percent of total billed charges,"1,645.02",percent of total billed charges,"1,778.40",percent of total billed charges,"1,778.40",percent of total billed charges,,,"1,600.56",percent of total billed charges ,,,"1,778.40",percent of total billed charges ,"1,867.32",percent of total billed charges ,"1,867.32",percent of total billed charges ,"1,733.94",percent of total billed charges ,"1,733.94",percent of total billed charges ,"1,778.40",percent of total billed charges ,"1,778.40",percent of total billed charges ,"1,556.10",percent of total billed charges ,"1,556.10",percent of total billed charges ,"1,333.80",percent of total billed charges ,"1,333.80",percent of total billed charges ,"1,333.80",percent of total billed charges ,"1,333.80",percent of total billed charges ,,,,,"1,182.64",percent of total billed charges ,,,,,"1,123.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,,,622.44,percent of total billed charges,
NM BONE MARROW IMAGING,78102,CDM,,,,both,1,each,"1,718.00","1,718.00",481.04,"1,718.00","1,718.00",percent of total billed charges,"1,718.00",percent of total billed charges,"1,718.00",percent of total billed charges,"1,718.00",percent of total billed charges,"1,718.00",percent of total billed charges,"1,718.00",percent of total billed charges,"1,718.00",percent of total billed charges,"1,718.00",percent of total billed charges,"1,236.96",percent of total billed charges,"1,236.96",percent of total billed charges,"1,236.96",percent of total billed charges,"1,236.96",percent of total billed charges,"1,236.96",percent of total billed charges,"1,236.96",percent of total billed charges,"1,271.32",percent of total billed charges,"1,271.32",percent of total billed charges,"1,374.40",percent of total billed charges,"1,374.40",percent of total billed charges,,,"1,236.96",percent of total billed charges ,,,"1,374.40",percent of total billed charges ,"1,443.12",percent of total billed charges ,"1,443.12",percent of total billed charges ,"1,340.04",percent of total billed charges ,"1,340.04",percent of total billed charges ,"1,374.40",percent of total billed charges ,"1,374.40",percent of total billed charges ,"1,202.60",percent of total billed charges ,"1,202.60",percent of total billed charges ,"1,030.80",percent of total billed charges ,"1,030.80",percent of total billed charges ,"1,030.80",percent of total billed charges ,"1,030.80",percent of total billed charges ,,,,,913.98,percent of total billed charges ,,,,,868.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,,,481.04,percent of total billed charges,
NM OXIDRONATE (HDP),A9561,CDM,,,,both,1,each,524,524,146.72,524,524,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,377.28,percent of total billed charges,377.28,percent of total billed charges,377.28,percent of total billed charges,377.28,percent of total billed charges,377.28,percent of total billed charges,377.28,percent of total billed charges,387.76,percent of total billed charges,387.76,percent of total billed charges,419.2,percent of total billed charges,419.2,percent of total billed charges,,,377.28,percent of total billed charges ,,,419.2,percent of total billed charges ,440.16,percent of total billed charges ,440.16,percent of total billed charges ,408.72,percent of total billed charges ,408.72,percent of total billed charges ,419.2,percent of total billed charges ,419.2,percent of total billed charges ,366.8,percent of total billed charges ,366.8,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,314.4,percent of total billed charges ,,,,,278.77,percent of total billed charges ,,,,,264.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,,,146.72,percent of total billed charges,
NM LUNG QUANTITATIVE,78598,CDM,,,,both,1,each,"3,275.00","3,275.00",917,"3,275.00","3,275.00",percent of total billed charges,"3,275.00",percent of total billed charges,"3,275.00",percent of total billed charges,"3,275.00",percent of total billed charges,"3,275.00",percent of total billed charges,"3,275.00",percent of total billed charges,"3,275.00",percent of total billed charges,"3,275.00",percent of total billed charges,"2,358.00",percent of total billed charges,"2,358.00",percent of total billed charges,"2,358.00",percent of total billed charges,"2,358.00",percent of total billed charges,"2,358.00",percent of total billed charges,"2,358.00",percent of total billed charges,"2,423.50",percent of total billed charges,"2,423.50",percent of total billed charges,"2,620.00",percent of total billed charges,"2,620.00",percent of total billed charges,,,"2,358.00",percent of total billed charges ,,,"2,620.00",percent of total billed charges ,"2,751.00",percent of total billed charges ,"2,751.00",percent of total billed charges ,"2,554.50",percent of total billed charges ,"2,554.50",percent of total billed charges ,"2,620.00",percent of total billed charges ,"2,620.00",percent of total billed charges ,"2,292.50",percent of total billed charges ,"2,292.50",percent of total billed charges ,"1,965.00",percent of total billed charges ,"1,965.00",percent of total billed charges ,"1,965.00",percent of total billed charges ,"1,965.00",percent of total billed charges ,,,,,"1,742.30",percent of total billed charges ,,,,,"1,655.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,,,917,percent of total billed charges,
NM MYOCARD SCARD,78452,CDM,,,,both,1,each,"6,923.00","6,923.00","1,938.44","6,923.00","6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"6,923.00",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"4,984.56",percent of total billed charges,"5,123.02",percent of total billed charges,"5,123.02",percent of total billed charges,"5,538.40",percent of total billed charges,"5,538.40",percent of total billed charges,,,"4,984.56",percent of total billed charges ,,,"5,538.40",percent of total billed charges ,"5,815.32",percent of total billed charges ,"5,815.32",percent of total billed charges ,"5,399.94",percent of total billed charges ,"5,399.94",percent of total billed charges ,"5,538.40",percent of total billed charges ,"5,538.40",percent of total billed charges ,"4,846.10",percent of total billed charges ,"4,846.10",percent of total billed charges ,"4,153.80",percent of total billed charges ,"4,153.80",percent of total billed charges ,"4,153.80",percent of total billed charges ,"4,153.80",percent of total billed charges ,,,,,"3,683.04",percent of total billed charges ,,,,,"3,498.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,,,"1,938.44",percent of total billed charges,
**NM MYOCARD PERF PLANAR,78460,CDM,,,,both,1,each,"1,546.00","1,546.00",432.88,"1,546.00","1,546.00",percent of total billed charges,"1,546.00",percent of total billed charges,"1,546.00",percent of total billed charges,"1,546.00",percent of total billed charges,"1,546.00",percent of total billed charges,"1,546.00",percent of total billed charges,"1,546.00",percent of total billed charges,"1,546.00",percent of total billed charges,"1,113.12",percent of total billed charges,"1,113.12",percent of total billed charges,"1,113.12",percent of total billed charges,"1,113.12",percent of total billed charges,"1,113.12",percent of total billed charges,"1,113.12",percent of total billed charges,"1,144.04",percent of total billed charges,"1,144.04",percent of total billed charges,"1,236.80",percent of total billed charges,"1,236.80",percent of total billed charges,,,"1,113.12",percent of total billed charges ,,,"1,236.80",percent of total billed charges ,"1,298.64",percent of total billed charges ,"1,298.64",percent of total billed charges ,"1,205.88",percent of total billed charges ,"1,205.88",percent of total billed charges ,"1,236.80",percent of total billed charges ,"1,236.80",percent of total billed charges ,"1,082.20",percent of total billed charges ,"1,082.20",percent of total billed charges ,927.6,percent of total billed charges ,927.6,percent of total billed charges ,927.6,percent of total billed charges ,927.6,percent of total billed charges ,,,,,822.47,percent of total billed charges ,,,,,781.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,,,432.88,percent of total billed charges,
CT THORACIC SPINE W/ CONTRAST,72129,CDM,,,,both,1,each,"3,881.00","3,881.00","1,086.68","3,881.00","3,881.00",percent of total billed charges,"3,881.00",percent of total billed charges,"3,881.00",percent of total billed charges,"3,881.00",percent of total billed charges,"3,881.00",percent of total billed charges,"3,881.00",percent of total billed charges,"3,881.00",percent of total billed charges,"3,881.00",percent of total billed charges,"2,794.32",percent of total billed charges,"2,794.32",percent of total billed charges,"2,794.32",percent of total billed charges,"2,794.32",percent of total billed charges,"2,794.32",percent of total billed charges,"2,794.32",percent of total billed charges,"2,871.94",percent of total billed charges,"2,871.94",percent of total billed charges,"3,104.80",percent of total billed charges,"3,104.80",percent of total billed charges,,,"2,794.32",percent of total billed charges ,,,"3,104.80",percent of total billed charges ,"3,260.04",percent of total billed charges ,"3,260.04",percent of total billed charges ,"3,027.18",percent of total billed charges ,"3,027.18",percent of total billed charges ,"3,104.80",percent of total billed charges ,"3,104.80",percent of total billed charges ,"2,716.70",percent of total billed charges ,"2,716.70",percent of total billed charges ,"2,328.60",percent of total billed charges ,"2,328.60",percent of total billed charges ,"2,328.60",percent of total billed charges ,"2,328.60",percent of total billed charges ,,,,,"2,064.69",percent of total billed charges ,,,,,"1,961.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,,,"1,086.68",percent of total billed charges,
CT ANGIO ABDOM W/O & W,74175,CDM,,,,both,1,each,"4,978.00","4,978.00","1,393.84","4,978.00","4,978.00",percent of total billed charges,"4,978.00",percent of total billed charges,"4,978.00",percent of total billed charges,"4,978.00",percent of total billed charges,"4,978.00",percent of total billed charges,"4,978.00",percent of total billed charges,"4,978.00",percent of total billed charges,"4,978.00",percent of total billed charges,"3,584.16",percent of total billed charges,"3,584.16",percent of total billed charges,"3,584.16",percent of total billed charges,"3,584.16",percent of total billed charges,"3,584.16",percent of total billed charges,"3,584.16",percent of total billed charges,"3,683.72",percent of total billed charges,"3,683.72",percent of total billed charges,"3,982.40",percent of total billed charges,"3,982.40",percent of total billed charges,,,"3,584.16",percent of total billed charges ,,,"3,982.40",percent of total billed charges ,"4,181.52",percent of total billed charges ,"4,181.52",percent of total billed charges ,"3,882.84",percent of total billed charges ,"3,882.84",percent of total billed charges ,"3,982.40",percent of total billed charges ,"3,982.40",percent of total billed charges ,"3,484.60",percent of total billed charges ,"3,484.60",percent of total billed charges ,"2,986.80",percent of total billed charges ,"2,986.80",percent of total billed charges ,"2,986.80",percent of total billed charges ,"2,986.80",percent of total billed charges ,,,,,"2,648.30",percent of total billed charges ,,,,,"2,515.88",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,,,"1,393.84",percent of total billed charges,
CT ANGIO CHEST,71275,CDM,,,,both,1,each,"4,994.00","4,994.00","1,398.32","4,994.00","4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,695.56",percent of total billed charges,"3,695.56",percent of total billed charges,"3,995.20",percent of total billed charges,"3,995.20",percent of total billed charges,,,"3,595.68",percent of total billed charges ,,,"3,995.20",percent of total billed charges ,"4,194.96",percent of total billed charges ,"4,194.96",percent of total billed charges ,"3,895.32",percent of total billed charges ,"3,895.32",percent of total billed charges ,"3,995.20",percent of total billed charges ,"3,995.20",percent of total billed charges ,"3,495.80",percent of total billed charges ,"3,495.80",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,,,,,"2,656.81",percent of total billed charges ,,,,,"2,523.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,
CT ANGIO NECK,70498,CDM,,,,both,1,each,"4,583.00","4,583.00","1,283.24","4,583.00","4,583.00",percent of total billed charges,"4,583.00",percent of total billed charges,"4,583.00",percent of total billed charges,"4,583.00",percent of total billed charges,"4,583.00",percent of total billed charges,"4,583.00",percent of total billed charges,"4,583.00",percent of total billed charges,"4,583.00",percent of total billed charges,"3,299.76",percent of total billed charges,"3,299.76",percent of total billed charges,"3,299.76",percent of total billed charges,"3,299.76",percent of total billed charges,"3,299.76",percent of total billed charges,"3,299.76",percent of total billed charges,"3,391.42",percent of total billed charges,"3,391.42",percent of total billed charges,"3,666.40",percent of total billed charges,"3,666.40",percent of total billed charges,,,"3,299.76",percent of total billed charges ,,,"3,666.40",percent of total billed charges ,"3,849.72",percent of total billed charges ,"3,849.72",percent of total billed charges ,"3,574.74",percent of total billed charges ,"3,574.74",percent of total billed charges ,"3,666.40",percent of total billed charges ,"3,666.40",percent of total billed charges ,"3,208.10",percent of total billed charges ,"3,208.10",percent of total billed charges ,"2,749.80",percent of total billed charges ,"2,749.80",percent of total billed charges ,"2,749.80",percent of total billed charges ,"2,749.80",percent of total billed charges ,,,,,"2,438.16",percent of total billed charges ,,,,,"2,316.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,,,"1,283.24",percent of total billed charges,
CT ANGIO ABD ARTERIES & BIL LOWER EXT,75635,CDM,,,,both,1,each,"4,949.00","4,949.00","1,385.72","4,949.00","4,949.00",percent of total billed charges,"4,949.00",percent of total billed charges,"4,949.00",percent of total billed charges,"4,949.00",percent of total billed charges,"4,949.00",percent of total billed charges,"4,949.00",percent of total billed charges,"4,949.00",percent of total billed charges,"4,949.00",percent of total billed charges,"3,563.28",percent of total billed charges,"3,563.28",percent of total billed charges,"3,563.28",percent of total billed charges,"3,563.28",percent of total billed charges,"3,563.28",percent of total billed charges,"3,563.28",percent of total billed charges,"3,662.26",percent of total billed charges,"3,662.26",percent of total billed charges,"3,959.20",percent of total billed charges,"3,959.20",percent of total billed charges,,,"3,563.28",percent of total billed charges ,,,"3,959.20",percent of total billed charges ,"4,157.16",percent of total billed charges ,"4,157.16",percent of total billed charges ,"3,860.22",percent of total billed charges ,"3,860.22",percent of total billed charges ,"3,959.20",percent of total billed charges ,"3,959.20",percent of total billed charges ,"3,464.30",percent of total billed charges ,"3,464.30",percent of total billed charges ,"2,969.40",percent of total billed charges ,"2,969.40",percent of total billed charges ,"2,969.40",percent of total billed charges ,"2,969.40",percent of total billed charges ,,,,,"2,632.87",percent of total billed charges ,,,,,"2,501.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,,,"1,385.72",percent of total billed charges,
CT ANGIO PELVIS W/O & W,72191,CDM,,,,both,1,each,"4,057.00","4,057.00","1,135.96","4,057.00","4,057.00",percent of total billed charges,"4,057.00",percent of total billed charges,"4,057.00",percent of total billed charges,"4,057.00",percent of total billed charges,"4,057.00",percent of total billed charges,"4,057.00",percent of total billed charges,"4,057.00",percent of total billed charges,"4,057.00",percent of total billed charges,"2,921.04",percent of total billed charges,"2,921.04",percent of total billed charges,"2,921.04",percent of total billed charges,"2,921.04",percent of total billed charges,"2,921.04",percent of total billed charges,"2,921.04",percent of total billed charges,"3,002.18",percent of total billed charges,"3,002.18",percent of total billed charges,"3,245.60",percent of total billed charges,"3,245.60",percent of total billed charges,,,"2,921.04",percent of total billed charges ,,,"3,245.60",percent of total billed charges ,"3,407.88",percent of total billed charges ,"3,407.88",percent of total billed charges ,"3,164.46",percent of total billed charges ,"3,164.46",percent of total billed charges ,"3,245.60",percent of total billed charges ,"3,245.60",percent of total billed charges ,"2,839.90",percent of total billed charges ,"2,839.90",percent of total billed charges ,"2,434.20",percent of total billed charges ,"2,434.20",percent of total billed charges ,"2,434.20",percent of total billed charges ,"2,434.20",percent of total billed charges ,,,,,"2,158.32",percent of total billed charges ,,,,,"2,050.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,,,"1,135.96",percent of total billed charges,
CT ANGIO HEAD,70496,CDM,,,,both,1,each,"4,727.00","4,727.00","1,323.56","4,727.00","4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,497.98",percent of total billed charges,"3,497.98",percent of total billed charges,"3,781.60",percent of total billed charges,"3,781.60",percent of total billed charges,,,"3,403.44",percent of total billed charges ,,,"3,781.60",percent of total billed charges ,"3,970.68",percent of total billed charges ,"3,970.68",percent of total billed charges ,"3,687.06",percent of total billed charges ,"3,687.06",percent of total billed charges ,"3,781.60",percent of total billed charges ,"3,781.60",percent of total billed charges ,"3,308.90",percent of total billed charges ,"3,308.90",percent of total billed charges ,"2,836.20",percent of total billed charges ,"2,836.20",percent of total billed charges ,"2,836.20",percent of total billed charges ,"2,836.20",percent of total billed charges ,,,,,"2,514.76",percent of total billed charges ,,,,,"2,389.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,
CT ANGIO ABD/PELVIS W OR W&W/O,74174,CDM,,,,both,1,each,"8,034.00","8,034.00","2,249.52","8,034.00","8,034.00",percent of total billed charges,"8,034.00",percent of total billed charges,"8,034.00",percent of total billed charges,"8,034.00",percent of total billed charges,"8,034.00",percent of total billed charges,"8,034.00",percent of total billed charges,"8,034.00",percent of total billed charges,"8,034.00",percent of total billed charges,"5,784.48",percent of total billed charges,"5,784.48",percent of total billed charges,"5,784.48",percent of total billed charges,"5,784.48",percent of total billed charges,"5,784.48",percent of total billed charges,"5,784.48",percent of total billed charges,"5,945.16",percent of total billed charges,"5,945.16",percent of total billed charges,"6,427.20",percent of total billed charges,"6,427.20",percent of total billed charges,,,"5,784.48",percent of total billed charges ,,,"6,427.20",percent of total billed charges ,"6,748.56",percent of total billed charges ,"6,748.56",percent of total billed charges ,"6,266.52",percent of total billed charges ,"6,266.52",percent of total billed charges ,"6,427.20",percent of total billed charges ,"6,427.20",percent of total billed charges ,"5,623.80",percent of total billed charges ,"5,623.80",percent of total billed charges ,"4,820.40",percent of total billed charges ,"4,820.40",percent of total billed charges ,"4,820.40",percent of total billed charges ,"4,820.40",percent of total billed charges ,,,,,"4,274.09",percent of total billed charges ,,,,,"4,060.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,,,"2,249.52",percent of total billed charges,
**CT SCAN FOR NEEDLE BIOPSY,77012,CDM,,,,both,1,each,"2,010.00","2,010.00",562.8,"2,010.00","2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,487.40",percent of total billed charges,"1,487.40",percent of total billed charges,"1,608.00",percent of total billed charges,"1,608.00",percent of total billed charges,,,"1,447.20",percent of total billed charges ,,,"1,608.00",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,,,,,"1,069.32",percent of total billed charges ,,,,,"1,015.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,
**CT BIOPSY-LUNG SURG,32405,CDM,,,,both,1,each,"2,010.00","2,010.00",562.8,"2,010.00","2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,487.40",percent of total billed charges,"1,487.40",percent of total billed charges,"1,608.00",percent of total billed charges,"1,608.00",percent of total billed charges,,,"1,447.20",percent of total billed charges ,,,"1,608.00",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,,,,,"1,069.32",percent of total billed charges ,,,,,"1,015.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,
**CT BIOPSY-LIVER SURG,47000,CDM,,,,both,1,each,"2,010.00","2,010.00",562.8,"2,010.00","2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,487.40",percent of total billed charges,"1,487.40",percent of total billed charges,"1,608.00",percent of total billed charges,"1,608.00",percent of total billed charges,,,"1,447.20",percent of total billed charges ,,,"1,608.00",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,,,,,"1,069.32",percent of total billed charges ,,,,,"1,015.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,
CT GASTROVIEW,LOCAL,LOCAL,,,,both,1,each,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
CT MAXILLOFACIAL WO CONTRAST,70486,CDM,,,,both,,,"2,710.00","2,710.00",758.8,"2,710.00","2,710.00",percent of total billed charges,"2,710.00",percent of total billed charges,"2,710.00",percent of total billed charges,"2,710.00",percent of total billed charges,"2,710.00",percent of total billed charges,"2,710.00",percent of total billed charges,"2,710.00",percent of total billed charges,"2,710.00",percent of total billed charges,"1,951.20",percent of total billed charges,"1,951.20",percent of total billed charges,"1,951.20",percent of total billed charges,"1,951.20",percent of total billed charges,"1,951.20",percent of total billed charges,"1,951.20",percent of total billed charges,"2,005.40",percent of total billed charges,"2,005.40",percent of total billed charges,"2,168.00",percent of total billed charges,"2,168.00",percent of total billed charges,,,"1,951.20",percent of total billed charges ,,,"2,168.00",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,113.80",percent of total billed charges ,"2,113.80",percent of total billed charges ,"2,168.00",percent of total billed charges ,"2,168.00",percent of total billed charges ,"1,897.00",percent of total billed charges ,"1,897.00",percent of total billed charges ,"1,626.00",percent of total billed charges ,"1,626.00",percent of total billed charges ,"1,626.00",percent of total billed charges ,"1,626.00",percent of total billed charges ,,,,,"1,441.72",percent of total billed charges ,,,,,"1,369.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,,,758.8,percent of total billed charges,
CT ORBITS SELLA IAC W/O CONTRAST,70480,CDM,,,,both,,,"3,507.00","3,507.00",981.96,"3,507.00","3,507.00",percent of total billed charges,"3,507.00",percent of total billed charges,"3,507.00",percent of total billed charges,"3,507.00",percent of total billed charges,"3,507.00",percent of total billed charges,"3,507.00",percent of total billed charges,"3,507.00",percent of total billed charges,"3,507.00",percent of total billed charges,"2,525.04",percent of total billed charges,"2,525.04",percent of total billed charges,"2,525.04",percent of total billed charges,"2,525.04",percent of total billed charges,"2,525.04",percent of total billed charges,"2,525.04",percent of total billed charges,"2,595.18",percent of total billed charges,"2,595.18",percent of total billed charges,"2,805.60",percent of total billed charges,"2,805.60",percent of total billed charges,,,"2,525.04",percent of total billed charges ,,,"2,805.60",percent of total billed charges ,"2,945.88",percent of total billed charges ,"2,945.88",percent of total billed charges ,"2,735.46",percent of total billed charges ,"2,735.46",percent of total billed charges ,"2,805.60",percent of total billed charges ,"2,805.60",percent of total billed charges ,"2,454.90",percent of total billed charges ,"2,454.90",percent of total billed charges ,"2,104.20",percent of total billed charges ,"2,104.20",percent of total billed charges ,"2,104.20",percent of total billed charges ,"2,104.20",percent of total billed charges ,,,,,"1,865.72",percent of total billed charges ,,,,,"1,772.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,,,981.96,percent of total billed charges,
CT ORBITS SELLA IAC W CONTRAST,70481,CDM,,,,both,1,each,"3,385.00","3,385.00",947.8,"3,385.00","3,385.00",percent of total billed charges,"3,385.00",percent of total billed charges,"3,385.00",percent of total billed charges,"3,385.00",percent of total billed charges,"3,385.00",percent of total billed charges,"3,385.00",percent of total billed charges,"3,385.00",percent of total billed charges,"3,385.00",percent of total billed charges,"2,437.20",percent of total billed charges,"2,437.20",percent of total billed charges,"2,437.20",percent of total billed charges,"2,437.20",percent of total billed charges,"2,437.20",percent of total billed charges,"2,437.20",percent of total billed charges,"2,504.90",percent of total billed charges,"2,504.90",percent of total billed charges,"2,708.00",percent of total billed charges,"2,708.00",percent of total billed charges,,,"2,437.20",percent of total billed charges ,,,"2,708.00",percent of total billed charges ,"2,843.40",percent of total billed charges ,"2,843.40",percent of total billed charges ,"2,640.30",percent of total billed charges ,"2,640.30",percent of total billed charges ,"2,708.00",percent of total billed charges ,"2,708.00",percent of total billed charges ,"2,369.50",percent of total billed charges ,"2,369.50",percent of total billed charges ,"2,031.00",percent of total billed charges ,"2,031.00",percent of total billed charges ,"2,031.00",percent of total billed charges ,"2,031.00",percent of total billed charges ,,,,,"1,800.82",percent of total billed charges ,,,,,"1,710.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,,,947.8,percent of total billed charges,
CT ORBITS SELLA IAC W& WO CONTRAST,70482,CDM,,,,both,1,each,"4,291.00","4,291.00","1,201.48","4,291.00","4,291.00",percent of total billed charges,"4,291.00",percent of total billed charges,"4,291.00",percent of total billed charges,"4,291.00",percent of total billed charges,"4,291.00",percent of total billed charges,"4,291.00",percent of total billed charges,"4,291.00",percent of total billed charges,"4,291.00",percent of total billed charges,"3,089.52",percent of total billed charges,"3,089.52",percent of total billed charges,"3,089.52",percent of total billed charges,"3,089.52",percent of total billed charges,"3,089.52",percent of total billed charges,"3,089.52",percent of total billed charges,"3,175.34",percent of total billed charges,"3,175.34",percent of total billed charges,"3,432.80",percent of total billed charges,"3,432.80",percent of total billed charges,,,"3,089.52",percent of total billed charges ,,,"3,432.80",percent of total billed charges ,"3,604.44",percent of total billed charges ,"3,604.44",percent of total billed charges ,"3,346.98",percent of total billed charges ,"3,346.98",percent of total billed charges ,"3,432.80",percent of total billed charges ,"3,432.80",percent of total billed charges ,"3,003.70",percent of total billed charges ,"3,003.70",percent of total billed charges ,"2,574.60",percent of total billed charges ,"2,574.60",percent of total billed charges ,"2,574.60",percent of total billed charges ,"2,574.60",percent of total billed charges ,,,,,"2,282.81",percent of total billed charges ,,,,,"2,168.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,,,"1,201.48",percent of total billed charges,
CT HEAD SCAN W CONT,70460,CDM,,,,both,,,"3,549.00","3,549.00",993.72,"3,549.00","3,549.00",percent of total billed charges,"3,549.00",percent of total billed charges,"3,549.00",percent of total billed charges,"3,549.00",percent of total billed charges,"3,549.00",percent of total billed charges,"3,549.00",percent of total billed charges,"3,549.00",percent of total billed charges,"3,549.00",percent of total billed charges,"2,555.28",percent of total billed charges,"2,555.28",percent of total billed charges,"2,555.28",percent of total billed charges,"2,555.28",percent of total billed charges,"2,555.28",percent of total billed charges,"2,555.28",percent of total billed charges,"2,626.26",percent of total billed charges,"2,626.26",percent of total billed charges,"2,839.20",percent of total billed charges,"2,839.20",percent of total billed charges,,,"2,555.28",percent of total billed charges ,,,"2,839.20",percent of total billed charges ,"2,981.16",percent of total billed charges ,"2,981.16",percent of total billed charges ,"2,768.22",percent of total billed charges ,"2,768.22",percent of total billed charges ,"2,839.20",percent of total billed charges ,"2,839.20",percent of total billed charges ,"2,484.30",percent of total billed charges ,"2,484.30",percent of total billed charges ,"2,129.40",percent of total billed charges ,"2,129.40",percent of total billed charges ,"2,129.40",percent of total billed charges ,"2,129.40",percent of total billed charges ,,,,,"1,888.07",percent of total billed charges ,,,,,"1,793.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,,,993.72,percent of total billed charges,
CT HEAD SCAN W/O CONTRAST,70450,CDM,,,,both,1,each,"3,290.00","3,290.00",921.2,"3,290.00","3,290.00",percent of total billed charges,"3,290.00",percent of total billed charges,"3,290.00",percent of total billed charges,"3,290.00",percent of total billed charges,"3,290.00",percent of total billed charges,"3,290.00",percent of total billed charges,"3,290.00",percent of total billed charges,"3,290.00",percent of total billed charges,"2,368.80",percent of total billed charges,"2,368.80",percent of total billed charges,"2,368.80",percent of total billed charges,"2,368.80",percent of total billed charges,"2,368.80",percent of total billed charges,"2,368.80",percent of total billed charges,"2,434.60",percent of total billed charges,"2,434.60",percent of total billed charges,"2,632.00",percent of total billed charges,"2,632.00",percent of total billed charges,,,"2,368.80",percent of total billed charges ,,,"2,632.00",percent of total billed charges ,"2,763.60",percent of total billed charges ,"2,763.60",percent of total billed charges ,"2,566.20",percent of total billed charges ,"2,566.20",percent of total billed charges ,"2,632.00",percent of total billed charges ,"2,632.00",percent of total billed charges ,"2,303.00",percent of total billed charges ,"2,303.00",percent of total billed charges ,"1,974.00",percent of total billed charges ,"1,974.00",percent of total billed charges ,"1,974.00",percent of total billed charges ,"1,974.00",percent of total billed charges ,,,,,"1,750.28",percent of total billed charges ,,,,,"1,662.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,,,921.2,percent of total billed charges,
CT HEAD W & W/O CONTRAST,70470,CDM,,,,both,1,each,"4,185.00","4,185.00","1,171.80","4,185.00","4,185.00",percent of total billed charges,"4,185.00",percent of total billed charges,"4,185.00",percent of total billed charges,"4,185.00",percent of total billed charges,"4,185.00",percent of total billed charges,"4,185.00",percent of total billed charges,"4,185.00",percent of total billed charges,"4,185.00",percent of total billed charges,"3,013.20",percent of total billed charges,"3,013.20",percent of total billed charges,"3,013.20",percent of total billed charges,"3,013.20",percent of total billed charges,"3,013.20",percent of total billed charges,"3,013.20",percent of total billed charges,"3,096.90",percent of total billed charges,"3,096.90",percent of total billed charges,"3,348.00",percent of total billed charges,"3,348.00",percent of total billed charges,,,"3,013.20",percent of total billed charges ,,,"3,348.00",percent of total billed charges ,"3,515.40",percent of total billed charges ,"3,515.40",percent of total billed charges ,"3,264.30",percent of total billed charges ,"3,264.30",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"2,929.50",percent of total billed charges ,"2,929.50",percent of total billed charges ,"2,511.00",percent of total billed charges ,"2,511.00",percent of total billed charges ,"2,511.00",percent of total billed charges ,"2,511.00",percent of total billed charges ,,,,,"2,226.42",percent of total billed charges ,,,,,"2,115.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,,,"1,171.80",percent of total billed charges,
CT SOFT TISSUE NECK WO CON,70490,CDM,,,,both,1,each,"3,374.00","3,374.00",944.72,"3,374.00","3,374.00",percent of total billed charges,"3,374.00",percent of total billed charges,"3,374.00",percent of total billed charges,"3,374.00",percent of total billed charges,"3,374.00",percent of total billed charges,"3,374.00",percent of total billed charges,"3,374.00",percent of total billed charges,"3,374.00",percent of total billed charges,"2,429.28",percent of total billed charges,"2,429.28",percent of total billed charges,"2,429.28",percent of total billed charges,"2,429.28",percent of total billed charges,"2,429.28",percent of total billed charges,"2,429.28",percent of total billed charges,"2,496.76",percent of total billed charges,"2,496.76",percent of total billed charges,"2,699.20",percent of total billed charges,"2,699.20",percent of total billed charges,,,"2,429.28",percent of total billed charges ,,,"2,699.20",percent of total billed charges ,"2,834.16",percent of total billed charges ,"2,834.16",percent of total billed charges ,"2,631.72",percent of total billed charges ,"2,631.72",percent of total billed charges ,"2,699.20",percent of total billed charges ,"2,699.20",percent of total billed charges ,"2,361.80",percent of total billed charges ,"2,361.80",percent of total billed charges ,"2,024.40",percent of total billed charges ,"2,024.40",percent of total billed charges ,"2,024.40",percent of total billed charges ,"2,024.40",percent of total billed charges ,,,,,"1,794.97",percent of total billed charges ,,,,,"1,705.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,,,944.72,percent of total billed charges,
CT SOFT TISSUE NECK WITH CON,70491,CDM,,,,both,1,each,"3,862.00","3,862.00","1,081.36","3,862.00","3,862.00",percent of total billed charges,"3,862.00",percent of total billed charges,"3,862.00",percent of total billed charges,"3,862.00",percent of total billed charges,"3,862.00",percent of total billed charges,"3,862.00",percent of total billed charges,"3,862.00",percent of total billed charges,"3,862.00",percent of total billed charges,"2,780.64",percent of total billed charges,"2,780.64",percent of total billed charges,"2,780.64",percent of total billed charges,"2,780.64",percent of total billed charges,"2,780.64",percent of total billed charges,"2,780.64",percent of total billed charges,"2,857.88",percent of total billed charges,"2,857.88",percent of total billed charges,"3,089.60",percent of total billed charges,"3,089.60",percent of total billed charges,,,"2,780.64",percent of total billed charges ,,,"3,089.60",percent of total billed charges ,"3,244.08",percent of total billed charges ,"3,244.08",percent of total billed charges ,"3,012.36",percent of total billed charges ,"3,012.36",percent of total billed charges ,"3,089.60",percent of total billed charges ,"3,089.60",percent of total billed charges ,"2,703.40",percent of total billed charges ,"2,703.40",percent of total billed charges ,"2,317.20",percent of total billed charges ,"2,317.20",percent of total billed charges ,"2,317.20",percent of total billed charges ,"2,317.20",percent of total billed charges ,,,,,"2,054.58",percent of total billed charges ,,,,,"1,951.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,,,"1,081.36",percent of total billed charges,
CT SOFT TISSUE NECK W/WO CON,70492,CDM,,,,both,1,each,"4,460.00","4,460.00","1,248.80","4,460.00","4,460.00",percent of total billed charges,"4,460.00",percent of total billed charges,"4,460.00",percent of total billed charges,"4,460.00",percent of total billed charges,"4,460.00",percent of total billed charges,"4,460.00",percent of total billed charges,"4,460.00",percent of total billed charges,"4,460.00",percent of total billed charges,"3,211.20",percent of total billed charges,"3,211.20",percent of total billed charges,"3,211.20",percent of total billed charges,"3,211.20",percent of total billed charges,"3,211.20",percent of total billed charges,"3,211.20",percent of total billed charges,"3,300.40",percent of total billed charges,"3,300.40",percent of total billed charges,"3,568.00",percent of total billed charges,"3,568.00",percent of total billed charges,,,"3,211.20",percent of total billed charges ,,,"3,568.00",percent of total billed charges ,"3,746.40",percent of total billed charges ,"3,746.40",percent of total billed charges ,"3,478.80",percent of total billed charges ,"3,478.80",percent of total billed charges ,"3,568.00",percent of total billed charges ,"3,568.00",percent of total billed charges ,"3,122.00",percent of total billed charges ,"3,122.00",percent of total billed charges ,"2,676.00",percent of total billed charges ,"2,676.00",percent of total billed charges ,"2,676.00",percent of total billed charges ,"2,676.00",percent of total billed charges ,,,,,"2,372.72",percent of total billed charges ,,,,,"2,254.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,,,"1,248.80",percent of total billed charges,
CT THORACIC SPINE W/O CONTRAST,72128,CDM,,,,both,1,each,"3,738.00","3,738.00","1,046.64","3,738.00","3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,766.12",percent of total billed charges,"2,766.12",percent of total billed charges,"2,990.40",percent of total billed charges,"2,990.40",percent of total billed charges,,,"2,691.36",percent of total billed charges ,,,"2,990.40",percent of total billed charges ,"3,139.92",percent of total billed charges ,"3,139.92",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,990.40",percent of total billed charges ,"2,990.40",percent of total billed charges ,"2,616.60",percent of total billed charges ,"2,616.60",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,,,,,"1,988.62",percent of total billed charges ,,,,,"1,889.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,
CT C-SPINE W CONTRAST,72126,CDM,,,,both,1,each,"4,265.00","4,265.00","1,194.20","4,265.00","4,265.00",percent of total billed charges,"4,265.00",percent of total billed charges,"4,265.00",percent of total billed charges,"4,265.00",percent of total billed charges,"4,265.00",percent of total billed charges,"4,265.00",percent of total billed charges,"4,265.00",percent of total billed charges,"4,265.00",percent of total billed charges,"3,070.80",percent of total billed charges,"3,070.80",percent of total billed charges,"3,070.80",percent of total billed charges,"3,070.80",percent of total billed charges,"3,070.80",percent of total billed charges,"3,070.80",percent of total billed charges,"3,156.10",percent of total billed charges,"3,156.10",percent of total billed charges,"3,412.00",percent of total billed charges,"3,412.00",percent of total billed charges,,,"3,070.80",percent of total billed charges ,,,"3,412.00",percent of total billed charges ,"3,582.60",percent of total billed charges ,"3,582.60",percent of total billed charges ,"3,326.70",percent of total billed charges ,"3,326.70",percent of total billed charges ,"3,412.00",percent of total billed charges ,"3,412.00",percent of total billed charges ,"2,985.50",percent of total billed charges ,"2,985.50",percent of total billed charges ,"2,559.00",percent of total billed charges ,"2,559.00",percent of total billed charges ,"2,559.00",percent of total billed charges ,"2,559.00",percent of total billed charges ,,,,,"2,268.98",percent of total billed charges ,,,,,"2,155.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,,,"1,194.20",percent of total billed charges,
CT C-SPINE W& W/O CONTRAST,72127,CDM,,,,both,1,each,"4,273.00","4,273.00","1,196.44","4,273.00","4,273.00",percent of total billed charges,"4,273.00",percent of total billed charges,"4,273.00",percent of total billed charges,"4,273.00",percent of total billed charges,"4,273.00",percent of total billed charges,"4,273.00",percent of total billed charges,"4,273.00",percent of total billed charges,"4,273.00",percent of total billed charges,"3,076.56",percent of total billed charges,"3,076.56",percent of total billed charges,"3,076.56",percent of total billed charges,"3,076.56",percent of total billed charges,"3,076.56",percent of total billed charges,"3,076.56",percent of total billed charges,"3,162.02",percent of total billed charges,"3,162.02",percent of total billed charges,"3,418.40",percent of total billed charges,"3,418.40",percent of total billed charges,,,"3,076.56",percent of total billed charges ,,,"3,418.40",percent of total billed charges ,"3,589.32",percent of total billed charges ,"3,589.32",percent of total billed charges ,"3,332.94",percent of total billed charges ,"3,332.94",percent of total billed charges ,"3,418.40",percent of total billed charges ,"3,418.40",percent of total billed charges ,"2,991.10",percent of total billed charges ,"2,991.10",percent of total billed charges ,"2,563.80",percent of total billed charges ,"2,563.80",percent of total billed charges ,"2,563.80",percent of total billed charges ,"2,563.80",percent of total billed charges ,,,,,"2,273.24",percent of total billed charges ,,,,,"2,159.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,,,"1,196.44",percent of total billed charges,
CT C-SPINE WO CONTRAST,72125,CDM,,,,both,1,each,"3,696.00","3,696.00","1,034.88","3,696.00","3,696.00",percent of total billed charges,"3,696.00",percent of total billed charges,"3,696.00",percent of total billed charges,"3,696.00",percent of total billed charges,"3,696.00",percent of total billed charges,"3,696.00",percent of total billed charges,"3,696.00",percent of total billed charges,"3,696.00",percent of total billed charges,"2,661.12",percent of total billed charges,"2,661.12",percent of total billed charges,"2,661.12",percent of total billed charges,"2,661.12",percent of total billed charges,"2,661.12",percent of total billed charges,"2,661.12",percent of total billed charges,"2,735.04",percent of total billed charges,"2,735.04",percent of total billed charges,"2,956.80",percent of total billed charges,"2,956.80",percent of total billed charges,,,"2,661.12",percent of total billed charges ,,,"2,956.80",percent of total billed charges ,"3,104.64",percent of total billed charges ,"3,104.64",percent of total billed charges ,"2,882.88",percent of total billed charges ,"2,882.88",percent of total billed charges ,"2,956.80",percent of total billed charges ,"2,956.80",percent of total billed charges ,"2,587.20",percent of total billed charges ,"2,587.20",percent of total billed charges ,"2,217.60",percent of total billed charges ,"2,217.60",percent of total billed charges ,"2,217.60",percent of total billed charges ,"2,217.60",percent of total billed charges ,,,,,"1,966.27",percent of total billed charges ,,,,,"1,867.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,,,"1,034.88",percent of total billed charges,
CT LUMBAR SPINE W/O CONTRAST,72131,CDM,,,,both,1,each,"3,897.00","3,897.00","1,091.16","3,897.00","3,897.00",percent of total billed charges,"3,897.00",percent of total billed charges,"3,897.00",percent of total billed charges,"3,897.00",percent of total billed charges,"3,897.00",percent of total billed charges,"3,897.00",percent of total billed charges,"3,897.00",percent of total billed charges,"3,897.00",percent of total billed charges,"2,805.84",percent of total billed charges,"2,805.84",percent of total billed charges,"2,805.84",percent of total billed charges,"2,805.84",percent of total billed charges,"2,805.84",percent of total billed charges,"2,805.84",percent of total billed charges,"2,883.78",percent of total billed charges,"2,883.78",percent of total billed charges,"3,117.60",percent of total billed charges,"3,117.60",percent of total billed charges,,,"2,805.84",percent of total billed charges ,,,"3,117.60",percent of total billed charges ,"3,273.48",percent of total billed charges ,"3,273.48",percent of total billed charges ,"3,039.66",percent of total billed charges ,"3,039.66",percent of total billed charges ,"3,117.60",percent of total billed charges ,"3,117.60",percent of total billed charges ,"2,727.90",percent of total billed charges ,"2,727.90",percent of total billed charges ,"2,338.20",percent of total billed charges ,"2,338.20",percent of total billed charges ,"2,338.20",percent of total billed charges ,"2,338.20",percent of total billed charges ,,,,,"2,073.20",percent of total billed charges ,,,,,"1,969.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,,,"1,091.16",percent of total billed charges,
CT LUMBAR SPINE W/ CONTRAST,72132,CDM,,,,both,1,each,"4,413.00","4,413.00","1,235.64","4,413.00","4,413.00",percent of total billed charges,"4,413.00",percent of total billed charges,"4,413.00",percent of total billed charges,"4,413.00",percent of total billed charges,"4,413.00",percent of total billed charges,"4,413.00",percent of total billed charges,"4,413.00",percent of total billed charges,"4,413.00",percent of total billed charges,"3,177.36",percent of total billed charges,"3,177.36",percent of total billed charges,"3,177.36",percent of total billed charges,"3,177.36",percent of total billed charges,"3,177.36",percent of total billed charges,"3,177.36",percent of total billed charges,"3,265.62",percent of total billed charges,"3,265.62",percent of total billed charges,"3,530.40",percent of total billed charges,"3,530.40",percent of total billed charges,,,"3,177.36",percent of total billed charges ,,,"3,530.40",percent of total billed charges ,"3,706.92",percent of total billed charges ,"3,706.92",percent of total billed charges ,"3,442.14",percent of total billed charges ,"3,442.14",percent of total billed charges ,"3,530.40",percent of total billed charges ,"3,530.40",percent of total billed charges ,"3,089.10",percent of total billed charges ,"3,089.10",percent of total billed charges ,"2,647.80",percent of total billed charges ,"2,647.80",percent of total billed charges ,"2,647.80",percent of total billed charges ,"2,647.80",percent of total billed charges ,,,,,"2,347.72",percent of total billed charges ,,,,,"2,230.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,,,"1,235.64",percent of total billed charges,
CT CHEST W/O CONTRAST,71250,CDM,,,,both,1,each,"2,762.00","2,762.00",773.36,"2,762.00","2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"2,043.88",percent of total billed charges,"2,043.88",percent of total billed charges,"2,209.60",percent of total billed charges,"2,209.60",percent of total billed charges,,,"1,988.64",percent of total billed charges ,,,"2,209.60",percent of total billed charges ,"2,320.08",percent of total billed charges ,"2,320.08",percent of total billed charges ,"2,154.36",percent of total billed charges ,"2,154.36",percent of total billed charges ,"2,209.60",percent of total billed charges ,"2,209.60",percent of total billed charges ,"1,933.40",percent of total billed charges ,"1,933.40",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,,,,,"1,469.38",percent of total billed charges ,,,,,"1,395.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,
CT CHEST W CONTRAST,71260,CDM,,,,both,1,each,"3,404.00","3,404.00",953.12,"3,404.00","3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,518.96",percent of total billed charges,"2,518.96",percent of total billed charges,"2,723.20",percent of total billed charges,"2,723.20",percent of total billed charges,,,"2,450.88",percent of total billed charges ,,,"2,723.20",percent of total billed charges ,"2,859.36",percent of total billed charges ,"2,859.36",percent of total billed charges ,"2,655.12",percent of total billed charges ,"2,655.12",percent of total billed charges ,"2,723.20",percent of total billed charges ,"2,723.20",percent of total billed charges ,"2,382.80",percent of total billed charges ,"2,382.80",percent of total billed charges ,"2,042.40",percent of total billed charges ,"2,042.40",percent of total billed charges ,"2,042.40",percent of total billed charges ,"2,042.40",percent of total billed charges ,,,,,"1,810.93",percent of total billed charges ,,,,,"1,720.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,
CT LIMITED STUDY OR FOLLOW UP,76380,CDM,,,,both,1,each,"1,465.00","1,465.00",410.2,"1,465.00","1,465.00",percent of total billed charges,"1,465.00",percent of total billed charges,"1,465.00",percent of total billed charges,"1,465.00",percent of total billed charges,"1,465.00",percent of total billed charges,"1,465.00",percent of total billed charges,"1,465.00",percent of total billed charges,"1,465.00",percent of total billed charges,"1,054.80",percent of total billed charges,"1,054.80",percent of total billed charges,"1,054.80",percent of total billed charges,"1,054.80",percent of total billed charges,"1,054.80",percent of total billed charges,"1,054.80",percent of total billed charges,"1,084.10",percent of total billed charges,"1,084.10",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,,,"1,054.80",percent of total billed charges ,,,"1,172.00",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,230.60",percent of total billed charges ,"1,142.70",percent of total billed charges ,"1,142.70",percent of total billed charges ,"1,172.00",percent of total billed charges ,"1,172.00",percent of total billed charges ,"1,025.50",percent of total billed charges ,"1,025.50",percent of total billed charges ,879,percent of total billed charges ,879,percent of total billed charges ,879,percent of total billed charges ,879,percent of total billed charges ,,,,,779.38,percent of total billed charges ,,,,,740.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,,,410.2,percent of total billed charges,
CT ABDOMEN W CONTRAST,74160,CDM,,,,both,1,each,"4,113.00","4,113.00","1,151.64","4,113.00","4,113.00",percent of total billed charges,"4,113.00",percent of total billed charges,"4,113.00",percent of total billed charges,"4,113.00",percent of total billed charges,"4,113.00",percent of total billed charges,"4,113.00",percent of total billed charges,"4,113.00",percent of total billed charges,"4,113.00",percent of total billed charges,"2,961.36",percent of total billed charges,"2,961.36",percent of total billed charges,"2,961.36",percent of total billed charges,"2,961.36",percent of total billed charges,"2,961.36",percent of total billed charges,"2,961.36",percent of total billed charges,"3,043.62",percent of total billed charges,"3,043.62",percent of total billed charges,"3,290.40",percent of total billed charges,"3,290.40",percent of total billed charges,,,"2,961.36",percent of total billed charges ,,,"3,290.40",percent of total billed charges ,"3,454.92",percent of total billed charges ,"3,454.92",percent of total billed charges ,"3,208.14",percent of total billed charges ,"3,208.14",percent of total billed charges ,"3,290.40",percent of total billed charges ,"3,290.40",percent of total billed charges ,"2,879.10",percent of total billed charges ,"2,879.10",percent of total billed charges ,"2,467.80",percent of total billed charges ,"2,467.80",percent of total billed charges ,"2,467.80",percent of total billed charges ,"2,467.80",percent of total billed charges ,,,,,"2,188.12",percent of total billed charges ,,,,,"2,078.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,,,"1,151.64",percent of total billed charges,
CT ABDOMEN W/O CONTRAST,74150,CDM,,,,both,1,each,"3,561.00","3,561.00",997.08,"3,561.00","3,561.00",percent of total billed charges,"3,561.00",percent of total billed charges,"3,561.00",percent of total billed charges,"3,561.00",percent of total billed charges,"3,561.00",percent of total billed charges,"3,561.00",percent of total billed charges,"3,561.00",percent of total billed charges,"3,561.00",percent of total billed charges,"2,563.92",percent of total billed charges,"2,563.92",percent of total billed charges,"2,563.92",percent of total billed charges,"2,563.92",percent of total billed charges,"2,563.92",percent of total billed charges,"2,563.92",percent of total billed charges,"2,635.14",percent of total billed charges,"2,635.14",percent of total billed charges,"2,848.80",percent of total billed charges,"2,848.80",percent of total billed charges,,,"2,563.92",percent of total billed charges ,,,"2,848.80",percent of total billed charges ,"2,991.24",percent of total billed charges ,"2,991.24",percent of total billed charges ,"2,777.58",percent of total billed charges ,"2,777.58",percent of total billed charges ,"2,848.80",percent of total billed charges ,"2,848.80",percent of total billed charges ,"2,492.70",percent of total billed charges ,"2,492.70",percent of total billed charges ,"2,136.60",percent of total billed charges ,"2,136.60",percent of total billed charges ,"2,136.60",percent of total billed charges ,"2,136.60",percent of total billed charges ,,,,,"1,894.45",percent of total billed charges ,,,,,"1,799.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,,,997.08,percent of total billed charges,
CT PELVIS WO CONTRAST,72192,CDM,,,,both,1,each,"3,536.00","3,536.00",990.08,"3,536.00","3,536.00",percent of total billed charges,"3,536.00",percent of total billed charges,"3,536.00",percent of total billed charges,"3,536.00",percent of total billed charges,"3,536.00",percent of total billed charges,"3,536.00",percent of total billed charges,"3,536.00",percent of total billed charges,"3,536.00",percent of total billed charges,"2,545.92",percent of total billed charges,"2,545.92",percent of total billed charges,"2,545.92",percent of total billed charges,"2,545.92",percent of total billed charges,"2,545.92",percent of total billed charges,"2,545.92",percent of total billed charges,"2,616.64",percent of total billed charges,"2,616.64",percent of total billed charges,"2,828.80",percent of total billed charges,"2,828.80",percent of total billed charges,,,"2,545.92",percent of total billed charges ,,,"2,828.80",percent of total billed charges ,"2,970.24",percent of total billed charges ,"2,970.24",percent of total billed charges ,"2,758.08",percent of total billed charges ,"2,758.08",percent of total billed charges ,"2,828.80",percent of total billed charges ,"2,828.80",percent of total billed charges ,"2,475.20",percent of total billed charges ,"2,475.20",percent of total billed charges ,"2,121.60",percent of total billed charges ,"2,121.60",percent of total billed charges ,"2,121.60",percent of total billed charges ,"2,121.60",percent of total billed charges ,,,,,"1,881.15",percent of total billed charges ,,,,,"1,787.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,,,990.08,percent of total billed charges,
CT PELVIS W CONTRAST,72193,CDM,,,,both,1,each,"4,153.00","4,153.00","1,162.84","4,153.00","4,153.00",percent of total billed charges,"4,153.00",percent of total billed charges,"4,153.00",percent of total billed charges,"4,153.00",percent of total billed charges,"4,153.00",percent of total billed charges,"4,153.00",percent of total billed charges,"4,153.00",percent of total billed charges,"4,153.00",percent of total billed charges,"2,990.16",percent of total billed charges,"2,990.16",percent of total billed charges,"2,990.16",percent of total billed charges,"2,990.16",percent of total billed charges,"2,990.16",percent of total billed charges,"2,990.16",percent of total billed charges,"3,073.22",percent of total billed charges,"3,073.22",percent of total billed charges,"3,322.40",percent of total billed charges,"3,322.40",percent of total billed charges,,,"2,990.16",percent of total billed charges ,,,"3,322.40",percent of total billed charges ,"3,488.52",percent of total billed charges ,"3,488.52",percent of total billed charges ,"3,239.34",percent of total billed charges ,"3,239.34",percent of total billed charges ,"3,322.40",percent of total billed charges ,"3,322.40",percent of total billed charges ,"2,907.10",percent of total billed charges ,"2,907.10",percent of total billed charges ,"2,491.80",percent of total billed charges ,"2,491.80",percent of total billed charges ,"2,491.80",percent of total billed charges ,"2,491.80",percent of total billed charges ,,,,,"2,209.40",percent of total billed charges ,,,,,"2,098.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,,,"1,162.84",percent of total billed charges,
CT ABD PELVIS W CONTRAST,74177,CDM,,,,both,1,each,"7,241.00","7,241.00","2,027.48","7,241.00","7,241.00",percent of total billed charges,"7,241.00",percent of total billed charges,"7,241.00",percent of total billed charges,"7,241.00",percent of total billed charges,"7,241.00",percent of total billed charges,"7,241.00",percent of total billed charges,"7,241.00",percent of total billed charges,"7,241.00",percent of total billed charges,"5,213.52",percent of total billed charges,"5,213.52",percent of total billed charges,"5,213.52",percent of total billed charges,"5,213.52",percent of total billed charges,"5,213.52",percent of total billed charges,"5,213.52",percent of total billed charges,"5,358.34",percent of total billed charges,"5,358.34",percent of total billed charges,"5,792.80",percent of total billed charges,"5,792.80",percent of total billed charges,,,"5,213.52",percent of total billed charges ,,,"5,792.80",percent of total billed charges ,"6,082.44",percent of total billed charges ,"6,082.44",percent of total billed charges ,"5,647.98",percent of total billed charges ,"5,647.98",percent of total billed charges ,"5,792.80",percent of total billed charges ,"5,792.80",percent of total billed charges ,"5,068.70",percent of total billed charges ,"5,068.70",percent of total billed charges ,"4,344.60",percent of total billed charges ,"4,344.60",percent of total billed charges ,"4,344.60",percent of total billed charges ,"4,344.60",percent of total billed charges ,,,,,"3,852.21",percent of total billed charges ,,,,,"3,659.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,,,"2,027.48",percent of total billed charges,
CT ABD PELVIS WO CONTRAST,74176,CDM,,,,both,1,each,"6,242.00","6,242.00","1,747.76","6,242.00","6,242.00",percent of total billed charges,"6,242.00",percent of total billed charges,"6,242.00",percent of total billed charges,"6,242.00",percent of total billed charges,"6,242.00",percent of total billed charges,"6,242.00",percent of total billed charges,"6,242.00",percent of total billed charges,"6,242.00",percent of total billed charges,"4,494.24",percent of total billed charges,"4,494.24",percent of total billed charges,"4,494.24",percent of total billed charges,"4,494.24",percent of total billed charges,"4,494.24",percent of total billed charges,"4,494.24",percent of total billed charges,"4,619.08",percent of total billed charges,"4,619.08",percent of total billed charges,"4,993.60",percent of total billed charges,"4,993.60",percent of total billed charges,,,"4,494.24",percent of total billed charges ,,,"4,993.60",percent of total billed charges ,"5,243.28",percent of total billed charges ,"5,243.28",percent of total billed charges ,"4,868.76",percent of total billed charges ,"4,868.76",percent of total billed charges ,"4,993.60",percent of total billed charges ,"4,993.60",percent of total billed charges ,"4,369.40",percent of total billed charges ,"4,369.40",percent of total billed charges ,"3,745.20",percent of total billed charges ,"3,745.20",percent of total billed charges ,"3,745.20",percent of total billed charges ,"3,745.20",percent of total billed charges ,,,,,"3,320.74",percent of total billed charges ,,,,,"3,154.71",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,,,"1,747.76",percent of total billed charges,
CT ABD PELVIS  W/WO CONTRAST,74178,CDM,,,,both,1,each,"6,770.00","6,770.00","1,895.60","6,770.00","6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"5,009.80",percent of total billed charges,"5,009.80",percent of total billed charges,"5,416.00",percent of total billed charges,"5,416.00",percent of total billed charges,,,"4,874.40",percent of total billed charges ,,,"5,416.00",percent of total billed charges ,"5,686.80",percent of total billed charges ,"5,686.80",percent of total billed charges ,"5,280.60",percent of total billed charges ,"5,280.60",percent of total billed charges ,"5,416.00",percent of total billed charges ,"5,416.00",percent of total billed charges ,"4,739.00",percent of total billed charges ,"4,739.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,,,,,"3,601.64",percent of total billed charges ,,,,,"3,421.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,
CT CHEST W & WO CONTRAST,71270,CDM,,,,both,1,each,"3,991.00","3,991.00","1,117.48","3,991.00","3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,953.34",percent of total billed charges,"2,953.34",percent of total billed charges,"3,192.80",percent of total billed charges,"3,192.80",percent of total billed charges,,,"2,873.52",percent of total billed charges ,,,"3,192.80",percent of total billed charges ,"3,352.44",percent of total billed charges ,"3,352.44",percent of total billed charges ,"3,112.98",percent of total billed charges ,"3,112.98",percent of total billed charges ,"3,192.80",percent of total billed charges ,"3,192.80",percent of total billed charges ,"2,793.70",percent of total billed charges ,"2,793.70",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,,,,,"2,123.21",percent of total billed charges ,,,,,"2,017.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,
CT ABDOMEN W/WO CONTRAST,74170,CDM,,,,both,1,each,"5,208.00","5,208.00","1,458.24","5,208.00","5,208.00",percent of total billed charges,"5,208.00",percent of total billed charges,"5,208.00",percent of total billed charges,"5,208.00",percent of total billed charges,"5,208.00",percent of total billed charges,"5,208.00",percent of total billed charges,"5,208.00",percent of total billed charges,"5,208.00",percent of total billed charges,"3,749.76",percent of total billed charges,"3,749.76",percent of total billed charges,"3,749.76",percent of total billed charges,"3,749.76",percent of total billed charges,"3,749.76",percent of total billed charges,"3,749.76",percent of total billed charges,"3,853.92",percent of total billed charges,"3,853.92",percent of total billed charges,"4,166.40",percent of total billed charges,"4,166.40",percent of total billed charges,,,"3,749.76",percent of total billed charges ,,,"4,166.40",percent of total billed charges ,"4,374.72",percent of total billed charges ,"4,374.72",percent of total billed charges ,"4,062.24",percent of total billed charges ,"4,062.24",percent of total billed charges ,"4,166.40",percent of total billed charges ,"4,166.40",percent of total billed charges ,"3,645.60",percent of total billed charges ,"3,645.60",percent of total billed charges ,"3,124.80",percent of total billed charges ,"3,124.80",percent of total billed charges ,"3,124.80",percent of total billed charges ,"3,124.80",percent of total billed charges ,,,,,"2,770.66",percent of total billed charges ,,,,,"2,632.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,,,"1,458.24",percent of total billed charges,
CT IVP,74178,CDM,,,,both,1,each,"6,770.00","6,770.00","1,895.60","6,770.00","6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"6,770.00",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"4,874.40",percent of total billed charges,"5,009.80",percent of total billed charges,"5,009.80",percent of total billed charges,"5,416.00",percent of total billed charges,"5,416.00",percent of total billed charges,,,"4,874.40",percent of total billed charges ,,,"5,416.00",percent of total billed charges ,"5,686.80",percent of total billed charges ,"5,686.80",percent of total billed charges ,"5,280.60",percent of total billed charges ,"5,280.60",percent of total billed charges ,"5,416.00",percent of total billed charges ,"5,416.00",percent of total billed charges ,"4,739.00",percent of total billed charges ,"4,739.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,"4,062.00",percent of total billed charges ,,,,,"3,601.64",percent of total billed charges ,,,,,"3,421.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,,,"1,895.60",percent of total billed charges,
CT PELVIMETRY,74710,CDM,,,,both,1,each,"2,010.00","2,010.00",562.8,"2,010.00","2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"2,010.00",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,447.20",percent of total billed charges,"1,487.40",percent of total billed charges,"1,487.40",percent of total billed charges,"1,608.00",percent of total billed charges,"1,608.00",percent of total billed charges,,,"1,447.20",percent of total billed charges ,,,"1,608.00",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,688.40",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,567.80",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,608.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,407.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,"1,206.00",percent of total billed charges ,,,,,"1,069.32",percent of total billed charges ,,,,,"1,015.85",percent of total billed charges ,,,,,,,,,,,,,,,,,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,,,562.8,percent of total billed charges,
CT PELVIS W& WO CONTRAST,72194,CDM,,,,both,1,each,"4,371.00","4,371.00","1,223.88","4,371.00","4,371.00",percent of total billed charges,"4,371.00",percent of total billed charges,"4,371.00",percent of total billed charges,"4,371.00",percent of total billed charges,"4,371.00",percent of total billed charges,"4,371.00",percent of total billed charges,"4,371.00",percent of total billed charges,"4,371.00",percent of total billed charges,"3,147.12",percent of total billed charges,"3,147.12",percent of total billed charges,"3,147.12",percent of total billed charges,"3,147.12",percent of total billed charges,"3,147.12",percent of total billed charges,"3,147.12",percent of total billed charges,"3,234.54",percent of total billed charges,"3,234.54",percent of total billed charges,"3,496.80",percent of total billed charges,"3,496.80",percent of total billed charges,,,"3,147.12",percent of total billed charges ,,,"3,496.80",percent of total billed charges ,"3,671.64",percent of total billed charges ,"3,671.64",percent of total billed charges ,"3,409.38",percent of total billed charges ,"3,409.38",percent of total billed charges ,"3,496.80",percent of total billed charges ,"3,496.80",percent of total billed charges ,"3,059.70",percent of total billed charges ,"3,059.70",percent of total billed charges ,"2,622.60",percent of total billed charges ,"2,622.60",percent of total billed charges ,"2,622.60",percent of total billed charges ,"2,622.60",percent of total billed charges ,,,,,"2,325.37",percent of total billed charges ,,,,,"2,209.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,,,"1,223.88",percent of total billed charges,
CT SINUSES W/O CONTRAST,70486,CDM,,,,both,1,each,"2,611.00","2,611.00",731.08,"2,611.00","2,611.00",percent of total billed charges,"2,611.00",percent of total billed charges,"2,611.00",percent of total billed charges,"2,611.00",percent of total billed charges,"2,611.00",percent of total billed charges,"2,611.00",percent of total billed charges,"2,611.00",percent of total billed charges,"2,611.00",percent of total billed charges,"1,879.92",percent of total billed charges,"1,879.92",percent of total billed charges,"1,879.92",percent of total billed charges,"1,879.92",percent of total billed charges,"1,879.92",percent of total billed charges,"1,879.92",percent of total billed charges,"1,932.14",percent of total billed charges,"1,932.14",percent of total billed charges,"2,088.80",percent of total billed charges,"2,088.80",percent of total billed charges,,,"1,879.92",percent of total billed charges ,,,"2,088.80",percent of total billed charges ,"2,193.24",percent of total billed charges ,"2,193.24",percent of total billed charges ,"2,036.58",percent of total billed charges ,"2,036.58",percent of total billed charges ,"2,088.80",percent of total billed charges ,"2,088.80",percent of total billed charges ,"1,827.70",percent of total billed charges ,"1,827.70",percent of total billed charges ,"1,566.60",percent of total billed charges ,"1,566.60",percent of total billed charges ,"1,566.60",percent of total billed charges ,"1,566.60",percent of total billed charges ,,,,,"1,389.05",percent of total billed charges ,,,,,"1,319.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,,,731.08,percent of total billed charges,
CT SINUSES W / WO CONTRAST,70488,CDM,,,,both,1,each,"4,305.00","4,305.00","1,205.40","4,305.00","4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,185.70",percent of total billed charges,"3,185.70",percent of total billed charges,"3,444.00",percent of total billed charges,"3,444.00",percent of total billed charges,,,"3,099.60",percent of total billed charges ,,,"3,444.00",percent of total billed charges ,"3,616.20",percent of total billed charges ,"3,616.20",percent of total billed charges ,"3,357.90",percent of total billed charges ,"3,357.90",percent of total billed charges ,"3,444.00",percent of total billed charges ,"3,444.00",percent of total billed charges ,"3,013.50",percent of total billed charges ,"3,013.50",percent of total billed charges ,"2,583.00",percent of total billed charges ,"2,583.00",percent of total billed charges ,"2,583.00",percent of total billed charges ,"2,583.00",percent of total billed charges ,,,,,"2,290.26",percent of total billed charges ,,,,,"2,175.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,
CT SINUSES W/ CONTRAST,70487,CDM,,,,both,1,each,"3,707.00","3,707.00","1,037.96","3,707.00","3,707.00",percent of total billed charges,"3,707.00",percent of total billed charges,"3,707.00",percent of total billed charges,"3,707.00",percent of total billed charges,"3,707.00",percent of total billed charges,"3,707.00",percent of total billed charges,"3,707.00",percent of total billed charges,"3,707.00",percent of total billed charges,"2,669.04",percent of total billed charges,"2,669.04",percent of total billed charges,"2,669.04",percent of total billed charges,"2,669.04",percent of total billed charges,"2,669.04",percent of total billed charges,"2,669.04",percent of total billed charges,"2,743.18",percent of total billed charges,"2,743.18",percent of total billed charges,"2,965.60",percent of total billed charges,"2,965.60",percent of total billed charges,,,"2,669.04",percent of total billed charges ,,,"2,965.60",percent of total billed charges ,"3,113.88",percent of total billed charges ,"3,113.88",percent of total billed charges ,"2,891.46",percent of total billed charges ,"2,891.46",percent of total billed charges ,"2,965.60",percent of total billed charges ,"2,965.60",percent of total billed charges ,"2,594.90",percent of total billed charges ,"2,594.90",percent of total billed charges ,"2,224.20",percent of total billed charges ,"2,224.20",percent of total billed charges ,"2,224.20",percent of total billed charges ,"2,224.20",percent of total billed charges ,,,,,"1,972.12",percent of total billed charges ,,,,,"1,873.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,,,"1,037.96",percent of total billed charges,
**CT UE W/ CONTRAST BI,73201,CDM,,,50,both,1,each,"5,617.00","5,617.00","1,572.76","5,617.00","5,617.00",percent of total billed charges,"5,617.00",percent of total billed charges,"5,617.00",percent of total billed charges,"5,617.00",percent of total billed charges,"5,617.00",percent of total billed charges,"5,617.00",percent of total billed charges,"5,617.00",percent of total billed charges,"5,617.00",percent of total billed charges,"4,044.24",percent of total billed charges,"4,044.24",percent of total billed charges,"4,044.24",percent of total billed charges,"4,044.24",percent of total billed charges,"4,044.24",percent of total billed charges,"4,044.24",percent of total billed charges,"4,156.58",percent of total billed charges,"4,156.58",percent of total billed charges,"4,493.60",percent of total billed charges,"4,493.60",percent of total billed charges,,,"4,044.24",percent of total billed charges ,,,"4,493.60",percent of total billed charges ,"4,718.28",percent of total billed charges ,"4,718.28",percent of total billed charges ,"4,381.26",percent of total billed charges ,"4,381.26",percent of total billed charges ,"4,493.60",percent of total billed charges ,"4,493.60",percent of total billed charges ,"3,931.90",percent of total billed charges ,"3,931.90",percent of total billed charges ,"3,370.20",percent of total billed charges ,"3,370.20",percent of total billed charges ,"3,370.20",percent of total billed charges ,"3,370.20",percent of total billed charges ,,,,,"2,988.24",percent of total billed charges ,,,,,"2,838.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,,,"1,572.76",percent of total billed charges,
CT UE W CONTRAST LT,73201,CDM,,,LT,both,1,each,"2,973.00","2,973.00",832.44,"2,973.00","2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,200.02",percent of total billed charges,"2,200.02",percent of total billed charges,"2,378.40",percent of total billed charges,"2,378.40",percent of total billed charges,,,"2,140.56",percent of total billed charges ,,,"2,378.40",percent of total billed charges ,"2,497.32",percent of total billed charges ,"2,497.32",percent of total billed charges ,"2,318.94",percent of total billed charges ,"2,318.94",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,081.10",percent of total billed charges ,"2,081.10",percent of total billed charges ,"1,783.80",percent of total billed charges ,"1,783.80",percent of total billed charges ,"1,783.80",percent of total billed charges ,"1,783.80",percent of total billed charges ,,,,,"1,581.64",percent of total billed charges ,,,,,"1,502.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,
CT UE W CONTRAST RT,73201,CDM,,,RT,both,1,each,"2,973.00","2,973.00",832.44,"2,973.00","2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,973.00",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,140.56",percent of total billed charges,"2,200.02",percent of total billed charges,"2,200.02",percent of total billed charges,"2,378.40",percent of total billed charges,"2,378.40",percent of total billed charges,,,"2,140.56",percent of total billed charges ,,,"2,378.40",percent of total billed charges ,"2,497.32",percent of total billed charges ,"2,497.32",percent of total billed charges ,"2,318.94",percent of total billed charges ,"2,318.94",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,378.40",percent of total billed charges ,"2,081.10",percent of total billed charges ,"2,081.10",percent of total billed charges ,"1,783.80",percent of total billed charges ,"1,783.80",percent of total billed charges ,"1,783.80",percent of total billed charges ,"1,783.80",percent of total billed charges ,,,,,"1,581.64",percent of total billed charges ,,,,,"1,502.55",percent of total billed charges ,,,,,,,,,,,,,,,,,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,,,832.44,percent of total billed charges,
CT LE W/WO CONTRAST,73702,CDM,,,,both,1,each,"3,685.00","3,685.00","1,031.80","3,685.00","3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"3,685.00",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,653.20",percent of total billed charges,"2,726.90",percent of total billed charges,"2,726.90",percent of total billed charges,"2,948.00",percent of total billed charges,"2,948.00",percent of total billed charges,,,"2,653.20",percent of total billed charges ,,,"2,948.00",percent of total billed charges ,"3,095.40",percent of total billed charges ,"3,095.40",percent of total billed charges ,"2,874.30",percent of total billed charges ,"2,874.30",percent of total billed charges ,"2,948.00",percent of total billed charges ,"2,948.00",percent of total billed charges ,"2,579.50",percent of total billed charges ,"2,579.50",percent of total billed charges ,"2,211.00",percent of total billed charges ,"2,211.00",percent of total billed charges ,"2,211.00",percent of total billed charges ,"2,211.00",percent of total billed charges ,,,,,"1,960.42",percent of total billed charges ,,,,,"1,862.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,,,"1,031.80",percent of total billed charges,
CT LE W CONTRAST,73701,CDM,,,,both,1,each,"3,349.00","3,349.00",937.72,"3,349.00","3,349.00",percent of total billed charges,"3,349.00",percent of total billed charges,"3,349.00",percent of total billed charges,"3,349.00",percent of total billed charges,"3,349.00",percent of total billed charges,"3,349.00",percent of total billed charges,"3,349.00",percent of total billed charges,"3,349.00",percent of total billed charges,"2,411.28",percent of total billed charges,"2,411.28",percent of total billed charges,"2,411.28",percent of total billed charges,"2,411.28",percent of total billed charges,"2,411.28",percent of total billed charges,"2,411.28",percent of total billed charges,"2,478.26",percent of total billed charges,"2,478.26",percent of total billed charges,"2,679.20",percent of total billed charges,"2,679.20",percent of total billed charges,,,"2,411.28",percent of total billed charges ,,,"2,679.20",percent of total billed charges ,"2,813.16",percent of total billed charges ,"2,813.16",percent of total billed charges ,"2,612.22",percent of total billed charges ,"2,612.22",percent of total billed charges ,"2,679.20",percent of total billed charges ,"2,679.20",percent of total billed charges ,"2,344.30",percent of total billed charges ,"2,344.30",percent of total billed charges ,"2,009.40",percent of total billed charges ,"2,009.40",percent of total billed charges ,"2,009.40",percent of total billed charges ,"2,009.40",percent of total billed charges ,,,,,"1,781.67",percent of total billed charges ,,,,,"1,692.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,,,937.72,percent of total billed charges,
CT LE W/O CONT LT,73700,CDM,,,LT,both,1,each,"2,610.00","2,610.00",730.8,"2,610.00","2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,931.40",percent of total billed charges,"1,931.40",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,,,"1,879.20",percent of total billed charges ,,,"2,088.00",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,088.00",percent of total billed charges ,"2,088.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,,,,,"1,388.52",percent of total billed charges ,,,,,"1,319.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,
**CT UE W CONTRAST,73201,CDM,,,,both,1,each,"4,686.00","4,686.00","1,312.08","4,686.00","4,686.00",percent of total billed charges,"4,686.00",percent of total billed charges,"4,686.00",percent of total billed charges,"4,686.00",percent of total billed charges,"4,686.00",percent of total billed charges,"4,686.00",percent of total billed charges,"4,686.00",percent of total billed charges,"4,686.00",percent of total billed charges,"3,373.92",percent of total billed charges,"3,373.92",percent of total billed charges,"3,373.92",percent of total billed charges,"3,373.92",percent of total billed charges,"3,373.92",percent of total billed charges,"3,373.92",percent of total billed charges,"3,467.64",percent of total billed charges,"3,467.64",percent of total billed charges,"3,748.80",percent of total billed charges,"3,748.80",percent of total billed charges,,,"3,373.92",percent of total billed charges ,,,"3,748.80",percent of total billed charges ,"3,936.24",percent of total billed charges ,"3,936.24",percent of total billed charges ,"3,655.08",percent of total billed charges ,"3,655.08",percent of total billed charges ,"3,748.80",percent of total billed charges ,"3,748.80",percent of total billed charges ,"3,280.20",percent of total billed charges ,"3,280.20",percent of total billed charges ,"2,811.60",percent of total billed charges ,"2,811.60",percent of total billed charges ,"2,811.60",percent of total billed charges ,"2,811.60",percent of total billed charges ,,,,,"2,492.95",percent of total billed charges ,,,,,"2,368.30",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,,,"1,312.08",percent of total billed charges,
**CT UE W/O CONTRAST,73200,CDM,,,,both,1,each,"3,857.00","3,857.00","1,079.96","3,857.00","3,857.00",percent of total billed charges,"3,857.00",percent of total billed charges,"3,857.00",percent of total billed charges,"3,857.00",percent of total billed charges,"3,857.00",percent of total billed charges,"3,857.00",percent of total billed charges,"3,857.00",percent of total billed charges,"3,857.00",percent of total billed charges,"2,777.04",percent of total billed charges,"2,777.04",percent of total billed charges,"2,777.04",percent of total billed charges,"2,777.04",percent of total billed charges,"2,777.04",percent of total billed charges,"2,777.04",percent of total billed charges,"2,854.18",percent of total billed charges,"2,854.18",percent of total billed charges,"3,085.60",percent of total billed charges,"3,085.60",percent of total billed charges,,,"2,777.04",percent of total billed charges ,,,"3,085.60",percent of total billed charges ,"3,239.88",percent of total billed charges ,"3,239.88",percent of total billed charges ,"3,008.46",percent of total billed charges ,"3,008.46",percent of total billed charges ,"3,085.60",percent of total billed charges ,"3,085.60",percent of total billed charges ,"2,699.90",percent of total billed charges ,"2,699.90",percent of total billed charges ,"2,314.20",percent of total billed charges ,"2,314.20",percent of total billed charges ,"2,314.20",percent of total billed charges ,"2,314.20",percent of total billed charges ,,,,,"2,051.92",percent of total billed charges ,,,,,"1,949.33",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,,,"1,079.96",percent of total billed charges,
**CT UE W/WO CONTRAST,73202,CDM,,,,both,1,each,"5,509.00","5,509.00","1,542.52","5,509.00","5,509.00",percent of total billed charges,"5,509.00",percent of total billed charges,"5,509.00",percent of total billed charges,"5,509.00",percent of total billed charges,"5,509.00",percent of total billed charges,"5,509.00",percent of total billed charges,"5,509.00",percent of total billed charges,"5,509.00",percent of total billed charges,"3,966.48",percent of total billed charges,"3,966.48",percent of total billed charges,"3,966.48",percent of total billed charges,"3,966.48",percent of total billed charges,"3,966.48",percent of total billed charges,"3,966.48",percent of total billed charges,"4,076.66",percent of total billed charges,"4,076.66",percent of total billed charges,"4,407.20",percent of total billed charges,"4,407.20",percent of total billed charges,,,"3,966.48",percent of total billed charges ,,,"4,407.20",percent of total billed charges ,"4,627.56",percent of total billed charges ,"4,627.56",percent of total billed charges ,"4,297.02",percent of total billed charges ,"4,297.02",percent of total billed charges ,"4,407.20",percent of total billed charges ,"4,407.20",percent of total billed charges ,"3,856.30",percent of total billed charges ,"3,856.30",percent of total billed charges ,"3,305.40",percent of total billed charges ,"3,305.40",percent of total billed charges ,"3,305.40",percent of total billed charges ,"3,305.40",percent of total billed charges ,,,,,"2,930.79",percent of total billed charges ,,,,,"2,784.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,,,"1,542.52",percent of total billed charges,
**CT UE W/O CONTRAST BI,73200,CDM,,,50,both,1,each,"6,347.00","6,347.00","1,777.16","6,347.00","6,347.00",percent of total billed charges,"6,347.00",percent of total billed charges,"6,347.00",percent of total billed charges,"6,347.00",percent of total billed charges,"6,347.00",percent of total billed charges,"6,347.00",percent of total billed charges,"6,347.00",percent of total billed charges,"6,347.00",percent of total billed charges,"4,569.84",percent of total billed charges,"4,569.84",percent of total billed charges,"4,569.84",percent of total billed charges,"4,569.84",percent of total billed charges,"4,569.84",percent of total billed charges,"4,569.84",percent of total billed charges,"4,696.78",percent of total billed charges,"4,696.78",percent of total billed charges,"5,077.60",percent of total billed charges,"5,077.60",percent of total billed charges,,,"4,569.84",percent of total billed charges ,,,"5,077.60",percent of total billed charges ,"5,331.48",percent of total billed charges ,"5,331.48",percent of total billed charges ,"4,950.66",percent of total billed charges ,"4,950.66",percent of total billed charges ,"5,077.60",percent of total billed charges ,"5,077.60",percent of total billed charges ,"4,442.90",percent of total billed charges ,"4,442.90",percent of total billed charges ,"3,808.20",percent of total billed charges ,"3,808.20",percent of total billed charges ,"3,808.20",percent of total billed charges ,"3,808.20",percent of total billed charges ,,,,,"3,376.60",percent of total billed charges ,,,,,"3,207.77",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,,,"1,777.16",percent of total billed charges,
CT UE W/O CONTRAST LT,73200,CDM,,,LT,both,1,each,"2,581.00","2,581.00",722.68,"2,581.00","2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,909.94",percent of total billed charges,"1,909.94",percent of total billed charges,"2,064.80",percent of total billed charges,"2,064.80",percent of total billed charges,,,"1,858.32",percent of total billed charges ,,,"2,064.80",percent of total billed charges ,"2,168.04",percent of total billed charges ,"2,168.04",percent of total billed charges ,"2,013.18",percent of total billed charges ,"2,013.18",percent of total billed charges ,"2,064.80",percent of total billed charges ,"2,064.80",percent of total billed charges ,"1,806.70",percent of total billed charges ,"1,806.70",percent of total billed charges ,"1,548.60",percent of total billed charges ,"1,548.60",percent of total billed charges ,"1,548.60",percent of total billed charges ,"1,548.60",percent of total billed charges ,,,,,"1,373.09",percent of total billed charges ,,,,,"1,304.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,
CT UE W/O CONTRAST RT,73200,CDM,,,RT,both,1,each,"2,581.00","2,581.00",722.68,"2,581.00","2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"2,581.00",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,858.32",percent of total billed charges,"1,909.94",percent of total billed charges,"1,909.94",percent of total billed charges,"2,064.80",percent of total billed charges,"2,064.80",percent of total billed charges,,,"1,858.32",percent of total billed charges ,,,"2,064.80",percent of total billed charges ,"2,168.04",percent of total billed charges ,"2,168.04",percent of total billed charges ,"2,013.18",percent of total billed charges ,"2,013.18",percent of total billed charges ,"2,064.80",percent of total billed charges ,"2,064.80",percent of total billed charges ,"1,806.70",percent of total billed charges ,"1,806.70",percent of total billed charges ,"1,548.60",percent of total billed charges ,"1,548.60",percent of total billed charges ,"1,548.60",percent of total billed charges ,"1,548.60",percent of total billed charges ,,,,,"1,373.09",percent of total billed charges ,,,,,"1,304.44",percent of total billed charges ,,,,,,,,,,,,,,,,,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,,,722.68,percent of total billed charges,
**CT UE W/WO CONTRAST BI,73202,CDM,,,50,both,1,each,"6,610.00","6,610.00","1,850.80","6,610.00","6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,891.40",percent of total billed charges,"4,891.40",percent of total billed charges,"5,288.00",percent of total billed charges,"5,288.00",percent of total billed charges,,,"4,759.20",percent of total billed charges ,,,"5,288.00",percent of total billed charges ,"5,552.40",percent of total billed charges ,"5,552.40",percent of total billed charges ,"5,155.80",percent of total billed charges ,"5,155.80",percent of total billed charges ,"5,288.00",percent of total billed charges ,"5,288.00",percent of total billed charges ,"4,627.00",percent of total billed charges ,"4,627.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,,,,,"3,516.52",percent of total billed charges ,,,,,"3,340.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,
CT UE W/WO CONTRAST LT,73202,CDM,,,LT,both,1,each,"3,555.00","3,555.00",995.4,"3,555.00","3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,630.70",percent of total billed charges,"2,630.70",percent of total billed charges,"2,844.00",percent of total billed charges,"2,844.00",percent of total billed charges,,,"2,559.60",percent of total billed charges ,,,"2,844.00",percent of total billed charges ,"2,986.20",percent of total billed charges ,"2,986.20",percent of total billed charges ,"2,772.90",percent of total billed charges ,"2,772.90",percent of total billed charges ,"2,844.00",percent of total billed charges ,"2,844.00",percent of total billed charges ,"2,488.50",percent of total billed charges ,"2,488.50",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,,,,,"1,891.26",percent of total billed charges ,,,,,"1,796.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,
CT UE W/WO CONTRAST RT,73202,CDM,,,RT,both,1,each,"3,555.00","3,555.00",995.4,"3,555.00","3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"3,555.00",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,559.60",percent of total billed charges,"2,630.70",percent of total billed charges,"2,630.70",percent of total billed charges,"2,844.00",percent of total billed charges,"2,844.00",percent of total billed charges,,,"2,559.60",percent of total billed charges ,,,"2,844.00",percent of total billed charges ,"2,986.20",percent of total billed charges ,"2,986.20",percent of total billed charges ,"2,772.90",percent of total billed charges ,"2,772.90",percent of total billed charges ,"2,844.00",percent of total billed charges ,"2,844.00",percent of total billed charges ,"2,488.50",percent of total billed charges ,"2,488.50",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,"2,133.00",percent of total billed charges ,,,,,"1,891.26",percent of total billed charges ,,,,,"1,796.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,,,995.4,percent of total billed charges,
CT LE W/O CONT RT,73700,CDM,,,RT,both,1,each,"2,610.00","2,610.00",730.8,"2,610.00","2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,931.40",percent of total billed charges,"1,931.40",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,,,"1,879.20",percent of total billed charges ,,,"2,088.00",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,088.00",percent of total billed charges ,"2,088.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,,,,,"1,388.52",percent of total billed charges ,,,,,"1,319.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,
CT EXTREM LOWER W/O CONTRAST LT,73700,CDM,,,LT,both,1,each,"2,610.00","2,610.00",730.8,"2,610.00","2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"2,610.00",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,879.20",percent of total billed charges,"1,931.40",percent of total billed charges,"1,931.40",percent of total billed charges,"2,088.00",percent of total billed charges,"2,088.00",percent of total billed charges,,,"1,879.20",percent of total billed charges ,,,"2,088.00",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,192.40",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,035.80",percent of total billed charges ,"2,088.00",percent of total billed charges ,"2,088.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,827.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,"1,566.00",percent of total billed charges ,,,,,"1,388.52",percent of total billed charges ,,,,,"1,319.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,,,730.8,percent of total billed charges,
CT LE W CONTRAST LT,73701,CDM,,,LT,both,1,each,"3,139.00","3,139.00",878.92,"3,139.00","3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,322.86",percent of total billed charges,"2,322.86",percent of total billed charges,"2,511.20",percent of total billed charges,"2,511.20",percent of total billed charges,,,"2,260.08",percent of total billed charges ,,,"2,511.20",percent of total billed charges ,"2,636.76",percent of total billed charges ,"2,636.76",percent of total billed charges ,"2,448.42",percent of total billed charges ,"2,448.42",percent of total billed charges ,"2,511.20",percent of total billed charges ,"2,511.20",percent of total billed charges ,"2,197.30",percent of total billed charges ,"2,197.30",percent of total billed charges ,"1,883.40",percent of total billed charges ,"1,883.40",percent of total billed charges ,"1,883.40",percent of total billed charges ,"1,883.40",percent of total billed charges ,,,,,"1,669.95",percent of total billed charges ,,,,,"1,586.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,
CT LE W CONTRAST RT,73701,CDM,,,RT,both,1,each,"3,139.00","3,139.00",878.92,"3,139.00","3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"3,139.00",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,260.08",percent of total billed charges,"2,322.86",percent of total billed charges,"2,322.86",percent of total billed charges,"2,511.20",percent of total billed charges,"2,511.20",percent of total billed charges,,,"2,260.08",percent of total billed charges ,,,"2,511.20",percent of total billed charges ,"2,636.76",percent of total billed charges ,"2,636.76",percent of total billed charges ,"2,448.42",percent of total billed charges ,"2,448.42",percent of total billed charges ,"2,511.20",percent of total billed charges ,"2,511.20",percent of total billed charges ,"2,197.30",percent of total billed charges ,"2,197.30",percent of total billed charges ,"1,883.40",percent of total billed charges ,"1,883.40",percent of total billed charges ,"1,883.40",percent of total billed charges ,"1,883.40",percent of total billed charges ,,,,,"1,669.95",percent of total billed charges ,,,,,"1,586.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,,,878.92,percent of total billed charges,
CT LE W/WO CONT LT,73702,CDM,,,LT,both,1,each,"4,240.00","4,240.00","1,187.20","4,240.00","4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,137.60",percent of total billed charges,"3,137.60",percent of total billed charges,"3,392.00",percent of total billed charges,"3,392.00",percent of total billed charges,,,"3,052.80",percent of total billed charges ,,,"3,392.00",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,392.00",percent of total billed charges ,"3,392.00",percent of total billed charges ,"2,968.00",percent of total billed charges ,"2,968.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,,,,,"2,255.68",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,
CT LE W/WO CONTRAST RT,73702,CDM,,,RT,both,1,each,"4,240.00","4,240.00","1,187.20","4,240.00","4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"4,240.00",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,052.80",percent of total billed charges,"3,137.60",percent of total billed charges,"3,137.60",percent of total billed charges,"3,392.00",percent of total billed charges,"3,392.00",percent of total billed charges,,,"3,052.80",percent of total billed charges ,,,"3,392.00",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,561.60",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,307.20",percent of total billed charges ,"3,392.00",percent of total billed charges ,"3,392.00",percent of total billed charges ,"2,968.00",percent of total billed charges ,"2,968.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,"2,544.00",percent of total billed charges ,,,,,"2,255.68",percent of total billed charges ,,,,,"2,142.90",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,,,"1,187.20",percent of total billed charges,
CT DVT,73706,CDM,,,,both,1,each,"4,175.00","4,175.00","1,169.00","4,175.00","4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"4,175.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,006.00",percent of total billed charges,"3,089.50",percent of total billed charges,"3,089.50",percent of total billed charges,"3,340.00",percent of total billed charges,"3,340.00",percent of total billed charges,,,"3,006.00",percent of total billed charges ,,,"3,340.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,507.00",percent of total billed charges ,"3,256.50",percent of total billed charges ,"3,256.50",percent of total billed charges ,"3,340.00",percent of total billed charges ,"3,340.00",percent of total billed charges ,"2,922.50",percent of total billed charges ,"2,922.50",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,"2,505.00",percent of total billed charges ,,,,,"2,221.10",percent of total billed charges ,,,,,"2,110.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,,,"1,169.00",percent of total billed charges,
CT LUNG SCREENING,71271,CDM,,,,both,1,each,"1,195.00","1,195.00",334.6,"1,195.00","1,195.00",percent of total billed charges,"1,195.00",percent of total billed charges,"1,195.00",percent of total billed charges,"1,195.00",percent of total billed charges,"1,195.00",percent of total billed charges,"1,195.00",percent of total billed charges,"1,195.00",percent of total billed charges,"1,195.00",percent of total billed charges,860.4,percent of total billed charges,860.4,percent of total billed charges,860.4,percent of total billed charges,860.4,percent of total billed charges,860.4,percent of total billed charges,860.4,percent of total billed charges,884.3,percent of total billed charges,884.3,percent of total billed charges,956,percent of total billed charges,956,percent of total billed charges,,,860.4,percent of total billed charges ,,,956,percent of total billed charges ,"1,003.80",percent of total billed charges ,"1,003.80",percent of total billed charges ,932.1,percent of total billed charges ,932.1,percent of total billed charges ,956,percent of total billed charges ,956,percent of total billed charges ,836.5,percent of total billed charges ,836.5,percent of total billed charges ,717,percent of total billed charges ,717,percent of total billed charges ,717,percent of total billed charges ,717,percent of total billed charges ,,,,,635.74,percent of total billed charges ,,,,,603.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,,,334.6,percent of total billed charges,
CT LUMBAR SPINE W & W/O CONTRAST,72133,CDM,,,,both,1,each,"4,880.00","4,880.00","1,366.40","4,880.00","4,880.00",percent of total billed charges,"4,880.00",percent of total billed charges,"4,880.00",percent of total billed charges,"4,880.00",percent of total billed charges,"4,880.00",percent of total billed charges,"4,880.00",percent of total billed charges,"4,880.00",percent of total billed charges,"4,880.00",percent of total billed charges,"3,513.60",percent of total billed charges,"3,513.60",percent of total billed charges,"3,513.60",percent of total billed charges,"3,513.60",percent of total billed charges,"3,513.60",percent of total billed charges,"3,513.60",percent of total billed charges,"3,611.20",percent of total billed charges,"3,611.20",percent of total billed charges,"3,904.00",percent of total billed charges,"3,904.00",percent of total billed charges,,,"3,513.60",percent of total billed charges ,,,"3,904.00",percent of total billed charges ,"4,099.20",percent of total billed charges ,"4,099.20",percent of total billed charges ,"3,806.40",percent of total billed charges ,"3,806.40",percent of total billed charges ,"3,904.00",percent of total billed charges ,"3,904.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"3,416.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,,,,,"2,596.16",percent of total billed charges ,,,,,"2,466.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,,,"1,366.40",percent of total billed charges,
CT MAXILLOFACIAL W/ CONTRAST,70487,CDM,,,,both,1,each,"3,206.00","3,206.00",897.68,"3,206.00","3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"3,206.00",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,308.32",percent of total billed charges,"2,372.44",percent of total billed charges,"2,372.44",percent of total billed charges,"2,564.80",percent of total billed charges,"2,564.80",percent of total billed charges,,,"2,308.32",percent of total billed charges ,,,"2,564.80",percent of total billed charges ,"2,693.04",percent of total billed charges ,"2,693.04",percent of total billed charges ,"2,500.68",percent of total billed charges ,"2,500.68",percent of total billed charges ,"2,564.80",percent of total billed charges ,"2,564.80",percent of total billed charges ,"2,244.20",percent of total billed charges ,"2,244.20",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,923.60",percent of total billed charges ,"1,923.60",percent of total billed charges ,,,,,"1,705.59",percent of total billed charges ,,,,,"1,620.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,,,897.68,percent of total billed charges,
CT MAXILLOFACIAL W & W/O CONTRAST,70488,CDM,,,,both,1,each,"4,305.00","4,305.00","1,205.40","4,305.00","4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"4,305.00",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,099.60",percent of total billed charges,"3,185.70",percent of total billed charges,"3,185.70",percent of total billed charges,"3,444.00",percent of total billed charges,"3,444.00",percent of total billed charges,,,"3,099.60",percent of total billed charges ,,,"3,444.00",percent of total billed charges ,"3,616.20",percent of total billed charges ,"3,616.20",percent of total billed charges ,"3,357.90",percent of total billed charges ,"3,357.90",percent of total billed charges ,"3,444.00",percent of total billed charges ,"3,444.00",percent of total billed charges ,"3,013.50",percent of total billed charges ,"3,013.50",percent of total billed charges ,"2,583.00",percent of total billed charges ,"2,583.00",percent of total billed charges ,"2,583.00",percent of total billed charges ,"2,583.00",percent of total billed charges ,,,,,"2,290.26",percent of total billed charges ,,,,,"2,175.75",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,,,"1,205.40",percent of total billed charges,
CT CHEST ABD/PELVIS W/O,71250,CDM,,,,both,1,each,"2,947.00","2,947.00",825.16,"2,947.00","2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,180.78",percent of total billed charges,"2,180.78",percent of total billed charges,"2,357.60",percent of total billed charges,"2,357.60",percent of total billed charges,,,"2,121.84",percent of total billed charges ,,,"2,357.60",percent of total billed charges ,"2,475.48",percent of total billed charges ,"2,475.48",percent of total billed charges ,"2,298.66",percent of total billed charges ,"2,298.66",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,062.90",percent of total billed charges ,"2,062.90",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,,,,,"1,567.80",percent of total billed charges ,,,,,"1,489.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,
CT CHEST ABD/PELVIS W,71260,CDM,,,,both,1,each,"3,631.00","3,631.00","1,016.68","3,631.00","3,631.00",percent of total billed charges,"3,631.00",percent of total billed charges,"3,631.00",percent of total billed charges,"3,631.00",percent of total billed charges,"3,631.00",percent of total billed charges,"3,631.00",percent of total billed charges,"3,631.00",percent of total billed charges,"3,631.00",percent of total billed charges,"2,614.32",percent of total billed charges,"2,614.32",percent of total billed charges,"2,614.32",percent of total billed charges,"2,614.32",percent of total billed charges,"2,614.32",percent of total billed charges,"2,614.32",percent of total billed charges,"2,686.94",percent of total billed charges,"2,686.94",percent of total billed charges,"2,904.80",percent of total billed charges,"2,904.80",percent of total billed charges,,,"2,614.32",percent of total billed charges ,,,"2,904.80",percent of total billed charges ,"3,050.04",percent of total billed charges ,"3,050.04",percent of total billed charges ,"2,832.18",percent of total billed charges ,"2,832.18",percent of total billed charges ,"2,904.80",percent of total billed charges ,"2,904.80",percent of total billed charges ,"2,541.70",percent of total billed charges ,"2,541.70",percent of total billed charges ,"2,178.60",percent of total billed charges ,"2,178.60",percent of total billed charges ,"2,178.60",percent of total billed charges ,"2,178.60",percent of total billed charges ,,,,,"1,931.69",percent of total billed charges ,,,,,"1,835.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,,,"1,016.68",percent of total billed charges,
CT CHEST ABD/PELVIS W/O & W,71270,CDM,,,,both,1,each,"3,991.00","3,991.00","1,117.48","3,991.00","3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,953.34",percent of total billed charges,"2,953.34",percent of total billed charges,"3,192.80",percent of total billed charges,"3,192.80",percent of total billed charges,,,"2,873.52",percent of total billed charges ,,,"3,192.80",percent of total billed charges ,"3,352.44",percent of total billed charges ,"3,352.44",percent of total billed charges ,"3,112.98",percent of total billed charges ,"3,112.98",percent of total billed charges ,"3,192.80",percent of total billed charges ,"3,192.80",percent of total billed charges ,"2,793.70",percent of total billed charges ,"2,793.70",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,,,,,"2,123.21",percent of total billed charges ,,,,,"2,017.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,
CT LUNG SCR FOLLOW UP,71250,CDM,,,,both,1,each,"2,762.00","2,762.00",773.36,"2,762.00","2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"2,043.88",percent of total billed charges,"2,043.88",percent of total billed charges,"2,209.60",percent of total billed charges,"2,209.60",percent of total billed charges,,,"1,988.64",percent of total billed charges ,,,"2,209.60",percent of total billed charges ,"2,320.08",percent of total billed charges ,"2,320.08",percent of total billed charges ,"2,154.36",percent of total billed charges ,"2,154.36",percent of total billed charges ,"2,209.60",percent of total billed charges ,"2,209.60",percent of total billed charges ,"1,933.40",percent of total billed charges ,"1,933.40",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,,,,,"1,469.38",percent of total billed charges ,,,,,"1,395.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,
CT ANGIO HEAD AND NECK,70496,CDM,,,,both,1,each,"4,727.00","4,727.00","1,323.56","4,727.00","4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"4,727.00",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,403.44",percent of total billed charges,"3,497.98",percent of total billed charges,"3,497.98",percent of total billed charges,"3,781.60",percent of total billed charges,"3,781.60",percent of total billed charges,,,"3,403.44",percent of total billed charges ,,,"3,781.60",percent of total billed charges ,"3,970.68",percent of total billed charges ,"3,970.68",percent of total billed charges ,"3,687.06",percent of total billed charges ,"3,687.06",percent of total billed charges ,"3,781.60",percent of total billed charges ,"3,781.60",percent of total billed charges ,"3,308.90",percent of total billed charges ,"3,308.90",percent of total billed charges ,"2,836.20",percent of total billed charges ,"2,836.20",percent of total billed charges ,"2,836.20",percent of total billed charges ,"2,836.20",percent of total billed charges ,,,,,"2,514.76",percent of total billed charges ,,,,,"2,389.03",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,,,"1,323.56",percent of total billed charges,
CT ANGIO CHEST ABD/PELVIS,71275,CDM,,,,both,1,each,"4,994.00","4,994.00","1,398.32","4,994.00","4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,695.56",percent of total billed charges,"3,695.56",percent of total billed charges,"3,995.20",percent of total billed charges,"3,995.20",percent of total billed charges,,,"3,595.68",percent of total billed charges ,,,"3,995.20",percent of total billed charges ,"4,194.96",percent of total billed charges ,"4,194.96",percent of total billed charges ,"3,895.32",percent of total billed charges ,"3,895.32",percent of total billed charges ,"3,995.20",percent of total billed charges ,"3,995.20",percent of total billed charges ,"3,495.80",percent of total billed charges ,"3,495.80",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,,,,,"2,656.81",percent of total billed charges ,,,,,"2,523.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,
CT ANGIO CHEST ABDOMEN,71275,CDM,,,,both,1,each,"4,994.00","4,994.00","1,398.32","4,994.00","4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"4,994.00",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,595.68",percent of total billed charges,"3,695.56",percent of total billed charges,"3,695.56",percent of total billed charges,"3,995.20",percent of total billed charges,"3,995.20",percent of total billed charges,,,"3,595.68",percent of total billed charges ,,,"3,995.20",percent of total billed charges ,"4,194.96",percent of total billed charges ,"4,194.96",percent of total billed charges ,"3,895.32",percent of total billed charges ,"3,895.32",percent of total billed charges ,"3,995.20",percent of total billed charges ,"3,995.20",percent of total billed charges ,"3,495.80",percent of total billed charges ,"3,495.80",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,"2,996.40",percent of total billed charges ,,,,,"2,656.81",percent of total billed charges ,,,,,"2,523.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,,,"1,398.32",percent of total billed charges,
CT CHEST ABDOMEN W CONTRAST,71260,CDM,,,,both,1,each,"3,404.00","3,404.00",953.12,"3,404.00","3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"3,404.00",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,450.88",percent of total billed charges,"2,518.96",percent of total billed charges,"2,518.96",percent of total billed charges,"2,723.20",percent of total billed charges,"2,723.20",percent of total billed charges,,,"2,450.88",percent of total billed charges ,,,"2,723.20",percent of total billed charges ,"2,859.36",percent of total billed charges ,"2,859.36",percent of total billed charges ,"2,655.12",percent of total billed charges ,"2,655.12",percent of total billed charges ,"2,723.20",percent of total billed charges ,"2,723.20",percent of total billed charges ,"2,382.80",percent of total billed charges ,"2,382.80",percent of total billed charges ,"2,042.40",percent of total billed charges ,"2,042.40",percent of total billed charges ,"2,042.40",percent of total billed charges ,"2,042.40",percent of total billed charges ,,,,,"1,810.93",percent of total billed charges ,,,,,"1,720.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,,,953.12,percent of total billed charges,
CT CHEST ABDOMEN W/O CONTRAST,71250,CDM,,,,both,1,each,"2,762.00","2,762.00",773.36,"2,762.00","2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"2,762.00",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"1,988.64",percent of total billed charges,"2,043.88",percent of total billed charges,"2,043.88",percent of total billed charges,"2,209.60",percent of total billed charges,"2,209.60",percent of total billed charges,,,"1,988.64",percent of total billed charges ,,,"2,209.60",percent of total billed charges ,"2,320.08",percent of total billed charges ,"2,320.08",percent of total billed charges ,"2,154.36",percent of total billed charges ,"2,154.36",percent of total billed charges ,"2,209.60",percent of total billed charges ,"2,209.60",percent of total billed charges ,"1,933.40",percent of total billed charges ,"1,933.40",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,"1,657.20",percent of total billed charges ,,,,,"1,469.38",percent of total billed charges ,,,,,"1,395.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,,,773.36,percent of total billed charges,
CT CHEST ABDOMEN W/O & W CONTRAST,71270,CDM,,,,both,1,each,"3,991.00","3,991.00","1,117.48","3,991.00","3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"3,991.00",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,873.52",percent of total billed charges,"2,953.34",percent of total billed charges,"2,953.34",percent of total billed charges,"3,192.80",percent of total billed charges,"3,192.80",percent of total billed charges,,,"2,873.52",percent of total billed charges ,,,"3,192.80",percent of total billed charges ,"3,352.44",percent of total billed charges ,"3,352.44",percent of total billed charges ,"3,112.98",percent of total billed charges ,"3,112.98",percent of total billed charges ,"3,192.80",percent of total billed charges ,"3,192.80",percent of total billed charges ,"2,793.70",percent of total billed charges ,"2,793.70",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,"2,394.60",percent of total billed charges ,,,,,"2,123.21",percent of total billed charges ,,,,,"2,017.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,,,"1,117.48",percent of total billed charges,
**CT RECONSTRUCTION,76375,CDM,,,,both,1,each,876,876,245.28,876,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,648.24,percent of total billed charges,648.24,percent of total billed charges,700.8,percent of total billed charges,700.8,percent of total billed charges,,,630.72,percent of total billed charges ,,,700.8,percent of total billed charges ,735.84,percent of total billed charges ,735.84,percent of total billed charges ,683.28,percent of total billed charges ,683.28,percent of total billed charges ,700.8,percent of total billed charges ,700.8,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,525.6,percent of total billed charges ,525.6,percent of total billed charges ,525.6,percent of total billed charges ,525.6,percent of total billed charges ,,,,,466.03,percent of total billed charges ,,,,,442.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,
INFANT UPPER EXT LT 2 VIEWS,73092,CDM,,,LT,both,1,each,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
SPINE AP VIEWS (CER/THOR/LUM,72081,CDM,,,,both,1,each,512,512,143.36,512,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,378.88,percent of total billed charges,378.88,percent of total billed charges,409.6,percent of total billed charges,409.6,percent of total billed charges,,,368.64,percent of total billed charges ,,,409.6,percent of total billed charges ,430.08,percent of total billed charges ,430.08,percent of total billed charges ,399.36,percent of total billed charges ,399.36,percent of total billed charges ,409.6,percent of total billed charges ,409.6,percent of total billed charges ,358.4,percent of total billed charges ,358.4,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,,,,,272.38,percent of total billed charges ,,,,,258.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,
ABDOMEN 1 VIEW,74018,CDM,,,,both,1,each,540,540,151.2,540,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,432,percent of total billed charges,432,percent of total billed charges,,,388.8,percent of total billed charges ,,,432,percent of total billed charges ,453.6,percent of total billed charges ,453.6,percent of total billed charges ,421.2,percent of total billed charges ,421.2,percent of total billed charges ,432,percent of total billed charges ,432,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,324,percent of total billed charges ,,,,,287.28,percent of total billed charges ,,,,,272.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,,,151.2,percent of total billed charges,
ABDOMEN 2 VIEWS,74019,CDM,,,,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
ABDOMEN 3 OR 4 VIEWS (OBST SERIES),74021,CDM,,,,both,1,each,685,685,191.8,685,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,506.9,percent of total billed charges,506.9,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,,,493.2,percent of total billed charges ,,,548,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,534.3,percent of total billed charges ,534.3,percent of total billed charges ,548,percent of total billed charges ,548,percent of total billed charges ,479.5,percent of total billed charges ,479.5,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,,,,,364.42,percent of total billed charges ,,,,,346.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,
ARTHROGRAM TRAY & NEEDLE,LOCAL,LOCAL,,,,both,1,each,572,572,160.16,572,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,423.28,percent of total billed charges,423.28,percent of total billed charges,457.6,percent of total billed charges,457.6,percent of total billed charges,,,411.84,percent of total billed charges ,,,457.6,percent of total billed charges ,480.48,percent of total billed charges ,480.48,percent of total billed charges ,446.16,percent of total billed charges ,446.16,percent of total billed charges ,457.6,percent of total billed charges ,457.6,percent of total billed charges ,400.4,percent of total billed charges ,400.4,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,,,,,304.3,percent of total billed charges ,,,,,289.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,
**ARTHROGRAM HIP,73525,CDM,,,,both,1,each,454,454,127.12,454,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,335.96,percent of total billed charges,335.96,percent of total billed charges,363.2,percent of total billed charges,363.2,percent of total billed charges,,,326.88,percent of total billed charges ,,,363.2,percent of total billed charges ,381.36,percent of total billed charges ,381.36,percent of total billed charges ,354.12,percent of total billed charges ,354.12,percent of total billed charges ,363.2,percent of total billed charges ,363.2,percent of total billed charges ,317.8,percent of total billed charges ,317.8,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,,,,,241.53,percent of total billed charges ,,,,,229.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,
ACR-CLAV JOINTS BILATERAL,73050,CDM,,,,both,1,each,545,545,152.6,545,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,403.3,percent of total billed charges,403.3,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,,,392.4,percent of total billed charges ,,,436,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,425.1,percent of total billed charges ,425.1,percent of total billed charges ,436,percent of total billed charges ,436,percent of total billed charges ,381.5,percent of total billed charges ,381.5,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,,,,,289.94,percent of total billed charges ,,,,,275.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,
INJECTION ARTHROGRAM HIP,27093,CDM,,,,both,1,each,920,920,257.6,920,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,680.8,percent of total billed charges,680.8,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,,,662.4,percent of total billed charges ,,,736,percent of total billed charges ,772.8,percent of total billed charges ,772.8,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,736,percent of total billed charges ,736,percent of total billed charges ,644,percent of total billed charges ,644,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,,,,,489.44,percent of total billed charges ,,,,,464.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,
ARTHROGRAM HIP LT,73525,CDM,,,LT,both,1,each,"1,460.00","1,460.00",408.8,"1,460.00","1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,080.40",percent of total billed charges,"1,080.40",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,,,"1,051.20",percent of total billed charges ,,,"1,168.00",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,138.80",percent of total billed charges ,"1,138.80",percent of total billed charges ,"1,168.00",percent of total billed charges ,"1,168.00",percent of total billed charges ,"1,022.00",percent of total billed charges ,"1,022.00",percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,,,,,776.72,percent of total billed charges ,,,,,737.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,
ARTHROGRAM HIP RT,73525,CDM,,,RT,both,1,each,"1,460.00","1,460.00",408.8,"1,460.00","1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,460.00",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,051.20",percent of total billed charges,"1,080.40",percent of total billed charges,"1,080.40",percent of total billed charges,"1,168.00",percent of total billed charges,"1,168.00",percent of total billed charges,,,"1,051.20",percent of total billed charges ,,,"1,168.00",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,226.40",percent of total billed charges ,"1,138.80",percent of total billed charges ,"1,138.80",percent of total billed charges ,"1,168.00",percent of total billed charges ,"1,168.00",percent of total billed charges ,"1,022.00",percent of total billed charges ,"1,022.00",percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,876,percent of total billed charges ,,,,,776.72,percent of total billed charges ,,,,,737.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,,,408.8,percent of total billed charges,
**ANKLE 3 VIEWS,73610,CDM,,,,both,1,each,533,533,149.24,533,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,394.42,percent of total billed charges,394.42,percent of total billed charges,426.4,percent of total billed charges,426.4,percent of total billed charges,,,383.76,percent of total billed charges ,,,426.4,percent of total billed charges ,447.72,percent of total billed charges ,447.72,percent of total billed charges ,415.74,percent of total billed charges ,415.74,percent of total billed charges ,426.4,percent of total billed charges ,426.4,percent of total billed charges ,373.1,percent of total billed charges ,373.1,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,,,,,283.56,percent of total billed charges ,,,,,269.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,
**ANKLE 3 VIEWS BI,73610,CDM,,,50,both,1,each,641,641,179.48,641,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,641,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,461.52,percent of total billed charges,474.34,percent of total billed charges,474.34,percent of total billed charges,512.8,percent of total billed charges,512.8,percent of total billed charges,,,461.52,percent of total billed charges ,,,512.8,percent of total billed charges ,538.44,percent of total billed charges ,538.44,percent of total billed charges ,499.98,percent of total billed charges ,499.98,percent of total billed charges ,512.8,percent of total billed charges ,512.8,percent of total billed charges ,448.7,percent of total billed charges ,448.7,percent of total billed charges ,384.6,percent of total billed charges ,384.6,percent of total billed charges ,384.6,percent of total billed charges ,384.6,percent of total billed charges ,,,,,341.01,percent of total billed charges ,,,,,323.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,,,179.48,percent of total billed charges,
ANKLE 3 VIEWS RT,73610,CDM,,,RT,both,1,each,562,562,157.36,562,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,415.88,percent of total billed charges,415.88,percent of total billed charges,449.6,percent of total billed charges,449.6,percent of total billed charges,,,404.64,percent of total billed charges ,,,449.6,percent of total billed charges ,472.08,percent of total billed charges ,472.08,percent of total billed charges ,438.36,percent of total billed charges ,438.36,percent of total billed charges ,449.6,percent of total billed charges ,449.6,percent of total billed charges ,393.4,percent of total billed charges ,393.4,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,,,,,298.98,percent of total billed charges ,,,,,284.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,
ANKLE 3 VIEWS LT,73610,CDM,,,LT,both,1,each,562,562,157.36,562,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,415.88,percent of total billed charges,415.88,percent of total billed charges,449.6,percent of total billed charges,449.6,percent of total billed charges,,,404.64,percent of total billed charges ,,,449.6,percent of total billed charges ,472.08,percent of total billed charges ,472.08,percent of total billed charges ,438.36,percent of total billed charges ,438.36,percent of total billed charges ,449.6,percent of total billed charges ,449.6,percent of total billed charges ,393.4,percent of total billed charges ,393.4,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,,,,,298.98,percent of total billed charges ,,,,,284.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,
**ARTHROGRAM SHOULDER BILATERAL,73040,CDM,,,50,both,1,each,855,855,239.4,855,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,855,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,615.6,percent of total billed charges,632.7,percent of total billed charges,632.7,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,,,615.6,percent of total billed charges ,,,684,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,666.9,percent of total billed charges ,666.9,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,598.5,percent of total billed charges ,598.5,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,513,percent of total billed charges ,,,,,454.86,percent of total billed charges ,,,,,432.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,,,239.4,percent of total billed charges,
**ANKLE 2 VIEWS,73600,CDM,,,,both,1,each,408,408,114.24,408,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,301.92,percent of total billed charges,301.92,percent of total billed charges,326.4,percent of total billed charges,326.4,percent of total billed charges,,,293.76,percent of total billed charges ,,,326.4,percent of total billed charges ,342.72,percent of total billed charges ,342.72,percent of total billed charges ,318.24,percent of total billed charges ,318.24,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,,,,,217.06,percent of total billed charges ,,,,,206.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,
**ANKLE 2 VIEWS BI,73600,CDM,,,50,both,,,420,420,117.6,420,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,310.8,percent of total billed charges,310.8,percent of total billed charges,336,percent of total billed charges,336,percent of total billed charges,,,302.4,percent of total billed charges ,,,336,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,,,,,223.44,percent of total billed charges ,,,,,212.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,
ANKLE 2 VIEWS RT,73600,CDM,,,RT,both,1,each,468,468,131.04,468,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,,,336.96,percent of total billed charges ,,,374.4,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,365.04,percent of total billed charges ,365.04,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,,,,,248.98,percent of total billed charges ,,,,,236.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,
ANKLE 2 VIEWS LT,73600,CDM,,,LT,both,1,each,468,468,131.04,468,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,336.96,percent of total billed charges,346.32,percent of total billed charges,346.32,percent of total billed charges,374.4,percent of total billed charges,374.4,percent of total billed charges,,,336.96,percent of total billed charges ,,,374.4,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,365.04,percent of total billed charges ,365.04,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,280.8,percent of total billed charges ,,,,,248.98,percent of total billed charges ,,,,,236.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,,,131.04,percent of total billed charges,
**ARTHROGRAM HIP BILATERAL,73525,CDM,,,50,both,1,each,897,897,251.16,897,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,663.78,percent of total billed charges,663.78,percent of total billed charges,717.6,percent of total billed charges,717.6,percent of total billed charges,,,645.84,percent of total billed charges ,,,717.6,percent of total billed charges ,753.48,percent of total billed charges ,753.48,percent of total billed charges ,699.66,percent of total billed charges ,699.66,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,627.9,percent of total billed charges ,627.9,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,,,,,477.2,percent of total billed charges ,,,,,453.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,
INJECTION ARTHROGRAM HIP BILATERAL,27093,CDM,,,50,both,1,each,920,920,257.6,920,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,920,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,662.4,percent of total billed charges,680.8,percent of total billed charges,680.8,percent of total billed charges,736,percent of total billed charges,736,percent of total billed charges,,,662.4,percent of total billed charges ,,,736,percent of total billed charges ,772.8,percent of total billed charges ,772.8,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,736,percent of total billed charges ,736,percent of total billed charges ,644,percent of total billed charges ,644,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,552,percent of total billed charges ,,,,,489.44,percent of total billed charges ,,,,,464.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,,,257.6,percent of total billed charges,
BARIUM SWALLOW,74220,CDM,,,,both,1,each,848,848,237.44,848,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,627.52,percent of total billed charges,627.52,percent of total billed charges,678.4,percent of total billed charges,678.4,percent of total billed charges,,,610.56,percent of total billed charges ,,,678.4,percent of total billed charges ,712.32,percent of total billed charges ,712.32,percent of total billed charges ,661.44,percent of total billed charges ,661.44,percent of total billed charges ,678.4,percent of total billed charges ,678.4,percent of total billed charges ,593.6,percent of total billed charges ,593.6,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,,,,,451.14,percent of total billed charges ,,,,,428.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,
BONE AGE STUDY,77072,CDM,,,,both,1,each,511,511,143.08,511,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,378.14,percent of total billed charges,378.14,percent of total billed charges,408.8,percent of total billed charges,408.8,percent of total billed charges,,,367.92,percent of total billed charges ,,,408.8,percent of total billed charges ,429.24,percent of total billed charges ,429.24,percent of total billed charges ,398.58,percent of total billed charges ,398.58,percent of total billed charges ,408.8,percent of total billed charges ,408.8,percent of total billed charges ,357.7,percent of total billed charges ,357.7,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,,,,,271.85,percent of total billed charges ,,,,,258.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,
"DXA BONE DENSITY,AXIAL",77080,CDM,,,,both,1,each,887,887,248.36,887,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,656.38,percent of total billed charges,656.38,percent of total billed charges,709.6,percent of total billed charges,709.6,percent of total billed charges,,,638.64,percent of total billed charges ,,,709.6,percent of total billed charges ,745.08,percent of total billed charges ,745.08,percent of total billed charges ,691.86,percent of total billed charges ,691.86,percent of total billed charges ,709.6,percent of total billed charges ,709.6,percent of total billed charges ,620.9,percent of total billed charges ,620.9,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,,,,,471.88,percent of total billed charges ,,,,,448.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,
"DXA BONE DENSITY,PERIPHERAL",77081,CDM,,,,both,,,420,420,117.6,420,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,310.8,percent of total billed charges,310.8,percent of total billed charges,336,percent of total billed charges,336,percent of total billed charges,,,302.4,percent of total billed charges ,,,336,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,,,,,223.44,percent of total billed charges ,,,,,212.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,
BONE LENGTH STUDIES,77073,CDM,,,,both,1,each,674,674,188.72,674,674,percent of total billed charges,674,percent of total billed charges,674,percent of total billed charges,674,percent of total billed charges,674,percent of total billed charges,674,percent of total billed charges,674,percent of total billed charges,674,percent of total billed charges,485.28,percent of total billed charges,485.28,percent of total billed charges,485.28,percent of total billed charges,485.28,percent of total billed charges,485.28,percent of total billed charges,485.28,percent of total billed charges,498.76,percent of total billed charges,498.76,percent of total billed charges,539.2,percent of total billed charges,539.2,percent of total billed charges,,,485.28,percent of total billed charges ,,,539.2,percent of total billed charges ,566.16,percent of total billed charges ,566.16,percent of total billed charges ,525.72,percent of total billed charges ,525.72,percent of total billed charges ,539.2,percent of total billed charges ,539.2,percent of total billed charges ,471.8,percent of total billed charges ,471.8,percent of total billed charges ,404.4,percent of total billed charges ,404.4,percent of total billed charges ,404.4,percent of total billed charges ,404.4,percent of total billed charges ,,,,,358.57,percent of total billed charges ,,,,,340.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,,,188.72,percent of total billed charges,
BONE SURVEY COMPLETE,77075,CDM,,,,both,,,"1,517.00","1,517.00",424.76,"1,517.00","1,517.00",percent of total billed charges,"1,517.00",percent of total billed charges,"1,517.00",percent of total billed charges,"1,517.00",percent of total billed charges,"1,517.00",percent of total billed charges,"1,517.00",percent of total billed charges,"1,517.00",percent of total billed charges,"1,517.00",percent of total billed charges,"1,092.24",percent of total billed charges,"1,092.24",percent of total billed charges,"1,092.24",percent of total billed charges,"1,092.24",percent of total billed charges,"1,092.24",percent of total billed charges,"1,092.24",percent of total billed charges,"1,122.58",percent of total billed charges,"1,122.58",percent of total billed charges,"1,213.60",percent of total billed charges,"1,213.60",percent of total billed charges,,,"1,092.24",percent of total billed charges ,,,"1,213.60",percent of total billed charges ,"1,274.28",percent of total billed charges ,"1,274.28",percent of total billed charges ,"1,183.26",percent of total billed charges ,"1,183.26",percent of total billed charges ,"1,213.60",percent of total billed charges ,"1,213.60",percent of total billed charges ,"1,061.90",percent of total billed charges ,"1,061.90",percent of total billed charges ,910.2,percent of total billed charges ,910.2,percent of total billed charges ,910.2,percent of total billed charges ,910.2,percent of total billed charges ,,,,,807.04,percent of total billed charges ,,,,,766.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,,,424.76,percent of total billed charges,
CENTRAL LINE CATH CK,75898,CDM,,,,both,1,each,"2,266.00","2,266.00",634.48,"2,266.00","2,266.00",percent of total billed charges,"2,266.00",percent of total billed charges,"2,266.00",percent of total billed charges,"2,266.00",percent of total billed charges,"2,266.00",percent of total billed charges,"2,266.00",percent of total billed charges,"2,266.00",percent of total billed charges,"2,266.00",percent of total billed charges,"1,631.52",percent of total billed charges,"1,631.52",percent of total billed charges,"1,631.52",percent of total billed charges,"1,631.52",percent of total billed charges,"1,631.52",percent of total billed charges,"1,631.52",percent of total billed charges,"1,676.84",percent of total billed charges,"1,676.84",percent of total billed charges,"1,812.80",percent of total billed charges,"1,812.80",percent of total billed charges,,,"1,631.52",percent of total billed charges ,,,"1,812.80",percent of total billed charges ,"1,903.44",percent of total billed charges ,"1,903.44",percent of total billed charges ,"1,767.48",percent of total billed charges ,"1,767.48",percent of total billed charges ,"1,812.80",percent of total billed charges ,"1,812.80",percent of total billed charges ,"1,586.20",percent of total billed charges ,"1,586.20",percent of total billed charges ,"1,359.60",percent of total billed charges ,"1,359.60",percent of total billed charges ,"1,359.60",percent of total billed charges ,"1,359.60",percent of total billed charges ,,,,,"1,205.51",percent of total billed charges ,,,,,"1,145.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,,,634.48,percent of total billed charges,
**CHEST DECUB / SPECIAL,71035,CDM,,,,both,1,each,532,532,148.96,532,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,532,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,383.04,percent of total billed charges,393.68,percent of total billed charges,393.68,percent of total billed charges,425.6,percent of total billed charges,425.6,percent of total billed charges,,,383.04,percent of total billed charges ,,,425.6,percent of total billed charges ,446.88,percent of total billed charges ,446.88,percent of total billed charges ,414.96,percent of total billed charges ,414.96,percent of total billed charges ,425.6,percent of total billed charges ,425.6,percent of total billed charges ,372.4,percent of total billed charges ,372.4,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,268.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,,,148.96,percent of total billed charges,
CHEST PA AND LATERAL 2 VIEWS,71046,CDM,,,,both,1,each,611,611,171.08,611,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,611,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,439.92,percent of total billed charges,452.14,percent of total billed charges,452.14,percent of total billed charges,488.8,percent of total billed charges,488.8,percent of total billed charges,,,439.92,percent of total billed charges ,,,488.8,percent of total billed charges ,513.24,percent of total billed charges ,513.24,percent of total billed charges ,476.58,percent of total billed charges ,476.58,percent of total billed charges ,488.8,percent of total billed charges ,488.8,percent of total billed charges ,427.7,percent of total billed charges ,427.7,percent of total billed charges ,366.6,percent of total billed charges ,366.6,percent of total billed charges ,366.6,percent of total billed charges ,366.6,percent of total billed charges ,,,,,325.05,percent of total billed charges ,,,,,308.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,,,171.08,percent of total billed charges,
CHEST 3 VIEWS,71047,CDM,,,,both,1,each,579,579,162.12,579,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,428.46,percent of total billed charges,428.46,percent of total billed charges,463.2,percent of total billed charges,463.2,percent of total billed charges,,,416.88,percent of total billed charges ,,,463.2,percent of total billed charges ,486.36,percent of total billed charges ,486.36,percent of total billed charges ,451.62,percent of total billed charges ,451.62,percent of total billed charges ,463.2,percent of total billed charges ,463.2,percent of total billed charges ,405.3,percent of total billed charges ,405.3,percent of total billed charges ,347.4,percent of total billed charges ,347.4,percent of total billed charges ,347.4,percent of total billed charges ,347.4,percent of total billed charges ,,,,,308.03,percent of total billed charges ,,,,,292.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,
CHEST 1 VIEW,71045,CDM,,,,both,1,each,561,561,157.08,561,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,415.14,percent of total billed charges,415.14,percent of total billed charges,448.8,percent of total billed charges,448.8,percent of total billed charges,,,403.92,percent of total billed charges ,,,448.8,percent of total billed charges ,471.24,percent of total billed charges ,471.24,percent of total billed charges ,437.58,percent of total billed charges ,437.58,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,392.7,percent of total billed charges ,392.7,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,,,,,298.45,percent of total billed charges ,,,,,283.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,
**CHEST PA W/PROFEE (FREEMAN COAL),71010,CDM,,,,both,,,434,434,121.52,434,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,434,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,312.48,percent of total billed charges,321.16,percent of total billed charges,321.16,percent of total billed charges,347.2,percent of total billed charges,347.2,percent of total billed charges,,,312.48,percent of total billed charges ,,,347.2,percent of total billed charges ,364.56,percent of total billed charges ,364.56,percent of total billed charges ,338.52,percent of total billed charges ,338.52,percent of total billed charges ,347.2,percent of total billed charges ,347.2,percent of total billed charges ,303.8,percent of total billed charges ,303.8,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,,,,,230.89,percent of total billed charges ,,,,,219.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,,,121.52,percent of total billed charges,
CHEST 4 VIEWS,71048,CDM,,,,both,,,809,809,226.52,809,809,percent of total billed charges,809,percent of total billed charges,809,percent of total billed charges,809,percent of total billed charges,809,percent of total billed charges,809,percent of total billed charges,809,percent of total billed charges,809,percent of total billed charges,582.48,percent of total billed charges,582.48,percent of total billed charges,582.48,percent of total billed charges,582.48,percent of total billed charges,582.48,percent of total billed charges,582.48,percent of total billed charges,598.66,percent of total billed charges,598.66,percent of total billed charges,647.2,percent of total billed charges,647.2,percent of total billed charges,,,582.48,percent of total billed charges ,,,647.2,percent of total billed charges ,679.56,percent of total billed charges ,679.56,percent of total billed charges ,631.02,percent of total billed charges ,631.02,percent of total billed charges ,647.2,percent of total billed charges ,647.2,percent of total billed charges ,566.3,percent of total billed charges ,566.3,percent of total billed charges ,485.4,percent of total billed charges ,485.4,percent of total billed charges ,485.4,percent of total billed charges ,485.4,percent of total billed charges ,,,,,430.39,percent of total billed charges ,,,,,408.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,,,226.52,percent of total billed charges,
**FLUOROSCOPY - SPECIAL,76001,CDM,,,,both,1,each,"1,559.00","1,559.00",436.52,"1,559.00","1,559.00",percent of total billed charges,"1,559.00",percent of total billed charges,"1,559.00",percent of total billed charges,"1,559.00",percent of total billed charges,"1,559.00",percent of total billed charges,"1,559.00",percent of total billed charges,"1,559.00",percent of total billed charges,"1,559.00",percent of total billed charges,"1,122.48",percent of total billed charges,"1,122.48",percent of total billed charges,"1,122.48",percent of total billed charges,"1,122.48",percent of total billed charges,"1,122.48",percent of total billed charges,"1,122.48",percent of total billed charges,"1,153.66",percent of total billed charges,"1,153.66",percent of total billed charges,"1,247.20",percent of total billed charges,"1,247.20",percent of total billed charges,,,"1,122.48",percent of total billed charges ,,,"1,247.20",percent of total billed charges ,"1,309.56",percent of total billed charges ,"1,309.56",percent of total billed charges ,"1,216.02",percent of total billed charges ,"1,216.02",percent of total billed charges ,"1,247.20",percent of total billed charges ,"1,247.20",percent of total billed charges ,"1,091.30",percent of total billed charges ,"1,091.30",percent of total billed charges ,935.4,percent of total billed charges ,935.4,percent of total billed charges ,935.4,percent of total billed charges ,935.4,percent of total billed charges ,,,,,829.39,percent of total billed charges ,,,,,787.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,,,436.52,percent of total billed charges,
**CLAVICLE - BI,73000,CDM,,,50,both,1,each,569,569,159.32,569,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,421.06,percent of total billed charges,421.06,percent of total billed charges,455.2,percent of total billed charges,455.2,percent of total billed charges,,,409.68,percent of total billed charges ,,,455.2,percent of total billed charges ,477.96,percent of total billed charges ,477.96,percent of total billed charges ,443.82,percent of total billed charges ,443.82,percent of total billed charges ,455.2,percent of total billed charges ,455.2,percent of total billed charges ,398.3,percent of total billed charges ,398.3,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,,,,,302.71,percent of total billed charges ,,,,,287.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,
CLAVICLE RT,73000,CDM,,,RT,both,1,each,501,501,140.28,501,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,370.74,percent of total billed charges,370.74,percent of total billed charges,400.8,percent of total billed charges,400.8,percent of total billed charges,,,360.72,percent of total billed charges ,,,400.8,percent of total billed charges ,420.84,percent of total billed charges ,420.84,percent of total billed charges ,390.78,percent of total billed charges ,390.78,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,350.7,percent of total billed charges ,350.7,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,,,,,266.53,percent of total billed charges ,,,,,253.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,
CLAVICLE LT,73000,CDM,,,LT,both,,,501,501,140.28,501,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,370.74,percent of total billed charges,370.74,percent of total billed charges,400.8,percent of total billed charges,400.8,percent of total billed charges,,,360.72,percent of total billed charges ,,,400.8,percent of total billed charges ,420.84,percent of total billed charges ,420.84,percent of total billed charges ,390.78,percent of total billed charges ,390.78,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,350.7,percent of total billed charges ,350.7,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,,,,,266.53,percent of total billed charges ,,,,,253.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,
**CLAVICLE-COMPLETE,73000,CDM,,,,both,1,each,484,484,135.52,484,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,484,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,348.48,percent of total billed charges,358.16,percent of total billed charges,358.16,percent of total billed charges,387.2,percent of total billed charges,387.2,percent of total billed charges,,,348.48,percent of total billed charges ,,,387.2,percent of total billed charges ,406.56,percent of total billed charges ,406.56,percent of total billed charges ,377.52,percent of total billed charges ,377.52,percent of total billed charges ,387.2,percent of total billed charges ,387.2,percent of total billed charges ,338.8,percent of total billed charges ,338.8,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,,,,,257.49,percent of total billed charges ,,,,,244.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,,,135.52,percent of total billed charges,
CHEST FLUOROSCOPY,76000,CDM,,,,both,1,each,927,927,259.56,927,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,685.98,percent of total billed charges,685.98,percent of total billed charges,741.6,percent of total billed charges,741.6,percent of total billed charges,,,667.44,percent of total billed charges ,,,741.6,percent of total billed charges ,778.68,percent of total billed charges ,778.68,percent of total billed charges ,723.06,percent of total billed charges ,723.06,percent of total billed charges ,741.6,percent of total billed charges ,741.6,percent of total billed charges ,648.9,percent of total billed charges ,648.9,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,,,,,493.16,percent of total billed charges ,,,,,468.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,
AIR CONTRAST COLON,74280,CDM,,,,both,,,"1,551.00","1,551.00",434.28,"1,551.00","1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,551.00",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,116.72",percent of total billed charges,"1,147.74",percent of total billed charges,"1,147.74",percent of total billed charges,"1,240.80",percent of total billed charges,"1,240.80",percent of total billed charges,,,"1,116.72",percent of total billed charges ,,,"1,240.80",percent of total billed charges ,"1,302.84",percent of total billed charges ,"1,302.84",percent of total billed charges ,"1,209.78",percent of total billed charges ,"1,209.78",percent of total billed charges ,"1,240.80",percent of total billed charges ,"1,240.80",percent of total billed charges ,"1,085.70",percent of total billed charges ,"1,085.70",percent of total billed charges ,930.6,percent of total billed charges ,930.6,percent of total billed charges ,930.6,percent of total billed charges ,930.6,percent of total billed charges ,,,,,825.13,percent of total billed charges ,,,,,783.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,,,434.28,percent of total billed charges,
COCCYX AND SACRUM,72220,CDM,,,,both,1,each,650,650,182,650,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,,,468,percent of total billed charges ,,,520,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,507,percent of total billed charges ,507,percent of total billed charges ,520,percent of total billed charges ,520,percent of total billed charges ,455,percent of total billed charges ,455,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,,,,,345.8,percent of total billed charges ,,,,,328.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,
**CONTRAST NONIONIC 240 50CC,A4645,CDM,,,,both,1,each,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
**CYSTO CONRAY II,LOCAL,LOCAL,,,,both,1,each,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
CYSTOGRAM W/INJ FOR CYSTO OR VOID UR,74430,CDM,,,,both,1,each,"1,040.00","1,040.00",291.2,"1,040.00","1,040.00",percent of total billed charges,"1,040.00",percent of total billed charges,"1,040.00",percent of total billed charges,"1,040.00",percent of total billed charges,"1,040.00",percent of total billed charges,"1,040.00",percent of total billed charges,"1,040.00",percent of total billed charges,"1,040.00",percent of total billed charges,748.8,percent of total billed charges,748.8,percent of total billed charges,748.8,percent of total billed charges,748.8,percent of total billed charges,748.8,percent of total billed charges,748.8,percent of total billed charges,769.6,percent of total billed charges,769.6,percent of total billed charges,832,percent of total billed charges,832,percent of total billed charges,,,748.8,percent of total billed charges ,,,832,percent of total billed charges ,873.6,percent of total billed charges ,873.6,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,832,percent of total billed charges ,832,percent of total billed charges ,728,percent of total billed charges ,728,percent of total billed charges ,624,percent of total billed charges ,624,percent of total billed charges ,624,percent of total billed charges ,624,percent of total billed charges ,,,,,553.28,percent of total billed charges ,,,,,525.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,,,291.2,percent of total billed charges,
CYSTOGRAM,74430,CDM,,,,both,1,each,973,973,272.44,973,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,973,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,700.56,percent of total billed charges,720.02,percent of total billed charges,720.02,percent of total billed charges,778.4,percent of total billed charges,778.4,percent of total billed charges,,,700.56,percent of total billed charges ,,,778.4,percent of total billed charges ,817.32,percent of total billed charges ,817.32,percent of total billed charges ,758.94,percent of total billed charges ,758.94,percent of total billed charges ,778.4,percent of total billed charges ,778.4,percent of total billed charges ,681.1,percent of total billed charges ,681.1,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,,,,,517.64,percent of total billed charges ,,,,,491.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,,,272.44,percent of total billed charges,
"INJECTION-SHOULDER,HIP.KNEE JOINT LT",20610,CDM,,,LT,both,1,each,"1,301.00","1,301.00",364.28,"1,301.00","1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,962.74,percent of total billed charges,962.74,percent of total billed charges,"1,040.80",percent of total billed charges,"1,040.80",percent of total billed charges,,,936.72,percent of total billed charges ,,,"1,040.80",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,040.80",percent of total billed charges ,"1,040.80",percent of total billed charges ,910.7,percent of total billed charges ,910.7,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,,,,,692.13,percent of total billed charges ,,,,,657.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,
"INJECTION-SHOULDER,HIP.KNEE JOINT RT",20610,CDM,,,RT,both,1,each,"1,301.00","1,301.00",364.28,"1,301.00","1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,"1,301.00",percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,936.72,percent of total billed charges,962.74,percent of total billed charges,962.74,percent of total billed charges,"1,040.80",percent of total billed charges,"1,040.80",percent of total billed charges,,,936.72,percent of total billed charges ,,,"1,040.80",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,092.84",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,014.78",percent of total billed charges ,"1,040.80",percent of total billed charges ,"1,040.80",percent of total billed charges ,910.7,percent of total billed charges ,910.7,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,780.6,percent of total billed charges ,,,,,692.13,percent of total billed charges ,,,,,657.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,,,364.28,percent of total billed charges,
TOMOGRAPHY,76100,CDM,,,,both,1,each,857,857,239.96,857,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,857,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,617.04,percent of total billed charges,634.18,percent of total billed charges,634.18,percent of total billed charges,685.6,percent of total billed charges,685.6,percent of total billed charges,,,617.04,percent of total billed charges ,,,685.6,percent of total billed charges ,719.88,percent of total billed charges ,719.88,percent of total billed charges ,668.46,percent of total billed charges ,668.46,percent of total billed charges ,685.6,percent of total billed charges ,685.6,percent of total billed charges ,599.9,percent of total billed charges ,599.9,percent of total billed charges ,514.2,percent of total billed charges ,514.2,percent of total billed charges ,514.2,percent of total billed charges ,514.2,percent of total billed charges ,,,,,455.92,percent of total billed charges ,,,,,433.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,,,239.96,percent of total billed charges,
CHOLANGIOGRAM (OR-3),74300,CDM,,,,both,1,each,"1,341.00","1,341.00",375.48,"1,341.00","1,341.00",percent of total billed charges,"1,341.00",percent of total billed charges,"1,341.00",percent of total billed charges,"1,341.00",percent of total billed charges,"1,341.00",percent of total billed charges,"1,341.00",percent of total billed charges,"1,341.00",percent of total billed charges,"1,341.00",percent of total billed charges,965.52,percent of total billed charges,965.52,percent of total billed charges,965.52,percent of total billed charges,965.52,percent of total billed charges,965.52,percent of total billed charges,965.52,percent of total billed charges,992.34,percent of total billed charges,992.34,percent of total billed charges,"1,072.80",percent of total billed charges,"1,072.80",percent of total billed charges,,,965.52,percent of total billed charges ,,,"1,072.80",percent of total billed charges ,"1,126.44",percent of total billed charges ,"1,126.44",percent of total billed charges ,"1,045.98",percent of total billed charges ,"1,045.98",percent of total billed charges ,"1,072.80",percent of total billed charges ,"1,072.80",percent of total billed charges ,938.7,percent of total billed charges ,938.7,percent of total billed charges ,804.6,percent of total billed charges ,804.6,percent of total billed charges ,804.6,percent of total billed charges ,804.6,percent of total billed charges ,,,,,713.41,percent of total billed charges ,,,,,677.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,,,375.48,percent of total billed charges,
GALLBLADDER ORAL CONTRAST,74290,CDM,,,,both,1,each,627,627,175.56,627,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,463.98,percent of total billed charges,463.98,percent of total billed charges,501.6,percent of total billed charges,501.6,percent of total billed charges,,,451.44,percent of total billed charges ,,,501.6,percent of total billed charges ,526.68,percent of total billed charges ,526.68,percent of total billed charges ,489.06,percent of total billed charges ,489.06,percent of total billed charges ,501.6,percent of total billed charges ,501.6,percent of total billed charges ,438.9,percent of total billed charges ,438.9,percent of total billed charges ,376.2,percent of total billed charges ,376.2,percent of total billed charges ,376.2,percent of total billed charges ,376.2,percent of total billed charges ,,,,,333.56,percent of total billed charges ,,,,,316.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,
**T-TUBE CHOLANGIOGRAM POST-OP,74305,CDM,,,,both,1,each,814,814,227.92,814,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,814,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,586.08,percent of total billed charges,602.36,percent of total billed charges,602.36,percent of total billed charges,651.2,percent of total billed charges,651.2,percent of total billed charges,,,586.08,percent of total billed charges ,,,651.2,percent of total billed charges ,683.76,percent of total billed charges ,683.76,percent of total billed charges ,634.92,percent of total billed charges ,634.92,percent of total billed charges ,651.2,percent of total billed charges ,651.2,percent of total billed charges ,569.8,percent of total billed charges ,569.8,percent of total billed charges ,488.4,percent of total billed charges ,488.4,percent of total billed charges ,488.4,percent of total billed charges ,488.4,percent of total billed charges ,,,,,433.05,percent of total billed charges ,,,,,411.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,,,227.92,percent of total billed charges,
**ELBOW 2 VIEWS,73070,CDM,,,,both,1,each,452,452,126.56,452,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,334.48,percent of total billed charges,334.48,percent of total billed charges,361.6,percent of total billed charges,361.6,percent of total billed charges,,,325.44,percent of total billed charges ,,,361.6,percent of total billed charges ,379.68,percent of total billed charges ,379.68,percent of total billed charges ,352.56,percent of total billed charges ,352.56,percent of total billed charges ,361.6,percent of total billed charges ,361.6,percent of total billed charges ,316.4,percent of total billed charges ,316.4,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,,,,,240.46,percent of total billed charges ,,,,,228.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,
RADIOLOGY CONSULTATION,76140,CDM,,,,both,1,each,229,229,64.12,229,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,229,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,164.88,percent of total billed charges,169.46,percent of total billed charges,169.46,percent of total billed charges,183.2,percent of total billed charges,183.2,percent of total billed charges,,,164.88,percent of total billed charges ,,,183.2,percent of total billed charges ,192.36,percent of total billed charges ,192.36,percent of total billed charges ,178.62,percent of total billed charges ,178.62,percent of total billed charges ,183.2,percent of total billed charges ,183.2,percent of total billed charges ,160.3,percent of total billed charges ,160.3,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,137.4,percent of total billed charges ,,,,,121.83,percent of total billed charges ,,,,,115.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,,,64.12,percent of total billed charges,
ESOPHAGUS,74220,CDM,,,,both,1,each,848,848,237.44,848,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,848,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,610.56,percent of total billed charges,627.52,percent of total billed charges,627.52,percent of total billed charges,678.4,percent of total billed charges,678.4,percent of total billed charges,,,610.56,percent of total billed charges ,,,678.4,percent of total billed charges ,712.32,percent of total billed charges ,712.32,percent of total billed charges ,661.44,percent of total billed charges ,661.44,percent of total billed charges ,678.4,percent of total billed charges ,678.4,percent of total billed charges ,593.6,percent of total billed charges ,593.6,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,508.8,percent of total billed charges ,,,,,451.14,percent of total billed charges ,,,,,428.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,,,237.44,percent of total billed charges,
FISTULA SINUS STUDY,76080,CDM,,,,both,1,each,"1,160.00","1,160.00",324.8,"1,160.00","1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,"1,160.00",percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,835.2,percent of total billed charges,858.4,percent of total billed charges,858.4,percent of total billed charges,928,percent of total billed charges,928,percent of total billed charges,,,835.2,percent of total billed charges ,,,928,percent of total billed charges ,974.4,percent of total billed charges ,974.4,percent of total billed charges ,904.8,percent of total billed charges ,904.8,percent of total billed charges ,928,percent of total billed charges ,928,percent of total billed charges ,812,percent of total billed charges ,812,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,696,percent of total billed charges ,,,,,617.12,percent of total billed charges ,,,,,586.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,,,324.8,percent of total billed charges,
INJECTION SINUS TRACT DX (SINOGRAM),20501,CDM,,,,both,1,each,950,950,266,950,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,950,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,684,percent of total billed charges,703,percent of total billed charges,703,percent of total billed charges,760,percent of total billed charges,760,percent of total billed charges,,,684,percent of total billed charges ,,,760,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,741,percent of total billed charges ,741,percent of total billed charges ,760,percent of total billed charges ,760,percent of total billed charges ,665,percent of total billed charges ,665,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,570,percent of total billed charges ,,,,,505.4,percent of total billed charges ,,,,,480.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,,,266,percent of total billed charges,
FACIAL BONES LESS 3VIEWS,70140,CDM,,,,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
**INJ CONTRAST ABSCESS/CYST VIA CATH,49424,CDM,,,,both,1,each,609,609,170.52,609,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,609,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,438.48,percent of total billed charges,450.66,percent of total billed charges,450.66,percent of total billed charges,487.2,percent of total billed charges,487.2,percent of total billed charges,,,438.48,percent of total billed charges ,,,487.2,percent of total billed charges ,511.56,percent of total billed charges ,511.56,percent of total billed charges ,475.02,percent of total billed charges ,475.02,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,426.3,percent of total billed charges ,426.3,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,,,,,323.99,percent of total billed charges ,,,,,307.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,,,170.52,percent of total billed charges,
FACIAL BONES COMPLETE MIN 3 VIEWS,70150,CDM,,,,both,1,each,843,843,236.04,843,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,843,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,606.96,percent of total billed charges,623.82,percent of total billed charges,623.82,percent of total billed charges,674.4,percent of total billed charges,674.4,percent of total billed charges,,,606.96,percent of total billed charges ,,,674.4,percent of total billed charges ,708.12,percent of total billed charges ,708.12,percent of total billed charges ,657.54,percent of total billed charges ,657.54,percent of total billed charges ,674.4,percent of total billed charges ,674.4,percent of total billed charges ,590.1,percent of total billed charges ,590.1,percent of total billed charges ,505.8,percent of total billed charges ,505.8,percent of total billed charges ,505.8,percent of total billed charges ,505.8,percent of total billed charges ,,,,,448.48,percent of total billed charges ,,,,,426.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,,,236.04,percent of total billed charges,
FINGER 1ST DIGIT RT HAND,73140,CDM,,,F5,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FINGER 1ST DIGIT LT HAND,73140,CDM,,,FA,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FINGER 2ND DIGIT LT HAND,73140,CDM,,,F1,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FINGER 2ND DIGIT RT HAND,73140,CDM,,,F6,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FINGER 3RD DIGIT LT HAND,73140,CDM,,,F2,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FEMUR 2 VIEWS LT,73552,CDM,,,LT,both,1,each,509,509,142.52,509,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,376.66,percent of total billed charges,376.66,percent of total billed charges,407.2,percent of total billed charges,407.2,percent of total billed charges,,,366.48,percent of total billed charges ,,,407.2,percent of total billed charges ,427.56,percent of total billed charges ,427.56,percent of total billed charges ,397.02,percent of total billed charges ,397.02,percent of total billed charges ,407.2,percent of total billed charges ,407.2,percent of total billed charges ,356.3,percent of total billed charges ,356.3,percent of total billed charges ,305.4,percent of total billed charges ,305.4,percent of total billed charges ,305.4,percent of total billed charges ,305.4,percent of total billed charges ,,,,,270.79,percent of total billed charges ,,,,,257.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,
FEMUR 2 VIEWS RT,73552,CDM,,,RT,both,1,each,509,509,142.52,509,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,509,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,366.48,percent of total billed charges,376.66,percent of total billed charges,376.66,percent of total billed charges,407.2,percent of total billed charges,407.2,percent of total billed charges,,,366.48,percent of total billed charges ,,,407.2,percent of total billed charges ,427.56,percent of total billed charges ,427.56,percent of total billed charges ,397.02,percent of total billed charges ,397.02,percent of total billed charges ,407.2,percent of total billed charges ,407.2,percent of total billed charges ,356.3,percent of total billed charges ,356.3,percent of total billed charges ,305.4,percent of total billed charges ,305.4,percent of total billed charges ,305.4,percent of total billed charges ,305.4,percent of total billed charges ,,,,,270.79,percent of total billed charges ,,,,,257.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,,,142.52,percent of total billed charges,
**FEMUR 2 VIEWS BI,73550,CDM,,,50,both,1,each,547,547,153.16,547,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,547,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,393.84,percent of total billed charges,404.78,percent of total billed charges,404.78,percent of total billed charges,437.6,percent of total billed charges,437.6,percent of total billed charges,,,393.84,percent of total billed charges ,,,437.6,percent of total billed charges ,459.48,percent of total billed charges ,459.48,percent of total billed charges ,426.66,percent of total billed charges ,426.66,percent of total billed charges ,437.6,percent of total billed charges ,437.6,percent of total billed charges ,382.9,percent of total billed charges ,382.9,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,328.2,percent of total billed charges ,,,,,291,percent of total billed charges ,,,,,276.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,,,153.16,percent of total billed charges,
**FEMUR 2 VIEWS,73550,CDM,,,,both,1,each,632,632,176.96,632,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,455.04,percent of total billed charges,467.68,percent of total billed charges,467.68,percent of total billed charges,505.6,percent of total billed charges,505.6,percent of total billed charges,,,455.04,percent of total billed charges ,,,505.6,percent of total billed charges ,530.88,percent of total billed charges ,530.88,percent of total billed charges ,492.96,percent of total billed charges ,492.96,percent of total billed charges ,505.6,percent of total billed charges ,505.6,percent of total billed charges ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,,,,,336.22,percent of total billed charges ,,,,,319.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,,,176.96,percent of total billed charges,
FINGERS 2 VIEWS,73140,CDM,,,,both,1,each,402,402,112.56,402,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,297.48,percent of total billed charges,297.48,percent of total billed charges,321.6,percent of total billed charges,321.6,percent of total billed charges,,,289.44,percent of total billed charges ,,,321.6,percent of total billed charges ,337.68,percent of total billed charges ,337.68,percent of total billed charges ,313.56,percent of total billed charges ,313.56,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,281.4,percent of total billed charges ,281.4,percent of total billed charges ,241.2,percent of total billed charges ,241.2,percent of total billed charges ,241.2,percent of total billed charges ,241.2,percent of total billed charges ,,,,,213.86,percent of total billed charges ,,,,,203.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,
FLUORO GUIDE OR,76000,CDM,,,,both,1,each,927,927,259.56,927,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,927,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,667.44,percent of total billed charges,685.98,percent of total billed charges,685.98,percent of total billed charges,741.6,percent of total billed charges,741.6,percent of total billed charges,,,667.44,percent of total billed charges ,,,741.6,percent of total billed charges ,778.68,percent of total billed charges ,778.68,percent of total billed charges ,723.06,percent of total billed charges ,723.06,percent of total billed charges ,741.6,percent of total billed charges ,741.6,percent of total billed charges ,648.9,percent of total billed charges ,648.9,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,556.2,percent of total billed charges ,,,,,493.16,percent of total billed charges ,,,,,468.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,,,259.56,percent of total billed charges,
FINGER 3RD DIGIT RT HAND,73140,CDM,,,F7,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FINGER 4TH DIGIT LT HAND,73140,CDM,,,F3,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FINGER 4TH DIGIT RT HAND,73140,CDM,,,F8,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FINGER 5TH DIGIT LT HAND,73140,CDM,,,F4,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
**FOOT 2 VIEWS,73620,CDM,,,,both,1,each,545,545,152.6,545,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,403.3,percent of total billed charges,403.3,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,,,392.4,percent of total billed charges ,,,436,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,425.1,percent of total billed charges ,425.1,percent of total billed charges ,436,percent of total billed charges ,436,percent of total billed charges ,381.5,percent of total billed charges ,381.5,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,,,,,289.94,percent of total billed charges ,,,,,275.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,
**FOOT 3 VIEWS,73630,CDM,,,,both,1,each,634,634,177.52,634,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,469.16,percent of total billed charges,469.16,percent of total billed charges,507.2,percent of total billed charges,507.2,percent of total billed charges,,,456.48,percent of total billed charges ,,,507.2,percent of total billed charges ,532.56,percent of total billed charges ,532.56,percent of total billed charges ,494.52,percent of total billed charges ,494.52,percent of total billed charges ,507.2,percent of total billed charges ,507.2,percent of total billed charges ,443.8,percent of total billed charges ,443.8,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,,,,,337.29,percent of total billed charges ,,,,,320.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,
FINGER 5TH DIGIT RT HAND,73140,CDM,,,F9,both,1,each,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
FLUOROSCOPIC GUIDANCE,77002,CDM,,,,both,1,each,"1,056.00","1,056.00",295.68,"1,056.00","1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,"1,056.00",percent of total billed charges,760.32,percent of total billed charges,760.32,percent of total billed charges,760.32,percent of total billed charges,760.32,percent of total billed charges,760.32,percent of total billed charges,760.32,percent of total billed charges,781.44,percent of total billed charges,781.44,percent of total billed charges,844.8,percent of total billed charges,844.8,percent of total billed charges,,,760.32,percent of total billed charges ,,,844.8,percent of total billed charges ,887.04,percent of total billed charges ,887.04,percent of total billed charges ,823.68,percent of total billed charges ,823.68,percent of total billed charges ,844.8,percent of total billed charges ,844.8,percent of total billed charges ,739.2,percent of total billed charges ,739.2,percent of total billed charges ,633.6,percent of total billed charges ,633.6,percent of total billed charges ,633.6,percent of total billed charges ,633.6,percent of total billed charges ,,,,,561.79,percent of total billed charges ,,,,,533.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,,,295.68,percent of total billed charges,
FLUOROGUIDE FOR SPINE INJECT,77003,CDM,,,,both,1,each,"1,005.00","1,005.00",281.4,"1,005.00","1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,"1,005.00",percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,723.6,percent of total billed charges,743.7,percent of total billed charges,743.7,percent of total billed charges,804,percent of total billed charges,804,percent of total billed charges,,,723.6,percent of total billed charges ,,,804,percent of total billed charges ,844.2,percent of total billed charges ,844.2,percent of total billed charges ,783.9,percent of total billed charges ,783.9,percent of total billed charges ,804,percent of total billed charges ,804,percent of total billed charges ,703.5,percent of total billed charges ,703.5,percent of total billed charges ,603,percent of total billed charges ,603,percent of total billed charges ,603,percent of total billed charges ,603,percent of total billed charges ,,,,,534.66,percent of total billed charges ,,,,,507.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,,,281.4,percent of total billed charges,
**FOREARM 2 VIEWS,73090,CDM,,,,both,,,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
FOREARM 2 VIEWS LT,73090,CDM,,,LT,both,1,each,502,502,140.56,502,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,371.48,percent of total billed charges,371.48,percent of total billed charges,401.6,percent of total billed charges,401.6,percent of total billed charges,,,361.44,percent of total billed charges ,,,401.6,percent of total billed charges ,421.68,percent of total billed charges ,421.68,percent of total billed charges ,391.56,percent of total billed charges ,391.56,percent of total billed charges ,401.6,percent of total billed charges ,401.6,percent of total billed charges ,351.4,percent of total billed charges ,351.4,percent of total billed charges ,301.2,percent of total billed charges ,301.2,percent of total billed charges ,301.2,percent of total billed charges ,301.2,percent of total billed charges ,,,,,267.06,percent of total billed charges ,,,,,253.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,
FOREARM 2 VIEWS RT,73090,CDM,,,RT,both,1,each,502,502,140.56,502,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,502,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,361.44,percent of total billed charges,371.48,percent of total billed charges,371.48,percent of total billed charges,401.6,percent of total billed charges,401.6,percent of total billed charges,,,361.44,percent of total billed charges ,,,401.6,percent of total billed charges ,421.68,percent of total billed charges ,421.68,percent of total billed charges ,391.56,percent of total billed charges ,391.56,percent of total billed charges ,401.6,percent of total billed charges ,401.6,percent of total billed charges ,351.4,percent of total billed charges ,351.4,percent of total billed charges ,301.2,percent of total billed charges ,301.2,percent of total billed charges ,301.2,percent of total billed charges ,301.2,percent of total billed charges ,,,,,267.06,percent of total billed charges ,,,,,253.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,,,140.56,percent of total billed charges,
**FOOT 3 VIEWS BI,73630,CDM,,,50,both,1,each,634,634,177.52,634,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,469.16,percent of total billed charges,469.16,percent of total billed charges,507.2,percent of total billed charges,507.2,percent of total billed charges,,,456.48,percent of total billed charges ,,,507.2,percent of total billed charges ,532.56,percent of total billed charges ,532.56,percent of total billed charges ,494.52,percent of total billed charges ,494.52,percent of total billed charges ,507.2,percent of total billed charges ,507.2,percent of total billed charges ,443.8,percent of total billed charges ,443.8,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,,,,,337.29,percent of total billed charges ,,,,,320.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,
FOOT 3 VIEWS LT,73630,CDM,,,LT,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
FOOT 3 VIEWS RT,73630,CDM,,,RT,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
**FOOT 2 VIEWS BI,73620,CDM,,,50,both,1,each,427,427,119.56,427,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,427,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,307.44,percent of total billed charges,315.98,percent of total billed charges,315.98,percent of total billed charges,341.6,percent of total billed charges,341.6,percent of total billed charges,,,307.44,percent of total billed charges ,,,341.6,percent of total billed charges ,358.68,percent of total billed charges ,358.68,percent of total billed charges ,333.06,percent of total billed charges ,333.06,percent of total billed charges ,341.6,percent of total billed charges ,341.6,percent of total billed charges ,298.9,percent of total billed charges ,298.9,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,,,,,227.16,percent of total billed charges ,,,,,215.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,,,119.56,percent of total billed charges,
FOOT 2 VIEWS RT,73620,CDM,,,RT,both,1,each,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
FOOT 2 VIEWS LT,73620,CDM,,,LT,both,1,each,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
HAND 2 VIEWS LT,73120,CDM,,,LT,both,1,each,489,489,136.92,489,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,361.86,percent of total billed charges,361.86,percent of total billed charges,391.2,percent of total billed charges,391.2,percent of total billed charges,,,352.08,percent of total billed charges ,,,391.2,percent of total billed charges ,410.76,percent of total billed charges ,410.76,percent of total billed charges ,381.42,percent of total billed charges ,381.42,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,342.3,percent of total billed charges ,342.3,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,,,,,260.15,percent of total billed charges ,,,,,247.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,
HAND 2 VIEWS RT,73120,CDM,,,RT,both,1,each,489,489,136.92,489,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,361.86,percent of total billed charges,361.86,percent of total billed charges,391.2,percent of total billed charges,391.2,percent of total billed charges,,,352.08,percent of total billed charges ,,,391.2,percent of total billed charges ,410.76,percent of total billed charges ,410.76,percent of total billed charges ,381.42,percent of total billed charges ,381.42,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,342.3,percent of total billed charges ,342.3,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,,,,,260.15,percent of total billed charges ,,,,,247.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,
**HAND 2 VIEWS BI,73120,CDM,,,50,both,1,each,421,421,117.88,421,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,311.54,percent of total billed charges,311.54,percent of total billed charges,336.8,percent of total billed charges,336.8,percent of total billed charges,,,303.12,percent of total billed charges ,,,336.8,percent of total billed charges ,353.64,percent of total billed charges ,353.64,percent of total billed charges ,328.38,percent of total billed charges ,328.38,percent of total billed charges ,336.8,percent of total billed charges ,336.8,percent of total billed charges ,294.7,percent of total billed charges ,294.7,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,,,,,223.97,percent of total billed charges ,,,,,212.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,
**HAND 2 VIEWS,73120,CDM,,,,both,1,each,401,401,112.28,401,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,296.74,percent of total billed charges,296.74,percent of total billed charges,320.8,percent of total billed charges,320.8,percent of total billed charges,,,288.72,percent of total billed charges ,,,320.8,percent of total billed charges ,336.84,percent of total billed charges ,336.84,percent of total billed charges ,312.78,percent of total billed charges ,312.78,percent of total billed charges ,320.8,percent of total billed charges ,320.8,percent of total billed charges ,280.7,percent of total billed charges ,280.7,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,,,,,213.33,percent of total billed charges ,,,,,202.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,
**HAND 3 VIEWS,73130,CDM,,,,both,1,each,533,533,149.24,533,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,394.42,percent of total billed charges,394.42,percent of total billed charges,426.4,percent of total billed charges,426.4,percent of total billed charges,,,383.76,percent of total billed charges ,,,426.4,percent of total billed charges ,447.72,percent of total billed charges ,447.72,percent of total billed charges ,415.74,percent of total billed charges ,415.74,percent of total billed charges ,426.4,percent of total billed charges ,426.4,percent of total billed charges ,373.1,percent of total billed charges ,373.1,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,,,,,283.56,percent of total billed charges ,,,,,269.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,
**HAND 3 VIEWS BI,73130,CDM,,,50,both,1,each,644,644,180.32,644,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,476.56,percent of total billed charges,476.56,percent of total billed charges,515.2,percent of total billed charges,515.2,percent of total billed charges,,,463.68,percent of total billed charges ,,,515.2,percent of total billed charges ,540.96,percent of total billed charges ,540.96,percent of total billed charges ,502.32,percent of total billed charges ,502.32,percent of total billed charges ,515.2,percent of total billed charges ,515.2,percent of total billed charges ,450.8,percent of total billed charges ,450.8,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,,,,,342.61,percent of total billed charges ,,,,,325.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,
HAND 3 VIEWS LT,73130,CDM,,,LT,both,,,552,552,154.56,552,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,408.48,percent of total billed charges,408.48,percent of total billed charges,441.6,percent of total billed charges,441.6,percent of total billed charges,,,397.44,percent of total billed charges ,,,441.6,percent of total billed charges ,463.68,percent of total billed charges ,463.68,percent of total billed charges ,430.56,percent of total billed charges ,430.56,percent of total billed charges ,441.6,percent of total billed charges ,441.6,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,,,,,293.66,percent of total billed charges ,,,,,278.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,
HAND 3 VIEWS RT,73130,CDM,,,RT,both,1,each,552,552,154.56,552,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,552,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,397.44,percent of total billed charges,408.48,percent of total billed charges,408.48,percent of total billed charges,441.6,percent of total billed charges,441.6,percent of total billed charges,,,397.44,percent of total billed charges ,,,441.6,percent of total billed charges ,463.68,percent of total billed charges ,463.68,percent of total billed charges ,430.56,percent of total billed charges ,430.56,percent of total billed charges ,441.6,percent of total billed charges ,441.6,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,331.2,percent of total billed charges ,,,,,293.66,percent of total billed charges ,,,,,278.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,,,154.56,percent of total billed charges,
**CALCANEUS 2 VIEWS,73650,CDM,,,,both,1,each,408,408,114.24,408,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,293.76,percent of total billed charges,301.92,percent of total billed charges,301.92,percent of total billed charges,326.4,percent of total billed charges,326.4,percent of total billed charges,,,293.76,percent of total billed charges ,,,326.4,percent of total billed charges ,342.72,percent of total billed charges ,342.72,percent of total billed charges ,318.24,percent of total billed charges ,318.24,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,,,,,217.06,percent of total billed charges ,,,,,206.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,,,114.24,percent of total billed charges,
**CALCANEOUS 2 VIEWS BI,73650,CDM,,,50,both,1,each,512,512,143.36,512,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,512,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,368.64,percent of total billed charges,378.88,percent of total billed charges,378.88,percent of total billed charges,409.6,percent of total billed charges,409.6,percent of total billed charges,,,368.64,percent of total billed charges ,,,409.6,percent of total billed charges ,430.08,percent of total billed charges ,430.08,percent of total billed charges ,399.36,percent of total billed charges ,399.36,percent of total billed charges ,409.6,percent of total billed charges ,409.6,percent of total billed charges ,358.4,percent of total billed charges ,358.4,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,307.2,percent of total billed charges ,,,,,272.38,percent of total billed charges ,,,,,258.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,,,143.36,percent of total billed charges,
CALCANEUS 2 VIEWS LT,73650,CDM,,,LT,both,1,each,450,450,126,450,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,324,percent of total billed charges ,,,360,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,360,percent of total billed charges ,360,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,,,,,239.4,percent of total billed charges ,,,,,227.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,
CALCANEUS 2 VIEWS RT,73650,CDM,,,RT,both,1,each,450,450,126,450,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,333,percent of total billed charges,333,percent of total billed charges,360,percent of total billed charges,360,percent of total billed charges,,,324,percent of total billed charges ,,,360,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,360,percent of total billed charges ,360,percent of total billed charges ,315,percent of total billed charges ,315,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,270,percent of total billed charges ,,,,,239.4,percent of total billed charges ,,,,,227.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,,,126,percent of total billed charges,
**HIP 1 VIEW,73500,CDM,,,,both,1,each,418,418,117.04,418,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,418,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,300.96,percent of total billed charges,309.32,percent of total billed charges,309.32,percent of total billed charges,334.4,percent of total billed charges,334.4,percent of total billed charges,,,300.96,percent of total billed charges ,,,334.4,percent of total billed charges ,351.12,percent of total billed charges ,351.12,percent of total billed charges ,326.04,percent of total billed charges ,326.04,percent of total billed charges ,334.4,percent of total billed charges ,334.4,percent of total billed charges ,292.6,percent of total billed charges ,292.6,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,250.8,percent of total billed charges ,,,,,222.38,percent of total billed charges ,,,,,211.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,,,117.04,percent of total billed charges,
**HIP 2 VIEWS,73510,CDM,,,,both,1,each,557,557,155.96,557,557,percent of total billed charges,557,percent of total billed charges,557,percent of total billed charges,557,percent of total billed charges,557,percent of total billed charges,557,percent of total billed charges,557,percent of total billed charges,557,percent of total billed charges,401.04,percent of total billed charges,401.04,percent of total billed charges,401.04,percent of total billed charges,401.04,percent of total billed charges,401.04,percent of total billed charges,401.04,percent of total billed charges,412.18,percent of total billed charges,412.18,percent of total billed charges,445.6,percent of total billed charges,445.6,percent of total billed charges,,,401.04,percent of total billed charges ,,,445.6,percent of total billed charges ,467.88,percent of total billed charges ,467.88,percent of total billed charges ,434.46,percent of total billed charges ,434.46,percent of total billed charges ,445.6,percent of total billed charges ,445.6,percent of total billed charges ,389.9,percent of total billed charges ,389.9,percent of total billed charges ,334.2,percent of total billed charges ,334.2,percent of total billed charges ,334.2,percent of total billed charges ,334.2,percent of total billed charges ,,,,,296.32,percent of total billed charges ,,,,,281.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,,,155.96,percent of total billed charges,
**HIP 1 VIEW LT,73500,CDM,,,LT,both,1,each,391,391,109.48,391,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,289.34,percent of total billed charges,289.34,percent of total billed charges,312.8,percent of total billed charges,312.8,percent of total billed charges,,,281.52,percent of total billed charges ,,,312.8,percent of total billed charges ,328.44,percent of total billed charges ,328.44,percent of total billed charges ,304.98,percent of total billed charges ,304.98,percent of total billed charges ,312.8,percent of total billed charges ,312.8,percent of total billed charges ,273.7,percent of total billed charges ,273.7,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,,,,,208.01,percent of total billed charges ,,,,,197.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,
**HIP 1 VIEW RT,73500,CDM,,,RT,both,1,each,429,429,120.12,429,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,429,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,308.88,percent of total billed charges,317.46,percent of total billed charges,317.46,percent of total billed charges,343.2,percent of total billed charges,343.2,percent of total billed charges,,,308.88,percent of total billed charges ,,,343.2,percent of total billed charges ,360.36,percent of total billed charges ,360.36,percent of total billed charges ,334.62,percent of total billed charges ,334.62,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,300.3,percent of total billed charges ,300.3,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,257.4,percent of total billed charges ,,,,,228.23,percent of total billed charges ,,,,,216.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,,,120.12,percent of total billed charges,
**HIP 2 VIEWS LT,73502,CDM,,,LT,both,,,624,624,174.72,624,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,461.76,percent of total billed charges,461.76,percent of total billed charges,499.2,percent of total billed charges,499.2,percent of total billed charges,,,449.28,percent of total billed charges ,,,499.2,percent of total billed charges ,524.16,percent of total billed charges ,524.16,percent of total billed charges ,486.72,percent of total billed charges ,486.72,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,,,,,331.97,percent of total billed charges ,,,,,315.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,
**HIP 2 VIEWS BI AP PELVIS,73520,CDM,,,,both,1,each,834,834,233.52,834,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,834,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,600.48,percent of total billed charges,617.16,percent of total billed charges,617.16,percent of total billed charges,667.2,percent of total billed charges,667.2,percent of total billed charges,,,600.48,percent of total billed charges ,,,667.2,percent of total billed charges ,700.56,percent of total billed charges ,700.56,percent of total billed charges ,650.52,percent of total billed charges ,650.52,percent of total billed charges ,667.2,percent of total billed charges ,667.2,percent of total billed charges ,583.8,percent of total billed charges ,583.8,percent of total billed charges ,500.4,percent of total billed charges ,500.4,percent of total billed charges ,500.4,percent of total billed charges ,500.4,percent of total billed charges ,,,,,443.69,percent of total billed charges ,,,,,421.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,,,233.52,percent of total billed charges,
**HIP 2 VIEWS RT,73502,CDM,,,RT,both,1,each,624,624,174.72,624,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,461.76,percent of total billed charges,461.76,percent of total billed charges,499.2,percent of total billed charges,499.2,percent of total billed charges,,,449.28,percent of total billed charges ,,,499.2,percent of total billed charges ,524.16,percent of total billed charges ,524.16,percent of total billed charges ,486.72,percent of total billed charges ,486.72,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,,,,,331.97,percent of total billed charges ,,,,,315.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,
HUMERUS 2V RT,73060,CDM,,,RT,both,,,508,508,142.24,508,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,375.92,percent of total billed charges,375.92,percent of total billed charges,406.4,percent of total billed charges,406.4,percent of total billed charges,,,365.76,percent of total billed charges ,,,406.4,percent of total billed charges ,426.72,percent of total billed charges ,426.72,percent of total billed charges ,396.24,percent of total billed charges ,396.24,percent of total billed charges ,406.4,percent of total billed charges ,406.4,percent of total billed charges ,355.6,percent of total billed charges ,355.6,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,,,,,270.26,percent of total billed charges ,,,,,256.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,
HUMERUS 2V LT,73060,CDM,,,LT,both,1,each,508,508,142.24,508,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,365.76,percent of total billed charges,375.92,percent of total billed charges,375.92,percent of total billed charges,406.4,percent of total billed charges,406.4,percent of total billed charges,,,365.76,percent of total billed charges ,,,406.4,percent of total billed charges ,426.72,percent of total billed charges ,426.72,percent of total billed charges ,396.24,percent of total billed charges ,396.24,percent of total billed charges ,406.4,percent of total billed charges ,406.4,percent of total billed charges ,355.6,percent of total billed charges ,355.6,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,304.8,percent of total billed charges ,,,,,270.26,percent of total billed charges ,,,,,256.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,,,142.24,percent of total billed charges,
**HUMERUS 2 VIEWS BI,73060,CDM,,,50,both,1,each,510,510,142.8,510,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,377.4,percent of total billed charges,377.4,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,,,367.2,percent of total billed charges ,,,408,percent of total billed charges ,428.4,percent of total billed charges ,428.4,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,408,percent of total billed charges ,408,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,,,,,271.32,percent of total billed charges ,,,,,257.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,
**HUMERUS 2 VIEWS,73060,CDM,,,,both,1,each,510,510,142.8,510,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,377.4,percent of total billed charges,377.4,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,,,367.2,percent of total billed charges ,,,408,percent of total billed charges ,428.4,percent of total billed charges ,428.4,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,408,percent of total billed charges ,408,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,,,,,271.32,percent of total billed charges ,,,,,257.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,
**IVP W/TOMOGRAMS,74415,CDM,,,,both,1,each,"1,766.00","1,766.00",494.48,"1,766.00","1,766.00",percent of total billed charges,"1,766.00",percent of total billed charges,"1,766.00",percent of total billed charges,"1,766.00",percent of total billed charges,"1,766.00",percent of total billed charges,"1,766.00",percent of total billed charges,"1,766.00",percent of total billed charges,"1,766.00",percent of total billed charges,"1,271.52",percent of total billed charges,"1,271.52",percent of total billed charges,"1,271.52",percent of total billed charges,"1,271.52",percent of total billed charges,"1,271.52",percent of total billed charges,"1,271.52",percent of total billed charges,"1,306.84",percent of total billed charges,"1,306.84",percent of total billed charges,"1,412.80",percent of total billed charges,"1,412.80",percent of total billed charges,,,"1,271.52",percent of total billed charges ,,,"1,412.80",percent of total billed charges ,"1,483.44",percent of total billed charges ,"1,483.44",percent of total billed charges ,"1,377.48",percent of total billed charges ,"1,377.48",percent of total billed charges ,"1,412.80",percent of total billed charges ,"1,412.80",percent of total billed charges ,"1,236.20",percent of total billed charges ,"1,236.20",percent of total billed charges ,"1,059.60",percent of total billed charges ,"1,059.60",percent of total billed charges ,"1,059.60",percent of total billed charges ,"1,059.60",percent of total billed charges ,,,,,939.51,percent of total billed charges ,,,,,892.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,,,494.48,percent of total billed charges,
IVP LIMITED,74400,CDM,,,,both,1,each,"1,477.00","1,477.00",413.56,"1,477.00","1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,477.00",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,063.44",percent of total billed charges,"1,092.98",percent of total billed charges,"1,092.98",percent of total billed charges,"1,181.60",percent of total billed charges,"1,181.60",percent of total billed charges,,,"1,063.44",percent of total billed charges ,,,"1,181.60",percent of total billed charges ,"1,240.68",percent of total billed charges ,"1,240.68",percent of total billed charges ,"1,152.06",percent of total billed charges ,"1,152.06",percent of total billed charges ,"1,181.60",percent of total billed charges ,"1,181.60",percent of total billed charges ,"1,033.90",percent of total billed charges ,"1,033.90",percent of total billed charges ,886.2,percent of total billed charges ,886.2,percent of total billed charges ,886.2,percent of total billed charges ,886.2,percent of total billed charges ,,,,,785.76,percent of total billed charges ,,,,,746.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,,,413.56,percent of total billed charges,
MANDIBLE 4 VIEWS,70110,CDM,,,,both,1,each,748,748,209.44,748,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,553.52,percent of total billed charges,553.52,percent of total billed charges,598.4,percent of total billed charges,598.4,percent of total billed charges,,,538.56,percent of total billed charges ,,,598.4,percent of total billed charges ,628.32,percent of total billed charges ,628.32,percent of total billed charges ,583.44,percent of total billed charges ,583.44,percent of total billed charges ,598.4,percent of total billed charges ,598.4,percent of total billed charges ,523.6,percent of total billed charges ,523.6,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,,,,,397.94,percent of total billed charges ,,,,,378.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,
MANDIBLE PARTIAL LESS THAN 4 VIEWS,70100,CDM,,,,both,,,510,510,142.8,510,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,510,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,377.4,percent of total billed charges,377.4,percent of total billed charges,408,percent of total billed charges,408,percent of total billed charges,,,367.2,percent of total billed charges ,,,408,percent of total billed charges ,428.4,percent of total billed charges ,428.4,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,408,percent of total billed charges ,408,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,306,percent of total billed charges ,,,,,271.32,percent of total billed charges ,,,,,257.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,,,142.8,percent of total billed charges,
**KNEE 1 OR 2 VIEWS BI,73560,CDM,,,50,both,1,each,561,561,157.08,561,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,415.14,percent of total billed charges,415.14,percent of total billed charges,448.8,percent of total billed charges,448.8,percent of total billed charges,,,403.92,percent of total billed charges ,,,448.8,percent of total billed charges ,471.24,percent of total billed charges ,471.24,percent of total billed charges ,437.58,percent of total billed charges ,437.58,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,392.7,percent of total billed charges ,392.7,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,,,,,298.45,percent of total billed charges ,,,,,283.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,
KNEE 1 OR 2 VIEWS RT,73560,CDM,,,RT,both,1,each,490,490,137.2,490,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,362.6,percent of total billed charges,362.6,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,,,352.8,percent of total billed charges ,,,392,percent of total billed charges ,411.6,percent of total billed charges ,411.6,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,392,percent of total billed charges ,392,percent of total billed charges ,343,percent of total billed charges ,343,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,,,,,260.68,percent of total billed charges ,,,,,247.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,
KNEE 1 OR 2 VIEWS LT,73560,CDM,,,LT,both,1,each,490,490,137.2,490,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,362.6,percent of total billed charges,362.6,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,,,352.8,percent of total billed charges ,,,392,percent of total billed charges ,411.6,percent of total billed charges ,411.6,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,392,percent of total billed charges ,392,percent of total billed charges ,343,percent of total billed charges ,343,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,,,,,260.68,percent of total billed charges ,,,,,247.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,
**KNEE 1 OR 2 VIEWS,73560,CDM,,,,both,1,each,474,474,132.72,474,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,474,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,341.28,percent of total billed charges,350.76,percent of total billed charges,350.76,percent of total billed charges,379.2,percent of total billed charges,379.2,percent of total billed charges,,,341.28,percent of total billed charges ,,,379.2,percent of total billed charges ,398.16,percent of total billed charges ,398.16,percent of total billed charges ,369.72,percent of total billed charges ,369.72,percent of total billed charges ,379.2,percent of total billed charges ,379.2,percent of total billed charges ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,284.4,percent of total billed charges ,,,,,252.17,percent of total billed charges ,,,,,239.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,,,132.72,percent of total billed charges,
**KNEE 4 OR MORE,73564,CDM,,,,both,1,each,596,596,166.88,596,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,441.04,percent of total billed charges,441.04,percent of total billed charges,476.8,percent of total billed charges,476.8,percent of total billed charges,,,429.12,percent of total billed charges ,,,476.8,percent of total billed charges ,500.64,percent of total billed charges ,500.64,percent of total billed charges ,464.88,percent of total billed charges ,464.88,percent of total billed charges ,476.8,percent of total billed charges ,476.8,percent of total billed charges ,417.2,percent of total billed charges ,417.2,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,,,,,317.07,percent of total billed charges ,,,,,301.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,
KNEE 4 OR MORE RT,73564,CDM,,,RT,both,,,701,701,196.28,701,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,518.74,percent of total billed charges,518.74,percent of total billed charges,560.8,percent of total billed charges,560.8,percent of total billed charges,,,504.72,percent of total billed charges ,,,560.8,percent of total billed charges ,588.84,percent of total billed charges ,588.84,percent of total billed charges ,546.78,percent of total billed charges ,546.78,percent of total billed charges ,560.8,percent of total billed charges ,560.8,percent of total billed charges ,490.7,percent of total billed charges ,490.7,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,,,,,372.93,percent of total billed charges ,,,,,354.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,
KNEE 4 OR MORE LT,73564,CDM,,,LT,both,1,each,701,701,196.28,701,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,701,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,504.72,percent of total billed charges,518.74,percent of total billed charges,518.74,percent of total billed charges,560.8,percent of total billed charges,560.8,percent of total billed charges,,,504.72,percent of total billed charges ,,,560.8,percent of total billed charges ,588.84,percent of total billed charges ,588.84,percent of total billed charges ,546.78,percent of total billed charges ,546.78,percent of total billed charges ,560.8,percent of total billed charges ,560.8,percent of total billed charges ,490.7,percent of total billed charges ,490.7,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,420.6,percent of total billed charges ,,,,,372.93,percent of total billed charges ,,,,,354.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,,,196.28,percent of total billed charges,
**KNEE 4 OR MORE BI,73564,CDM,,,50,both,1,each,"1,065.00","1,065.00",298.2,"1,065.00","1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,788.1,percent of total billed charges,788.1,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,,,766.8,percent of total billed charges ,,,852,percent of total billed charges ,894.6,percent of total billed charges ,894.6,percent of total billed charges ,830.7,percent of total billed charges ,830.7,percent of total billed charges ,852,percent of total billed charges ,852,percent of total billed charges ,745.5,percent of total billed charges ,745.5,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,,,,,566.58,percent of total billed charges ,,,,,538.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,
KNEES BILATERAL STANDING,73565,CDM,,,,both,,,453,453,126.84,453,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,453,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,326.16,percent of total billed charges,335.22,percent of total billed charges,335.22,percent of total billed charges,362.4,percent of total billed charges,362.4,percent of total billed charges,,,326.16,percent of total billed charges ,,,362.4,percent of total billed charges ,380.52,percent of total billed charges ,380.52,percent of total billed charges ,353.34,percent of total billed charges ,353.34,percent of total billed charges ,362.4,percent of total billed charges ,362.4,percent of total billed charges ,317.1,percent of total billed charges ,317.1,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,271.8,percent of total billed charges ,,,,,241,percent of total billed charges ,,,,,228.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,,,126.84,percent of total billed charges,
**ELBOW 3 VIEWS,73080,CDM,,,,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
**ELBOW 3 VIEWS BI,73080,CDM,,,50,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
ELBOW 3 VIEWS RT,73080,CDM,,,RT,both,1,each,560,560,156.8,560,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,,,403.2,percent of total billed charges ,,,448,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,448,percent of total billed charges ,448,percent of total billed charges ,392,percent of total billed charges ,392,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,,,,,297.92,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,
ELBOW 3 VIEWS LT,73080,CDM,,,LT,both,,,560,560,156.8,560,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,,,403.2,percent of total billed charges ,,,448,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,448,percent of total billed charges ,448,percent of total billed charges ,392,percent of total billed charges ,392,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,,,,,297.92,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,
ELBOW 2 VIEWS RT,73070,CDM,,,RT,both,1,each,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
**ELBOW 2 VIEWS BI,73070,CDM,,,50,both,1,each,803,803,224.84,803,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,803,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,578.16,percent of total billed charges,594.22,percent of total billed charges,594.22,percent of total billed charges,642.4,percent of total billed charges,642.4,percent of total billed charges,,,578.16,percent of total billed charges ,,,642.4,percent of total billed charges ,674.52,percent of total billed charges ,674.52,percent of total billed charges ,626.34,percent of total billed charges ,626.34,percent of total billed charges ,642.4,percent of total billed charges ,642.4,percent of total billed charges ,562.1,percent of total billed charges ,562.1,percent of total billed charges ,481.8,percent of total billed charges ,481.8,percent of total billed charges ,481.8,percent of total billed charges ,481.8,percent of total billed charges ,,,,,427.2,percent of total billed charges ,,,,,405.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,,,224.84,percent of total billed charges,
ELBOW 2 VIEWS LT,73070,CDM,,,LT,both,1,each,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
**HYSTEROSALPINGOGRAM,74740,CDM,,,,both,1,each,306,306,85.68,306,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,306,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,220.32,percent of total billed charges,226.44,percent of total billed charges,226.44,percent of total billed charges,244.8,percent of total billed charges,244.8,percent of total billed charges,,,220.32,percent of total billed charges ,,,244.8,percent of total billed charges ,257.04,percent of total billed charges ,257.04,percent of total billed charges ,238.68,percent of total billed charges ,238.68,percent of total billed charges ,244.8,percent of total billed charges ,244.8,percent of total billed charges ,214.2,percent of total billed charges ,214.2,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,183.6,percent of total billed charges ,,,,,162.79,percent of total billed charges ,,,,,154.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,,,85.68,percent of total billed charges,
CATH & INTRO OF SALINE OR CONTRAST,58340,CDM,,,,both,1,each,738,738,206.64,738,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,546.12,percent of total billed charges,546.12,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,,,531.36,percent of total billed charges ,,,590.4,percent of total billed charges ,619.92,percent of total billed charges ,619.92,percent of total billed charges ,575.64,percent of total billed charges ,575.64,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,516.6,percent of total billed charges ,516.6,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,,,,,392.62,percent of total billed charges ,,,,,372.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,
**LOWER LEG 2 VIEWS,73590,CDM,,,,both,1,each,624,624,174.72,624,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,461.76,percent of total billed charges,461.76,percent of total billed charges,499.2,percent of total billed charges,499.2,percent of total billed charges,,,449.28,percent of total billed charges ,,,499.2,percent of total billed charges ,524.16,percent of total billed charges ,524.16,percent of total billed charges ,486.72,percent of total billed charges ,486.72,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,,,,,331.97,percent of total billed charges ,,,,,315.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,
LOWER LEG 2 VIEWS RT,73590,CDM,,,RT,both,1,each,522,522,146.16,522,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,386.28,percent of total billed charges,386.28,percent of total billed charges,417.6,percent of total billed charges,417.6,percent of total billed charges,,,375.84,percent of total billed charges ,,,417.6,percent of total billed charges ,438.48,percent of total billed charges ,438.48,percent of total billed charges ,407.16,percent of total billed charges ,407.16,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,,,,,277.7,percent of total billed charges ,,,,,263.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,
**LOWER LEG 2 VIEWS BI,73590,CDM,,,50,both,1,each,624,624,174.72,624,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,449.28,percent of total billed charges,461.76,percent of total billed charges,461.76,percent of total billed charges,499.2,percent of total billed charges,499.2,percent of total billed charges,,,449.28,percent of total billed charges ,,,499.2,percent of total billed charges ,524.16,percent of total billed charges ,524.16,percent of total billed charges ,486.72,percent of total billed charges ,486.72,percent of total billed charges ,499.2,percent of total billed charges ,499.2,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,374.4,percent of total billed charges ,,,,,331.97,percent of total billed charges ,,,,,315.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,,,174.72,percent of total billed charges,
LOWER LEG 2 VIEWS LT,73590,CDM,,,LT,both,1,each,522,522,146.16,522,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,386.28,percent of total billed charges,386.28,percent of total billed charges,417.6,percent of total billed charges,417.6,percent of total billed charges,,,375.84,percent of total billed charges ,,,417.6,percent of total billed charges ,438.48,percent of total billed charges ,438.48,percent of total billed charges ,407.16,percent of total billed charges ,407.16,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,,,,,277.7,percent of total billed charges ,,,,,263.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,
LOOPOGRAM (URETEROGRAPHY OR PYELOGRA,74425,CDM,,,,both,1,each,"1,118.00","1,118.00",313.04,"1,118.00","1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,"1,118.00",percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,804.96,percent of total billed charges,827.32,percent of total billed charges,827.32,percent of total billed charges,894.4,percent of total billed charges,894.4,percent of total billed charges,,,804.96,percent of total billed charges ,,,894.4,percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,872.04,percent of total billed charges ,872.04,percent of total billed charges ,894.4,percent of total billed charges ,894.4,percent of total billed charges ,782.6,percent of total billed charges ,782.6,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,,,,,594.78,percent of total billed charges ,,,,,565.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,,,313.04,percent of total billed charges,
INJECTION URETEROGRAPHY,50684,CDM,,,,both,1,each,"1,487.00","1,487.00",416.36,"1,487.00","1,487.00",percent of total billed charges,"1,487.00",percent of total billed charges,"1,487.00",percent of total billed charges,"1,487.00",percent of total billed charges,"1,487.00",percent of total billed charges,"1,487.00",percent of total billed charges,"1,487.00",percent of total billed charges,"1,487.00",percent of total billed charges,"1,070.64",percent of total billed charges,"1,070.64",percent of total billed charges,"1,070.64",percent of total billed charges,"1,070.64",percent of total billed charges,"1,070.64",percent of total billed charges,"1,070.64",percent of total billed charges,"1,100.38",percent of total billed charges,"1,100.38",percent of total billed charges,"1,189.60",percent of total billed charges,"1,189.60",percent of total billed charges,,,"1,070.64",percent of total billed charges ,,,"1,189.60",percent of total billed charges ,"1,249.08",percent of total billed charges ,"1,249.08",percent of total billed charges ,"1,159.86",percent of total billed charges ,"1,159.86",percent of total billed charges ,"1,189.60",percent of total billed charges ,"1,189.60",percent of total billed charges ,"1,040.90",percent of total billed charges ,"1,040.90",percent of total billed charges ,892.2,percent of total billed charges ,892.2,percent of total billed charges ,892.2,percent of total billed charges ,892.2,percent of total billed charges ,,,,,791.08,percent of total billed charges ,,,,,751.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,,,416.36,percent of total billed charges,
**INJECTION PYELOGRAPHY,50394,CDM,,,,both,1,each,592,592,165.76,592,592,percent of total billed charges,592,percent of total billed charges,592,percent of total billed charges,592,percent of total billed charges,592,percent of total billed charges,592,percent of total billed charges,592,percent of total billed charges,592,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,426.24,percent of total billed charges,438.08,percent of total billed charges,438.08,percent of total billed charges,473.6,percent of total billed charges,473.6,percent of total billed charges,,,426.24,percent of total billed charges ,,,473.6,percent of total billed charges ,497.28,percent of total billed charges ,497.28,percent of total billed charges ,461.76,percent of total billed charges ,461.76,percent of total billed charges ,473.6,percent of total billed charges ,473.6,percent of total billed charges ,414.4,percent of total billed charges ,414.4,percent of total billed charges ,355.2,percent of total billed charges ,355.2,percent of total billed charges ,355.2,percent of total billed charges ,355.2,percent of total billed charges ,,,,,314.94,percent of total billed charges ,,,,,299.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,,,165.76,percent of total billed charges,
MASTOIDS 3 VIEWS,70130,CDM,,,,both,1,each,505,505,141.4,505,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,373.7,percent of total billed charges,373.7,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,,,363.6,percent of total billed charges ,,,404,percent of total billed charges ,424.2,percent of total billed charges ,424.2,percent of total billed charges ,393.9,percent of total billed charges ,393.9,percent of total billed charges ,404,percent of total billed charges ,404,percent of total billed charges ,353.5,percent of total billed charges ,353.5,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,,,,,268.66,percent of total billed charges ,,,,,255.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,
NECK-SOFT TISSUE FB-2 VIEWS,70360,CDM,,,,both,1,each,571,571,159.88,571,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,571,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,411.12,percent of total billed charges,422.54,percent of total billed charges,422.54,percent of total billed charges,456.8,percent of total billed charges,456.8,percent of total billed charges,,,411.12,percent of total billed charges ,,,456.8,percent of total billed charges ,479.64,percent of total billed charges ,479.64,percent of total billed charges ,445.38,percent of total billed charges ,445.38,percent of total billed charges ,456.8,percent of total billed charges ,456.8,percent of total billed charges ,399.7,percent of total billed charges ,399.7,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,342.6,percent of total billed charges ,,,,,303.77,percent of total billed charges ,,,,,288.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,,,159.88,percent of total billed charges,
NASAL BONES XRAY COMP MIN 3 VIEWS,70160,CDM,,,,both,1,each,661,661,185.08,661,661,percent of total billed charges,661,percent of total billed charges,661,percent of total billed charges,661,percent of total billed charges,661,percent of total billed charges,661,percent of total billed charges,661,percent of total billed charges,661,percent of total billed charges,475.92,percent of total billed charges,475.92,percent of total billed charges,475.92,percent of total billed charges,475.92,percent of total billed charges,475.92,percent of total billed charges,475.92,percent of total billed charges,489.14,percent of total billed charges,489.14,percent of total billed charges,528.8,percent of total billed charges,528.8,percent of total billed charges,,,475.92,percent of total billed charges ,,,528.8,percent of total billed charges ,555.24,percent of total billed charges ,555.24,percent of total billed charges ,515.58,percent of total billed charges ,515.58,percent of total billed charges ,528.8,percent of total billed charges ,528.8,percent of total billed charges ,462.7,percent of total billed charges ,462.7,percent of total billed charges ,396.6,percent of total billed charges ,396.6,percent of total billed charges ,396.6,percent of total billed charges ,396.6,percent of total billed charges ,,,,,351.65,percent of total billed charges ,,,,,334.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,,,185.08,percent of total billed charges,
SINUSES MIN 3 VIEWS,70220,CDM,,,,both,1,each,793,793,222.04,793,793,percent of total billed charges,793,percent of total billed charges,793,percent of total billed charges,793,percent of total billed charges,793,percent of total billed charges,793,percent of total billed charges,793,percent of total billed charges,793,percent of total billed charges,570.96,percent of total billed charges,570.96,percent of total billed charges,570.96,percent of total billed charges,570.96,percent of total billed charges,570.96,percent of total billed charges,570.96,percent of total billed charges,586.82,percent of total billed charges,586.82,percent of total billed charges,634.4,percent of total billed charges,634.4,percent of total billed charges,,,570.96,percent of total billed charges ,,,634.4,percent of total billed charges ,666.12,percent of total billed charges ,666.12,percent of total billed charges ,618.54,percent of total billed charges ,618.54,percent of total billed charges ,634.4,percent of total billed charges ,634.4,percent of total billed charges ,555.1,percent of total billed charges ,555.1,percent of total billed charges ,475.8,percent of total billed charges ,475.8,percent of total billed charges ,475.8,percent of total billed charges ,475.8,percent of total billed charges ,,,,,421.88,percent of total billed charges ,,,,,400.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,,,222.04,percent of total billed charges,
**KNEE 3 VIEWS BI,73562,CDM,,,50,both,1,each,696,696,194.88,696,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,515.04,percent of total billed charges,515.04,percent of total billed charges,556.8,percent of total billed charges,556.8,percent of total billed charges,,,501.12,percent of total billed charges ,,,556.8,percent of total billed charges ,584.64,percent of total billed charges ,584.64,percent of total billed charges ,542.88,percent of total billed charges ,542.88,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,,,,,370.27,percent of total billed charges ,,,,,351.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,
KNEE 3 VIEWS LT,73562,CDM,,,LT,both,1,each,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**KNEE 3 VIEWS,73562,CDM,,,,both,1,each,696,696,194.88,696,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,696,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,501.12,percent of total billed charges,515.04,percent of total billed charges,515.04,percent of total billed charges,556.8,percent of total billed charges,556.8,percent of total billed charges,,,501.12,percent of total billed charges ,,,556.8,percent of total billed charges ,584.64,percent of total billed charges ,584.64,percent of total billed charges ,542.88,percent of total billed charges ,542.88,percent of total billed charges ,556.8,percent of total billed charges ,556.8,percent of total billed charges ,487.2,percent of total billed charges ,487.2,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,,,,,370.27,percent of total billed charges ,,,,,351.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,,,194.88,percent of total billed charges,
KNEE 3 VIEWS RT,73562,CDM,,,RT,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**PELVIMETRY,74710,CDM,,,,both,1,each,613,613,171.64,613,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,453.62,percent of total billed charges,453.62,percent of total billed charges,490.4,percent of total billed charges,490.4,percent of total billed charges,,,441.36,percent of total billed charges ,,,490.4,percent of total billed charges ,514.92,percent of total billed charges ,514.92,percent of total billed charges ,478.14,percent of total billed charges ,478.14,percent of total billed charges ,490.4,percent of total billed charges ,490.4,percent of total billed charges ,429.1,percent of total billed charges ,429.1,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,,,,,326.12,percent of total billed charges ,,,,,309.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,
PELVIS 1 OR 2 VIEWS,72170,CDM,,,,both,1,each,560,560,156.8,560,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,,,403.2,percent of total billed charges ,,,448,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,448,percent of total billed charges ,448,percent of total billed charges ,392,percent of total billed charges ,392,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,,,,,297.92,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,
PELVIS COMP 3 VIEWS,72190,CDM,,,,both,1,each,603,603,168.84,603,603,percent of total billed charges,603,percent of total billed charges,603,percent of total billed charges,603,percent of total billed charges,603,percent of total billed charges,603,percent of total billed charges,603,percent of total billed charges,603,percent of total billed charges,434.16,percent of total billed charges,434.16,percent of total billed charges,434.16,percent of total billed charges,434.16,percent of total billed charges,434.16,percent of total billed charges,434.16,percent of total billed charges,446.22,percent of total billed charges,446.22,percent of total billed charges,482.4,percent of total billed charges,482.4,percent of total billed charges,,,434.16,percent of total billed charges ,,,482.4,percent of total billed charges ,506.52,percent of total billed charges ,506.52,percent of total billed charges ,470.34,percent of total billed charges ,470.34,percent of total billed charges ,482.4,percent of total billed charges ,482.4,percent of total billed charges ,422.1,percent of total billed charges ,422.1,percent of total billed charges ,361.8,percent of total billed charges ,361.8,percent of total billed charges ,361.8,percent of total billed charges ,361.8,percent of total billed charges ,,,,,320.8,percent of total billed charges ,,,,,304.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,,,168.84,percent of total billed charges,
RETROGRADE URETHRA,74450,CDM,,,,both,1,each,"1,188.00","1,188.00",332.64,"1,188.00","1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,"1,188.00",percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,855.36,percent of total billed charges,879.12,percent of total billed charges,879.12,percent of total billed charges,950.4,percent of total billed charges,950.4,percent of total billed charges,,,855.36,percent of total billed charges ,,,950.4,percent of total billed charges ,997.92,percent of total billed charges ,997.92,percent of total billed charges ,926.64,percent of total billed charges ,926.64,percent of total billed charges ,950.4,percent of total billed charges ,950.4,percent of total billed charges ,831.6,percent of total billed charges ,831.6,percent of total billed charges ,712.8,percent of total billed charges ,712.8,percent of total billed charges ,712.8,percent of total billed charges ,712.8,percent of total billed charges ,,,,,632.02,percent of total billed charges ,,,,,600.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,,,332.64,percent of total billed charges,
INJECTION-RETROGRADE URETHROCYST,51610,CDM,,,,both,1,each,"1,488.00","1,488.00",416.64,"1,488.00","1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,"1,488.00",percent of total billed charges,"1,071.36",percent of total billed charges,"1,071.36",percent of total billed charges,"1,071.36",percent of total billed charges,"1,071.36",percent of total billed charges,"1,071.36",percent of total billed charges,"1,071.36",percent of total billed charges,"1,101.12",percent of total billed charges,"1,101.12",percent of total billed charges,"1,190.40",percent of total billed charges,"1,190.40",percent of total billed charges,,,"1,071.36",percent of total billed charges ,,,"1,190.40",percent of total billed charges ,"1,249.92",percent of total billed charges ,"1,249.92",percent of total billed charges ,"1,160.64",percent of total billed charges ,"1,160.64",percent of total billed charges ,"1,190.40",percent of total billed charges ,"1,190.40",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,892.8,percent of total billed charges ,892.8,percent of total billed charges ,892.8,percent of total billed charges ,892.8,percent of total billed charges ,,,,,791.62,percent of total billed charges ,,,,,752.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,,,416.64,percent of total billed charges,
RETROGRADE,74420,CDM,,,,both,1,each,"1,473.00","1,473.00",412.44,"1,473.00","1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,090.02",percent of total billed charges,"1,090.02",percent of total billed charges,"1,178.40",percent of total billed charges,"1,178.40",percent of total billed charges,,,"1,060.56",percent of total billed charges ,,,"1,178.40",percent of total billed charges ,"1,237.32",percent of total billed charges ,"1,237.32",percent of total billed charges ,"1,148.94",percent of total billed charges ,"1,148.94",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,031.10",percent of total billed charges ,"1,031.10",percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,,,,,783.64,percent of total billed charges ,,,,,744.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,
RIBS UNILATERAL MIN 3 VIEWS,71101,CDM,,,,both,1,each,818,818,229.04,818,818,percent of total billed charges,818,percent of total billed charges,818,percent of total billed charges,818,percent of total billed charges,818,percent of total billed charges,818,percent of total billed charges,818,percent of total billed charges,818,percent of total billed charges,588.96,percent of total billed charges,588.96,percent of total billed charges,588.96,percent of total billed charges,588.96,percent of total billed charges,588.96,percent of total billed charges,588.96,percent of total billed charges,605.32,percent of total billed charges,605.32,percent of total billed charges,654.4,percent of total billed charges,654.4,percent of total billed charges,,,588.96,percent of total billed charges ,,,654.4,percent of total billed charges ,687.12,percent of total billed charges ,687.12,percent of total billed charges ,638.04,percent of total billed charges ,638.04,percent of total billed charges ,654.4,percent of total billed charges ,654.4,percent of total billed charges ,572.6,percent of total billed charges ,572.6,percent of total billed charges ,490.8,percent of total billed charges ,490.8,percent of total billed charges ,490.8,percent of total billed charges ,490.8,percent of total billed charges ,,,,,435.18,percent of total billed charges ,,,,,413.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,,,229.04,percent of total billed charges,
RIBS 3 VIEWS LT W PA CHEST,71101,CDM,,,LT,both,1,each,685,685,191.8,685,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,506.9,percent of total billed charges,506.9,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,,,493.2,percent of total billed charges ,,,548,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,534.3,percent of total billed charges ,534.3,percent of total billed charges ,548,percent of total billed charges ,548,percent of total billed charges ,479.5,percent of total billed charges ,479.5,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,,,,,364.42,percent of total billed charges ,,,,,346.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,
RIBS 3 VIEWS RT W PA CHEST,71101,CDM,,,RT,both,,,685,685,191.8,685,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,685,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,493.2,percent of total billed charges,506.9,percent of total billed charges,506.9,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,,,493.2,percent of total billed charges ,,,548,percent of total billed charges ,575.4,percent of total billed charges ,575.4,percent of total billed charges ,534.3,percent of total billed charges ,534.3,percent of total billed charges ,548,percent of total billed charges ,548,percent of total billed charges ,479.5,percent of total billed charges ,479.5,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,411,percent of total billed charges ,,,,,364.42,percent of total billed charges ,,,,,346.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,,,191.8,percent of total billed charges,
RIBS BILATERAL 4 VIEWS W PA CHEST,71111,CDM,,,,both,1,each,887,887,248.36,887,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,656.38,percent of total billed charges,656.38,percent of total billed charges,709.6,percent of total billed charges,709.6,percent of total billed charges,,,638.64,percent of total billed charges ,,,709.6,percent of total billed charges ,745.08,percent of total billed charges ,745.08,percent of total billed charges ,691.86,percent of total billed charges ,691.86,percent of total billed charges ,709.6,percent of total billed charges ,709.6,percent of total billed charges ,620.9,percent of total billed charges ,620.9,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,,,,,471.88,percent of total billed charges ,,,,,448.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,
SACROILIAC JOINTS 3 OR MORE VIEWS,72202,CDM,,,,both,1,each,629,629,176.12,629,629,percent of total billed charges,629,percent of total billed charges,629,percent of total billed charges,629,percent of total billed charges,629,percent of total billed charges,629,percent of total billed charges,629,percent of total billed charges,629,percent of total billed charges,452.88,percent of total billed charges,452.88,percent of total billed charges,452.88,percent of total billed charges,452.88,percent of total billed charges,452.88,percent of total billed charges,452.88,percent of total billed charges,465.46,percent of total billed charges,465.46,percent of total billed charges,503.2,percent of total billed charges,503.2,percent of total billed charges,,,452.88,percent of total billed charges ,,,503.2,percent of total billed charges ,528.36,percent of total billed charges ,528.36,percent of total billed charges ,490.62,percent of total billed charges ,490.62,percent of total billed charges ,503.2,percent of total billed charges ,503.2,percent of total billed charges ,440.3,percent of total billed charges ,440.3,percent of total billed charges ,377.4,percent of total billed charges ,377.4,percent of total billed charges ,377.4,percent of total billed charges ,377.4,percent of total billed charges ,,,,,334.63,percent of total billed charges ,,,,,317.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,,,176.12,percent of total billed charges,
SCAPULA COMPLETE RT,73010,CDM,,,RT,both,1,each,519,519,145.32,519,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,384.06,percent of total billed charges,384.06,percent of total billed charges,415.2,percent of total billed charges,415.2,percent of total billed charges,,,373.68,percent of total billed charges ,,,415.2,percent of total billed charges ,435.96,percent of total billed charges ,435.96,percent of total billed charges ,404.82,percent of total billed charges ,404.82,percent of total billed charges ,415.2,percent of total billed charges ,415.2,percent of total billed charges ,363.3,percent of total billed charges ,363.3,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,,,,,276.11,percent of total billed charges ,,,,,262.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,
SCAPULA COMPLETE LT,73010,CDM,,,LT,both,1,each,519,519,145.32,519,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,384.06,percent of total billed charges,384.06,percent of total billed charges,415.2,percent of total billed charges,415.2,percent of total billed charges,,,373.68,percent of total billed charges ,,,415.2,percent of total billed charges ,435.96,percent of total billed charges ,435.96,percent of total billed charges ,404.82,percent of total billed charges ,404.82,percent of total billed charges ,415.2,percent of total billed charges ,415.2,percent of total billed charges ,363.3,percent of total billed charges ,363.3,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,,,,,276.11,percent of total billed charges ,,,,,262.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,
**SCAPULA COMPLETE,73010,CDM,,,,both,,,517,517,144.76,517,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,382.58,percent of total billed charges,382.58,percent of total billed charges,413.6,percent of total billed charges,413.6,percent of total billed charges,,,372.24,percent of total billed charges ,,,413.6,percent of total billed charges ,434.28,percent of total billed charges ,434.28,percent of total billed charges ,403.26,percent of total billed charges ,403.26,percent of total billed charges ,413.6,percent of total billed charges ,413.6,percent of total billed charges ,361.9,percent of total billed charges ,361.9,percent of total billed charges ,310.2,percent of total billed charges ,310.2,percent of total billed charges ,310.2,percent of total billed charges ,310.2,percent of total billed charges ,,,,,275.04,percent of total billed charges ,,,,,261.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,
**SCAPULA COMPLETE BI,73010,CDM,,,50,both,1,each,608,608,170.24,608,608,percent of total billed charges,608,percent of total billed charges,608,percent of total billed charges,608,percent of total billed charges,608,percent of total billed charges,608,percent of total billed charges,608,percent of total billed charges,608,percent of total billed charges,437.76,percent of total billed charges,437.76,percent of total billed charges,437.76,percent of total billed charges,437.76,percent of total billed charges,437.76,percent of total billed charges,437.76,percent of total billed charges,449.92,percent of total billed charges,449.92,percent of total billed charges,486.4,percent of total billed charges,486.4,percent of total billed charges,,,437.76,percent of total billed charges ,,,486.4,percent of total billed charges ,510.72,percent of total billed charges ,510.72,percent of total billed charges ,474.24,percent of total billed charges ,474.24,percent of total billed charges ,486.4,percent of total billed charges ,486.4,percent of total billed charges ,425.6,percent of total billed charges ,425.6,percent of total billed charges ,364.8,percent of total billed charges ,364.8,percent of total billed charges ,364.8,percent of total billed charges ,364.8,percent of total billed charges ,,,,,323.46,percent of total billed charges ,,,,,307.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,,,170.24,percent of total billed charges,
SHOULDER LT,73030,CDM,,,LT,both,1,each,569,569,159.32,569,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,421.06,percent of total billed charges,421.06,percent of total billed charges,455.2,percent of total billed charges,455.2,percent of total billed charges,,,409.68,percent of total billed charges ,,,455.2,percent of total billed charges ,477.96,percent of total billed charges ,477.96,percent of total billed charges ,443.82,percent of total billed charges ,443.82,percent of total billed charges ,455.2,percent of total billed charges ,455.2,percent of total billed charges ,398.3,percent of total billed charges ,398.3,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,,,,,302.71,percent of total billed charges ,,,,,287.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,
SHOULDER RT,73030,CDM,,,RT,both,,,569,569,159.32,569,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,421.06,percent of total billed charges,421.06,percent of total billed charges,455.2,percent of total billed charges,455.2,percent of total billed charges,,,409.68,percent of total billed charges ,,,455.2,percent of total billed charges ,477.96,percent of total billed charges ,477.96,percent of total billed charges ,443.82,percent of total billed charges ,443.82,percent of total billed charges ,455.2,percent of total billed charges ,455.2,percent of total billed charges ,398.3,percent of total billed charges ,398.3,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,,,,,302.71,percent of total billed charges ,,,,,287.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,
**SHOULDER 2 VIEWS BI,73030,CDM,,,50,both,,,663,663,185.64,663,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,663,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,477.36,percent of total billed charges,490.62,percent of total billed charges,490.62,percent of total billed charges,530.4,percent of total billed charges,530.4,percent of total billed charges,,,477.36,percent of total billed charges ,,,530.4,percent of total billed charges ,556.92,percent of total billed charges ,556.92,percent of total billed charges ,517.14,percent of total billed charges ,517.14,percent of total billed charges ,530.4,percent of total billed charges ,530.4,percent of total billed charges ,464.1,percent of total billed charges ,464.1,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,397.8,percent of total billed charges ,,,,,352.72,percent of total billed charges ,,,,,335.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,,,185.64,percent of total billed charges,
**SHOULDER 2 VIEWS,73030,CDM,,,,both,1,each,568,568,159.04,568,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,420.32,percent of total billed charges,420.32,percent of total billed charges,454.4,percent of total billed charges,454.4,percent of total billed charges,,,408.96,percent of total billed charges ,,,454.4,percent of total billed charges ,477.12,percent of total billed charges ,477.12,percent of total billed charges ,443.04,percent of total billed charges ,443.04,percent of total billed charges ,454.4,percent of total billed charges ,454.4,percent of total billed charges ,397.6,percent of total billed charges ,397.6,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,,,,,302.18,percent of total billed charges ,,,,,287.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,
ORBITS,70200,CDM,,,,both,,,773,773,216.44,773,773,percent of total billed charges,773,percent of total billed charges,773,percent of total billed charges,773,percent of total billed charges,773,percent of total billed charges,773,percent of total billed charges,773,percent of total billed charges,773,percent of total billed charges,556.56,percent of total billed charges,556.56,percent of total billed charges,556.56,percent of total billed charges,556.56,percent of total billed charges,556.56,percent of total billed charges,556.56,percent of total billed charges,572.02,percent of total billed charges,572.02,percent of total billed charges,618.4,percent of total billed charges,618.4,percent of total billed charges,,,556.56,percent of total billed charges ,,,618.4,percent of total billed charges ,649.32,percent of total billed charges ,649.32,percent of total billed charges ,602.94,percent of total billed charges ,602.94,percent of total billed charges ,618.4,percent of total billed charges ,618.4,percent of total billed charges ,541.1,percent of total billed charges ,541.1,percent of total billed charges ,463.8,percent of total billed charges ,463.8,percent of total billed charges ,463.8,percent of total billed charges ,463.8,percent of total billed charges ,,,,,411.24,percent of total billed charges ,,,,,390.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,,,216.44,percent of total billed charges,
SKULL 4 VIEWS,70260,CDM,,,,both,,,951,951,266.28,951,951,percent of total billed charges,951,percent of total billed charges,951,percent of total billed charges,951,percent of total billed charges,951,percent of total billed charges,951,percent of total billed charges,951,percent of total billed charges,951,percent of total billed charges,684.72,percent of total billed charges,684.72,percent of total billed charges,684.72,percent of total billed charges,684.72,percent of total billed charges,684.72,percent of total billed charges,684.72,percent of total billed charges,703.74,percent of total billed charges,703.74,percent of total billed charges,760.8,percent of total billed charges,760.8,percent of total billed charges,,,684.72,percent of total billed charges ,,,760.8,percent of total billed charges ,798.84,percent of total billed charges ,798.84,percent of total billed charges ,741.78,percent of total billed charges ,741.78,percent of total billed charges ,760.8,percent of total billed charges ,760.8,percent of total billed charges ,665.7,percent of total billed charges ,665.7,percent of total billed charges ,570.6,percent of total billed charges ,570.6,percent of total billed charges ,570.6,percent of total billed charges ,570.6,percent of total billed charges ,,,,,505.93,percent of total billed charges ,,,,,480.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,,,266.28,percent of total billed charges,
TM JOINTS BIL,70330,CDM,,,,both,,,560,560,156.8,560,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,560,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,414.4,percent of total billed charges,414.4,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,,,403.2,percent of total billed charges ,,,448,percent of total billed charges ,470.4,percent of total billed charges ,470.4,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,448,percent of total billed charges ,448,percent of total billed charges ,392,percent of total billed charges ,392,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,,,,,297.92,percent of total billed charges ,,,,,283.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,,,156.8,percent of total billed charges,
TM JOINTS RT,70328,CDM,,,RT,both,,,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
TM JOINTS LT,70328,CDM,,,LT,both,1,each,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
TM JOINTS 1 SIDE,70328,CDM,,,,both,,,463,463,129.64,463,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,463,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,333.36,percent of total billed charges,342.62,percent of total billed charges,342.62,percent of total billed charges,370.4,percent of total billed charges,370.4,percent of total billed charges,,,333.36,percent of total billed charges ,,,370.4,percent of total billed charges ,388.92,percent of total billed charges ,388.92,percent of total billed charges ,361.14,percent of total billed charges ,361.14,percent of total billed charges ,370.4,percent of total billed charges ,370.4,percent of total billed charges ,324.1,percent of total billed charges ,324.1,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,277.8,percent of total billed charges ,,,,,246.32,percent of total billed charges ,,,,,234,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,,,129.64,percent of total billed charges,
SKULL 2 VIEWS,70250,CDM,,,,both,1,each,634,634,177.52,634,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,634,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,456.48,percent of total billed charges,469.16,percent of total billed charges,469.16,percent of total billed charges,507.2,percent of total billed charges,507.2,percent of total billed charges,,,456.48,percent of total billed charges ,,,507.2,percent of total billed charges ,532.56,percent of total billed charges ,532.56,percent of total billed charges ,494.52,percent of total billed charges ,494.52,percent of total billed charges ,507.2,percent of total billed charges ,507.2,percent of total billed charges ,443.8,percent of total billed charges ,443.8,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,380.4,percent of total billed charges ,,,,,337.29,percent of total billed charges ,,,,,320.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,,,177.52,percent of total billed charges,
SM BOWEL SERIES,74250,CDM,,,,both,1,each,"1,232.00","1,232.00",344.96,"1,232.00","1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,"1,232.00",percent of total billed charges,887.04,percent of total billed charges,887.04,percent of total billed charges,887.04,percent of total billed charges,887.04,percent of total billed charges,887.04,percent of total billed charges,887.04,percent of total billed charges,911.68,percent of total billed charges,911.68,percent of total billed charges,985.6,percent of total billed charges,985.6,percent of total billed charges,,,887.04,percent of total billed charges ,,,985.6,percent of total billed charges ,"1,034.88",percent of total billed charges ,"1,034.88",percent of total billed charges ,960.96,percent of total billed charges ,960.96,percent of total billed charges ,985.6,percent of total billed charges ,985.6,percent of total billed charges ,862.4,percent of total billed charges ,862.4,percent of total billed charges ,739.2,percent of total billed charges ,739.2,percent of total billed charges ,739.2,percent of total billed charges ,739.2,percent of total billed charges ,,,,,655.42,percent of total billed charges ,,,,,622.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,,,344.96,percent of total billed charges,
C-SPINE 2 OR 3 VIEWS,72040,CDM,,,,both,1,each,711,711,199.08,711,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,711,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,511.92,percent of total billed charges,526.14,percent of total billed charges,526.14,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,,,511.92,percent of total billed charges ,,,568.8,percent of total billed charges ,597.24,percent of total billed charges ,597.24,percent of total billed charges ,554.58,percent of total billed charges ,554.58,percent of total billed charges ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,497.7,percent of total billed charges ,497.7,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,426.6,percent of total billed charges ,,,,,378.25,percent of total billed charges ,,,,,359.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,,,199.08,percent of total billed charges,
SPINE 1 VIEW,72020,CDM,,,,both,1,each,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
C-SPINE 4 OR 5 VIEWS,72050,CDM,,,,both,1,each,991,991,277.48,991,991,percent of total billed charges,991,percent of total billed charges,991,percent of total billed charges,991,percent of total billed charges,991,percent of total billed charges,991,percent of total billed charges,991,percent of total billed charges,991,percent of total billed charges,713.52,percent of total billed charges,713.52,percent of total billed charges,713.52,percent of total billed charges,713.52,percent of total billed charges,713.52,percent of total billed charges,713.52,percent of total billed charges,733.34,percent of total billed charges,733.34,percent of total billed charges,792.8,percent of total billed charges,792.8,percent of total billed charges,,,713.52,percent of total billed charges ,,,792.8,percent of total billed charges ,832.44,percent of total billed charges ,832.44,percent of total billed charges ,772.98,percent of total billed charges ,772.98,percent of total billed charges ,792.8,percent of total billed charges ,792.8,percent of total billed charges ,693.7,percent of total billed charges ,693.7,percent of total billed charges ,594.6,percent of total billed charges ,594.6,percent of total billed charges ,594.6,percent of total billed charges ,594.6,percent of total billed charges ,,,,,527.21,percent of total billed charges ,,,,,500.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,,,277.48,percent of total billed charges,
BARIUM RING,LOCAL,LOCAL,,,,both,1,each,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
L-SPINE 2 OR 3 VIEWS,72100,CDM,,,,both,1,each,748,748,209.44,748,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,748,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,538.56,percent of total billed charges,553.52,percent of total billed charges,553.52,percent of total billed charges,598.4,percent of total billed charges,598.4,percent of total billed charges,,,538.56,percent of total billed charges ,,,598.4,percent of total billed charges ,628.32,percent of total billed charges ,628.32,percent of total billed charges ,583.44,percent of total billed charges ,583.44,percent of total billed charges ,598.4,percent of total billed charges ,598.4,percent of total billed charges ,523.6,percent of total billed charges ,523.6,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,,,,,397.94,percent of total billed charges ,,,,,378.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,,,209.44,percent of total billed charges,
L-SPINE 4 VIEWS,72110,CDM,,,,both,1,each,"1,080.00","1,080.00",302.4,"1,080.00","1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,,,777.6,percent of total billed charges ,,,864,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,,,,,574.56,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,
L-SPINE W/ BENDING MIN 6 VIEWS,72114,CDM,,,,both,,,"1,178.00","1,178.00",329.84,"1,178.00","1,178.00",percent of total billed charges,"1,178.00",percent of total billed charges,"1,178.00",percent of total billed charges,"1,178.00",percent of total billed charges,"1,178.00",percent of total billed charges,"1,178.00",percent of total billed charges,"1,178.00",percent of total billed charges,"1,178.00",percent of total billed charges,848.16,percent of total billed charges,848.16,percent of total billed charges,848.16,percent of total billed charges,848.16,percent of total billed charges,848.16,percent of total billed charges,848.16,percent of total billed charges,871.72,percent of total billed charges,871.72,percent of total billed charges,942.4,percent of total billed charges,942.4,percent of total billed charges,,,848.16,percent of total billed charges ,,,942.4,percent of total billed charges ,989.52,percent of total billed charges ,989.52,percent of total billed charges ,918.84,percent of total billed charges ,918.84,percent of total billed charges ,942.4,percent of total billed charges ,942.4,percent of total billed charges ,824.6,percent of total billed charges ,824.6,percent of total billed charges ,706.8,percent of total billed charges ,706.8,percent of total billed charges ,706.8,percent of total billed charges ,706.8,percent of total billed charges ,,,,,626.7,percent of total billed charges ,,,,,595.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,,,329.84,percent of total billed charges,
L-SPINE BENDING VIEWS ONLY 2 OR 3,72120,CDM,,,,both,,,741,741,207.48,741,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,548.34,percent of total billed charges,548.34,percent of total billed charges,592.8,percent of total billed charges,592.8,percent of total billed charges,,,533.52,percent of total billed charges ,,,592.8,percent of total billed charges ,622.44,percent of total billed charges ,622.44,percent of total billed charges ,577.98,percent of total billed charges ,577.98,percent of total billed charges ,592.8,percent of total billed charges ,592.8,percent of total billed charges ,518.7,percent of total billed charges ,518.7,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,,,,,394.21,percent of total billed charges ,,,,,374.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,
T SPINE 3 VIEWS,72072,CDM,,,,both,1,each,807,807,225.96,807,807,percent of total billed charges,807,percent of total billed charges,807,percent of total billed charges,807,percent of total billed charges,807,percent of total billed charges,807,percent of total billed charges,807,percent of total billed charges,807,percent of total billed charges,581.04,percent of total billed charges,581.04,percent of total billed charges,581.04,percent of total billed charges,581.04,percent of total billed charges,581.04,percent of total billed charges,581.04,percent of total billed charges,597.18,percent of total billed charges,597.18,percent of total billed charges,645.6,percent of total billed charges,645.6,percent of total billed charges,,,581.04,percent of total billed charges ,,,645.6,percent of total billed charges ,677.88,percent of total billed charges ,677.88,percent of total billed charges ,629.46,percent of total billed charges ,629.46,percent of total billed charges ,645.6,percent of total billed charges ,645.6,percent of total billed charges ,564.9,percent of total billed charges ,564.9,percent of total billed charges ,484.2,percent of total billed charges ,484.2,percent of total billed charges ,484.2,percent of total billed charges ,484.2,percent of total billed charges ,,,,,429.32,percent of total billed charges ,,,,,407.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,,,225.96,percent of total billed charges,
T SPINE 4 VIEWS,72074,CDM,,,,both,,,811,811,227.08,811,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,811,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,583.92,percent of total billed charges,600.14,percent of total billed charges,600.14,percent of total billed charges,648.8,percent of total billed charges,648.8,percent of total billed charges,,,583.92,percent of total billed charges ,,,648.8,percent of total billed charges ,681.24,percent of total billed charges ,681.24,percent of total billed charges ,632.58,percent of total billed charges ,632.58,percent of total billed charges ,648.8,percent of total billed charges ,648.8,percent of total billed charges ,567.7,percent of total billed charges ,567.7,percent of total billed charges ,486.6,percent of total billed charges ,486.6,percent of total billed charges ,486.6,percent of total billed charges ,486.6,percent of total billed charges ,,,,,431.45,percent of total billed charges ,,,,,409.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,,,227.08,percent of total billed charges,
STERNO-CLAVIC,71130,CDM,,,,both,1,each,486,486,136.08,486,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,,,349.92,percent of total billed charges ,,,388.8,percent of total billed charges ,408.24,percent of total billed charges ,408.24,percent of total billed charges ,379.08,percent of total billed charges ,379.08,percent of total billed charges ,388.8,percent of total billed charges ,388.8,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,,,,,258.55,percent of total billed charges ,,,,,245.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,
STERNUM MIN 2 VIEWS,71120,CDM,,,,both,,,625,625,175,625,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,625,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,450,percent of total billed charges,462.5,percent of total billed charges,462.5,percent of total billed charges,500,percent of total billed charges,500,percent of total billed charges,,,450,percent of total billed charges ,,,500,percent of total billed charges ,525,percent of total billed charges ,525,percent of total billed charges ,487.5,percent of total billed charges ,487.5,percent of total billed charges ,500,percent of total billed charges ,500,percent of total billed charges ,437.5,percent of total billed charges ,437.5,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,375,percent of total billed charges ,,,,,332.5,percent of total billed charges ,,,,,315.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,,,175,percent of total billed charges,
TOES RIGHT,73660,CDM,,,,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 1ST DIGIT LT,73660,CDM,,,TA,both,,,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 1ST DIGIT RT,73660,CDM,,,T5,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 2ND DIGIT RT,73660,CDM,,,T6,both,,,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 2ND DIGIT LT,73660,CDM,,,T1,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 3RD DIGIT RT,73660,CDM,,,T7,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 3RD DIGIT LT,73660,CDM,,,T2,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 4TH DIGIT RT,73660,CDM,,,T8,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 4TH DIGIT LT,73660,CDM,,,T3,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 5TH DIGIT RT,73660,CDM,,,T9,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
TOES 5TH DIGIT LT,73660,CDM,,,T4,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
UGI W OR W/O KUB,74240,CDM,,,,both,1,each,"1,297.00","1,297.00",363.16,"1,297.00","1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,959.78,percent of total billed charges,959.78,percent of total billed charges,"1,037.60",percent of total billed charges,"1,037.60",percent of total billed charges,,,933.84,percent of total billed charges ,,,"1,037.60",percent of total billed charges ,"1,089.48",percent of total billed charges ,"1,089.48",percent of total billed charges ,"1,011.66",percent of total billed charges ,"1,011.66",percent of total billed charges ,"1,037.60",percent of total billed charges ,"1,037.60",percent of total billed charges ,907.9,percent of total billed charges ,907.9,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,,,,,690,percent of total billed charges ,,,,,655.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,
**UGI WITH SMALL BOWEL A/C,74249,CDM,,,,both,1,each,"1,947.00","1,947.00",545.16,"1,947.00","1,947.00",percent of total billed charges,"1,947.00",percent of total billed charges,"1,947.00",percent of total billed charges,"1,947.00",percent of total billed charges,"1,947.00",percent of total billed charges,"1,947.00",percent of total billed charges,"1,947.00",percent of total billed charges,"1,947.00",percent of total billed charges,"1,401.84",percent of total billed charges,"1,401.84",percent of total billed charges,"1,401.84",percent of total billed charges,"1,401.84",percent of total billed charges,"1,401.84",percent of total billed charges,"1,401.84",percent of total billed charges,"1,440.78",percent of total billed charges,"1,440.78",percent of total billed charges,"1,557.60",percent of total billed charges,"1,557.60",percent of total billed charges,,,"1,401.84",percent of total billed charges ,,,"1,557.60",percent of total billed charges ,"1,635.48",percent of total billed charges ,"1,635.48",percent of total billed charges ,"1,518.66",percent of total billed charges ,"1,518.66",percent of total billed charges ,"1,557.60",percent of total billed charges ,"1,557.60",percent of total billed charges ,"1,362.90",percent of total billed charges ,"1,362.90",percent of total billed charges ,"1,168.20",percent of total billed charges ,"1,168.20",percent of total billed charges ,"1,168.20",percent of total billed charges ,"1,168.20",percent of total billed charges ,,,,,"1,035.80",percent of total billed charges ,,,,,984.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,,,545.16,percent of total billed charges,
**UGI WITH KUB,74241,CDM,,,,both,1,each,"1,230.00","1,230.00",344.4,"1,230.00","1,230.00",percent of total billed charges,"1,230.00",percent of total billed charges,"1,230.00",percent of total billed charges,"1,230.00",percent of total billed charges,"1,230.00",percent of total billed charges,"1,230.00",percent of total billed charges,"1,230.00",percent of total billed charges,"1,230.00",percent of total billed charges,885.6,percent of total billed charges,885.6,percent of total billed charges,885.6,percent of total billed charges,885.6,percent of total billed charges,885.6,percent of total billed charges,885.6,percent of total billed charges,910.2,percent of total billed charges,910.2,percent of total billed charges,984,percent of total billed charges,984,percent of total billed charges,,,885.6,percent of total billed charges ,,,984,percent of total billed charges ,"1,033.20",percent of total billed charges ,"1,033.20",percent of total billed charges ,959.4,percent of total billed charges ,959.4,percent of total billed charges ,984,percent of total billed charges ,984,percent of total billed charges ,861,percent of total billed charges ,861,percent of total billed charges ,738,percent of total billed charges ,738,percent of total billed charges ,738,percent of total billed charges ,738,percent of total billed charges ,,,,,654.36,percent of total billed charges ,,,,,621.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,,,344.4,percent of total billed charges,
COLON W OR W/O KUB,74270,CDM,,,,both,,,"1,434.00","1,434.00",401.52,"1,434.00","1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,434.00",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,032.48",percent of total billed charges,"1,061.16",percent of total billed charges,"1,061.16",percent of total billed charges,"1,147.20",percent of total billed charges,"1,147.20",percent of total billed charges,,,"1,032.48",percent of total billed charges ,,,"1,147.20",percent of total billed charges ,"1,204.56",percent of total billed charges ,"1,204.56",percent of total billed charges ,"1,118.52",percent of total billed charges ,"1,118.52",percent of total billed charges ,"1,147.20",percent of total billed charges ,"1,147.20",percent of total billed charges ,"1,003.80",percent of total billed charges ,"1,003.80",percent of total billed charges ,860.4,percent of total billed charges ,860.4,percent of total billed charges ,860.4,percent of total billed charges ,860.4,percent of total billed charges ,,,,,762.89,percent of total billed charges ,,,,,724.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,,,401.52,percent of total billed charges,
UGI AIR CONTRAST EXAM,74246,CDM,,,,both,1,each,"1,175.00","1,175.00",329,"1,175.00","1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,"1,175.00",percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,846,percent of total billed charges,869.5,percent of total billed charges,869.5,percent of total billed charges,940,percent of total billed charges,940,percent of total billed charges,,,846,percent of total billed charges ,,,940,percent of total billed charges ,987,percent of total billed charges ,987,percent of total billed charges ,916.5,percent of total billed charges ,916.5,percent of total billed charges ,940,percent of total billed charges ,940,percent of total billed charges ,822.5,percent of total billed charges ,822.5,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,705,percent of total billed charges ,,,,,625.1,percent of total billed charges ,,,,,593.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,,,329,percent of total billed charges,
**UGI A/C KUB,74247,CDM,,,,both,1,each,"1,564.00","1,564.00",437.92,"1,564.00","1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,"1,564.00",percent of total billed charges,"1,126.08",percent of total billed charges,"1,126.08",percent of total billed charges,"1,126.08",percent of total billed charges,"1,126.08",percent of total billed charges,"1,126.08",percent of total billed charges,"1,126.08",percent of total billed charges,"1,157.36",percent of total billed charges,"1,157.36",percent of total billed charges,"1,251.20",percent of total billed charges,"1,251.20",percent of total billed charges,,,"1,126.08",percent of total billed charges ,,,"1,251.20",percent of total billed charges ,"1,313.76",percent of total billed charges ,"1,313.76",percent of total billed charges ,"1,219.92",percent of total billed charges ,"1,219.92",percent of total billed charges ,"1,251.20",percent of total billed charges ,"1,251.20",percent of total billed charges ,"1,094.80",percent of total billed charges ,"1,094.80",percent of total billed charges ,938.4,percent of total billed charges ,938.4,percent of total billed charges ,938.4,percent of total billed charges ,938.4,percent of total billed charges ,,,,,832.05,percent of total billed charges ,,,,,790.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,,,437.92,percent of total billed charges,
**UGI WITH SMALL BOWEL,74245,CDM,,,,both,1,each,"1,946.00","1,946.00",544.88,"1,946.00","1,946.00",percent of total billed charges,"1,946.00",percent of total billed charges,"1,946.00",percent of total billed charges,"1,946.00",percent of total billed charges,"1,946.00",percent of total billed charges,"1,946.00",percent of total billed charges,"1,946.00",percent of total billed charges,"1,946.00",percent of total billed charges,"1,401.12",percent of total billed charges,"1,401.12",percent of total billed charges,"1,401.12",percent of total billed charges,"1,401.12",percent of total billed charges,"1,401.12",percent of total billed charges,"1,401.12",percent of total billed charges,"1,440.04",percent of total billed charges,"1,440.04",percent of total billed charges,"1,556.80",percent of total billed charges,"1,556.80",percent of total billed charges,,,"1,401.12",percent of total billed charges ,,,"1,556.80",percent of total billed charges ,"1,634.64",percent of total billed charges ,"1,634.64",percent of total billed charges ,"1,517.88",percent of total billed charges ,"1,517.88",percent of total billed charges ,"1,556.80",percent of total billed charges ,"1,556.80",percent of total billed charges ,"1,362.20",percent of total billed charges ,"1,362.20",percent of total billed charges ,"1,167.60",percent of total billed charges ,"1,167.60",percent of total billed charges ,"1,167.60",percent of total billed charges ,"1,167.60",percent of total billed charges ,,,,,"1,035.27",percent of total billed charges ,,,,,983.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,,,544.88,percent of total billed charges,
VOIDING CYSTOGRAM,74455,CDM,,,,both,1,each,"1,344.00","1,344.00",376.32,"1,344.00","1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,994.56,percent of total billed charges,994.56,percent of total billed charges,"1,075.20",percent of total billed charges,"1,075.20",percent of total billed charges,,,967.68,percent of total billed charges ,,,"1,075.20",percent of total billed charges ,"1,128.96",percent of total billed charges ,"1,128.96",percent of total billed charges ,"1,048.32",percent of total billed charges ,"1,048.32",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,940.8,percent of total billed charges ,940.8,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,,,,,715.01,percent of total billed charges ,,,,,679.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,
INJECTION CYSTOGRAPHY,51600,CDM,,,,both,1,each,"1,018.00","1,018.00",285.04,"1,018.00","1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,753.32,percent of total billed charges,753.32,percent of total billed charges,814.4,percent of total billed charges,814.4,percent of total billed charges,,,732.96,percent of total billed charges ,,,814.4,percent of total billed charges ,855.12,percent of total billed charges ,855.12,percent of total billed charges ,794.04,percent of total billed charges ,794.04,percent of total billed charges ,814.4,percent of total billed charges ,814.4,percent of total billed charges ,712.6,percent of total billed charges ,712.6,percent of total billed charges ,610.8,percent of total billed charges ,610.8,percent of total billed charges ,610.8,percent of total billed charges ,610.8,percent of total billed charges ,,,,,541.58,percent of total billed charges ,,,,,514.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,
VIDEO ESOPHAGRAM,74230,CDM,,,,both,1,each,"1,053.00","1,053.00",294.84,"1,053.00","1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,"1,053.00",percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,758.16,percent of total billed charges,779.22,percent of total billed charges,779.22,percent of total billed charges,842.4,percent of total billed charges,842.4,percent of total billed charges,,,758.16,percent of total billed charges ,,,842.4,percent of total billed charges ,884.52,percent of total billed charges ,884.52,percent of total billed charges ,821.34,percent of total billed charges ,821.34,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,737.1,percent of total billed charges ,737.1,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,631.8,percent of total billed charges ,,,,,560.2,percent of total billed charges ,,,,,532.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,,,294.84,percent of total billed charges,
**VENOGRAM BILATERAL,75822,CDM,,,,both,1,each,"2,214.00","2,214.00",619.92,"2,214.00","2,214.00",percent of total billed charges,"2,214.00",percent of total billed charges,"2,214.00",percent of total billed charges,"2,214.00",percent of total billed charges,"2,214.00",percent of total billed charges,"2,214.00",percent of total billed charges,"2,214.00",percent of total billed charges,"2,214.00",percent of total billed charges,"1,594.08",percent of total billed charges,"1,594.08",percent of total billed charges,"1,594.08",percent of total billed charges,"1,594.08",percent of total billed charges,"1,594.08",percent of total billed charges,"1,594.08",percent of total billed charges,"1,638.36",percent of total billed charges,"1,638.36",percent of total billed charges,"1,771.20",percent of total billed charges,"1,771.20",percent of total billed charges,,,"1,594.08",percent of total billed charges ,,,"1,771.20",percent of total billed charges ,"1,859.76",percent of total billed charges ,"1,859.76",percent of total billed charges ,"1,726.92",percent of total billed charges ,"1,726.92",percent of total billed charges ,"1,771.20",percent of total billed charges ,"1,771.20",percent of total billed charges ,"1,549.80",percent of total billed charges ,"1,549.80",percent of total billed charges ,"1,328.40",percent of total billed charges ,"1,328.40",percent of total billed charges ,"1,328.40",percent of total billed charges ,"1,328.40",percent of total billed charges ,,,,,"1,177.85",percent of total billed charges ,,,,,"1,118.96",percent of total billed charges ,,,,,,,,,,,,,,,,,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,,,619.92,percent of total billed charges,
INTRO NEEDLE OR INTRACATHETER  VEIN,36000,CDM,,,,both,1,each,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
**VENOGRAM UNILATERAL,75820,CDM,,,,both,1,each,"1,792.00","1,792.00",501.76,"1,792.00","1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,326.08",percent of total billed charges,"1,326.08",percent of total billed charges,"1,433.60",percent of total billed charges,"1,433.60",percent of total billed charges,,,"1,290.24",percent of total billed charges ,,,"1,433.60",percent of total billed charges ,"1,505.28",percent of total billed charges ,"1,505.28",percent of total billed charges ,"1,397.76",percent of total billed charges ,"1,397.76",percent of total billed charges ,"1,433.60",percent of total billed charges ,"1,433.60",percent of total billed charges ,"1,254.40",percent of total billed charges ,"1,254.40",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,,,,,953.34,percent of total billed charges ,,,,,905.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,
**VENOGRAM LT,75820,CDM,,,LT,both,1,each,"1,792.00","1,792.00",501.76,"1,792.00","1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,326.08",percent of total billed charges,"1,326.08",percent of total billed charges,"1,433.60",percent of total billed charges,"1,433.60",percent of total billed charges,,,"1,290.24",percent of total billed charges ,,,"1,433.60",percent of total billed charges ,"1,505.28",percent of total billed charges ,"1,505.28",percent of total billed charges ,"1,397.76",percent of total billed charges ,"1,397.76",percent of total billed charges ,"1,433.60",percent of total billed charges ,"1,433.60",percent of total billed charges ,"1,254.40",percent of total billed charges ,"1,254.40",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,,,,,953.34,percent of total billed charges ,,,,,905.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,
INTRO NEEDLE/INTRACATHETER  VEIN BILA,36000,CDM,,,50,both,,,373,373,104.44,373,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,373,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,268.56,percent of total billed charges,276.02,percent of total billed charges,276.02,percent of total billed charges,298.4,percent of total billed charges,298.4,percent of total billed charges,,,268.56,percent of total billed charges ,,,298.4,percent of total billed charges ,313.32,percent of total billed charges ,313.32,percent of total billed charges ,290.94,percent of total billed charges ,290.94,percent of total billed charges ,298.4,percent of total billed charges ,298.4,percent of total billed charges ,261.1,percent of total billed charges ,261.1,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,223.8,percent of total billed charges ,,,,,198.44,percent of total billed charges ,,,,,188.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,,,104.44,percent of total billed charges,
**VENOGRAM RT,75820,CDM,,,RT,both,1,each,"1,792.00","1,792.00",501.76,"1,792.00","1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,792.00",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,290.24",percent of total billed charges,"1,326.08",percent of total billed charges,"1,326.08",percent of total billed charges,"1,433.60",percent of total billed charges,"1,433.60",percent of total billed charges,,,"1,290.24",percent of total billed charges ,,,"1,433.60",percent of total billed charges ,"1,505.28",percent of total billed charges ,"1,505.28",percent of total billed charges ,"1,397.76",percent of total billed charges ,"1,397.76",percent of total billed charges ,"1,433.60",percent of total billed charges ,"1,433.60",percent of total billed charges ,"1,254.40",percent of total billed charges ,"1,254.40",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,,,,,953.34,percent of total billed charges ,,,,,905.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,,,501.76,percent of total billed charges,
**WRIST 3 VIEWS,73110,CDM,,,,both,1,each,526,526,147.28,526,526,percent of total billed charges,526,percent of total billed charges,526,percent of total billed charges,526,percent of total billed charges,526,percent of total billed charges,526,percent of total billed charges,526,percent of total billed charges,526,percent of total billed charges,378.72,percent of total billed charges,378.72,percent of total billed charges,378.72,percent of total billed charges,378.72,percent of total billed charges,378.72,percent of total billed charges,378.72,percent of total billed charges,389.24,percent of total billed charges,389.24,percent of total billed charges,420.8,percent of total billed charges,420.8,percent of total billed charges,,,378.72,percent of total billed charges ,,,420.8,percent of total billed charges ,441.84,percent of total billed charges ,441.84,percent of total billed charges ,410.28,percent of total billed charges ,410.28,percent of total billed charges ,420.8,percent of total billed charges ,420.8,percent of total billed charges ,368.2,percent of total billed charges ,368.2,percent of total billed charges ,315.6,percent of total billed charges ,315.6,percent of total billed charges ,315.6,percent of total billed charges ,315.6,percent of total billed charges ,,,,,279.83,percent of total billed charges ,,,,,265.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,,,147.28,percent of total billed charges,
**WRIST 3 VIEWS BI,73110,CDM,,,50,both,1,each,644,644,180.32,644,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,476.56,percent of total billed charges,476.56,percent of total billed charges,515.2,percent of total billed charges,515.2,percent of total billed charges,,,463.68,percent of total billed charges ,,,515.2,percent of total billed charges ,540.96,percent of total billed charges ,540.96,percent of total billed charges ,502.32,percent of total billed charges ,502.32,percent of total billed charges ,515.2,percent of total billed charges ,515.2,percent of total billed charges ,450.8,percent of total billed charges ,450.8,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,,,,,342.61,percent of total billed charges ,,,,,325.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,
WRIST 3 VIEWS LT,73110,CDM,,,LT,both,1,each,546,546,152.88,546,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,404.04,percent of total billed charges,404.04,percent of total billed charges,436.8,percent of total billed charges,436.8,percent of total billed charges,,,393.12,percent of total billed charges ,,,436.8,percent of total billed charges ,458.64,percent of total billed charges ,458.64,percent of total billed charges ,425.88,percent of total billed charges ,425.88,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,,,,,290.47,percent of total billed charges ,,,,,275.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,
WRIST 3 VIEWS RT,73110,CDM,,,RT,both,1,each,546,546,152.88,546,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,404.04,percent of total billed charges,404.04,percent of total billed charges,436.8,percent of total billed charges,436.8,percent of total billed charges,,,393.12,percent of total billed charges ,,,436.8,percent of total billed charges ,458.64,percent of total billed charges ,458.64,percent of total billed charges ,425.88,percent of total billed charges ,425.88,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,,,,,290.47,percent of total billed charges ,,,,,275.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,
**WRIST 2 VIEWS,73100,CDM,,,,both,1,each,420,420,117.6,420,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,420,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,310.8,percent of total billed charges,310.8,percent of total billed charges,336,percent of total billed charges,336,percent of total billed charges,,,302.4,percent of total billed charges ,,,336,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,336,percent of total billed charges ,336,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,,,,,223.44,percent of total billed charges ,,,,,212.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,,,117.6,percent of total billed charges,
**WRIST 2 VIEWS BI,73100,CDM,,,50,both,1,each,682,682,190.96,682,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,504.68,percent of total billed charges,504.68,percent of total billed charges,545.6,percent of total billed charges,545.6,percent of total billed charges,,,491.04,percent of total billed charges ,,,545.6,percent of total billed charges ,572.88,percent of total billed charges ,572.88,percent of total billed charges ,531.96,percent of total billed charges ,531.96,percent of total billed charges ,545.6,percent of total billed charges ,545.6,percent of total billed charges ,477.4,percent of total billed charges ,477.4,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,,,,,362.82,percent of total billed charges ,,,,,344.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,
WRIST 2 VIEWS RT,73100,CDM,,,RT,both,1,each,459,459,128.52,459,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,339.66,percent of total billed charges,339.66,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,,,330.48,percent of total billed charges ,,,367.2,percent of total billed charges ,385.56,percent of total billed charges ,385.56,percent of total billed charges ,358.02,percent of total billed charges ,358.02,percent of total billed charges ,367.2,percent of total billed charges ,367.2,percent of total billed charges ,321.3,percent of total billed charges ,321.3,percent of total billed charges ,275.4,percent of total billed charges ,275.4,percent of total billed charges ,275.4,percent of total billed charges ,275.4,percent of total billed charges ,,,,,244.19,percent of total billed charges ,,,,,231.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,
WRIST 2 VIEWS LT,73100,CDM,,,LT,both,1,each,459,459,128.52,459,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,459,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,330.48,percent of total billed charges,339.66,percent of total billed charges,339.66,percent of total billed charges,367.2,percent of total billed charges,367.2,percent of total billed charges,,,330.48,percent of total billed charges ,,,367.2,percent of total billed charges ,385.56,percent of total billed charges ,385.56,percent of total billed charges ,358.02,percent of total billed charges ,358.02,percent of total billed charges ,367.2,percent of total billed charges ,367.2,percent of total billed charges ,321.3,percent of total billed charges ,321.3,percent of total billed charges ,275.4,percent of total billed charges ,275.4,percent of total billed charges ,275.4,percent of total billed charges ,275.4,percent of total billed charges ,,,,,244.19,percent of total billed charges ,,,,,231.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,,,128.52,percent of total billed charges,
**CHEST PA (TB),71010,CDM,,,,both,1,each,561,561,157.08,561,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,415.14,percent of total billed charges,415.14,percent of total billed charges,448.8,percent of total billed charges,448.8,percent of total billed charges,,,403.92,percent of total billed charges ,,,448.8,percent of total billed charges ,471.24,percent of total billed charges ,471.24,percent of total billed charges ,437.58,percent of total billed charges ,437.58,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,392.7,percent of total billed charges ,392.7,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,,,,,298.45,percent of total billed charges ,,,,,283.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,
**ARTHROGRAM SHOULDER,73040,CDM,,,,both,1,each,431,431,120.68,431,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,318.94,percent of total billed charges,318.94,percent of total billed charges,344.8,percent of total billed charges,344.8,percent of total billed charges,,,310.32,percent of total billed charges ,,,344.8,percent of total billed charges ,362.04,percent of total billed charges ,362.04,percent of total billed charges ,336.18,percent of total billed charges ,336.18,percent of total billed charges ,344.8,percent of total billed charges ,344.8,percent of total billed charges ,301.7,percent of total billed charges ,301.7,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,,,,,229.29,percent of total billed charges ,,,,,217.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,
INJECTION SHOULDER ARTHROGRAM,23350,CDM,,,,both,1,each,878,878,245.84,878,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,878,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,632.16,percent of total billed charges,649.72,percent of total billed charges,649.72,percent of total billed charges,702.4,percent of total billed charges,702.4,percent of total billed charges,,,632.16,percent of total billed charges ,,,702.4,percent of total billed charges ,737.52,percent of total billed charges ,737.52,percent of total billed charges ,684.84,percent of total billed charges ,684.84,percent of total billed charges ,702.4,percent of total billed charges ,702.4,percent of total billed charges ,614.6,percent of total billed charges ,614.6,percent of total billed charges ,526.8,percent of total billed charges ,526.8,percent of total billed charges ,526.8,percent of total billed charges ,526.8,percent of total billed charges ,,,,,467.1,percent of total billed charges ,,,,,443.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,,,245.84,percent of total billed charges,
ARTHROGRAM SHOULDER LT,73040,CDM,,,LT,both,1,each,"1,528.00","1,528.00",427.84,"1,528.00","1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,130.72",percent of total billed charges,"1,130.72",percent of total billed charges,"1,222.40",percent of total billed charges,"1,222.40",percent of total billed charges,,,"1,100.16",percent of total billed charges ,,,"1,222.40",percent of total billed charges ,"1,283.52",percent of total billed charges ,"1,283.52",percent of total billed charges ,"1,191.84",percent of total billed charges ,"1,191.84",percent of total billed charges ,"1,222.40",percent of total billed charges ,"1,222.40",percent of total billed charges ,"1,069.60",percent of total billed charges ,"1,069.60",percent of total billed charges ,916.8,percent of total billed charges ,916.8,percent of total billed charges ,916.8,percent of total billed charges ,916.8,percent of total billed charges ,,,,,812.9,percent of total billed charges ,,,,,772.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,
ARTHROGRAM SHOULDER RT,73040,CDM,,,RT,both,1,each,"1,528.00","1,528.00",427.84,"1,528.00","1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,528.00",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,100.16",percent of total billed charges,"1,130.72",percent of total billed charges,"1,130.72",percent of total billed charges,"1,222.40",percent of total billed charges,"1,222.40",percent of total billed charges,,,"1,100.16",percent of total billed charges ,,,"1,222.40",percent of total billed charges ,"1,283.52",percent of total billed charges ,"1,283.52",percent of total billed charges ,"1,191.84",percent of total billed charges ,"1,191.84",percent of total billed charges ,"1,222.40",percent of total billed charges ,"1,222.40",percent of total billed charges ,"1,069.60",percent of total billed charges ,"1,069.60",percent of total billed charges ,916.8,percent of total billed charges ,916.8,percent of total billed charges ,916.8,percent of total billed charges ,916.8,percent of total billed charges ,,,,,812.9,percent of total billed charges ,,,,,772.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,,,427.84,percent of total billed charges,
INJECTION ARTHROGRAM SHOULDER BILATE,23350,CDM,,,50,both,1,each,864,864,241.92,864,864,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,622.08,percent of total billed charges,622.08,percent of total billed charges,622.08,percent of total billed charges,622.08,percent of total billed charges,622.08,percent of total billed charges,622.08,percent of total billed charges,639.36,percent of total billed charges,639.36,percent of total billed charges,691.2,percent of total billed charges,691.2,percent of total billed charges,,,622.08,percent of total billed charges ,,,691.2,percent of total billed charges ,725.76,percent of total billed charges ,725.76,percent of total billed charges ,673.92,percent of total billed charges ,673.92,percent of total billed charges ,691.2,percent of total billed charges ,691.2,percent of total billed charges ,604.8,percent of total billed charges ,604.8,percent of total billed charges ,518.4,percent of total billed charges ,518.4,percent of total billed charges ,518.4,percent of total billed charges ,518.4,percent of total billed charges ,,,,,459.65,percent of total billed charges ,,,,,436.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,,,241.92,percent of total billed charges,
**ARTHROGRAM WRIST BILATERAL,73115,CDM,,,50,both,,,897,897,251.16,897,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,897,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,645.84,percent of total billed charges,663.78,percent of total billed charges,663.78,percent of total billed charges,717.6,percent of total billed charges,717.6,percent of total billed charges,,,645.84,percent of total billed charges ,,,717.6,percent of total billed charges ,753.48,percent of total billed charges ,753.48,percent of total billed charges ,699.66,percent of total billed charges ,699.66,percent of total billed charges ,717.6,percent of total billed charges ,717.6,percent of total billed charges ,627.9,percent of total billed charges ,627.9,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,538.2,percent of total billed charges ,,,,,477.2,percent of total billed charges ,,,,,453.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,,,251.16,percent of total billed charges,
INJECTION ARTHROGRAM WRIST BILATERAL,25246,CDM,,,50,both,1,each,790,790,221.2,790,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,584.6,percent of total billed charges,584.6,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,,,568.8,percent of total billed charges ,,,632,percent of total billed charges ,663.6,percent of total billed charges ,663.6,percent of total billed charges ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,632,percent of total billed charges ,632,percent of total billed charges ,553,percent of total billed charges ,553,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,,,,,420.28,percent of total billed charges ,,,,,399.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,
**ARTHROGRAM WRIST,73115,CDM,,,,both,,,454,454,127.12,454,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,454,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,326.88,percent of total billed charges,335.96,percent of total billed charges,335.96,percent of total billed charges,363.2,percent of total billed charges,363.2,percent of total billed charges,,,326.88,percent of total billed charges ,,,363.2,percent of total billed charges ,381.36,percent of total billed charges ,381.36,percent of total billed charges ,354.12,percent of total billed charges ,354.12,percent of total billed charges ,363.2,percent of total billed charges ,363.2,percent of total billed charges ,317.8,percent of total billed charges ,317.8,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,272.4,percent of total billed charges ,,,,,241.53,percent of total billed charges ,,,,,229.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,,,127.12,percent of total billed charges,
INJECTION ARTHROGRAM WRIST,25246,CDM,,,,both,1,each,790,790,221.2,790,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,790,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,568.8,percent of total billed charges,584.6,percent of total billed charges,584.6,percent of total billed charges,632,percent of total billed charges,632,percent of total billed charges,,,568.8,percent of total billed charges ,,,632,percent of total billed charges ,663.6,percent of total billed charges ,663.6,percent of total billed charges ,616.2,percent of total billed charges ,616.2,percent of total billed charges ,632,percent of total billed charges ,632,percent of total billed charges ,553,percent of total billed charges ,553,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,474,percent of total billed charges ,,,,,420.28,percent of total billed charges ,,,,,399.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,,,221.2,percent of total billed charges,
ARTHROGRAM WRIST LT,73115,CDM,,,LT,both,1,each,"1,352.00","1,352.00",378.56,"1,352.00","1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,"1,000.48",percent of total billed charges,"1,000.48",percent of total billed charges,"1,081.60",percent of total billed charges,"1,081.60",percent of total billed charges,,,973.44,percent of total billed charges ,,,"1,081.60",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,081.60",percent of total billed charges ,"1,081.60",percent of total billed charges ,946.4,percent of total billed charges ,946.4,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,,,,,719.26,percent of total billed charges ,,,,,683.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,
ARTHROGRAM WRIST RT,73115,CDM,,,RT,both,,,"1,352.00","1,352.00",378.56,"1,352.00","1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,"1,352.00",percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,973.44,percent of total billed charges,"1,000.48",percent of total billed charges,"1,000.48",percent of total billed charges,"1,081.60",percent of total billed charges,"1,081.60",percent of total billed charges,,,973.44,percent of total billed charges ,,,"1,081.60",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,135.68",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,054.56",percent of total billed charges ,"1,081.60",percent of total billed charges ,"1,081.60",percent of total billed charges ,946.4,percent of total billed charges ,946.4,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,811.2,percent of total billed charges ,,,,,719.26,percent of total billed charges ,,,,,683.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,,,378.56,percent of total billed charges,
**ARTHROGRAM KNEE BILATERAL,73580,CDM,,,50,both,,,"1,026.00","1,026.00",287.28,"1,026.00","1,026.00",percent of total billed charges,"1,026.00",percent of total billed charges,"1,026.00",percent of total billed charges,"1,026.00",percent of total billed charges,"1,026.00",percent of total billed charges,"1,026.00",percent of total billed charges,"1,026.00",percent of total billed charges,"1,026.00",percent of total billed charges,738.72,percent of total billed charges,738.72,percent of total billed charges,738.72,percent of total billed charges,738.72,percent of total billed charges,738.72,percent of total billed charges,738.72,percent of total billed charges,759.24,percent of total billed charges,759.24,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,,,738.72,percent of total billed charges ,,,820.8,percent of total billed charges ,861.84,percent of total billed charges ,861.84,percent of total billed charges ,800.28,percent of total billed charges ,800.28,percent of total billed charges ,820.8,percent of total billed charges ,820.8,percent of total billed charges ,718.2,percent of total billed charges ,718.2,percent of total billed charges ,615.6,percent of total billed charges ,615.6,percent of total billed charges ,615.6,percent of total billed charges ,615.6,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,518.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,,,287.28,percent of total billed charges,
**INJECTION ARTHROGRAM KNEE BI,27370,CDM,,,50,both,,,"1,883.00","1,883.00",527.24,"1,883.00","1,883.00",percent of total billed charges,"1,883.00",percent of total billed charges,"1,883.00",percent of total billed charges,"1,883.00",percent of total billed charges,"1,883.00",percent of total billed charges,"1,883.00",percent of total billed charges,"1,883.00",percent of total billed charges,"1,883.00",percent of total billed charges,"1,355.76",percent of total billed charges,"1,355.76",percent of total billed charges,"1,355.76",percent of total billed charges,"1,355.76",percent of total billed charges,"1,355.76",percent of total billed charges,"1,355.76",percent of total billed charges,"1,393.42",percent of total billed charges,"1,393.42",percent of total billed charges,"1,506.40",percent of total billed charges,"1,506.40",percent of total billed charges,,,"1,355.76",percent of total billed charges ,,,"1,506.40",percent of total billed charges ,"1,581.72",percent of total billed charges ,"1,581.72",percent of total billed charges ,"1,468.74",percent of total billed charges ,"1,468.74",percent of total billed charges ,"1,506.40",percent of total billed charges ,"1,506.40",percent of total billed charges ,"1,318.10",percent of total billed charges ,"1,318.10",percent of total billed charges ,"1,129.80",percent of total billed charges ,"1,129.80",percent of total billed charges ,"1,129.80",percent of total billed charges ,"1,129.80",percent of total billed charges ,,,,,"1,001.76",percent of total billed charges ,,,,,951.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,,,527.24,percent of total billed charges,
INJECTION ARTHROGRAM KNEE,27369,CDM,,,,both,,,946,946,264.88,946,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,700.04,percent of total billed charges,700.04,percent of total billed charges,756.8,percent of total billed charges,756.8,percent of total billed charges,,,681.12,percent of total billed charges ,,,756.8,percent of total billed charges ,794.64,percent of total billed charges ,794.64,percent of total billed charges ,737.88,percent of total billed charges ,737.88,percent of total billed charges ,756.8,percent of total billed charges ,756.8,percent of total billed charges ,662.2,percent of total billed charges ,662.2,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,,,,,503.27,percent of total billed charges ,,,,,478.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,
**ARTHROGRAM KNEE,73580,CDM,,,,both,,,516,516,144.48,516,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,516,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,381.84,percent of total billed charges,381.84,percent of total billed charges,412.8,percent of total billed charges,412.8,percent of total billed charges,,,371.52,percent of total billed charges ,,,412.8,percent of total billed charges ,433.44,percent of total billed charges ,433.44,percent of total billed charges ,402.48,percent of total billed charges ,402.48,percent of total billed charges ,412.8,percent of total billed charges ,412.8,percent of total billed charges ,361.2,percent of total billed charges ,361.2,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,309.6,percent of total billed charges ,,,,,274.51,percent of total billed charges ,,,,,260.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,,,144.48,percent of total billed charges,
ARTHROGRAM KNEE LT,73580,CDM,,,LT,both,1,each,"1,459.00","1,459.00",408.52,"1,459.00","1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,079.66",percent of total billed charges,"1,079.66",percent of total billed charges,"1,167.20",percent of total billed charges,"1,167.20",percent of total billed charges,,,"1,050.48",percent of total billed charges ,,,"1,167.20",percent of total billed charges ,"1,225.56",percent of total billed charges ,"1,225.56",percent of total billed charges ,"1,138.02",percent of total billed charges ,"1,138.02",percent of total billed charges ,"1,167.20",percent of total billed charges ,"1,167.20",percent of total billed charges ,"1,021.30",percent of total billed charges ,"1,021.30",percent of total billed charges ,875.4,percent of total billed charges ,875.4,percent of total billed charges ,875.4,percent of total billed charges ,875.4,percent of total billed charges ,,,,,776.19,percent of total billed charges ,,,,,737.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,
ARTHROGRAM KNEE RT,73580,CDM,,,RT,both,1,each,"1,459.00","1,459.00",408.52,"1,459.00","1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,459.00",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,050.48",percent of total billed charges,"1,079.66",percent of total billed charges,"1,079.66",percent of total billed charges,"1,167.20",percent of total billed charges,"1,167.20",percent of total billed charges,,,"1,050.48",percent of total billed charges ,,,"1,167.20",percent of total billed charges ,"1,225.56",percent of total billed charges ,"1,225.56",percent of total billed charges ,"1,138.02",percent of total billed charges ,"1,138.02",percent of total billed charges ,"1,167.20",percent of total billed charges ,"1,167.20",percent of total billed charges ,"1,021.30",percent of total billed charges ,"1,021.30",percent of total billed charges ,875.4,percent of total billed charges ,875.4,percent of total billed charges ,875.4,percent of total billed charges ,875.4,percent of total billed charges ,,,,,776.19,percent of total billed charges ,,,,,737.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,,,408.52,percent of total billed charges,
GASTROVIEW,Q9963,CDM,,,,both,1,each,257,257,71.96,257,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,190.18,percent of total billed charges,190.18,percent of total billed charges,205.6,percent of total billed charges,205.6,percent of total billed charges,,,185.04,percent of total billed charges ,,,205.6,percent of total billed charges ,215.88,percent of total billed charges ,215.88,percent of total billed charges ,200.46,percent of total billed charges ,200.46,percent of total billed charges ,205.6,percent of total billed charges ,205.6,percent of total billed charges ,179.9,percent of total billed charges ,179.9,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,,,,,136.72,percent of total billed charges ,,,,,129.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,
FEMUR 1 VIEW LT,73551,CDM,,,LT,both,1,each,419,419,117.32,419,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,419,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,301.68,percent of total billed charges,310.06,percent of total billed charges,310.06,percent of total billed charges,335.2,percent of total billed charges,335.2,percent of total billed charges,,,301.68,percent of total billed charges ,,,335.2,percent of total billed charges ,351.96,percent of total billed charges ,351.96,percent of total billed charges ,326.82,percent of total billed charges ,326.82,percent of total billed charges ,335.2,percent of total billed charges ,335.2,percent of total billed charges ,293.3,percent of total billed charges ,293.3,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,251.4,percent of total billed charges ,,,,,222.91,percent of total billed charges ,,,,,211.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,,,117.32,percent of total billed charges,
FEMUR 1 VIEW RT,73551,CDM,,,RT,both,1,each,449,449,125.72,449,449,percent of total billed charges,449,percent of total billed charges,449,percent of total billed charges,449,percent of total billed charges,449,percent of total billed charges,449,percent of total billed charges,449,percent of total billed charges,449,percent of total billed charges,323.28,percent of total billed charges,323.28,percent of total billed charges,323.28,percent of total billed charges,323.28,percent of total billed charges,323.28,percent of total billed charges,323.28,percent of total billed charges,332.26,percent of total billed charges,332.26,percent of total billed charges,359.2,percent of total billed charges,359.2,percent of total billed charges,,,323.28,percent of total billed charges ,,,359.2,percent of total billed charges ,377.16,percent of total billed charges ,377.16,percent of total billed charges ,350.22,percent of total billed charges ,350.22,percent of total billed charges ,359.2,percent of total billed charges ,359.2,percent of total billed charges ,314.3,percent of total billed charges ,314.3,percent of total billed charges ,269.4,percent of total billed charges ,269.4,percent of total billed charges ,269.4,percent of total billed charges ,269.4,percent of total billed charges ,,,,,238.87,percent of total billed charges ,,,,,226.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,,,125.72,percent of total billed charges,
HIP 1V LT W/WO PELVIS,73501,CDM,,,LT,both,1,each,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
HIP 1V RT W/WO PELVIS,73501,CDM,,,RT,both,1,each,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
HIP 2V LT W/WO PELVIS,73502,CDM,,,LT,both,1,each,533,533,149.24,533,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,394.42,percent of total billed charges,394.42,percent of total billed charges,426.4,percent of total billed charges,426.4,percent of total billed charges,,,383.76,percent of total billed charges ,,,426.4,percent of total billed charges ,447.72,percent of total billed charges ,447.72,percent of total billed charges ,415.74,percent of total billed charges ,415.74,percent of total billed charges ,426.4,percent of total billed charges ,426.4,percent of total billed charges ,373.1,percent of total billed charges ,373.1,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,,,,,283.56,percent of total billed charges ,,,,,269.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,
HIP 2V RT W/WO PELVIS,73502,CDM,,,RT,both,1,each,533,533,149.24,533,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,533,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,383.76,percent of total billed charges,394.42,percent of total billed charges,394.42,percent of total billed charges,426.4,percent of total billed charges,426.4,percent of total billed charges,,,383.76,percent of total billed charges ,,,426.4,percent of total billed charges ,447.72,percent of total billed charges ,447.72,percent of total billed charges ,415.74,percent of total billed charges ,415.74,percent of total billed charges ,426.4,percent of total billed charges ,426.4,percent of total billed charges ,373.1,percent of total billed charges ,373.1,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,,,,,283.56,percent of total billed charges ,,,,,269.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,,,149.24,percent of total billed charges,
HIP 2V BI W/WO PELVIS,73521,CDM,,,,both,1,each,666,666,186.48,666,666,percent of total billed charges,666,percent of total billed charges,666,percent of total billed charges,666,percent of total billed charges,666,percent of total billed charges,666,percent of total billed charges,666,percent of total billed charges,666,percent of total billed charges,479.52,percent of total billed charges,479.52,percent of total billed charges,479.52,percent of total billed charges,479.52,percent of total billed charges,479.52,percent of total billed charges,479.52,percent of total billed charges,492.84,percent of total billed charges,492.84,percent of total billed charges,532.8,percent of total billed charges,532.8,percent of total billed charges,,,479.52,percent of total billed charges ,,,532.8,percent of total billed charges ,559.44,percent of total billed charges ,559.44,percent of total billed charges ,519.48,percent of total billed charges ,519.48,percent of total billed charges ,532.8,percent of total billed charges ,532.8,percent of total billed charges ,466.2,percent of total billed charges ,466.2,percent of total billed charges ,399.6,percent of total billed charges ,399.6,percent of total billed charges ,399.6,percent of total billed charges ,399.6,percent of total billed charges ,,,,,354.31,percent of total billed charges ,,,,,336.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,,,186.48,percent of total billed charges,
INFANT UPPER EXT RT 2 VIEWS,73092,CDM,,,RT,both,1,each,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
INFANT LOWER EXT LT 2 VIEWS,73592,CDM,,,LT,both,1,each,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
INFANT LOWER EXT RT 2 VIEWS,73592,CDM,,,RT,both,1,each,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
REMOVAL CENTRAL VENOUS CATHETER,36589,CDM,,,,both,1,each,"3,077.00","3,077.00",861.56,"3,077.00","3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"3,077.00",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,215.44",percent of total billed charges,"2,276.98",percent of total billed charges,"2,276.98",percent of total billed charges,"2,461.60",percent of total billed charges,"2,461.60",percent of total billed charges,,,"2,215.44",percent of total billed charges ,,,"2,461.60",percent of total billed charges ,"2,584.68",percent of total billed charges ,"2,584.68",percent of total billed charges ,"2,400.06",percent of total billed charges ,"2,400.06",percent of total billed charges ,"2,461.60",percent of total billed charges ,"2,461.60",percent of total billed charges ,"2,153.90",percent of total billed charges ,"2,153.90",percent of total billed charges ,"1,846.20",percent of total billed charges ,"1,846.20",percent of total billed charges ,"1,846.20",percent of total billed charges ,"1,846.20",percent of total billed charges ,,,,,"1,636.96",percent of total billed charges ,,,,,"1,555.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,,,861.56,percent of total billed charges,
FILM REPRODUCTION,LOCAL,LOCAL,,,,both,1,each,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
SPINE AP & LAT COMPLETE,72082,CDM,,,,both,1,each,"1,021.00","1,021.00",285.88,"1,021.00","1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,"1,021.00",percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,735.12,percent of total billed charges,755.54,percent of total billed charges,755.54,percent of total billed charges,816.8,percent of total billed charges,816.8,percent of total billed charges,,,735.12,percent of total billed charges ,,,816.8,percent of total billed charges ,857.64,percent of total billed charges ,857.64,percent of total billed charges ,796.38,percent of total billed charges ,796.38,percent of total billed charges ,816.8,percent of total billed charges ,816.8,percent of total billed charges ,714.7,percent of total billed charges ,714.7,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,612.6,percent of total billed charges ,,,,,543.17,percent of total billed charges ,,,,,516.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,,,285.88,percent of total billed charges,
SPINAL TAP LUMBAR DIAGNOSTIC,62270,CDM,,,,both,1,each,"1,597.00","1,597.00",447.16,"1,597.00","1,597.00",percent of total billed charges,"1,597.00",percent of total billed charges,"1,597.00",percent of total billed charges,"1,597.00",percent of total billed charges,"1,597.00",percent of total billed charges,"1,597.00",percent of total billed charges,"1,597.00",percent of total billed charges,"1,597.00",percent of total billed charges,"1,149.84",percent of total billed charges,"1,149.84",percent of total billed charges,"1,149.84",percent of total billed charges,"1,149.84",percent of total billed charges,"1,149.84",percent of total billed charges,"1,149.84",percent of total billed charges,"1,181.78",percent of total billed charges,"1,181.78",percent of total billed charges,"1,277.60",percent of total billed charges,"1,277.60",percent of total billed charges,,,"1,149.84",percent of total billed charges ,,,"1,277.60",percent of total billed charges ,"1,341.48",percent of total billed charges ,"1,341.48",percent of total billed charges ,"1,245.66",percent of total billed charges ,"1,245.66",percent of total billed charges ,"1,277.60",percent of total billed charges ,"1,277.60",percent of total billed charges ,"1,117.90",percent of total billed charges ,"1,117.90",percent of total billed charges ,958.2,percent of total billed charges ,958.2,percent of total billed charges ,958.2,percent of total billed charges ,958.2,percent of total billed charges ,,,,,849.6,percent of total billed charges ,,,,,807.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,,,447.16,percent of total billed charges,
"DXA BONE DENSITY,AXIAL W VERTEBRAL",77085,CDM,,,,both,1,each,887,887,248.36,887,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,887,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,638.64,percent of total billed charges,656.38,percent of total billed charges,656.38,percent of total billed charges,709.6,percent of total billed charges,709.6,percent of total billed charges,,,638.64,percent of total billed charges ,,,709.6,percent of total billed charges ,745.08,percent of total billed charges ,745.08,percent of total billed charges ,691.86,percent of total billed charges ,691.86,percent of total billed charges ,709.6,percent of total billed charges ,709.6,percent of total billed charges ,620.9,percent of total billed charges ,620.9,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,532.2,percent of total billed charges ,,,,,471.88,percent of total billed charges ,,,,,448.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,,,248.36,percent of total billed charges,
ESOPHAGUS A/C,74221,CDM,,,,both,1,each,860,860,240.8,860,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,860,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,636.4,percent of total billed charges,636.4,percent of total billed charges,688,percent of total billed charges,688,percent of total billed charges,,,619.2,percent of total billed charges ,,,688,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,670.8,percent of total billed charges ,670.8,percent of total billed charges ,688,percent of total billed charges ,688,percent of total billed charges ,602,percent of total billed charges ,602,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,516,percent of total billed charges ,,,,,457.52,percent of total billed charges ,,,,,434.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,,,240.8,percent of total billed charges,
SM BOWEL SERIES (ADD ON),74248,CDM,,,,both,,,653,653,182.84,653,653,percent of total billed charges,653,percent of total billed charges,653,percent of total billed charges,653,percent of total billed charges,653,percent of total billed charges,653,percent of total billed charges,653,percent of total billed charges,653,percent of total billed charges,470.16,percent of total billed charges,470.16,percent of total billed charges,470.16,percent of total billed charges,470.16,percent of total billed charges,470.16,percent of total billed charges,470.16,percent of total billed charges,483.22,percent of total billed charges,483.22,percent of total billed charges,522.4,percent of total billed charges,522.4,percent of total billed charges,,,470.16,percent of total billed charges ,,,522.4,percent of total billed charges ,548.52,percent of total billed charges ,548.52,percent of total billed charges ,509.34,percent of total billed charges ,509.34,percent of total billed charges ,522.4,percent of total billed charges ,522.4,percent of total billed charges ,457.1,percent of total billed charges ,457.1,percent of total billed charges ,391.8,percent of total billed charges ,391.8,percent of total billed charges ,391.8,percent of total billed charges ,391.8,percent of total billed charges ,,,,,347.4,percent of total billed charges ,,,,,330.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,,,182.84,percent of total billed charges,
UGI WITH SBFT,74240,CDM,,,,both,1,each,"1,172.00","1,172.00",328.16,"1,172.00","1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,"1,172.00",percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,843.84,percent of total billed charges,867.28,percent of total billed charges,867.28,percent of total billed charges,937.6,percent of total billed charges,937.6,percent of total billed charges,,,843.84,percent of total billed charges ,,,937.6,percent of total billed charges ,984.48,percent of total billed charges ,984.48,percent of total billed charges ,914.16,percent of total billed charges ,914.16,percent of total billed charges ,937.6,percent of total billed charges ,937.6,percent of total billed charges ,820.4,percent of total billed charges ,820.4,percent of total billed charges ,703.2,percent of total billed charges ,703.2,percent of total billed charges ,703.2,percent of total billed charges ,703.2,percent of total billed charges ,,,,,623.5,percent of total billed charges ,,,,,592.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,,,328.16,percent of total billed charges,
UGI A/C WITH SBFT,74246,CDM,,,,both,1,each,"1,247.00","1,247.00",349.16,"1,247.00","1,247.00",percent of total billed charges,"1,247.00",percent of total billed charges,"1,247.00",percent of total billed charges,"1,247.00",percent of total billed charges,"1,247.00",percent of total billed charges,"1,247.00",percent of total billed charges,"1,247.00",percent of total billed charges,"1,247.00",percent of total billed charges,897.84,percent of total billed charges,897.84,percent of total billed charges,897.84,percent of total billed charges,897.84,percent of total billed charges,897.84,percent of total billed charges,897.84,percent of total billed charges,922.78,percent of total billed charges,922.78,percent of total billed charges,997.6,percent of total billed charges,997.6,percent of total billed charges,,,897.84,percent of total billed charges ,,,997.6,percent of total billed charges ,"1,047.48",percent of total billed charges ,"1,047.48",percent of total billed charges ,972.66,percent of total billed charges ,972.66,percent of total billed charges ,997.6,percent of total billed charges ,997.6,percent of total billed charges ,872.9,percent of total billed charges ,872.9,percent of total billed charges ,748.2,percent of total billed charges ,748.2,percent of total billed charges ,748.2,percent of total billed charges ,748.2,percent of total billed charges ,,,,,663.4,percent of total billed charges ,,,,,630.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,,,349.16,percent of total billed charges,
SM BOWEL SERIES A/C,74251,CDM,,,,both,1,each,"1,707.00","1,707.00",477.96,"1,707.00","1,707.00",percent of total billed charges,"1,707.00",percent of total billed charges,"1,707.00",percent of total billed charges,"1,707.00",percent of total billed charges,"1,707.00",percent of total billed charges,"1,707.00",percent of total billed charges,"1,707.00",percent of total billed charges,"1,707.00",percent of total billed charges,"1,229.04",percent of total billed charges,"1,229.04",percent of total billed charges,"1,229.04",percent of total billed charges,"1,229.04",percent of total billed charges,"1,229.04",percent of total billed charges,"1,229.04",percent of total billed charges,"1,263.18",percent of total billed charges,"1,263.18",percent of total billed charges,"1,365.60",percent of total billed charges,"1,365.60",percent of total billed charges,,,"1,229.04",percent of total billed charges ,,,"1,365.60",percent of total billed charges ,"1,433.88",percent of total billed charges ,"1,433.88",percent of total billed charges ,"1,331.46",percent of total billed charges ,"1,331.46",percent of total billed charges ,"1,365.60",percent of total billed charges ,"1,365.60",percent of total billed charges ,"1,194.90",percent of total billed charges ,"1,194.90",percent of total billed charges ,"1,024.20",percent of total billed charges ,"1,024.20",percent of total billed charges ,"1,024.20",percent of total billed charges ,"1,024.20",percent of total billed charges ,,,,,908.12,percent of total billed charges ,,,,,862.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,,,477.96,percent of total billed charges,
ABD 2V OR MORE WITH 1V CHEST,74022,CDM,,,,both,1,each,893,893,250.04,893,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,660.82,percent of total billed charges,660.82,percent of total billed charges,714.4,percent of total billed charges,714.4,percent of total billed charges,,,642.96,percent of total billed charges ,,,714.4,percent of total billed charges ,750.12,percent of total billed charges ,750.12,percent of total billed charges ,696.54,percent of total billed charges ,696.54,percent of total billed charges ,714.4,percent of total billed charges ,714.4,percent of total billed charges ,625.1,percent of total billed charges ,625.1,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,,,,,475.08,percent of total billed charges ,,,,,451.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,
THORACOLUMBAR 2 VIEWS,72080,CDM,,,,both,1,each,650,650,182,650,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,,,468,percent of total billed charges ,,,520,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,507,percent of total billed charges ,507,percent of total billed charges ,520,percent of total billed charges ,520,percent of total billed charges ,455,percent of total billed charges ,455,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,,,,,345.8,percent of total billed charges ,,,,,328.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,
HIP 3-4V BI W/WO PELVIS,73522,CDM,,,,both,1,each,886,886,248.08,886,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,886,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,637.92,percent of total billed charges,655.64,percent of total billed charges,655.64,percent of total billed charges,708.8,percent of total billed charges,708.8,percent of total billed charges,,,637.92,percent of total billed charges ,,,708.8,percent of total billed charges ,744.24,percent of total billed charges ,744.24,percent of total billed charges ,691.08,percent of total billed charges ,691.08,percent of total billed charges ,708.8,percent of total billed charges ,708.8,percent of total billed charges ,620.2,percent of total billed charges ,620.2,percent of total billed charges ,531.6,percent of total billed charges ,531.6,percent of total billed charges ,531.6,percent of total billed charges ,531.6,percent of total billed charges ,,,,,471.35,percent of total billed charges ,,,,,447.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,,,248.08,percent of total billed charges,
HANDS BILATERAL PA,73120,CDM,,,,both,1,each,489,489,136.92,489,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,489,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,352.08,percent of total billed charges,361.86,percent of total billed charges,361.86,percent of total billed charges,391.2,percent of total billed charges,391.2,percent of total billed charges,,,352.08,percent of total billed charges ,,,391.2,percent of total billed charges ,410.76,percent of total billed charges ,410.76,percent of total billed charges ,381.42,percent of total billed charges ,381.42,percent of total billed charges ,391.2,percent of total billed charges ,391.2,percent of total billed charges ,342.3,percent of total billed charges ,342.3,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,293.4,percent of total billed charges ,,,,,260.15,percent of total billed charges ,,,,,247.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,,,136.92,percent of total billed charges,
TOES LEFT,73660,CDM,,,,both,1,each,416,416,116.48,416,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,416,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,299.52,percent of total billed charges,307.84,percent of total billed charges,307.84,percent of total billed charges,332.8,percent of total billed charges,332.8,percent of total billed charges,,,299.52,percent of total billed charges ,,,332.8,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,324.48,percent of total billed charges ,324.48,percent of total billed charges ,332.8,percent of total billed charges ,332.8,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,249.6,percent of total billed charges ,,,,,221.31,percent of total billed charges ,,,,,210.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,,,116.48,percent of total billed charges,
NOSE TO RECTUM FOREIGN BODY 1 VIEW PEDIA,76010,CDM,,,,both,1,each,464,464,129.92,464,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,343.36,percent of total billed charges,343.36,percent of total billed charges,371.2,percent of total billed charges,371.2,percent of total billed charges,,,334.08,percent of total billed charges ,,,371.2,percent of total billed charges ,389.76,percent of total billed charges ,389.76,percent of total billed charges ,361.92,percent of total billed charges ,361.92,percent of total billed charges ,371.2,percent of total billed charges ,371.2,percent of total billed charges ,324.8,percent of total billed charges ,324.8,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,,,,,246.85,percent of total billed charges ,,,,,234.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,
US ABD SONOGRAM,76700,CDM,,,,both,1,each,"1,763.00","1,763.00",493.64,"1,763.00","1,763.00",percent of total billed charges,"1,763.00",percent of total billed charges,"1,763.00",percent of total billed charges,"1,763.00",percent of total billed charges,"1,763.00",percent of total billed charges,"1,763.00",percent of total billed charges,"1,763.00",percent of total billed charges,"1,763.00",percent of total billed charges,"1,269.36",percent of total billed charges,"1,269.36",percent of total billed charges,"1,269.36",percent of total billed charges,"1,269.36",percent of total billed charges,"1,269.36",percent of total billed charges,"1,269.36",percent of total billed charges,"1,304.62",percent of total billed charges,"1,304.62",percent of total billed charges,"1,410.40",percent of total billed charges,"1,410.40",percent of total billed charges,,,"1,269.36",percent of total billed charges ,,,"1,410.40",percent of total billed charges ,"1,480.92",percent of total billed charges ,"1,480.92",percent of total billed charges ,"1,375.14",percent of total billed charges ,"1,375.14",percent of total billed charges ,"1,410.40",percent of total billed charges ,"1,410.40",percent of total billed charges ,"1,234.10",percent of total billed charges ,"1,234.10",percent of total billed charges ,"1,057.80",percent of total billed charges ,"1,057.80",percent of total billed charges ,"1,057.80",percent of total billed charges ,"1,057.80",percent of total billed charges ,,,,,937.92,percent of total billed charges ,,,,,891.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,,,493.64,percent of total billed charges,
US ABD AORTA SONOGRAM,76775,CDM,,,,both,1,each,954,954,267.12,954,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,954,percent of total billed charges,686.88,percent of total billed charges,686.88,percent of total billed charges,686.88,percent of total billed charges,686.88,percent of total billed charges,686.88,percent of total billed charges,686.88,percent of total billed charges,705.96,percent of total billed charges,705.96,percent of total billed charges,763.2,percent of total billed charges,763.2,percent of total billed charges,,,686.88,percent of total billed charges ,,,763.2,percent of total billed charges ,801.36,percent of total billed charges ,801.36,percent of total billed charges ,744.12,percent of total billed charges ,744.12,percent of total billed charges ,763.2,percent of total billed charges ,763.2,percent of total billed charges ,667.8,percent of total billed charges ,667.8,percent of total billed charges ,572.4,percent of total billed charges ,572.4,percent of total billed charges ,572.4,percent of total billed charges ,572.4,percent of total billed charges ,,,,,507.53,percent of total billed charges ,,,,,482.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,,,267.12,percent of total billed charges,
US AORTIC ANEURYSM SCREENING,76706,CDM,,,,both,1,each,815,815,228.2,815,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,815,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,586.8,percent of total billed charges,603.1,percent of total billed charges,603.1,percent of total billed charges,652,percent of total billed charges,652,percent of total billed charges,,,586.8,percent of total billed charges ,,,652,percent of total billed charges ,684.6,percent of total billed charges ,684.6,percent of total billed charges ,635.7,percent of total billed charges ,635.7,percent of total billed charges ,652,percent of total billed charges ,652,percent of total billed charges ,570.5,percent of total billed charges ,570.5,percent of total billed charges ,489,percent of total billed charges ,489,percent of total billed charges ,489,percent of total billed charges ,489,percent of total billed charges ,,,,,433.58,percent of total billed charges ,,,,,411.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,,,228.2,percent of total billed charges,
US ABD LIMITED,76705,CDM,,,,both,1,each,"1,080.00","1,080.00",302.4,"1,080.00","1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,,,777.6,percent of total billed charges ,,,864,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,,,,,574.56,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,
US OB ADDITIONAL GEST 2&3 TRI,76810,CDM,,,,both,1,each,952,952,266.56,952,952,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,952,percent of total billed charges,685.44,percent of total billed charges,685.44,percent of total billed charges,685.44,percent of total billed charges,685.44,percent of total billed charges,685.44,percent of total billed charges,685.44,percent of total billed charges,704.48,percent of total billed charges,704.48,percent of total billed charges,761.6,percent of total billed charges,761.6,percent of total billed charges,,,685.44,percent of total billed charges ,,,761.6,percent of total billed charges ,799.68,percent of total billed charges ,799.68,percent of total billed charges ,742.56,percent of total billed charges ,742.56,percent of total billed charges ,761.6,percent of total billed charges ,761.6,percent of total billed charges ,666.4,percent of total billed charges ,666.4,percent of total billed charges ,571.2,percent of total billed charges ,571.2,percent of total billed charges ,571.2,percent of total billed charges ,571.2,percent of total billed charges ,,,,,506.46,percent of total billed charges ,,,,,481.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,,,266.56,percent of total billed charges,
**US BREAST SONOGRAM UNI,76645,CDM,,,,both,1,each,550,550,154,550,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,550,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,396,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,440,percent of total billed charges,440,percent of total billed charges,,,396,percent of total billed charges ,,,440,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,429,percent of total billed charges ,429,percent of total billed charges ,440,percent of total billed charges ,440,percent of total billed charges ,385,percent of total billed charges ,385,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,330,percent of total billed charges ,,,,,292.6,percent of total billed charges ,,,,,277.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,,,154,percent of total billed charges,
US BREAST COMPLETE,76642,CDM,,,,both,1,each,699,699,195.72,699,699,percent of total billed charges,699,percent of total billed charges,699,percent of total billed charges,699,percent of total billed charges,699,percent of total billed charges,699,percent of total billed charges,699,percent of total billed charges,699,percent of total billed charges,503.28,percent of total billed charges,503.28,percent of total billed charges,503.28,percent of total billed charges,503.28,percent of total billed charges,503.28,percent of total billed charges,503.28,percent of total billed charges,517.26,percent of total billed charges,517.26,percent of total billed charges,559.2,percent of total billed charges,559.2,percent of total billed charges,,,503.28,percent of total billed charges ,,,559.2,percent of total billed charges ,587.16,percent of total billed charges ,587.16,percent of total billed charges ,545.22,percent of total billed charges ,545.22,percent of total billed charges ,559.2,percent of total billed charges ,559.2,percent of total billed charges ,489.3,percent of total billed charges ,489.3,percent of total billed charges ,419.4,percent of total billed charges ,419.4,percent of total billed charges ,419.4,percent of total billed charges ,419.4,percent of total billed charges ,,,,,371.87,percent of total billed charges ,,,,,353.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,,,195.72,percent of total billed charges,
US BREAST UNI LT,76642,CDM,,,LT,both,,,655,655,183.4,655,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,484.7,percent of total billed charges,484.7,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,,,471.6,percent of total billed charges ,,,524,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,510.9,percent of total billed charges ,510.9,percent of total billed charges ,524,percent of total billed charges ,524,percent of total billed charges ,458.5,percent of total billed charges ,458.5,percent of total billed charges ,393,percent of total billed charges ,393,percent of total billed charges ,393,percent of total billed charges ,393,percent of total billed charges ,,,,,348.46,percent of total billed charges ,,,,,331.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,
US BREAST UNI RT,76642,CDM,,,RT,both,1,each,655,655,183.4,655,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,655,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,471.6,percent of total billed charges,484.7,percent of total billed charges,484.7,percent of total billed charges,524,percent of total billed charges,524,percent of total billed charges,,,471.6,percent of total billed charges ,,,524,percent of total billed charges ,550.2,percent of total billed charges ,550.2,percent of total billed charges ,510.9,percent of total billed charges ,510.9,percent of total billed charges ,524,percent of total billed charges ,524,percent of total billed charges ,458.5,percent of total billed charges ,458.5,percent of total billed charges ,393,percent of total billed charges ,393,percent of total billed charges ,393,percent of total billed charges ,393,percent of total billed charges ,,,,,348.46,percent of total billed charges ,,,,,331.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,,,183.4,percent of total billed charges,
US BREAST LOCALIZATION RT-WIRE,19285,CDM,,,RT,both,1,each,"2,745.00","2,745.00",768.6,"2,745.00","2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"2,031.30",percent of total billed charges,"2,031.30",percent of total billed charges,"2,196.00",percent of total billed charges,"2,196.00",percent of total billed charges,,,"1,976.40",percent of total billed charges ,,,"2,196.00",percent of total billed charges ,"2,305.80",percent of total billed charges ,"2,305.80",percent of total billed charges ,"2,141.10",percent of total billed charges ,"2,141.10",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"1,921.50",percent of total billed charges ,"1,921.50",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,,,,,"1,460.34",percent of total billed charges ,,,,,"1,387.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,
US BREAST LOCALIZATION LT-WIRE,19285,CDM,,,LT,both,1,each,"2,745.00","2,745.00",768.6,"2,745.00","2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"2,031.30",percent of total billed charges,"2,031.30",percent of total billed charges,"2,196.00",percent of total billed charges,"2,196.00",percent of total billed charges,,,"1,976.40",percent of total billed charges ,,,"2,196.00",percent of total billed charges ,"2,305.80",percent of total billed charges ,"2,305.80",percent of total billed charges ,"2,141.10",percent of total billed charges ,"2,141.10",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"1,921.50",percent of total billed charges ,"1,921.50",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,,,,,"1,460.34",percent of total billed charges ,,,,,"1,387.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,
US BREAST LOCALIZATION BILAT-WIRE,19285,CDM,,,50,both,,,"2,745.00","2,745.00",768.6,"2,745.00","2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"2,745.00",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"1,976.40",percent of total billed charges,"2,031.30",percent of total billed charges,"2,031.30",percent of total billed charges,"2,196.00",percent of total billed charges,"2,196.00",percent of total billed charges,,,"1,976.40",percent of total billed charges ,,,"2,196.00",percent of total billed charges ,"2,305.80",percent of total billed charges ,"2,305.80",percent of total billed charges ,"2,141.10",percent of total billed charges ,"2,141.10",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"1,921.50",percent of total billed charges ,"1,921.50",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,"1,647.00",percent of total billed charges ,,,,,"1,460.34",percent of total billed charges ,,,,,"1,387.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,,,768.6,percent of total billed charges,
US BREAST LOCALIZATION -EA ADDITIONAL,19286,CDM,,,,both,,,"2,003.00","2,003.00",560.84,"2,003.00","2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"2,003.00",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,442.16",percent of total billed charges,"1,482.22",percent of total billed charges,"1,482.22",percent of total billed charges,"1,602.40",percent of total billed charges,"1,602.40",percent of total billed charges,,,"1,442.16",percent of total billed charges ,,,"1,602.40",percent of total billed charges ,"1,682.52",percent of total billed charges ,"1,682.52",percent of total billed charges ,"1,562.34",percent of total billed charges ,"1,562.34",percent of total billed charges ,"1,602.40",percent of total billed charges ,"1,602.40",percent of total billed charges ,"1,402.10",percent of total billed charges ,"1,402.10",percent of total billed charges ,"1,201.80",percent of total billed charges ,"1,201.80",percent of total billed charges ,"1,201.80",percent of total billed charges ,"1,201.80",percent of total billed charges ,,,,,"1,065.60",percent of total billed charges ,,,,,"1,012.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,,,560.84,percent of total billed charges,
US BREAST ASPIR EA ADDL CYST,19001,CDM,,,,both,1,each,667,667,186.76,667,667,percent of total billed charges,667,percent of total billed charges,667,percent of total billed charges,667,percent of total billed charges,667,percent of total billed charges,667,percent of total billed charges,667,percent of total billed charges,667,percent of total billed charges,480.24,percent of total billed charges,480.24,percent of total billed charges,480.24,percent of total billed charges,480.24,percent of total billed charges,480.24,percent of total billed charges,480.24,percent of total billed charges,493.58,percent of total billed charges,493.58,percent of total billed charges,533.6,percent of total billed charges,533.6,percent of total billed charges,,,480.24,percent of total billed charges ,,,533.6,percent of total billed charges ,560.28,percent of total billed charges ,560.28,percent of total billed charges ,520.26,percent of total billed charges ,520.26,percent of total billed charges ,533.6,percent of total billed charges ,533.6,percent of total billed charges ,466.9,percent of total billed charges ,466.9,percent of total billed charges ,400.2,percent of total billed charges ,400.2,percent of total billed charges ,400.2,percent of total billed charges ,400.2,percent of total billed charges ,,,,,354.84,percent of total billed charges ,,,,,337.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,,,186.76,percent of total billed charges,
US BREAST ASPIR SURGICAL,19000,CDM,,,,both,1,each,"1,348.00","1,348.00",377.44,"1,348.00","1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,997.52,percent of total billed charges,997.52,percent of total billed charges,"1,078.40",percent of total billed charges,"1,078.40",percent of total billed charges,,,970.56,percent of total billed charges ,,,"1,078.40",percent of total billed charges ,"1,132.32",percent of total billed charges ,"1,132.32",percent of total billed charges ,"1,051.44",percent of total billed charges ,"1,051.44",percent of total billed charges ,"1,078.40",percent of total billed charges ,"1,078.40",percent of total billed charges ,943.6,percent of total billed charges ,943.6,percent of total billed charges ,808.8,percent of total billed charges ,808.8,percent of total billed charges ,808.8,percent of total billed charges ,808.8,percent of total billed charges ,,,,,717.14,percent of total billed charges ,,,,,681.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,
**US BREAST CYST ASPIR W/ US,76942,CDM,,,,both,1,each,548,548,153.44,548,548,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,548,percent of total billed charges,394.56,percent of total billed charges,394.56,percent of total billed charges,394.56,percent of total billed charges,394.56,percent of total billed charges,394.56,percent of total billed charges,394.56,percent of total billed charges,405.52,percent of total billed charges,405.52,percent of total billed charges,438.4,percent of total billed charges,438.4,percent of total billed charges,,,394.56,percent of total billed charges ,,,438.4,percent of total billed charges ,460.32,percent of total billed charges ,460.32,percent of total billed charges ,427.44,percent of total billed charges ,427.44,percent of total billed charges ,438.4,percent of total billed charges ,438.4,percent of total billed charges ,383.6,percent of total billed charges ,383.6,percent of total billed charges ,328.8,percent of total billed charges ,328.8,percent of total billed charges ,328.8,percent of total billed charges ,328.8,percent of total billed charges ,,,,,291.54,percent of total billed charges ,,,,,276.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,,,153.44,percent of total billed charges,
US BREAST BIOPSY LT,19083,CDM,,,,both,1,each,"4,441.00","4,441.00","1,243.48","4,441.00","4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,286.34",percent of total billed charges,"3,286.34",percent of total billed charges,"3,552.80",percent of total billed charges,"3,552.80",percent of total billed charges,,,"3,197.52",percent of total billed charges ,,,"3,552.80",percent of total billed charges ,"3,730.44",percent of total billed charges ,"3,730.44",percent of total billed charges ,"3,463.98",percent of total billed charges ,"3,463.98",percent of total billed charges ,"3,552.80",percent of total billed charges ,"3,552.80",percent of total billed charges ,"3,108.70",percent of total billed charges ,"3,108.70",percent of total billed charges ,"2,664.60",percent of total billed charges ,"2,664.60",percent of total billed charges ,"2,664.60",percent of total billed charges ,"2,664.60",percent of total billed charges ,,,,,"2,362.61",percent of total billed charges ,,,,,"2,244.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,
US BREAST GUIDANCE,76942,CDM,,,,both,1,each,"1,244.00","1,244.00",348.32,"1,244.00","1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,920.56,percent of total billed charges,920.56,percent of total billed charges,995.2,percent of total billed charges,995.2,percent of total billed charges,,,895.68,percent of total billed charges ,,,995.2,percent of total billed charges ,"1,044.96",percent of total billed charges ,"1,044.96",percent of total billed charges ,970.32,percent of total billed charges ,970.32,percent of total billed charges ,995.2,percent of total billed charges ,995.2,percent of total billed charges ,870.8,percent of total billed charges ,870.8,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,,,,,661.81,percent of total billed charges ,,,,,628.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,
US BREAST BX RT EA ADDITIONAL,19084,CDM,,,,both,1,each,"2,947.00","2,947.00",825.16,"2,947.00","2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,180.78",percent of total billed charges,"2,180.78",percent of total billed charges,"2,357.60",percent of total billed charges,"2,357.60",percent of total billed charges,,,"2,121.84",percent of total billed charges ,,,"2,357.60",percent of total billed charges ,"2,475.48",percent of total billed charges ,"2,475.48",percent of total billed charges ,"2,298.66",percent of total billed charges ,"2,298.66",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,062.90",percent of total billed charges ,"2,062.90",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,,,,,"1,567.80",percent of total billed charges ,,,,,"1,489.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,
US BREAST ASPIR W/US LT,76942,CDM,,,,both,1,each,"1,244.00","1,244.00",348.32,"1,244.00","1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,920.56,percent of total billed charges,920.56,percent of total billed charges,995.2,percent of total billed charges,995.2,percent of total billed charges,,,895.68,percent of total billed charges ,,,995.2,percent of total billed charges ,"1,044.96",percent of total billed charges ,"1,044.96",percent of total billed charges ,970.32,percent of total billed charges ,970.32,percent of total billed charges ,995.2,percent of total billed charges ,995.2,percent of total billed charges ,870.8,percent of total billed charges ,870.8,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,,,,,661.81,percent of total billed charges ,,,,,628.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,
US BREAST ASPIR W/US RT,76942,CDM,,,,both,,,"1,244.00","1,244.00",348.32,"1,244.00","1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,920.56,percent of total billed charges,920.56,percent of total billed charges,995.2,percent of total billed charges,995.2,percent of total billed charges,,,895.68,percent of total billed charges ,,,995.2,percent of total billed charges ,"1,044.96",percent of total billed charges ,"1,044.96",percent of total billed charges ,970.32,percent of total billed charges ,970.32,percent of total billed charges ,995.2,percent of total billed charges ,995.2,percent of total billed charges ,870.8,percent of total billed charges ,870.8,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,,,,,661.81,percent of total billed charges ,,,,,628.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,
US THYROID BIOPSY W/ US GUIDANCE,76942,CDM,,,,both,1,each,"1,244.00","1,244.00",348.32,"1,244.00","1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,920.56,percent of total billed charges,920.56,percent of total billed charges,995.2,percent of total billed charges,995.2,percent of total billed charges,,,895.68,percent of total billed charges ,,,995.2,percent of total billed charges ,"1,044.96",percent of total billed charges ,"1,044.96",percent of total billed charges ,970.32,percent of total billed charges ,970.32,percent of total billed charges ,995.2,percent of total billed charges ,995.2,percent of total billed charges ,870.8,percent of total billed charges ,870.8,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,,,,,661.81,percent of total billed charges ,,,,,628.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,
US BREAST ASPIR BILATERAL,76942,CDM,,,,both,1,each,"1,339.00","1,339.00",374.92,"1,339.00","1,339.00",percent of total billed charges,"1,339.00",percent of total billed charges,"1,339.00",percent of total billed charges,"1,339.00",percent of total billed charges,"1,339.00",percent of total billed charges,"1,339.00",percent of total billed charges,"1,339.00",percent of total billed charges,"1,339.00",percent of total billed charges,964.08,percent of total billed charges,964.08,percent of total billed charges,964.08,percent of total billed charges,964.08,percent of total billed charges,964.08,percent of total billed charges,964.08,percent of total billed charges,990.86,percent of total billed charges,990.86,percent of total billed charges,"1,071.20",percent of total billed charges,"1,071.20",percent of total billed charges,,,964.08,percent of total billed charges ,,,"1,071.20",percent of total billed charges ,"1,124.76",percent of total billed charges ,"1,124.76",percent of total billed charges ,"1,044.42",percent of total billed charges ,"1,044.42",percent of total billed charges ,"1,071.20",percent of total billed charges ,"1,071.20",percent of total billed charges ,937.3,percent of total billed charges ,937.3,percent of total billed charges ,803.4,percent of total billed charges ,803.4,percent of total billed charges ,803.4,percent of total billed charges ,803.4,percent of total billed charges ,,,,,712.35,percent of total billed charges ,,,,,676.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,,,374.92,percent of total billed charges,
US BREAST ASPIR BI SURG,19000,CDM,,,50,both,1,each,"1,348.00","1,348.00",377.44,"1,348.00","1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,970.56,percent of total billed charges,997.52,percent of total billed charges,997.52,percent of total billed charges,"1,078.40",percent of total billed charges,"1,078.40",percent of total billed charges,,,970.56,percent of total billed charges ,,,"1,078.40",percent of total billed charges ,"1,132.32",percent of total billed charges ,"1,132.32",percent of total billed charges ,"1,051.44",percent of total billed charges ,"1,051.44",percent of total billed charges ,"1,078.40",percent of total billed charges ,"1,078.40",percent of total billed charges ,943.6,percent of total billed charges ,943.6,percent of total billed charges ,808.8,percent of total billed charges ,808.8,percent of total billed charges ,808.8,percent of total billed charges ,808.8,percent of total billed charges ,,,,,717.14,percent of total billed charges ,,,,,681.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,,,377.44,percent of total billed charges,
US LIVER BIOPSY W/ US GUIDANCE,47000,CDM,,,,both,,,"3,054.00","3,054.00",855.12,"3,054.00","3,054.00",percent of total billed charges,"3,054.00",percent of total billed charges,"3,054.00",percent of total billed charges,"3,054.00",percent of total billed charges,"3,054.00",percent of total billed charges,"3,054.00",percent of total billed charges,"3,054.00",percent of total billed charges,"3,054.00",percent of total billed charges,"2,198.88",percent of total billed charges,"2,198.88",percent of total billed charges,"2,198.88",percent of total billed charges,"2,198.88",percent of total billed charges,"2,198.88",percent of total billed charges,"2,198.88",percent of total billed charges,"2,259.96",percent of total billed charges,"2,259.96",percent of total billed charges,"2,443.20",percent of total billed charges,"2,443.20",percent of total billed charges,,,"2,198.88",percent of total billed charges ,,,"2,443.20",percent of total billed charges ,"2,565.36",percent of total billed charges ,"2,565.36",percent of total billed charges ,"2,382.12",percent of total billed charges ,"2,382.12",percent of total billed charges ,"2,443.20",percent of total billed charges ,"2,443.20",percent of total billed charges ,"2,137.80",percent of total billed charges ,"2,137.80",percent of total billed charges ,"1,832.40",percent of total billed charges ,"1,832.40",percent of total billed charges ,"1,832.40",percent of total billed charges ,"1,832.40",percent of total billed charges ,,,,,"1,624.73",percent of total billed charges ,,,,,"1,543.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,,,855.12,percent of total billed charges,
US BIOPHYSICAL PROFILE,76819,CDM,,,,both,1,each,"1,142.00","1,142.00",319.76,"1,142.00","1,142.00",percent of total billed charges,"1,142.00",percent of total billed charges,"1,142.00",percent of total billed charges,"1,142.00",percent of total billed charges,"1,142.00",percent of total billed charges,"1,142.00",percent of total billed charges,"1,142.00",percent of total billed charges,"1,142.00",percent of total billed charges,822.24,percent of total billed charges,822.24,percent of total billed charges,822.24,percent of total billed charges,822.24,percent of total billed charges,822.24,percent of total billed charges,822.24,percent of total billed charges,845.08,percent of total billed charges,845.08,percent of total billed charges,913.6,percent of total billed charges,913.6,percent of total billed charges,,,822.24,percent of total billed charges ,,,913.6,percent of total billed charges ,959.28,percent of total billed charges ,959.28,percent of total billed charges ,890.76,percent of total billed charges ,890.76,percent of total billed charges ,913.6,percent of total billed charges ,913.6,percent of total billed charges ,799.4,percent of total billed charges ,799.4,percent of total billed charges ,685.2,percent of total billed charges ,685.2,percent of total billed charges ,685.2,percent of total billed charges ,685.2,percent of total billed charges ,,,,,607.54,percent of total billed charges ,,,,,577.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,,,319.76,percent of total billed charges,
US LYMPH NODE BIOPSY,38505,CDM,,,,both,1,each,"2,356.00","2,356.00",659.68,"2,356.00","2,356.00",percent of total billed charges,"2,356.00",percent of total billed charges,"2,356.00",percent of total billed charges,"2,356.00",percent of total billed charges,"2,356.00",percent of total billed charges,"2,356.00",percent of total billed charges,"2,356.00",percent of total billed charges,"2,356.00",percent of total billed charges,"1,696.32",percent of total billed charges,"1,696.32",percent of total billed charges,"1,696.32",percent of total billed charges,"1,696.32",percent of total billed charges,"1,696.32",percent of total billed charges,"1,696.32",percent of total billed charges,"1,743.44",percent of total billed charges,"1,743.44",percent of total billed charges,"1,884.80",percent of total billed charges,"1,884.80",percent of total billed charges,,,"1,696.32",percent of total billed charges ,,,"1,884.80",percent of total billed charges ,"1,979.04",percent of total billed charges ,"1,979.04",percent of total billed charges ,"1,837.68",percent of total billed charges ,"1,837.68",percent of total billed charges ,"1,884.80",percent of total billed charges ,"1,884.80",percent of total billed charges ,"1,649.20",percent of total billed charges ,"1,649.20",percent of total billed charges ,"1,413.60",percent of total billed charges ,"1,413.60",percent of total billed charges ,"1,413.60",percent of total billed charges ,"1,413.60",percent of total billed charges ,,,,,"1,253.39",percent of total billed charges ,,,,,"1,190.72",percent of total billed charges ,,,,,,,,,,,,,,,,,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,,,659.68,percent of total billed charges,
US ULTRASOUND GUIDANCE,76942,CDM,,,,both,1,each,"1,454.00","1,454.00",407.12,"1,454.00","1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,454.00",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,046.88",percent of total billed charges,"1,075.96",percent of total billed charges,"1,075.96",percent of total billed charges,"1,163.20",percent of total billed charges,"1,163.20",percent of total billed charges,,,"1,046.88",percent of total billed charges ,,,"1,163.20",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,221.36",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,134.12",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,163.20",percent of total billed charges ,"1,017.80",percent of total billed charges ,"1,017.80",percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,872.4,percent of total billed charges ,,,,,773.53,percent of total billed charges ,,,,,734.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,,,407.12,percent of total billed charges,
**US FINE NEEDLE ASPIRATION,10022,CDM,,,,both,1,each,"1,451.00","1,451.00",406.28,"1,451.00","1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,073.74",percent of total billed charges,"1,073.74",percent of total billed charges,"1,160.80",percent of total billed charges,"1,160.80",percent of total billed charges,,,"1,044.72",percent of total billed charges ,,,"1,160.80",percent of total billed charges ,"1,218.84",percent of total billed charges ,"1,218.84",percent of total billed charges ,"1,131.78",percent of total billed charges ,"1,131.78",percent of total billed charges ,"1,160.80",percent of total billed charges ,"1,160.80",percent of total billed charges ,"1,015.70",percent of total billed charges ,"1,015.70",percent of total billed charges ,870.6,percent of total billed charges ,870.6,percent of total billed charges ,870.6,percent of total billed charges ,870.6,percent of total billed charges ,,,,,771.93,percent of total billed charges ,,,,,733.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,
**US BREAST CLIP PLACEMENT,19295,CDM,,,,both,1,each,"1,065.00","1,065.00",298.2,"1,065.00","1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,"1,065.00",percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,766.8,percent of total billed charges,788.1,percent of total billed charges,788.1,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,,,766.8,percent of total billed charges ,,,852,percent of total billed charges ,894.6,percent of total billed charges ,894.6,percent of total billed charges ,830.7,percent of total billed charges ,830.7,percent of total billed charges ,852,percent of total billed charges ,852,percent of total billed charges ,745.5,percent of total billed charges ,745.5,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,639,percent of total billed charges ,,,,,566.58,percent of total billed charges ,,,,,538.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,,,298.2,percent of total billed charges,
US BREAST CLIP/COIL,A4648,CDM,,,,both,1,each,553,553,154.84,553,553,percent of total billed charges,553,percent of total billed charges,553,percent of total billed charges,553,percent of total billed charges,553,percent of total billed charges,553,percent of total billed charges,553,percent of total billed charges,553,percent of total billed charges,398.16,percent of total billed charges,398.16,percent of total billed charges,398.16,percent of total billed charges,398.16,percent of total billed charges,398.16,percent of total billed charges,398.16,percent of total billed charges,409.22,percent of total billed charges,409.22,percent of total billed charges,442.4,percent of total billed charges,442.4,percent of total billed charges,,,398.16,percent of total billed charges ,,,442.4,percent of total billed charges ,464.52,percent of total billed charges ,464.52,percent of total billed charges ,431.34,percent of total billed charges ,431.34,percent of total billed charges ,442.4,percent of total billed charges ,442.4,percent of total billed charges ,387.1,percent of total billed charges ,387.1,percent of total billed charges ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,331.8,percent of total billed charges ,,,,,294.2,percent of total billed charges ,,,,,279.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,,,154.84,percent of total billed charges,
US GALLBLADDER,76705,CDM,,,,both,1,each,"1,080.00","1,080.00",302.4,"1,080.00","1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,,,777.6,percent of total billed charges ,,,864,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,,,,,574.56,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,
US CHEST,76604,CDM,,,,both,1,each,"1,007.00","1,007.00",281.96,"1,007.00","1,007.00",percent of total billed charges,"1,007.00",percent of total billed charges,"1,007.00",percent of total billed charges,"1,007.00",percent of total billed charges,"1,007.00",percent of total billed charges,"1,007.00",percent of total billed charges,"1,007.00",percent of total billed charges,"1,007.00",percent of total billed charges,725.04,percent of total billed charges,725.04,percent of total billed charges,725.04,percent of total billed charges,725.04,percent of total billed charges,725.04,percent of total billed charges,725.04,percent of total billed charges,745.18,percent of total billed charges,745.18,percent of total billed charges,805.6,percent of total billed charges,805.6,percent of total billed charges,,,725.04,percent of total billed charges ,,,805.6,percent of total billed charges ,845.88,percent of total billed charges ,845.88,percent of total billed charges ,785.46,percent of total billed charges ,785.46,percent of total billed charges ,805.6,percent of total billed charges ,805.6,percent of total billed charges ,704.9,percent of total billed charges ,704.9,percent of total billed charges ,604.2,percent of total billed charges ,604.2,percent of total billed charges ,604.2,percent of total billed charges ,604.2,percent of total billed charges ,,,,,535.72,percent of total billed charges ,,,,,508.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,,,281.96,percent of total billed charges,
US EXT LTD NON VASC LT,76882,CDM,,,LT,both,1,each,693,693,194.04,693,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,512.82,percent of total billed charges,512.82,percent of total billed charges,554.4,percent of total billed charges,554.4,percent of total billed charges,,,498.96,percent of total billed charges ,,,554.4,percent of total billed charges ,582.12,percent of total billed charges ,582.12,percent of total billed charges ,540.54,percent of total billed charges ,540.54,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,485.1,percent of total billed charges ,485.1,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,,,,,368.68,percent of total billed charges ,,,,,350.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,
US EXT LTD NON VASC RT,76882,CDM,,,RT,both,1,each,693,693,194.04,693,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,693,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,498.96,percent of total billed charges,512.82,percent of total billed charges,512.82,percent of total billed charges,554.4,percent of total billed charges,554.4,percent of total billed charges,,,498.96,percent of total billed charges ,,,554.4,percent of total billed charges ,582.12,percent of total billed charges ,582.12,percent of total billed charges ,540.54,percent of total billed charges ,540.54,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,485.1,percent of total billed charges ,485.1,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,415.8,percent of total billed charges ,,,,,368.68,percent of total billed charges ,,,,,350.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,,,194.04,percent of total billed charges,
US EXT COMP NON VASC LT,76881,CDM,,,LT,both,,,963,963,269.64,963,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,712.62,percent of total billed charges,712.62,percent of total billed charges,770.4,percent of total billed charges,770.4,percent of total billed charges,,,693.36,percent of total billed charges ,,,770.4,percent of total billed charges ,808.92,percent of total billed charges ,808.92,percent of total billed charges ,751.14,percent of total billed charges ,751.14,percent of total billed charges ,770.4,percent of total billed charges ,770.4,percent of total billed charges ,674.1,percent of total billed charges ,674.1,percent of total billed charges ,577.8,percent of total billed charges ,577.8,percent of total billed charges ,577.8,percent of total billed charges ,577.8,percent of total billed charges ,,,,,512.32,percent of total billed charges ,,,,,486.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,
US EXT COMP NON VASC RT,76881,CDM,,,RT,both,1,each,963,963,269.64,963,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,963,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,693.36,percent of total billed charges,712.62,percent of total billed charges,712.62,percent of total billed charges,770.4,percent of total billed charges,770.4,percent of total billed charges,,,693.36,percent of total billed charges ,,,770.4,percent of total billed charges ,808.92,percent of total billed charges ,808.92,percent of total billed charges ,751.14,percent of total billed charges ,751.14,percent of total billed charges ,770.4,percent of total billed charges ,770.4,percent of total billed charges ,674.1,percent of total billed charges ,674.1,percent of total billed charges ,577.8,percent of total billed charges ,577.8,percent of total billed charges ,577.8,percent of total billed charges ,577.8,percent of total billed charges ,,,,,512.32,percent of total billed charges ,,,,,486.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,,,269.64,percent of total billed charges,
US LIVER,76705,CDM,,,,both,1,each,"1,080.00","1,080.00",302.4,"1,080.00","1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,,,777.6,percent of total billed charges ,,,864,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,,,,,574.56,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,
US PANCREAS,76705,CDM,,,,both,1,each,"1,080.00","1,080.00",302.4,"1,080.00","1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,,,777.6,percent of total billed charges ,,,864,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,,,,,574.56,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,
US FETAL FOLLOW UP,76816,CDM,,,,both,1,each,741,741,207.48,741,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,741,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,533.52,percent of total billed charges,548.34,percent of total billed charges,548.34,percent of total billed charges,592.8,percent of total billed charges,592.8,percent of total billed charges,,,533.52,percent of total billed charges ,,,592.8,percent of total billed charges ,622.44,percent of total billed charges ,622.44,percent of total billed charges ,577.98,percent of total billed charges ,577.98,percent of total billed charges ,592.8,percent of total billed charges ,592.8,percent of total billed charges ,518.7,percent of total billed charges ,518.7,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,,,,,394.21,percent of total billed charges ,,,,,374.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,,,207.48,percent of total billed charges,
US INFANT HEAD,76506,CDM,,,,both,1,each,761,761,213.08,761,761,percent of total billed charges,761,percent of total billed charges,761,percent of total billed charges,761,percent of total billed charges,761,percent of total billed charges,761,percent of total billed charges,761,percent of total billed charges,761,percent of total billed charges,547.92,percent of total billed charges,547.92,percent of total billed charges,547.92,percent of total billed charges,547.92,percent of total billed charges,547.92,percent of total billed charges,547.92,percent of total billed charges,563.14,percent of total billed charges,563.14,percent of total billed charges,608.8,percent of total billed charges,608.8,percent of total billed charges,,,547.92,percent of total billed charges ,,,608.8,percent of total billed charges ,639.24,percent of total billed charges ,639.24,percent of total billed charges ,593.58,percent of total billed charges ,593.58,percent of total billed charges ,608.8,percent of total billed charges ,608.8,percent of total billed charges ,532.7,percent of total billed charges ,532.7,percent of total billed charges ,456.6,percent of total billed charges ,456.6,percent of total billed charges ,456.6,percent of total billed charges ,456.6,percent of total billed charges ,,,,,404.85,percent of total billed charges ,,,,,384.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,,,213.08,percent of total billed charges,
US RENAL CYST ASPIRATION,76942,CDM,,,,both,1,each,"1,090.00","1,090.00",305.2,"1,090.00","1,090.00",percent of total billed charges,"1,090.00",percent of total billed charges,"1,090.00",percent of total billed charges,"1,090.00",percent of total billed charges,"1,090.00",percent of total billed charges,"1,090.00",percent of total billed charges,"1,090.00",percent of total billed charges,"1,090.00",percent of total billed charges,784.8,percent of total billed charges,784.8,percent of total billed charges,784.8,percent of total billed charges,784.8,percent of total billed charges,784.8,percent of total billed charges,784.8,percent of total billed charges,806.6,percent of total billed charges,806.6,percent of total billed charges,872,percent of total billed charges,872,percent of total billed charges,,,784.8,percent of total billed charges ,,,872,percent of total billed charges ,915.6,percent of total billed charges ,915.6,percent of total billed charges ,850.2,percent of total billed charges ,850.2,percent of total billed charges ,872,percent of total billed charges ,872,percent of total billed charges ,763,percent of total billed charges ,763,percent of total billed charges ,654,percent of total billed charges ,654,percent of total billed charges ,654,percent of total billed charges ,654,percent of total billed charges ,,,,,579.88,percent of total billed charges ,,,,,550.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,,,305.2,percent of total billed charges,
US ASP/ INJ RENAL CYST,50390,CDM,,,,both,1,each,"2,781.00","2,781.00",778.68,"2,781.00","2,781.00",percent of total billed charges,"2,781.00",percent of total billed charges,"2,781.00",percent of total billed charges,"2,781.00",percent of total billed charges,"2,781.00",percent of total billed charges,"2,781.00",percent of total billed charges,"2,781.00",percent of total billed charges,"2,781.00",percent of total billed charges,"2,002.32",percent of total billed charges,"2,002.32",percent of total billed charges,"2,002.32",percent of total billed charges,"2,002.32",percent of total billed charges,"2,002.32",percent of total billed charges,"2,002.32",percent of total billed charges,"2,057.94",percent of total billed charges,"2,057.94",percent of total billed charges,"2,224.80",percent of total billed charges,"2,224.80",percent of total billed charges,,,"2,002.32",percent of total billed charges ,,,"2,224.80",percent of total billed charges ,"2,336.04",percent of total billed charges ,"2,336.04",percent of total billed charges ,"2,169.18",percent of total billed charges ,"2,169.18",percent of total billed charges ,"2,224.80",percent of total billed charges ,"2,224.80",percent of total billed charges ,"1,946.70",percent of total billed charges ,"1,946.70",percent of total billed charges ,"1,668.60",percent of total billed charges ,"1,668.60",percent of total billed charges ,"1,668.60",percent of total billed charges ,"1,668.60",percent of total billed charges ,,,,,"1,479.49",percent of total billed charges ,,,,,"1,405.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,,,778.68,percent of total billed charges,
US AMNIOCENTESIS GUIDANCE,76946,CDM,,,,both,1,each,949,949,265.72,949,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,949,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,683.28,percent of total billed charges,702.26,percent of total billed charges,702.26,percent of total billed charges,759.2,percent of total billed charges,759.2,percent of total billed charges,,,683.28,percent of total billed charges ,,,759.2,percent of total billed charges ,797.16,percent of total billed charges ,797.16,percent of total billed charges ,740.22,percent of total billed charges ,740.22,percent of total billed charges ,759.2,percent of total billed charges ,759.2,percent of total billed charges ,664.3,percent of total billed charges ,664.3,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,569.4,percent of total billed charges ,,,,,504.87,percent of total billed charges ,,,,,479.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,,,265.72,percent of total billed charges,
US AMNIOCENTESIS ANY METHOD,59000,CDM,,,,both,1,each,901,901,252.28,901,901,percent of total billed charges,901,percent of total billed charges,901,percent of total billed charges,901,percent of total billed charges,901,percent of total billed charges,901,percent of total billed charges,901,percent of total billed charges,901,percent of total billed charges,648.72,percent of total billed charges,648.72,percent of total billed charges,648.72,percent of total billed charges,648.72,percent of total billed charges,648.72,percent of total billed charges,648.72,percent of total billed charges,666.74,percent of total billed charges,666.74,percent of total billed charges,720.8,percent of total billed charges,720.8,percent of total billed charges,,,648.72,percent of total billed charges ,,,720.8,percent of total billed charges ,756.84,percent of total billed charges ,756.84,percent of total billed charges ,702.78,percent of total billed charges ,702.78,percent of total billed charges ,720.8,percent of total billed charges ,720.8,percent of total billed charges ,630.7,percent of total billed charges ,630.7,percent of total billed charges ,540.6,percent of total billed charges ,540.6,percent of total billed charges ,540.6,percent of total billed charges ,540.6,percent of total billed charges ,,,,,479.33,percent of total billed charges ,,,,,455.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,,,252.28,percent of total billed charges,
US RENAL SONOGRAM,76770,CDM,,,,both,1,each,"1,385.00","1,385.00",387.8,"1,385.00","1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,"1,385.00",percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,997.2,percent of total billed charges,"1,024.90",percent of total billed charges,"1,024.90",percent of total billed charges,"1,108.00",percent of total billed charges,"1,108.00",percent of total billed charges,,,997.2,percent of total billed charges ,,,"1,108.00",percent of total billed charges ,"1,163.40",percent of total billed charges ,"1,163.40",percent of total billed charges ,"1,080.30",percent of total billed charges ,"1,080.30",percent of total billed charges ,"1,108.00",percent of total billed charges ,"1,108.00",percent of total billed charges ,969.5,percent of total billed charges ,969.5,percent of total billed charges ,831,percent of total billed charges ,831,percent of total billed charges ,831,percent of total billed charges ,831,percent of total billed charges ,,,,,736.82,percent of total billed charges ,,,,,699.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,,,387.8,percent of total billed charges,
US SPLEEN,76705,CDM,,,,both,1,each,"1,080.00","1,080.00",302.4,"1,080.00","1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,"1,080.00",percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,777.6,percent of total billed charges,799.2,percent of total billed charges,799.2,percent of total billed charges,864,percent of total billed charges,864,percent of total billed charges,,,777.6,percent of total billed charges ,,,864,percent of total billed charges ,907.2,percent of total billed charges ,907.2,percent of total billed charges ,842.4,percent of total billed charges ,842.4,percent of total billed charges ,864,percent of total billed charges ,864,percent of total billed charges ,756,percent of total billed charges ,756,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,648,percent of total billed charges ,,,,,574.56,percent of total billed charges ,,,,,545.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,,,302.4,percent of total billed charges,
US VASCULAR LIMITED,76775,CDM,,,,both,1,each,"1,018.00","1,018.00",285.04,"1,018.00","1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,"1,018.00",percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,732.96,percent of total billed charges,753.32,percent of total billed charges,753.32,percent of total billed charges,814.4,percent of total billed charges,814.4,percent of total billed charges,,,732.96,percent of total billed charges ,,,814.4,percent of total billed charges ,855.12,percent of total billed charges ,855.12,percent of total billed charges ,794.04,percent of total billed charges ,794.04,percent of total billed charges ,814.4,percent of total billed charges ,814.4,percent of total billed charges ,712.6,percent of total billed charges ,712.6,percent of total billed charges ,610.8,percent of total billed charges ,610.8,percent of total billed charges ,610.8,percent of total billed charges ,610.8,percent of total billed charges ,,,,,541.58,percent of total billed charges ,,,,,514.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,,,285.04,percent of total billed charges,
US PELVIC SONOGRAM,76856,CDM,,,,both,1,each,"1,451.00","1,451.00",406.28,"1,451.00","1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,451.00",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,044.72",percent of total billed charges,"1,073.74",percent of total billed charges,"1,073.74",percent of total billed charges,"1,160.80",percent of total billed charges,"1,160.80",percent of total billed charges,,,"1,044.72",percent of total billed charges ,,,"1,160.80",percent of total billed charges ,"1,218.84",percent of total billed charges ,"1,218.84",percent of total billed charges ,"1,131.78",percent of total billed charges ,"1,131.78",percent of total billed charges ,"1,160.80",percent of total billed charges ,"1,160.80",percent of total billed charges ,"1,015.70",percent of total billed charges ,"1,015.70",percent of total billed charges ,870.6,percent of total billed charges ,870.6,percent of total billed charges ,870.6,percent of total billed charges ,870.6,percent of total billed charges ,,,,,771.93,percent of total billed charges ,,,,,733.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,,,406.28,percent of total billed charges,
US PELVIC SONOGRAM LIMITED,76857,CDM,,,,both,1,each,893,893,250.04,893,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,893,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,642.96,percent of total billed charges,660.82,percent of total billed charges,660.82,percent of total billed charges,714.4,percent of total billed charges,714.4,percent of total billed charges,,,642.96,percent of total billed charges ,,,714.4,percent of total billed charges ,750.12,percent of total billed charges ,750.12,percent of total billed charges ,696.54,percent of total billed charges ,696.54,percent of total billed charges ,714.4,percent of total billed charges ,714.4,percent of total billed charges ,625.1,percent of total billed charges ,625.1,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,535.8,percent of total billed charges ,,,,,475.08,percent of total billed charges ,,,,,451.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,,,250.04,percent of total billed charges,
US TRANSVAGINAL OB,76817,CDM,,,,both,1,each,"1,022.00","1,022.00",286.16,"1,022.00","1,022.00",percent of total billed charges,"1,022.00",percent of total billed charges,"1,022.00",percent of total billed charges,"1,022.00",percent of total billed charges,"1,022.00",percent of total billed charges,"1,022.00",percent of total billed charges,"1,022.00",percent of total billed charges,"1,022.00",percent of total billed charges,735.84,percent of total billed charges,735.84,percent of total billed charges,735.84,percent of total billed charges,735.84,percent of total billed charges,735.84,percent of total billed charges,735.84,percent of total billed charges,756.28,percent of total billed charges,756.28,percent of total billed charges,817.6,percent of total billed charges,817.6,percent of total billed charges,,,735.84,percent of total billed charges ,,,817.6,percent of total billed charges ,858.48,percent of total billed charges ,858.48,percent of total billed charges ,797.16,percent of total billed charges ,797.16,percent of total billed charges ,817.6,percent of total billed charges ,817.6,percent of total billed charges ,715.4,percent of total billed charges ,715.4,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,,,,,543.7,percent of total billed charges ,,,,,516.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,,,286.16,percent of total billed charges,
US OB LIMITED,76815,CDM,,,,both,1,each,852,852,238.56,852,852,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,852,percent of total billed charges,613.44,percent of total billed charges,613.44,percent of total billed charges,613.44,percent of total billed charges,613.44,percent of total billed charges,613.44,percent of total billed charges,613.44,percent of total billed charges,630.48,percent of total billed charges,630.48,percent of total billed charges,681.6,percent of total billed charges,681.6,percent of total billed charges,,,613.44,percent of total billed charges ,,,681.6,percent of total billed charges ,715.68,percent of total billed charges ,715.68,percent of total billed charges ,664.56,percent of total billed charges ,664.56,percent of total billed charges ,681.6,percent of total billed charges ,681.6,percent of total billed charges ,596.4,percent of total billed charges ,596.4,percent of total billed charges ,511.2,percent of total billed charges ,511.2,percent of total billed charges ,511.2,percent of total billed charges ,511.2,percent of total billed charges ,,,,,453.26,percent of total billed charges ,,,,,430.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,,,238.56,percent of total billed charges,
US OB 1st TRI 0-14 WKS,76801,CDM,,,,both,,,"1,189.00","1,189.00",332.92,"1,189.00","1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,879.86,percent of total billed charges,879.86,percent of total billed charges,951.2,percent of total billed charges,951.2,percent of total billed charges,,,856.08,percent of total billed charges ,,,951.2,percent of total billed charges ,998.76,percent of total billed charges ,998.76,percent of total billed charges ,927.42,percent of total billed charges ,927.42,percent of total billed charges ,951.2,percent of total billed charges ,951.2,percent of total billed charges ,832.3,percent of total billed charges ,832.3,percent of total billed charges ,713.4,percent of total billed charges ,713.4,percent of total billed charges ,713.4,percent of total billed charges ,713.4,percent of total billed charges ,,,,,632.55,percent of total billed charges ,,,,,600.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,
US OB ADDITIONAL GEST 1ST TRI,76802,CDM,,,,both,1,each,709,709,198.52,709,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,524.66,percent of total billed charges,524.66,percent of total billed charges,567.2,percent of total billed charges,567.2,percent of total billed charges,,,510.48,percent of total billed charges ,,,567.2,percent of total billed charges ,595.56,percent of total billed charges ,595.56,percent of total billed charges ,553.02,percent of total billed charges ,553.02,percent of total billed charges ,567.2,percent of total billed charges ,567.2,percent of total billed charges ,496.3,percent of total billed charges ,496.3,percent of total billed charges ,425.4,percent of total billed charges ,425.4,percent of total billed charges ,425.4,percent of total billed charges ,425.4,percent of total billed charges ,,,,,377.19,percent of total billed charges ,,,,,358.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,
US OB 2 & 3 TRI 14 WKS +,76805,CDM,,,,both,1,each,"1,307.00","1,307.00",365.96,"1,307.00","1,307.00",percent of total billed charges,"1,307.00",percent of total billed charges,"1,307.00",percent of total billed charges,"1,307.00",percent of total billed charges,"1,307.00",percent of total billed charges,"1,307.00",percent of total billed charges,"1,307.00",percent of total billed charges,"1,307.00",percent of total billed charges,941.04,percent of total billed charges,941.04,percent of total billed charges,941.04,percent of total billed charges,941.04,percent of total billed charges,941.04,percent of total billed charges,941.04,percent of total billed charges,967.18,percent of total billed charges,967.18,percent of total billed charges,"1,045.60",percent of total billed charges,"1,045.60",percent of total billed charges,,,941.04,percent of total billed charges ,,,"1,045.60",percent of total billed charges ,"1,097.88",percent of total billed charges ,"1,097.88",percent of total billed charges ,"1,019.46",percent of total billed charges ,"1,019.46",percent of total billed charges ,"1,045.60",percent of total billed charges ,"1,045.60",percent of total billed charges ,914.9,percent of total billed charges ,914.9,percent of total billed charges ,784.2,percent of total billed charges ,784.2,percent of total billed charges ,784.2,percent of total billed charges ,784.2,percent of total billed charges ,,,,,695.32,percent of total billed charges ,,,,,660.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,,,365.96,percent of total billed charges,
US TESTICULAR,76870,CDM,,,,both,1,each,"1,305.00","1,305.00",365.4,"1,305.00","1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,"1,305.00",percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,939.6,percent of total billed charges,965.7,percent of total billed charges,965.7,percent of total billed charges,"1,044.00",percent of total billed charges,"1,044.00",percent of total billed charges,,,939.6,percent of total billed charges ,,,"1,044.00",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,096.20",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,017.90",percent of total billed charges ,"1,044.00",percent of total billed charges ,"1,044.00",percent of total billed charges ,913.5,percent of total billed charges ,913.5,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,783,percent of total billed charges ,,,,,694.26,percent of total billed charges ,,,,,659.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,,,365.4,percent of total billed charges,
US THOR OR PARACENTESIS,76942,CDM,,,,both,1,each,"1,244.00","1,244.00",348.32,"1,244.00","1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,"1,244.00",percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,895.68,percent of total billed charges,920.56,percent of total billed charges,920.56,percent of total billed charges,995.2,percent of total billed charges,995.2,percent of total billed charges,,,895.68,percent of total billed charges ,,,995.2,percent of total billed charges ,"1,044.96",percent of total billed charges ,"1,044.96",percent of total billed charges ,970.32,percent of total billed charges ,970.32,percent of total billed charges ,995.2,percent of total billed charges ,995.2,percent of total billed charges ,870.8,percent of total billed charges ,870.8,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,746.4,percent of total billed charges ,,,,,661.81,percent of total billed charges ,,,,,628.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,,,348.32,percent of total billed charges,
US PARACENTESIS INITIAL OR SUBSQNT,49083,CDM,,,,both,1,each,"2,825.00","2,825.00",791,"2,825.00","2,825.00",percent of total billed charges,"2,825.00",percent of total billed charges,"2,825.00",percent of total billed charges,"2,825.00",percent of total billed charges,"2,825.00",percent of total billed charges,"2,825.00",percent of total billed charges,"2,825.00",percent of total billed charges,"2,825.00",percent of total billed charges,"2,034.00",percent of total billed charges,"2,034.00",percent of total billed charges,"2,034.00",percent of total billed charges,"2,034.00",percent of total billed charges,"2,034.00",percent of total billed charges,"2,034.00",percent of total billed charges,"2,090.50",percent of total billed charges,"2,090.50",percent of total billed charges,"2,260.00",percent of total billed charges,"2,260.00",percent of total billed charges,,,"2,034.00",percent of total billed charges ,,,"2,260.00",percent of total billed charges ,"2,373.00",percent of total billed charges ,"2,373.00",percent of total billed charges ,"2,203.50",percent of total billed charges ,"2,203.50",percent of total billed charges ,"2,260.00",percent of total billed charges ,"2,260.00",percent of total billed charges ,"1,977.50",percent of total billed charges ,"1,977.50",percent of total billed charges ,"1,695.00",percent of total billed charges ,"1,695.00",percent of total billed charges ,"1,695.00",percent of total billed charges ,"1,695.00",percent of total billed charges ,,,,,"1,502.90",percent of total billed charges ,,,,,"1,427.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,,,791,percent of total billed charges,
US THORACENTESIS INITIAL OR SUBSQNT,32555,CDM,,,,both,,,"2,526.00","2,526.00",707.28,"2,526.00","2,526.00",percent of total billed charges,"2,526.00",percent of total billed charges,"2,526.00",percent of total billed charges,"2,526.00",percent of total billed charges,"2,526.00",percent of total billed charges,"2,526.00",percent of total billed charges,"2,526.00",percent of total billed charges,"2,526.00",percent of total billed charges,"1,818.72",percent of total billed charges,"1,818.72",percent of total billed charges,"1,818.72",percent of total billed charges,"1,818.72",percent of total billed charges,"1,818.72",percent of total billed charges,"1,818.72",percent of total billed charges,"1,869.24",percent of total billed charges,"1,869.24",percent of total billed charges,"2,020.80",percent of total billed charges,"2,020.80",percent of total billed charges,,,"1,818.72",percent of total billed charges ,,,"2,020.80",percent of total billed charges ,"2,121.84",percent of total billed charges ,"2,121.84",percent of total billed charges ,"1,970.28",percent of total billed charges ,"1,970.28",percent of total billed charges ,"2,020.80",percent of total billed charges ,"2,020.80",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,515.60",percent of total billed charges ,"1,515.60",percent of total billed charges ,"1,515.60",percent of total billed charges ,"1,515.60",percent of total billed charges ,,,,,"1,343.83",percent of total billed charges ,,,,,"1,276.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,,,707.28,percent of total billed charges,
US SOFT TISSUE NECK/HEAD SONOGRAM,76536,CDM,,,,both,1,each,"1,224.00","1,224.00",342.72,"1,224.00","1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,"1,224.00",percent of total billed charges,881.28,percent of total billed charges,881.28,percent of total billed charges,881.28,percent of total billed charges,881.28,percent of total billed charges,881.28,percent of total billed charges,881.28,percent of total billed charges,905.76,percent of total billed charges,905.76,percent of total billed charges,979.2,percent of total billed charges,979.2,percent of total billed charges,,,881.28,percent of total billed charges ,,,979.2,percent of total billed charges ,"1,028.16",percent of total billed charges ,"1,028.16",percent of total billed charges ,954.72,percent of total billed charges ,954.72,percent of total billed charges ,979.2,percent of total billed charges ,979.2,percent of total billed charges ,856.8,percent of total billed charges ,856.8,percent of total billed charges ,734.4,percent of total billed charges ,734.4,percent of total billed charges ,734.4,percent of total billed charges ,734.4,percent of total billed charges ,,,,,651.17,percent of total billed charges ,,,,,618.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,,,342.72,percent of total billed charges,
US LOWER EXT (BAKERS CYST),76881,CDM,,,,both,1,each,924,924,258.72,924,924,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,924,percent of total billed charges,665.28,percent of total billed charges,665.28,percent of total billed charges,665.28,percent of total billed charges,665.28,percent of total billed charges,665.28,percent of total billed charges,665.28,percent of total billed charges,683.76,percent of total billed charges,683.76,percent of total billed charges,739.2,percent of total billed charges,739.2,percent of total billed charges,,,665.28,percent of total billed charges ,,,739.2,percent of total billed charges ,776.16,percent of total billed charges ,776.16,percent of total billed charges ,720.72,percent of total billed charges ,720.72,percent of total billed charges ,739.2,percent of total billed charges ,739.2,percent of total billed charges ,646.8,percent of total billed charges ,646.8,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,,,,,491.57,percent of total billed charges ,,,,,466.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,,,258.72,percent of total billed charges,
**US EXT NON-VASC LT,76880,CDM,,,LT,both,1,each,659,659,184.52,659,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,487.66,percent of total billed charges,487.66,percent of total billed charges,527.2,percent of total billed charges,527.2,percent of total billed charges,,,474.48,percent of total billed charges ,,,527.2,percent of total billed charges ,553.56,percent of total billed charges ,553.56,percent of total billed charges ,514.02,percent of total billed charges ,514.02,percent of total billed charges ,527.2,percent of total billed charges ,527.2,percent of total billed charges ,461.3,percent of total billed charges ,461.3,percent of total billed charges ,395.4,percent of total billed charges ,395.4,percent of total billed charges ,395.4,percent of total billed charges ,395.4,percent of total billed charges ,,,,,350.59,percent of total billed charges ,,,,,333.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,
**US EXTNON-VASC RT,76880,CDM,,,RT,both,1,each,659,659,184.52,659,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,659,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,474.48,percent of total billed charges,487.66,percent of total billed charges,487.66,percent of total billed charges,527.2,percent of total billed charges,527.2,percent of total billed charges,,,474.48,percent of total billed charges ,,,527.2,percent of total billed charges ,553.56,percent of total billed charges ,553.56,percent of total billed charges ,514.02,percent of total billed charges ,514.02,percent of total billed charges ,527.2,percent of total billed charges ,527.2,percent of total billed charges ,461.3,percent of total billed charges ,461.3,percent of total billed charges ,395.4,percent of total billed charges ,395.4,percent of total billed charges ,395.4,percent of total billed charges ,395.4,percent of total billed charges ,,,,,350.59,percent of total billed charges ,,,,,333.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,,,184.52,percent of total billed charges,
US INFANT HIPS,76885,CDM,,,,both,1,each,332,332,92.96,332,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,245.68,percent of total billed charges,245.68,percent of total billed charges,265.6,percent of total billed charges,265.6,percent of total billed charges,,,239.04,percent of total billed charges ,,,265.6,percent of total billed charges ,278.88,percent of total billed charges ,278.88,percent of total billed charges ,258.96,percent of total billed charges ,258.96,percent of total billed charges ,265.6,percent of total billed charges ,265.6,percent of total billed charges ,232.4,percent of total billed charges ,232.4,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,,,,,176.62,percent of total billed charges ,,,,,167.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,
US SPINAL CANAL,76800,CDM,,,,both,1,each,"1,152.00","1,152.00",322.56,"1,152.00","1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,852.48,percent of total billed charges,852.48,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,,,829.44,percent of total billed charges ,,,921.6,percent of total billed charges ,967.68,percent of total billed charges ,967.68,percent of total billed charges ,898.56,percent of total billed charges ,898.56,percent of total billed charges ,921.6,percent of total billed charges ,921.6,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,691.2,percent of total billed charges ,691.2,percent of total billed charges ,691.2,percent of total billed charges ,691.2,percent of total billed charges ,,,,,612.86,percent of total billed charges ,,,,,582.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,
US TRANSVAGINAL,76830,CDM,,,,both,1,each,"1,189.00","1,189.00",332.92,"1,189.00","1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,"1,189.00",percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,856.08,percent of total billed charges,879.86,percent of total billed charges,879.86,percent of total billed charges,951.2,percent of total billed charges,951.2,percent of total billed charges,,,856.08,percent of total billed charges ,,,951.2,percent of total billed charges ,998.76,percent of total billed charges ,998.76,percent of total billed charges ,927.42,percent of total billed charges ,927.42,percent of total billed charges ,951.2,percent of total billed charges ,951.2,percent of total billed charges ,832.3,percent of total billed charges ,832.3,percent of total billed charges ,713.4,percent of total billed charges ,713.4,percent of total billed charges ,713.4,percent of total billed charges ,713.4,percent of total billed charges ,,,,,632.55,percent of total billed charges ,,,,,600.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,,,332.92,percent of total billed charges,
US NEEDLE GUIDE KIT,LOCAL,LOCAL,,,,both,1,each,254,254,71.12,254,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,254,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,182.88,percent of total billed charges,187.96,percent of total billed charges,187.96,percent of total billed charges,203.2,percent of total billed charges,203.2,percent of total billed charges,,,182.88,percent of total billed charges ,,,203.2,percent of total billed charges ,213.36,percent of total billed charges ,213.36,percent of total billed charges ,198.12,percent of total billed charges ,198.12,percent of total billed charges ,203.2,percent of total billed charges ,203.2,percent of total billed charges ,177.8,percent of total billed charges ,177.8,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,152.4,percent of total billed charges ,,,,,135.13,percent of total billed charges ,,,,,128.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,,,71.12,percent of total billed charges,
US THYROID BIOPSY PERCUTANEOUS CORE NE,60100,CDM,,,,both,1,each,"1,685.00","1,685.00",471.8,"1,685.00","1,685.00",percent of total billed charges,"1,685.00",percent of total billed charges,"1,685.00",percent of total billed charges,"1,685.00",percent of total billed charges,"1,685.00",percent of total billed charges,"1,685.00",percent of total billed charges,"1,685.00",percent of total billed charges,"1,685.00",percent of total billed charges,"1,213.20",percent of total billed charges,"1,213.20",percent of total billed charges,"1,213.20",percent of total billed charges,"1,213.20",percent of total billed charges,"1,213.20",percent of total billed charges,"1,213.20",percent of total billed charges,"1,246.90",percent of total billed charges,"1,246.90",percent of total billed charges,"1,348.00",percent of total billed charges,"1,348.00",percent of total billed charges,,,"1,213.20",percent of total billed charges ,,,"1,348.00",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,314.30",percent of total billed charges ,"1,314.30",percent of total billed charges ,"1,348.00",percent of total billed charges ,"1,348.00",percent of total billed charges ,"1,179.50",percent of total billed charges ,"1,179.50",percent of total billed charges ,"1,011.00",percent of total billed charges ,"1,011.00",percent of total billed charges ,"1,011.00",percent of total billed charges ,"1,011.00",percent of total billed charges ,,,,,896.42,percent of total billed charges ,,,,,851.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,,,471.8,percent of total billed charges,
US TRANSPLANT KIDNEY,76776,CDM,,,,both,1,each,"1,207.00","1,207.00",337.96,"1,207.00","1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,"1,207.00",percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,869.04,percent of total billed charges,893.18,percent of total billed charges,893.18,percent of total billed charges,965.6,percent of total billed charges,965.6,percent of total billed charges,,,869.04,percent of total billed charges ,,,965.6,percent of total billed charges ,"1,013.88",percent of total billed charges ,"1,013.88",percent of total billed charges ,941.46,percent of total billed charges ,941.46,percent of total billed charges ,965.6,percent of total billed charges ,965.6,percent of total billed charges ,844.9,percent of total billed charges ,844.9,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,724.2,percent of total billed charges ,,,,,642.12,percent of total billed charges ,,,,,610.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,,,337.96,percent of total billed charges,
US LOCALIZED SOFT TISSUE,76999,CDM,,,,both,1,each,734,734,205.52,734,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,734,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,528.48,percent of total billed charges,543.16,percent of total billed charges,543.16,percent of total billed charges,587.2,percent of total billed charges,587.2,percent of total billed charges,,,528.48,percent of total billed charges ,,,587.2,percent of total billed charges ,616.56,percent of total billed charges ,616.56,percent of total billed charges ,572.52,percent of total billed charges ,572.52,percent of total billed charges ,587.2,percent of total billed charges ,587.2,percent of total billed charges ,513.8,percent of total billed charges ,513.8,percent of total billed charges ,440.4,percent of total billed charges ,440.4,percent of total billed charges ,440.4,percent of total billed charges ,440.4,percent of total billed charges ,,,,,390.49,percent of total billed charges ,,,,,370.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,,,205.52,percent of total billed charges,
US BREAST BX LT EA ADDITIONAL,19084,CDM,,,,both,1,each,"2,947.00","2,947.00",825.16,"2,947.00","2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,947.00",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,121.84",percent of total billed charges,"2,180.78",percent of total billed charges,"2,180.78",percent of total billed charges,"2,357.60",percent of total billed charges,"2,357.60",percent of total billed charges,,,"2,121.84",percent of total billed charges ,,,"2,357.60",percent of total billed charges ,"2,475.48",percent of total billed charges ,"2,475.48",percent of total billed charges ,"2,298.66",percent of total billed charges ,"2,298.66",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,357.60",percent of total billed charges ,"2,062.90",percent of total billed charges ,"2,062.90",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,"1,768.20",percent of total billed charges ,,,,,"1,567.80",percent of total billed charges ,,,,,"1,489.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,,,825.16,percent of total billed charges,
US GUIDANCE INTRAOPERATIVE,76998,CDM,,,,both,1,each,"1,382.00","1,382.00",386.96,"1,382.00","1,382.00",percent of total billed charges,"1,382.00",percent of total billed charges,"1,382.00",percent of total billed charges,"1,382.00",percent of total billed charges,"1,382.00",percent of total billed charges,"1,382.00",percent of total billed charges,"1,382.00",percent of total billed charges,"1,382.00",percent of total billed charges,995.04,percent of total billed charges,995.04,percent of total billed charges,995.04,percent of total billed charges,995.04,percent of total billed charges,995.04,percent of total billed charges,995.04,percent of total billed charges,"1,022.68",percent of total billed charges,"1,022.68",percent of total billed charges,"1,105.60",percent of total billed charges,"1,105.60",percent of total billed charges,,,995.04,percent of total billed charges ,,,"1,105.60",percent of total billed charges ,"1,160.88",percent of total billed charges ,"1,160.88",percent of total billed charges ,"1,077.96",percent of total billed charges ,"1,077.96",percent of total billed charges ,"1,105.60",percent of total billed charges ,"1,105.60",percent of total billed charges ,967.4,percent of total billed charges ,967.4,percent of total billed charges ,829.2,percent of total billed charges ,829.2,percent of total billed charges ,829.2,percent of total billed charges ,829.2,percent of total billed charges ,,,,,735.22,percent of total billed charges ,,,,,698.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,,,386.96,percent of total billed charges,
US BREAST BIOPSY RT,19083,CDM,,,,both,1,each,"4,441.00","4,441.00","1,243.48","4,441.00","4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"4,441.00",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,197.52",percent of total billed charges,"3,286.34",percent of total billed charges,"3,286.34",percent of total billed charges,"3,552.80",percent of total billed charges,"3,552.80",percent of total billed charges,,,"3,197.52",percent of total billed charges ,,,"3,552.80",percent of total billed charges ,"3,730.44",percent of total billed charges ,"3,730.44",percent of total billed charges ,"3,463.98",percent of total billed charges ,"3,463.98",percent of total billed charges ,"3,552.80",percent of total billed charges ,"3,552.80",percent of total billed charges ,"3,108.70",percent of total billed charges ,"3,108.70",percent of total billed charges ,"2,664.60",percent of total billed charges ,"2,664.60",percent of total billed charges ,"2,664.60",percent of total billed charges ,"2,664.60",percent of total billed charges ,,,,,"2,362.61",percent of total billed charges ,,,,,"2,244.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,,,"1,243.48",percent of total billed charges,
US AXILLA LEFT,76882,CDM,,,,both,1,each,675,675,189,675,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,,,486,percent of total billed charges ,,,540,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,526.5,percent of total billed charges ,526.5,percent of total billed charges ,540,percent of total billed charges ,540,percent of total billed charges ,472.5,percent of total billed charges ,472.5,percent of total billed charges ,405,percent of total billed charges ,405,percent of total billed charges ,405,percent of total billed charges ,405,percent of total billed charges ,,,,,359.1,percent of total billed charges ,,,,,341.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,
US AXILLA RIGHT,76882,CDM,,,,both,1,each,675,675,189,675,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,675,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,540,percent of total billed charges,540,percent of total billed charges,,,486,percent of total billed charges ,,,540,percent of total billed charges ,567,percent of total billed charges ,567,percent of total billed charges ,526.5,percent of total billed charges ,526.5,percent of total billed charges ,540,percent of total billed charges ,540,percent of total billed charges ,472.5,percent of total billed charges ,472.5,percent of total billed charges ,405,percent of total billed charges ,405,percent of total billed charges ,405,percent of total billed charges ,405,percent of total billed charges ,,,,,359.1,percent of total billed charges ,,,,,341.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,,,189,percent of total billed charges,
MRI GAD CONTRAST,A9579,CDM,,,,both,1,each,899,899,251.72,899,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,899,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,647.28,percent of total billed charges,665.26,percent of total billed charges,665.26,percent of total billed charges,719.2,percent of total billed charges,719.2,percent of total billed charges,,,647.28,percent of total billed charges ,,,719.2,percent of total billed charges ,755.16,percent of total billed charges ,755.16,percent of total billed charges ,701.22,percent of total billed charges ,701.22,percent of total billed charges ,719.2,percent of total billed charges ,719.2,percent of total billed charges ,629.3,percent of total billed charges ,629.3,percent of total billed charges ,539.4,percent of total billed charges ,539.4,percent of total billed charges ,539.4,percent of total billed charges ,539.4,percent of total billed charges ,,,,,478.27,percent of total billed charges ,,,,,454.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,,,251.72,percent of total billed charges,
MRI TMJ JOINTS,70336,CDM,,,,both,1,each,"3,985.00","3,985.00","1,115.80","3,985.00","3,985.00",percent of total billed charges,"3,985.00",percent of total billed charges,"3,985.00",percent of total billed charges,"3,985.00",percent of total billed charges,"3,985.00",percent of total billed charges,"3,985.00",percent of total billed charges,"3,985.00",percent of total billed charges,"3,985.00",percent of total billed charges,"2,869.20",percent of total billed charges,"2,869.20",percent of total billed charges,"2,869.20",percent of total billed charges,"2,869.20",percent of total billed charges,"2,869.20",percent of total billed charges,"2,869.20",percent of total billed charges,"2,948.90",percent of total billed charges,"2,948.90",percent of total billed charges,"3,188.00",percent of total billed charges,"3,188.00",percent of total billed charges,,,"2,869.20",percent of total billed charges ,,,"3,188.00",percent of total billed charges ,"3,347.40",percent of total billed charges ,"3,347.40",percent of total billed charges ,"3,108.30",percent of total billed charges ,"3,108.30",percent of total billed charges ,"3,188.00",percent of total billed charges ,"3,188.00",percent of total billed charges ,"2,789.50",percent of total billed charges ,"2,789.50",percent of total billed charges ,"2,391.00",percent of total billed charges ,"2,391.00",percent of total billed charges ,"2,391.00",percent of total billed charges ,"2,391.00",percent of total billed charges ,,,,,"2,120.02",percent of total billed charges ,,,,,"2,014.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,,,"1,115.80",percent of total billed charges,
MRI ORBIT FACE NECK W/O CONTRAST,70540,CDM,,,,both,1,each,"4,142.00","4,142.00","1,159.76","4,142.00","4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"3,065.08",percent of total billed charges,"3,065.08",percent of total billed charges,"3,313.60",percent of total billed charges,"3,313.60",percent of total billed charges,,,"2,982.24",percent of total billed charges ,,,"3,313.60",percent of total billed charges ,"3,479.28",percent of total billed charges ,"3,479.28",percent of total billed charges ,"3,230.76",percent of total billed charges ,"3,230.76",percent of total billed charges ,"3,313.60",percent of total billed charges ,"3,313.60",percent of total billed charges ,"2,899.40",percent of total billed charges ,"2,899.40",percent of total billed charges ,"2,485.20",percent of total billed charges ,"2,485.20",percent of total billed charges ,"2,485.20",percent of total billed charges ,"2,485.20",percent of total billed charges ,,,,,"2,203.54",percent of total billed charges ,,,,,"2,093.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,
MRI ORBIT FACE NECK W/CONTRAST,70542,CDM,,,,both,1,each,"4,864.00","4,864.00","1,361.92","4,864.00","4,864.00",percent of total billed charges,"4,864.00",percent of total billed charges,"4,864.00",percent of total billed charges,"4,864.00",percent of total billed charges,"4,864.00",percent of total billed charges,"4,864.00",percent of total billed charges,"4,864.00",percent of total billed charges,"4,864.00",percent of total billed charges,"3,502.08",percent of total billed charges,"3,502.08",percent of total billed charges,"3,502.08",percent of total billed charges,"3,502.08",percent of total billed charges,"3,502.08",percent of total billed charges,"3,502.08",percent of total billed charges,"3,599.36",percent of total billed charges,"3,599.36",percent of total billed charges,"3,891.20",percent of total billed charges,"3,891.20",percent of total billed charges,,,"3,502.08",percent of total billed charges ,,,"3,891.20",percent of total billed charges ,"4,085.76",percent of total billed charges ,"4,085.76",percent of total billed charges ,"3,793.92",percent of total billed charges ,"3,793.92",percent of total billed charges ,"3,891.20",percent of total billed charges ,"3,891.20",percent of total billed charges ,"3,404.80",percent of total billed charges ,"3,404.80",percent of total billed charges ,"2,918.40",percent of total billed charges ,"2,918.40",percent of total billed charges ,"2,918.40",percent of total billed charges ,"2,918.40",percent of total billed charges ,,,,,"2,587.65",percent of total billed charges ,,,,,"2,458.27",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,,,"1,361.92",percent of total billed charges,
MRI ORBIT FACE NECK W W/O CONTRAST,70543,CDM,,,,both,1,each,"7,019.00","7,019.00","1,965.32","7,019.00","7,019.00",percent of total billed charges,"7,019.00",percent of total billed charges,"7,019.00",percent of total billed charges,"7,019.00",percent of total billed charges,"7,019.00",percent of total billed charges,"7,019.00",percent of total billed charges,"7,019.00",percent of total billed charges,"7,019.00",percent of total billed charges,"5,053.68",percent of total billed charges,"5,053.68",percent of total billed charges,"5,053.68",percent of total billed charges,"5,053.68",percent of total billed charges,"5,053.68",percent of total billed charges,"5,053.68",percent of total billed charges,"5,194.06",percent of total billed charges,"5,194.06",percent of total billed charges,"5,615.20",percent of total billed charges,"5,615.20",percent of total billed charges,,,"5,053.68",percent of total billed charges ,,,"5,615.20",percent of total billed charges ,"5,895.96",percent of total billed charges ,"5,895.96",percent of total billed charges ,"5,474.82",percent of total billed charges ,"5,474.82",percent of total billed charges ,"5,615.20",percent of total billed charges ,"5,615.20",percent of total billed charges ,"4,913.30",percent of total billed charges ,"4,913.30",percent of total billed charges ,"4,211.40",percent of total billed charges ,"4,211.40",percent of total billed charges ,"4,211.40",percent of total billed charges ,"4,211.40",percent of total billed charges ,,,,,"3,734.11",percent of total billed charges ,,,,,"3,547.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,,,"1,965.32",percent of total billed charges,
MRA NECK &/OR HEAD W OR W/O CONTRAST,70540,CDM,,,,both,1,each,"4,142.00","4,142.00","1,159.76","4,142.00","4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"4,142.00",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"2,982.24",percent of total billed charges,"3,065.08",percent of total billed charges,"3,065.08",percent of total billed charges,"3,313.60",percent of total billed charges,"3,313.60",percent of total billed charges,,,"2,982.24",percent of total billed charges ,,,"3,313.60",percent of total billed charges ,"3,479.28",percent of total billed charges ,"3,479.28",percent of total billed charges ,"3,230.76",percent of total billed charges ,"3,230.76",percent of total billed charges ,"3,313.60",percent of total billed charges ,"3,313.60",percent of total billed charges ,"2,899.40",percent of total billed charges ,"2,899.40",percent of total billed charges ,"2,485.20",percent of total billed charges ,"2,485.20",percent of total billed charges ,"2,485.20",percent of total billed charges ,"2,485.20",percent of total billed charges ,,,,,"2,203.54",percent of total billed charges ,,,,,"2,093.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,,,"1,159.76",percent of total billed charges,
MRI BRAIN W/O CONTRAST,70551,CDM,,,,both,1,each,"5,059.00","5,059.00","1,416.52","5,059.00","5,059.00",percent of total billed charges,"5,059.00",percent of total billed charges,"5,059.00",percent of total billed charges,"5,059.00",percent of total billed charges,"5,059.00",percent of total billed charges,"5,059.00",percent of total billed charges,"5,059.00",percent of total billed charges,"5,059.00",percent of total billed charges,"3,642.48",percent of total billed charges,"3,642.48",percent of total billed charges,"3,642.48",percent of total billed charges,"3,642.48",percent of total billed charges,"3,642.48",percent of total billed charges,"3,642.48",percent of total billed charges,"3,743.66",percent of total billed charges,"3,743.66",percent of total billed charges,"4,047.20",percent of total billed charges,"4,047.20",percent of total billed charges,,,"3,642.48",percent of total billed charges ,,,"4,047.20",percent of total billed charges ,"4,249.56",percent of total billed charges ,"4,249.56",percent of total billed charges ,"3,946.02",percent of total billed charges ,"3,946.02",percent of total billed charges ,"4,047.20",percent of total billed charges ,"4,047.20",percent of total billed charges ,"3,541.30",percent of total billed charges ,"3,541.30",percent of total billed charges ,"3,035.40",percent of total billed charges ,"3,035.40",percent of total billed charges ,"3,035.40",percent of total billed charges ,"3,035.40",percent of total billed charges ,,,,,"2,691.39",percent of total billed charges ,,,,,"2,556.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,,,"1,416.52",percent of total billed charges,
MRI BRAIN W/ CONTRAST,70552,CDM,,,,both,1,each,"5,808.00","5,808.00","1,626.24","5,808.00","5,808.00",percent of total billed charges,"5,808.00",percent of total billed charges,"5,808.00",percent of total billed charges,"5,808.00",percent of total billed charges,"5,808.00",percent of total billed charges,"5,808.00",percent of total billed charges,"5,808.00",percent of total billed charges,"5,808.00",percent of total billed charges,"4,181.76",percent of total billed charges,"4,181.76",percent of total billed charges,"4,181.76",percent of total billed charges,"4,181.76",percent of total billed charges,"4,181.76",percent of total billed charges,"4,181.76",percent of total billed charges,"4,297.92",percent of total billed charges,"4,297.92",percent of total billed charges,"4,646.40",percent of total billed charges,"4,646.40",percent of total billed charges,,,"4,181.76",percent of total billed charges ,,,"4,646.40",percent of total billed charges ,"4,878.72",percent of total billed charges ,"4,878.72",percent of total billed charges ,"4,530.24",percent of total billed charges ,"4,530.24",percent of total billed charges ,"4,646.40",percent of total billed charges ,"4,646.40",percent of total billed charges ,"4,065.60",percent of total billed charges ,"4,065.60",percent of total billed charges ,"3,484.80",percent of total billed charges ,"3,484.80",percent of total billed charges ,"3,484.80",percent of total billed charges ,"3,484.80",percent of total billed charges ,,,,,"3,089.86",percent of total billed charges ,,,,,"2,935.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,,,"1,626.24",percent of total billed charges,
MRI BRAIN W/O & W CONTRAST,70553,CDM,,,,both,1,each,"7,131.00","7,131.00","1,996.68","7,131.00","7,131.00",percent of total billed charges,"7,131.00",percent of total billed charges,"7,131.00",percent of total billed charges,"7,131.00",percent of total billed charges,"7,131.00",percent of total billed charges,"7,131.00",percent of total billed charges,"7,131.00",percent of total billed charges,"7,131.00",percent of total billed charges,"5,134.32",percent of total billed charges,"5,134.32",percent of total billed charges,"5,134.32",percent of total billed charges,"5,134.32",percent of total billed charges,"5,134.32",percent of total billed charges,"5,134.32",percent of total billed charges,"5,276.94",percent of total billed charges,"5,276.94",percent of total billed charges,"5,704.80",percent of total billed charges,"5,704.80",percent of total billed charges,,,"5,134.32",percent of total billed charges ,,,"5,704.80",percent of total billed charges ,"5,990.04",percent of total billed charges ,"5,990.04",percent of total billed charges ,"5,562.18",percent of total billed charges ,"5,562.18",percent of total billed charges ,"5,704.80",percent of total billed charges ,"5,704.80",percent of total billed charges ,"4,991.70",percent of total billed charges ,"4,991.70",percent of total billed charges ,"4,278.60",percent of total billed charges ,"4,278.60",percent of total billed charges ,"4,278.60",percent of total billed charges ,"4,278.60",percent of total billed charges ,,,,,"3,793.69",percent of total billed charges ,,,,,"3,604.01",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,,,"1,996.68",percent of total billed charges,
MRI CHEST W/O CONTRAST,71550,CDM,,,,both,1,each,"3,975.00","3,975.00","1,113.00","3,975.00","3,975.00",percent of total billed charges,"3,975.00",percent of total billed charges,"3,975.00",percent of total billed charges,"3,975.00",percent of total billed charges,"3,975.00",percent of total billed charges,"3,975.00",percent of total billed charges,"3,975.00",percent of total billed charges,"3,975.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,862.00",percent of total billed charges,"2,941.50",percent of total billed charges,"2,941.50",percent of total billed charges,"3,180.00",percent of total billed charges,"3,180.00",percent of total billed charges,,,"2,862.00",percent of total billed charges ,,,"3,180.00",percent of total billed charges ,"3,339.00",percent of total billed charges ,"3,339.00",percent of total billed charges ,"3,100.50",percent of total billed charges ,"3,100.50",percent of total billed charges ,"3,180.00",percent of total billed charges ,"3,180.00",percent of total billed charges ,"2,782.50",percent of total billed charges ,"2,782.50",percent of total billed charges ,"2,385.00",percent of total billed charges ,"2,385.00",percent of total billed charges ,"2,385.00",percent of total billed charges ,"2,385.00",percent of total billed charges ,,,,,"2,114.70",percent of total billed charges ,,,,,"2,008.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,,,"1,113.00",percent of total billed charges,
MRI CHEST W/CONTRAST,71551,CDM,,,,both,1,each,"4,649.00","4,649.00","1,301.72","4,649.00","4,649.00",percent of total billed charges,"4,649.00",percent of total billed charges,"4,649.00",percent of total billed charges,"4,649.00",percent of total billed charges,"4,649.00",percent of total billed charges,"4,649.00",percent of total billed charges,"4,649.00",percent of total billed charges,"4,649.00",percent of total billed charges,"3,347.28",percent of total billed charges,"3,347.28",percent of total billed charges,"3,347.28",percent of total billed charges,"3,347.28",percent of total billed charges,"3,347.28",percent of total billed charges,"3,347.28",percent of total billed charges,"3,440.26",percent of total billed charges,"3,440.26",percent of total billed charges,"3,719.20",percent of total billed charges,"3,719.20",percent of total billed charges,,,"3,347.28",percent of total billed charges ,,,"3,719.20",percent of total billed charges ,"3,905.16",percent of total billed charges ,"3,905.16",percent of total billed charges ,"3,626.22",percent of total billed charges ,"3,626.22",percent of total billed charges ,"3,719.20",percent of total billed charges ,"3,719.20",percent of total billed charges ,"3,254.30",percent of total billed charges ,"3,254.30",percent of total billed charges ,"2,789.40",percent of total billed charges ,"2,789.40",percent of total billed charges ,"2,789.40",percent of total billed charges ,"2,789.40",percent of total billed charges ,,,,,"2,473.27",percent of total billed charges ,,,,,"2,349.60",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,,,"1,301.72",percent of total billed charges,
MRI CHEST W/WO CONTRAST,71552,CDM,,,,both,1,each,"7,319.00","7,319.00","2,049.32","7,319.00","7,319.00",percent of total billed charges,"7,319.00",percent of total billed charges,"7,319.00",percent of total billed charges,"7,319.00",percent of total billed charges,"7,319.00",percent of total billed charges,"7,319.00",percent of total billed charges,"7,319.00",percent of total billed charges,"7,319.00",percent of total billed charges,"5,269.68",percent of total billed charges,"5,269.68",percent of total billed charges,"5,269.68",percent of total billed charges,"5,269.68",percent of total billed charges,"5,269.68",percent of total billed charges,"5,269.68",percent of total billed charges,"5,416.06",percent of total billed charges,"5,416.06",percent of total billed charges,"5,855.20",percent of total billed charges,"5,855.20",percent of total billed charges,,,"5,269.68",percent of total billed charges ,,,"5,855.20",percent of total billed charges ,"6,147.96",percent of total billed charges ,"6,147.96",percent of total billed charges ,"5,708.82",percent of total billed charges ,"5,708.82",percent of total billed charges ,"5,855.20",percent of total billed charges ,"5,855.20",percent of total billed charges ,"5,123.30",percent of total billed charges ,"5,123.30",percent of total billed charges ,"4,391.40",percent of total billed charges ,"4,391.40",percent of total billed charges ,"4,391.40",percent of total billed charges ,"4,391.40",percent of total billed charges ,,,,,"3,893.71",percent of total billed charges ,,,,,"3,699.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,,,"2,049.32",percent of total billed charges,
MRA HEAD W/WO CONTRAST,70546,CDM,,,,both,1,each,"6,410.00","6,410.00","1,794.80","6,410.00","6,410.00",percent of total billed charges,"6,410.00",percent of total billed charges,"6,410.00",percent of total billed charges,"6,410.00",percent of total billed charges,"6,410.00",percent of total billed charges,"6,410.00",percent of total billed charges,"6,410.00",percent of total billed charges,"6,410.00",percent of total billed charges,"4,615.20",percent of total billed charges,"4,615.20",percent of total billed charges,"4,615.20",percent of total billed charges,"4,615.20",percent of total billed charges,"4,615.20",percent of total billed charges,"4,615.20",percent of total billed charges,"4,743.40",percent of total billed charges,"4,743.40",percent of total billed charges,"5,128.00",percent of total billed charges,"5,128.00",percent of total billed charges,,,"4,615.20",percent of total billed charges ,,,"5,128.00",percent of total billed charges ,"5,384.40",percent of total billed charges ,"5,384.40",percent of total billed charges ,"4,999.80",percent of total billed charges ,"4,999.80",percent of total billed charges ,"5,128.00",percent of total billed charges ,"5,128.00",percent of total billed charges ,"4,487.00",percent of total billed charges ,"4,487.00",percent of total billed charges ,"3,846.00",percent of total billed charges ,"3,846.00",percent of total billed charges ,"3,846.00",percent of total billed charges ,"3,846.00",percent of total billed charges ,,,,,"3,410.12",percent of total billed charges ,,,,,"3,239.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,,,"1,794.80",percent of total billed charges,
MRA HEAD W CONTRAST,70545,CDM,,,,both,1,each,"4,505.00","4,505.00","1,261.40","4,505.00","4,505.00",percent of total billed charges,"4,505.00",percent of total billed charges,"4,505.00",percent of total billed charges,"4,505.00",percent of total billed charges,"4,505.00",percent of total billed charges,"4,505.00",percent of total billed charges,"4,505.00",percent of total billed charges,"4,505.00",percent of total billed charges,"3,243.60",percent of total billed charges,"3,243.60",percent of total billed charges,"3,243.60",percent of total billed charges,"3,243.60",percent of total billed charges,"3,243.60",percent of total billed charges,"3,243.60",percent of total billed charges,"3,333.70",percent of total billed charges,"3,333.70",percent of total billed charges,"3,604.00",percent of total billed charges,"3,604.00",percent of total billed charges,,,"3,243.60",percent of total billed charges ,,,"3,604.00",percent of total billed charges ,"3,784.20",percent of total billed charges ,"3,784.20",percent of total billed charges ,"3,513.90",percent of total billed charges ,"3,513.90",percent of total billed charges ,"3,604.00",percent of total billed charges ,"3,604.00",percent of total billed charges ,"3,153.50",percent of total billed charges ,"3,153.50",percent of total billed charges ,"2,703.00",percent of total billed charges ,"2,703.00",percent of total billed charges ,"2,703.00",percent of total billed charges ,"2,703.00",percent of total billed charges ,,,,,"2,396.66",percent of total billed charges ,,,,,"2,276.83",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,,,"1,261.40",percent of total billed charges,
MRA HEAD W/O CONTRAST,70544,CDM,,,,both,1,each,"4,580.00","4,580.00","1,282.40","4,580.00","4,580.00",percent of total billed charges,"4,580.00",percent of total billed charges,"4,580.00",percent of total billed charges,"4,580.00",percent of total billed charges,"4,580.00",percent of total billed charges,"4,580.00",percent of total billed charges,"4,580.00",percent of total billed charges,"4,580.00",percent of total billed charges,"3,297.60",percent of total billed charges,"3,297.60",percent of total billed charges,"3,297.60",percent of total billed charges,"3,297.60",percent of total billed charges,"3,297.60",percent of total billed charges,"3,297.60",percent of total billed charges,"3,389.20",percent of total billed charges,"3,389.20",percent of total billed charges,"3,664.00",percent of total billed charges,"3,664.00",percent of total billed charges,,,"3,297.60",percent of total billed charges ,,,"3,664.00",percent of total billed charges ,"3,847.20",percent of total billed charges ,"3,847.20",percent of total billed charges ,"3,572.40",percent of total billed charges ,"3,572.40",percent of total billed charges ,"3,664.00",percent of total billed charges ,"3,664.00",percent of total billed charges ,"3,206.00",percent of total billed charges ,"3,206.00",percent of total billed charges ,"2,748.00",percent of total billed charges ,"2,748.00",percent of total billed charges ,"2,748.00",percent of total billed charges ,"2,748.00",percent of total billed charges ,,,,,"2,436.56",percent of total billed charges ,,,,,"2,314.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,,,"1,282.40",percent of total billed charges,
**MRA HEAD W/WO CONTRAST,70546,CDM,,,,both,1,each,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
MRA NECK W CONTRAST,70548,CDM,,,,both,1,each,"4,464.00","4,464.00","1,249.92","4,464.00","4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,"3,214.08",percent of total billed charges,"3,214.08",percent of total billed charges,"3,214.08",percent of total billed charges,"3,214.08",percent of total billed charges,"3,214.08",percent of total billed charges,"3,214.08",percent of total billed charges,"3,303.36",percent of total billed charges,"3,303.36",percent of total billed charges,"3,571.20",percent of total billed charges,"3,571.20",percent of total billed charges,,,"3,214.08",percent of total billed charges ,,,"3,571.20",percent of total billed charges ,"3,749.76",percent of total billed charges ,"3,749.76",percent of total billed charges ,"3,481.92",percent of total billed charges ,"3,481.92",percent of total billed charges ,"3,571.20",percent of total billed charges ,"3,571.20",percent of total billed charges ,"3,124.80",percent of total billed charges ,"3,124.80",percent of total billed charges ,"2,678.40",percent of total billed charges ,"2,678.40",percent of total billed charges ,"2,678.40",percent of total billed charges ,"2,678.40",percent of total billed charges ,,,,,"2,374.85",percent of total billed charges ,,,,,"2,256.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,,,"1,249.92",percent of total billed charges,
MRA NECK W W/O CONTRAST,70549,CDM,,,,both,,,"6,212.00","6,212.00","1,739.36","6,212.00","6,212.00",percent of total billed charges,"6,212.00",percent of total billed charges,"6,212.00",percent of total billed charges,"6,212.00",percent of total billed charges,"6,212.00",percent of total billed charges,"6,212.00",percent of total billed charges,"6,212.00",percent of total billed charges,"6,212.00",percent of total billed charges,"4,472.64",percent of total billed charges,"4,472.64",percent of total billed charges,"4,472.64",percent of total billed charges,"4,472.64",percent of total billed charges,"4,472.64",percent of total billed charges,"4,472.64",percent of total billed charges,"4,596.88",percent of total billed charges,"4,596.88",percent of total billed charges,"4,969.60",percent of total billed charges,"4,969.60",percent of total billed charges,,,"4,472.64",percent of total billed charges ,,,"4,969.60",percent of total billed charges ,"5,218.08",percent of total billed charges ,"5,218.08",percent of total billed charges ,"4,845.36",percent of total billed charges ,"4,845.36",percent of total billed charges ,"4,969.60",percent of total billed charges ,"4,969.60",percent of total billed charges ,"4,348.40",percent of total billed charges ,"4,348.40",percent of total billed charges ,"3,727.20",percent of total billed charges ,"3,727.20",percent of total billed charges ,"3,727.20",percent of total billed charges ,"3,727.20",percent of total billed charges ,,,,,"3,304.78",percent of total billed charges ,,,,,"3,139.54",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,,,"1,739.36",percent of total billed charges,
MRA NECK W/O CONTRAST,70547,CDM,,,,both,1,each,"4,597.00","4,597.00","1,287.16","4,597.00","4,597.00",percent of total billed charges,"4,597.00",percent of total billed charges,"4,597.00",percent of total billed charges,"4,597.00",percent of total billed charges,"4,597.00",percent of total billed charges,"4,597.00",percent of total billed charges,"4,597.00",percent of total billed charges,"4,597.00",percent of total billed charges,"3,309.84",percent of total billed charges,"3,309.84",percent of total billed charges,"3,309.84",percent of total billed charges,"3,309.84",percent of total billed charges,"3,309.84",percent of total billed charges,"3,309.84",percent of total billed charges,"3,401.78",percent of total billed charges,"3,401.78",percent of total billed charges,"3,677.60",percent of total billed charges,"3,677.60",percent of total billed charges,,,"3,309.84",percent of total billed charges ,,,"3,677.60",percent of total billed charges ,"3,861.48",percent of total billed charges ,"3,861.48",percent of total billed charges ,"3,585.66",percent of total billed charges ,"3,585.66",percent of total billed charges ,"3,677.60",percent of total billed charges ,"3,677.60",percent of total billed charges ,"3,217.90",percent of total billed charges ,"3,217.90",percent of total billed charges ,"2,758.20",percent of total billed charges ,"2,758.20",percent of total billed charges ,"2,758.20",percent of total billed charges ,"2,758.20",percent of total billed charges ,,,,,"2,445.60",percent of total billed charges ,,,,,"2,323.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,,,"1,287.16",percent of total billed charges,
MRI CHOLANGIOGRAM,74181,CDM,,,,both,1,each,"4,025.00","4,025.00","1,127.00","4,025.00","4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,978.50",percent of total billed charges,"2,978.50",percent of total billed charges,"3,220.00",percent of total billed charges,"3,220.00",percent of total billed charges,,,"2,898.00",percent of total billed charges ,,,"3,220.00",percent of total billed charges ,"3,381.00",percent of total billed charges ,"3,381.00",percent of total billed charges ,"3,139.50",percent of total billed charges ,"3,139.50",percent of total billed charges ,"3,220.00",percent of total billed charges ,"3,220.00",percent of total billed charges ,"2,817.50",percent of total billed charges ,"2,817.50",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,,,,,"2,141.30",percent of total billed charges ,,,,,"2,034.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,
**MRA ABDOMEN WITH CONTRAST,74185,CDM,,,,both,1,each,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
MRI ABDOMEN W/CONTRAST,74182,CDM,,,,both,1,each,"4,974.00","4,974.00","1,392.72","4,974.00","4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,680.76",percent of total billed charges,"3,680.76",percent of total billed charges,"3,979.20",percent of total billed charges,"3,979.20",percent of total billed charges,,,"3,581.28",percent of total billed charges ,,,"3,979.20",percent of total billed charges ,"4,178.16",percent of total billed charges ,"4,178.16",percent of total billed charges ,"3,879.72",percent of total billed charges ,"3,879.72",percent of total billed charges ,"3,979.20",percent of total billed charges ,"3,979.20",percent of total billed charges ,"3,481.80",percent of total billed charges ,"3,481.80",percent of total billed charges ,"2,984.40",percent of total billed charges ,"2,984.40",percent of total billed charges ,"2,984.40",percent of total billed charges ,"2,984.40",percent of total billed charges ,,,,,"2,646.17",percent of total billed charges ,,,,,"2,513.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,
MRI ABDOMEN W/O CONTRAST,74181,CDM,,,,both,1,each,"4,025.00","4,025.00","1,127.00","4,025.00","4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"4,025.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,898.00",percent of total billed charges,"2,978.50",percent of total billed charges,"2,978.50",percent of total billed charges,"3,220.00",percent of total billed charges,"3,220.00",percent of total billed charges,,,"2,898.00",percent of total billed charges ,,,"3,220.00",percent of total billed charges ,"3,381.00",percent of total billed charges ,"3,381.00",percent of total billed charges ,"3,139.50",percent of total billed charges ,"3,139.50",percent of total billed charges ,"3,220.00",percent of total billed charges ,"3,220.00",percent of total billed charges ,"2,817.50",percent of total billed charges ,"2,817.50",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,"2,415.00",percent of total billed charges ,,,,,"2,141.30",percent of total billed charges ,,,,,"2,034.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,,,"1,127.00",percent of total billed charges,
MRI ABDOMEN W/WO CONTRAST,74183,CDM,,,,both,1,each,"6,698.00","6,698.00","1,875.44","6,698.00","6,698.00",percent of total billed charges,"6,698.00",percent of total billed charges,"6,698.00",percent of total billed charges,"6,698.00",percent of total billed charges,"6,698.00",percent of total billed charges,"6,698.00",percent of total billed charges,"6,698.00",percent of total billed charges,"6,698.00",percent of total billed charges,"4,822.56",percent of total billed charges,"4,822.56",percent of total billed charges,"4,822.56",percent of total billed charges,"4,822.56",percent of total billed charges,"4,822.56",percent of total billed charges,"4,822.56",percent of total billed charges,"4,956.52",percent of total billed charges,"4,956.52",percent of total billed charges,"5,358.40",percent of total billed charges,"5,358.40",percent of total billed charges,,,"4,822.56",percent of total billed charges ,,,"5,358.40",percent of total billed charges ,"5,626.32",percent of total billed charges ,"5,626.32",percent of total billed charges ,"5,224.44",percent of total billed charges ,"5,224.44",percent of total billed charges ,"5,358.40",percent of total billed charges ,"5,358.40",percent of total billed charges ,"4,688.60",percent of total billed charges ,"4,688.60",percent of total billed charges ,"4,018.80",percent of total billed charges ,"4,018.80",percent of total billed charges ,"4,018.80",percent of total billed charges ,"4,018.80",percent of total billed charges ,,,,,"3,563.34",percent of total billed charges ,,,,,"3,385.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,,,"1,875.44",percent of total billed charges,
**MRA CHEST WITH CONTRAST,71555,CDM,,,,both,1,each,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
MRI C SPINE W/O CONTRAST,72141,CDM,,,,both,1,each,"5,092.00","5,092.00","1,425.76","5,092.00","5,092.00",percent of total billed charges,"5,092.00",percent of total billed charges,"5,092.00",percent of total billed charges,"5,092.00",percent of total billed charges,"5,092.00",percent of total billed charges,"5,092.00",percent of total billed charges,"5,092.00",percent of total billed charges,"5,092.00",percent of total billed charges,"3,666.24",percent of total billed charges,"3,666.24",percent of total billed charges,"3,666.24",percent of total billed charges,"3,666.24",percent of total billed charges,"3,666.24",percent of total billed charges,"3,666.24",percent of total billed charges,"3,768.08",percent of total billed charges,"3,768.08",percent of total billed charges,"4,073.60",percent of total billed charges,"4,073.60",percent of total billed charges,,,"3,666.24",percent of total billed charges ,,,"4,073.60",percent of total billed charges ,"4,277.28",percent of total billed charges ,"4,277.28",percent of total billed charges ,"3,971.76",percent of total billed charges ,"3,971.76",percent of total billed charges ,"4,073.60",percent of total billed charges ,"4,073.60",percent of total billed charges ,"3,564.40",percent of total billed charges ,"3,564.40",percent of total billed charges ,"3,055.20",percent of total billed charges ,"3,055.20",percent of total billed charges ,"3,055.20",percent of total billed charges ,"3,055.20",percent of total billed charges ,,,,,"2,708.94",percent of total billed charges ,,,,,"2,573.50",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,,,"1,425.76",percent of total billed charges,
MRI C SPINE W/ CONTRAST,72142,CDM,,,,both,1,each,"4,974.00","4,974.00","1,392.72","4,974.00","4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"4,974.00",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,581.28",percent of total billed charges,"3,680.76",percent of total billed charges,"3,680.76",percent of total billed charges,"3,979.20",percent of total billed charges,"3,979.20",percent of total billed charges,,,"3,581.28",percent of total billed charges ,,,"3,979.20",percent of total billed charges ,"4,178.16",percent of total billed charges ,"4,178.16",percent of total billed charges ,"3,879.72",percent of total billed charges ,"3,879.72",percent of total billed charges ,"3,979.20",percent of total billed charges ,"3,979.20",percent of total billed charges ,"3,481.80",percent of total billed charges ,"3,481.80",percent of total billed charges ,"2,984.40",percent of total billed charges ,"2,984.40",percent of total billed charges ,"2,984.40",percent of total billed charges ,"2,984.40",percent of total billed charges ,,,,,"2,646.17",percent of total billed charges ,,,,,"2,513.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,,,"1,392.72",percent of total billed charges,
MRI T SPINE W/O CONTRAST,72146,CDM,,,,both,1,each,"5,017.00","5,017.00","1,404.76","5,017.00","5,017.00",percent of total billed charges,"5,017.00",percent of total billed charges,"5,017.00",percent of total billed charges,"5,017.00",percent of total billed charges,"5,017.00",percent of total billed charges,"5,017.00",percent of total billed charges,"5,017.00",percent of total billed charges,"5,017.00",percent of total billed charges,"3,612.24",percent of total billed charges,"3,612.24",percent of total billed charges,"3,612.24",percent of total billed charges,"3,612.24",percent of total billed charges,"3,612.24",percent of total billed charges,"3,612.24",percent of total billed charges,"3,712.58",percent of total billed charges,"3,712.58",percent of total billed charges,"4,013.60",percent of total billed charges,"4,013.60",percent of total billed charges,,,"3,612.24",percent of total billed charges ,,,"4,013.60",percent of total billed charges ,"4,214.28",percent of total billed charges ,"4,214.28",percent of total billed charges ,"3,913.26",percent of total billed charges ,"3,913.26",percent of total billed charges ,"4,013.60",percent of total billed charges ,"4,013.60",percent of total billed charges ,"3,511.90",percent of total billed charges ,"3,511.90",percent of total billed charges ,"3,010.20",percent of total billed charges ,"3,010.20",percent of total billed charges ,"3,010.20",percent of total billed charges ,"3,010.20",percent of total billed charges ,,,,,"2,669.04",percent of total billed charges ,,,,,"2,535.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,,,"1,404.76",percent of total billed charges,
MRI T SPINE W CONTRAST,72147,CDM,,,,both,1,each,"4,860.00","4,860.00","1,360.80","4,860.00","4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"4,860.00",percent of total billed charges,"3,499.20",percent of total billed charges,"3,499.20",percent of total billed charges,"3,499.20",percent of total billed charges,"3,499.20",percent of total billed charges,"3,499.20",percent of total billed charges,"3,499.20",percent of total billed charges,"3,596.40",percent of total billed charges,"3,596.40",percent of total billed charges,"3,888.00",percent of total billed charges,"3,888.00",percent of total billed charges,,,"3,499.20",percent of total billed charges ,,,"3,888.00",percent of total billed charges ,"4,082.40",percent of total billed charges ,"4,082.40",percent of total billed charges ,"3,790.80",percent of total billed charges ,"3,790.80",percent of total billed charges ,"3,888.00",percent of total billed charges ,"3,888.00",percent of total billed charges ,"3,402.00",percent of total billed charges ,"3,402.00",percent of total billed charges ,"2,916.00",percent of total billed charges ,"2,916.00",percent of total billed charges ,"2,916.00",percent of total billed charges ,"2,916.00",percent of total billed charges ,,,,,"2,585.52",percent of total billed charges ,,,,,"2,456.24",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,,,"1,360.80",percent of total billed charges,
MRI LUMBAR SPINE W/O CONTRAST,72148,CDM,,,,both,1,each,"5,344.00","5,344.00","1,496.32","5,344.00","5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,"5,344.00",percent of total billed charges,"3,847.68",percent of total billed charges,"3,847.68",percent of total billed charges,"3,847.68",percent of total billed charges,"3,847.68",percent of total billed charges,"3,847.68",percent of total billed charges,"3,847.68",percent of total billed charges,"3,954.56",percent of total billed charges,"3,954.56",percent of total billed charges,"4,275.20",percent of total billed charges,"4,275.20",percent of total billed charges,,,"3,847.68",percent of total billed charges ,,,"4,275.20",percent of total billed charges ,"4,488.96",percent of total billed charges ,"4,488.96",percent of total billed charges ,"4,168.32",percent of total billed charges ,"4,168.32",percent of total billed charges ,"4,275.20",percent of total billed charges ,"4,275.20",percent of total billed charges ,"3,740.80",percent of total billed charges ,"3,740.80",percent of total billed charges ,"3,206.40",percent of total billed charges ,"3,206.40",percent of total billed charges ,"3,206.40",percent of total billed charges ,"3,206.40",percent of total billed charges ,,,,,"2,843.01",percent of total billed charges ,,,,,"2,700.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,,,"1,496.32",percent of total billed charges,
MRI LUMBAR SPINE W/ CONTRAST,72149,CDM,,,,both,,,"8,879.00","8,879.00","2,486.12","8,879.00","8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,570.46",percent of total billed charges,"6,570.46",percent of total billed charges,"7,103.20",percent of total billed charges,"7,103.20",percent of total billed charges,,,"6,392.88",percent of total billed charges ,,,"7,103.20",percent of total billed charges ,"7,458.36",percent of total billed charges ,"7,458.36",percent of total billed charges ,"6,925.62",percent of total billed charges ,"6,925.62",percent of total billed charges ,"7,103.20",percent of total billed charges ,"7,103.20",percent of total billed charges ,"6,215.30",percent of total billed charges ,"6,215.30",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,,,,,"4,723.63",percent of total billed charges ,,,,,"4,487.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,
MRI C SPINE W/ & W/O CONTRAST,72156,CDM,,,,both,1,each,"7,212.00","7,212.00","2,019.36","7,212.00","7,212.00",percent of total billed charges,"7,212.00",percent of total billed charges,"7,212.00",percent of total billed charges,"7,212.00",percent of total billed charges,"7,212.00",percent of total billed charges,"7,212.00",percent of total billed charges,"7,212.00",percent of total billed charges,"7,212.00",percent of total billed charges,"5,192.64",percent of total billed charges,"5,192.64",percent of total billed charges,"5,192.64",percent of total billed charges,"5,192.64",percent of total billed charges,"5,192.64",percent of total billed charges,"5,192.64",percent of total billed charges,"5,336.88",percent of total billed charges,"5,336.88",percent of total billed charges,"5,769.60",percent of total billed charges,"5,769.60",percent of total billed charges,,,"5,192.64",percent of total billed charges ,,,"5,769.60",percent of total billed charges ,"6,058.08",percent of total billed charges ,"6,058.08",percent of total billed charges ,"5,625.36",percent of total billed charges ,"5,625.36",percent of total billed charges ,"5,769.60",percent of total billed charges ,"5,769.60",percent of total billed charges ,"5,048.40",percent of total billed charges ,"5,048.40",percent of total billed charges ,"4,327.20",percent of total billed charges ,"4,327.20",percent of total billed charges ,"4,327.20",percent of total billed charges ,"4,327.20",percent of total billed charges ,,,,,"3,836.78",percent of total billed charges ,,,,,"3,644.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,,,"2,019.36",percent of total billed charges,
MRI T SPINE W/ WO CONTRAST,72157,CDM,,,,both,1,each,"7,232.00","7,232.00","2,024.96","7,232.00","7,232.00",percent of total billed charges,"7,232.00",percent of total billed charges,"7,232.00",percent of total billed charges,"7,232.00",percent of total billed charges,"7,232.00",percent of total billed charges,"7,232.00",percent of total billed charges,"7,232.00",percent of total billed charges,"7,232.00",percent of total billed charges,"5,207.04",percent of total billed charges,"5,207.04",percent of total billed charges,"5,207.04",percent of total billed charges,"5,207.04",percent of total billed charges,"5,207.04",percent of total billed charges,"5,207.04",percent of total billed charges,"5,351.68",percent of total billed charges,"5,351.68",percent of total billed charges,"5,785.60",percent of total billed charges,"5,785.60",percent of total billed charges,,,"5,207.04",percent of total billed charges ,,,"5,785.60",percent of total billed charges ,"6,074.88",percent of total billed charges ,"6,074.88",percent of total billed charges ,"5,640.96",percent of total billed charges ,"5,640.96",percent of total billed charges ,"5,785.60",percent of total billed charges ,"5,785.60",percent of total billed charges ,"5,062.40",percent of total billed charges ,"5,062.40",percent of total billed charges ,"4,339.20",percent of total billed charges ,"4,339.20",percent of total billed charges ,"4,339.20",percent of total billed charges ,"4,339.20",percent of total billed charges ,,,,,"3,847.42",percent of total billed charges ,,,,,"3,655.05",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,,,"2,024.96",percent of total billed charges,
MRI LUMBAR SPINE W/O & W CONTRAST,72158,CDM,,,,both,1,each,"7,057.00","7,057.00","1,975.96","7,057.00","7,057.00",percent of total billed charges,"7,057.00",percent of total billed charges,"7,057.00",percent of total billed charges,"7,057.00",percent of total billed charges,"7,057.00",percent of total billed charges,"7,057.00",percent of total billed charges,"7,057.00",percent of total billed charges,"7,057.00",percent of total billed charges,"5,081.04",percent of total billed charges,"5,081.04",percent of total billed charges,"5,081.04",percent of total billed charges,"5,081.04",percent of total billed charges,"5,081.04",percent of total billed charges,"5,081.04",percent of total billed charges,"5,222.18",percent of total billed charges,"5,222.18",percent of total billed charges,"5,645.60",percent of total billed charges,"5,645.60",percent of total billed charges,,,"5,081.04",percent of total billed charges ,,,"5,645.60",percent of total billed charges ,"5,927.88",percent of total billed charges ,"5,927.88",percent of total billed charges ,"5,504.46",percent of total billed charges ,"5,504.46",percent of total billed charges ,"5,645.60",percent of total billed charges ,"5,645.60",percent of total billed charges ,"4,939.90",percent of total billed charges ,"4,939.90",percent of total billed charges ,"4,234.20",percent of total billed charges ,"4,234.20",percent of total billed charges ,"4,234.20",percent of total billed charges ,"4,234.20",percent of total billed charges ,,,,,"3,754.32",percent of total billed charges ,,,,,"3,566.61",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,,,"1,975.96",percent of total billed charges,
**MRA SPINE WITH CONTRAST,72159,CDM,,,,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
**MRA PELVIS WITH CONTRAST,72198,CDM,,,,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
MRI UE OTHER LT W&W/O CONTRAST,73220,CDM,,,LT,both,1,each,"5,026.00","5,026.00","1,407.28","5,026.00","5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,719.24",percent of total billed charges,"3,719.24",percent of total billed charges,"4,020.80",percent of total billed charges,"4,020.80",percent of total billed charges,,,"3,618.72",percent of total billed charges ,,,"4,020.80",percent of total billed charges ,"4,221.84",percent of total billed charges ,"4,221.84",percent of total billed charges ,"3,920.28",percent of total billed charges ,"3,920.28",percent of total billed charges ,"4,020.80",percent of total billed charges ,"4,020.80",percent of total billed charges ,"3,518.20",percent of total billed charges ,"3,518.20",percent of total billed charges ,"3,015.60",percent of total billed charges ,"3,015.60",percent of total billed charges ,"3,015.60",percent of total billed charges ,"3,015.60",percent of total billed charges ,,,,,"2,673.83",percent of total billed charges ,,,,,"2,540.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,
**MRI UE JNT BI W/O CONTRAST,73221,CDM,,,50,both,1,each,"10,094.00","10,094.00","2,826.32","10,094.00","10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,469.56",percent of total billed charges,"7,469.56",percent of total billed charges,"8,075.20",percent of total billed charges,"8,075.20",percent of total billed charges,,,"7,267.68",percent of total billed charges ,,,"8,075.20",percent of total billed charges ,"8,478.96",percent of total billed charges ,"8,478.96",percent of total billed charges ,"7,873.32",percent of total billed charges ,"7,873.32",percent of total billed charges ,"8,075.20",percent of total billed charges ,"8,075.20",percent of total billed charges ,"7,065.80",percent of total billed charges ,"7,065.80",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,,,,,"5,370.01",percent of total billed charges ,,,,,"5,101.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,
MRI UE JNT RT W/O CONTRAST,73221,CDM,,,RT,both,,,"3,984.00","3,984.00","1,115.52","3,984.00","3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,948.16",percent of total billed charges,"2,948.16",percent of total billed charges,"3,187.20",percent of total billed charges,"3,187.20",percent of total billed charges,,,"2,868.48",percent of total billed charges ,,,"3,187.20",percent of total billed charges ,"3,346.56",percent of total billed charges ,"3,346.56",percent of total billed charges ,"3,107.52",percent of total billed charges ,"3,107.52",percent of total billed charges ,"3,187.20",percent of total billed charges ,"3,187.20",percent of total billed charges ,"2,788.80",percent of total billed charges ,"2,788.80",percent of total billed charges ,"2,390.40",percent of total billed charges ,"2,390.40",percent of total billed charges ,"2,390.40",percent of total billed charges ,"2,390.40",percent of total billed charges ,,,,,"2,119.49",percent of total billed charges ,,,,,"2,013.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,
MRI UE JNT LT W/O CONTRAST,73221,CDM,,,LT,both,1,each,"3,984.00","3,984.00","1,115.52","3,984.00","3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"3,984.00",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,868.48",percent of total billed charges,"2,948.16",percent of total billed charges,"2,948.16",percent of total billed charges,"3,187.20",percent of total billed charges,"3,187.20",percent of total billed charges,,,"2,868.48",percent of total billed charges ,,,"3,187.20",percent of total billed charges ,"3,346.56",percent of total billed charges ,"3,346.56",percent of total billed charges ,"3,107.52",percent of total billed charges ,"3,107.52",percent of total billed charges ,"3,187.20",percent of total billed charges ,"3,187.20",percent of total billed charges ,"2,788.80",percent of total billed charges ,"2,788.80",percent of total billed charges ,"2,390.40",percent of total billed charges ,"2,390.40",percent of total billed charges ,"2,390.40",percent of total billed charges ,"2,390.40",percent of total billed charges ,,,,,"2,119.49",percent of total billed charges ,,,,,"2,013.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,,,"1,115.52",percent of total billed charges,
**MRI UE JNT W/O CONTRAST,73221,CDM,,,,both,1,each,"7,247.00","7,247.00","2,029.16","7,247.00","7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,362.78",percent of total billed charges,"5,362.78",percent of total billed charges,"5,797.60",percent of total billed charges,"5,797.60",percent of total billed charges,,,"5,217.84",percent of total billed charges ,,,"5,797.60",percent of total billed charges ,"6,087.48",percent of total billed charges ,"6,087.48",percent of total billed charges ,"5,652.66",percent of total billed charges ,"5,652.66",percent of total billed charges ,"5,797.60",percent of total billed charges ,"5,797.60",percent of total billed charges ,"5,072.90",percent of total billed charges ,"5,072.90",percent of total billed charges ,"4,348.20",percent of total billed charges ,"4,348.20",percent of total billed charges ,"4,348.20",percent of total billed charges ,"4,348.20",percent of total billed charges ,,,,,"3,855.40",percent of total billed charges ,,,,,"3,662.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,
**MRA UPPER EXT WITHOUT CONTRAST LT,73225,CDM,,,LT,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
MRA UPPER EXT W and/or WO CONTRAST LT,73225,CDM,,,LT,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
**MRI LOW EXT OTHER W & W/O CONTRAST,73720,CDM,,,,both,,,"9,172.00","9,172.00","2,568.16","9,172.00","9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,787.28",percent of total billed charges,"6,787.28",percent of total billed charges,"7,337.60",percent of total billed charges,"7,337.60",percent of total billed charges,,,"6,603.84",percent of total billed charges ,,,"7,337.60",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,337.60",percent of total billed charges ,"7,337.60",percent of total billed charges ,"6,420.40",percent of total billed charges ,"6,420.40",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,,,,,"4,879.50",percent of total billed charges ,,,,,"4,635.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,
MRI LE OTHER LT W& W/O CONTRAST,73720,CDM,,,LT,both,1,each,"5,232.00","5,232.00","1,464.96","5,232.00","5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,871.68",percent of total billed charges,"3,871.68",percent of total billed charges,"4,185.60",percent of total billed charges,"4,185.60",percent of total billed charges,,,"3,767.04",percent of total billed charges ,,,"4,185.60",percent of total billed charges ,"4,394.88",percent of total billed charges ,"4,394.88",percent of total billed charges ,"4,080.96",percent of total billed charges ,"4,080.96",percent of total billed charges ,"4,185.60",percent of total billed charges ,"4,185.60",percent of total billed charges ,"3,662.40",percent of total billed charges ,"3,662.40",percent of total billed charges ,"3,139.20",percent of total billed charges ,"3,139.20",percent of total billed charges ,"3,139.20",percent of total billed charges ,"3,139.20",percent of total billed charges ,,,,,"2,783.42",percent of total billed charges ,,,,,"2,644.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,
MRI LE OTHER RT W& W/O CONTRAST,73720,CDM,,,RT,both,,,"5,232.00","5,232.00","1,464.96","5,232.00","5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"5,232.00",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,767.04",percent of total billed charges,"3,871.68",percent of total billed charges,"3,871.68",percent of total billed charges,"4,185.60",percent of total billed charges,"4,185.60",percent of total billed charges,,,"3,767.04",percent of total billed charges ,,,"4,185.60",percent of total billed charges ,"4,394.88",percent of total billed charges ,"4,394.88",percent of total billed charges ,"4,080.96",percent of total billed charges ,"4,080.96",percent of total billed charges ,"4,185.60",percent of total billed charges ,"4,185.60",percent of total billed charges ,"3,662.40",percent of total billed charges ,"3,662.40",percent of total billed charges ,"3,139.20",percent of total billed charges ,"3,139.20",percent of total billed charges ,"3,139.20",percent of total billed charges ,"3,139.20",percent of total billed charges ,,,,,"2,783.42",percent of total billed charges ,,,,,"2,644.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,,,"1,464.96",percent of total billed charges,
**MRI LE JOINT W/O CONTRAST,73721,CDM,,,,both,1,each,"7,247.00","7,247.00","2,029.16","7,247.00","7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"7,247.00",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,217.84",percent of total billed charges,"5,362.78",percent of total billed charges,"5,362.78",percent of total billed charges,"5,797.60",percent of total billed charges,"5,797.60",percent of total billed charges,,,"5,217.84",percent of total billed charges ,,,"5,797.60",percent of total billed charges ,"6,087.48",percent of total billed charges ,"6,087.48",percent of total billed charges ,"5,652.66",percent of total billed charges ,"5,652.66",percent of total billed charges ,"5,797.60",percent of total billed charges ,"5,797.60",percent of total billed charges ,"5,072.90",percent of total billed charges ,"5,072.90",percent of total billed charges ,"4,348.20",percent of total billed charges ,"4,348.20",percent of total billed charges ,"4,348.20",percent of total billed charges ,"4,348.20",percent of total billed charges ,,,,,"3,855.40",percent of total billed charges ,,,,,"3,662.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,,,"2,029.16",percent of total billed charges,
MRA LOWER EXT W and/or WO CONTRAST LT,73725,CDM,,,LT,both,1,each,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
**MRA LOWER EXT WITHOUT CONTRAST LT,73725,CDM,,,LT,both,1,each,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
**MRI LE JOINT W/WO CONTRAST,73723,CDM,,,,both,1,each,"9,172.00","9,172.00","2,568.16","9,172.00","9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,787.28",percent of total billed charges,"6,787.28",percent of total billed charges,"7,337.60",percent of total billed charges,"7,337.60",percent of total billed charges,,,"6,603.84",percent of total billed charges ,,,"7,337.60",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,337.60",percent of total billed charges ,"7,337.60",percent of total billed charges ,"6,420.40",percent of total billed charges ,"6,420.40",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,,,,,"4,879.50",percent of total billed charges ,,,,,"4,635.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,
**MRA UPPER EXTREMITY WITH CONTRST LT,73225,CDM,,,LT,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
**MRI UE OTHER BI W & W/O CONTRAST,73220,CDM,,,50,both,1,each,"10,094.00","10,094.00","2,826.32","10,094.00","10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,469.56",percent of total billed charges,"7,469.56",percent of total billed charges,"8,075.20",percent of total billed charges,"8,075.20",percent of total billed charges,,,"7,267.68",percent of total billed charges ,,,"8,075.20",percent of total billed charges ,"8,478.96",percent of total billed charges ,"8,478.96",percent of total billed charges ,"7,873.32",percent of total billed charges ,"7,873.32",percent of total billed charges ,"8,075.20",percent of total billed charges ,"8,075.20",percent of total billed charges ,"7,065.80",percent of total billed charges ,"7,065.80",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,,,,,"5,370.01",percent of total billed charges ,,,,,"5,101.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,
**MRI UP EXT OTHER LT W & W/O CONTRAST,73220,CDM,,,LT,both,1,each,"9,172.00","9,172.00","2,568.16","9,172.00","9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,787.28",percent of total billed charges,"6,787.28",percent of total billed charges,"7,337.60",percent of total billed charges,"7,337.60",percent of total billed charges,,,"6,603.84",percent of total billed charges ,,,"7,337.60",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,337.60",percent of total billed charges ,"7,337.60",percent of total billed charges ,"6,420.40",percent of total billed charges ,"6,420.40",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,,,,,"4,879.50",percent of total billed charges ,,,,,"4,635.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,
MRI UE OTHER RT W & W/O CONTRAST,73220,CDM,,,RT,both,1,each,"5,026.00","5,026.00","1,407.28","5,026.00","5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"5,026.00",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,618.72",percent of total billed charges,"3,719.24",percent of total billed charges,"3,719.24",percent of total billed charges,"4,020.80",percent of total billed charges,"4,020.80",percent of total billed charges,,,"3,618.72",percent of total billed charges ,,,"4,020.80",percent of total billed charges ,"4,221.84",percent of total billed charges ,"4,221.84",percent of total billed charges ,"3,920.28",percent of total billed charges ,"3,920.28",percent of total billed charges ,"4,020.80",percent of total billed charges ,"4,020.80",percent of total billed charges ,"3,518.20",percent of total billed charges ,"3,518.20",percent of total billed charges ,"3,015.60",percent of total billed charges ,"3,015.60",percent of total billed charges ,"3,015.60",percent of total billed charges ,"3,015.60",percent of total billed charges ,,,,,"2,673.83",percent of total billed charges ,,,,,"2,540.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,,,"1,407.28",percent of total billed charges,
**MRA LOWER EXT WITH CONTRAST LT,73725,CDM,,,LT,both,1,each,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
**MRI LE JOINT BI W/O CONTRAST,73721,CDM,,,50,both,1,each,"7,976.00","7,976.00","2,233.28","7,976.00","7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,902.24",percent of total billed charges,"5,902.24",percent of total billed charges,"6,380.80",percent of total billed charges,"6,380.80",percent of total billed charges,,,"5,742.72",percent of total billed charges ,,,"6,380.80",percent of total billed charges ,"6,699.84",percent of total billed charges ,"6,699.84",percent of total billed charges ,"6,221.28",percent of total billed charges ,"6,221.28",percent of total billed charges ,"6,380.80",percent of total billed charges ,"6,380.80",percent of total billed charges ,"5,583.20",percent of total billed charges ,"5,583.20",percent of total billed charges ,"4,785.60",percent of total billed charges ,"4,785.60",percent of total billed charges ,"4,785.60",percent of total billed charges ,"4,785.60",percent of total billed charges ,,,,,"4,243.23",percent of total billed charges ,,,,,"4,031.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,
MRI LE JNT LT W/O CONTRAST,73721,CDM,,,LT,both,1,each,"4,015.00","4,015.00","1,124.20","4,015.00","4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,971.10",percent of total billed charges,"2,971.10",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,,,"2,890.80",percent of total billed charges ,,,"3,212.00",percent of total billed charges ,"3,372.60",percent of total billed charges ,"3,372.60",percent of total billed charges ,"3,131.70",percent of total billed charges ,"3,131.70",percent of total billed charges ,"3,212.00",percent of total billed charges ,"3,212.00",percent of total billed charges ,"2,810.50",percent of total billed charges ,"2,810.50",percent of total billed charges ,"2,409.00",percent of total billed charges ,"2,409.00",percent of total billed charges ,"2,409.00",percent of total billed charges ,"2,409.00",percent of total billed charges ,,,,,"2,135.98",percent of total billed charges ,,,,,"2,029.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,
MRI LE JNT RT W/O CONTRAST,73721,CDM,,,RT,both,1,each,"4,015.00","4,015.00","1,124.20","4,015.00","4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"4,015.00",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,890.80",percent of total billed charges,"2,971.10",percent of total billed charges,"2,971.10",percent of total billed charges,"3,212.00",percent of total billed charges,"3,212.00",percent of total billed charges,,,"2,890.80",percent of total billed charges ,,,"3,212.00",percent of total billed charges ,"3,372.60",percent of total billed charges ,"3,372.60",percent of total billed charges ,"3,131.70",percent of total billed charges ,"3,131.70",percent of total billed charges ,"3,212.00",percent of total billed charges ,"3,212.00",percent of total billed charges ,"2,810.50",percent of total billed charges ,"2,810.50",percent of total billed charges ,"2,409.00",percent of total billed charges ,"2,409.00",percent of total billed charges ,"2,409.00",percent of total billed charges ,"2,409.00",percent of total billed charges ,,,,,"2,135.98",percent of total billed charges ,,,,,"2,029.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,,,"1,124.20",percent of total billed charges,
MRI PELVIS W/O,72195,CDM,,,,both,1,each,"4,836.00","4,836.00","1,354.08","4,836.00","4,836.00",percent of total billed charges,"4,836.00",percent of total billed charges,"4,836.00",percent of total billed charges,"4,836.00",percent of total billed charges,"4,836.00",percent of total billed charges,"4,836.00",percent of total billed charges,"4,836.00",percent of total billed charges,"4,836.00",percent of total billed charges,"3,481.92",percent of total billed charges,"3,481.92",percent of total billed charges,"3,481.92",percent of total billed charges,"3,481.92",percent of total billed charges,"3,481.92",percent of total billed charges,"3,481.92",percent of total billed charges,"3,578.64",percent of total billed charges,"3,578.64",percent of total billed charges,"3,868.80",percent of total billed charges,"3,868.80",percent of total billed charges,,,"3,481.92",percent of total billed charges ,,,"3,868.80",percent of total billed charges ,"4,062.24",percent of total billed charges ,"4,062.24",percent of total billed charges ,"3,772.08",percent of total billed charges ,"3,772.08",percent of total billed charges ,"3,868.80",percent of total billed charges ,"3,868.80",percent of total billed charges ,"3,385.20",percent of total billed charges ,"3,385.20",percent of total billed charges ,"2,901.60",percent of total billed charges ,"2,901.60",percent of total billed charges ,"2,901.60",percent of total billed charges ,"2,901.60",percent of total billed charges ,,,,,"2,572.75",percent of total billed charges ,,,,,"2,444.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,,,"1,354.08",percent of total billed charges,
MRI PELVIS W/WO CONTRAST,72197,CDM,,,,both,1,each,"6,701.00","6,701.00","1,876.28","6,701.00","6,701.00",percent of total billed charges,"6,701.00",percent of total billed charges,"6,701.00",percent of total billed charges,"6,701.00",percent of total billed charges,"6,701.00",percent of total billed charges,"6,701.00",percent of total billed charges,"6,701.00",percent of total billed charges,"6,701.00",percent of total billed charges,"4,824.72",percent of total billed charges,"4,824.72",percent of total billed charges,"4,824.72",percent of total billed charges,"4,824.72",percent of total billed charges,"4,824.72",percent of total billed charges,"4,824.72",percent of total billed charges,"4,958.74",percent of total billed charges,"4,958.74",percent of total billed charges,"5,360.80",percent of total billed charges,"5,360.80",percent of total billed charges,,,"4,824.72",percent of total billed charges ,,,"5,360.80",percent of total billed charges ,"5,628.84",percent of total billed charges ,"5,628.84",percent of total billed charges ,"5,226.78",percent of total billed charges ,"5,226.78",percent of total billed charges ,"5,360.80",percent of total billed charges ,"5,360.80",percent of total billed charges ,"4,690.70",percent of total billed charges ,"4,690.70",percent of total billed charges ,"4,020.60",percent of total billed charges ,"4,020.60",percent of total billed charges ,"4,020.60",percent of total billed charges ,"4,020.60",percent of total billed charges ,,,,,"3,564.93",percent of total billed charges ,,,,,"3,386.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,,,"1,876.28",percent of total billed charges,
**MRI LE OTHER W/WO CONTRAST,73720,CDM,,,,both,1,each,"9,172.00","9,172.00","2,568.16","9,172.00","9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,787.28",percent of total billed charges,"6,787.28",percent of total billed charges,"7,337.60",percent of total billed charges,"7,337.60",percent of total billed charges,,,"6,603.84",percent of total billed charges ,,,"7,337.60",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,337.60",percent of total billed charges ,"7,337.60",percent of total billed charges ,"6,420.40",percent of total billed charges ,"6,420.40",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,,,,,"4,879.50",percent of total billed charges ,,,,,"4,635.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,
**MRI LE OTHER W/CONTRAST,73719,CDM,,,,both,1,each,"8,075.00","8,075.00","2,261.00","8,075.00","8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,975.50",percent of total billed charges,"5,975.50",percent of total billed charges,"6,460.00",percent of total billed charges,"6,460.00",percent of total billed charges,,,"5,814.00",percent of total billed charges ,,,"6,460.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,460.00",percent of total billed charges ,"6,460.00",percent of total billed charges ,"5,652.50",percent of total billed charges ,"5,652.50",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,,,,,"4,295.90",percent of total billed charges ,,,,,"4,081.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,
**MRI LE OTHER BI W / CONTRAST,73719,CDM,,,50,both,1,each,"8,879.00","8,879.00","2,486.12","8,879.00","8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,570.46",percent of total billed charges,"6,570.46",percent of total billed charges,"7,103.20",percent of total billed charges,"7,103.20",percent of total billed charges,,,"6,392.88",percent of total billed charges ,,,"7,103.20",percent of total billed charges ,"7,458.36",percent of total billed charges ,"7,458.36",percent of total billed charges ,"6,925.62",percent of total billed charges ,"6,925.62",percent of total billed charges ,"7,103.20",percent of total billed charges ,"7,103.20",percent of total billed charges ,"6,215.30",percent of total billed charges ,"6,215.30",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,,,,,"4,723.63",percent of total billed charges ,,,,,"4,487.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,
MRI LE OTHER RT W/ CONTRAST,73719,CDM,,,RT,both,,,"4,770.00","4,770.00","1,335.60","4,770.00","4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,529.80",percent of total billed charges,"3,529.80",percent of total billed charges,"3,816.00",percent of total billed charges,"3,816.00",percent of total billed charges,,,"3,434.40",percent of total billed charges ,,,"3,816.00",percent of total billed charges ,"4,006.80",percent of total billed charges ,"4,006.80",percent of total billed charges ,"3,720.60",percent of total billed charges ,"3,720.60",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,339.00",percent of total billed charges ,"3,339.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,,,,,"2,537.64",percent of total billed charges ,,,,,"2,410.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,
MRI LE OTHER LT W/ CONTRAST,73719,CDM,,,LT,both,1,each,"4,770.00","4,770.00","1,335.60","4,770.00","4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"4,770.00",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,434.40",percent of total billed charges,"3,529.80",percent of total billed charges,"3,529.80",percent of total billed charges,"3,816.00",percent of total billed charges,"3,816.00",percent of total billed charges,,,"3,434.40",percent of total billed charges ,,,"3,816.00",percent of total billed charges ,"4,006.80",percent of total billed charges ,"4,006.80",percent of total billed charges ,"3,720.60",percent of total billed charges ,"3,720.60",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,816.00",percent of total billed charges ,"3,339.00",percent of total billed charges ,"3,339.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,"2,862.00",percent of total billed charges ,,,,,"2,537.64",percent of total billed charges ,,,,,"2,410.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,,,"1,335.60",percent of total billed charges,
MRI LE OTHER W/O CONTRAST,73718,CDM,,,,both,1,each,"4,163.00","4,163.00","1,165.64","4,163.00","4,163.00",percent of total billed charges,"4,163.00",percent of total billed charges,"4,163.00",percent of total billed charges,"4,163.00",percent of total billed charges,"4,163.00",percent of total billed charges,"4,163.00",percent of total billed charges,"4,163.00",percent of total billed charges,"4,163.00",percent of total billed charges,"2,997.36",percent of total billed charges,"2,997.36",percent of total billed charges,"2,997.36",percent of total billed charges,"2,997.36",percent of total billed charges,"2,997.36",percent of total billed charges,"2,997.36",percent of total billed charges,"3,080.62",percent of total billed charges,"3,080.62",percent of total billed charges,"3,330.40",percent of total billed charges,"3,330.40",percent of total billed charges,,,"2,997.36",percent of total billed charges ,,,"3,330.40",percent of total billed charges ,"3,496.92",percent of total billed charges ,"3,496.92",percent of total billed charges ,"3,247.14",percent of total billed charges ,"3,247.14",percent of total billed charges ,"3,330.40",percent of total billed charges ,"3,330.40",percent of total billed charges ,"2,914.10",percent of total billed charges ,"2,914.10",percent of total billed charges ,"2,497.80",percent of total billed charges ,"2,497.80",percent of total billed charges ,"2,497.80",percent of total billed charges ,"2,497.80",percent of total billed charges ,,,,,"2,214.72",percent of total billed charges ,,,,,"2,103.98",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,,,"1,165.64",percent of total billed charges,
MRI LE OTHER BI W/O CONTRAST,73720,CDM,,,50,both,1,each,"5,580.00","5,580.00","1,562.40","5,580.00","5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"5,580.00",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,017.60",percent of total billed charges,"4,129.20",percent of total billed charges,"4,129.20",percent of total billed charges,"4,464.00",percent of total billed charges,"4,464.00",percent of total billed charges,,,"4,017.60",percent of total billed charges ,,,"4,464.00",percent of total billed charges ,"4,687.20",percent of total billed charges ,"4,687.20",percent of total billed charges ,"4,352.40",percent of total billed charges ,"4,352.40",percent of total billed charges ,"4,464.00",percent of total billed charges ,"4,464.00",percent of total billed charges ,"3,906.00",percent of total billed charges ,"3,906.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,"3,348.00",percent of total billed charges ,,,,,"2,968.56",percent of total billed charges ,,,,,"2,820.13",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,,,"1,562.40",percent of total billed charges,
MRI LE OTHER RT W/O CONTRAST,73718,CDM,,,RT,both,1,each,"3,903.00","3,903.00","1,092.84","3,903.00","3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,888.22",percent of total billed charges,"2,888.22",percent of total billed charges,"3,122.40",percent of total billed charges,"3,122.40",percent of total billed charges,,,"2,810.16",percent of total billed charges ,,,"3,122.40",percent of total billed charges ,"3,278.52",percent of total billed charges ,"3,278.52",percent of total billed charges ,"3,044.34",percent of total billed charges ,"3,044.34",percent of total billed charges ,"3,122.40",percent of total billed charges ,"3,122.40",percent of total billed charges ,"2,732.10",percent of total billed charges ,"2,732.10",percent of total billed charges ,"2,341.80",percent of total billed charges ,"2,341.80",percent of total billed charges ,"2,341.80",percent of total billed charges ,"2,341.80",percent of total billed charges ,,,,,"2,076.40",percent of total billed charges ,,,,,"1,972.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,
MRI LE OTHER LT W/O CONTRAST,73718,CDM,,,LT,both,1,each,"3,903.00","3,903.00","1,092.84","3,903.00","3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"3,903.00",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,810.16",percent of total billed charges,"2,888.22",percent of total billed charges,"2,888.22",percent of total billed charges,"3,122.40",percent of total billed charges,"3,122.40",percent of total billed charges,,,"2,810.16",percent of total billed charges ,,,"3,122.40",percent of total billed charges ,"3,278.52",percent of total billed charges ,"3,278.52",percent of total billed charges ,"3,044.34",percent of total billed charges ,"3,044.34",percent of total billed charges ,"3,122.40",percent of total billed charges ,"3,122.40",percent of total billed charges ,"2,732.10",percent of total billed charges ,"2,732.10",percent of total billed charges ,"2,341.80",percent of total billed charges ,"2,341.80",percent of total billed charges ,"2,341.80",percent of total billed charges ,"2,341.80",percent of total billed charges ,,,,,"2,076.40",percent of total billed charges ,,,,,"1,972.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,,,"1,092.84",percent of total billed charges,
**MRI LE JNT W/ CONTRAST,73722,CDM,,,,both,1,each,"8,075.00","8,075.00","2,261.00","8,075.00","8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,975.50",percent of total billed charges,"5,975.50",percent of total billed charges,"6,460.00",percent of total billed charges,"6,460.00",percent of total billed charges,,,"5,814.00",percent of total billed charges ,,,"6,460.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,460.00",percent of total billed charges ,"6,460.00",percent of total billed charges ,"5,652.50",percent of total billed charges ,"5,652.50",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,,,,,"4,295.90",percent of total billed charges ,,,,,"4,081.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,
**MRI LE JNT BI W/ CONTRAST,73722,CDM,,,50,both,1,each,"8,879.00","8,879.00","2,486.12","8,879.00","8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,570.46",percent of total billed charges,"6,570.46",percent of total billed charges,"7,103.20",percent of total billed charges,"7,103.20",percent of total billed charges,,,"6,392.88",percent of total billed charges ,,,"7,103.20",percent of total billed charges ,"7,458.36",percent of total billed charges ,"7,458.36",percent of total billed charges ,"6,925.62",percent of total billed charges ,"6,925.62",percent of total billed charges ,"7,103.20",percent of total billed charges ,"7,103.20",percent of total billed charges ,"6,215.30",percent of total billed charges ,"6,215.30",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,,,,,"4,723.63",percent of total billed charges ,,,,,"4,487.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,
MRI LE JNT RT W & W/O CONTRAST,73723,CDM,,,RT,both,,,"5,408.00","5,408.00","1,514.24","5,408.00","5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"4,001.92",percent of total billed charges,"4,001.92",percent of total billed charges,"4,326.40",percent of total billed charges,"4,326.40",percent of total billed charges,,,"3,893.76",percent of total billed charges ,,,"4,326.40",percent of total billed charges ,"4,542.72",percent of total billed charges ,"4,542.72",percent of total billed charges ,"4,218.24",percent of total billed charges ,"4,218.24",percent of total billed charges ,"4,326.40",percent of total billed charges ,"4,326.40",percent of total billed charges ,"3,785.60",percent of total billed charges ,"3,785.60",percent of total billed charges ,"3,244.80",percent of total billed charges ,"3,244.80",percent of total billed charges ,"3,244.80",percent of total billed charges ,"3,244.80",percent of total billed charges ,,,,,"2,877.06",percent of total billed charges ,,,,,"2,733.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,
MRI LE JNT LT W & W/O CONTRAST,73723,CDM,,,LT,both,,,"5,408.00","5,408.00","1,514.24","5,408.00","5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"5,408.00",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"3,893.76",percent of total billed charges,"4,001.92",percent of total billed charges,"4,001.92",percent of total billed charges,"4,326.40",percent of total billed charges,"4,326.40",percent of total billed charges,,,"3,893.76",percent of total billed charges ,,,"4,326.40",percent of total billed charges ,"4,542.72",percent of total billed charges ,"4,542.72",percent of total billed charges ,"4,218.24",percent of total billed charges ,"4,218.24",percent of total billed charges ,"4,326.40",percent of total billed charges ,"4,326.40",percent of total billed charges ,"3,785.60",percent of total billed charges ,"3,785.60",percent of total billed charges ,"3,244.80",percent of total billed charges ,"3,244.80",percent of total billed charges ,"3,244.80",percent of total billed charges ,"3,244.80",percent of total billed charges ,,,,,"2,877.06",percent of total billed charges ,,,,,"2,733.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,,,"1,514.24",percent of total billed charges,
**MRI LE JNT W & W/O CONTRAST,73723,CDM,,,,both,1,each,"6,539.00","6,539.00","1,830.92","6,539.00","6,539.00",percent of total billed charges,"6,539.00",percent of total billed charges,"6,539.00",percent of total billed charges,"6,539.00",percent of total billed charges,"6,539.00",percent of total billed charges,"6,539.00",percent of total billed charges,"6,539.00",percent of total billed charges,"6,539.00",percent of total billed charges,"4,708.08",percent of total billed charges,"4,708.08",percent of total billed charges,"4,708.08",percent of total billed charges,"4,708.08",percent of total billed charges,"4,708.08",percent of total billed charges,"4,708.08",percent of total billed charges,"4,838.86",percent of total billed charges,"4,838.86",percent of total billed charges,"5,231.20",percent of total billed charges,"5,231.20",percent of total billed charges,,,"4,708.08",percent of total billed charges ,,,"5,231.20",percent of total billed charges ,"5,492.76",percent of total billed charges ,"5,492.76",percent of total billed charges ,"5,100.42",percent of total billed charges ,"5,100.42",percent of total billed charges ,"5,231.20",percent of total billed charges ,"5,231.20",percent of total billed charges ,"4,577.30",percent of total billed charges ,"4,577.30",percent of total billed charges ,"3,923.40",percent of total billed charges ,"3,923.40",percent of total billed charges ,"3,923.40",percent of total billed charges ,"3,923.40",percent of total billed charges ,,,,,"3,478.75",percent of total billed charges ,,,,,"3,304.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,,,"1,830.92",percent of total billed charges,
**MRI LE JNT BI W & W/O CONTRAST,73723,CDM,,,50,both,1,each,"10,094.00","10,094.00","2,826.32","10,094.00","10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,469.56",percent of total billed charges,"7,469.56",percent of total billed charges,"8,075.20",percent of total billed charges,"8,075.20",percent of total billed charges,,,"7,267.68",percent of total billed charges ,,,"8,075.20",percent of total billed charges ,"8,478.96",percent of total billed charges ,"8,478.96",percent of total billed charges ,"7,873.32",percent of total billed charges ,"7,873.32",percent of total billed charges ,"8,075.20",percent of total billed charges ,"8,075.20",percent of total billed charges ,"7,065.80",percent of total billed charges ,"7,065.80",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,,,,,"5,370.01",percent of total billed charges ,,,,,"5,101.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,
MRI LE JNT RT W/ CONTRAST,73722,CDM,,,RT,both,,,"4,548.00","4,548.00","1,273.44","4,548.00","4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,365.52",percent of total billed charges,"3,365.52",percent of total billed charges,"3,638.40",percent of total billed charges,"3,638.40",percent of total billed charges,,,"3,274.56",percent of total billed charges ,,,"3,638.40",percent of total billed charges ,"3,820.32",percent of total billed charges ,"3,820.32",percent of total billed charges ,"3,547.44",percent of total billed charges ,"3,547.44",percent of total billed charges ,"3,638.40",percent of total billed charges ,"3,638.40",percent of total billed charges ,"3,183.60",percent of total billed charges ,"3,183.60",percent of total billed charges ,"2,728.80",percent of total billed charges ,"2,728.80",percent of total billed charges ,"2,728.80",percent of total billed charges ,"2,728.80",percent of total billed charges ,,,,,"2,419.54",percent of total billed charges ,,,,,"2,298.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,
MRI LE JNT LT W/ CONTRAST,73722,CDM,,,LT,both,1,each,"4,548.00","4,548.00","1,273.44","4,548.00","4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"4,548.00",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,274.56",percent of total billed charges,"3,365.52",percent of total billed charges,"3,365.52",percent of total billed charges,"3,638.40",percent of total billed charges,"3,638.40",percent of total billed charges,,,"3,274.56",percent of total billed charges ,,,"3,638.40",percent of total billed charges ,"3,820.32",percent of total billed charges ,"3,820.32",percent of total billed charges ,"3,547.44",percent of total billed charges ,"3,547.44",percent of total billed charges ,"3,638.40",percent of total billed charges ,"3,638.40",percent of total billed charges ,"3,183.60",percent of total billed charges ,"3,183.60",percent of total billed charges ,"2,728.80",percent of total billed charges ,"2,728.80",percent of total billed charges ,"2,728.80",percent of total billed charges ,"2,728.80",percent of total billed charges ,,,,,"2,419.54",percent of total billed charges ,,,,,"2,298.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,,,"1,273.44",percent of total billed charges,
**MRI UE JNT W & W/O CONTRAST,73223,CDM,,,,both,,,"9,172.00","9,172.00","2,568.16","9,172.00","9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"9,172.00",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,603.84",percent of total billed charges,"6,787.28",percent of total billed charges,"6,787.28",percent of total billed charges,"7,337.60",percent of total billed charges,"7,337.60",percent of total billed charges,,,"6,603.84",percent of total billed charges ,,,"7,337.60",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,704.48",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,154.16",percent of total billed charges ,"7,337.60",percent of total billed charges ,"7,337.60",percent of total billed charges ,"6,420.40",percent of total billed charges ,"6,420.40",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,"5,503.20",percent of total billed charges ,,,,,"4,879.50",percent of total billed charges ,,,,,"4,635.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,,,"2,568.16",percent of total billed charges,
**MRI UE JNT BI W & W/O CONTRAST,73223,CDM,,,50,both,1,each,"10,094.00","10,094.00","2,826.32","10,094.00","10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"10,094.00",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,267.68",percent of total billed charges,"7,469.56",percent of total billed charges,"7,469.56",percent of total billed charges,"8,075.20",percent of total billed charges,"8,075.20",percent of total billed charges,,,"7,267.68",percent of total billed charges ,,,"8,075.20",percent of total billed charges ,"8,478.96",percent of total billed charges ,"8,478.96",percent of total billed charges ,"7,873.32",percent of total billed charges ,"7,873.32",percent of total billed charges ,"8,075.20",percent of total billed charges ,"8,075.20",percent of total billed charges ,"7,065.80",percent of total billed charges ,"7,065.80",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,"6,056.40",percent of total billed charges ,,,,,"5,370.01",percent of total billed charges ,,,,,"5,101.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,,,"2,826.32",percent of total billed charges,
MRI UE JNT RT W & WO CONTRAST,73223,CDM,,,RT,both,1,each,"5,914.00","5,914.00","1,655.92","5,914.00","5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,376.36",percent of total billed charges,"4,376.36",percent of total billed charges,"4,731.20",percent of total billed charges,"4,731.20",percent of total billed charges,,,"4,258.08",percent of total billed charges ,,,"4,731.20",percent of total billed charges ,"4,967.76",percent of total billed charges ,"4,967.76",percent of total billed charges ,"4,612.92",percent of total billed charges ,"4,612.92",percent of total billed charges ,"4,731.20",percent of total billed charges ,"4,731.20",percent of total billed charges ,"4,139.80",percent of total billed charges ,"4,139.80",percent of total billed charges ,"3,548.40",percent of total billed charges ,"3,548.40",percent of total billed charges ,"3,548.40",percent of total billed charges ,"3,548.40",percent of total billed charges ,,,,,"3,146.25",percent of total billed charges ,,,,,"2,988.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,
MRI UE JNT LT W & W/O CONTRAST,73223,CDM,,,LT,both,,,"5,914.00","5,914.00","1,655.92","5,914.00","5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"5,914.00",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,258.08",percent of total billed charges,"4,376.36",percent of total billed charges,"4,376.36",percent of total billed charges,"4,731.20",percent of total billed charges,"4,731.20",percent of total billed charges,,,"4,258.08",percent of total billed charges ,,,"4,731.20",percent of total billed charges ,"4,967.76",percent of total billed charges ,"4,967.76",percent of total billed charges ,"4,612.92",percent of total billed charges ,"4,612.92",percent of total billed charges ,"4,731.20",percent of total billed charges ,"4,731.20",percent of total billed charges ,"4,139.80",percent of total billed charges ,"4,139.80",percent of total billed charges ,"3,548.40",percent of total billed charges ,"3,548.40",percent of total billed charges ,"3,548.40",percent of total billed charges ,"3,548.40",percent of total billed charges ,,,,,"3,146.25",percent of total billed charges ,,,,,"2,988.94",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,,,"1,655.92",percent of total billed charges,
**MRI UE JNT W/CONTRAST,73222,CDM,,,,both,,,"8,075.00","8,075.00","2,261.00","8,075.00","8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,975.50",percent of total billed charges,"5,975.50",percent of total billed charges,"6,460.00",percent of total billed charges,"6,460.00",percent of total billed charges,,,"5,814.00",percent of total billed charges ,,,"6,460.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,460.00",percent of total billed charges ,"6,460.00",percent of total billed charges ,"5,652.50",percent of total billed charges ,"5,652.50",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,,,,,"4,295.90",percent of total billed charges ,,,,,"4,081.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,
**MRI UE JNT BI W/ CONTRAST,73222,CDM,,,50,both,,,"8,879.00","8,879.00","2,486.12","8,879.00","8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,570.46",percent of total billed charges,"6,570.46",percent of total billed charges,"7,103.20",percent of total billed charges,"7,103.20",percent of total billed charges,,,"6,392.88",percent of total billed charges ,,,"7,103.20",percent of total billed charges ,"7,458.36",percent of total billed charges ,"7,458.36",percent of total billed charges ,"6,925.62",percent of total billed charges ,"6,925.62",percent of total billed charges ,"7,103.20",percent of total billed charges ,"7,103.20",percent of total billed charges ,"6,215.30",percent of total billed charges ,"6,215.30",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,,,,,"4,723.63",percent of total billed charges ,,,,,"4,487.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,
MRI UE JNT RT W/ CONTRAST,73222,CDM,,,RT,both,,,"4,517.00","4,517.00","1,264.76","4,517.00","4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,342.58",percent of total billed charges,"3,342.58",percent of total billed charges,"3,613.60",percent of total billed charges,"3,613.60",percent of total billed charges,,,"3,252.24",percent of total billed charges ,,,"3,613.60",percent of total billed charges ,"3,794.28",percent of total billed charges ,"3,794.28",percent of total billed charges ,"3,523.26",percent of total billed charges ,"3,523.26",percent of total billed charges ,"3,613.60",percent of total billed charges ,"3,613.60",percent of total billed charges ,"3,161.90",percent of total billed charges ,"3,161.90",percent of total billed charges ,"2,710.20",percent of total billed charges ,"2,710.20",percent of total billed charges ,"2,710.20",percent of total billed charges ,"2,710.20",percent of total billed charges ,,,,,"2,403.04",percent of total billed charges ,,,,,"2,282.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,
MRI UE JNT LT W/ CONTRAST,73222,CDM,,,LT,both,,,"4,517.00","4,517.00","1,264.76","4,517.00","4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"4,517.00",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,252.24",percent of total billed charges,"3,342.58",percent of total billed charges,"3,342.58",percent of total billed charges,"3,613.60",percent of total billed charges,"3,613.60",percent of total billed charges,,,"3,252.24",percent of total billed charges ,,,"3,613.60",percent of total billed charges ,"3,794.28",percent of total billed charges ,"3,794.28",percent of total billed charges ,"3,523.26",percent of total billed charges ,"3,523.26",percent of total billed charges ,"3,613.60",percent of total billed charges ,"3,613.60",percent of total billed charges ,"3,161.90",percent of total billed charges ,"3,161.90",percent of total billed charges ,"2,710.20",percent of total billed charges ,"2,710.20",percent of total billed charges ,"2,710.20",percent of total billed charges ,"2,710.20",percent of total billed charges ,,,,,"2,403.04",percent of total billed charges ,,,,,"2,282.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,,,"1,264.76",percent of total billed charges,
**MRI UE JNT OTHER W/ CONTRAST,73219,CDM,,,,both,1,each,"8,075.00","8,075.00","2,261.00","8,075.00","8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"8,075.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,814.00",percent of total billed charges,"5,975.50",percent of total billed charges,"5,975.50",percent of total billed charges,"6,460.00",percent of total billed charges,"6,460.00",percent of total billed charges,,,"5,814.00",percent of total billed charges ,,,"6,460.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,783.00",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,298.50",percent of total billed charges ,"6,460.00",percent of total billed charges ,"6,460.00",percent of total billed charges ,"5,652.50",percent of total billed charges ,"5,652.50",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,"4,845.00",percent of total billed charges ,,,,,"4,295.90",percent of total billed charges ,,,,,"4,081.11",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,,,"2,261.00",percent of total billed charges,
**MRI UE JNT BI OTHER W/ CONTRAST,73219,CDM,,,50,both,1,each,"8,879.00","8,879.00","2,486.12","8,879.00","8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"8,879.00",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,392.88",percent of total billed charges,"6,570.46",percent of total billed charges,"6,570.46",percent of total billed charges,"7,103.20",percent of total billed charges,"7,103.20",percent of total billed charges,,,"6,392.88",percent of total billed charges ,,,"7,103.20",percent of total billed charges ,"7,458.36",percent of total billed charges ,"7,458.36",percent of total billed charges ,"6,925.62",percent of total billed charges ,"6,925.62",percent of total billed charges ,"7,103.20",percent of total billed charges ,"7,103.20",percent of total billed charges ,"6,215.30",percent of total billed charges ,"6,215.30",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,"5,327.40",percent of total billed charges ,,,,,"4,723.63",percent of total billed charges ,,,,,"4,487.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,,,"2,486.12",percent of total billed charges,
MRI UE OTHER RT W CONTRAST,73219,CDM,,,RT,both,1,each,"4,779.00","4,779.00","1,338.12","4,779.00","4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,536.46",percent of total billed charges,"3,536.46",percent of total billed charges,"3,823.20",percent of total billed charges,"3,823.20",percent of total billed charges,,,"3,440.88",percent of total billed charges ,,,"3,823.20",percent of total billed charges ,"4,014.36",percent of total billed charges ,"4,014.36",percent of total billed charges ,"3,727.62",percent of total billed charges ,"3,727.62",percent of total billed charges ,"3,823.20",percent of total billed charges ,"3,823.20",percent of total billed charges ,"3,345.30",percent of total billed charges ,"3,345.30",percent of total billed charges ,"2,867.40",percent of total billed charges ,"2,867.40",percent of total billed charges ,"2,867.40",percent of total billed charges ,"2,867.40",percent of total billed charges ,,,,,"2,542.43",percent of total billed charges ,,,,,"2,415.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,
MRI UE OTHER LT W CONTRAST,73219,CDM,,,LT,both,1,each,"4,779.00","4,779.00","1,338.12","4,779.00","4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"4,779.00",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,440.88",percent of total billed charges,"3,536.46",percent of total billed charges,"3,536.46",percent of total billed charges,"3,823.20",percent of total billed charges,"3,823.20",percent of total billed charges,,,"3,440.88",percent of total billed charges ,,,"3,823.20",percent of total billed charges ,"4,014.36",percent of total billed charges ,"4,014.36",percent of total billed charges ,"3,727.62",percent of total billed charges ,"3,727.62",percent of total billed charges ,"3,823.20",percent of total billed charges ,"3,823.20",percent of total billed charges ,"3,345.30",percent of total billed charges ,"3,345.30",percent of total billed charges ,"2,867.40",percent of total billed charges ,"2,867.40",percent of total billed charges ,"2,867.40",percent of total billed charges ,"2,867.40",percent of total billed charges ,,,,,"2,542.43",percent of total billed charges ,,,,,"2,415.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,,,"1,338.12",percent of total billed charges,
**MRI UE JNT OTHER W/O CONTRAST,73218,CDM,,,,both,1,each,"4,457.00","4,457.00","1,247.96","4,457.00","4,457.00",percent of total billed charges,"4,457.00",percent of total billed charges,"4,457.00",percent of total billed charges,"4,457.00",percent of total billed charges,"4,457.00",percent of total billed charges,"4,457.00",percent of total billed charges,"4,457.00",percent of total billed charges,"4,457.00",percent of total billed charges,"3,209.04",percent of total billed charges,"3,209.04",percent of total billed charges,"3,209.04",percent of total billed charges,"3,209.04",percent of total billed charges,"3,209.04",percent of total billed charges,"3,209.04",percent of total billed charges,"3,298.18",percent of total billed charges,"3,298.18",percent of total billed charges,"3,565.60",percent of total billed charges,"3,565.60",percent of total billed charges,,,"3,209.04",percent of total billed charges ,,,"3,565.60",percent of total billed charges ,"3,743.88",percent of total billed charges ,"3,743.88",percent of total billed charges ,"3,476.46",percent of total billed charges ,"3,476.46",percent of total billed charges ,"3,565.60",percent of total billed charges ,"3,565.60",percent of total billed charges ,"3,119.90",percent of total billed charges ,"3,119.90",percent of total billed charges ,"2,674.20",percent of total billed charges ,"2,674.20",percent of total billed charges ,"2,674.20",percent of total billed charges ,"2,674.20",percent of total billed charges ,,,,,"2,371.12",percent of total billed charges ,,,,,"2,252.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,,,"1,247.96",percent of total billed charges,
**MRI UE JNT BI OTHER W/O CONTRAST,73218,CDM,,,50,both,1,each,"7,976.00","7,976.00","2,233.28","7,976.00","7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"7,976.00",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,742.72",percent of total billed charges,"5,902.24",percent of total billed charges,"5,902.24",percent of total billed charges,"6,380.80",percent of total billed charges,"6,380.80",percent of total billed charges,,,"5,742.72",percent of total billed charges ,,,"6,380.80",percent of total billed charges ,"6,699.84",percent of total billed charges ,"6,699.84",percent of total billed charges ,"6,221.28",percent of total billed charges ,"6,221.28",percent of total billed charges ,"6,380.80",percent of total billed charges ,"6,380.80",percent of total billed charges ,"5,583.20",percent of total billed charges ,"5,583.20",percent of total billed charges ,"4,785.60",percent of total billed charges ,"4,785.60",percent of total billed charges ,"4,785.60",percent of total billed charges ,"4,785.60",percent of total billed charges ,,,,,"4,243.23",percent of total billed charges ,,,,,"4,031.07",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,,,"2,233.28",percent of total billed charges,
MRI UE OTHER RT W/O CONTRAST,73218,CDM,,,RT,both,1,each,"3,794.00","3,794.00","1,062.32","3,794.00","3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,807.56",percent of total billed charges,"2,807.56",percent of total billed charges,"3,035.20",percent of total billed charges,"3,035.20",percent of total billed charges,,,"2,731.68",percent of total billed charges ,,,"3,035.20",percent of total billed charges ,"3,186.96",percent of total billed charges ,"3,186.96",percent of total billed charges ,"2,959.32",percent of total billed charges ,"2,959.32",percent of total billed charges ,"3,035.20",percent of total billed charges ,"3,035.20",percent of total billed charges ,"2,655.80",percent of total billed charges ,"2,655.80",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,276.40",percent of total billed charges ,,,,,"2,018.41",percent of total billed charges ,,,,,"1,917.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,
MRI UE OTHER LT W/O CONTRAST,73218,CDM,,,LT,both,1,each,"3,794.00","3,794.00","1,062.32","3,794.00","3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"3,794.00",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,731.68",percent of total billed charges,"2,807.56",percent of total billed charges,"2,807.56",percent of total billed charges,"3,035.20",percent of total billed charges,"3,035.20",percent of total billed charges,,,"2,731.68",percent of total billed charges ,,,"3,035.20",percent of total billed charges ,"3,186.96",percent of total billed charges ,"3,186.96",percent of total billed charges ,"2,959.32",percent of total billed charges ,"2,959.32",percent of total billed charges ,"3,035.20",percent of total billed charges ,"3,035.20",percent of total billed charges ,"2,655.80",percent of total billed charges ,"2,655.80",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,276.40",percent of total billed charges ,"2,276.40",percent of total billed charges ,,,,,"2,018.41",percent of total billed charges ,,,,,"1,917.49",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,,,"1,062.32",percent of total billed charges,
**MRA CHEST WITHOUT CONTRAST,71555,CDM,,,,both,1,each,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
MRA CHEST W and/or WO CONTRAST,71555,CDM,,,,both,,,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
**MRA ABDOMEN WITHOUT CONTRAST,74185,CDM,,,,both,1,each,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
MRA ABDOMEN W and/or WO CONTRAST,74185,CDM,,,,both,1,each,"6,515.00","6,515.00","1,824.20","6,515.00","6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"6,515.00",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,690.80",percent of total billed charges,"4,821.10",percent of total billed charges,"4,821.10",percent of total billed charges,"5,212.00",percent of total billed charges,"5,212.00",percent of total billed charges,,,"4,690.80",percent of total billed charges ,,,"5,212.00",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,472.60",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,081.70",percent of total billed charges ,"5,212.00",percent of total billed charges ,"5,212.00",percent of total billed charges ,"4,560.50",percent of total billed charges ,"4,560.50",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,"3,909.00",percent of total billed charges ,,,,,"3,465.98",percent of total billed charges ,,,,,"3,292.68",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,,,"1,824.20",percent of total billed charges,
**MRA LOWER EXT WITH CONTRAST RT,73725,CDM,,,RT,both,1,each,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
**MRA LOWER EXT WITHOUT CONTRAST RT,73725,CDM,,,RT,both,1,each,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
MRA LOWER EXT W and/or WO CONTRAST RT,73725,CDM,,,RT,both,1,each,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
**MRA PELVIS WITHOUT CONTRAST,72198,CDM,,,,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
MRA PELVIS W and/or WO CONTRAST,72198,CDM,,,,both,,,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
**MRA SPINE WITHOUT CONTRAST,72159,CDM,,,,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
MRA SPINE W and/or WO CONTRAST,72159,CDM,,,,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
**MRA UPPER EXTREMITY WITH CONTRST RT,73225,CDM,,,RT,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
**MRA UPPER EXT WITHOUT CONTRAST RT,73225,CDM,,,RT,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
MRA UPPER EXT W and/or WO CONTRAST RT,73225,CDM,,,RT,both,1,each,"7,066.00","7,066.00","1,978.48","7,066.00","7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"7,066.00",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,087.52",percent of total billed charges,"5,228.84",percent of total billed charges,"5,228.84",percent of total billed charges,"5,652.80",percent of total billed charges,"5,652.80",percent of total billed charges,,,"5,087.52",percent of total billed charges ,,,"5,652.80",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,935.44",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,511.48",percent of total billed charges ,"5,652.80",percent of total billed charges ,"5,652.80",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,946.20",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,"4,239.60",percent of total billed charges ,,,,,"3,759.11",percent of total billed charges ,,,,,"3,571.16",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,,,"1,978.48",percent of total billed charges,
**MRA LOWER EXT W CONTRAST,73725,CDM,,,RT,both,,,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
**MRA LOWER EXT W/O CONTRAST,73725,CDM,,,RT,both,,,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
MRA LOWER EXT W and/or WO CONTRAST,73725,CDM,,,,both,1,each,"5,152.00","5,152.00","1,442.56","5,152.00","5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"5,152.00",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,709.44",percent of total billed charges,"3,812.48",percent of total billed charges,"3,812.48",percent of total billed charges,"4,121.60",percent of total billed charges,"4,121.60",percent of total billed charges,,,"3,709.44",percent of total billed charges ,,,"4,121.60",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,327.68",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,018.56",percent of total billed charges ,"4,121.60",percent of total billed charges ,"4,121.60",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,606.40",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,"3,091.20",percent of total billed charges ,,,,,"2,740.86",percent of total billed charges ,,,,,"2,603.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,,,"1,442.56",percent of total billed charges,
MRI GAD MULTIHANCE 15ML,A9577,CDM,,,,both,1,each,456,456,127.68,456,456,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,328.32,percent of total billed charges,328.32,percent of total billed charges,328.32,percent of total billed charges,328.32,percent of total billed charges,328.32,percent of total billed charges,328.32,percent of total billed charges,337.44,percent of total billed charges,337.44,percent of total billed charges,364.8,percent of total billed charges,364.8,percent of total billed charges,,,328.32,percent of total billed charges ,,,364.8,percent of total billed charges ,383.04,percent of total billed charges ,383.04,percent of total billed charges ,355.68,percent of total billed charges ,355.68,percent of total billed charges ,364.8,percent of total billed charges ,364.8,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,,,,,242.59,percent of total billed charges ,,,,,230.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,,,127.68,percent of total billed charges,
MRI GAD DOTAREM 10ML,A9575,CDM,,,,both,1,each,136,136,38.08,136,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,100.64,percent of total billed charges,100.64,percent of total billed charges,108.8,percent of total billed charges,108.8,percent of total billed charges,,,97.92,percent of total billed charges ,,,108.8,percent of total billed charges ,114.24,percent of total billed charges ,114.24,percent of total billed charges ,106.08,percent of total billed charges ,106.08,percent of total billed charges ,108.8,percent of total billed charges ,108.8,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,,,,,72.35,percent of total billed charges ,,,,,68.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,
MRI GAD DOTAREM 15ML,A9575,CDM,,,,both,1,each,203,203,56.84,203,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,203,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,146.16,percent of total billed charges,150.22,percent of total billed charges,150.22,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,,,146.16,percent of total billed charges ,,,162.4,percent of total billed charges ,170.52,percent of total billed charges ,170.52,percent of total billed charges ,158.34,percent of total billed charges ,158.34,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,142.1,percent of total billed charges ,142.1,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,,,,,108,percent of total billed charges ,,,,,102.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,,,56.84,percent of total billed charges,
RT ATROPINE 0.4MG IN 2.5ML NS NEB,LOCAL,LOCAL,,,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**P-AMINOSYN 3.5% 1000ML BTL TPN,LOCAL,LOCAL,,,,both,1,each,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
**DEXTROSE 5% IN 0.225 NACL W/KCL 20M,LOCAL,LOCAL,,,,both,1,each,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
SURE CLOSE SKIN GLUE,LOCAL,LOCAL,,,,both,1,each,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
**LOCAL ANES,LOCAL,LOCAL,,,,both,1,each,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
SODIUM CHLORIDE 0.9% 10ML INJ,LOCAL,LOCAL,,,,both,1,each,7.28,7.28,2.04,7.28,7.28,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.82,percent of total billed charges,5.82,percent of total billed charges,,,5.24,percent of total billed charges ,,,5.82,percent of total billed charges ,6.12,percent of total billed charges ,6.12,percent of total billed charges ,5.68,percent of total billed charges ,5.68,percent of total billed charges ,5.82,percent of total billed charges ,5.82,percent of total billed charges ,5.1,percent of total billed charges ,5.1,percent of total billed charges ,4.37,percent of total billed charges ,4.37,percent of total billed charges ,4.37,percent of total billed charges ,4.37,percent of total billed charges ,,,,,3.87,percent of total billed charges ,,,,,3.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,,,2.04,percent of total billed charges,
FLUOCINONIDE (LIDEX) CRM: 0.05% 60 GM,LOCAL,LOCAL,,,,both,1,each,231.23,231.23,64.74,231.23,231.23,percent of total billed charges,231.23,percent of total billed charges,231.23,percent of total billed charges,231.23,percent of total billed charges,231.23,percent of total billed charges,231.23,percent of total billed charges,231.23,percent of total billed charges,231.23,percent of total billed charges,166.49,percent of total billed charges,166.49,percent of total billed charges,166.49,percent of total billed charges,166.49,percent of total billed charges,166.49,percent of total billed charges,166.49,percent of total billed charges,171.11,percent of total billed charges,171.11,percent of total billed charges,184.98,percent of total billed charges,184.98,percent of total billed charges,,,166.49,percent of total billed charges ,,,184.98,percent of total billed charges ,194.23,percent of total billed charges ,194.23,percent of total billed charges ,180.36,percent of total billed charges ,180.36,percent of total billed charges ,184.98,percent of total billed charges ,184.98,percent of total billed charges ,161.86,percent of total billed charges ,161.86,percent of total billed charges ,138.74,percent of total billed charges ,138.74,percent of total billed charges ,138.74,percent of total billed charges ,138.74,percent of total billed charges ,,,,,123.01,percent of total billed charges ,,,,,116.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,,,64.74,percent of total billed charges,
ACETAMINOPHEN  120MG: SUPPOSITORY,LOCAL,LOCAL,,,,both,1,each,1.51,1.51,0.42,1.51,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,,,1.09,percent of total billed charges ,,,1.21,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,,,,,0.8,percent of total billed charges ,,,,,0.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,
**ACETAMINOPHEN (TYLENOL) 325MG/10ML: EL,LOCAL,LOCAL,,,,both,1,each,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
ACETAMINOPHEN SUPPOSITORY 650 MG:,LOCAL,LOCAL,,,,both,,,0.77,0.77,0.22,0.77,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,,,0.55,percent of total billed charges ,,,0.62,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
ACETAMINOPHEN ELIXIR 160MG/5ML: U/D,LOCAL,LOCAL,,,,both,1,each,3.86,3.86,1.08,3.86,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,,,2.78,percent of total billed charges ,,,3.09,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,3.01,percent of total billed charges ,3.01,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,,,,,2.05,percent of total billed charges ,,,,,1.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,
methazolAMIDE (NEPTAZANE) 25MG: TAB,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CLARITIN D (LORATAD.5MG PSE 120MG): TA,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ACETAMINOPHEN (TYLENOL) 325MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ACETAMINOPHEN 500 MG: CAPLET,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ACETAMINOPHEN SUSP 650MG/20ML UD,LOCAL,LOCAL,,,,both,1,each,6.58,6.58,1.84,6.58,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,5.26,percent of total billed charges,5.26,percent of total billed charges,,,4.74,percent of total billed charges ,,,5.26,percent of total billed charges ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.13,percent of total billed charges ,5.13,percent of total billed charges ,5.26,percent of total billed charges ,5.26,percent of total billed charges ,4.61,percent of total billed charges ,4.61,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,,,,,3.5,percent of total billed charges ,,,,,3.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,
**ACETAMINOPHEN (TYLNOL) 80 MG CHEW TAB,LOCAL,LOCAL,,,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**THEOPHYLLINE SYRUP 80 MG/15 ML: 120 ML,LOCAL,LOCAL,,,,both,1,each,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
ACETAMINOPHEN 300MG/CODEINE 30MG TAB,LOCAL,LOCAL,,,,both,1,each,1.83,1.83,0.51,1.83,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,,,1.32,percent of total billed charges ,,,1.46,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,,,,,0.97,percent of total billed charges ,,,,,0.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,
**ACETAMINOPHEN/CODEINE LIQ 12.5 ML UD,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
acetaZOLAMIDE (DIAMOX) 250 MG: TAB,LOCAL,LOCAL,,,,both,1,each,11.97,11.97,3.35,11.97,11.97,percent of total billed charges,11.97,percent of total billed charges,11.97,percent of total billed charges,11.97,percent of total billed charges,11.97,percent of total billed charges,11.97,percent of total billed charges,11.97,percent of total billed charges,11.97,percent of total billed charges,8.62,percent of total billed charges,8.62,percent of total billed charges,8.62,percent of total billed charges,8.62,percent of total billed charges,8.62,percent of total billed charges,8.62,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,9.58,percent of total billed charges,9.58,percent of total billed charges,,,8.62,percent of total billed charges ,,,9.58,percent of total billed charges ,10.05,percent of total billed charges ,10.05,percent of total billed charges ,9.34,percent of total billed charges ,9.34,percent of total billed charges ,9.58,percent of total billed charges ,9.58,percent of total billed charges ,8.38,percent of total billed charges ,8.38,percent of total billed charges ,7.18,percent of total billed charges ,7.18,percent of total billed charges ,7.18,percent of total billed charges ,7.18,percent of total billed charges ,,,,,6.37,percent of total billed charges ,,,,,6.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,,,3.35,percent of total billed charges,
**IPECAC SYRUP LIQUID: 30ML,LOCAL,LOCAL,,,,both,1,each,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
BACITRACIN TOP OINT PKT: 1 GM,LOCAL,LOCAL,,,,both,1,each,0.67,0.67,0.19,0.67,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.48,percent of total billed charges ,,,0.54,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
ACETYLCYSTEIN (MUCOMYST) 20% SOL: 30ML,LOCAL,LOCAL,,,,both,1,each,79.3,79.3,22.2,79.3,79.3,percent of total billed charges,79.3,percent of total billed charges,79.3,percent of total billed charges,79.3,percent of total billed charges,79.3,percent of total billed charges,79.3,percent of total billed charges,79.3,percent of total billed charges,79.3,percent of total billed charges,57.1,percent of total billed charges,57.1,percent of total billed charges,57.1,percent of total billed charges,57.1,percent of total billed charges,57.1,percent of total billed charges,57.1,percent of total billed charges,58.68,percent of total billed charges,58.68,percent of total billed charges,63.44,percent of total billed charges,63.44,percent of total billed charges,,,57.1,percent of total billed charges ,,,63.44,percent of total billed charges ,66.61,percent of total billed charges ,66.61,percent of total billed charges ,61.85,percent of total billed charges ,61.85,percent of total billed charges ,63.44,percent of total billed charges ,63.44,percent of total billed charges ,55.51,percent of total billed charges ,55.51,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,,,,,42.19,percent of total billed charges ,,,,,40.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,,,22.2,percent of total billed charges,
LOTEPREDNOL (ALREX) 0.2%OPTH SUSP 5ML,LOCAL,LOCAL,,,,both,,,608.43,608.43,170.36,608.43,608.43,percent of total billed charges,608.43,percent of total billed charges,608.43,percent of total billed charges,608.43,percent of total billed charges,608.43,percent of total billed charges,608.43,percent of total billed charges,608.43,percent of total billed charges,608.43,percent of total billed charges,438.07,percent of total billed charges,438.07,percent of total billed charges,438.07,percent of total billed charges,438.07,percent of total billed charges,438.07,percent of total billed charges,438.07,percent of total billed charges,450.24,percent of total billed charges,450.24,percent of total billed charges,486.74,percent of total billed charges,486.74,percent of total billed charges,,,438.07,percent of total billed charges ,,,486.74,percent of total billed charges ,511.08,percent of total billed charges ,511.08,percent of total billed charges ,474.58,percent of total billed charges ,474.58,percent of total billed charges ,486.74,percent of total billed charges ,486.74,percent of total billed charges ,425.9,percent of total billed charges ,425.9,percent of total billed charges ,365.06,percent of total billed charges ,365.06,percent of total billed charges ,365.06,percent of total billed charges ,365.06,percent of total billed charges ,,,,,323.68,percent of total billed charges ,,,,,307.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,,,170.36,percent of total billed charges,
**GAVISCON (AL0H2 80MG/MAG TRIS 20MG): T,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
AZITHROMYCIN 250MG TAB: ZITHROMAX,LOCAL,LOCAL,,,,both,,,4.48,4.48,1.25,4.48,4.48,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,,,3.23,percent of total billed charges ,,,3.58,percent of total billed charges ,3.76,percent of total billed charges ,3.76,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,3.58,percent of total billed charges ,3.58,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,2.69,percent of total billed charges ,2.69,percent of total billed charges ,2.69,percent of total billed charges ,2.69,percent of total billed charges ,,,,,2.38,percent of total billed charges ,,,,,2.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,
**ALBUTEROL SYRUP 2MG/5ML: 60ML,LOCAL,LOCAL,,,,both,1,each,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**ALBUTEROL 2MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ALBUTEROL 4MG: TAB,LOCAL,LOCAL,,,,both,1,each,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**ALBUTEROL (VOLMAX) 4 MG ER TAB,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
ALBUTEROL (VENTOLIN) INHALER,LOCAL,LOCAL,,,,both,1,each,74.19,74.19,20.77,74.19,74.19,percent of total billed charges,74.19,percent of total billed charges,74.19,percent of total billed charges,74.19,percent of total billed charges,74.19,percent of total billed charges,74.19,percent of total billed charges,74.19,percent of total billed charges,74.19,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,54.9,percent of total billed charges,54.9,percent of total billed charges,59.35,percent of total billed charges,59.35,percent of total billed charges,,,53.42,percent of total billed charges ,,,59.35,percent of total billed charges ,62.32,percent of total billed charges ,62.32,percent of total billed charges ,57.87,percent of total billed charges ,57.87,percent of total billed charges ,59.35,percent of total billed charges ,59.35,percent of total billed charges ,51.93,percent of total billed charges ,51.93,percent of total billed charges ,44.51,percent of total billed charges ,44.51,percent of total billed charges ,44.51,percent of total billed charges ,44.51,percent of total billed charges ,,,,,39.47,percent of total billed charges ,,,,,37.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,,,20.77,percent of total billed charges,
**ISOPROPYL ALCOHOL RUBBING :480ML,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
ALLOPURINOL (ZYLOPRIM) 100 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.78,0.78,0.22,0.78,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,,,0.56,percent of total billed charges ,,,0.62,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
ALLOPURINOL (ZYLOPRIM) 300 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.86,1.86,0.52,1.86,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,,,1.34,percent of total billed charges ,,,1.49,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,,,,,0.99,percent of total billed charges ,,,,,0.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,
ALPRAZolam (XANAX) 0.25 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.54,0.54,0.15,0.54,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,,,0.39,percent of total billed charges ,,,0.43,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
ALPRAZolam (XANAX) 0.5MG TAB,LOCAL,LOCAL,,,,both,1,each,0.64,0.64,0.18,0.64,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,,,0.46,percent of total billed charges ,,,0.51,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
ALPRAZolam (XANAX) 1 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.81,0.81,0.23,0.81,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,,,0.58,percent of total billed charges ,,,0.65,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
**NITROGLYCERIN (NITROBID) 6.5MG: CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
AMANTADINE (SYMMETREL) 100MG CAP,LOCAL,LOCAL,,,,both,1,each,4.84,4.84,1.36,4.84,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,,,3.48,percent of total billed charges ,,,3.87,percent of total billed charges ,4.07,percent of total billed charges ,4.07,percent of total billed charges ,3.78,percent of total billed charges ,3.78,percent of total billed charges ,3.87,percent of total billed charges ,3.87,percent of total billed charges ,3.39,percent of total billed charges ,3.39,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,,,,,2.57,percent of total billed charges ,,,,,2.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,
HEMORRHOIDAL OINT (PREPARATION H) 30 GM,LOCAL,LOCAL,,,,both,1,each,26.23,26.23,7.34,26.23,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,19.41,percent of total billed charges,19.41,percent of total billed charges,20.98,percent of total billed charges,20.98,percent of total billed charges,,,18.89,percent of total billed charges ,,,20.98,percent of total billed charges ,22.03,percent of total billed charges ,22.03,percent of total billed charges ,20.46,percent of total billed charges ,20.46,percent of total billed charges ,20.98,percent of total billed charges ,20.98,percent of total billed charges ,18.36,percent of total billed charges ,18.36,percent of total billed charges ,15.74,percent of total billed charges ,15.74,percent of total billed charges ,15.74,percent of total billed charges ,15.74,percent of total billed charges ,,,,,13.95,percent of total billed charges ,,,,,13.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,
**AMINOCAPROIC (AMICAR) ACID 500 MG,LOCAL,LOCAL,,,,both,1,each,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
ENOXAPARIN (LOVENOX) 30 MG SYRINGE,J1650,CDM,,,,both,1,each,45.43,45.43,12.72,45.43,45.43,percent of total billed charges,45.43,percent of total billed charges,45.43,percent of total billed charges,45.43,percent of total billed charges,45.43,percent of total billed charges,45.43,percent of total billed charges,45.43,percent of total billed charges,45.43,percent of total billed charges,32.71,percent of total billed charges,32.71,percent of total billed charges,32.71,percent of total billed charges,32.71,percent of total billed charges,32.71,percent of total billed charges,32.71,percent of total billed charges,33.62,percent of total billed charges,33.62,percent of total billed charges,36.34,percent of total billed charges,36.34,percent of total billed charges,,,32.71,percent of total billed charges ,,,36.34,percent of total billed charges ,38.16,percent of total billed charges ,38.16,percent of total billed charges ,35.44,percent of total billed charges ,35.44,percent of total billed charges ,36.34,percent of total billed charges ,36.34,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,27.26,percent of total billed charges ,27.26,percent of total billed charges ,27.26,percent of total billed charges ,27.26,percent of total billed charges ,,,,,24.17,percent of total billed charges ,,,,,22.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,,,12.72,percent of total billed charges,
AMIOdarone (CORDARONE) 200MG TAB,LOCAL,LOCAL,,,,both,1,each,0.92,0.92,0.26,0.92,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,,,0.66,percent of total billed charges ,,,0.74,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,,,,,0.49,percent of total billed charges ,,,,,0.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,
AMITRIPTYLINE (ELAVIL) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
AMITRIPTYLINE (ELAVIL) 25 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.32,1.32,0.37,1.32,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,,,0.95,percent of total billed charges ,,,1.06,percent of total billed charges ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,0.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,
AMITRIPTYLINE (ELAVIL) 50 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.67,1.67,0.47,1.67,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,,,1.2,percent of total billed charges ,,,1.34,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,
CLOBETASOL 0.05% (TEMOVATE CREAM):15 GM,LOCAL,LOCAL,,,,both,1,each,99.09,99.09,27.75,99.09,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,99.09,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,71.34,percent of total billed charges,73.33,percent of total billed charges,73.33,percent of total billed charges,79.27,percent of total billed charges,79.27,percent of total billed charges,,,71.34,percent of total billed charges ,,,79.27,percent of total billed charges ,83.24,percent of total billed charges ,83.24,percent of total billed charges ,77.29,percent of total billed charges ,77.29,percent of total billed charges ,79.27,percent of total billed charges ,79.27,percent of total billed charges ,69.36,percent of total billed charges ,69.36,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,59.45,percent of total billed charges ,,,,,52.72,percent of total billed charges ,,,,,50.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,,,27.75,percent of total billed charges,
AMOXICILLIN (AMOXIL) 250 MG CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**ALPHA KERI BATH OIL:  BOTTLE,LOCAL,LOCAL,,,,both,1,each,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
AMPICILLIN (PRINCIPEN) 500MG CAP,LOCAL,LOCAL,,,,both,1,each,1.53,1.53,0.43,1.53,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.1,percent of total billed charges ,,,1.22,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.07,percent of total billed charges ,1.07,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
BECLOMETHASONE (BECONASE AQ) NAS SP:25GM,LOCAL,LOCAL,,,,both,1,each,585.07,585.07,163.82,585.07,585.07,percent of total billed charges,585.07,percent of total billed charges,585.07,percent of total billed charges,585.07,percent of total billed charges,585.07,percent of total billed charges,585.07,percent of total billed charges,585.07,percent of total billed charges,585.07,percent of total billed charges,421.25,percent of total billed charges,421.25,percent of total billed charges,421.25,percent of total billed charges,421.25,percent of total billed charges,421.25,percent of total billed charges,421.25,percent of total billed charges,432.95,percent of total billed charges,432.95,percent of total billed charges,468.06,percent of total billed charges,468.06,percent of total billed charges,,,421.25,percent of total billed charges ,,,468.06,percent of total billed charges ,491.46,percent of total billed charges ,491.46,percent of total billed charges ,456.35,percent of total billed charges ,456.35,percent of total billed charges ,468.06,percent of total billed charges ,468.06,percent of total billed charges ,409.55,percent of total billed charges ,409.55,percent of total billed charges ,351.04,percent of total billed charges ,351.04,percent of total billed charges ,351.04,percent of total billed charges ,351.04,percent of total billed charges ,,,,,311.26,percent of total billed charges ,,,,,295.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,,,163.82,percent of total billed charges,
IPRATROP/ALBUT (COMBIVENT) RESPIMATE INH,LOCAL,LOCAL,,,,both,,,678.02,678.02,189.85,678.02,678.02,percent of total billed charges,678.02,percent of total billed charges,678.02,percent of total billed charges,678.02,percent of total billed charges,678.02,percent of total billed charges,678.02,percent of total billed charges,678.02,percent of total billed charges,678.02,percent of total billed charges,488.17,percent of total billed charges,488.17,percent of total billed charges,488.17,percent of total billed charges,488.17,percent of total billed charges,488.17,percent of total billed charges,488.17,percent of total billed charges,501.73,percent of total billed charges,501.73,percent of total billed charges,542.42,percent of total billed charges,542.42,percent of total billed charges,,,488.17,percent of total billed charges ,,,542.42,percent of total billed charges ,569.54,percent of total billed charges ,569.54,percent of total billed charges ,528.86,percent of total billed charges ,528.86,percent of total billed charges ,542.42,percent of total billed charges ,542.42,percent of total billed charges ,474.61,percent of total billed charges ,474.61,percent of total billed charges ,406.81,percent of total billed charges ,406.81,percent of total billed charges ,406.81,percent of total billed charges ,406.81,percent of total billed charges ,,,,,360.71,percent of total billed charges ,,,,,342.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,,,189.85,percent of total billed charges,
HYDROCORTISONE 25MG (ANUSOL HC) SUPP,LOCAL,LOCAL,,,,both,1,each,5.5,5.5,1.54,5.5,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,3.96,percent of total billed charges,3.96,percent of total billed charges,3.96,percent of total billed charges,3.96,percent of total billed charges,3.96,percent of total billed charges,3.96,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,,,3.96,percent of total billed charges ,,,4.4,percent of total billed charges ,4.62,percent of total billed charges ,4.62,percent of total billed charges ,4.29,percent of total billed charges ,4.29,percent of total billed charges ,4.4,percent of total billed charges ,4.4,percent of total billed charges ,3.85,percent of total billed charges ,3.85,percent of total billed charges ,3.3,percent of total billed charges ,3.3,percent of total billed charges ,3.3,percent of total billed charges ,3.3,percent of total billed charges ,,,,,2.93,percent of total billed charges ,,,,,2.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,
**FIORINAL CODEINE (30MG) #3 CAPS: EA,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
methylPREDNISolone (SOLU Medrol): 1GM,J2930,CDM,,,,both,1,each,166.57,166.57,46.64,166.57,166.57,percent of total billed charges,166.57,percent of total billed charges,166.57,percent of total billed charges,166.57,percent of total billed charges,166.57,percent of total billed charges,166.57,percent of total billed charges,166.57,percent of total billed charges,166.57,percent of total billed charges,119.93,percent of total billed charges,119.93,percent of total billed charges,119.93,percent of total billed charges,119.93,percent of total billed charges,119.93,percent of total billed charges,119.93,percent of total billed charges,123.26,percent of total billed charges,123.26,percent of total billed charges,133.26,percent of total billed charges,133.26,percent of total billed charges,,,119.93,percent of total billed charges ,,,133.26,percent of total billed charges ,139.92,percent of total billed charges ,139.92,percent of total billed charges ,129.92,percent of total billed charges ,129.92,percent of total billed charges ,133.26,percent of total billed charges ,133.26,percent of total billed charges ,116.6,percent of total billed charges ,116.6,percent of total billed charges ,99.94,percent of total billed charges ,99.94,percent of total billed charges ,99.94,percent of total billed charges ,99.94,percent of total billed charges ,,,,,88.62,percent of total billed charges ,,,,,84.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,,,46.64,percent of total billed charges,
DEXTROSE 50% SYR 50 ML:   SYRINGE,LOCAL,LOCAL,,,,both,1,each,23.41,23.41,6.55,23.41,23.41,percent of total billed charges,23.41,percent of total billed charges,23.41,percent of total billed charges,23.41,percent of total billed charges,23.41,percent of total billed charges,23.41,percent of total billed charges,23.41,percent of total billed charges,23.41,percent of total billed charges,16.86,percent of total billed charges,16.86,percent of total billed charges,16.86,percent of total billed charges,16.86,percent of total billed charges,16.86,percent of total billed charges,16.86,percent of total billed charges,17.32,percent of total billed charges,17.32,percent of total billed charges,18.73,percent of total billed charges,18.73,percent of total billed charges,,,16.86,percent of total billed charges ,,,18.73,percent of total billed charges ,19.66,percent of total billed charges ,19.66,percent of total billed charges ,18.26,percent of total billed charges ,18.26,percent of total billed charges ,18.73,percent of total billed charges ,18.73,percent of total billed charges ,16.39,percent of total billed charges ,16.39,percent of total billed charges ,14.05,percent of total billed charges ,14.05,percent of total billed charges ,14.05,percent of total billed charges ,14.05,percent of total billed charges ,,,,,12.45,percent of total billed charges ,,,,,11.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,,,6.55,percent of total billed charges,
**ASPIRIN  600MG SUPPOSITORY,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**ASPIRIN  325MG: TAB,LOCAL,LOCAL,,,,both,1,each,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
ASPIRIN EC (ECOTRIN) 325MG: TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ASPIRIN 81 MG CHEWABLE TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ceFAZolin 1GM INJ,J0690,CDM,,,,both,1,each,12.25,12.25,3.43,12.25,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.8,percent of total billed charges,9.8,percent of total billed charges,,,8.82,percent of total billed charges ,,,9.8,percent of total billed charges ,10.29,percent of total billed charges ,10.29,percent of total billed charges ,9.56,percent of total billed charges ,9.56,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,7.35,percent of total billed charges ,7.35,percent of total billed charges ,7.35,percent of total billed charges ,7.35,percent of total billed charges ,,,,,6.52,percent of total billed charges ,,,,,6.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,
**ASPIRIN BUFF (BUFFERIN) 325 MG: TAB,LOCAL,LOCAL,,,,both,1,each,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
CARVedilol (COREG) 6.25 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**HYDRoxyzine (ATARAX) SYRUP 10MG/5ML,LOCAL,LOCAL,,,,both,1,each,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
ATENOLOL (TENORMIN)  25MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ATENOLOL  (TENORMIN)  50MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ATROPINE 1MG SYRINGE 1 MG/10 ML INJ,J0461,CDM,,,,both,1,each,161.98,161.98,45.35,161.98,161.98,percent of total billed charges,161.98,percent of total billed charges,161.98,percent of total billed charges,161.98,percent of total billed charges,161.98,percent of total billed charges,161.98,percent of total billed charges,161.98,percent of total billed charges,161.98,percent of total billed charges,116.63,percent of total billed charges,116.63,percent of total billed charges,116.63,percent of total billed charges,116.63,percent of total billed charges,116.63,percent of total billed charges,116.63,percent of total billed charges,119.87,percent of total billed charges,119.87,percent of total billed charges,129.58,percent of total billed charges,129.58,percent of total billed charges,,,116.63,percent of total billed charges ,,,129.58,percent of total billed charges ,136.06,percent of total billed charges ,136.06,percent of total billed charges ,126.34,percent of total billed charges ,126.34,percent of total billed charges ,129.58,percent of total billed charges ,129.58,percent of total billed charges ,113.39,percent of total billed charges ,113.39,percent of total billed charges ,97.19,percent of total billed charges ,97.19,percent of total billed charges ,97.19,percent of total billed charges ,97.19,percent of total billed charges ,,,,,86.17,percent of total billed charges ,,,,,81.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,,,45.35,percent of total billed charges,
AMOXICILLIN/CLAV ACID 500MG/125MG,LOCAL,LOCAL,,,,both,1,each,1.62,1.62,0.45,1.62,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
**AMOX/CLAV 250MG TAB:AUGMENTIN,LOCAL,LOCAL,,,,both,1,each,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
DESMOPRESSIN 10MCG/0.1ML NASAL SOLN: 5ML,LOCAL,LOCAL,,,,both,1,each,133.12,133.12,37.27,133.12,133.12,percent of total billed charges,133.12,percent of total billed charges,133.12,percent of total billed charges,133.12,percent of total billed charges,133.12,percent of total billed charges,133.12,percent of total billed charges,133.12,percent of total billed charges,133.12,percent of total billed charges,95.85,percent of total billed charges,95.85,percent of total billed charges,95.85,percent of total billed charges,95.85,percent of total billed charges,95.85,percent of total billed charges,95.85,percent of total billed charges,98.51,percent of total billed charges,98.51,percent of total billed charges,106.5,percent of total billed charges,106.5,percent of total billed charges,,,95.85,percent of total billed charges ,,,106.5,percent of total billed charges ,111.82,percent of total billed charges ,111.82,percent of total billed charges ,103.83,percent of total billed charges ,103.83,percent of total billed charges ,106.5,percent of total billed charges ,106.5,percent of total billed charges ,93.18,percent of total billed charges ,93.18,percent of total billed charges ,79.87,percent of total billed charges ,79.87,percent of total billed charges ,79.87,percent of total billed charges ,79.87,percent of total billed charges ,,,,,70.82,percent of total billed charges ,,,,,67.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,,,37.27,percent of total billed charges,
azaTHIOprine (IMURAN) 50 MG TAB,J7500,CDM,,,,both,1,each,2.1,2.1,0.59,2.1,2.1,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.68,percent of total billed charges,1.68,percent of total billed charges,,,1.51,percent of total billed charges ,,,1.68,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.47,percent of total billed charges ,1.47,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,,,,,1.12,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,
**ALBUTEROL0.5% NEB SOL:20ML,LOCAL,LOCAL,,,,both,1,each,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
BACLOFEN (LIORESAL) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,1.49,1.49,0.42,1.49,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,,,1.07,percent of total billed charges ,,,1.19,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,,,,,0.79,percent of total billed charges ,,,,,0.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,
**BELLADONA ALKALOIDS (DONNATAL) TAB,LOCAL,LOCAL,,,,both,1,each,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**INFLUENZA (FLUZONE) VACCINE 2010 INJ,90656,CDM,,,,both,1,each,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
BENZOCAIN (CETACAINE) SPRAY:56GM,LOCAL,LOCAL,,,,both,1,each,268.05,268.05,75.05,268.05,268.05,percent of total billed charges,268.05,percent of total billed charges,268.05,percent of total billed charges,268.05,percent of total billed charges,268.05,percent of total billed charges,268.05,percent of total billed charges,268.05,percent of total billed charges,268.05,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,193,percent of total billed charges,198.36,percent of total billed charges,198.36,percent of total billed charges,214.44,percent of total billed charges,214.44,percent of total billed charges,,,193,percent of total billed charges ,,,214.44,percent of total billed charges ,225.16,percent of total billed charges ,225.16,percent of total billed charges ,209.08,percent of total billed charges ,209.08,percent of total billed charges ,214.44,percent of total billed charges ,214.44,percent of total billed charges ,187.64,percent of total billed charges ,187.64,percent of total billed charges ,160.83,percent of total billed charges ,160.83,percent of total billed charges ,160.83,percent of total billed charges ,160.83,percent of total billed charges ,,,,,142.6,percent of total billed charges ,,,,,135.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,,,75.05,percent of total billed charges,
BENZOC/MENTHOL 6MG/10MG LOZENGE BOX,LOCAL,LOCAL,,,,both,1,each,1.64,1.64,0.46,1.64,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,,,1.18,percent of total billed charges ,,,1.31,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,0.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
**LEVOBUNOL (BETAGAN) 0.05% OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
**VANCERIL(BECLOMETH)43 MCG INHALER:16.8,LOCAL,LOCAL,,,,both,1,each,780,780,218.4,780,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,577.2,percent of total billed charges,577.2,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,,,561.6,percent of total billed charges ,,,624,percent of total billed charges ,655.2,percent of total billed charges ,655.2,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,624,percent of total billed charges ,624,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,,,,,414.96,percent of total billed charges ,,,,,394.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,
**BETAMETHASONE (CELESTONE) INJ,LOCAL,LOCAL,,,,both,1,each,61,61,17.08,61,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,45.14,percent of total billed charges,45.14,percent of total billed charges,48.8,percent of total billed charges,48.8,percent of total billed charges,,,43.92,percent of total billed charges ,,,48.8,percent of total billed charges ,51.24,percent of total billed charges ,51.24,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,48.8,percent of total billed charges ,48.8,percent of total billed charges ,42.7,percent of total billed charges ,42.7,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,,,,,32.45,percent of total billed charges ,,,,,30.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,
BETAMETHASONE 0.05% (DIPROSONE) 15GM,LOCAL,LOCAL,,,,both,1,each,344.03,344.03,96.33,344.03,344.03,percent of total billed charges,344.03,percent of total billed charges,344.03,percent of total billed charges,344.03,percent of total billed charges,344.03,percent of total billed charges,344.03,percent of total billed charges,344.03,percent of total billed charges,344.03,percent of total billed charges,247.7,percent of total billed charges,247.7,percent of total billed charges,247.7,percent of total billed charges,247.7,percent of total billed charges,247.7,percent of total billed charges,247.7,percent of total billed charges,254.58,percent of total billed charges,254.58,percent of total billed charges,275.22,percent of total billed charges,275.22,percent of total billed charges,,,247.7,percent of total billed charges ,,,275.22,percent of total billed charges ,288.99,percent of total billed charges ,288.99,percent of total billed charges ,268.34,percent of total billed charges ,268.34,percent of total billed charges ,275.22,percent of total billed charges ,275.22,percent of total billed charges ,240.82,percent of total billed charges ,240.82,percent of total billed charges ,206.42,percent of total billed charges ,206.42,percent of total billed charges ,206.42,percent of total billed charges ,206.42,percent of total billed charges ,,,,,183.02,percent of total billed charges ,,,,,173.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,,,96.33,percent of total billed charges,
**BETAMETHASONE (VALISONE) CR 0.1%:15GM,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
BETHANECHOL  (URECHOLINE) 25MG TAB,LOCAL,LOCAL,,,,both,1,each,3.81,3.81,1.07,3.81,3.81,percent of total billed charges,3.81,percent of total billed charges,3.81,percent of total billed charges,3.81,percent of total billed charges,3.81,percent of total billed charges,3.81,percent of total billed charges,3.81,percent of total billed charges,3.81,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.82,percent of total billed charges,2.82,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,,,2.74,percent of total billed charges ,,,3.05,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.97,percent of total billed charges ,2.97,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,2.67,percent of total billed charges ,2.67,percent of total billed charges ,2.29,percent of total billed charges ,2.29,percent of total billed charges ,2.29,percent of total billed charges ,2.29,percent of total billed charges ,,,,,2.03,percent of total billed charges ,,,,,1.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,,,1.07,percent of total billed charges,
BETHANECHOL (URECHOLINE) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,2.08,2.08,0.58,2.08,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,,,1.5,percent of total billed charges ,,,1.66,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,
**CODEINE 30MG: INJECT,J0745,CDM,,,,both,1,each,38,38,10.64,38,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,30.4,percent of total billed charges,30.4,percent of total billed charges,,,27.36,percent of total billed charges ,,,30.4,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,29.64,percent of total billed charges ,29.64,percent of total billed charges ,30.4,percent of total billed charges ,30.4,percent of total billed charges ,26.6,percent of total billed charges ,26.6,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,19.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,
CARBIDOPA/LEVO (SINEMET) 10/100: TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
CARBIDOPA/LEVODOPA (SINEMET) 25/100 TAB,LOCAL,LOCAL,,,,both,1,each,0.82,0.82,0.23,0.82,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,,,0.59,percent of total billed charges ,,,0.66,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,,,,,0.44,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
CARBIDOPA/LEVODOPA (SINEMET) 25/250 TAB,LOCAL,LOCAL,,,,both,,,1.17,1.17,0.33,1.17,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,,,0.84,percent of total billed charges ,,,0.94,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,
**NICARDIPINE (CARDENE) 20MG CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**BROMOCRIPTINE (PARLODEL) 2.5MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
medroxyPROGESTERone (PROVERA) 2.5MG,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
AZELASTINE (ASTELIN) NASAL SPRAY,LOCAL,LOCAL,,,,both,1,each,104.51,104.51,29.26,104.51,104.51,percent of total billed charges,104.51,percent of total billed charges,104.51,percent of total billed charges,104.51,percent of total billed charges,104.51,percent of total billed charges,104.51,percent of total billed charges,104.51,percent of total billed charges,104.51,percent of total billed charges,75.25,percent of total billed charges,75.25,percent of total billed charges,75.25,percent of total billed charges,75.25,percent of total billed charges,75.25,percent of total billed charges,75.25,percent of total billed charges,77.34,percent of total billed charges,77.34,percent of total billed charges,83.61,percent of total billed charges,83.61,percent of total billed charges,,,75.25,percent of total billed charges ,,,83.61,percent of total billed charges ,87.79,percent of total billed charges ,87.79,percent of total billed charges ,81.52,percent of total billed charges ,81.52,percent of total billed charges ,83.61,percent of total billed charges ,83.61,percent of total billed charges ,73.16,percent of total billed charges ,73.16,percent of total billed charges ,62.71,percent of total billed charges ,62.71,percent of total billed charges ,62.71,percent of total billed charges ,62.71,percent of total billed charges ,,,,,55.6,percent of total billed charges ,,,,,52.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,,,29.26,percent of total billed charges,
MAGNESIUM OXIDE 400MG: TAB,LOCAL,LOCAL,,,,both,1,each,0.51,0.51,0.14,0.51,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,,,0.37,percent of total billed charges ,,,0.41,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**CEFACLOR (CECLOR) 250MG CAP,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CEFACLOR (CECLOR) SUSP 250MG/5ML: 75 M,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CEFADROXIL (DURICEF) 500MG: CAP,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CEFIXIME (SUPRAX) 20MG/ML ORAL SUSP 50,LOCAL,LOCAL,,,,both,1,each,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
**PROPOXYPHENE/APAP (DARVOCET)100 MG/65,LOCAL,LOCAL,,,,both,1,each,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
CEPHALEXIN (KEFLEX) 250MG CAP,LOCAL,LOCAL,,,,both,1,each,1.09,1.09,0.31,1.09,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,,,0.78,percent of total billed charges ,,,0.87,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,,,,,0.58,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
CEPHALEXIN (KEFLEX) 500MG CAP,LOCAL,LOCAL,,,,both,1,each,1.13,1.13,0.32,1.13,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,,,0.81,percent of total billed charges ,,,0.9,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,,,,,0.6,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,
CALCITRIOL (ROCALTROL) 0.25MCG CAP,LOCAL,LOCAL,,,,both,1,each,2.89,2.89,0.81,2.89,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,,,2.08,percent of total billed charges ,,,2.31,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.31,percent of total billed charges ,2.31,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,,,,,1.54,percent of total billed charges ,,,,,1.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,
**CALCIUM CARBONATE (OS-CAL) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LIP BALM  (CHAPSTICK):,LOCAL,LOCAL,,,,both,1,each,7.9,7.9,2.21,7.9,7.9,percent of total billed charges,7.9,percent of total billed charges,7.9,percent of total billed charges,7.9,percent of total billed charges,7.9,percent of total billed charges,7.9,percent of total billed charges,7.9,percent of total billed charges,7.9,percent of total billed charges,5.69,percent of total billed charges,5.69,percent of total billed charges,5.69,percent of total billed charges,5.69,percent of total billed charges,5.69,percent of total billed charges,5.69,percent of total billed charges,5.85,percent of total billed charges,5.85,percent of total billed charges,6.32,percent of total billed charges,6.32,percent of total billed charges,,,5.69,percent of total billed charges ,,,6.32,percent of total billed charges ,6.64,percent of total billed charges ,6.64,percent of total billed charges ,6.16,percent of total billed charges ,6.16,percent of total billed charges ,6.32,percent of total billed charges ,6.32,percent of total billed charges ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,,,,,4.2,percent of total billed charges ,,,,,3.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,,,2.21,percent of total billed charges,
CALCIUM CARBONATE (TUMS) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**CALCIUM GLUCONATE 500MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ESTRADIOL TRANSDERM (CLIMARA) 0.05MG: EA,LOCAL,LOCAL,,,,both,1,each,47.04,47.04,13.17,47.04,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,33.87,percent of total billed charges,33.87,percent of total billed charges,33.87,percent of total billed charges,33.87,percent of total billed charges,33.87,percent of total billed charges,33.87,percent of total billed charges,34.81,percent of total billed charges,34.81,percent of total billed charges,37.63,percent of total billed charges,37.63,percent of total billed charges,,,33.87,percent of total billed charges ,,,37.63,percent of total billed charges ,39.51,percent of total billed charges ,39.51,percent of total billed charges ,36.69,percent of total billed charges ,36.69,percent of total billed charges ,37.63,percent of total billed charges ,37.63,percent of total billed charges ,32.93,percent of total billed charges ,32.93,percent of total billed charges ,28.22,percent of total billed charges ,28.22,percent of total billed charges ,28.22,percent of total billed charges ,28.22,percent of total billed charges ,,,,,25.03,percent of total billed charges ,,,,,23.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,,,13.17,percent of total billed charges,
**LORACARBEF(LORABID CAPSULE):200MG,LOCAL,LOCAL,,,,both,1,each,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
"**PEN G (BICILLIN CR) 600,000 UNITS",J0559,CDM,,,,both,1,each,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
**VALPROIC ACID SYR (DEPAKENE) 250MG/5ML,LOCAL,LOCAL,,,,both,1,each,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
**CARBACHOL  3%(ISOPTO-CARBACHOL O.S):15,LOCAL,LOCAL,,,,both,1,each,104,104,29.12,104,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,76.96,percent of total billed charges,76.96,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,,,74.88,percent of total billed charges ,,,83.2,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,81.12,percent of total billed charges ,81.12,percent of total billed charges ,83.2,percent of total billed charges ,83.2,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,,,,,55.33,percent of total billed charges ,,,,,52.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,
chlordiazePOXIDE (LIBRIUM) 10MG CAP,LOCAL,LOCAL,,,,both,1,each,2.41,2.41,0.67,2.41,2.41,percent of total billed charges,2.41,percent of total billed charges,2.41,percent of total billed charges,2.41,percent of total billed charges,2.41,percent of total billed charges,2.41,percent of total billed charges,2.41,percent of total billed charges,2.41,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.78,percent of total billed charges,1.78,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,,,1.74,percent of total billed charges ,,,1.93,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.93,percent of total billed charges ,1.93,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,,,,,1.28,percent of total billed charges ,,,,,1.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
chlordiazePOXIDE (LIBRIUM) 25MG CAP,LOCAL,LOCAL,,,,both,1,each,1.81,1.81,0.51,1.81,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.45,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,
chlordiazePOXIDE (LIBRIUM) 5MG CAP,LOCAL,LOCAL,,,,both,1,each,2.19,2.19,0.61,2.19,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,,,1.58,percent of total billed charges ,,,1.75,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.71,percent of total billed charges ,1.71,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,
**CHLORDIAZEPOX (LIBRIUM) INJ 100MG: 2ML,J1990,CDM,,,,both,1,each,66,66,18.48,66,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,48.84,percent of total billed charges,48.84,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,,,47.52,percent of total billed charges ,,,52.8,percent of total billed charges ,55.44,percent of total billed charges ,55.44,percent of total billed charges ,51.48,percent of total billed charges ,51.48,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,,,,,35.11,percent of total billed charges ,,,,,33.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,
**CHLORDIAZAPOX/CLIDINIUM (LIBRAX) CAP:,LOCAL,LOCAL,,,,both,1,each,3.48,3.48,0.97,3.48,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,,,2.51,percent of total billed charges ,,,2.78,percent of total billed charges ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.44,percent of total billed charges ,2.44,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,,,,,1.85,percent of total billed charges ,,,,,1.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,
TETANUS-DIPTHERIA (TD) INJ 0.5ML DOSE,90714,CDM,,,,both,1,each,287.06,287.06,80.38,287.06,287.06,percent of total billed charges,287.06,percent of total billed charges,287.06,percent of total billed charges,287.06,percent of total billed charges,287.06,percent of total billed charges,287.06,percent of total billed charges,287.06,percent of total billed charges,287.06,percent of total billed charges,206.68,percent of total billed charges,206.68,percent of total billed charges,206.68,percent of total billed charges,206.68,percent of total billed charges,206.68,percent of total billed charges,206.68,percent of total billed charges,212.42,percent of total billed charges,212.42,percent of total billed charges,229.65,percent of total billed charges,229.65,percent of total billed charges,,,206.68,percent of total billed charges ,,,229.65,percent of total billed charges ,241.13,percent of total billed charges ,241.13,percent of total billed charges ,223.91,percent of total billed charges ,223.91,percent of total billed charges ,229.65,percent of total billed charges ,229.65,percent of total billed charges ,200.94,percent of total billed charges ,200.94,percent of total billed charges ,172.24,percent of total billed charges ,172.24,percent of total billed charges ,172.24,percent of total billed charges ,172.24,percent of total billed charges ,,,,,152.72,percent of total billed charges ,,,,,145.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,,,80.38,percent of total billed charges,
CHLOROTHIAZIDE (DIURIL) 500MG INJ: VIAL,J1205,CDM,,,,both,1,each,416.85,416.85,116.72,416.85,416.85,percent of total billed charges,416.85,percent of total billed charges,416.85,percent of total billed charges,416.85,percent of total billed charges,416.85,percent of total billed charges,416.85,percent of total billed charges,416.85,percent of total billed charges,416.85,percent of total billed charges,300.13,percent of total billed charges,300.13,percent of total billed charges,300.13,percent of total billed charges,300.13,percent of total billed charges,300.13,percent of total billed charges,300.13,percent of total billed charges,308.47,percent of total billed charges,308.47,percent of total billed charges,333.48,percent of total billed charges,333.48,percent of total billed charges,,,300.13,percent of total billed charges ,,,333.48,percent of total billed charges ,350.15,percent of total billed charges ,350.15,percent of total billed charges ,325.14,percent of total billed charges ,325.14,percent of total billed charges ,333.48,percent of total billed charges ,333.48,percent of total billed charges ,291.8,percent of total billed charges ,291.8,percent of total billed charges ,250.11,percent of total billed charges ,250.11,percent of total billed charges ,250.11,percent of total billed charges ,250.11,percent of total billed charges ,,,,,221.76,percent of total billed charges ,,,,,210.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,,,116.72,percent of total billed charges,
chlorproMAZINE (THORAZINE) 10 MG TAB,LOCAL,LOCAL,,,,both,1,each,11.37,11.37,3.18,11.37,11.37,percent of total billed charges,11.37,percent of total billed charges,11.37,percent of total billed charges,11.37,percent of total billed charges,11.37,percent of total billed charges,11.37,percent of total billed charges,11.37,percent of total billed charges,11.37,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,9.1,percent of total billed charges,9.1,percent of total billed charges,,,8.19,percent of total billed charges ,,,9.1,percent of total billed charges ,9.55,percent of total billed charges ,9.55,percent of total billed charges ,8.87,percent of total billed charges ,8.87,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.96,percent of total billed charges ,7.96,percent of total billed charges ,6.82,percent of total billed charges ,6.82,percent of total billed charges ,6.82,percent of total billed charges ,6.82,percent of total billed charges ,,,,,6.05,percent of total billed charges ,,,,,5.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,,,3.18,percent of total billed charges,
chlorpromMAZINE (THORAZINE) 25 MG TAB,LOCAL,LOCAL,,,,both,1,each,15.16,15.16,4.24,15.16,15.16,percent of total billed charges,15.16,percent of total billed charges,15.16,percent of total billed charges,15.16,percent of total billed charges,15.16,percent of total billed charges,15.16,percent of total billed charges,15.16,percent of total billed charges,15.16,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,11.22,percent of total billed charges,11.22,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,,,10.92,percent of total billed charges ,,,12.13,percent of total billed charges ,12.73,percent of total billed charges ,12.73,percent of total billed charges ,11.82,percent of total billed charges ,11.82,percent of total billed charges ,12.13,percent of total billed charges ,12.13,percent of total billed charges ,10.61,percent of total billed charges ,10.61,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,,,,,8.07,percent of total billed charges ,,,,,7.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,
chlorproMAZINE (THORAZINE) 100MG TAB,LOCAL,LOCAL,,,,both,1,each,29.6,29.6,8.29,29.6,29.6,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,21.31,percent of total billed charges,21.31,percent of total billed charges,21.31,percent of total billed charges,21.31,percent of total billed charges,21.31,percent of total billed charges,21.31,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,,,21.31,percent of total billed charges ,,,23.68,percent of total billed charges ,24.86,percent of total billed charges ,24.86,percent of total billed charges ,23.09,percent of total billed charges ,23.09,percent of total billed charges ,23.68,percent of total billed charges ,23.68,percent of total billed charges ,20.72,percent of total billed charges ,20.72,percent of total billed charges ,17.76,percent of total billed charges ,17.76,percent of total billed charges ,17.76,percent of total billed charges ,17.76,percent of total billed charges ,,,,,15.75,percent of total billed charges ,,,,,14.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,,,8.29,percent of total billed charges,
**CHLORPROPAMIDE (DIABINESE) 250MG: TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
DOXAZOSIN (CARDURA) 8 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.72,0.72,0.2,0.72,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,,,0.52,percent of total billed charges ,,,0.58,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,,,,,0.38,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
ORPHENADRINE (NORFLEX) 100MG ER TAB,LOCAL,LOCAL,,,,both,1,each,1.44,1.44,0.4,1.44,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,,,1.04,percent of total billed charges ,,,1.15,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,0.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,
CHOLESTYRAMINE (PREValite) 4 GM PAK,LOCAL,LOCAL,,,,both,,,4.68,4.68,1.31,4.68,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,,,3.37,percent of total billed charges ,,,3.74,percent of total billed charges ,3.93,percent of total billed charges ,3.93,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.28,percent of total billed charges ,3.28,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,,,,,2.49,percent of total billed charges ,,,,,2.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,
**CIMETIDINE(TAGAMET) TAB: 300MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
CIMETIDINE (TAGAMET) 400MG TAB,LOCAL,LOCAL,,,,both,1,each,2.51,2.51,0.7,2.51,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,2.01,percent of total billed charges,2.01,percent of total billed charges,,,1.81,percent of total billed charges ,,,2.01,percent of total billed charges ,2.11,percent of total billed charges ,2.11,percent of total billed charges ,1.96,percent of total billed charges ,1.96,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,,,,,1.34,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,
CIPROFLOXACIN (CIPRO) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
CIPROFLOXACIN (CIPRO) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,0.74,0.74,0.21,0.74,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,,,0.53,percent of total billed charges ,,,0.59,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,
guaiFENesin LA (MUCINEX) 600MG TAB,LOCAL,LOCAL,,,,both,1,each,3.47,3.47,0.97,3.47,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,2.57,percent of total billed charges,2.57,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,,,2.5,percent of total billed charges ,,,2.78,percent of total billed charges ,2.91,percent of total billed charges ,2.91,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,,,,,1.85,percent of total billed charges ,,,,,1.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,
HOMATROPINE 5%OPH SOL: 5ML,LOCAL,LOCAL,,,,both,1,each,140.55,140.55,39.35,140.55,140.55,percent of total billed charges,140.55,percent of total billed charges,140.55,percent of total billed charges,140.55,percent of total billed charges,140.55,percent of total billed charges,140.55,percent of total billed charges,140.55,percent of total billed charges,140.55,percent of total billed charges,101.2,percent of total billed charges,101.2,percent of total billed charges,101.2,percent of total billed charges,101.2,percent of total billed charges,101.2,percent of total billed charges,101.2,percent of total billed charges,104.01,percent of total billed charges,104.01,percent of total billed charges,112.44,percent of total billed charges,112.44,percent of total billed charges,,,101.2,percent of total billed charges ,,,112.44,percent of total billed charges ,118.06,percent of total billed charges ,118.06,percent of total billed charges ,109.63,percent of total billed charges ,109.63,percent of total billed charges ,112.44,percent of total billed charges ,112.44,percent of total billed charges ,98.39,percent of total billed charges ,98.39,percent of total billed charges ,84.33,percent of total billed charges ,84.33,percent of total billed charges ,84.33,percent of total billed charges ,84.33,percent of total billed charges ,,,,,74.77,percent of total billed charges ,,,,,71.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,,,39.35,percent of total billed charges,
CLINDAMYCIN (CLEOCIN) 150MG CAP,LOCAL,LOCAL,,,,both,1,each,0.98,0.98,0.27,0.98,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,,,0.71,percent of total billed charges ,,,0.78,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,,,,,0.52,percent of total billed charges ,,,,,0.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
**MOLINDONE HCL (MOBAN) 25MG TAB,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
CLONidine (CATAPRES) 0.1 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**PEN G BENZATHINE (BICILLIN-CR) INJ 1.2,LOCAL,LOCAL,,,,both,1,each,60,60,16.8,60,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,44.4,percent of total billed charges,44.4,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,,,43.2,percent of total billed charges ,,,48,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,,,,,31.92,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,
cloNIDine(CATAPRES TTS-1)0.1MG/DAY PATCH,LOCAL,LOCAL,,,,both,1,each,24.93,24.93,6.98,24.93,24.93,percent of total billed charges,24.93,percent of total billed charges,24.93,percent of total billed charges,24.93,percent of total billed charges,24.93,percent of total billed charges,24.93,percent of total billed charges,24.93,percent of total billed charges,24.93,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,18.45,percent of total billed charges,18.45,percent of total billed charges,19.94,percent of total billed charges,19.94,percent of total billed charges,,,17.95,percent of total billed charges ,,,19.94,percent of total billed charges ,20.94,percent of total billed charges ,20.94,percent of total billed charges ,19.45,percent of total billed charges ,19.45,percent of total billed charges ,19.94,percent of total billed charges ,19.94,percent of total billed charges ,17.45,percent of total billed charges ,17.45,percent of total billed charges ,14.96,percent of total billed charges ,14.96,percent of total billed charges ,14.96,percent of total billed charges ,14.96,percent of total billed charges ,,,,,13.26,percent of total billed charges ,,,,,12.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,,,6.98,percent of total billed charges,
cloNIDine PATCH (CATAPRES TTS-3) 0.3MG,LOCAL,LOCAL,,,,both,1,each,413.49,413.49,115.78,413.49,413.49,percent of total billed charges,413.49,percent of total billed charges,413.49,percent of total billed charges,413.49,percent of total billed charges,413.49,percent of total billed charges,413.49,percent of total billed charges,413.49,percent of total billed charges,413.49,percent of total billed charges,297.71,percent of total billed charges,297.71,percent of total billed charges,297.71,percent of total billed charges,297.71,percent of total billed charges,297.71,percent of total billed charges,297.71,percent of total billed charges,305.98,percent of total billed charges,305.98,percent of total billed charges,330.79,percent of total billed charges,330.79,percent of total billed charges,,,297.71,percent of total billed charges ,,,330.79,percent of total billed charges ,347.33,percent of total billed charges ,347.33,percent of total billed charges ,322.52,percent of total billed charges ,322.52,percent of total billed charges ,330.79,percent of total billed charges ,330.79,percent of total billed charges ,289.44,percent of total billed charges ,289.44,percent of total billed charges ,248.09,percent of total billed charges ,248.09,percent of total billed charges ,248.09,percent of total billed charges ,248.09,percent of total billed charges ,,,,,219.98,percent of total billed charges ,,,,,208.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,,,115.78,percent of total billed charges,
SOTALOL (BETAPACE) 80MG TAB,LOCAL,LOCAL,,,,both,1,each,3.94,3.94,1.1,3.94,3.94,percent of total billed charges,3.94,percent of total billed charges,3.94,percent of total billed charges,3.94,percent of total billed charges,3.94,percent of total billed charges,3.94,percent of total billed charges,3.94,percent of total billed charges,3.94,percent of total billed charges,2.84,percent of total billed charges,2.84,percent of total billed charges,2.84,percent of total billed charges,2.84,percent of total billed charges,2.84,percent of total billed charges,2.84,percent of total billed charges,2.92,percent of total billed charges,2.92,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,,,2.84,percent of total billed charges ,,,3.15,percent of total billed charges ,3.31,percent of total billed charges ,3.31,percent of total billed charges ,3.07,percent of total billed charges ,3.07,percent of total billed charges ,3.15,percent of total billed charges ,3.15,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.36,percent of total billed charges ,2.36,percent of total billed charges ,2.36,percent of total billed charges ,2.36,percent of total billed charges ,,,,,2.1,percent of total billed charges ,,,,,1.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,
CLORAZEPATE (TRANXENE)  3.75MG TAB,LOCAL,LOCAL,,,,both,,,10.51,10.51,2.94,10.51,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.78,percent of total billed charges,7.78,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,,,7.57,percent of total billed charges ,,,8.41,percent of total billed charges ,8.83,percent of total billed charges ,8.83,percent of total billed charges ,8.2,percent of total billed charges ,8.2,percent of total billed charges ,8.41,percent of total billed charges ,8.41,percent of total billed charges ,7.36,percent of total billed charges ,7.36,percent of total billed charges ,6.31,percent of total billed charges ,6.31,percent of total billed charges ,6.31,percent of total billed charges ,6.31,percent of total billed charges ,,,,,5.59,percent of total billed charges ,,,,,5.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,
**CLOTRIMAZOLE 1% (LOTRIMIN) CRM 15GM,LOCAL,LOCAL,,,,both,1,each,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
CANDESARTEN (ATACAND) 16 MG TAB:,LOCAL,LOCAL,,,,both,1,each,5.18,5.18,1.45,5.18,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.83,percent of total billed charges,3.83,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,,,3.73,percent of total billed charges ,,,4.14,percent of total billed charges ,4.35,percent of total billed charges ,4.35,percent of total billed charges ,4.04,percent of total billed charges ,4.04,percent of total billed charges ,4.14,percent of total billed charges ,4.14,percent of total billed charges ,3.63,percent of total billed charges ,3.63,percent of total billed charges ,3.11,percent of total billed charges ,3.11,percent of total billed charges ,3.11,percent of total billed charges ,3.11,percent of total billed charges ,,,,,2.76,percent of total billed charges ,,,,,2.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,
**CODEINE SULFATE 30MG: TAB,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
COLCHICINE/PROBENICID (COLBENEMID) TAB,LOCAL,LOCAL,,,,both,1,each,2.2,2.2,0.62,2.2,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,,,1.58,percent of total billed charges ,,,1.76,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,
TAMSULOSIN HCL (FLOMAX) 0.4MG CAP,LOCAL,LOCAL,,,,both,,,1.2,1.2,0.34,1.2,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,,,0.86,percent of total billed charges ,,,0.96,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,0.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
ESTROGENS (PREMARIN) VAG CRM: 42.5GM,LOCAL,LOCAL,,,,both,1,each,"1,024.35","1,024.35",286.82,"1,024.35","1,024.35",percent of total billed charges,"1,024.35",percent of total billed charges,"1,024.35",percent of total billed charges,"1,024.35",percent of total billed charges,"1,024.35",percent of total billed charges,"1,024.35",percent of total billed charges,"1,024.35",percent of total billed charges,"1,024.35",percent of total billed charges,737.53,percent of total billed charges,737.53,percent of total billed charges,737.53,percent of total billed charges,737.53,percent of total billed charges,737.53,percent of total billed charges,737.53,percent of total billed charges,758.02,percent of total billed charges,758.02,percent of total billed charges,819.48,percent of total billed charges,819.48,percent of total billed charges,,,737.53,percent of total billed charges ,,,819.48,percent of total billed charges ,860.45,percent of total billed charges ,860.45,percent of total billed charges ,798.99,percent of total billed charges ,798.99,percent of total billed charges ,819.48,percent of total billed charges ,819.48,percent of total billed charges ,717.05,percent of total billed charges ,717.05,percent of total billed charges ,614.61,percent of total billed charges ,614.61,percent of total billed charges ,614.61,percent of total billed charges ,614.61,percent of total billed charges ,,,,,544.95,percent of total billed charges ,,,,,517.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,,,286.82,percent of total billed charges,
CONJUGATE ESTROGENS (PREMARIN) 0.625MG,LOCAL,LOCAL,,,,both,,,18.26,18.26,5.11,18.26,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.51,percent of total billed charges,13.51,percent of total billed charges,14.61,percent of total billed charges,14.61,percent of total billed charges,,,13.15,percent of total billed charges ,,,14.61,percent of total billed charges ,15.34,percent of total billed charges ,15.34,percent of total billed charges ,14.24,percent of total billed charges ,14.24,percent of total billed charges ,14.61,percent of total billed charges ,14.61,percent of total billed charges ,12.78,percent of total billed charges ,12.78,percent of total billed charges ,10.96,percent of total billed charges ,10.96,percent of total billed charges ,10.96,percent of total billed charges ,10.96,percent of total billed charges ,,,,,9.71,percent of total billed charges ,,,,,9.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,
CONJUGATED ESTROGENS (PREMARIN) 1.25MG,LOCAL,LOCAL,,,,both,1,each,18.26,18.26,5.11,18.26,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.15,percent of total billed charges,13.51,percent of total billed charges,13.51,percent of total billed charges,14.61,percent of total billed charges,14.61,percent of total billed charges,,,13.15,percent of total billed charges ,,,14.61,percent of total billed charges ,15.34,percent of total billed charges ,15.34,percent of total billed charges ,14.24,percent of total billed charges ,14.24,percent of total billed charges ,14.61,percent of total billed charges ,14.61,percent of total billed charges ,12.78,percent of total billed charges ,12.78,percent of total billed charges ,10.96,percent of total billed charges ,10.96,percent of total billed charges ,10.96,percent of total billed charges ,10.96,percent of total billed charges ,,,,,9.71,percent of total billed charges ,,,,,9.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,,,5.11,percent of total billed charges,
HYDROCORTISONE (CORTENEMA) 100MG:,LOCAL,LOCAL,,,,both,1,each,21.04,21.04,5.89,21.04,21.04,percent of total billed charges,21.04,percent of total billed charges,21.04,percent of total billed charges,21.04,percent of total billed charges,21.04,percent of total billed charges,21.04,percent of total billed charges,21.04,percent of total billed charges,21.04,percent of total billed charges,15.15,percent of total billed charges,15.15,percent of total billed charges,15.15,percent of total billed charges,15.15,percent of total billed charges,15.15,percent of total billed charges,15.15,percent of total billed charges,15.57,percent of total billed charges,15.57,percent of total billed charges,16.83,percent of total billed charges,16.83,percent of total billed charges,,,15.15,percent of total billed charges ,,,16.83,percent of total billed charges ,17.67,percent of total billed charges ,17.67,percent of total billed charges ,16.41,percent of total billed charges ,16.41,percent of total billed charges ,16.83,percent of total billed charges ,16.83,percent of total billed charges ,14.73,percent of total billed charges ,14.73,percent of total billed charges ,12.62,percent of total billed charges ,12.62,percent of total billed charges ,12.62,percent of total billed charges ,12.62,percent of total billed charges ,,,,,11.19,percent of total billed charges ,,,,,10.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,,,5.89,percent of total billed charges,
**NEOM.POLYMIX.HC (CORTISPORIN) OINT:15G,LOCAL,LOCAL,,,,both,1,each,132,132,36.96,132,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,95.04,percent of total billed charges,97.68,percent of total billed charges,97.68,percent of total billed charges,105.6,percent of total billed charges,105.6,percent of total billed charges,,,95.04,percent of total billed charges ,,,105.6,percent of total billed charges ,110.88,percent of total billed charges ,110.88,percent of total billed charges ,102.96,percent of total billed charges ,102.96,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,,,,,70.22,percent of total billed charges ,,,,,66.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,,,36.96,percent of total billed charges,
COSYNTROPIN (CORTROSYN) 0.25MG INJ,J0834,CDM,,,,both,1,each,252,252,70.56,252,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,181.44,percent of total billed charges,186.48,percent of total billed charges,186.48,percent of total billed charges,201.6,percent of total billed charges,201.6,percent of total billed charges,,,181.44,percent of total billed charges ,,,201.6,percent of total billed charges ,211.68,percent of total billed charges ,211.68,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,127.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,,,70.56,percent of total billed charges,
**BENZOCAINE/ANTIPYRINE OTIC (AURALGAN),LOCAL,LOCAL,,,,both,1,each,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
carBAMazepine (TEGRETOL) 100MG TAB,LOCAL,LOCAL,,,,both,,,1.8,1.8,0.5,1.8,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.44,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,
carBAMazepine (TEGRETOL) 200MG TAB,LOCAL,LOCAL,,,,both,1,each,2.32,2.32,0.65,2.32,2.32,percent of total billed charges,2.32,percent of total billed charges,2.32,percent of total billed charges,2.32,percent of total billed charges,2.32,percent of total billed charges,2.32,percent of total billed charges,2.32,percent of total billed charges,2.32,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,,,1.67,percent of total billed charges ,,,1.86,percent of total billed charges ,1.95,percent of total billed charges ,1.95,percent of total billed charges ,1.81,percent of total billed charges ,1.81,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,,,,,1.23,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,
BUPivacaine (SENSORCAINE) 0.5% SDV 50ML,LOCAL,LOCAL,,,,both,,,32.45,32.45,9.09,32.45,32.45,percent of total billed charges,32.45,percent of total billed charges,32.45,percent of total billed charges,32.45,percent of total billed charges,32.45,percent of total billed charges,32.45,percent of total billed charges,32.45,percent of total billed charges,32.45,percent of total billed charges,23.36,percent of total billed charges,23.36,percent of total billed charges,23.36,percent of total billed charges,23.36,percent of total billed charges,23.36,percent of total billed charges,23.36,percent of total billed charges,24.01,percent of total billed charges,24.01,percent of total billed charges,25.96,percent of total billed charges,25.96,percent of total billed charges,,,23.36,percent of total billed charges ,,,25.96,percent of total billed charges ,27.26,percent of total billed charges ,27.26,percent of total billed charges ,25.31,percent of total billed charges ,25.31,percent of total billed charges ,25.96,percent of total billed charges ,25.96,percent of total billed charges ,22.72,percent of total billed charges ,22.72,percent of total billed charges ,19.47,percent of total billed charges ,19.47,percent of total billed charges ,19.47,percent of total billed charges ,19.47,percent of total billed charges ,,,,,17.26,percent of total billed charges ,,,,,16.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,,,9.09,percent of total billed charges,
**CROMOLYN SOD(GASTROCROM CONC)100MG/5ML,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**CROMOLYN SODIUM (NASALCROM SPRAY): 25,LOCAL,LOCAL,,,,both,1,each,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
BISACODYL (DULCOLAX) SUPP 10MG,LOCAL,LOCAL,,,,both,1,each,0.73,0.73,0.2,0.73,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,,,0.53,percent of total billed charges ,,,0.58,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
CYANOCOBALAMIN (VIT B12) 1000MCG/1ML,J3420,CDM,,,,both,1,each,37.21,37.21,10.42,37.21,37.21,percent of total billed charges,37.21,percent of total billed charges,37.21,percent of total billed charges,37.21,percent of total billed charges,37.21,percent of total billed charges,37.21,percent of total billed charges,37.21,percent of total billed charges,37.21,percent of total billed charges,26.79,percent of total billed charges,26.79,percent of total billed charges,26.79,percent of total billed charges,26.79,percent of total billed charges,26.79,percent of total billed charges,26.79,percent of total billed charges,27.54,percent of total billed charges,27.54,percent of total billed charges,29.77,percent of total billed charges,29.77,percent of total billed charges,,,26.79,percent of total billed charges ,,,29.77,percent of total billed charges ,31.26,percent of total billed charges ,31.26,percent of total billed charges ,29.02,percent of total billed charges ,29.02,percent of total billed charges ,29.77,percent of total billed charges ,29.77,percent of total billed charges ,26.05,percent of total billed charges ,26.05,percent of total billed charges ,22.33,percent of total billed charges ,22.33,percent of total billed charges ,22.33,percent of total billed charges ,22.33,percent of total billed charges ,,,,,19.8,percent of total billed charges ,,,,,18.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,,,10.42,percent of total billed charges,
**METAXALONE (SKELAXIN) 400 MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
CYCLOBENZAPRINE (FLEXERIL) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
CYCLOPENTOLATE 1%  (CYCLOGYL) OPHTH,LOCAL,LOCAL,,,,both,,,124.24,124.24,34.79,124.24,124.24,percent of total billed charges,124.24,percent of total billed charges,124.24,percent of total billed charges,124.24,percent of total billed charges,124.24,percent of total billed charges,124.24,percent of total billed charges,124.24,percent of total billed charges,124.24,percent of total billed charges,89.45,percent of total billed charges,89.45,percent of total billed charges,89.45,percent of total billed charges,89.45,percent of total billed charges,89.45,percent of total billed charges,89.45,percent of total billed charges,91.94,percent of total billed charges,91.94,percent of total billed charges,99.39,percent of total billed charges,99.39,percent of total billed charges,,,89.45,percent of total billed charges ,,,99.39,percent of total billed charges ,104.36,percent of total billed charges ,104.36,percent of total billed charges ,96.91,percent of total billed charges ,96.91,percent of total billed charges ,99.39,percent of total billed charges ,99.39,percent of total billed charges ,86.97,percent of total billed charges ,86.97,percent of total billed charges ,74.54,percent of total billed charges ,74.54,percent of total billed charges ,74.54,percent of total billed charges ,74.54,percent of total billed charges ,,,,,66.1,percent of total billed charges ,,,,,62.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,,,34.79,percent of total billed charges,
BISACODYL (DULCOLAX) 5MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
CYPROHEPTADINE (PERIACTIN) 4 MG TAB,LOCAL,LOCAL,,,,both,,,1.08,1.08,0.3,1.08,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,,,0.78,percent of total billed charges ,,,0.86,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
EYE WASH OPHTH IRRIG SOLN (GEN) 4 OZ,LOCAL,LOCAL,,,,both,,,9.84,9.84,2.76,9.84,9.84,percent of total billed charges,9.84,percent of total billed charges,9.84,percent of total billed charges,9.84,percent of total billed charges,9.84,percent of total billed charges,9.84,percent of total billed charges,9.84,percent of total billed charges,9.84,percent of total billed charges,7.08,percent of total billed charges,7.08,percent of total billed charges,7.08,percent of total billed charges,7.08,percent of total billed charges,7.08,percent of total billed charges,7.08,percent of total billed charges,7.28,percent of total billed charges,7.28,percent of total billed charges,7.87,percent of total billed charges,7.87,percent of total billed charges,,,7.08,percent of total billed charges ,,,7.87,percent of total billed charges ,8.27,percent of total billed charges ,8.27,percent of total billed charges ,7.68,percent of total billed charges ,7.68,percent of total billed charges ,7.87,percent of total billed charges ,7.87,percent of total billed charges ,6.89,percent of total billed charges ,6.89,percent of total billed charges ,5.9,percent of total billed charges ,5.9,percent of total billed charges ,5.9,percent of total billed charges ,5.9,percent of total billed charges ,,,,,5.23,percent of total billed charges ,,,,,4.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,
SULFACETAMIDE SOD. OPTH OINT 10%:,LOCAL,LOCAL,,,,both,,,208.73,208.73,58.44,208.73,208.73,percent of total billed charges,208.73,percent of total billed charges,208.73,percent of total billed charges,208.73,percent of total billed charges,208.73,percent of total billed charges,208.73,percent of total billed charges,208.73,percent of total billed charges,208.73,percent of total billed charges,150.29,percent of total billed charges,150.29,percent of total billed charges,150.29,percent of total billed charges,150.29,percent of total billed charges,150.29,percent of total billed charges,150.29,percent of total billed charges,154.46,percent of total billed charges,154.46,percent of total billed charges,166.98,percent of total billed charges,166.98,percent of total billed charges,,,150.29,percent of total billed charges ,,,166.98,percent of total billed charges ,175.33,percent of total billed charges ,175.33,percent of total billed charges ,162.81,percent of total billed charges ,162.81,percent of total billed charges ,166.98,percent of total billed charges ,166.98,percent of total billed charges ,146.11,percent of total billed charges ,146.11,percent of total billed charges ,125.24,percent of total billed charges ,125.24,percent of total billed charges ,125.24,percent of total billed charges ,125.24,percent of total billed charges ,,,,,111.04,percent of total billed charges ,,,,,105.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,,,58.44,percent of total billed charges,
BENZOCAINE (DERMOPLAST) 20% SPRAY:60ML,LOCAL,LOCAL,,,,both,,,57.83,57.83,16.19,57.83,57.83,percent of total billed charges,57.83,percent of total billed charges,57.83,percent of total billed charges,57.83,percent of total billed charges,57.83,percent of total billed charges,57.83,percent of total billed charges,57.83,percent of total billed charges,57.83,percent of total billed charges,41.64,percent of total billed charges,41.64,percent of total billed charges,41.64,percent of total billed charges,41.64,percent of total billed charges,41.64,percent of total billed charges,41.64,percent of total billed charges,42.79,percent of total billed charges,42.79,percent of total billed charges,46.26,percent of total billed charges,46.26,percent of total billed charges,,,41.64,percent of total billed charges ,,,46.26,percent of total billed charges ,48.58,percent of total billed charges ,48.58,percent of total billed charges ,45.11,percent of total billed charges ,45.11,percent of total billed charges ,46.26,percent of total billed charges ,46.26,percent of total billed charges ,40.48,percent of total billed charges ,40.48,percent of total billed charges ,34.7,percent of total billed charges ,34.7,percent of total billed charges ,34.7,percent of total billed charges ,34.7,percent of total billed charges ,,,,,30.77,percent of total billed charges ,,,,,29.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,,,16.19,percent of total billed charges,
**DESITIN OINTMENT 2 OZ: TUBE,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
DESOXIMETASONE (TOPICORT) CR 0.25%: 15GM,LOCAL,LOCAL,,,,both,1,each,119.02,119.02,33.33,119.02,119.02,percent of total billed charges,119.02,percent of total billed charges,119.02,percent of total billed charges,119.02,percent of total billed charges,119.02,percent of total billed charges,119.02,percent of total billed charges,119.02,percent of total billed charges,119.02,percent of total billed charges,85.69,percent of total billed charges,85.69,percent of total billed charges,85.69,percent of total billed charges,85.69,percent of total billed charges,85.69,percent of total billed charges,85.69,percent of total billed charges,88.07,percent of total billed charges,88.07,percent of total billed charges,95.22,percent of total billed charges,95.22,percent of total billed charges,,,85.69,percent of total billed charges ,,,95.22,percent of total billed charges ,99.98,percent of total billed charges ,99.98,percent of total billed charges ,92.84,percent of total billed charges ,92.84,percent of total billed charges ,95.22,percent of total billed charges ,95.22,percent of total billed charges ,83.31,percent of total billed charges ,83.31,percent of total billed charges ,71.41,percent of total billed charges ,71.41,percent of total billed charges ,71.41,percent of total billed charges ,71.41,percent of total billed charges ,,,,,63.32,percent of total billed charges ,,,,,60.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,,,33.33,percent of total billed charges,
DESIpramine (NORPRAMIN) 10 MG TAB,LOCAL,LOCAL,,,,both,1,each,3.2,3.2,0.9,3.2,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,,,2.3,percent of total billed charges ,,,2.56,percent of total billed charges ,2.69,percent of total billed charges ,2.69,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,,,,,1.7,percent of total billed charges ,,,,,1.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,
NEOMYCIN/POLYMIX/DEXAMETH OPTH SUSP,LOCAL,LOCAL,,,,both,,,131.28,131.28,36.76,131.28,131.28,percent of total billed charges,131.28,percent of total billed charges,131.28,percent of total billed charges,131.28,percent of total billed charges,131.28,percent of total billed charges,131.28,percent of total billed charges,131.28,percent of total billed charges,131.28,percent of total billed charges,94.52,percent of total billed charges,94.52,percent of total billed charges,94.52,percent of total billed charges,94.52,percent of total billed charges,94.52,percent of total billed charges,94.52,percent of total billed charges,97.15,percent of total billed charges,97.15,percent of total billed charges,105.02,percent of total billed charges,105.02,percent of total billed charges,,,94.52,percent of total billed charges ,,,105.02,percent of total billed charges ,110.28,percent of total billed charges ,110.28,percent of total billed charges ,102.4,percent of total billed charges ,102.4,percent of total billed charges ,105.02,percent of total billed charges ,105.02,percent of total billed charges ,91.9,percent of total billed charges ,91.9,percent of total billed charges ,78.77,percent of total billed charges ,78.77,percent of total billed charges ,78.77,percent of total billed charges ,78.77,percent of total billed charges ,,,,,69.84,percent of total billed charges ,,,,,66.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,,,36.76,percent of total billed charges,
dexAMETHasone (DECADRON) 0.5MG TAB,J8540,CDM,,,,both,1,each,0.66,0.66,0.18,0.66,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,,,0.48,percent of total billed charges ,,,0.53,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
dexAMETHasone (DECADRON) 4MG/ML INJ,J1100,CDM,,,,both,1,each,8.36,8.36,2.34,8.36,8.36,percent of total billed charges,8.36,percent of total billed charges,8.36,percent of total billed charges,8.36,percent of total billed charges,8.36,percent of total billed charges,8.36,percent of total billed charges,8.36,percent of total billed charges,8.36,percent of total billed charges,6.02,percent of total billed charges,6.02,percent of total billed charges,6.02,percent of total billed charges,6.02,percent of total billed charges,6.02,percent of total billed charges,6.02,percent of total billed charges,6.19,percent of total billed charges,6.19,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,,,6.02,percent of total billed charges ,,,6.69,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,6.52,percent of total billed charges ,6.52,percent of total billed charges ,6.69,percent of total billed charges ,6.69,percent of total billed charges ,5.85,percent of total billed charges ,5.85,percent of total billed charges ,5.02,percent of total billed charges ,5.02,percent of total billed charges ,5.02,percent of total billed charges ,5.02,percent of total billed charges ,,,,,4.45,percent of total billed charges ,,,,,4.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,,,2.34,percent of total billed charges,
dexAMETHasone (DECADRON)TAB 4MG,J8540,CDM,,,,both,,,3.42,3.42,0.96,3.42,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,,,2.46,percent of total billed charges ,,,2.74,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.67,percent of total billed charges ,2.67,percent of total billed charges ,2.74,percent of total billed charges ,2.74,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,,,,,1.82,percent of total billed charges ,,,,,1.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,
dexAMETHasone 0.1% (MAXIDEX) OP SOLN:5ML,LOCAL,LOCAL,,,,both,1,each,182.53,182.53,51.11,182.53,182.53,percent of total billed charges,182.53,percent of total billed charges,182.53,percent of total billed charges,182.53,percent of total billed charges,182.53,percent of total billed charges,182.53,percent of total billed charges,182.53,percent of total billed charges,182.53,percent of total billed charges,131.42,percent of total billed charges,131.42,percent of total billed charges,131.42,percent of total billed charges,131.42,percent of total billed charges,131.42,percent of total billed charges,131.42,percent of total billed charges,135.07,percent of total billed charges,135.07,percent of total billed charges,146.02,percent of total billed charges,146.02,percent of total billed charges,,,131.42,percent of total billed charges ,,,146.02,percent of total billed charges ,153.33,percent of total billed charges ,153.33,percent of total billed charges ,142.37,percent of total billed charges ,142.37,percent of total billed charges ,146.02,percent of total billed charges ,146.02,percent of total billed charges ,127.77,percent of total billed charges ,127.77,percent of total billed charges ,109.52,percent of total billed charges ,109.52,percent of total billed charges ,109.52,percent of total billed charges ,109.52,percent of total billed charges ,,,,,97.11,percent of total billed charges ,,,,,92.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,,,51.11,percent of total billed charges,
DEX 25% INJ (DEXTROSE ABBOJECT): 10 ML,LOCAL,LOCAL,,,,both,1,each,57,57,15.96,57,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,42.18,percent of total billed charges,42.18,percent of total billed charges,45.6,percent of total billed charges,45.6,percent of total billed charges,,,41.04,percent of total billed charges ,,,45.6,percent of total billed charges ,47.88,percent of total billed charges ,47.88,percent of total billed charges ,44.46,percent of total billed charges ,44.46,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,39.9,percent of total billed charges ,39.9,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,28.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,
diazePAM (VALIUM) 2 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
diazePAM (VALIUM) 5MG TAB,LOCAL,LOCAL,,,,both,1,each,0.8,0.8,0.22,0.8,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,,,0.58,percent of total billed charges ,,,0.64,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,0.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
**GLIMEPIRIDE (AMARYL) 1MG TAB,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
DICLOFENAC SODIUM DR 50MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**HYDROACTIVE DRESSING(DUODERM THIN SPO,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
DICLOXACILLIN (DYNAPEN) 250MG: CAP,LOCAL,LOCAL,,,,both,,,1.67,1.67,0.47,1.67,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,,,1.2,percent of total billed charges ,,,1.34,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,
DICYCLOMINE (BENTYL)10MG CAP,LOCAL,LOCAL,,,,both,,,1.65,1.65,0.46,1.65,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,,,1.19,percent of total billed charges ,,,1.32,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,,,,,0.88,percent of total billed charges ,,,,,0.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
**BRETYLIUM (BRETYLOL) 50MG/ML: INJ,LOCAL,LOCAL,,,,both,1,each,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
ERYTHROMYCIN OPHTH OINT: 3.5GM TUBE,LOCAL,LOCAL,,,,both,1,each,81.13,81.13,22.72,81.13,81.13,percent of total billed charges,81.13,percent of total billed charges,81.13,percent of total billed charges,81.13,percent of total billed charges,81.13,percent of total billed charges,81.13,percent of total billed charges,81.13,percent of total billed charges,81.13,percent of total billed charges,58.41,percent of total billed charges,58.41,percent of total billed charges,58.41,percent of total billed charges,58.41,percent of total billed charges,58.41,percent of total billed charges,58.41,percent of total billed charges,60.04,percent of total billed charges,60.04,percent of total billed charges,64.9,percent of total billed charges,64.9,percent of total billed charges,,,58.41,percent of total billed charges ,,,64.9,percent of total billed charges ,68.15,percent of total billed charges ,68.15,percent of total billed charges ,63.28,percent of total billed charges ,63.28,percent of total billed charges ,64.9,percent of total billed charges ,64.9,percent of total billed charges ,56.79,percent of total billed charges ,56.79,percent of total billed charges ,48.68,percent of total billed charges ,48.68,percent of total billed charges ,48.68,percent of total billed charges ,48.68,percent of total billed charges ,,,,,43.16,percent of total billed charges ,,,,,41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,,,22.72,percent of total billed charges,
**ERYTHROMYCIN SULFISOXAZOLE SUP: 100 ML,LOCAL,LOCAL,,,,both,1,each,"1,344.00","1,344.00",376.32,"1,344.00","1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,"1,344.00",percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,967.68,percent of total billed charges,994.56,percent of total billed charges,994.56,percent of total billed charges,"1,075.20",percent of total billed charges,"1,075.20",percent of total billed charges,,,967.68,percent of total billed charges ,,,"1,075.20",percent of total billed charges ,"1,128.96",percent of total billed charges ,"1,128.96",percent of total billed charges ,"1,048.32",percent of total billed charges ,"1,048.32",percent of total billed charges ,"1,075.20",percent of total billed charges ,"1,075.20",percent of total billed charges ,940.8,percent of total billed charges ,940.8,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,,,,,715.01,percent of total billed charges ,,,,,679.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,,,376.32,percent of total billed charges,
ESTRADIOL (DEPO-ESTRADIOL) 5MG/ML: 5ML,J1000,CDM,,,,both,,,707.15,707.15,198,707.15,707.15,percent of total billed charges,707.15,percent of total billed charges,707.15,percent of total billed charges,707.15,percent of total billed charges,707.15,percent of total billed charges,707.15,percent of total billed charges,707.15,percent of total billed charges,707.15,percent of total billed charges,509.15,percent of total billed charges,509.15,percent of total billed charges,509.15,percent of total billed charges,509.15,percent of total billed charges,509.15,percent of total billed charges,509.15,percent of total billed charges,523.29,percent of total billed charges,523.29,percent of total billed charges,565.72,percent of total billed charges,565.72,percent of total billed charges,,,509.15,percent of total billed charges ,,,565.72,percent of total billed charges ,594.01,percent of total billed charges ,594.01,percent of total billed charges ,551.58,percent of total billed charges ,551.58,percent of total billed charges ,565.72,percent of total billed charges ,565.72,percent of total billed charges ,495.01,percent of total billed charges ,495.01,percent of total billed charges ,424.29,percent of total billed charges ,424.29,percent of total billed charges ,424.29,percent of total billed charges ,424.29,percent of total billed charges ,,,,,376.2,percent of total billed charges ,,,,,357.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,,,198,percent of total billed charges,
lamoTRIgine (LaMICtal) 100MG TAB,LOCAL,LOCAL,,,,both,,,0.57,0.57,0.16,0.57,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,,,0.41,percent of total billed charges ,,,0.46,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,
**CETIRIZINE (ZYRTEC) 5MG TAB,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**ETIDRONATE (DIDRONEL) 200 MG: TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**BLACK WIDOW ANT IV,LOCAL,LOCAL,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
FAMOTIDINE (PEPCID) 20MG: TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**CLINDAMYCIN (CLEOCIN) SOLN 75 MG/5ML,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**ETHINYLESTRADIOL/NORGEST (OVRAL) TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
FERROUS SULFATE (FEOSOL) 325 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
FLAVOXATE (URISPAS) 100 MG  TAB,LOCAL,LOCAL,,,,both,,,3.42,3.42,0.96,3.42,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,,,2.46,percent of total billed charges ,,,2.74,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.67,percent of total billed charges ,2.67,percent of total billed charges ,2.74,percent of total billed charges ,2.74,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,,,,,1.82,percent of total billed charges ,,,,,1.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,,,0.96,percent of total billed charges,
FLECAINIDE ACETATE (TAMBOCOR) 100MG TAB,LOCAL,LOCAL,,,,both,,,3.29,3.29,0.92,3.29,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,,,2.37,percent of total billed charges ,,,2.63,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.57,percent of total billed charges ,2.57,percent of total billed charges ,2.63,percent of total billed charges ,2.63,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,,,,,1.75,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,
FLUCONAZOLE (DIFLUCAN) 200MG TAB,LOCAL,LOCAL,,,,both,,,6.65,6.65,1.86,6.65,6.65,percent of total billed charges,6.65,percent of total billed charges,6.65,percent of total billed charges,6.65,percent of total billed charges,6.65,percent of total billed charges,6.65,percent of total billed charges,6.65,percent of total billed charges,6.65,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.92,percent of total billed charges,4.92,percent of total billed charges,5.32,percent of total billed charges,5.32,percent of total billed charges,,,4.79,percent of total billed charges ,,,5.32,percent of total billed charges ,5.59,percent of total billed charges ,5.59,percent of total billed charges ,5.19,percent of total billed charges ,5.19,percent of total billed charges ,5.32,percent of total billed charges ,5.32,percent of total billed charges ,4.66,percent of total billed charges ,4.66,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,3.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,,,1.86,percent of total billed charges,
Metoprolol SUCC (TOPROL XL)  50MG,LOCAL,LOCAL,,,,both,1,each,1.82,1.82,0.51,1.82,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,,,1.31,percent of total billed charges ,,,1.46,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.42,percent of total billed charges ,1.42,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,,,,,0.97,percent of total billed charges ,,,,,0.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,
FLUDROCORTISONE (FLORINEF) 0.1 MG TAB,LOCAL,LOCAL,,,,both,1,each,3.12,3.12,0.87,3.12,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,,,2.25,percent of total billed charges ,,,2.5,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,1.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,
SENNA TAB (SENOKOT) 8.6MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**FLUNISOLIDE (AEROBID) INH 7GM,LOCAL,LOCAL,,,,both,1,each,170,170,47.6,170,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,170,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,,,122.4,percent of total billed charges ,,,136,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,136,percent of total billed charges ,136,percent of total billed charges ,119,percent of total billed charges ,119,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,,,,,90.44,percent of total billed charges ,,,,,85.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,
FLUOCINONIDE (LIDEX) CRM 0.05% 15GM,LOCAL,LOCAL,,,,both,1,each,87.63,87.63,24.54,87.63,87.63,percent of total billed charges,87.63,percent of total billed charges,87.63,percent of total billed charges,87.63,percent of total billed charges,87.63,percent of total billed charges,87.63,percent of total billed charges,87.63,percent of total billed charges,87.63,percent of total billed charges,63.09,percent of total billed charges,63.09,percent of total billed charges,63.09,percent of total billed charges,63.09,percent of total billed charges,63.09,percent of total billed charges,63.09,percent of total billed charges,64.85,percent of total billed charges,64.85,percent of total billed charges,70.1,percent of total billed charges,70.1,percent of total billed charges,,,63.09,percent of total billed charges ,,,70.1,percent of total billed charges ,73.61,percent of total billed charges ,73.61,percent of total billed charges ,68.35,percent of total billed charges ,68.35,percent of total billed charges ,70.1,percent of total billed charges ,70.1,percent of total billed charges ,61.34,percent of total billed charges ,61.34,percent of total billed charges ,52.58,percent of total billed charges ,52.58,percent of total billed charges ,52.58,percent of total billed charges ,52.58,percent of total billed charges ,,,,,46.62,percent of total billed charges ,,,,,44.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,
FLUOROMETHOLONE (FML) OPTH SOL 0.1%:10ML,LOCAL,LOCAL,,,,both,1,each,408.58,408.58,114.4,408.58,408.58,percent of total billed charges,408.58,percent of total billed charges,408.58,percent of total billed charges,408.58,percent of total billed charges,408.58,percent of total billed charges,408.58,percent of total billed charges,408.58,percent of total billed charges,408.58,percent of total billed charges,294.18,percent of total billed charges,294.18,percent of total billed charges,294.18,percent of total billed charges,294.18,percent of total billed charges,294.18,percent of total billed charges,294.18,percent of total billed charges,302.35,percent of total billed charges,302.35,percent of total billed charges,326.86,percent of total billed charges,326.86,percent of total billed charges,,,294.18,percent of total billed charges ,,,326.86,percent of total billed charges ,343.21,percent of total billed charges ,343.21,percent of total billed charges ,318.69,percent of total billed charges ,318.69,percent of total billed charges ,326.86,percent of total billed charges ,326.86,percent of total billed charges ,286.01,percent of total billed charges ,286.01,percent of total billed charges ,245.15,percent of total billed charges ,245.15,percent of total billed charges ,245.15,percent of total billed charges ,245.15,percent of total billed charges ,,,,,217.36,percent of total billed charges ,,,,,206.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,,,114.4,percent of total billed charges,
**FLUOROURACIL (5FLU) 50MG/ML: 10 ML VIA,LOCAL,LOCAL,,,,both,1,each,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
CAPSAICIN CR (ZOSTRIX) 0.025% 60 GM,LOCAL,LOCAL,,,,both,1,each,40.89,40.89,11.45,40.89,40.89,percent of total billed charges,40.89,percent of total billed charges,40.89,percent of total billed charges,40.89,percent of total billed charges,40.89,percent of total billed charges,40.89,percent of total billed charges,40.89,percent of total billed charges,40.89,percent of total billed charges,29.44,percent of total billed charges,29.44,percent of total billed charges,29.44,percent of total billed charges,29.44,percent of total billed charges,29.44,percent of total billed charges,29.44,percent of total billed charges,30.26,percent of total billed charges,30.26,percent of total billed charges,32.71,percent of total billed charges,32.71,percent of total billed charges,,,29.44,percent of total billed charges ,,,32.71,percent of total billed charges ,34.35,percent of total billed charges ,34.35,percent of total billed charges ,31.89,percent of total billed charges ,31.89,percent of total billed charges ,32.71,percent of total billed charges ,32.71,percent of total billed charges ,28.62,percent of total billed charges ,28.62,percent of total billed charges ,24.53,percent of total billed charges ,24.53,percent of total billed charges ,24.53,percent of total billed charges ,24.53,percent of total billed charges ,,,,,21.75,percent of total billed charges ,,,,,20.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,,,11.45,percent of total billed charges,
fluPHENAZine (PROLIXIN) 1MG TAB,LOCAL,LOCAL,,,,both,1,each,1.62,1.62,0.45,1.62,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
**FLURAZEPAM (DALMANE) 15 MG: CAP,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**FLURAZEPAM (DALMANE) 30 MG CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
FOLIC ACID 1 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
FOLIC AC (FOLVITE) INJ: 50MG/10ML,LOCAL,LOCAL,,,,both,1,each,293.34,293.34,82.14,293.34,293.34,percent of total billed charges,293.34,percent of total billed charges,293.34,percent of total billed charges,293.34,percent of total billed charges,293.34,percent of total billed charges,293.34,percent of total billed charges,293.34,percent of total billed charges,293.34,percent of total billed charges,211.2,percent of total billed charges,211.2,percent of total billed charges,211.2,percent of total billed charges,211.2,percent of total billed charges,211.2,percent of total billed charges,211.2,percent of total billed charges,217.07,percent of total billed charges,217.07,percent of total billed charges,234.67,percent of total billed charges,234.67,percent of total billed charges,,,211.2,percent of total billed charges ,,,234.67,percent of total billed charges ,246.41,percent of total billed charges ,246.41,percent of total billed charges ,228.81,percent of total billed charges ,228.81,percent of total billed charges ,234.67,percent of total billed charges ,234.67,percent of total billed charges ,205.34,percent of total billed charges ,205.34,percent of total billed charges ,176,percent of total billed charges ,176,percent of total billed charges ,176,percent of total billed charges ,176,percent of total billed charges ,,,,,156.06,percent of total billed charges ,,,,,148.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,,,82.14,percent of total billed charges,
FUROSEMIDE (LASIX) INJ 100MG/10mL: VIAL,J1940,CDM,,,,both,1,each,17.36,17.36,4.86,17.36,17.36,percent of total billed charges,17.36,percent of total billed charges,17.36,percent of total billed charges,17.36,percent of total billed charges,17.36,percent of total billed charges,17.36,percent of total billed charges,17.36,percent of total billed charges,17.36,percent of total billed charges,12.5,percent of total billed charges,12.5,percent of total billed charges,12.5,percent of total billed charges,12.5,percent of total billed charges,12.5,percent of total billed charges,12.5,percent of total billed charges,12.85,percent of total billed charges,12.85,percent of total billed charges,13.89,percent of total billed charges,13.89,percent of total billed charges,,,12.5,percent of total billed charges ,,,13.89,percent of total billed charges ,14.58,percent of total billed charges ,14.58,percent of total billed charges ,13.54,percent of total billed charges ,13.54,percent of total billed charges ,13.89,percent of total billed charges ,13.89,percent of total billed charges ,12.15,percent of total billed charges ,12.15,percent of total billed charges ,10.42,percent of total billed charges ,10.42,percent of total billed charges ,10.42,percent of total billed charges ,10.42,percent of total billed charges ,,,,,9.24,percent of total billed charges ,,,,,8.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,,,4.86,percent of total billed charges,
FUROSEMIDE (LASIX) 20MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
FUROSEMIDE (LASIX) INJ 40MG: VIAL,J1940,CDM,,,,both,1,each,12.25,12.25,3.43,12.25,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,12.25,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.8,percent of total billed charges,9.8,percent of total billed charges,,,8.82,percent of total billed charges ,,,9.8,percent of total billed charges ,10.29,percent of total billed charges ,10.29,percent of total billed charges ,9.56,percent of total billed charges ,9.56,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,7.35,percent of total billed charges ,7.35,percent of total billed charges ,7.35,percent of total billed charges ,7.35,percent of total billed charges ,,,,,6.52,percent of total billed charges ,,,,,6.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,,,3.43,percent of total billed charges,
FUROSEMIDE (LASIX) 40 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**FUROSEMIDE (LASIX)ORAL SOLN 10MG/ML:60,LOCAL,LOCAL,,,,both,1,each,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
FUROSEMIDE (LASIX) 80MG TAB,LOCAL,LOCAL,,,,both,1,each,0.56,0.56,0.16,0.56,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,,,0.4,percent of total billed charges ,,,0.45,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,
GEMFIBROZIL (LOPID) 600MG TAB,LOCAL,LOCAL,,,,both,1,each,1.06,1.06,0.3,1.06,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,,,0.76,percent of total billed charges ,,,0.85,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
GENTAMICIN: INJ 20MG VIAL,J1580,CDM,,,,both,1,each,21.39,21.39,5.99,21.39,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,21.39,percent of total billed charges,15.4,percent of total billed charges,15.4,percent of total billed charges,15.4,percent of total billed charges,15.4,percent of total billed charges,15.4,percent of total billed charges,15.4,percent of total billed charges,15.83,percent of total billed charges,15.83,percent of total billed charges,17.11,percent of total billed charges,17.11,percent of total billed charges,,,15.4,percent of total billed charges ,,,17.11,percent of total billed charges ,17.97,percent of total billed charges ,17.97,percent of total billed charges ,16.68,percent of total billed charges ,16.68,percent of total billed charges ,17.11,percent of total billed charges ,17.11,percent of total billed charges ,14.97,percent of total billed charges ,14.97,percent of total billed charges ,12.83,percent of total billed charges ,12.83,percent of total billed charges ,12.83,percent of total billed charges ,12.83,percent of total billed charges ,,,,,11.38,percent of total billed charges ,,,,,10.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,,,5.99,percent of total billed charges,
INSULIN HUMAN REGULAR 100 IU/ML: DOSE,J1815,CDM,,,,both,1,each,12.6,12.6,3.53,12.6,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.32,percent of total billed charges,9.32,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,,,9.07,percent of total billed charges ,,,10.08,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,9.83,percent of total billed charges ,9.83,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,8.82,percent of total billed charges ,8.82,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,,,,,6.7,percent of total billed charges ,,,,,6.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,
DIGOXIN (LANOXIN) ELIX 0.05MG/ML:UD/DOSE,LOCAL,LOCAL,,,,both,1,each,7.11,7.11,1.99,7.11,7.11,percent of total billed charges,7.11,percent of total billed charges,7.11,percent of total billed charges,7.11,percent of total billed charges,7.11,percent of total billed charges,7.11,percent of total billed charges,7.11,percent of total billed charges,7.11,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.26,percent of total billed charges,5.26,percent of total billed charges,5.69,percent of total billed charges,5.69,percent of total billed charges,,,5.12,percent of total billed charges ,,,5.69,percent of total billed charges ,5.97,percent of total billed charges ,5.97,percent of total billed charges ,5.55,percent of total billed charges ,5.55,percent of total billed charges ,5.69,percent of total billed charges ,5.69,percent of total billed charges ,4.98,percent of total billed charges ,4.98,percent of total billed charges ,4.27,percent of total billed charges ,4.27,percent of total billed charges ,4.27,percent of total billed charges ,4.27,percent of total billed charges ,,,,,3.78,percent of total billed charges ,,,,,3.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,,,1.99,percent of total billed charges,
DIGOXIN (LANOXIN) INJ: 0.5MG/2ML,J1160,CDM,,,,both,1,each,53.42,53.42,14.96,53.42,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,53.42,percent of total billed charges,38.46,percent of total billed charges,38.46,percent of total billed charges,38.46,percent of total billed charges,38.46,percent of total billed charges,38.46,percent of total billed charges,38.46,percent of total billed charges,39.53,percent of total billed charges,39.53,percent of total billed charges,42.74,percent of total billed charges,42.74,percent of total billed charges,,,38.46,percent of total billed charges ,,,42.74,percent of total billed charges ,44.87,percent of total billed charges ,44.87,percent of total billed charges ,41.67,percent of total billed charges ,41.67,percent of total billed charges ,42.74,percent of total billed charges ,42.74,percent of total billed charges ,37.39,percent of total billed charges ,37.39,percent of total billed charges ,32.05,percent of total billed charges ,32.05,percent of total billed charges ,32.05,percent of total billed charges ,32.05,percent of total billed charges ,,,,,28.42,percent of total billed charges ,,,,,27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,,,14.96,percent of total billed charges,
"DIGOXIN (LANOXIN, DIGITEK) 0.125 MGTAB",LOCAL,LOCAL,,,,both,1,each,4.16,4.16,1.16,4.16,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3.08,percent of total billed charges,3.08,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,,,3,percent of total billed charges ,,,3.33,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,3.33,percent of total billed charges ,3.33,percent of total billed charges ,2.91,percent of total billed charges ,2.91,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,,,,,2.21,percent of total billed charges ,,,,,2.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,
"DIGOXIN (LANOXIN, DIGITEK) 0.25 MG TAB",LOCAL,LOCAL,,,,both,1,each,6.23,6.23,1.74,6.23,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,,,4.49,percent of total billed charges ,,,4.98,percent of total billed charges ,5.23,percent of total billed charges ,5.23,percent of total billed charges ,4.86,percent of total billed charges ,4.86,percent of total billed charges ,4.98,percent of total billed charges ,4.98,percent of total billed charges ,4.36,percent of total billed charges ,4.36,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,,,,,3.31,percent of total billed charges ,,,,,3.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,
DILTIAZEM (CARDIZEM) 30 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**DILTIAZEM (CARDIZEM) 60MG SR CAP,LOCAL,LOCAL,,,,both,1,each,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**DIMENHYDRINATE (DRAMAMINE) 50MG: TAB,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**DOCUSATE CALCIUM (SU240MG,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
diphenhydrAMINE (BENADRYL) 25MG CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**DIPHENHYDRAMINE 50MG CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
diphenhydrAMINE (BENADRYL) 50MG INJ,J1200,CDM,,,,both,1,each,10.04,10.04,2.81,10.04,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,7.23,percent of total billed charges,7.23,percent of total billed charges,7.23,percent of total billed charges,7.23,percent of total billed charges,7.23,percent of total billed charges,7.23,percent of total billed charges,7.43,percent of total billed charges,7.43,percent of total billed charges,8.03,percent of total billed charges,8.03,percent of total billed charges,,,7.23,percent of total billed charges ,,,8.03,percent of total billed charges ,8.43,percent of total billed charges ,8.43,percent of total billed charges ,7.83,percent of total billed charges ,7.83,percent of total billed charges ,8.03,percent of total billed charges ,8.03,percent of total billed charges ,7.03,percent of total billed charges ,7.03,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,,,,,5.34,percent of total billed charges ,,,,,5.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,,,2.81,percent of total billed charges,
diphenhydrAMINE (BENADRYL) 25MG/10ML UD,LOCAL,LOCAL,,,,both,1,each,13.75,13.75,3.85,13.75,13.75,percent of total billed charges,13.75,percent of total billed charges,13.75,percent of total billed charges,13.75,percent of total billed charges,13.75,percent of total billed charges,13.75,percent of total billed charges,13.75,percent of total billed charges,13.75,percent of total billed charges,9.9,percent of total billed charges,9.9,percent of total billed charges,9.9,percent of total billed charges,9.9,percent of total billed charges,9.9,percent of total billed charges,9.9,percent of total billed charges,10.18,percent of total billed charges,10.18,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,,,9.9,percent of total billed charges ,,,11,percent of total billed charges ,11.55,percent of total billed charges ,11.55,percent of total billed charges ,10.73,percent of total billed charges ,10.73,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,9.63,percent of total billed charges ,9.63,percent of total billed charges ,8.25,percent of total billed charges ,8.25,percent of total billed charges ,8.25,percent of total billed charges ,8.25,percent of total billed charges ,,,,,7.32,percent of total billed charges ,,,,,6.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,,,3.85,percent of total billed charges,
DIPHENOXYLATE/ATROPINE (LOMOTIL) 2.5MG,LOCAL,LOCAL,,,,both,1,each,1.35,1.35,0.38,1.35,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,,,0.97,percent of total billed charges ,,,1.08,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
DIPYRIDAMOLE (PERSANTINE) 25MG TAB,LOCAL,LOCAL,,,,both,1,each,1.42,1.42,0.4,1.42,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,,,1.02,percent of total billed charges ,,,1.14,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,,,,,0.76,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,
**DIPYRIDAMOLE (PERSANTINE) 50MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DOBUTAMINE (DOBUTREX) 250MG INJ,LOCAL,LOCAL,,,,both,1,each,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
**PERI-COLACE SYRUP: 4OZ,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**PERICOLACE CAP:EA,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
DOCUSATE (COLACE)  100 MG CAP,LOCAL,LOCAL,,,,both,1,each,0.73,0.73,0.2,0.73,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,,,0.53,percent of total billed charges ,,,0.58,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
OXYTOCIN (PITOCIN) 10 UNIT/ML,J2590,CDM,,,,both,1,each,42.52,42.52,11.91,42.52,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,31.46,percent of total billed charges,31.46,percent of total billed charges,34.02,percent of total billed charges,34.02,percent of total billed charges,,,30.61,percent of total billed charges ,,,34.02,percent of total billed charges ,35.72,percent of total billed charges ,35.72,percent of total billed charges ,33.17,percent of total billed charges ,33.17,percent of total billed charges ,34.02,percent of total billed charges ,34.02,percent of total billed charges ,29.76,percent of total billed charges ,29.76,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,,,,,22.62,percent of total billed charges ,,,,,21.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,
DOMEBORO POWDER PACKET,LOCAL,LOCAL,,,,both,,,2.46,2.46,0.69,2.46,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,,,1.77,percent of total billed charges ,,,1.97,percent of total billed charges ,2.07,percent of total billed charges ,2.07,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,,,,,1.31,percent of total billed charges ,,,,,1.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,
**DOPAMINE INJECT 80 MG/ML 5ML VIAL,J1265,CDM,,,,both,1,each,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
DOXEPIN (SINEQUAN) 25MG CAP,LOCAL,LOCAL,,,,both,1,each,3.09,3.09,0.87,3.09,3.09,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,3.09,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.47,percent of total billed charges,2.47,percent of total billed charges,,,2.22,percent of total billed charges ,,,2.47,percent of total billed charges ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.41,percent of total billed charges ,2.41,percent of total billed charges ,2.47,percent of total billed charges ,2.47,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,,,,,1.64,percent of total billed charges ,,,,,1.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,
DOXEPIN (SINEQUAN) 50MG CAP,LOCAL,LOCAL,,,,both,1,each,3.58,3.58,1,3.58,3.58,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,3.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.65,percent of total billed charges,2.65,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,,,2.58,percent of total billed charges ,,,2.86,percent of total billed charges ,3.01,percent of total billed charges ,3.01,percent of total billed charges ,2.79,percent of total billed charges ,2.79,percent of total billed charges ,2.86,percent of total billed charges ,2.86,percent of total billed charges ,2.51,percent of total billed charges ,2.51,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,,,,,1.9,percent of total billed charges ,,,,,1.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,,,1,percent of total billed charges,
DOXYCYCLINE (VIBRAMYCIN) 100MG CAP,LOCAL,LOCAL,,,,both,1,each,6.04,6.04,1.69,6.04,6.04,percent of total billed charges,6.04,percent of total billed charges,6.04,percent of total billed charges,6.04,percent of total billed charges,6.04,percent of total billed charges,6.04,percent of total billed charges,6.04,percent of total billed charges,6.04,percent of total billed charges,4.35,percent of total billed charges,4.35,percent of total billed charges,4.35,percent of total billed charges,4.35,percent of total billed charges,4.35,percent of total billed charges,4.35,percent of total billed charges,4.47,percent of total billed charges,4.47,percent of total billed charges,4.83,percent of total billed charges,4.83,percent of total billed charges,,,4.35,percent of total billed charges ,,,4.83,percent of total billed charges ,5.07,percent of total billed charges ,5.07,percent of total billed charges ,4.71,percent of total billed charges ,4.71,percent of total billed charges ,4.83,percent of total billed charges ,4.83,percent of total billed charges ,4.23,percent of total billed charges ,4.23,percent of total billed charges ,3.62,percent of total billed charges ,3.62,percent of total billed charges ,3.62,percent of total billed charges ,3.62,percent of total billed charges ,,,,,3.21,percent of total billed charges ,,,,,3.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,
**HYDROCOLLOID(ULTEC) DRESSING: 4X4,LOCAL,LOCAL,,,,both,1,each,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
ENALAPRIL (VASOTEC) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,1.64,1.64,0.46,1.64,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,,,1.18,percent of total billed charges ,,,1.31,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,0.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
ENALAPRIL (VASOTEC) 2.5MG TAB,LOCAL,LOCAL,,,,both,1,each,1.93,1.93,0.54,1.93,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,,,1.39,percent of total billed charges ,,,1.54,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,,,,,1.03,percent of total billed charges ,,,,,0.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,
ENALAPRIL (VASOTEC) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,2.19,2.19,0.61,2.19,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,,,1.58,percent of total billed charges ,,,1.75,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.71,percent of total billed charges ,1.71,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,
"NALOXONE (NARCAN) 1MG/ML, 2ML INJ",J2310,CDM,,,,both,1,each,195.52,195.52,54.75,195.52,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,144.68,percent of total billed charges,144.68,percent of total billed charges,156.42,percent of total billed charges,156.42,percent of total billed charges,,,140.77,percent of total billed charges ,,,156.42,percent of total billed charges ,164.24,percent of total billed charges ,164.24,percent of total billed charges ,152.51,percent of total billed charges ,152.51,percent of total billed charges ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,136.86,percent of total billed charges ,136.86,percent of total billed charges ,117.31,percent of total billed charges ,117.31,percent of total billed charges ,117.31,percent of total billed charges ,117.31,percent of total billed charges ,,,,,104.02,percent of total billed charges ,,,,,98.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,
PIOGLITAZONE (ACTOS) 15 MG TAB,LOCAL,LOCAL,,,,both,1,each,5.53,5.53,1.55,5.53,5.53,percent of total billed charges,5.53,percent of total billed charges,5.53,percent of total billed charges,5.53,percent of total billed charges,5.53,percent of total billed charges,5.53,percent of total billed charges,5.53,percent of total billed charges,5.53,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,4.09,percent of total billed charges,4.09,percent of total billed charges,4.42,percent of total billed charges,4.42,percent of total billed charges,,,3.98,percent of total billed charges ,,,4.42,percent of total billed charges ,4.65,percent of total billed charges ,4.65,percent of total billed charges ,4.31,percent of total billed charges ,4.31,percent of total billed charges ,4.42,percent of total billed charges ,4.42,percent of total billed charges ,3.87,percent of total billed charges ,3.87,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,,,,,2.94,percent of total billed charges ,,,,,2.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,
KETOROLAC 0.4% OPTH SUSP (ACULAR),LOCAL,LOCAL,,,,both,1,each,210.74,210.74,59.01,210.74,210.74,percent of total billed charges,210.74,percent of total billed charges,210.74,percent of total billed charges,210.74,percent of total billed charges,210.74,percent of total billed charges,210.74,percent of total billed charges,210.74,percent of total billed charges,210.74,percent of total billed charges,151.73,percent of total billed charges,151.73,percent of total billed charges,151.73,percent of total billed charges,151.73,percent of total billed charges,151.73,percent of total billed charges,151.73,percent of total billed charges,155.95,percent of total billed charges,155.95,percent of total billed charges,168.59,percent of total billed charges,168.59,percent of total billed charges,,,151.73,percent of total billed charges ,,,168.59,percent of total billed charges ,177.02,percent of total billed charges ,177.02,percent of total billed charges ,164.38,percent of total billed charges ,164.38,percent of total billed charges ,168.59,percent of total billed charges ,168.59,percent of total billed charges ,147.52,percent of total billed charges ,147.52,percent of total billed charges ,126.44,percent of total billed charges ,126.44,percent of total billed charges ,126.44,percent of total billed charges ,126.44,percent of total billed charges ,,,,,112.11,percent of total billed charges ,,,,,106.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,,,59.01,percent of total billed charges,
ERYTHROMYCIN (E-MYCIN) BASE 250MG TAB,LOCAL,LOCAL,,,,both,1,each,14.98,14.98,4.19,14.98,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,10.79,percent of total billed charges,10.79,percent of total billed charges,10.79,percent of total billed charges,10.79,percent of total billed charges,10.79,percent of total billed charges,10.79,percent of total billed charges,11.09,percent of total billed charges,11.09,percent of total billed charges,11.98,percent of total billed charges,11.98,percent of total billed charges,,,10.79,percent of total billed charges ,,,11.98,percent of total billed charges ,12.58,percent of total billed charges ,12.58,percent of total billed charges ,11.68,percent of total billed charges ,11.68,percent of total billed charges ,11.98,percent of total billed charges ,11.98,percent of total billed charges ,10.49,percent of total billed charges ,10.49,percent of total billed charges ,8.99,percent of total billed charges ,8.99,percent of total billed charges ,8.99,percent of total billed charges ,8.99,percent of total billed charges ,,,,,7.97,percent of total billed charges ,,,,,7.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,
CELECOXIB (CeleBREX) CAP 100MG,LOCAL,LOCAL,,,,both,1,each,5.04,5.04,1.41,5.04,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,3.63,percent of total billed charges,3.63,percent of total billed charges,3.63,percent of total billed charges,3.63,percent of total billed charges,3.63,percent of total billed charges,3.63,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,4.03,percent of total billed charges,4.03,percent of total billed charges,,,3.63,percent of total billed charges ,,,4.03,percent of total billed charges ,4.23,percent of total billed charges ,4.23,percent of total billed charges ,3.93,percent of total billed charges ,3.93,percent of total billed charges ,4.03,percent of total billed charges ,4.03,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,,,,,2.68,percent of total billed charges ,,,,,2.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,
**ERYTHROMYCIN EC(ERY-TAB) 500MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ERYTHROMYCIN (EES) 400MG TAB,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
GENTAMICIN (GARAMYCIN) OINT15GM,LOCAL,LOCAL,,,,both,1,each,120.87,120.87,33.84,120.87,120.87,percent of total billed charges,120.87,percent of total billed charges,120.87,percent of total billed charges,120.87,percent of total billed charges,120.87,percent of total billed charges,120.87,percent of total billed charges,120.87,percent of total billed charges,120.87,percent of total billed charges,87.03,percent of total billed charges,87.03,percent of total billed charges,87.03,percent of total billed charges,87.03,percent of total billed charges,87.03,percent of total billed charges,87.03,percent of total billed charges,89.44,percent of total billed charges,89.44,percent of total billed charges,96.7,percent of total billed charges,96.7,percent of total billed charges,,,87.03,percent of total billed charges ,,,96.7,percent of total billed charges ,101.53,percent of total billed charges ,101.53,percent of total billed charges ,94.28,percent of total billed charges ,94.28,percent of total billed charges ,96.7,percent of total billed charges ,96.7,percent of total billed charges ,84.61,percent of total billed charges ,84.61,percent of total billed charges ,72.52,percent of total billed charges ,72.52,percent of total billed charges ,72.52,percent of total billed charges ,72.52,percent of total billed charges ,,,,,64.3,percent of total billed charges ,,,,,61.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,,,33.84,percent of total billed charges,
GENTAMICIN 0.3% OPTH OINTMENT 3.5GM,LOCAL,LOCAL,,,,both,1,each,110.12,110.12,30.83,110.12,110.12,percent of total billed charges,110.12,percent of total billed charges,110.12,percent of total billed charges,110.12,percent of total billed charges,110.12,percent of total billed charges,110.12,percent of total billed charges,110.12,percent of total billed charges,110.12,percent of total billed charges,79.29,percent of total billed charges,79.29,percent of total billed charges,79.29,percent of total billed charges,79.29,percent of total billed charges,79.29,percent of total billed charges,79.29,percent of total billed charges,81.49,percent of total billed charges,81.49,percent of total billed charges,88.1,percent of total billed charges,88.1,percent of total billed charges,,,79.29,percent of total billed charges ,,,88.1,percent of total billed charges ,92.5,percent of total billed charges ,92.5,percent of total billed charges ,85.89,percent of total billed charges ,85.89,percent of total billed charges ,88.1,percent of total billed charges ,88.1,percent of total billed charges ,77.08,percent of total billed charges ,77.08,percent of total billed charges ,66.07,percent of total billed charges ,66.07,percent of total billed charges ,66.07,percent of total billed charges ,66.07,percent of total billed charges ,,,,,58.58,percent of total billed charges ,,,,,55.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,,,30.83,percent of total billed charges,
glipiZIDE (GLUCOTROL) 5MG TAB,LOCAL,LOCAL,,,,both,1,each,1.27,1.27,0.36,1.27,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,,,0.91,percent of total billed charges ,,,1.02,percent of total billed charges ,1.07,percent of total billed charges ,1.07,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
GLUCAGON INJECTION 1 MG (1 UNIT) INJ,J1610,CDM,,,,both,1,each,"1,086.56","1,086.56",304.24,"1,086.56","1,086.56",percent of total billed charges,"1,086.56",percent of total billed charges,"1,086.56",percent of total billed charges,"1,086.56",percent of total billed charges,"1,086.56",percent of total billed charges,"1,086.56",percent of total billed charges,"1,086.56",percent of total billed charges,"1,086.56",percent of total billed charges,782.32,percent of total billed charges,782.32,percent of total billed charges,782.32,percent of total billed charges,782.32,percent of total billed charges,782.32,percent of total billed charges,782.32,percent of total billed charges,804.05,percent of total billed charges,804.05,percent of total billed charges,869.25,percent of total billed charges,869.25,percent of total billed charges,,,782.32,percent of total billed charges ,,,869.25,percent of total billed charges ,912.71,percent of total billed charges ,912.71,percent of total billed charges ,847.52,percent of total billed charges ,847.52,percent of total billed charges ,869.25,percent of total billed charges ,869.25,percent of total billed charges ,760.59,percent of total billed charges ,760.59,percent of total billed charges ,651.94,percent of total billed charges ,651.94,percent of total billed charges ,651.94,percent of total billed charges ,651.94,percent of total billed charges ,,,,,578.05,percent of total billed charges ,,,,,549.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,,,304.24,percent of total billed charges,
**GLYBURIDE (GLYNASE) 3 MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
glyBURIDE (DIABETA) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
GLYCERIN ADULT SUPP,LOCAL,LOCAL,,,,both,1,each,0.68,0.68,0.19,0.68,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.49,percent of total billed charges ,,,0.54,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
GLYCERIN INFANT SUPP,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**LIDOCAINE/PRILOCAINE (EMLA) CREAM: 5GM,LOCAL,LOCAL,,,,both,1,each,72.95,72.95,20.43,72.95,72.95,percent of total billed charges,72.95,percent of total billed charges,72.95,percent of total billed charges,72.95,percent of total billed charges,72.95,percent of total billed charges,72.95,percent of total billed charges,72.95,percent of total billed charges,72.95,percent of total billed charges,52.52,percent of total billed charges,52.52,percent of total billed charges,52.52,percent of total billed charges,52.52,percent of total billed charges,52.52,percent of total billed charges,52.52,percent of total billed charges,53.98,percent of total billed charges,53.98,percent of total billed charges,58.36,percent of total billed charges,58.36,percent of total billed charges,,,52.52,percent of total billed charges ,,,58.36,percent of total billed charges ,61.28,percent of total billed charges ,61.28,percent of total billed charges ,56.9,percent of total billed charges ,56.9,percent of total billed charges ,58.36,percent of total billed charges ,58.36,percent of total billed charges ,51.07,percent of total billed charges ,51.07,percent of total billed charges ,43.77,percent of total billed charges ,43.77,percent of total billed charges ,43.77,percent of total billed charges ,43.77,percent of total billed charges ,,,,,38.81,percent of total billed charges ,,,,,36.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,,,20.43,percent of total billed charges,
GLYCOPYRROLATE (ROBINUL) 0.4MG/2ML,LOCAL,LOCAL,,,,both,1,each,47.39,47.39,13.27,47.39,47.39,percent of total billed charges,47.39,percent of total billed charges,47.39,percent of total billed charges,47.39,percent of total billed charges,47.39,percent of total billed charges,47.39,percent of total billed charges,47.39,percent of total billed charges,47.39,percent of total billed charges,34.12,percent of total billed charges,34.12,percent of total billed charges,34.12,percent of total billed charges,34.12,percent of total billed charges,34.12,percent of total billed charges,34.12,percent of total billed charges,35.07,percent of total billed charges,35.07,percent of total billed charges,37.91,percent of total billed charges,37.91,percent of total billed charges,,,34.12,percent of total billed charges ,,,37.91,percent of total billed charges ,39.81,percent of total billed charges ,39.81,percent of total billed charges ,36.96,percent of total billed charges ,36.96,percent of total billed charges ,37.91,percent of total billed charges ,37.91,percent of total billed charges ,33.17,percent of total billed charges ,33.17,percent of total billed charges ,28.43,percent of total billed charges ,28.43,percent of total billed charges ,28.43,percent of total billed charges ,28.43,percent of total billed charges ,,,,,25.21,percent of total billed charges ,,,,,23.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,,,13.27,percent of total billed charges,
**E-GUAIFENESIN (ROBITUSSIN) SYRUP: 4OZ,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**DILTIAZEM SR (CARDIZEM SR) 60MG CAP,LOCAL,LOCAL,,,,both,1,each,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
TRIMETHOPRIM/SULFAMETHOXAZOLE INJ,LOCAL,LOCAL,,,,both,1,each,113.07,113.07,31.66,113.07,113.07,percent of total billed charges,113.07,percent of total billed charges,113.07,percent of total billed charges,113.07,percent of total billed charges,113.07,percent of total billed charges,113.07,percent of total billed charges,113.07,percent of total billed charges,113.07,percent of total billed charges,81.41,percent of total billed charges,81.41,percent of total billed charges,81.41,percent of total billed charges,81.41,percent of total billed charges,81.41,percent of total billed charges,81.41,percent of total billed charges,83.67,percent of total billed charges,83.67,percent of total billed charges,90.46,percent of total billed charges,90.46,percent of total billed charges,,,81.41,percent of total billed charges ,,,90.46,percent of total billed charges ,94.98,percent of total billed charges ,94.98,percent of total billed charges ,88.19,percent of total billed charges ,88.19,percent of total billed charges ,90.46,percent of total billed charges ,90.46,percent of total billed charges ,79.15,percent of total billed charges ,79.15,percent of total billed charges ,67.84,percent of total billed charges ,67.84,percent of total billed charges ,67.84,percent of total billed charges ,67.84,percent of total billed charges ,,,,,60.15,percent of total billed charges ,,,,,57.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,,,31.66,percent of total billed charges,
**GUAIFENESIN 100MG/5ML UNIT DOSE,LOCAL,LOCAL,,,,both,1,each,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
GUAIFENESIN (ROBITUSSIN) 200MG/10ML,LOCAL,LOCAL,,,,both,1,each,1.89,1.89,0.53,1.89,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,,,1.36,percent of total billed charges ,,,1.51,percent of total billed charges ,1.59,percent of total billed charges ,1.59,percent of total billed charges ,1.47,percent of total billed charges ,1.47,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,
HALOPERIDOL (HALDOL) 1MG TAB,LOCAL,LOCAL,,,,both,1,each,0.89,0.89,0.25,0.89,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,,,0.64,percent of total billed charges ,,,0.71,percent of total billed charges ,0.75,percent of total billed charges ,0.75,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,,,,,0.47,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
**HALOPERIDOL (HALDOL) 0.5MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
HALOPERIDOL (HALDOL) 5MG TAB,LOCAL,LOCAL,,,,both,1,each,2.77,2.77,0.78,2.77,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,2.05,percent of total billed charges,2.05,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,,,1.99,percent of total billed charges ,,,2.22,percent of total billed charges ,2.33,percent of total billed charges ,2.33,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.22,percent of total billed charges ,2.22,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,,,,,1.47,percent of total billed charges ,,,,,1.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,
HALOPERIDOL (HALDOL) INJ 5MG/ML,J1630,CDM,,,,both,1,each,7.93,7.93,2.22,7.93,7.93,percent of total billed charges,7.93,percent of total billed charges,7.93,percent of total billed charges,7.93,percent of total billed charges,7.93,percent of total billed charges,7.93,percent of total billed charges,7.93,percent of total billed charges,7.93,percent of total billed charges,5.71,percent of total billed charges,5.71,percent of total billed charges,5.71,percent of total billed charges,5.71,percent of total billed charges,5.71,percent of total billed charges,5.71,percent of total billed charges,5.87,percent of total billed charges,5.87,percent of total billed charges,6.34,percent of total billed charges,6.34,percent of total billed charges,,,5.71,percent of total billed charges ,,,6.34,percent of total billed charges ,6.66,percent of total billed charges ,6.66,percent of total billed charges ,6.19,percent of total billed charges ,6.19,percent of total billed charges ,6.34,percent of total billed charges ,6.34,percent of total billed charges ,5.55,percent of total billed charges ,5.55,percent of total billed charges ,4.76,percent of total billed charges ,4.76,percent of total billed charges ,4.76,percent of total billed charges ,4.76,percent of total billed charges ,,,,,4.22,percent of total billed charges ,,,,,4.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,,,2.22,percent of total billed charges,
TRIAMTERENE 75MG/HCTZ 50MG (MAXZIDE),LOCAL,LOCAL,,,,both,1,each,2.43,2.43,0.68,2.43,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,,,1.75,percent of total billed charges ,,,1.94,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,,,,,1.29,percent of total billed charges ,,,,,1.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,
**BUPIVACAINE 0.75% DEXT(SPINAL) : 2 ML,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**HEPARIN (HEP LOCK FLUSH) 100UNIT/ML 30,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**DICLOFENAC POT.  (CATAFLAM)  50MG: TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**HEPARIN SODIUM INJ 5000 UNIT/0.5ML SYR,J1644,CDM,,,,both,1,each,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
HEPATITIS B IMMUNE GLOBULIN 5ML,J1571,CDM,,,,both,1,each,"4,953.68","4,953.68","1,387.03","4,953.68","4,953.68",percent of total billed charges,"4,953.68",percent of total billed charges,"4,953.68",percent of total billed charges,"4,953.68",percent of total billed charges,"4,953.68",percent of total billed charges,"4,953.68",percent of total billed charges,"4,953.68",percent of total billed charges,"4,953.68",percent of total billed charges,"3,566.65",percent of total billed charges,"3,566.65",percent of total billed charges,"3,566.65",percent of total billed charges,"3,566.65",percent of total billed charges,"3,566.65",percent of total billed charges,"3,566.65",percent of total billed charges,"3,665.72",percent of total billed charges,"3,665.72",percent of total billed charges,"3,962.94",percent of total billed charges,"3,962.94",percent of total billed charges,,,"3,566.65",percent of total billed charges ,,,"3,962.94",percent of total billed charges ,"4,161.09",percent of total billed charges ,"4,161.09",percent of total billed charges ,"3,863.87",percent of total billed charges ,"3,863.87",percent of total billed charges ,"3,962.94",percent of total billed charges ,"3,962.94",percent of total billed charges ,"3,467.58",percent of total billed charges ,"3,467.58",percent of total billed charges ,"2,972.21",percent of total billed charges ,"2,972.21",percent of total billed charges ,"2,972.21",percent of total billed charges ,"2,972.21",percent of total billed charges ,,,,,"2,635.36",percent of total billed charges ,,,,,"2,503.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,,,"1,387.03",percent of total billed charges,
HEPATITIS B RECOMBINANT 20 MCG (ADULT),90746,CDM,,,,both,1,each,187.55,187.55,52.51,187.55,187.55,percent of total billed charges,187.55,percent of total billed charges,187.55,percent of total billed charges,187.55,percent of total billed charges,187.55,percent of total billed charges,187.55,percent of total billed charges,187.55,percent of total billed charges,187.55,percent of total billed charges,135.04,percent of total billed charges,135.04,percent of total billed charges,135.04,percent of total billed charges,135.04,percent of total billed charges,135.04,percent of total billed charges,135.04,percent of total billed charges,138.79,percent of total billed charges,138.79,percent of total billed charges,150.04,percent of total billed charges,150.04,percent of total billed charges,,,135.04,percent of total billed charges ,,,150.04,percent of total billed charges ,157.54,percent of total billed charges ,157.54,percent of total billed charges ,146.29,percent of total billed charges ,146.29,percent of total billed charges ,150.04,percent of total billed charges ,150.04,percent of total billed charges ,131.29,percent of total billed charges ,131.29,percent of total billed charges ,112.53,percent of total billed charges ,112.53,percent of total billed charges ,112.53,percent of total billed charges ,112.53,percent of total billed charges ,,,,,99.78,percent of total billed charges ,,,,,94.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,,,52.51,percent of total billed charges,
**HEXACHLORPHEN 3% SUSP (PHISOHEX) 150,LOCAL,LOCAL,,,,both,1,each,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
TRIAMTERENE/HCTZ (DYAZIDE) 37.5/25MG,LOCAL,LOCAL,,,,both,1,each,2.89,2.89,0.81,2.89,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,,,2.08,percent of total billed charges ,,,2.31,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.31,percent of total billed charges ,2.31,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,,,,,1.54,percent of total billed charges ,,,,,1.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,,,0.81,percent of total billed charges,
**INSULIN REGULAR 100 UNIT/ML VIAL (TCU),J1815,CDM,,,,both,1,each,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
hydrALAZINE (APRESOLINE) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
hydrALAZINE (APRESOLINE) 25MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
hydrALAZINE (APRESOLINE) 20MG/1mL INJ,J0360,CDM,,,,both,1,each,57.67,57.67,16.15,57.67,57.67,percent of total billed charges,57.67,percent of total billed charges,57.67,percent of total billed charges,57.67,percent of total billed charges,57.67,percent of total billed charges,57.67,percent of total billed charges,57.67,percent of total billed charges,57.67,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,41.52,percent of total billed charges,42.68,percent of total billed charges,42.68,percent of total billed charges,46.14,percent of total billed charges,46.14,percent of total billed charges,,,41.52,percent of total billed charges ,,,46.14,percent of total billed charges ,48.44,percent of total billed charges ,48.44,percent of total billed charges ,44.98,percent of total billed charges ,44.98,percent of total billed charges ,46.14,percent of total billed charges ,46.14,percent of total billed charges ,40.37,percent of total billed charges ,40.37,percent of total billed charges ,34.6,percent of total billed charges ,34.6,percent of total billed charges ,34.6,percent of total billed charges ,34.6,percent of total billed charges ,,,,,30.68,percent of total billed charges ,,,,,29.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,,,16.15,percent of total billed charges,
HYDROXYUREA  (HYDREA) 500MG CAP,LOCAL,LOCAL,,,,both,1,each,3.2,3.2,0.9,3.2,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,,,2.3,percent of total billed charges ,,,2.56,percent of total billed charges ,2.69,percent of total billed charges ,2.69,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,,,,,1.7,percent of total billed charges ,,,,,1.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,
hydroCHLOROthiazide 25MG TAB,LOCAL,LOCAL,,,,both,1,each,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
**HYDROCHLOROTHIAZIDE 50MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**HYDROCORTISONE (HYTONE) LOTION 2.5%,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
HYDROCORTISONE (Solu CORTEF) 250MG INJ,J1720,CDM,,,,both,1,each,400.65,400.65,112.18,400.65,400.65,percent of total billed charges,400.65,percent of total billed charges,400.65,percent of total billed charges,400.65,percent of total billed charges,400.65,percent of total billed charges,400.65,percent of total billed charges,400.65,percent of total billed charges,400.65,percent of total billed charges,288.47,percent of total billed charges,288.47,percent of total billed charges,288.47,percent of total billed charges,288.47,percent of total billed charges,288.47,percent of total billed charges,288.47,percent of total billed charges,296.48,percent of total billed charges,296.48,percent of total billed charges,320.52,percent of total billed charges,320.52,percent of total billed charges,,,288.47,percent of total billed charges ,,,320.52,percent of total billed charges ,336.55,percent of total billed charges ,336.55,percent of total billed charges ,312.51,percent of total billed charges ,312.51,percent of total billed charges ,320.52,percent of total billed charges ,320.52,percent of total billed charges ,280.46,percent of total billed charges ,280.46,percent of total billed charges ,240.39,percent of total billed charges ,240.39,percent of total billed charges ,240.39,percent of total billed charges ,240.39,percent of total billed charges ,,,,,213.15,percent of total billed charges ,,,,,202.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,,,112.18,percent of total billed charges,
**HYDROCORTISONE CREAM 1% 15 GM,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
HYDROGEN PEROXIDE SOLN 3%: 16 OZ,LOCAL,LOCAL,,,,both,,,89.54,89.54,25.07,89.54,89.54,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,89.54,percent of total billed charges,64.47,percent of total billed charges,64.47,percent of total billed charges,64.47,percent of total billed charges,64.47,percent of total billed charges,64.47,percent of total billed charges,64.47,percent of total billed charges,66.26,percent of total billed charges,66.26,percent of total billed charges,71.63,percent of total billed charges,71.63,percent of total billed charges,,,64.47,percent of total billed charges ,,,71.63,percent of total billed charges ,75.21,percent of total billed charges ,75.21,percent of total billed charges ,69.84,percent of total billed charges ,69.84,percent of total billed charges ,71.63,percent of total billed charges ,71.63,percent of total billed charges ,62.68,percent of total billed charges ,62.68,percent of total billed charges ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,53.72,percent of total billed charges ,,,,,47.64,percent of total billed charges ,,,,,45.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,,,25.07,percent of total billed charges,
FLUVASTATIN (LESCOL) 20MG CAP,LOCAL,LOCAL,,,,both,1,each,3.92,3.92,1.1,3.92,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,2.82,percent of total billed charges,2.82,percent of total billed charges,2.82,percent of total billed charges,2.82,percent of total billed charges,2.82,percent of total billed charges,2.82,percent of total billed charges,2.9,percent of total billed charges,2.9,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,,,2.82,percent of total billed charges ,,,3.14,percent of total billed charges ,3.29,percent of total billed charges ,3.29,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,2.74,percent of total billed charges ,2.74,percent of total billed charges ,2.35,percent of total billed charges ,2.35,percent of total billed charges ,2.35,percent of total billed charges ,2.35,percent of total billed charges ,,,,,2.09,percent of total billed charges ,,,,,1.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,,,1.1,percent of total billed charges,
HYDROmorphone (DILAUDID) 2MG/ML SYR,J1170,CDM,,,,both,1,each,43.67,43.67,12.23,43.67,43.67,percent of total billed charges,43.67,percent of total billed charges,43.67,percent of total billed charges,43.67,percent of total billed charges,43.67,percent of total billed charges,43.67,percent of total billed charges,43.67,percent of total billed charges,43.67,percent of total billed charges,31.44,percent of total billed charges,31.44,percent of total billed charges,31.44,percent of total billed charges,31.44,percent of total billed charges,31.44,percent of total billed charges,31.44,percent of total billed charges,32.32,percent of total billed charges,32.32,percent of total billed charges,34.94,percent of total billed charges,34.94,percent of total billed charges,,,31.44,percent of total billed charges ,,,34.94,percent of total billed charges ,36.68,percent of total billed charges ,36.68,percent of total billed charges ,34.06,percent of total billed charges ,34.06,percent of total billed charges ,34.94,percent of total billed charges ,34.94,percent of total billed charges ,30.57,percent of total billed charges ,30.57,percent of total billed charges ,26.2,percent of total billed charges ,26.2,percent of total billed charges ,26.2,percent of total billed charges ,26.2,percent of total billed charges ,,,,,23.23,percent of total billed charges ,,,,,22.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,,,12.23,percent of total billed charges,
acetaZOLAMIDE (DIAMOX) 500 MG: INJ,J1120,CDM,,,,both,1,each,181.61,181.61,50.85,181.61,181.61,percent of total billed charges,181.61,percent of total billed charges,181.61,percent of total billed charges,181.61,percent of total billed charges,181.61,percent of total billed charges,181.61,percent of total billed charges,181.61,percent of total billed charges,181.61,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,134.39,percent of total billed charges,134.39,percent of total billed charges,145.29,percent of total billed charges,145.29,percent of total billed charges,,,130.76,percent of total billed charges ,,,145.29,percent of total billed charges ,152.55,percent of total billed charges ,152.55,percent of total billed charges ,141.66,percent of total billed charges ,141.66,percent of total billed charges ,145.29,percent of total billed charges ,145.29,percent of total billed charges ,127.13,percent of total billed charges ,127.13,percent of total billed charges ,108.97,percent of total billed charges ,108.97,percent of total billed charges ,108.97,percent of total billed charges ,108.97,percent of total billed charges ,,,,,96.62,percent of total billed charges ,,,,,91.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,,,50.85,percent of total billed charges,
**carBAMazepine (TEGRETOL) 100MG/5ML 60,LOCAL,LOCAL,,,,both,1,each,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
HYDROXYCHLOROQUINE (PLAQUENIL) 200MG,LOCAL,LOCAL,,,,both,1,each,4.86,4.86,1.36,4.86,4.86,percent of total billed charges,4.86,percent of total billed charges,4.86,percent of total billed charges,4.86,percent of total billed charges,4.86,percent of total billed charges,4.86,percent of total billed charges,4.86,percent of total billed charges,4.86,percent of total billed charges,3.5,percent of total billed charges,3.5,percent of total billed charges,3.5,percent of total billed charges,3.5,percent of total billed charges,3.5,percent of total billed charges,3.5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.89,percent of total billed charges,3.89,percent of total billed charges,,,3.5,percent of total billed charges ,,,3.89,percent of total billed charges ,4.08,percent of total billed charges ,4.08,percent of total billed charges ,3.79,percent of total billed charges ,3.79,percent of total billed charges ,3.89,percent of total billed charges ,3.89,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,2.92,percent of total billed charges ,,,,,2.59,percent of total billed charges ,,,,,2.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,,,1.36,percent of total billed charges,
ARTIFICIAL TEARS 15ML,LOCAL,LOCAL,,,,both,1,each,45.79,45.79,12.82,45.79,45.79,percent of total billed charges,45.79,percent of total billed charges,45.79,percent of total billed charges,45.79,percent of total billed charges,45.79,percent of total billed charges,45.79,percent of total billed charges,45.79,percent of total billed charges,45.79,percent of total billed charges,32.97,percent of total billed charges,32.97,percent of total billed charges,32.97,percent of total billed charges,32.97,percent of total billed charges,32.97,percent of total billed charges,32.97,percent of total billed charges,33.88,percent of total billed charges,33.88,percent of total billed charges,36.63,percent of total billed charges,36.63,percent of total billed charges,,,32.97,percent of total billed charges ,,,36.63,percent of total billed charges ,38.46,percent of total billed charges ,38.46,percent of total billed charges ,35.72,percent of total billed charges ,35.72,percent of total billed charges ,36.63,percent of total billed charges ,36.63,percent of total billed charges ,32.05,percent of total billed charges ,32.05,percent of total billed charges ,27.47,percent of total billed charges ,27.47,percent of total billed charges ,27.47,percent of total billed charges ,27.47,percent of total billed charges ,,,,,24.36,percent of total billed charges ,,,,,23.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,
hydrOXYzine (ATARAX) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,1.12,1.12,0.31,1.12,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,,,0.81,percent of total billed charges ,,,0.9,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,,,,,0.6,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
hydrOXYzine (ATARAX)  25MG,LOCAL,LOCAL,,,,both,1,each,0.68,0.68,0.19,0.68,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.49,percent of total billed charges ,,,0.54,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
hydrOXYzine (VISTARIL) 25MG/ML INJ,J3410,CDM,,,,both,1,each,214.79,214.79,60.14,214.79,214.79,percent of total billed charges,214.79,percent of total billed charges,214.79,percent of total billed charges,214.79,percent of total billed charges,214.79,percent of total billed charges,214.79,percent of total billed charges,214.79,percent of total billed charges,214.79,percent of total billed charges,154.65,percent of total billed charges,154.65,percent of total billed charges,154.65,percent of total billed charges,154.65,percent of total billed charges,154.65,percent of total billed charges,154.65,percent of total billed charges,158.94,percent of total billed charges,158.94,percent of total billed charges,171.83,percent of total billed charges,171.83,percent of total billed charges,,,154.65,percent of total billed charges ,,,171.83,percent of total billed charges ,180.42,percent of total billed charges ,180.42,percent of total billed charges ,167.54,percent of total billed charges ,167.54,percent of total billed charges ,171.83,percent of total billed charges ,171.83,percent of total billed charges ,150.35,percent of total billed charges ,150.35,percent of total billed charges ,128.87,percent of total billed charges ,128.87,percent of total billed charges ,128.87,percent of total billed charges ,128.87,percent of total billed charges ,,,,,114.27,percent of total billed charges ,,,,,108.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,,,60.14,percent of total billed charges,
hydrOXYzine (VISTARIL) 50MG/ML INJ,J3410,CDM,,,,both,1,each,159.86,159.86,44.76,159.86,159.86,percent of total billed charges,159.86,percent of total billed charges,159.86,percent of total billed charges,159.86,percent of total billed charges,159.86,percent of total billed charges,159.86,percent of total billed charges,159.86,percent of total billed charges,159.86,percent of total billed charges,115.1,percent of total billed charges,115.1,percent of total billed charges,115.1,percent of total billed charges,115.1,percent of total billed charges,115.1,percent of total billed charges,115.1,percent of total billed charges,118.3,percent of total billed charges,118.3,percent of total billed charges,127.89,percent of total billed charges,127.89,percent of total billed charges,,,115.1,percent of total billed charges ,,,127.89,percent of total billed charges ,134.28,percent of total billed charges ,134.28,percent of total billed charges ,124.69,percent of total billed charges ,124.69,percent of total billed charges ,127.89,percent of total billed charges ,127.89,percent of total billed charges ,111.9,percent of total billed charges ,111.9,percent of total billed charges ,95.92,percent of total billed charges ,95.92,percent of total billed charges ,95.92,percent of total billed charges ,95.92,percent of total billed charges ,,,,,85.05,percent of total billed charges ,,,,,80.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,,,44.76,percent of total billed charges,
**HYDROXYZINE PAMOATE(VISTARIL)CAP: 25,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
TERAZOSIN (HYTRIN) 1 MG CAP,LOCAL,LOCAL,,,,both,1,each,2.69,2.69,0.75,2.69,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,,,1.94,percent of total billed charges ,,,2.15,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,,,,,1.43,percent of total billed charges ,,,,,1.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,
IBUPROFEN (MOTRIN) 400MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
IBUPROFEN (MOTRIN) 600MG TAB,LOCAL,LOCAL,,,,both,1,each,0.75,0.75,0.21,0.75,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,,,0.54,percent of total billed charges ,,,0.6,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,,,,,0.4,percent of total billed charges ,,,,,0.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,
IBUPROFEN (MOTRIN) 800MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
IMIPRAMINE (TOFRANIL) 25MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**E-DIPHENHYDRAMINE ELIXIR 12.5MG/5ML: 4,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
INDAPAMIDE (LOZOL) TAB 2.5MG,LOCAL,LOCAL,,,,both,1,each,2.25,2.25,0.63,2.25,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,,,1.62,percent of total billed charges ,,,1.8,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,,,,,1.2,percent of total billed charges ,,,,,1.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,
INDOMETHACIN (INDOCIN) CAP 25MG,LOCAL,LOCAL,,,,both,1,each,0.66,0.66,0.18,0.66,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,,,0.48,percent of total billed charges ,,,0.53,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
**INSULIN LENTE (HumuLIN) 100 UNIT/ML VI,J1815,CDM,,,,both,1,each,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
**INSULIN NPH (HUMULIN) 100 UNIT/ML: VIA,J1815,CDM,,,,both,1,each,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
BUMETANIDE (BUMEX) 1 MG/4 ML INJ,LOCAL,LOCAL,,,,both,1,each,34.7,34.7,9.72,34.7,34.7,percent of total billed charges,34.7,percent of total billed charges,34.7,percent of total billed charges,34.7,percent of total billed charges,34.7,percent of total billed charges,34.7,percent of total billed charges,34.7,percent of total billed charges,34.7,percent of total billed charges,24.98,percent of total billed charges,24.98,percent of total billed charges,24.98,percent of total billed charges,24.98,percent of total billed charges,24.98,percent of total billed charges,24.98,percent of total billed charges,25.68,percent of total billed charges,25.68,percent of total billed charges,27.76,percent of total billed charges,27.76,percent of total billed charges,,,24.98,percent of total billed charges ,,,27.76,percent of total billed charges ,29.15,percent of total billed charges ,29.15,percent of total billed charges ,27.07,percent of total billed charges ,27.07,percent of total billed charges ,27.76,percent of total billed charges ,27.76,percent of total billed charges ,24.29,percent of total billed charges ,24.29,percent of total billed charges ,20.82,percent of total billed charges ,20.82,percent of total billed charges ,20.82,percent of total billed charges ,20.82,percent of total billed charges ,,,,,18.46,percent of total billed charges ,,,,,17.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,,,9.72,percent of total billed charges,
IPRATROPIUM 17MCG (ATROVENT) INHALER,LOCAL,LOCAL,,,,both,,,"1,043.16","1,043.16",292.08,"1,043.16","1,043.16",percent of total billed charges,"1,043.16",percent of total billed charges,"1,043.16",percent of total billed charges,"1,043.16",percent of total billed charges,"1,043.16",percent of total billed charges,"1,043.16",percent of total billed charges,"1,043.16",percent of total billed charges,"1,043.16",percent of total billed charges,751.08,percent of total billed charges,751.08,percent of total billed charges,751.08,percent of total billed charges,751.08,percent of total billed charges,751.08,percent of total billed charges,751.08,percent of total billed charges,771.94,percent of total billed charges,771.94,percent of total billed charges,834.53,percent of total billed charges,834.53,percent of total billed charges,,,751.08,percent of total billed charges ,,,834.53,percent of total billed charges ,876.25,percent of total billed charges ,876.25,percent of total billed charges ,813.66,percent of total billed charges ,813.66,percent of total billed charges ,834.53,percent of total billed charges ,834.53,percent of total billed charges ,730.21,percent of total billed charges ,730.21,percent of total billed charges ,625.9,percent of total billed charges ,625.9,percent of total billed charges ,625.9,percent of total billed charges ,625.9,percent of total billed charges ,,,,,554.96,percent of total billed charges ,,,,,527.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,,,292.08,percent of total billed charges,
"**MIDRIN (ISOMETH/DICHLO,APAP) CAP:",LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ISONIAZID (INH) TAB  300MG,LOCAL,LOCAL,,,,both,1,each,3.73,3.73,1.04,3.73,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.76,percent of total billed charges,2.76,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,,,2.69,percent of total billed charges ,,,2.98,percent of total billed charges ,3.13,percent of total billed charges ,3.13,percent of total billed charges ,2.91,percent of total billed charges ,2.91,percent of total billed charges ,2.98,percent of total billed charges ,2.98,percent of total billed charges ,2.61,percent of total billed charges ,2.61,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,,,,,1.98,percent of total billed charges ,,,,,1.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,,,1.04,percent of total billed charges,
**ISONIAZID (INH) TAB 100MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ISOSORBIDE (SORBITRATE) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ISOSORBIDE (SORBITRATE) 20MG TAB,LOCAL,LOCAL,,,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**ISOSORBIDE DINITRATE(SORBITRATE) 5MG T,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
FUROSEMIDE (LASIX) 20MG INJ,J1940,CDM,,,,both,1,each,11.57,11.57,3.24,11.57,11.57,percent of total billed charges,11.57,percent of total billed charges,11.57,percent of total billed charges,11.57,percent of total billed charges,11.57,percent of total billed charges,11.57,percent of total billed charges,11.57,percent of total billed charges,11.57,percent of total billed charges,8.33,percent of total billed charges,8.33,percent of total billed charges,8.33,percent of total billed charges,8.33,percent of total billed charges,8.33,percent of total billed charges,8.33,percent of total billed charges,8.56,percent of total billed charges,8.56,percent of total billed charges,9.26,percent of total billed charges,9.26,percent of total billed charges,,,8.33,percent of total billed charges ,,,9.26,percent of total billed charges ,9.72,percent of total billed charges ,9.72,percent of total billed charges ,9.02,percent of total billed charges ,9.02,percent of total billed charges ,9.26,percent of total billed charges ,9.26,percent of total billed charges ,8.1,percent of total billed charges ,8.1,percent of total billed charges ,6.94,percent of total billed charges ,6.94,percent of total billed charges ,6.94,percent of total billed charges ,6.94,percent of total billed charges ,,,,,6.16,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,,,3.24,percent of total billed charges,
KETOCONAZOLE (NIZORAL) 2% CREAM 15GM,LOCAL,LOCAL,,,,both,1,each,140.94,140.94,39.46,140.94,140.94,percent of total billed charges,140.94,percent of total billed charges,140.94,percent of total billed charges,140.94,percent of total billed charges,140.94,percent of total billed charges,140.94,percent of total billed charges,140.94,percent of total billed charges,140.94,percent of total billed charges,101.48,percent of total billed charges,101.48,percent of total billed charges,101.48,percent of total billed charges,101.48,percent of total billed charges,101.48,percent of total billed charges,101.48,percent of total billed charges,104.3,percent of total billed charges,104.3,percent of total billed charges,112.75,percent of total billed charges,112.75,percent of total billed charges,,,101.48,percent of total billed charges ,,,112.75,percent of total billed charges ,118.39,percent of total billed charges ,118.39,percent of total billed charges ,109.93,percent of total billed charges ,109.93,percent of total billed charges ,112.75,percent of total billed charges ,112.75,percent of total billed charges ,98.66,percent of total billed charges ,98.66,percent of total billed charges ,84.56,percent of total billed charges ,84.56,percent of total billed charges ,84.56,percent of total billed charges ,84.56,percent of total billed charges ,,,,,74.98,percent of total billed charges ,,,,,71.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,,,39.46,percent of total billed charges,
KETOROLAC (TORADOL) 60 MG INJ,J1885,CDM,,,,both,1,each,14.64,14.64,4.1,14.64,14.64,percent of total billed charges,14.64,percent of total billed charges,14.64,percent of total billed charges,14.64,percent of total billed charges,14.64,percent of total billed charges,14.64,percent of total billed charges,14.64,percent of total billed charges,14.64,percent of total billed charges,10.54,percent of total billed charges,10.54,percent of total billed charges,10.54,percent of total billed charges,10.54,percent of total billed charges,10.54,percent of total billed charges,10.54,percent of total billed charges,10.83,percent of total billed charges,10.83,percent of total billed charges,11.71,percent of total billed charges,11.71,percent of total billed charges,,,10.54,percent of total billed charges ,,,11.71,percent of total billed charges ,12.3,percent of total billed charges ,12.3,percent of total billed charges ,11.42,percent of total billed charges ,11.42,percent of total billed charges ,11.71,percent of total billed charges ,11.71,percent of total billed charges ,10.25,percent of total billed charges ,10.25,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,,,,,7.79,percent of total billed charges ,,,,,7.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,
LABETALOL: 100MG IN 100ML DRIP,LOCAL,LOCAL,,,,both,1,each,99.82,99.82,27.95,99.82,99.82,percent of total billed charges,99.82,percent of total billed charges,99.82,percent of total billed charges,99.82,percent of total billed charges,99.82,percent of total billed charges,99.82,percent of total billed charges,99.82,percent of total billed charges,99.82,percent of total billed charges,71.87,percent of total billed charges,71.87,percent of total billed charges,71.87,percent of total billed charges,71.87,percent of total billed charges,71.87,percent of total billed charges,71.87,percent of total billed charges,73.87,percent of total billed charges,73.87,percent of total billed charges,79.86,percent of total billed charges,79.86,percent of total billed charges,,,71.87,percent of total billed charges ,,,79.86,percent of total billed charges ,83.85,percent of total billed charges ,83.85,percent of total billed charges ,77.86,percent of total billed charges ,77.86,percent of total billed charges ,79.86,percent of total billed charges ,79.86,percent of total billed charges ,69.87,percent of total billed charges ,69.87,percent of total billed charges ,59.89,percent of total billed charges ,59.89,percent of total billed charges ,59.89,percent of total billed charges ,59.89,percent of total billed charges ,,,,,53.1,percent of total billed charges ,,,,,50.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,,,27.95,percent of total billed charges,
**LABETOLOL (NORMODYNE) 200MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LACTULOSE (CHRONULAC) 20G/30ML,LOCAL,LOCAL,,,,both,1,each,1.63,1.63,0.46,1.63,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
TERBINAFINE (LamISIL) 250 MG: TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.05 MG TAB,LOCAL,LOCAL,,,,both,1,each,2.39,2.39,0.67,2.39,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,,,1.72,percent of total billed charges ,,,1.91,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.1 MG TAB,LOCAL,LOCAL,,,,both,1,each,2.28,2.28,0.64,2.28,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,,,1.64,percent of total billed charges ,,,1.82,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.82,percent of total billed charges ,1.82,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,1.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,
LIDOCAINE 1% (XYLOCAINE) INJ 30ML SDV,J2001,CDM,,,,both,1,each,27.59,27.59,7.73,27.59,27.59,percent of total billed charges,27.59,percent of total billed charges,27.59,percent of total billed charges,27.59,percent of total billed charges,27.59,percent of total billed charges,27.59,percent of total billed charges,27.59,percent of total billed charges,27.59,percent of total billed charges,19.86,percent of total billed charges,19.86,percent of total billed charges,19.86,percent of total billed charges,19.86,percent of total billed charges,19.86,percent of total billed charges,19.86,percent of total billed charges,20.42,percent of total billed charges,20.42,percent of total billed charges,22.07,percent of total billed charges,22.07,percent of total billed charges,,,19.86,percent of total billed charges ,,,22.07,percent of total billed charges ,23.18,percent of total billed charges ,23.18,percent of total billed charges ,21.52,percent of total billed charges ,21.52,percent of total billed charges ,22.07,percent of total billed charges ,22.07,percent of total billed charges ,19.31,percent of total billed charges ,19.31,percent of total billed charges ,16.55,percent of total billed charges ,16.55,percent of total billed charges ,16.55,percent of total billed charges ,16.55,percent of total billed charges ,,,,,14.68,percent of total billed charges ,,,,,13.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,,,7.73,percent of total billed charges,
LIDOCAINE 2% (XYLOCAINE) 50ML MDV,J2001,CDM,,,,both,1,each,67.4,67.4,18.87,67.4,67.4,percent of total billed charges,67.4,percent of total billed charges,67.4,percent of total billed charges,67.4,percent of total billed charges,67.4,percent of total billed charges,67.4,percent of total billed charges,67.4,percent of total billed charges,67.4,percent of total billed charges,48.53,percent of total billed charges,48.53,percent of total billed charges,48.53,percent of total billed charges,48.53,percent of total billed charges,48.53,percent of total billed charges,48.53,percent of total billed charges,49.88,percent of total billed charges,49.88,percent of total billed charges,53.92,percent of total billed charges,53.92,percent of total billed charges,,,48.53,percent of total billed charges ,,,53.92,percent of total billed charges ,56.62,percent of total billed charges ,56.62,percent of total billed charges ,52.57,percent of total billed charges ,52.57,percent of total billed charges ,53.92,percent of total billed charges ,53.92,percent of total billed charges ,47.18,percent of total billed charges ,47.18,percent of total billed charges ,40.44,percent of total billed charges ,40.44,percent of total billed charges ,40.44,percent of total billed charges ,40.44,percent of total billed charges ,,,,,35.86,percent of total billed charges ,,,,,34.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,,,18.87,percent of total billed charges,
LIDOCAINE JELLY 2% URO-JET 10ML,LOCAL,LOCAL,,,,both,1,each,100.72,100.72,28.2,100.72,100.72,percent of total billed charges,100.72,percent of total billed charges,100.72,percent of total billed charges,100.72,percent of total billed charges,100.72,percent of total billed charges,100.72,percent of total billed charges,100.72,percent of total billed charges,100.72,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,74.53,percent of total billed charges,74.53,percent of total billed charges,80.58,percent of total billed charges,80.58,percent of total billed charges,,,72.52,percent of total billed charges ,,,80.58,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,78.56,percent of total billed charges ,78.56,percent of total billed charges ,80.58,percent of total billed charges ,80.58,percent of total billed charges ,70.5,percent of total billed charges ,70.5,percent of total billed charges ,60.43,percent of total billed charges ,60.43,percent of total billed charges ,60.43,percent of total billed charges ,60.43,percent of total billed charges ,,,,,53.58,percent of total billed charges ,,,,,50.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,,,28.2,percent of total billed charges,
LIDOCAINE 2% (XYLOCAINE JELLY) 30ML,LOCAL,LOCAL,,,,both,1,each,296.69,296.69,83.07,296.69,296.69,percent of total billed charges,296.69,percent of total billed charges,296.69,percent of total billed charges,296.69,percent of total billed charges,296.69,percent of total billed charges,296.69,percent of total billed charges,296.69,percent of total billed charges,296.69,percent of total billed charges,213.62,percent of total billed charges,213.62,percent of total billed charges,213.62,percent of total billed charges,213.62,percent of total billed charges,213.62,percent of total billed charges,213.62,percent of total billed charges,219.55,percent of total billed charges,219.55,percent of total billed charges,237.35,percent of total billed charges,237.35,percent of total billed charges,,,213.62,percent of total billed charges ,,,237.35,percent of total billed charges ,249.22,percent of total billed charges ,249.22,percent of total billed charges ,231.42,percent of total billed charges ,231.42,percent of total billed charges ,237.35,percent of total billed charges ,237.35,percent of total billed charges ,207.68,percent of total billed charges ,207.68,percent of total billed charges ,178.01,percent of total billed charges ,178.01,percent of total billed charges ,178.01,percent of total billed charges ,178.01,percent of total billed charges ,,,,,157.84,percent of total billed charges ,,,,,149.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,,,83.07,percent of total billed charges,
LIDOCAINE 100MG/5 ML SYRINGE (CARDIAC),J2001,CDM,,,,both,1,each,59.05,59.05,16.53,59.05,59.05,percent of total billed charges,59.05,percent of total billed charges,59.05,percent of total billed charges,59.05,percent of total billed charges,59.05,percent of total billed charges,59.05,percent of total billed charges,59.05,percent of total billed charges,59.05,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,43.7,percent of total billed charges,43.7,percent of total billed charges,47.24,percent of total billed charges,47.24,percent of total billed charges,,,42.52,percent of total billed charges ,,,47.24,percent of total billed charges ,49.6,percent of total billed charges ,49.6,percent of total billed charges ,46.06,percent of total billed charges ,46.06,percent of total billed charges ,47.24,percent of total billed charges ,47.24,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,35.43,percent of total billed charges ,35.43,percent of total billed charges ,35.43,percent of total billed charges ,35.43,percent of total billed charges ,,,,,31.41,percent of total billed charges ,,,,,29.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,,,16.53,percent of total billed charges,
LIDOCAINE 0.5% (XYLOCAINE) 50ML MDV,J2001,CDM,,,,both,1,each,160.6,160.6,44.97,160.6,160.6,percent of total billed charges,160.6,percent of total billed charges,160.6,percent of total billed charges,160.6,percent of total billed charges,160.6,percent of total billed charges,160.6,percent of total billed charges,160.6,percent of total billed charges,160.6,percent of total billed charges,115.63,percent of total billed charges,115.63,percent of total billed charges,115.63,percent of total billed charges,115.63,percent of total billed charges,115.63,percent of total billed charges,115.63,percent of total billed charges,118.84,percent of total billed charges,118.84,percent of total billed charges,128.48,percent of total billed charges,128.48,percent of total billed charges,,,115.63,percent of total billed charges ,,,128.48,percent of total billed charges ,134.9,percent of total billed charges ,134.9,percent of total billed charges ,125.27,percent of total billed charges ,125.27,percent of total billed charges ,128.48,percent of total billed charges ,128.48,percent of total billed charges ,112.42,percent of total billed charges ,112.42,percent of total billed charges ,96.36,percent of total billed charges ,96.36,percent of total billed charges ,96.36,percent of total billed charges ,96.36,percent of total billed charges ,,,,,85.44,percent of total billed charges ,,,,,81.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,,,44.97,percent of total billed charges,
LIDOCAINE VISCOUS 2% SUSP 15ML,LOCAL,LOCAL,,,,both,1,each,3.69,3.69,1.03,3.69,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,,,2.66,percent of total billed charges ,,,2.95,percent of total billed charges ,3.1,percent of total billed charges ,3.1,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.95,percent of total billed charges ,2.95,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,,,,,1.96,percent of total billed charges ,,,,,1.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,
**LINDANE SHAMPOO (KWELL) 1%: 60 ML,LOCAL,LOCAL,,,,both,1,each,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
**LINDANE LOTION (KWELL): 60 ML,LOCAL,LOCAL,,,,both,1,each,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
**TETANUS-DIPTHERIA (Td) ADULT 0.5ML,90718,CDM,,,,both,1,each,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
LISINOPRIL (ZESTRIL) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**SODIUM HYALURONATE (HEALON) INJ,LOCAL,LOCAL,,,,both,,,764,764,213.92,764,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,764,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,550.08,percent of total billed charges,565.36,percent of total billed charges,565.36,percent of total billed charges,611.2,percent of total billed charges,611.2,percent of total billed charges,,,550.08,percent of total billed charges ,,,611.2,percent of total billed charges ,641.76,percent of total billed charges ,641.76,percent of total billed charges ,595.92,percent of total billed charges ,595.92,percent of total billed charges ,611.2,percent of total billed charges ,611.2,percent of total billed charges ,534.8,percent of total billed charges ,534.8,percent of total billed charges ,458.4,percent of total billed charges ,458.4,percent of total billed charges ,458.4,percent of total billed charges ,458.4,percent of total billed charges ,,,,,406.45,percent of total billed charges ,,,,,386.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,,,213.92,percent of total billed charges,
**TETANUS TOXOID (TT) ADULT 0.5ML,90703,CDM,,,,both,1,each,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
ISOSORBIDE MONONITRATE (IMDUR) 60MG TAB,LOCAL,LOCAL,,,,both,1,each,1.18,1.18,0.33,1.18,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,,,0.85,percent of total billed charges ,,,0.94,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,,,,,0.63,percent of total billed charges ,,,,,0.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,
METOCLOPRAMIDE (REGLAN) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,0.7,0.7,0.2,0.7,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,,,0.5,percent of total billed charges ,,,0.56,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
**DIPHTHERIA AND TETANUS TOXOIDS (DT),90702,CDM,,,,both,1,each,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
ONDANSETRON (ZOFRAN) VIAL 4MG,J2405,CDM,,,,both,1,each,6.81,6.81,1.91,6.81,6.81,percent of total billed charges,6.81,percent of total billed charges,6.81,percent of total billed charges,6.81,percent of total billed charges,6.81,percent of total billed charges,6.81,percent of total billed charges,6.81,percent of total billed charges,6.81,percent of total billed charges,4.9,percent of total billed charges,4.9,percent of total billed charges,4.9,percent of total billed charges,4.9,percent of total billed charges,4.9,percent of total billed charges,4.9,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,,,4.9,percent of total billed charges ,,,5.45,percent of total billed charges ,5.72,percent of total billed charges ,5.72,percent of total billed charges ,5.31,percent of total billed charges ,5.31,percent of total billed charges ,5.45,percent of total billed charges ,5.45,percent of total billed charges ,4.77,percent of total billed charges ,4.77,percent of total billed charges ,4.09,percent of total billed charges ,4.09,percent of total billed charges ,4.09,percent of total billed charges ,4.09,percent of total billed charges ,,,,,3.62,percent of total billed charges ,,,,,3.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,,,1.91,percent of total billed charges,
metOLazone (ZAROXOLYN)  2.5MG TAB,LOCAL,LOCAL,,,,both,1,each,2.42,2.42,0.68,2.42,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.79,percent of total billed charges,1.79,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,,,1.74,percent of total billed charges ,,,1.94,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,,,,,1.29,percent of total billed charges ,,,,,1.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,
METHOCARBAMOL (ROBAXIN) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**MAGNESIUM OXIDE (URO-MAG) 140MG: CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
METHOTREXATE 2.5MG TAB,J8610,CDM,,,,both,1,each,7.46,7.46,2.09,7.46,7.46,percent of total billed charges,7.46,percent of total billed charges,7.46,percent of total billed charges,7.46,percent of total billed charges,7.46,percent of total billed charges,7.46,percent of total billed charges,7.46,percent of total billed charges,7.46,percent of total billed charges,5.37,percent of total billed charges,5.37,percent of total billed charges,5.37,percent of total billed charges,5.37,percent of total billed charges,5.37,percent of total billed charges,5.37,percent of total billed charges,5.52,percent of total billed charges,5.52,percent of total billed charges,5.97,percent of total billed charges,5.97,percent of total billed charges,,,5.37,percent of total billed charges ,,,5.97,percent of total billed charges ,6.27,percent of total billed charges ,6.27,percent of total billed charges ,5.82,percent of total billed charges ,5.82,percent of total billed charges ,5.97,percent of total billed charges ,5.97,percent of total billed charges ,5.22,percent of total billed charges ,5.22,percent of total billed charges ,4.48,percent of total billed charges ,4.48,percent of total billed charges ,4.48,percent of total billed charges ,4.48,percent of total billed charges ,,,,,3.97,percent of total billed charges ,,,,,3.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,,,2.09,percent of total billed charges,
**METHOTREXATE VIAL INJ 25MG/ML 2ML VIAL,LOCAL,LOCAL,,,,both,1,each,25.73,25.73,7.2,25.73,25.73,percent of total billed charges,25.73,percent of total billed charges,25.73,percent of total billed charges,25.73,percent of total billed charges,25.73,percent of total billed charges,25.73,percent of total billed charges,25.73,percent of total billed charges,25.73,percent of total billed charges,18.53,percent of total billed charges,18.53,percent of total billed charges,18.53,percent of total billed charges,18.53,percent of total billed charges,18.53,percent of total billed charges,18.53,percent of total billed charges,19.04,percent of total billed charges,19.04,percent of total billed charges,20.58,percent of total billed charges,20.58,percent of total billed charges,,,18.53,percent of total billed charges ,,,20.58,percent of total billed charges ,21.61,percent of total billed charges ,21.61,percent of total billed charges ,20.07,percent of total billed charges ,20.07,percent of total billed charges ,20.58,percent of total billed charges ,20.58,percent of total billed charges ,18.01,percent of total billed charges ,18.01,percent of total billed charges ,15.44,percent of total billed charges ,15.44,percent of total billed charges ,15.44,percent of total billed charges ,15.44,percent of total billed charges ,,,,,13.69,percent of total billed charges ,,,,,13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,,,7.2,percent of total billed charges,
MICONAZOLE CR 2% (MONISTAT-DERM) CR,LOCAL,LOCAL,,,,both,1,each,40.52,40.52,11.35,40.52,40.52,percent of total billed charges,40.52,percent of total billed charges,40.52,percent of total billed charges,40.52,percent of total billed charges,40.52,percent of total billed charges,40.52,percent of total billed charges,40.52,percent of total billed charges,40.52,percent of total billed charges,29.17,percent of total billed charges,29.17,percent of total billed charges,29.17,percent of total billed charges,29.17,percent of total billed charges,29.17,percent of total billed charges,29.17,percent of total billed charges,29.98,percent of total billed charges,29.98,percent of total billed charges,32.42,percent of total billed charges,32.42,percent of total billed charges,,,29.17,percent of total billed charges ,,,32.42,percent of total billed charges ,34.04,percent of total billed charges ,34.04,percent of total billed charges ,31.61,percent of total billed charges ,31.61,percent of total billed charges ,32.42,percent of total billed charges ,32.42,percent of total billed charges ,28.36,percent of total billed charges ,28.36,percent of total billed charges ,24.31,percent of total billed charges ,24.31,percent of total billed charges ,24.31,percent of total billed charges ,24.31,percent of total billed charges ,,,,,21.56,percent of total billed charges ,,,,,20.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,,,11.35,percent of total billed charges,
MICONAZOLE (MONISTAT-7 SUPP) 100MG 7'S,LOCAL,LOCAL,,,,both,1,each,4.02,4.02,1.13,4.02,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,2.97,percent of total billed charges,2.97,percent of total billed charges,3.22,percent of total billed charges,3.22,percent of total billed charges,,,2.89,percent of total billed charges ,,,3.22,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,3.22,percent of total billed charges ,3.22,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.41,percent of total billed charges ,2.41,percent of total billed charges ,2.41,percent of total billed charges ,2.41,percent of total billed charges ,,,,,2.14,percent of total billed charges ,,,,,2.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,,,1.13,percent of total billed charges,
MIDAZOLAM (VERSED) INJ 5MG/ML 1ML VIAL,J2250,CDM,,,,both,1,each,28.12,28.12,7.87,28.12,28.12,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,20.25,percent of total billed charges,20.25,percent of total billed charges,20.25,percent of total billed charges,20.25,percent of total billed charges,20.25,percent of total billed charges,20.25,percent of total billed charges,20.81,percent of total billed charges,20.81,percent of total billed charges,22.5,percent of total billed charges,22.5,percent of total billed charges,,,20.25,percent of total billed charges ,,,22.5,percent of total billed charges ,23.62,percent of total billed charges ,23.62,percent of total billed charges ,21.93,percent of total billed charges ,21.93,percent of total billed charges ,22.5,percent of total billed charges ,22.5,percent of total billed charges ,19.68,percent of total billed charges ,19.68,percent of total billed charges ,16.87,percent of total billed charges ,16.87,percent of total billed charges ,16.87,percent of total billed charges ,16.87,percent of total billed charges ,,,,,14.96,percent of total billed charges ,,,,,14.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,
**MILK OF MAGNESIA(MOM SUSP):15ML,LOCAL,LOCAL,,,,both,1,each,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
**MILK OF MAG/CASCARA SUSP : 15ML,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.15 MG TAB,LOCAL,LOCAL,,,,both,1,each,2.22,2.22,0.62,2.22,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.78,percent of total billed charges,1.78,percent of total billed charges,,,1.6,percent of total billed charges ,,,1.78,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.73,percent of total billed charges ,1.73,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,,,,,1.18,percent of total billed charges ,,,,,1.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,
**LISPRO (HUMALOG) 100 UNITS/M: VIAL TCU,J1815,CDM,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
MEPERIDINE (DEMEROL) 100MG SYRINGE,J2175,CDM,,,,both,1,each,55.48,55.48,15.53,55.48,55.48,percent of total billed charges,55.48,percent of total billed charges,55.48,percent of total billed charges,55.48,percent of total billed charges,55.48,percent of total billed charges,55.48,percent of total billed charges,55.48,percent of total billed charges,55.48,percent of total billed charges,39.95,percent of total billed charges,39.95,percent of total billed charges,39.95,percent of total billed charges,39.95,percent of total billed charges,39.95,percent of total billed charges,39.95,percent of total billed charges,41.06,percent of total billed charges,41.06,percent of total billed charges,44.38,percent of total billed charges,44.38,percent of total billed charges,,,39.95,percent of total billed charges ,,,44.38,percent of total billed charges ,46.6,percent of total billed charges ,46.6,percent of total billed charges ,43.27,percent of total billed charges ,43.27,percent of total billed charges ,44.38,percent of total billed charges ,44.38,percent of total billed charges ,38.84,percent of total billed charges ,38.84,percent of total billed charges ,33.29,percent of total billed charges ,33.29,percent of total billed charges ,33.29,percent of total billed charges ,33.29,percent of total billed charges ,,,,,29.52,percent of total billed charges ,,,,,28.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,,,15.53,percent of total billed charges,
**MITOMYCIN (MUTAMYCIN) 5MG INJ,LOCAL,LOCAL,,,,both,1,each,268,268,75.04,268,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,198.32,percent of total billed charges,198.32,percent of total billed charges,214.4,percent of total billed charges,214.4,percent of total billed charges,,,192.96,percent of total billed charges ,,,214.4,percent of total billed charges ,225.12,percent of total billed charges ,225.12,percent of total billed charges ,209.04,percent of total billed charges ,209.04,percent of total billed charges ,214.4,percent of total billed charges ,214.4,percent of total billed charges ,187.6,percent of total billed charges ,187.6,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,,,,,142.58,percent of total billed charges ,,,,,135.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,
**RAMIPRIL (ALTACE) 10 MG CAP,LOCAL,LOCAL,,,,both,1,each,1.62,1.62,0.45,1.62,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
MORphine SULFATE 10MG VIAL,J2270,CDM,,,,both,1,each,70.1,70.1,19.63,70.1,70.1,percent of total billed charges,70.1,percent of total billed charges,70.1,percent of total billed charges,70.1,percent of total billed charges,70.1,percent of total billed charges,70.1,percent of total billed charges,70.1,percent of total billed charges,70.1,percent of total billed charges,50.47,percent of total billed charges,50.47,percent of total billed charges,50.47,percent of total billed charges,50.47,percent of total billed charges,50.47,percent of total billed charges,50.47,percent of total billed charges,51.87,percent of total billed charges,51.87,percent of total billed charges,56.08,percent of total billed charges,56.08,percent of total billed charges,,,50.47,percent of total billed charges ,,,56.08,percent of total billed charges ,58.88,percent of total billed charges ,58.88,percent of total billed charges ,54.68,percent of total billed charges ,54.68,percent of total billed charges ,56.08,percent of total billed charges ,56.08,percent of total billed charges ,49.07,percent of total billed charges ,49.07,percent of total billed charges ,42.06,percent of total billed charges ,42.06,percent of total billed charges ,42.06,percent of total billed charges ,42.06,percent of total billed charges ,,,,,37.29,percent of total billed charges ,,,,,35.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,,,19.63,percent of total billed charges,
SIMETHICONE (MYLICON) DROPS  30 ML,LOCAL,LOCAL,,,,both,1,each,45.9,45.9,12.85,45.9,45.9,percent of total billed charges,45.9,percent of total billed charges,45.9,percent of total billed charges,45.9,percent of total billed charges,45.9,percent of total billed charges,45.9,percent of total billed charges,45.9,percent of total billed charges,45.9,percent of total billed charges,33.05,percent of total billed charges,33.05,percent of total billed charges,33.05,percent of total billed charges,33.05,percent of total billed charges,33.05,percent of total billed charges,33.05,percent of total billed charges,33.97,percent of total billed charges,33.97,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,,,33.05,percent of total billed charges ,,,36.72,percent of total billed charges ,38.56,percent of total billed charges ,38.56,percent of total billed charges ,35.8,percent of total billed charges ,35.8,percent of total billed charges ,36.72,percent of total billed charges ,36.72,percent of total billed charges ,32.13,percent of total billed charges ,32.13,percent of total billed charges ,27.54,percent of total billed charges ,27.54,percent of total billed charges ,27.54,percent of total billed charges ,27.54,percent of total billed charges ,,,,,24.42,percent of total billed charges ,,,,,23.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,,,12.85,percent of total billed charges,
**MORPHINE SULFATE INJ 15MG (PARAMEDIC),LOCAL,LOCAL,,,,both,1,each,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
MORphine I/R (ROXANOL) 15MG TAB,LOCAL,LOCAL,,,,both,1,each,9.69,9.69,2.71,9.69,9.69,percent of total billed charges,9.69,percent of total billed charges,9.69,percent of total billed charges,9.69,percent of total billed charges,9.69,percent of total billed charges,9.69,percent of total billed charges,9.69,percent of total billed charges,9.69,percent of total billed charges,6.98,percent of total billed charges,6.98,percent of total billed charges,6.98,percent of total billed charges,6.98,percent of total billed charges,6.98,percent of total billed charges,6.98,percent of total billed charges,7.17,percent of total billed charges,7.17,percent of total billed charges,7.75,percent of total billed charges,7.75,percent of total billed charges,,,6.98,percent of total billed charges ,,,7.75,percent of total billed charges ,8.14,percent of total billed charges ,8.14,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.75,percent of total billed charges ,7.75,percent of total billed charges ,6.78,percent of total billed charges ,6.78,percent of total billed charges ,5.81,percent of total billed charges ,5.81,percent of total billed charges ,5.81,percent of total billed charges ,5.81,percent of total billed charges ,,,,,5.16,percent of total billed charges ,,,,,4.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,,,2.71,percent of total billed charges,
MORphine O/S 20MG/ML (ROXANOL): 30ML,LOCAL,LOCAL,,,,both,1,each,88.02,88.02,24.65,88.02,88.02,percent of total billed charges,88.02,percent of total billed charges,88.02,percent of total billed charges,88.02,percent of total billed charges,88.02,percent of total billed charges,88.02,percent of total billed charges,88.02,percent of total billed charges,88.02,percent of total billed charges,63.37,percent of total billed charges,63.37,percent of total billed charges,63.37,percent of total billed charges,63.37,percent of total billed charges,63.37,percent of total billed charges,63.37,percent of total billed charges,65.13,percent of total billed charges,65.13,percent of total billed charges,70.42,percent of total billed charges,70.42,percent of total billed charges,,,63.37,percent of total billed charges ,,,70.42,percent of total billed charges ,73.94,percent of total billed charges ,73.94,percent of total billed charges ,68.66,percent of total billed charges ,68.66,percent of total billed charges ,70.42,percent of total billed charges ,70.42,percent of total billed charges ,61.61,percent of total billed charges ,61.61,percent of total billed charges ,52.81,percent of total billed charges ,52.81,percent of total billed charges ,52.81,percent of total billed charges ,52.81,percent of total billed charges ,,,,,46.83,percent of total billed charges ,,,,,44.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,,,24.65,percent of total billed charges,
**MORPHINE 50MG/ML INJ MDV: 20 ML  CHG/M,LOCAL,LOCAL,,,,both,1,each,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**MORPHINE SULF PCA 1MG/ML 30 ML:SYRINGE,LOCAL,LOCAL,,,,both,1,each,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
**MORPHINE SR (MS-CONTIN) 30MG TAB,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
MULTIVITAMIN/MINERAL (THERAGRAN M) TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**FLUVASTATIN (LESCOL) 40 MG CAP,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
MUPIROCIN (BACTROBAN) 2% OINTMENT 22GM,LOCAL,LOCAL,,,,both,1,each,45.19,45.19,12.65,45.19,45.19,percent of total billed charges,45.19,percent of total billed charges,45.19,percent of total billed charges,45.19,percent of total billed charges,45.19,percent of total billed charges,45.19,percent of total billed charges,45.19,percent of total billed charges,45.19,percent of total billed charges,32.54,percent of total billed charges,32.54,percent of total billed charges,32.54,percent of total billed charges,32.54,percent of total billed charges,32.54,percent of total billed charges,32.54,percent of total billed charges,33.44,percent of total billed charges,33.44,percent of total billed charges,36.15,percent of total billed charges,36.15,percent of total billed charges,,,32.54,percent of total billed charges ,,,36.15,percent of total billed charges ,37.96,percent of total billed charges ,37.96,percent of total billed charges ,35.25,percent of total billed charges ,35.25,percent of total billed charges ,36.15,percent of total billed charges ,36.15,percent of total billed charges ,31.63,percent of total billed charges ,31.63,percent of total billed charges ,27.11,percent of total billed charges ,27.11,percent of total billed charges ,27.11,percent of total billed charges ,27.11,percent of total billed charges ,,,,,24.04,percent of total billed charges ,,,,,22.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,
MULTIVITAMIN WITH IRON TABLET,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
AMMONIA AROM INHALANT CAP,LOCAL,LOCAL,,,,both,1,each,1.37,1.37,0.38,1.37,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,,,0.99,percent of total billed charges ,,,1.1,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,1.07,percent of total billed charges ,1.07,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,,,,,0.73,percent of total billed charges ,,,,,0.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
NADOLOL (CORGARD) 40MG TAB,LOCAL,LOCAL,,,,both,1,each,8.83,8.83,2.47,8.83,8.83,percent of total billed charges,8.83,percent of total billed charges,8.83,percent of total billed charges,8.83,percent of total billed charges,8.83,percent of total billed charges,8.83,percent of total billed charges,8.83,percent of total billed charges,8.83,percent of total billed charges,6.36,percent of total billed charges,6.36,percent of total billed charges,6.36,percent of total billed charges,6.36,percent of total billed charges,6.36,percent of total billed charges,6.36,percent of total billed charges,6.53,percent of total billed charges,6.53,percent of total billed charges,7.06,percent of total billed charges,7.06,percent of total billed charges,,,6.36,percent of total billed charges ,,,7.06,percent of total billed charges ,7.42,percent of total billed charges ,7.42,percent of total billed charges ,6.89,percent of total billed charges ,6.89,percent of total billed charges ,7.06,percent of total billed charges ,7.06,percent of total billed charges ,6.18,percent of total billed charges ,6.18,percent of total billed charges ,5.3,percent of total billed charges ,5.3,percent of total billed charges ,5.3,percent of total billed charges ,5.3,percent of total billed charges ,,,,,4.7,percent of total billed charges ,,,,,4.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,
LANSOPRAZOLE (PREVACID) 30 MG SOLUTAB,LOCAL,LOCAL,,,,both,1,each,20.91,20.91,5.85,20.91,20.91,percent of total billed charges,20.91,percent of total billed charges,20.91,percent of total billed charges,20.91,percent of total billed charges,20.91,percent of total billed charges,20.91,percent of total billed charges,20.91,percent of total billed charges,20.91,percent of total billed charges,15.06,percent of total billed charges,15.06,percent of total billed charges,15.06,percent of total billed charges,15.06,percent of total billed charges,15.06,percent of total billed charges,15.06,percent of total billed charges,15.47,percent of total billed charges,15.47,percent of total billed charges,16.73,percent of total billed charges,16.73,percent of total billed charges,,,15.06,percent of total billed charges ,,,16.73,percent of total billed charges ,17.56,percent of total billed charges ,17.56,percent of total billed charges ,16.31,percent of total billed charges ,16.31,percent of total billed charges ,16.73,percent of total billed charges ,16.73,percent of total billed charges ,14.64,percent of total billed charges ,14.64,percent of total billed charges ,12.55,percent of total billed charges ,12.55,percent of total billed charges ,12.55,percent of total billed charges ,12.55,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,10.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,,,5.85,percent of total billed charges,
NALOXONE (NARCAN) INJ 0.4MG/ML 1ML AMP,J2310,CDM,,,,both,1,each,92.07,92.07,25.78,92.07,92.07,percent of total billed charges,92.07,percent of total billed charges,92.07,percent of total billed charges,92.07,percent of total billed charges,92.07,percent of total billed charges,92.07,percent of total billed charges,92.07,percent of total billed charges,92.07,percent of total billed charges,66.29,percent of total billed charges,66.29,percent of total billed charges,66.29,percent of total billed charges,66.29,percent of total billed charges,66.29,percent of total billed charges,66.29,percent of total billed charges,68.13,percent of total billed charges,68.13,percent of total billed charges,73.66,percent of total billed charges,73.66,percent of total billed charges,,,66.29,percent of total billed charges ,,,73.66,percent of total billed charges ,77.34,percent of total billed charges ,77.34,percent of total billed charges ,71.81,percent of total billed charges ,71.81,percent of total billed charges ,73.66,percent of total billed charges ,73.66,percent of total billed charges ,64.45,percent of total billed charges ,64.45,percent of total billed charges ,55.24,percent of total billed charges ,55.24,percent of total billed charges ,55.24,percent of total billed charges ,55.24,percent of total billed charges ,,,,,48.98,percent of total billed charges ,,,,,46.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,,,25.78,percent of total billed charges,
**NALOXONE (NARCAN NEO) INJ 0.02MG/ML,J2310,CDM,,,,both,1,each,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
**NAPROXEN (NAPROSYN) 375 MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
NAPROXEN (NAPROSYN) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,0.7,0.7,0.2,0.7,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,,,0.5,percent of total billed charges ,,,0.56,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
NAPROXEN (NAPROSYN) 275MG: TAB,LOCAL,LOCAL,,,,both,1,each,5.92,5.92,1.66,5.92,5.92,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,4.26,percent of total billed charges,4.26,percent of total billed charges,4.26,percent of total billed charges,4.26,percent of total billed charges,4.26,percent of total billed charges,4.26,percent of total billed charges,4.38,percent of total billed charges,4.38,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,,,4.26,percent of total billed charges ,,,4.74,percent of total billed charges ,4.97,percent of total billed charges ,4.97,percent of total billed charges ,4.62,percent of total billed charges ,4.62,percent of total billed charges ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,4.14,percent of total billed charges ,4.14,percent of total billed charges ,3.55,percent of total billed charges ,3.55,percent of total billed charges ,3.55,percent of total billed charges ,3.55,percent of total billed charges ,,,,,3.15,percent of total billed charges ,,,,,2.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,,,1.66,percent of total billed charges,
PHENYLEPHRINE(NEO-SYNEPH)INJ 10MG/ML:1ML,J2371,CDM,,,,both,1,each,53.71,53.71,15.04,53.71,53.71,percent of total billed charges,53.71,percent of total billed charges,53.71,percent of total billed charges,53.71,percent of total billed charges,53.71,percent of total billed charges,53.71,percent of total billed charges,53.71,percent of total billed charges,53.71,percent of total billed charges,38.67,percent of total billed charges,38.67,percent of total billed charges,38.67,percent of total billed charges,38.67,percent of total billed charges,38.67,percent of total billed charges,38.67,percent of total billed charges,39.75,percent of total billed charges,39.75,percent of total billed charges,42.97,percent of total billed charges,42.97,percent of total billed charges,,,38.67,percent of total billed charges ,,,42.97,percent of total billed charges ,45.12,percent of total billed charges ,45.12,percent of total billed charges ,41.89,percent of total billed charges ,41.89,percent of total billed charges ,42.97,percent of total billed charges ,42.97,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.23,percent of total billed charges ,32.23,percent of total billed charges ,32.23,percent of total billed charges ,32.23,percent of total billed charges ,,,,,28.57,percent of total billed charges ,,,,,27.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,,,15.04,percent of total billed charges,
NEOMYCIN/POLYMIXIN/HC OTIC SUSP: 10mL,LOCAL,LOCAL,,,,both,1,each,237.15,237.15,66.4,237.15,237.15,percent of total billed charges,237.15,percent of total billed charges,237.15,percent of total billed charges,237.15,percent of total billed charges,237.15,percent of total billed charges,237.15,percent of total billed charges,237.15,percent of total billed charges,237.15,percent of total billed charges,170.75,percent of total billed charges,170.75,percent of total billed charges,170.75,percent of total billed charges,170.75,percent of total billed charges,170.75,percent of total billed charges,170.75,percent of total billed charges,175.49,percent of total billed charges,175.49,percent of total billed charges,189.72,percent of total billed charges,189.72,percent of total billed charges,,,170.75,percent of total billed charges ,,,189.72,percent of total billed charges ,199.21,percent of total billed charges ,199.21,percent of total billed charges ,184.98,percent of total billed charges ,184.98,percent of total billed charges ,189.72,percent of total billed charges ,189.72,percent of total billed charges ,166.01,percent of total billed charges ,166.01,percent of total billed charges ,142.29,percent of total billed charges ,142.29,percent of total billed charges ,142.29,percent of total billed charges ,142.29,percent of total billed charges ,,,,,126.16,percent of total billed charges ,,,,,119.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,,,66.4,percent of total billed charges,
NEOMYCIN (MYCIFRADIN) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,3.17,3.17,0.89,3.17,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,,,2.28,percent of total billed charges ,,,2.54,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.47,percent of total billed charges ,2.47,percent of total billed charges ,2.54,percent of total billed charges ,2.54,percent of total billed charges ,2.22,percent of total billed charges ,2.22,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,,,,,1.69,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,
**NEOMYCIN TOPICAL(MYCIGUENT OINTMENT):,LOCAL,LOCAL,,,,both,1,each,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
NEUTRA-PHOS K  POWDER PKT:,LOCAL,LOCAL,,,,both,1,each,1.8,1.8,0.5,1.8,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.44,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,
NIACIN (VITAMIN B-3) 100MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**NICOTINE POLACRILEX (NICORETTE GUM):2M,LOCAL,LOCAL,,,,both,1,each,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
NIFEdipine (ADALAT/PROCARDIA) ER 60MG,LOCAL,LOCAL,,,,both,1,each,1.74,1.74,0.49,1.74,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.29,percent of total billed charges,1.29,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,,,1.25,percent of total billed charges ,,,1.39,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,,,,,0.93,percent of total billed charges ,,,,,0.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,
NIFEdipine (ADALAT/PROCARDIA) 10MG CAP,LOCAL,LOCAL,,,,both,1,each,3.15,3.15,0.88,3.15,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.52,percent of total billed charges,2.52,percent of total billed charges,,,2.27,percent of total billed charges ,,,2.52,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,,,,,1.68,percent of total billed charges ,,,,,1.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,
NIFEdipine XL (PROCARDIA XL) 30MG CAP,LOCAL,LOCAL,,,,both,,,3.18,3.18,0.89,3.18,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,,,2.29,percent of total billed charges ,,,2.54,percent of total billed charges ,2.67,percent of total billed charges ,2.67,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,2.54,percent of total billed charges ,2.54,percent of total billed charges ,2.23,percent of total billed charges ,2.23,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,,,,,1.69,percent of total billed charges ,,,,,1.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,,,0.89,percent of total billed charges,
DONEPEZIL (ARICEPT) 5MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NITROFURANTOIN (MACRODANTIN) 50MG CAP,LOCAL,LOCAL,,,,both,1,each,5.03,5.03,1.41,5.03,5.03,percent of total billed charges,5.03,percent of total billed charges,5.03,percent of total billed charges,5.03,percent of total billed charges,5.03,percent of total billed charges,5.03,percent of total billed charges,5.03,percent of total billed charges,5.03,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.72,percent of total billed charges,3.72,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,,,3.62,percent of total billed charges ,,,4.02,percent of total billed charges ,4.23,percent of total billed charges ,4.23,percent of total billed charges ,3.92,percent of total billed charges ,3.92,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,3.52,percent of total billed charges ,3.52,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,,,,,2.68,percent of total billed charges ,,,,,2.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,,,1.41,percent of total billed charges,
NITROGLYCERIN (NITROSTAT) 0.4MG #25 TABS,LOCAL,LOCAL,,,,both,1,each,80.17,80.17,22.45,80.17,80.17,percent of total billed charges,80.17,percent of total billed charges,80.17,percent of total billed charges,80.17,percent of total billed charges,80.17,percent of total billed charges,80.17,percent of total billed charges,80.17,percent of total billed charges,80.17,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,59.33,percent of total billed charges,59.33,percent of total billed charges,64.14,percent of total billed charges,64.14,percent of total billed charges,,,57.72,percent of total billed charges ,,,64.14,percent of total billed charges ,67.34,percent of total billed charges ,67.34,percent of total billed charges ,62.53,percent of total billed charges ,62.53,percent of total billed charges ,64.14,percent of total billed charges ,64.14,percent of total billed charges ,56.12,percent of total billed charges ,56.12,percent of total billed charges ,48.1,percent of total billed charges ,48.1,percent of total billed charges ,48.1,percent of total billed charges ,48.1,percent of total billed charges ,,,,,42.65,percent of total billed charges ,,,,,40.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,,,22.45,percent of total billed charges,
**NITROGLYCERIN (NITROBID) 2.5MG CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH:,LOCAL,LOCAL,,,,both,1,each,2.35,2.35,0.66,2.35,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,,,1.69,percent of total billed charges ,,,1.88,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.65,percent of total billed charges ,1.65,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,,,,,1.25,percent of total billed charges ,,,,,1.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,
NITROGLYCERIN (NITRODUR) 0.1MG/HR PATCH:,LOCAL,LOCAL,,,,both,1,each,2.69,2.69,0.75,2.69,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,,,1.94,percent of total billed charges ,,,2.15,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,,,,,1.43,percent of total billed charges ,,,,,1.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,,,0.75,percent of total billed charges,
NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH:,LOCAL,LOCAL,,,,both,1,each,1.23,1.23,0.34,1.23,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,,,0.89,percent of total billed charges ,,,0.98,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,,,,,0.65,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
**NITROGLYCERIN 0.3 MG/HR PATCH,LOCAL,LOCAL,,,,both,1,each,51.1,51.1,14.31,51.1,51.1,percent of total billed charges,51.1,percent of total billed charges,51.1,percent of total billed charges,51.1,percent of total billed charges,51.1,percent of total billed charges,51.1,percent of total billed charges,51.1,percent of total billed charges,51.1,percent of total billed charges,36.79,percent of total billed charges,36.79,percent of total billed charges,36.79,percent of total billed charges,36.79,percent of total billed charges,36.79,percent of total billed charges,36.79,percent of total billed charges,37.81,percent of total billed charges,37.81,percent of total billed charges,40.88,percent of total billed charges,40.88,percent of total billed charges,,,36.79,percent of total billed charges ,,,40.88,percent of total billed charges ,42.92,percent of total billed charges ,42.92,percent of total billed charges ,39.86,percent of total billed charges ,39.86,percent of total billed charges ,40.88,percent of total billed charges ,40.88,percent of total billed charges ,35.77,percent of total billed charges ,35.77,percent of total billed charges ,30.66,percent of total billed charges ,30.66,percent of total billed charges ,30.66,percent of total billed charges ,30.66,percent of total billed charges ,,,,,27.19,percent of total billed charges ,,,,,25.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,,,14.31,percent of total billed charges,
**NITROGLYCERIN2%OINT(NITRO-BIDTUBE):1,LOCAL,LOCAL,,,,both,1,each,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
NOREPINEPHRINE (LEVOPHED) DRIP (8MCG/ML),LOCAL,LOCAL,,,,both,1,each,75.56,75.56,21.16,75.56,75.56,percent of total billed charges,75.56,percent of total billed charges,75.56,percent of total billed charges,75.56,percent of total billed charges,75.56,percent of total billed charges,75.56,percent of total billed charges,75.56,percent of total billed charges,75.56,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,55.91,percent of total billed charges,55.91,percent of total billed charges,60.45,percent of total billed charges,60.45,percent of total billed charges,,,54.4,percent of total billed charges ,,,60.45,percent of total billed charges ,63.47,percent of total billed charges ,63.47,percent of total billed charges ,58.94,percent of total billed charges ,58.94,percent of total billed charges ,60.45,percent of total billed charges ,60.45,percent of total billed charges ,52.89,percent of total billed charges ,52.89,percent of total billed charges ,45.34,percent of total billed charges ,45.34,percent of total billed charges ,45.34,percent of total billed charges ,45.34,percent of total billed charges ,,,,,40.2,percent of total billed charges ,,,,,38.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,,,21.16,percent of total billed charges,
**HYDROCODONE 7.5/APAP 650MG (LORCET PLU,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
NORTRIPTYLINE 25 MG CAP,LOCAL,LOCAL,,,,both,1,each,1.7,1.7,0.48,1.7,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,,,1.22,percent of total billed charges ,,,1.36,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,,,,,0.9,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,
**INSULIN (HUMULIN) 70/30 100UNITS VIAL,J1815,CDM,,,,both,1,each,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
**NYSTATIN ORAL SUSPENSION: 60 ML,LOCAL,LOCAL,,,,both,1,each,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
**HYDROCODONE APAP 10/650 (LORCET 10/650,LOCAL,LOCAL,,,,both,1,each,4,4,1.12,4,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.96,percent of total billed charges,2.96,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,,,2.88,percent of total billed charges ,,,3.2,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,,,,,2.13,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
FLURBIPROFEN (OCUFEN) OPTH 0.03% SOLN,LOCAL,LOCAL,,,,both,1,each,154.25,154.25,43.19,154.25,154.25,percent of total billed charges,154.25,percent of total billed charges,154.25,percent of total billed charges,154.25,percent of total billed charges,154.25,percent of total billed charges,154.25,percent of total billed charges,154.25,percent of total billed charges,154.25,percent of total billed charges,111.06,percent of total billed charges,111.06,percent of total billed charges,111.06,percent of total billed charges,111.06,percent of total billed charges,111.06,percent of total billed charges,111.06,percent of total billed charges,114.15,percent of total billed charges,114.15,percent of total billed charges,123.4,percent of total billed charges,123.4,percent of total billed charges,,,111.06,percent of total billed charges ,,,123.4,percent of total billed charges ,129.57,percent of total billed charges ,129.57,percent of total billed charges ,120.32,percent of total billed charges ,120.32,percent of total billed charges ,123.4,percent of total billed charges ,123.4,percent of total billed charges ,107.98,percent of total billed charges ,107.98,percent of total billed charges ,92.55,percent of total billed charges ,92.55,percent of total billed charges ,92.55,percent of total billed charges ,92.55,percent of total billed charges ,,,,,82.06,percent of total billed charges ,,,,,77.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,,,43.19,percent of total billed charges,
BELLADONNA & OPIUM SUPPOSITORY 30MG,LOCAL,LOCAL,,,,both,1,each,119.67,119.67,33.51,119.67,119.67,percent of total billed charges,119.67,percent of total billed charges,119.67,percent of total billed charges,119.67,percent of total billed charges,119.67,percent of total billed charges,119.67,percent of total billed charges,119.67,percent of total billed charges,119.67,percent of total billed charges,86.16,percent of total billed charges,86.16,percent of total billed charges,86.16,percent of total billed charges,86.16,percent of total billed charges,86.16,percent of total billed charges,86.16,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,95.74,percent of total billed charges,95.74,percent of total billed charges,,,86.16,percent of total billed charges ,,,95.74,percent of total billed charges ,100.52,percent of total billed charges ,100.52,percent of total billed charges ,93.34,percent of total billed charges ,93.34,percent of total billed charges ,95.74,percent of total billed charges ,95.74,percent of total billed charges ,83.77,percent of total billed charges ,83.77,percent of total billed charges ,71.8,percent of total billed charges ,71.8,percent of total billed charges ,71.8,percent of total billed charges ,71.8,percent of total billed charges ,,,,,63.66,percent of total billed charges ,,,,,60.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,,,33.51,percent of total billed charges,
POLYETHYLENE GLYCOL (GOLYTELY) 4000ML,LOCAL,LOCAL,,,,both,1,each,69.38,69.38,19.43,69.38,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,,,49.95,percent of total billed charges ,,,55.5,percent of total billed charges ,58.28,percent of total billed charges ,58.28,percent of total billed charges ,54.12,percent of total billed charges ,54.12,percent of total billed charges ,55.5,percent of total billed charges ,55.5,percent of total billed charges ,48.57,percent of total billed charges ,48.57,percent of total billed charges ,41.63,percent of total billed charges ,41.63,percent of total billed charges ,41.63,percent of total billed charges ,41.63,percent of total billed charges ,,,,,36.91,percent of total billed charges ,,,,,35.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,
predniSONE (DELTASONE) 1MG TAB,J7512,CDM,,,,both,,,0.75,0.75,0.21,0.75,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,,,0.54,percent of total billed charges ,,,0.6,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,,,,,0.4,percent of total billed charges ,,,,,0.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.125 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.67,1.67,0.47,1.67,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,,,1.2,percent of total billed charges ,,,1.34,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,
OXAZEPAM  (SERAX) 10MG: CAP,LOCAL,LOCAL,,,,both,1,each,7.64,7.64,2.14,7.64,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,,,5.5,percent of total billed charges ,,,6.11,percent of total billed charges ,6.42,percent of total billed charges ,6.42,percent of total billed charges ,5.96,percent of total billed charges ,5.96,percent of total billed charges ,6.11,percent of total billed charges ,6.11,percent of total billed charges ,5.35,percent of total billed charges ,5.35,percent of total billed charges ,4.58,percent of total billed charges ,4.58,percent of total billed charges ,4.58,percent of total billed charges ,4.58,percent of total billed charges ,,,,,4.06,percent of total billed charges ,,,,,3.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,
**OXAZEPAM (SERAX) 15MG: CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**LANSOPRAZOLE (PREVACID) 30MG: SOLUTAB,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
oxyBUTYnin (DITROPAN) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.76,1.76,0.49,1.76,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,,,1.27,percent of total billed charges ,,,1.41,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,,,,,0.94,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,
oxyCODONE 5/325 (PERCOCET) TAB,LOCAL,LOCAL,,,,both,1,each,4.19,4.19,1.17,4.19,4.19,percent of total billed charges,4.19,percent of total billed charges,4.19,percent of total billed charges,4.19,percent of total billed charges,4.19,percent of total billed charges,4.19,percent of total billed charges,4.19,percent of total billed charges,4.19,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.35,percent of total billed charges,3.35,percent of total billed charges,,,3.02,percent of total billed charges ,,,3.35,percent of total billed charges ,3.52,percent of total billed charges ,3.52,percent of total billed charges ,3.27,percent of total billed charges ,3.27,percent of total billed charges ,3.35,percent of total billed charges ,3.35,percent of total billed charges ,2.93,percent of total billed charges ,2.93,percent of total billed charges ,2.51,percent of total billed charges ,2.51,percent of total billed charges ,2.51,percent of total billed charges ,2.51,percent of total billed charges ,,,,,2.23,percent of total billed charges ,,,,,2.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,,,1.17,percent of total billed charges,
**OXYCODONE 5MG/ASA 325MG (PERCODAN): T,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
OXYMETAZOLINE (AFRIN) 0.05% SPRAY 15ML,LOCAL,LOCAL,,,,both,1,each,20.72,20.72,5.8,20.72,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,15.33,percent of total billed charges,15.33,percent of total billed charges,16.58,percent of total billed charges,16.58,percent of total billed charges,,,14.92,percent of total billed charges ,,,16.58,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,16.16,percent of total billed charges ,16.16,percent of total billed charges ,16.58,percent of total billed charges ,16.58,percent of total billed charges ,14.5,percent of total billed charges ,14.5,percent of total billed charges ,12.43,percent of total billed charges ,12.43,percent of total billed charges ,12.43,percent of total billed charges ,12.43,percent of total billed charges ,,,,,11.02,percent of total billed charges ,,,,,10.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,
**E-DIMETAPP (BROMOTAPP) LIQUID 4OZ:,LOCAL,LOCAL,,,,both,1,each,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
PENICILLIN VK 250MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
PENICILLIN (PEN VK) TAB 500MG,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
MIDAZOLAM (VERSED) SYRUP 10 MG / 5ML,LOCAL,LOCAL,,,,both,1,each,15.01,15.01,4.2,15.01,15.01,percent of total billed charges,15.01,percent of total billed charges,15.01,percent of total billed charges,15.01,percent of total billed charges,15.01,percent of total billed charges,15.01,percent of total billed charges,15.01,percent of total billed charges,15.01,percent of total billed charges,10.81,percent of total billed charges,10.81,percent of total billed charges,10.81,percent of total billed charges,10.81,percent of total billed charges,10.81,percent of total billed charges,10.81,percent of total billed charges,11.11,percent of total billed charges,11.11,percent of total billed charges,12.01,percent of total billed charges,12.01,percent of total billed charges,,,10.81,percent of total billed charges ,,,12.01,percent of total billed charges ,12.61,percent of total billed charges ,12.61,percent of total billed charges ,11.71,percent of total billed charges ,11.71,percent of total billed charges ,12.01,percent of total billed charges ,12.01,percent of total billed charges ,10.51,percent of total billed charges ,10.51,percent of total billed charges ,9.01,percent of total billed charges ,9.01,percent of total billed charges ,9.01,percent of total billed charges ,9.01,percent of total billed charges ,,,,,7.99,percent of total billed charges ,,,,,7.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**PENTAZOCINE(TALWIN) INJ 30 MG/ML: 1 ML,J3070,CDM,,,,both,1,each,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
MIRTAZAPINE (REMERON) 15 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.73,0.73,0.2,0.73,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,,,0.53,percent of total billed charges ,,,0.58,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
RIVASTIGMINE (EXELON) 1.5 MG CAP,LOCAL,LOCAL,,,,both,1,each,7.57,7.57,2.12,7.57,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,7.57,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,6.06,percent of total billed charges,6.06,percent of total billed charges,,,5.45,percent of total billed charges ,,,6.06,percent of total billed charges ,6.36,percent of total billed charges ,6.36,percent of total billed charges ,5.9,percent of total billed charges ,5.9,percent of total billed charges ,6.06,percent of total billed charges ,6.06,percent of total billed charges ,5.3,percent of total billed charges ,5.3,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,,,,,4.03,percent of total billed charges ,,,,,3.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,,,2.12,percent of total billed charges,
**NISOLDIPINE (SULAR XR) 20MG TAB,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
PHENAZOPYRIDINE (PYRIDIUM) 100MG TAB,LOCAL,LOCAL,,,,both,1,each,5.7,5.7,1.6,5.7,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.22,percent of total billed charges,4.22,percent of total billed charges,4.56,percent of total billed charges,4.56,percent of total billed charges,,,4.1,percent of total billed charges ,,,4.56,percent of total billed charges ,4.79,percent of total billed charges ,4.79,percent of total billed charges ,4.45,percent of total billed charges ,4.45,percent of total billed charges ,4.56,percent of total billed charges ,4.56,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,3.42,percent of total billed charges ,3.42,percent of total billed charges ,3.42,percent of total billed charges ,3.42,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,2.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,
**BUMETANIDE (BUMEX) 0.5MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
BETAMETHASONE (CELESTONE) 30MG/5ML: MDV,J0702,CDM,,,,both,1,each,412.54,412.54,115.51,412.54,412.54,percent of total billed charges,412.54,percent of total billed charges,412.54,percent of total billed charges,412.54,percent of total billed charges,412.54,percent of total billed charges,412.54,percent of total billed charges,412.54,percent of total billed charges,412.54,percent of total billed charges,297.03,percent of total billed charges,297.03,percent of total billed charges,297.03,percent of total billed charges,297.03,percent of total billed charges,297.03,percent of total billed charges,297.03,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,330.03,percent of total billed charges,330.03,percent of total billed charges,,,297.03,percent of total billed charges ,,,330.03,percent of total billed charges ,346.53,percent of total billed charges ,346.53,percent of total billed charges ,321.78,percent of total billed charges ,321.78,percent of total billed charges ,330.03,percent of total billed charges ,330.03,percent of total billed charges ,288.78,percent of total billed charges ,288.78,percent of total billed charges ,247.52,percent of total billed charges ,247.52,percent of total billed charges ,247.52,percent of total billed charges ,247.52,percent of total billed charges ,,,,,219.47,percent of total billed charges ,,,,,208.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,,,115.51,percent of total billed charges,
PROMETHAZINE W/COD 10-6.25/5ML SYR:120ML,LOCAL,LOCAL,,,,both,1,each,53.67,53.67,15.03,53.67,53.67,percent of total billed charges,53.67,percent of total billed charges,53.67,percent of total billed charges,53.67,percent of total billed charges,53.67,percent of total billed charges,53.67,percent of total billed charges,53.67,percent of total billed charges,53.67,percent of total billed charges,38.64,percent of total billed charges,38.64,percent of total billed charges,38.64,percent of total billed charges,38.64,percent of total billed charges,38.64,percent of total billed charges,38.64,percent of total billed charges,39.72,percent of total billed charges,39.72,percent of total billed charges,42.94,percent of total billed charges,42.94,percent of total billed charges,,,38.64,percent of total billed charges ,,,42.94,percent of total billed charges ,45.08,percent of total billed charges ,45.08,percent of total billed charges ,41.86,percent of total billed charges ,41.86,percent of total billed charges ,42.94,percent of total billed charges ,42.94,percent of total billed charges ,37.57,percent of total billed charges ,37.57,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,,,,,28.55,percent of total billed charges ,,,,,27.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,,,15.03,percent of total billed charges,
PHENobarbital 32.4 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.46,1.46,0.41,1.46,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,,,1.05,percent of total billed charges ,,,1.17,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,,,,,0.78,percent of total billed charges ,,,,,0.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,,,0.41,percent of total billed charges,
PHENobarbital INJ 65MG/ML VIAL,J2560,CDM,,,,both,1,each,153.63,153.63,43.02,153.63,153.63,percent of total billed charges,153.63,percent of total billed charges,153.63,percent of total billed charges,153.63,percent of total billed charges,153.63,percent of total billed charges,153.63,percent of total billed charges,153.63,percent of total billed charges,153.63,percent of total billed charges,110.61,percent of total billed charges,110.61,percent of total billed charges,110.61,percent of total billed charges,110.61,percent of total billed charges,110.61,percent of total billed charges,110.61,percent of total billed charges,113.69,percent of total billed charges,113.69,percent of total billed charges,122.9,percent of total billed charges,122.9,percent of total billed charges,,,110.61,percent of total billed charges ,,,122.9,percent of total billed charges ,129.05,percent of total billed charges ,129.05,percent of total billed charges ,119.83,percent of total billed charges ,119.83,percent of total billed charges ,122.9,percent of total billed charges ,122.9,percent of total billed charges ,107.54,percent of total billed charges ,107.54,percent of total billed charges ,92.18,percent of total billed charges ,92.18,percent of total billed charges ,92.18,percent of total billed charges ,92.18,percent of total billed charges ,,,,,81.73,percent of total billed charges ,,,,,77.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,,,43.02,percent of total billed charges,
**PHENOBARBITAL 60MG: TAB,LOCAL,LOCAL,,,,both,1,each,4,4,1.12,4,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.96,percent of total billed charges,2.96,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,,,2.88,percent of total billed charges ,,,3.2,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,,,,,2.13,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
PHENOL (CHLORASEPTIC) SPRAY  6OZ,LOCAL,LOCAL,,,,both,1,each,42.73,42.73,11.96,42.73,42.73,percent of total billed charges,42.73,percent of total billed charges,42.73,percent of total billed charges,42.73,percent of total billed charges,42.73,percent of total billed charges,42.73,percent of total billed charges,42.73,percent of total billed charges,42.73,percent of total billed charges,30.77,percent of total billed charges,30.77,percent of total billed charges,30.77,percent of total billed charges,30.77,percent of total billed charges,30.77,percent of total billed charges,30.77,percent of total billed charges,31.62,percent of total billed charges,31.62,percent of total billed charges,34.18,percent of total billed charges,34.18,percent of total billed charges,,,30.77,percent of total billed charges ,,,34.18,percent of total billed charges ,35.89,percent of total billed charges ,35.89,percent of total billed charges ,33.33,percent of total billed charges ,33.33,percent of total billed charges ,34.18,percent of total billed charges ,34.18,percent of total billed charges ,29.91,percent of total billed charges ,29.91,percent of total billed charges ,25.64,percent of total billed charges ,25.64,percent of total billed charges ,25.64,percent of total billed charges ,25.64,percent of total billed charges ,,,,,22.73,percent of total billed charges ,,,,,21.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,,,11.96,percent of total billed charges,
IBUPROFEN 200MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
PHENYLEPHRINE NASAL SPRAY 0.25% 15ML,LOCAL,LOCAL,,,,both,1,each,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
PHENYLEPHRINE NASAL SPRAY 0.5% 15ML,LOCAL,LOCAL,,,,both,1,each,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
PHENYTOIN (DILANTIN) 50MG TAB,LOCAL,LOCAL,,,,both,1,each,3.77,3.77,1.06,3.77,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,2.79,percent of total billed charges,2.79,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,,,2.71,percent of total billed charges ,,,3.02,percent of total billed charges ,3.17,percent of total billed charges ,3.17,percent of total billed charges ,2.94,percent of total billed charges ,2.94,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,2.64,percent of total billed charges ,2.64,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,,,,,2.01,percent of total billed charges ,,,,,1.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,
PHENYTOIN (DILANTIN) ER 100MG CAP,LOCAL,LOCAL,,,,both,1,each,1.58,1.58,0.44,1.58,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,,,1.14,percent of total billed charges ,,,1.26,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,0.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,
PHENYTOIN (DILANTIN) INJ 250MG/5ML,J1165,CDM,,,,both,1,each,27.77,27.77,7.78,27.77,27.77,percent of total billed charges,27.77,percent of total billed charges,27.77,percent of total billed charges,27.77,percent of total billed charges,27.77,percent of total billed charges,27.77,percent of total billed charges,27.77,percent of total billed charges,27.77,percent of total billed charges,19.99,percent of total billed charges,19.99,percent of total billed charges,19.99,percent of total billed charges,19.99,percent of total billed charges,19.99,percent of total billed charges,19.99,percent of total billed charges,20.55,percent of total billed charges,20.55,percent of total billed charges,22.22,percent of total billed charges,22.22,percent of total billed charges,,,19.99,percent of total billed charges ,,,22.22,percent of total billed charges ,23.33,percent of total billed charges ,23.33,percent of total billed charges ,21.66,percent of total billed charges ,21.66,percent of total billed charges ,22.22,percent of total billed charges ,22.22,percent of total billed charges ,19.44,percent of total billed charges ,19.44,percent of total billed charges ,16.66,percent of total billed charges ,16.66,percent of total billed charges ,16.66,percent of total billed charges ,16.66,percent of total billed charges ,,,,,14.77,percent of total billed charges ,,,,,14.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,,,7.78,percent of total billed charges,
**PHOSPHO-SODA(FLEET) SOLN: 45ML,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
PHYSostigmine INJ (ANTILIRIUM) 2MG/2ML,LOCAL,LOCAL,,,,both,1,each,523.94,523.94,146.7,523.94,523.94,percent of total billed charges,523.94,percent of total billed charges,523.94,percent of total billed charges,523.94,percent of total billed charges,523.94,percent of total billed charges,523.94,percent of total billed charges,523.94,percent of total billed charges,523.94,percent of total billed charges,377.24,percent of total billed charges,377.24,percent of total billed charges,377.24,percent of total billed charges,377.24,percent of total billed charges,377.24,percent of total billed charges,377.24,percent of total billed charges,387.72,percent of total billed charges,387.72,percent of total billed charges,419.15,percent of total billed charges,419.15,percent of total billed charges,,,377.24,percent of total billed charges ,,,419.15,percent of total billed charges ,440.11,percent of total billed charges ,440.11,percent of total billed charges ,408.67,percent of total billed charges ,408.67,percent of total billed charges ,419.15,percent of total billed charges ,419.15,percent of total billed charges ,366.76,percent of total billed charges ,366.76,percent of total billed charges ,314.36,percent of total billed charges ,314.36,percent of total billed charges ,314.36,percent of total billed charges ,314.36,percent of total billed charges ,,,,,278.74,percent of total billed charges ,,,,,264.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,,,146.7,percent of total billed charges,
**HYDROCODONE 5MG  APAP 500 MG (VICODIN),LOCAL,LOCAL,,,,both,1,each,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
PHYTONADIONE (VITAMIN K) INJ 10MG AMP,J3430,CDM,,,,both,1,each,285.22,285.22,79.86,285.22,285.22,percent of total billed charges,285.22,percent of total billed charges,285.22,percent of total billed charges,285.22,percent of total billed charges,285.22,percent of total billed charges,285.22,percent of total billed charges,285.22,percent of total billed charges,285.22,percent of total billed charges,205.36,percent of total billed charges,205.36,percent of total billed charges,205.36,percent of total billed charges,205.36,percent of total billed charges,205.36,percent of total billed charges,205.36,percent of total billed charges,211.06,percent of total billed charges,211.06,percent of total billed charges,228.18,percent of total billed charges,228.18,percent of total billed charges,,,205.36,percent of total billed charges ,,,228.18,percent of total billed charges ,239.58,percent of total billed charges ,239.58,percent of total billed charges ,222.47,percent of total billed charges ,222.47,percent of total billed charges ,228.18,percent of total billed charges ,228.18,percent of total billed charges ,199.65,percent of total billed charges ,199.65,percent of total billed charges ,171.13,percent of total billed charges ,171.13,percent of total billed charges ,171.13,percent of total billed charges ,171.13,percent of total billed charges ,,,,,151.74,percent of total billed charges ,,,,,144.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,,,79.86,percent of total billed charges,
PHYTONADIONE (VITAMIN K) INJ 1MG AMP,J3430,CDM,,,,both,,,282.03,282.03,78.97,282.03,282.03,percent of total billed charges,282.03,percent of total billed charges,282.03,percent of total billed charges,282.03,percent of total billed charges,282.03,percent of total billed charges,282.03,percent of total billed charges,282.03,percent of total billed charges,282.03,percent of total billed charges,203.06,percent of total billed charges,203.06,percent of total billed charges,203.06,percent of total billed charges,203.06,percent of total billed charges,203.06,percent of total billed charges,203.06,percent of total billed charges,208.7,percent of total billed charges,208.7,percent of total billed charges,225.62,percent of total billed charges,225.62,percent of total billed charges,,,203.06,percent of total billed charges ,,,225.62,percent of total billed charges ,236.91,percent of total billed charges ,236.91,percent of total billed charges ,219.98,percent of total billed charges ,219.98,percent of total billed charges ,225.62,percent of total billed charges ,225.62,percent of total billed charges ,197.42,percent of total billed charges ,197.42,percent of total billed charges ,169.22,percent of total billed charges ,169.22,percent of total billed charges ,169.22,percent of total billed charges ,169.22,percent of total billed charges ,,,,,150.04,percent of total billed charges ,,,,,142.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,,,78.97,percent of total billed charges,
PILOCARPINE OPHTH SOLN 1% 15ML,LOCAL,LOCAL,,,,both,1,each,298.11,298.11,83.47,298.11,298.11,percent of total billed charges,298.11,percent of total billed charges,298.11,percent of total billed charges,298.11,percent of total billed charges,298.11,percent of total billed charges,298.11,percent of total billed charges,298.11,percent of total billed charges,298.11,percent of total billed charges,214.64,percent of total billed charges,214.64,percent of total billed charges,214.64,percent of total billed charges,214.64,percent of total billed charges,214.64,percent of total billed charges,214.64,percent of total billed charges,220.6,percent of total billed charges,220.6,percent of total billed charges,238.49,percent of total billed charges,238.49,percent of total billed charges,,,214.64,percent of total billed charges ,,,238.49,percent of total billed charges ,250.41,percent of total billed charges ,250.41,percent of total billed charges ,232.53,percent of total billed charges ,232.53,percent of total billed charges ,238.49,percent of total billed charges ,238.49,percent of total billed charges ,208.68,percent of total billed charges ,208.68,percent of total billed charges ,178.87,percent of total billed charges ,178.87,percent of total billed charges ,178.87,percent of total billed charges ,178.87,percent of total billed charges ,,,,,158.59,percent of total billed charges ,,,,,150.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,,,83.47,percent of total billed charges,
PILOCARPINE OPHTH SOL 4% 15ML,LOCAL,LOCAL,,,,both,1,each,369.21,369.21,103.38,369.21,369.21,percent of total billed charges,369.21,percent of total billed charges,369.21,percent of total billed charges,369.21,percent of total billed charges,369.21,percent of total billed charges,369.21,percent of total billed charges,369.21,percent of total billed charges,369.21,percent of total billed charges,265.83,percent of total billed charges,265.83,percent of total billed charges,265.83,percent of total billed charges,265.83,percent of total billed charges,265.83,percent of total billed charges,265.83,percent of total billed charges,273.22,percent of total billed charges,273.22,percent of total billed charges,295.37,percent of total billed charges,295.37,percent of total billed charges,,,265.83,percent of total billed charges ,,,295.37,percent of total billed charges ,310.14,percent of total billed charges ,310.14,percent of total billed charges ,287.98,percent of total billed charges ,287.98,percent of total billed charges ,295.37,percent of total billed charges ,295.37,percent of total billed charges ,258.45,percent of total billed charges ,258.45,percent of total billed charges ,221.53,percent of total billed charges ,221.53,percent of total billed charges ,221.53,percent of total billed charges ,221.53,percent of total billed charges ,,,,,196.42,percent of total billed charges ,,,,,186.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,,,103.38,percent of total billed charges,
PILOCARPINE OPHTH SOL 2% 15ML,LOCAL,LOCAL,,,,both,1,each,304.92,304.92,85.38,304.92,304.92,percent of total billed charges,304.92,percent of total billed charges,304.92,percent of total billed charges,304.92,percent of total billed charges,304.92,percent of total billed charges,304.92,percent of total billed charges,304.92,percent of total billed charges,304.92,percent of total billed charges,219.54,percent of total billed charges,219.54,percent of total billed charges,219.54,percent of total billed charges,219.54,percent of total billed charges,219.54,percent of total billed charges,219.54,percent of total billed charges,225.64,percent of total billed charges,225.64,percent of total billed charges,243.94,percent of total billed charges,243.94,percent of total billed charges,,,219.54,percent of total billed charges ,,,243.94,percent of total billed charges ,256.13,percent of total billed charges ,256.13,percent of total billed charges ,237.84,percent of total billed charges ,237.84,percent of total billed charges ,243.94,percent of total billed charges ,243.94,percent of total billed charges ,213.44,percent of total billed charges ,213.44,percent of total billed charges ,182.95,percent of total billed charges ,182.95,percent of total billed charges ,182.95,percent of total billed charges ,182.95,percent of total billed charges ,,,,,162.22,percent of total billed charges ,,,,,154.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,,,85.38,percent of total billed charges,
**PILOCARPINE OPHTH SOL: 3% 15ML,LOCAL,LOCAL,,,,both,1,each,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
**LOPERAMIDE 1MG/7.5ML  240 ML BOTTLE,LOCAL,LOCAL,,,,both,1,each,30,30,8.4,30,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,,,21.6,percent of total billed charges ,,,24,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,,,,,15.96,percent of total billed charges ,,,,,15.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,
**PIRBUTEROL (MAXAIR) INHALER 14 GM,LOCAL,LOCAL,,,,both,1,each,452,452,126.56,452,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,325.44,percent of total billed charges,334.48,percent of total billed charges,334.48,percent of total billed charges,361.6,percent of total billed charges,361.6,percent of total billed charges,,,325.44,percent of total billed charges ,,,361.6,percent of total billed charges ,379.68,percent of total billed charges ,379.68,percent of total billed charges ,352.56,percent of total billed charges ,352.56,percent of total billed charges ,361.6,percent of total billed charges ,361.6,percent of total billed charges ,316.4,percent of total billed charges ,316.4,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,271.2,percent of total billed charges ,,,,,240.46,percent of total billed charges ,,,,,228.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,,,126.56,percent of total billed charges,
**PNEUMOCOCCAL (PNU-IMUNE) VACCINE 0.5ML,90732,CDM,,,,both,1,each,555,555,155.4,555,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,410.7,percent of total billed charges,410.7,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,,,399.6,percent of total billed charges ,,,444,percent of total billed charges ,466.2,percent of total billed charges ,466.2,percent of total billed charges ,432.9,percent of total billed charges ,432.9,percent of total billed charges ,444,percent of total billed charges ,444,percent of total billed charges ,388.5,percent of total billed charges ,388.5,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,,,,,295.26,percent of total billed charges ,,,,,280.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,
TRIPLE ANTIBIOTIC OPTH OINT 3.5GM,LOCAL,LOCAL,,,,both,1,each,84.86,84.86,23.76,84.86,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,61.1,percent of total billed charges,61.1,percent of total billed charges,61.1,percent of total billed charges,61.1,percent of total billed charges,61.1,percent of total billed charges,61.1,percent of total billed charges,62.8,percent of total billed charges,62.8,percent of total billed charges,67.89,percent of total billed charges,67.89,percent of total billed charges,,,61.1,percent of total billed charges ,,,67.89,percent of total billed charges ,71.28,percent of total billed charges ,71.28,percent of total billed charges ,66.19,percent of total billed charges ,66.19,percent of total billed charges ,67.89,percent of total billed charges ,67.89,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,50.92,percent of total billed charges ,50.92,percent of total billed charges ,50.92,percent of total billed charges ,50.92,percent of total billed charges ,,,,,45.15,percent of total billed charges ,,,,,42.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,,,23.76,percent of total billed charges,
TRIPLE ANTIBIOTIC OPTH SOLN 10ML,LOCAL,LOCAL,,,,both,1,each,183.35,183.35,51.34,183.35,183.35,percent of total billed charges,183.35,percent of total billed charges,183.35,percent of total billed charges,183.35,percent of total billed charges,183.35,percent of total billed charges,183.35,percent of total billed charges,183.35,percent of total billed charges,183.35,percent of total billed charges,132.01,percent of total billed charges,132.01,percent of total billed charges,132.01,percent of total billed charges,132.01,percent of total billed charges,132.01,percent of total billed charges,132.01,percent of total billed charges,135.68,percent of total billed charges,135.68,percent of total billed charges,146.68,percent of total billed charges,146.68,percent of total billed charges,,,132.01,percent of total billed charges ,,,146.68,percent of total billed charges ,154.01,percent of total billed charges ,154.01,percent of total billed charges ,143.01,percent of total billed charges ,143.01,percent of total billed charges ,146.68,percent of total billed charges ,146.68,percent of total billed charges ,128.35,percent of total billed charges ,128.35,percent of total billed charges ,110.01,percent of total billed charges ,110.01,percent of total billed charges ,110.01,percent of total billed charges ,110.01,percent of total billed charges ,,,,,97.54,percent of total billed charges ,,,,,92.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,,,51.34,percent of total billed charges,
**TRIPLE ANTIBIOTIC (NEOSPORIN) OINT 15G,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
NEO/POLY/HC (CORTISPORIN) OPTH SOLN,LOCAL,LOCAL,,,,both,1,each,357.68,357.68,100.15,357.68,357.68,percent of total billed charges,357.68,percent of total billed charges,357.68,percent of total billed charges,357.68,percent of total billed charges,357.68,percent of total billed charges,357.68,percent of total billed charges,357.68,percent of total billed charges,357.68,percent of total billed charges,257.53,percent of total billed charges,257.53,percent of total billed charges,257.53,percent of total billed charges,257.53,percent of total billed charges,257.53,percent of total billed charges,257.53,percent of total billed charges,264.68,percent of total billed charges,264.68,percent of total billed charges,286.14,percent of total billed charges,286.14,percent of total billed charges,,,257.53,percent of total billed charges ,,,286.14,percent of total billed charges ,300.45,percent of total billed charges ,300.45,percent of total billed charges ,278.99,percent of total billed charges ,278.99,percent of total billed charges ,286.14,percent of total billed charges ,286.14,percent of total billed charges ,250.38,percent of total billed charges ,250.38,percent of total billed charges ,214.61,percent of total billed charges ,214.61,percent of total billed charges ,214.61,percent of total billed charges ,214.61,percent of total billed charges ,,,,,190.29,percent of total billed charges ,,,,,180.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,,,100.15,percent of total billed charges,
POTASSIUM CHLORIDE: 40MEQ/20ML INJ,J3480,CDM,,,,both,1,each,58.89,58.89,16.49,58.89,58.89,percent of total billed charges,58.89,percent of total billed charges,58.89,percent of total billed charges,58.89,percent of total billed charges,58.89,percent of total billed charges,58.89,percent of total billed charges,58.89,percent of total billed charges,58.89,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,43.58,percent of total billed charges,43.58,percent of total billed charges,47.11,percent of total billed charges,47.11,percent of total billed charges,,,42.4,percent of total billed charges ,,,47.11,percent of total billed charges ,49.47,percent of total billed charges ,49.47,percent of total billed charges ,45.93,percent of total billed charges ,45.93,percent of total billed charges ,47.11,percent of total billed charges ,47.11,percent of total billed charges ,41.22,percent of total billed charges ,41.22,percent of total billed charges ,35.33,percent of total billed charges ,35.33,percent of total billed charges ,35.33,percent of total billed charges ,35.33,percent of total billed charges ,,,,,31.33,percent of total billed charges ,,,,,29.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,,,16.49,percent of total billed charges,
**POTASSIUM CL (K-DUR) 10MEQ SR TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**POTASSIUM CL(K-DUR) TAB: 20MEQ SR,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
POTASSIUM CL 20 MEQ/15 ML ORAL UD,LOCAL,LOCAL,,,,both,1,each,40.72,40.72,11.4,40.72,40.72,percent of total billed charges,40.72,percent of total billed charges,40.72,percent of total billed charges,40.72,percent of total billed charges,40.72,percent of total billed charges,40.72,percent of total billed charges,40.72,percent of total billed charges,40.72,percent of total billed charges,29.32,percent of total billed charges,29.32,percent of total billed charges,29.32,percent of total billed charges,29.32,percent of total billed charges,29.32,percent of total billed charges,29.32,percent of total billed charges,30.13,percent of total billed charges,30.13,percent of total billed charges,32.58,percent of total billed charges,32.58,percent of total billed charges,,,29.32,percent of total billed charges ,,,32.58,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,31.76,percent of total billed charges ,31.76,percent of total billed charges ,32.58,percent of total billed charges ,32.58,percent of total billed charges ,28.5,percent of total billed charges ,28.5,percent of total billed charges ,24.43,percent of total billed charges ,24.43,percent of total billed charges ,24.43,percent of total billed charges ,24.43,percent of total billed charges ,,,,,21.66,percent of total billed charges ,,,,,20.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,,,11.4,percent of total billed charges,
**POTASSIUM CL 10% (KCL) ORAL SOLN: 480,LOCAL,LOCAL,,,,both,1,each,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**POTASSIUM IODIDE(SSKI)SOL: 30ML,LOCAL,LOCAL,,,,both,1,each,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
POTASSIUM PHOSPHATE 22MEQ/5ML INJ,LOCAL,LOCAL,,,,both,1,each,174.47,174.47,48.85,174.47,174.47,percent of total billed charges,174.47,percent of total billed charges,174.47,percent of total billed charges,174.47,percent of total billed charges,174.47,percent of total billed charges,174.47,percent of total billed charges,174.47,percent of total billed charges,174.47,percent of total billed charges,125.62,percent of total billed charges,125.62,percent of total billed charges,125.62,percent of total billed charges,125.62,percent of total billed charges,125.62,percent of total billed charges,125.62,percent of total billed charges,129.11,percent of total billed charges,129.11,percent of total billed charges,139.58,percent of total billed charges,139.58,percent of total billed charges,,,125.62,percent of total billed charges ,,,139.58,percent of total billed charges ,146.55,percent of total billed charges ,146.55,percent of total billed charges ,136.09,percent of total billed charges ,136.09,percent of total billed charges ,139.58,percent of total billed charges ,139.58,percent of total billed charges ,122.13,percent of total billed charges ,122.13,percent of total billed charges ,104.68,percent of total billed charges ,104.68,percent of total billed charges ,104.68,percent of total billed charges ,104.68,percent of total billed charges ,,,,,92.82,percent of total billed charges ,,,,,88.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,,,48.85,percent of total billed charges,
**PRAZOSIN (MINIPRESS) 1 MG CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**CEFAZOLIN 0.1GM. INJECTION:,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**PRAZOSIN (MINIPRESS) 5 MG CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
predniSONE (DELTASONE) 10MG TAB,J7512,CDM,,,,both,1,each,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
PANTOPRAZOLE (PROTONIX) 40 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.65,0.65,0.18,0.65,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,,,0.47,percent of total billed charges ,,,0.52,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
predniSONE (DELTASONE) 20MG TAB,J7512,CDM,,,,both,1,each,0.67,0.67,0.19,0.67,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.48,percent of total billed charges ,,,0.54,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
methylPREDNISolone (SOLU-Medrol)125MG,J2930,CDM,,,,both,1,each,130.49,130.49,36.54,130.49,130.49,percent of total billed charges,130.49,percent of total billed charges,130.49,percent of total billed charges,130.49,percent of total billed charges,130.49,percent of total billed charges,130.49,percent of total billed charges,130.49,percent of total billed charges,130.49,percent of total billed charges,93.95,percent of total billed charges,93.95,percent of total billed charges,93.95,percent of total billed charges,93.95,percent of total billed charges,93.95,percent of total billed charges,93.95,percent of total billed charges,96.56,percent of total billed charges,96.56,percent of total billed charges,104.39,percent of total billed charges,104.39,percent of total billed charges,,,93.95,percent of total billed charges ,,,104.39,percent of total billed charges ,109.61,percent of total billed charges ,109.61,percent of total billed charges ,101.78,percent of total billed charges ,101.78,percent of total billed charges ,104.39,percent of total billed charges ,104.39,percent of total billed charges ,91.34,percent of total billed charges ,91.34,percent of total billed charges ,78.29,percent of total billed charges ,78.29,percent of total billed charges ,78.29,percent of total billed charges ,78.29,percent of total billed charges ,,,,,69.42,percent of total billed charges ,,,,,65.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,,,36.54,percent of total billed charges,
predniSONE (DELTASONE) 5 MG TAB,J7512,CDM,,,,both,1,each,0.56,0.56,0.16,0.56,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,,,0.4,percent of total billed charges ,,,0.45,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,
"ESTROGENS, CONJ (PREMARIN) INJ 25MG/5ML",J1410,CDM,,,,both,1,each,"1,172.87","1,172.87",328.4,"1,172.87","1,172.87",percent of total billed charges,"1,172.87",percent of total billed charges,"1,172.87",percent of total billed charges,"1,172.87",percent of total billed charges,"1,172.87",percent of total billed charges,"1,172.87",percent of total billed charges,"1,172.87",percent of total billed charges,"1,172.87",percent of total billed charges,844.47,percent of total billed charges,844.47,percent of total billed charges,844.47,percent of total billed charges,844.47,percent of total billed charges,844.47,percent of total billed charges,844.47,percent of total billed charges,867.92,percent of total billed charges,867.92,percent of total billed charges,938.3,percent of total billed charges,938.3,percent of total billed charges,,,844.47,percent of total billed charges ,,,938.3,percent of total billed charges ,985.21,percent of total billed charges ,985.21,percent of total billed charges ,914.84,percent of total billed charges ,914.84,percent of total billed charges ,938.3,percent of total billed charges ,938.3,percent of total billed charges ,821.01,percent of total billed charges ,821.01,percent of total billed charges ,703.72,percent of total billed charges ,703.72,percent of total billed charges ,703.72,percent of total billed charges ,703.72,percent of total billed charges ,,,,,623.97,percent of total billed charges ,,,,,592.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,,,328.4,percent of total billed charges,
PRIMIDONE (MYSOLINE) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,1.8,1.8,0.5,1.8,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.44,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,
PRIMIDONE (MYSOLINE) 50MG TAB,LOCAL,LOCAL,,,,both,1,each,1.4,1.4,0.39,1.4,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,,,1.01,percent of total billed charges ,,,1.12,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,,,,,0.74,percent of total billed charges ,,,,,0.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,
PROBENECID (BENEMID) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,2.48,2.48,0.69,2.48,2.48,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,1.79,percent of total billed charges,1.79,percent of total billed charges,1.79,percent of total billed charges,1.79,percent of total billed charges,1.79,percent of total billed charges,1.79,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,,,1.79,percent of total billed charges ,,,1.98,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,1.93,percent of total billed charges ,1.93,percent of total billed charges ,1.98,percent of total billed charges ,1.98,percent of total billed charges ,1.74,percent of total billed charges ,1.74,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,,,,,1.32,percent of total billed charges ,,,,,1.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,,,0.69,percent of total billed charges,
levoFLOXacin (LEVAQUIN) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,0.91,0.91,0.25,0.91,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,,,0.66,percent of total billed charges ,,,0.73,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,0.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
**PROCAINAMIDE (PRONESTYL) 500MG: CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PROCAINAMIDE (PROCANBID) 1000MG: T,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**PROCAINAMIDE (PROCANBID) 500MG: TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
PROCHLORPERAZ (COMPAZINE) 10MG VIAL,J0780,CDM,,,,both,1,each,60.58,60.58,16.96,60.58,60.58,percent of total billed charges,60.58,percent of total billed charges,60.58,percent of total billed charges,60.58,percent of total billed charges,60.58,percent of total billed charges,60.58,percent of total billed charges,60.58,percent of total billed charges,60.58,percent of total billed charges,43.62,percent of total billed charges,43.62,percent of total billed charges,43.62,percent of total billed charges,43.62,percent of total billed charges,43.62,percent of total billed charges,43.62,percent of total billed charges,44.83,percent of total billed charges,44.83,percent of total billed charges,48.46,percent of total billed charges,48.46,percent of total billed charges,,,43.62,percent of total billed charges ,,,48.46,percent of total billed charges ,50.89,percent of total billed charges ,50.89,percent of total billed charges ,47.25,percent of total billed charges ,47.25,percent of total billed charges ,48.46,percent of total billed charges ,48.46,percent of total billed charges ,42.41,percent of total billed charges ,42.41,percent of total billed charges ,36.35,percent of total billed charges ,36.35,percent of total billed charges ,36.35,percent of total billed charges ,36.35,percent of total billed charges ,,,,,32.23,percent of total billed charges ,,,,,30.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,,,16.96,percent of total billed charges,
PROCHLORPERAZINE  (COMPAZINE) 10 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.35,1.35,0.38,1.35,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,,,0.97,percent of total billed charges ,,,1.08,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
PROCHLORPERAZINE (COMPAZINE) 25MG SUPP,LOCAL,LOCAL,,,,both,1,each,35.34,35.34,9.9,35.34,35.34,percent of total billed charges,35.34,percent of total billed charges,35.34,percent of total billed charges,35.34,percent of total billed charges,35.34,percent of total billed charges,35.34,percent of total billed charges,35.34,percent of total billed charges,35.34,percent of total billed charges,25.44,percent of total billed charges,25.44,percent of total billed charges,25.44,percent of total billed charges,25.44,percent of total billed charges,25.44,percent of total billed charges,25.44,percent of total billed charges,26.15,percent of total billed charges,26.15,percent of total billed charges,28.27,percent of total billed charges,28.27,percent of total billed charges,,,25.44,percent of total billed charges ,,,28.27,percent of total billed charges ,29.69,percent of total billed charges ,29.69,percent of total billed charges ,27.57,percent of total billed charges ,27.57,percent of total billed charges ,28.27,percent of total billed charges ,28.27,percent of total billed charges ,24.74,percent of total billed charges ,24.74,percent of total billed charges ,21.2,percent of total billed charges ,21.2,percent of total billed charges ,21.2,percent of total billed charges ,21.2,percent of total billed charges ,,,,,18.8,percent of total billed charges ,,,,,17.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,,,9.9,percent of total billed charges,
**PROCHLORPERAZ (COMPAZINE) SUPP: 5MG,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
PROCHLORPERAZINE (COMPAZINE) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.35,1.35,0.38,1.35,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,,,0.97,percent of total billed charges ,,,1.08,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
PROMETHAZINE (PHENERGAN INJ) 25MG VIAL,J2550,CDM,,,,both,1,each,10.85,10.85,3.04,10.85,10.85,percent of total billed charges,10.85,percent of total billed charges,10.85,percent of total billed charges,10.85,percent of total billed charges,10.85,percent of total billed charges,10.85,percent of total billed charges,10.85,percent of total billed charges,10.85,percent of total billed charges,7.81,percent of total billed charges,7.81,percent of total billed charges,7.81,percent of total billed charges,7.81,percent of total billed charges,7.81,percent of total billed charges,7.81,percent of total billed charges,8.03,percent of total billed charges,8.03,percent of total billed charges,8.68,percent of total billed charges,8.68,percent of total billed charges,,,7.81,percent of total billed charges ,,,8.68,percent of total billed charges ,9.11,percent of total billed charges ,9.11,percent of total billed charges ,8.46,percent of total billed charges ,8.46,percent of total billed charges ,8.68,percent of total billed charges ,8.68,percent of total billed charges ,7.6,percent of total billed charges ,7.6,percent of total billed charges ,6.51,percent of total billed charges ,6.51,percent of total billed charges ,6.51,percent of total billed charges ,6.51,percent of total billed charges ,,,,,5.77,percent of total billed charges ,,,,,5.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,,,3.04,percent of total billed charges,
fluPHENAZine DECANOATE 25MG/ML:5 ML VIAL,J2680,CDM,,,,both,1,each,471.45,471.45,132.01,471.45,471.45,percent of total billed charges,471.45,percent of total billed charges,471.45,percent of total billed charges,471.45,percent of total billed charges,471.45,percent of total billed charges,471.45,percent of total billed charges,471.45,percent of total billed charges,471.45,percent of total billed charges,339.44,percent of total billed charges,339.44,percent of total billed charges,339.44,percent of total billed charges,339.44,percent of total billed charges,339.44,percent of total billed charges,339.44,percent of total billed charges,348.87,percent of total billed charges,348.87,percent of total billed charges,377.16,percent of total billed charges,377.16,percent of total billed charges,,,339.44,percent of total billed charges ,,,377.16,percent of total billed charges ,396.02,percent of total billed charges ,396.02,percent of total billed charges ,367.73,percent of total billed charges ,367.73,percent of total billed charges ,377.16,percent of total billed charges ,377.16,percent of total billed charges ,330.02,percent of total billed charges ,330.02,percent of total billed charges ,282.87,percent of total billed charges ,282.87,percent of total billed charges ,282.87,percent of total billed charges ,282.87,percent of total billed charges ,,,,,250.81,percent of total billed charges ,,,,,238.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,,,132.01,percent of total billed charges,
NICOTINE (NICODERM) 21MG PATCH,LOCAL,LOCAL,,,,both,1,each,5.2,5.2,1.46,5.2,5.2,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,3.85,percent of total billed charges,3.85,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,,,3.74,percent of total billed charges ,,,4.16,percent of total billed charges ,4.37,percent of total billed charges ,4.37,percent of total billed charges ,4.06,percent of total billed charges ,4.06,percent of total billed charges ,4.16,percent of total billed charges ,4.16,percent of total billed charges ,3.64,percent of total billed charges ,3.64,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,,,,,2.77,percent of total billed charges ,,,,,2.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,
**PROPOXYPHENE HCL (DARVON) 65MG: CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
BUMETANIDE (BUMEX) 1 MG TAB,LOCAL,LOCAL,,,,both,1,each,4.41,4.41,1.23,4.41,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,3.26,percent of total billed charges,3.26,percent of total billed charges,3.53,percent of total billed charges,3.53,percent of total billed charges,,,3.18,percent of total billed charges ,,,3.53,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.44,percent of total billed charges ,3.44,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,,,,,2.35,percent of total billed charges ,,,,,2.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,
**BUTORPHANOL SPRAY (STADOL NASAL):1MG,LOCAL,LOCAL,,,,both,1,each,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
PROPRANOLOL (INDERAL) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,0.85,0.85,0.24,0.85,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,,,0.61,percent of total billed charges ,,,0.68,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,
PROPRANOLOL (INDERAL) 20MG TAB,LOCAL,LOCAL,,,,both,1,each,1.04,1.04,0.29,1.04,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,,,0.75,percent of total billed charges ,,,0.83,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,
PROPRANOLOL (INDERAL) 40MG TAB,LOCAL,LOCAL,,,,both,1,each,2.08,2.08,0.58,2.08,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,,,1.5,percent of total billed charges ,,,1.66,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,
PROPRANOLOL (INDERAL-LA) 60 MG LA CAP,LOCAL,LOCAL,,,,both,1,each,1.76,1.76,0.49,1.76,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,,,1.27,percent of total billed charges ,,,1.41,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,,,,,0.94,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,
PROPRANOLOL (INDERAL) 1 MG/ML INJ,J1800,CDM,,,,both,,,26.89,26.89,7.53,26.89,26.89,percent of total billed charges,26.89,percent of total billed charges,26.89,percent of total billed charges,26.89,percent of total billed charges,26.89,percent of total billed charges,26.89,percent of total billed charges,26.89,percent of total billed charges,26.89,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,19.9,percent of total billed charges,19.9,percent of total billed charges,21.51,percent of total billed charges,21.51,percent of total billed charges,,,19.36,percent of total billed charges ,,,21.51,percent of total billed charges ,22.59,percent of total billed charges ,22.59,percent of total billed charges ,20.97,percent of total billed charges ,20.97,percent of total billed charges ,21.51,percent of total billed charges ,21.51,percent of total billed charges ,18.82,percent of total billed charges ,18.82,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,,,,,14.31,percent of total billed charges ,,,,,13.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,
PROPRANOLOL (INDERAL-LA) 80 MG LA CAP,LOCAL,LOCAL,,,,both,1,each,6.27,6.27,1.76,6.27,6.27,percent of total billed charges,6.27,percent of total billed charges,6.27,percent of total billed charges,6.27,percent of total billed charges,6.27,percent of total billed charges,6.27,percent of total billed charges,6.27,percent of total billed charges,6.27,percent of total billed charges,4.51,percent of total billed charges,4.51,percent of total billed charges,4.51,percent of total billed charges,4.51,percent of total billed charges,4.51,percent of total billed charges,4.51,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,5.02,percent of total billed charges,5.02,percent of total billed charges,,,4.51,percent of total billed charges ,,,5.02,percent of total billed charges ,5.27,percent of total billed charges ,5.27,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,5.02,percent of total billed charges ,5.02,percent of total billed charges ,4.39,percent of total billed charges ,4.39,percent of total billed charges ,3.76,percent of total billed charges ,3.76,percent of total billed charges ,3.76,percent of total billed charges ,3.76,percent of total billed charges ,,,,,3.34,percent of total billed charges ,,,,,3.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,
PROPRANOLOL (INDERAL-LA) 120 MG LA CAP,LOCAL,LOCAL,,,,both,1,each,2.39,2.39,0.67,2.39,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,,,1.72,percent of total billed charges ,,,1.91,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
PROPYLTHIOURACIL (PTU) 50MG TAB,LOCAL,LOCAL,,,,both,1,each,2.39,2.39,0.67,2.39,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,,,1.72,percent of total billed charges ,,,1.91,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
**PSEUDOEPHEDRINE (SUDAFED) 30MG: TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ACETAMINOPHEN/CODEINE ELIXIR: 5 ML UD,LOCAL,LOCAL,,,,both,1,each,17.21,17.21,4.82,17.21,17.21,percent of total billed charges,17.21,percent of total billed charges,17.21,percent of total billed charges,17.21,percent of total billed charges,17.21,percent of total billed charges,17.21,percent of total billed charges,17.21,percent of total billed charges,17.21,percent of total billed charges,12.39,percent of total billed charges,12.39,percent of total billed charges,12.39,percent of total billed charges,12.39,percent of total billed charges,12.39,percent of total billed charges,12.39,percent of total billed charges,12.74,percent of total billed charges,12.74,percent of total billed charges,13.77,percent of total billed charges,13.77,percent of total billed charges,,,12.39,percent of total billed charges ,,,13.77,percent of total billed charges ,14.46,percent of total billed charges ,14.46,percent of total billed charges ,13.42,percent of total billed charges ,13.42,percent of total billed charges ,13.77,percent of total billed charges ,13.77,percent of total billed charges ,12.05,percent of total billed charges ,12.05,percent of total billed charges ,10.33,percent of total billed charges ,10.33,percent of total billed charges ,10.33,percent of total billed charges ,10.33,percent of total billed charges ,,,,,9.16,percent of total billed charges ,,,,,8.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,,,4.82,percent of total billed charges,
BUSPIRONE (BUSPAR) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**PSYLLIUM (METAMUCIL) POWDER: 6OZ BULK,LOCAL,LOCAL,,,,both,1,each,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
PYRIDOXINE (VITAMIN B-6) TAB 25 MG,LOCAL,LOCAL,,,,both,1,each,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
PYRIDOXINE (VITAMIN B-6) TAB 50MG,LOCAL,LOCAL,,,,both,1,each,0.67,0.67,0.19,0.67,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.48,percent of total billed charges ,,,0.54,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
**PYRIDOXINE(VITAMIN B-6) INJ 100MG/ML:1,J3415,CDM,,,,both,1,each,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**QUINIDINE SULFATE EXT RELEASE 300MG: T,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**QUINIDINE SULFATE TAB: 200MG,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**RANITIDINE (ZANTAC): 25MG/ML 6ML INJ.,J2780,CDM,,,,both,1,each,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
rifAMPin (RIFADIN) CAP 300MG,LOCAL,LOCAL,,,,both,1,each,3.8,3.8,1.06,3.8,3.8,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,3.04,percent of total billed charges,3.04,percent of total billed charges,,,2.74,percent of total billed charges ,,,3.04,percent of total billed charges ,3.19,percent of total billed charges ,3.19,percent of total billed charges ,2.96,percent of total billed charges ,2.96,percent of total billed charges ,3.04,percent of total billed charges ,3.04,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.28,percent of total billed charges ,2.28,percent of total billed charges ,2.28,percent of total billed charges ,2.28,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,1.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,
**RUBELLA (MERUVAX-II) VACCINE 0.5ML,90706,CDM,,,,both,1,each,407,407,113.96,407,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,407,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,293.04,percent of total billed charges,301.18,percent of total billed charges,301.18,percent of total billed charges,325.6,percent of total billed charges,325.6,percent of total billed charges,,,293.04,percent of total billed charges ,,,325.6,percent of total billed charges ,341.88,percent of total billed charges ,341.88,percent of total billed charges ,317.46,percent of total billed charges ,317.46,percent of total billed charges ,325.6,percent of total billed charges ,325.6,percent of total billed charges ,284.9,percent of total billed charges ,284.9,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,244.2,percent of total billed charges ,,,,,216.52,percent of total billed charges ,,,,,205.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,,,113.96,percent of total billed charges,
**SALSALATE (DICALCID) TAB 750MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
SCOPOLAMINE (TRANSDERM-SCOP) PATCH,LOCAL,LOCAL,,,,both,1,each,24.53,24.53,6.87,24.53,24.53,percent of total billed charges,24.53,percent of total billed charges,24.53,percent of total billed charges,24.53,percent of total billed charges,24.53,percent of total billed charges,24.53,percent of total billed charges,24.53,percent of total billed charges,24.53,percent of total billed charges,17.66,percent of total billed charges,17.66,percent of total billed charges,17.66,percent of total billed charges,17.66,percent of total billed charges,17.66,percent of total billed charges,17.66,percent of total billed charges,18.15,percent of total billed charges,18.15,percent of total billed charges,19.62,percent of total billed charges,19.62,percent of total billed charges,,,17.66,percent of total billed charges ,,,19.62,percent of total billed charges ,20.61,percent of total billed charges ,20.61,percent of total billed charges ,19.13,percent of total billed charges ,19.13,percent of total billed charges ,19.62,percent of total billed charges ,19.62,percent of total billed charges ,17.17,percent of total billed charges ,17.17,percent of total billed charges ,14.72,percent of total billed charges ,14.72,percent of total billed charges ,14.72,percent of total billed charges ,14.72,percent of total billed charges ,,,,,13.05,percent of total billed charges ,,,,,12.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,,,6.87,percent of total billed charges,
SELEGILINE (ELDEPRYL) 5MG TAB,LOCAL,LOCAL,,,,both,,,4.64,4.64,1.3,4.64,4.64,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,3.34,percent of total billed charges,3.34,percent of total billed charges,3.34,percent of total billed charges,3.34,percent of total billed charges,3.34,percent of total billed charges,3.34,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,,,3.34,percent of total billed charges ,,,3.71,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,3.62,percent of total billed charges ,3.62,percent of total billed charges ,3.71,percent of total billed charges ,3.71,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,,,,,2.47,percent of total billed charges ,,,,,2.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,
**SELENIUM INJECTION: 400MCG,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
PENICILLIN G POT  5 MILLION UNIT INJ,J2540,CDM,,,,both,1,each,266.58,266.58,74.64,266.58,266.58,percent of total billed charges,266.58,percent of total billed charges,266.58,percent of total billed charges,266.58,percent of total billed charges,266.58,percent of total billed charges,266.58,percent of total billed charges,266.58,percent of total billed charges,266.58,percent of total billed charges,191.94,percent of total billed charges,191.94,percent of total billed charges,191.94,percent of total billed charges,191.94,percent of total billed charges,191.94,percent of total billed charges,191.94,percent of total billed charges,197.27,percent of total billed charges,197.27,percent of total billed charges,213.26,percent of total billed charges,213.26,percent of total billed charges,,,191.94,percent of total billed charges ,,,213.26,percent of total billed charges ,223.93,percent of total billed charges ,223.93,percent of total billed charges ,207.93,percent of total billed charges ,207.93,percent of total billed charges ,213.26,percent of total billed charges ,213.26,percent of total billed charges ,186.61,percent of total billed charges ,186.61,percent of total billed charges ,159.95,percent of total billed charges ,159.95,percent of total billed charges ,159.95,percent of total billed charges ,159.95,percent of total billed charges ,,,,,141.82,percent of total billed charges ,,,,,134.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,,,74.64,percent of total billed charges,
OCTREOTIDE (SandoSTATIN) 100MCG/ML 1ML,J2354,CDM,,,,both,1,each,42.54,42.54,11.91,42.54,42.54,percent of total billed charges,42.54,percent of total billed charges,42.54,percent of total billed charges,42.54,percent of total billed charges,42.54,percent of total billed charges,42.54,percent of total billed charges,42.54,percent of total billed charges,42.54,percent of total billed charges,30.63,percent of total billed charges,30.63,percent of total billed charges,30.63,percent of total billed charges,30.63,percent of total billed charges,30.63,percent of total billed charges,30.63,percent of total billed charges,31.48,percent of total billed charges,31.48,percent of total billed charges,34.03,percent of total billed charges,34.03,percent of total billed charges,,,30.63,percent of total billed charges ,,,34.03,percent of total billed charges ,35.73,percent of total billed charges ,35.73,percent of total billed charges ,33.18,percent of total billed charges ,33.18,percent of total billed charges ,34.03,percent of total billed charges ,34.03,percent of total billed charges ,29.78,percent of total billed charges ,29.78,percent of total billed charges ,25.52,percent of total billed charges ,25.52,percent of total billed charges ,25.52,percent of total billed charges ,25.52,percent of total billed charges ,,,,,22.63,percent of total billed charges ,,,,,21.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,
**NA POLYSTYRENE (KAYEXALATE) 30GM/120ML,LOCAL,LOCAL,,,,both,1,each,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
SODIUM ACETATE 2 MEQ/ML: 20 ML,LOCAL,LOCAL,,,,both,1,each,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
**E-DIMETAPP COLD & ALLERGY TABS: 20 TA,LOCAL,LOCAL,,,,both,1,each,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
SOD BICARB 8.4% (1MEQ/ML) 50 ML SYR,LOCAL,LOCAL,,,,both,1,each,138.55,138.55,38.79,138.55,138.55,percent of total billed charges,138.55,percent of total billed charges,138.55,percent of total billed charges,138.55,percent of total billed charges,138.55,percent of total billed charges,138.55,percent of total billed charges,138.55,percent of total billed charges,138.55,percent of total billed charges,99.76,percent of total billed charges,99.76,percent of total billed charges,99.76,percent of total billed charges,99.76,percent of total billed charges,99.76,percent of total billed charges,99.76,percent of total billed charges,102.53,percent of total billed charges,102.53,percent of total billed charges,110.84,percent of total billed charges,110.84,percent of total billed charges,,,99.76,percent of total billed charges ,,,110.84,percent of total billed charges ,116.38,percent of total billed charges ,116.38,percent of total billed charges ,108.07,percent of total billed charges ,108.07,percent of total billed charges ,110.84,percent of total billed charges ,110.84,percent of total billed charges ,96.99,percent of total billed charges ,96.99,percent of total billed charges ,83.13,percent of total billed charges ,83.13,percent of total billed charges ,83.13,percent of total billed charges ,83.13,percent of total billed charges ,,,,,73.71,percent of total billed charges ,,,,,70.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,,,38.79,percent of total billed charges,
**0.9% NACL (BACTERIOSTATIC) INJ 30ML MD,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
NACL 14.6% (2.5MEQ/ML)INJ: 40 ML,J7131,CDM,,,,both,1,each,16.67,16.67,4.67,16.67,16.67,percent of total billed charges,16.67,percent of total billed charges,16.67,percent of total billed charges,16.67,percent of total billed charges,16.67,percent of total billed charges,16.67,percent of total billed charges,16.67,percent of total billed charges,16.67,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,13.34,percent of total billed charges,13.34,percent of total billed charges,,,12,percent of total billed charges ,,,13.34,percent of total billed charges ,14,percent of total billed charges ,14,percent of total billed charges ,13,percent of total billed charges ,13,percent of total billed charges ,13.34,percent of total billed charges ,13.34,percent of total billed charges ,11.67,percent of total billed charges ,11.67,percent of total billed charges ,10,percent of total billed charges ,10,percent of total billed charges ,10,percent of total billed charges ,10,percent of total billed charges ,,,,,8.87,percent of total billed charges ,,,,,8.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,,,4.67,percent of total billed charges,
**SODIUM CHLORIDE 1GM TABLET,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
0.65% NACL (OCEAN) NASAL MIST 45 ML,LOCAL,LOCAL,,,,both,1,each,9.98,9.98,2.79,9.98,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.39,percent of total billed charges,7.39,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,,,7.19,percent of total billed charges ,,,7.98,percent of total billed charges ,8.38,percent of total billed charges ,8.38,percent of total billed charges ,7.78,percent of total billed charges ,7.78,percent of total billed charges ,7.98,percent of total billed charges ,7.98,percent of total billed charges ,6.99,percent of total billed charges ,6.99,percent of total billed charges ,5.99,percent of total billed charges ,5.99,percent of total billed charges ,5.99,percent of total billed charges ,5.99,percent of total billed charges ,,,,,5.31,percent of total billed charges ,,,,,5.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,
**ACETAMINOPHEN (TYLENOL) 100MG/ML DROPS,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
DAKINS SOLN (SOD.HYPOCHLOR)1/2 ST: 480ML,LOCAL,LOCAL,,,,both,1,each,71.31,71.31,19.97,71.31,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,57.05,percent of total billed charges,57.05,percent of total billed charges,,,51.34,percent of total billed charges ,,,57.05,percent of total billed charges ,59.9,percent of total billed charges ,59.9,percent of total billed charges ,55.62,percent of total billed charges ,55.62,percent of total billed charges ,57.05,percent of total billed charges ,57.05,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,42.79,percent of total billed charges ,42.79,percent of total billed charges ,42.79,percent of total billed charges ,42.79,percent of total billed charges ,,,,,37.94,percent of total billed charges ,,,,,36.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,
NITROPRUSSIDE (NIPRIDE) 50MG/250ML DRIP,LOCAL,LOCAL,,,,both,1,each,234.32,234.32,65.61,234.32,234.32,percent of total billed charges,234.32,percent of total billed charges,234.32,percent of total billed charges,234.32,percent of total billed charges,234.32,percent of total billed charges,234.32,percent of total billed charges,234.32,percent of total billed charges,234.32,percent of total billed charges,168.71,percent of total billed charges,168.71,percent of total billed charges,168.71,percent of total billed charges,168.71,percent of total billed charges,168.71,percent of total billed charges,168.71,percent of total billed charges,173.4,percent of total billed charges,173.4,percent of total billed charges,187.46,percent of total billed charges,187.46,percent of total billed charges,,,168.71,percent of total billed charges ,,,187.46,percent of total billed charges ,196.83,percent of total billed charges ,196.83,percent of total billed charges ,182.77,percent of total billed charges ,182.77,percent of total billed charges ,187.46,percent of total billed charges ,187.46,percent of total billed charges ,164.02,percent of total billed charges ,164.02,percent of total billed charges ,140.59,percent of total billed charges ,140.59,percent of total billed charges ,140.59,percent of total billed charges ,140.59,percent of total billed charges ,,,,,124.66,percent of total billed charges ,,,,,118.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,,,65.61,percent of total billed charges,
SOD PHOSPHATE (15mM PO4+/5ML): 5 ML VIAL,LOCAL,LOCAL,,,,both,1,each,123.65,123.65,34.62,123.65,123.65,percent of total billed charges,123.65,percent of total billed charges,123.65,percent of total billed charges,123.65,percent of total billed charges,123.65,percent of total billed charges,123.65,percent of total billed charges,123.65,percent of total billed charges,123.65,percent of total billed charges,89.03,percent of total billed charges,89.03,percent of total billed charges,89.03,percent of total billed charges,89.03,percent of total billed charges,89.03,percent of total billed charges,89.03,percent of total billed charges,91.5,percent of total billed charges,91.5,percent of total billed charges,98.92,percent of total billed charges,98.92,percent of total billed charges,,,89.03,percent of total billed charges ,,,98.92,percent of total billed charges ,103.87,percent of total billed charges ,103.87,percent of total billed charges ,96.45,percent of total billed charges ,96.45,percent of total billed charges ,98.92,percent of total billed charges ,98.92,percent of total billed charges ,86.56,percent of total billed charges ,86.56,percent of total billed charges ,74.19,percent of total billed charges ,74.19,percent of total billed charges ,74.19,percent of total billed charges ,74.19,percent of total billed charges ,,,,,65.78,percent of total billed charges ,,,,,62.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,,,34.62,percent of total billed charges,
METOCLOPRAMINE (REGLAN) SOLN 10MG/10ML,LOCAL,LOCAL,,,,both,1,each,7.62,7.62,2.13,7.62,7.62,percent of total billed charges,7.62,percent of total billed charges,7.62,percent of total billed charges,7.62,percent of total billed charges,7.62,percent of total billed charges,7.62,percent of total billed charges,7.62,percent of total billed charges,7.62,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,6.1,percent of total billed charges,6.1,percent of total billed charges,,,5.49,percent of total billed charges ,,,6.1,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.94,percent of total billed charges ,5.94,percent of total billed charges ,6.1,percent of total billed charges ,6.1,percent of total billed charges ,5.33,percent of total billed charges ,5.33,percent of total billed charges ,4.57,percent of total billed charges ,4.57,percent of total billed charges ,4.57,percent of total billed charges ,4.57,percent of total billed charges ,,,,,4.05,percent of total billed charges ,,,,,3.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,
NA POLYSTRENE (KAYEXALATE) 15GM/60ML UD,LOCAL,LOCAL,,,,both,1,each,72.65,72.65,20.34,72.65,72.65,percent of total billed charges,72.65,percent of total billed charges,72.65,percent of total billed charges,72.65,percent of total billed charges,72.65,percent of total billed charges,72.65,percent of total billed charges,72.65,percent of total billed charges,72.65,percent of total billed charges,52.31,percent of total billed charges,52.31,percent of total billed charges,52.31,percent of total billed charges,52.31,percent of total billed charges,52.31,percent of total billed charges,52.31,percent of total billed charges,53.76,percent of total billed charges,53.76,percent of total billed charges,58.12,percent of total billed charges,58.12,percent of total billed charges,,,52.31,percent of total billed charges ,,,58.12,percent of total billed charges ,61.03,percent of total billed charges ,61.03,percent of total billed charges ,56.67,percent of total billed charges ,56.67,percent of total billed charges ,58.12,percent of total billed charges ,58.12,percent of total billed charges ,50.86,percent of total billed charges ,50.86,percent of total billed charges ,43.59,percent of total billed charges ,43.59,percent of total billed charges ,43.59,percent of total billed charges ,43.59,percent of total billed charges ,,,,,38.65,percent of total billed charges ,,,,,36.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,,,20.34,percent of total billed charges,
**BRIMONIDINE 0.2% (ALPHAGAN) OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
ASCORBIC ACID (VITAMIN C) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
SPIRONOLACTONE (ALDACTONE) 25 MG,LOCAL,LOCAL,,,,both,1,each,0.53,0.53,0.15,0.53,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,,,0.38,percent of total billed charges ,,,0.42,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
**SPIRONOLACTONE 25MG / HCTZ 25MG TAB,LOCAL,LOCAL,,,,both,1,each,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
STERILE WATER FOR INJECTION SDV 20ML,LOCAL,LOCAL,,,,both,1,each,11.2,11.2,3.14,11.2,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.29,percent of total billed charges,8.29,percent of total billed charges,8.96,percent of total billed charges,8.96,percent of total billed charges,,,8.06,percent of total billed charges ,,,8.96,percent of total billed charges ,9.41,percent of total billed charges ,9.41,percent of total billed charges ,8.74,percent of total billed charges ,8.74,percent of total billed charges ,8.96,percent of total billed charges ,8.96,percent of total billed charges ,7.84,percent of total billed charges ,7.84,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,,,,,5.96,percent of total billed charges ,,,,,5.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,,,3.14,percent of total billed charges,
BUTORPHANOL TARTRATE 2MG/1ML 1ML VIAL,J0595,CDM,,,,both,1,each,218.2,218.2,61.1,218.2,218.2,percent of total billed charges,218.2,percent of total billed charges,218.2,percent of total billed charges,218.2,percent of total billed charges,218.2,percent of total billed charges,218.2,percent of total billed charges,218.2,percent of total billed charges,218.2,percent of total billed charges,157.1,percent of total billed charges,157.1,percent of total billed charges,157.1,percent of total billed charges,157.1,percent of total billed charges,157.1,percent of total billed charges,157.1,percent of total billed charges,161.47,percent of total billed charges,161.47,percent of total billed charges,174.56,percent of total billed charges,174.56,percent of total billed charges,,,157.1,percent of total billed charges ,,,174.56,percent of total billed charges ,183.29,percent of total billed charges ,183.29,percent of total billed charges ,170.2,percent of total billed charges ,170.2,percent of total billed charges ,174.56,percent of total billed charges ,174.56,percent of total billed charges ,152.74,percent of total billed charges ,152.74,percent of total billed charges ,130.92,percent of total billed charges ,130.92,percent of total billed charges ,130.92,percent of total billed charges ,130.92,percent of total billed charges ,,,,,116.08,percent of total billed charges ,,,,,110.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,,,61.1,percent of total billed charges,
SUCRALFATE (CARAFATE) 1GM TAB,LOCAL,LOCAL,,,,both,1,each,1.52,1.52,0.43,1.52,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.09,percent of total billed charges ,,,1.22,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
SULFACETAMIDE (SULAMYD) 10% OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,145.9,145.9,40.85,145.9,145.9,percent of total billed charges,145.9,percent of total billed charges,145.9,percent of total billed charges,145.9,percent of total billed charges,145.9,percent of total billed charges,145.9,percent of total billed charges,145.9,percent of total billed charges,145.9,percent of total billed charges,105.05,percent of total billed charges,105.05,percent of total billed charges,105.05,percent of total billed charges,105.05,percent of total billed charges,105.05,percent of total billed charges,105.05,percent of total billed charges,107.97,percent of total billed charges,107.97,percent of total billed charges,116.72,percent of total billed charges,116.72,percent of total billed charges,,,105.05,percent of total billed charges ,,,116.72,percent of total billed charges ,122.56,percent of total billed charges ,122.56,percent of total billed charges ,113.8,percent of total billed charges ,113.8,percent of total billed charges ,116.72,percent of total billed charges ,116.72,percent of total billed charges ,102.13,percent of total billed charges ,102.13,percent of total billed charges ,87.54,percent of total billed charges ,87.54,percent of total billed charges ,87.54,percent of total billed charges ,87.54,percent of total billed charges ,,,,,77.62,percent of total billed charges ,,,,,73.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,,,40.85,percent of total billed charges,
sulfaSALAzine (AZULFIDINE) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,1.11,1.11,0.31,1.11,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,,,0.8,percent of total billed charges ,,,0.89,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
**SULINDAC (CLINORIL) TAB 150MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**SULINDAC (CLINORIL) TAB 200MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LEVOTHYROXINE 100 MCG INJECTION,LOCAL,LOCAL,,,,both,1,each,639.55,639.55,179.07,639.55,639.55,percent of total billed charges,639.55,percent of total billed charges,639.55,percent of total billed charges,639.55,percent of total billed charges,639.55,percent of total billed charges,639.55,percent of total billed charges,639.55,percent of total billed charges,639.55,percent of total billed charges,460.48,percent of total billed charges,460.48,percent of total billed charges,460.48,percent of total billed charges,460.48,percent of total billed charges,460.48,percent of total billed charges,460.48,percent of total billed charges,473.27,percent of total billed charges,473.27,percent of total billed charges,511.64,percent of total billed charges,511.64,percent of total billed charges,,,460.48,percent of total billed charges ,,,511.64,percent of total billed charges ,537.22,percent of total billed charges ,537.22,percent of total billed charges ,498.85,percent of total billed charges ,498.85,percent of total billed charges ,511.64,percent of total billed charges ,511.64,percent of total billed charges ,447.69,percent of total billed charges ,447.69,percent of total billed charges ,383.73,percent of total billed charges ,383.73,percent of total billed charges ,383.73,percent of total billed charges ,383.73,percent of total billed charges ,,,,,340.24,percent of total billed charges ,,,,,323.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,,,179.07,percent of total billed charges,
TAMOXIFEN (NOLVADEX) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,1.55,1.55,0.43,1.55,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,,,1.12,percent of total billed charges ,,,1.24,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,0.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
TEMAZEPAM (RESTORIL) CAP 15MG,LOCAL,LOCAL,,,,both,1,each,1.21,1.21,0.34,1.21,1.21,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,,,0.87,percent of total billed charges ,,,0.97,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,0.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
*TEMAZEPAM (RESTORIL) CAP 30MG,LOCAL,LOCAL,,,,both,1,each,1.74,1.74,0.49,1.74,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.29,percent of total billed charges,1.29,percent of total billed charges,1.39,percent of total billed charges,1.39,percent of total billed charges,,,1.25,percent of total billed charges ,,,1.39,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,,,,,0.93,percent of total billed charges ,,,,,0.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,
TERAZOSIN (HYTRIN) 5MG CAP,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
TERBUTALINE (BRETHINE) 2.5MG TAB,LOCAL,LOCAL,,,,both,1,each,11.19,11.19,3.13,11.19,11.19,percent of total billed charges,11.19,percent of total billed charges,11.19,percent of total billed charges,11.19,percent of total billed charges,11.19,percent of total billed charges,11.19,percent of total billed charges,11.19,percent of total billed charges,11.19,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.06,percent of total billed charges,8.28,percent of total billed charges,8.28,percent of total billed charges,8.95,percent of total billed charges,8.95,percent of total billed charges,,,8.06,percent of total billed charges ,,,8.95,percent of total billed charges ,9.4,percent of total billed charges ,9.4,percent of total billed charges ,8.73,percent of total billed charges ,8.73,percent of total billed charges ,8.95,percent of total billed charges ,8.95,percent of total billed charges ,7.83,percent of total billed charges ,7.83,percent of total billed charges ,6.71,percent of total billed charges ,6.71,percent of total billed charges ,6.71,percent of total billed charges ,6.71,percent of total billed charges ,,,,,5.95,percent of total billed charges ,,,,,5.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,,,3.13,percent of total billed charges,
**TERBUTALINE(BRETHINE) 5 MG: TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**TOBRAMYCIN (NEBCIN) 20MG/2ML INJ,LOCAL,LOCAL,,,,both,1,each,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
busPIRone (BUSPAR) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,0.57,0.57,0.16,0.57,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,,,0.41,percent of total billed charges ,,,0.46,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,
TERBINAFINE (LamISIL) 1% CREAM: 12 GM,LOCAL,LOCAL,,,,both,1,each,65.38,65.38,18.31,65.38,65.38,percent of total billed charges,65.38,percent of total billed charges,65.38,percent of total billed charges,65.38,percent of total billed charges,65.38,percent of total billed charges,65.38,percent of total billed charges,65.38,percent of total billed charges,65.38,percent of total billed charges,47.07,percent of total billed charges,47.07,percent of total billed charges,47.07,percent of total billed charges,47.07,percent of total billed charges,47.07,percent of total billed charges,47.07,percent of total billed charges,48.38,percent of total billed charges,48.38,percent of total billed charges,52.3,percent of total billed charges,52.3,percent of total billed charges,,,47.07,percent of total billed charges ,,,52.3,percent of total billed charges ,54.92,percent of total billed charges ,54.92,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,52.3,percent of total billed charges ,52.3,percent of total billed charges ,45.77,percent of total billed charges ,45.77,percent of total billed charges ,39.23,percent of total billed charges ,39.23,percent of total billed charges ,39.23,percent of total billed charges ,39.23,percent of total billed charges ,,,,,34.78,percent of total billed charges ,,,,,33.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,,,18.31,percent of total billed charges,
CEFUROXIME AXETIL (CEFTIN) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,10.46,10.46,2.93,10.46,10.46,percent of total billed charges,10.46,percent of total billed charges,10.46,percent of total billed charges,10.46,percent of total billed charges,10.46,percent of total billed charges,10.46,percent of total billed charges,10.46,percent of total billed charges,10.46,percent of total billed charges,7.53,percent of total billed charges,7.53,percent of total billed charges,7.53,percent of total billed charges,7.53,percent of total billed charges,7.53,percent of total billed charges,7.53,percent of total billed charges,7.74,percent of total billed charges,7.74,percent of total billed charges,8.37,percent of total billed charges,8.37,percent of total billed charges,,,7.53,percent of total billed charges ,,,8.37,percent of total billed charges ,8.79,percent of total billed charges ,8.79,percent of total billed charges ,8.16,percent of total billed charges ,8.16,percent of total billed charges ,8.37,percent of total billed charges ,8.37,percent of total billed charges ,7.32,percent of total billed charges ,7.32,percent of total billed charges ,6.28,percent of total billed charges ,6.28,percent of total billed charges ,6.28,percent of total billed charges ,6.28,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,5.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,,,2.93,percent of total billed charges,
CALCIUM CARBONATE (OSCAL) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
CALAMINE LOTION 4OZ,LOCAL,LOCAL,,,,both,1,each,18.89,18.89,5.29,18.89,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.98,percent of total billed charges,13.98,percent of total billed charges,15.11,percent of total billed charges,15.11,percent of total billed charges,,,13.6,percent of total billed charges ,,,15.11,percent of total billed charges ,15.87,percent of total billed charges ,15.87,percent of total billed charges ,14.73,percent of total billed charges ,14.73,percent of total billed charges ,15.11,percent of total billed charges ,15.11,percent of total billed charges ,13.22,percent of total billed charges ,13.22,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,,,,,10.05,percent of total billed charges ,,,,,9.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,
**CALCITONIN (MIACALCIN INJ) 400 UNITS/2,LOCAL,LOCAL,,,,both,1,each,569,569,159.32,569,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,569,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,409.68,percent of total billed charges,421.06,percent of total billed charges,421.06,percent of total billed charges,455.2,percent of total billed charges,455.2,percent of total billed charges,,,409.68,percent of total billed charges ,,,455.2,percent of total billed charges ,477.96,percent of total billed charges ,477.96,percent of total billed charges ,443.82,percent of total billed charges ,443.82,percent of total billed charges ,455.2,percent of total billed charges ,455.2,percent of total billed charges ,398.3,percent of total billed charges ,398.3,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,,,,,302.71,percent of total billed charges ,,,,,287.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,,,159.32,percent of total billed charges,
MAGNESIUM S04 4 GM IN 100 ML IVPB,LOCAL,LOCAL,,,,both,1,each,81.9,81.9,22.93,81.9,81.9,percent of total billed charges,81.9,percent of total billed charges,81.9,percent of total billed charges,81.9,percent of total billed charges,81.9,percent of total billed charges,81.9,percent of total billed charges,81.9,percent of total billed charges,81.9,percent of total billed charges,58.97,percent of total billed charges,58.97,percent of total billed charges,58.97,percent of total billed charges,58.97,percent of total billed charges,58.97,percent of total billed charges,58.97,percent of total billed charges,60.61,percent of total billed charges,60.61,percent of total billed charges,65.52,percent of total billed charges,65.52,percent of total billed charges,,,58.97,percent of total billed charges ,,,65.52,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,63.88,percent of total billed charges ,63.88,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,57.33,percent of total billed charges ,57.33,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,,,,,43.57,percent of total billed charges ,,,,,41.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,,,22.93,percent of total billed charges,
**TRIETHANOLAMINE (CERUMENEX) OTIC SO,LOCAL,LOCAL,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
**CALCIUM CARB 500MG WITH VIT D TAB:CD 3,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
CHARCOL ACTIVATED AQUA SUSP  50GM,LOCAL,LOCAL,,,,both,1,each,69.12,69.12,19.35,69.12,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,49.77,percent of total billed charges,49.77,percent of total billed charges,49.77,percent of total billed charges,49.77,percent of total billed charges,49.77,percent of total billed charges,49.77,percent of total billed charges,51.15,percent of total billed charges,51.15,percent of total billed charges,55.3,percent of total billed charges,55.3,percent of total billed charges,,,49.77,percent of total billed charges ,,,55.3,percent of total billed charges ,58.06,percent of total billed charges ,58.06,percent of total billed charges ,53.91,percent of total billed charges ,53.91,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,48.38,percent of total billed charges ,48.38,percent of total billed charges ,41.47,percent of total billed charges ,41.47,percent of total billed charges ,41.47,percent of total billed charges ,41.47,percent of total billed charges ,,,,,36.77,percent of total billed charges ,,,,,34.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,,,19.35,percent of total billed charges,
CHARCOAL (ACTISORB) SUSP 50GM,LOCAL,LOCAL,,,,both,1,each,55.64,55.64,15.58,55.64,55.64,percent of total billed charges,55.64,percent of total billed charges,55.64,percent of total billed charges,55.64,percent of total billed charges,55.64,percent of total billed charges,55.64,percent of total billed charges,55.64,percent of total billed charges,55.64,percent of total billed charges,40.06,percent of total billed charges,40.06,percent of total billed charges,40.06,percent of total billed charges,40.06,percent of total billed charges,40.06,percent of total billed charges,40.06,percent of total billed charges,41.17,percent of total billed charges,41.17,percent of total billed charges,44.51,percent of total billed charges,44.51,percent of total billed charges,,,40.06,percent of total billed charges ,,,44.51,percent of total billed charges ,46.74,percent of total billed charges ,46.74,percent of total billed charges ,43.4,percent of total billed charges ,43.4,percent of total billed charges ,44.51,percent of total billed charges ,44.51,percent of total billed charges ,38.95,percent of total billed charges ,38.95,percent of total billed charges ,33.38,percent of total billed charges ,33.38,percent of total billed charges ,33.38,percent of total billed charges ,33.38,percent of total billed charges ,,,,,29.6,percent of total billed charges ,,,,,28.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,,,15.58,percent of total billed charges,
**CAPSAICIN CREAM 0.025% (ZOSTRIX) 56.6G,LOCAL,LOCAL,,,,both,1,each,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CAPTOPRIL (CAPOTEN) 12.5 MG TAB,LOCAL,LOCAL,,,,both,1,each,6.11,6.11,1.71,6.11,6.11,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.52,percent of total billed charges,4.52,percent of total billed charges,4.89,percent of total billed charges,4.89,percent of total billed charges,,,4.4,percent of total billed charges ,,,4.89,percent of total billed charges ,5.13,percent of total billed charges ,5.13,percent of total billed charges ,4.77,percent of total billed charges ,4.77,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,4.28,percent of total billed charges ,4.28,percent of total billed charges ,3.67,percent of total billed charges ,3.67,percent of total billed charges ,3.67,percent of total billed charges ,3.67,percent of total billed charges ,,,,,3.25,percent of total billed charges ,,,,,3.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,
CAPTOPRIL (CAPOTEN) 25 MG TAB,LOCAL,LOCAL,,,,both,1,each,2.63,2.63,0.74,2.63,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,,,1.89,percent of total billed charges ,,,2.1,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,,,,,1.4,percent of total billed charges ,,,,,1.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,,,0.74,percent of total billed charges,
CAPTOPRIL (CAPOTEN) 50MG TAB,LOCAL,LOCAL,,,,both,1,each,5.09,5.09,1.43,5.09,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,,,3.66,percent of total billed charges ,,,4.07,percent of total billed charges ,4.28,percent of total billed charges ,4.28,percent of total billed charges ,3.97,percent of total billed charges ,3.97,percent of total billed charges ,4.07,percent of total billed charges ,4.07,percent of total billed charges ,3.56,percent of total billed charges ,3.56,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,,,,,2.71,percent of total billed charges ,,,,,2.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,
CEFPROZIL (CEFZIL) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,3.24,3.24,0.91,3.24,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,,,2.33,percent of total billed charges ,,,2.59,percent of total billed charges ,2.72,percent of total billed charges ,2.72,percent of total billed charges ,2.53,percent of total billed charges ,2.53,percent of total billed charges ,2.59,percent of total billed charges ,2.59,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,,,,,1.72,percent of total billed charges ,,,,,1.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,
cloNIDine (CATAPRES TTS-2) 0.2MG/DAY,LOCAL,LOCAL,,,,both,1,each,45.16,45.16,12.64,45.16,45.16,percent of total billed charges,45.16,percent of total billed charges,45.16,percent of total billed charges,45.16,percent of total billed charges,45.16,percent of total billed charges,45.16,percent of total billed charges,45.16,percent of total billed charges,45.16,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,36.13,percent of total billed charges,36.13,percent of total billed charges,,,32.52,percent of total billed charges ,,,36.13,percent of total billed charges ,37.93,percent of total billed charges ,37.93,percent of total billed charges ,35.22,percent of total billed charges ,35.22,percent of total billed charges ,36.13,percent of total billed charges ,36.13,percent of total billed charges ,31.61,percent of total billed charges ,31.61,percent of total billed charges ,27.1,percent of total billed charges ,27.1,percent of total billed charges ,27.1,percent of total billed charges ,27.1,percent of total billed charges ,,,,,24.03,percent of total billed charges ,,,,,22.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,,,12.64,percent of total billed charges,
LIDOCAINE 4% MPF (XYLOCAINE INJ) 5ML AMP,J2001,CDM,,,,both,1,each,47.98,47.98,13.43,47.98,47.98,percent of total billed charges,47.98,percent of total billed charges,47.98,percent of total billed charges,47.98,percent of total billed charges,47.98,percent of total billed charges,47.98,percent of total billed charges,47.98,percent of total billed charges,47.98,percent of total billed charges,34.55,percent of total billed charges,34.55,percent of total billed charges,34.55,percent of total billed charges,34.55,percent of total billed charges,34.55,percent of total billed charges,34.55,percent of total billed charges,35.51,percent of total billed charges,35.51,percent of total billed charges,38.38,percent of total billed charges,38.38,percent of total billed charges,,,34.55,percent of total billed charges ,,,38.38,percent of total billed charges ,40.3,percent of total billed charges ,40.3,percent of total billed charges ,37.42,percent of total billed charges ,37.42,percent of total billed charges ,38.38,percent of total billed charges ,38.38,percent of total billed charges ,33.59,percent of total billed charges ,33.59,percent of total billed charges ,28.79,percent of total billed charges ,28.79,percent of total billed charges ,28.79,percent of total billed charges ,28.79,percent of total billed charges ,,,,,25.53,percent of total billed charges ,,,,,24.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,,,13.43,percent of total billed charges,
DIVALPROEX (DEPAKOTE) DR 250MG TAB,LOCAL,LOCAL,,,,both,1,each,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
METHYLERGONOVINE (METHERGINE) 0.2MG INJ:,J2210,CDM,,,,both,1,each,195.17,195.17,54.65,195.17,195.17,percent of total billed charges,195.17,percent of total billed charges,195.17,percent of total billed charges,195.17,percent of total billed charges,195.17,percent of total billed charges,195.17,percent of total billed charges,195.17,percent of total billed charges,195.17,percent of total billed charges,140.52,percent of total billed charges,140.52,percent of total billed charges,140.52,percent of total billed charges,140.52,percent of total billed charges,140.52,percent of total billed charges,140.52,percent of total billed charges,144.43,percent of total billed charges,144.43,percent of total billed charges,156.14,percent of total billed charges,156.14,percent of total billed charges,,,140.52,percent of total billed charges ,,,156.14,percent of total billed charges ,163.94,percent of total billed charges ,163.94,percent of total billed charges ,152.23,percent of total billed charges ,152.23,percent of total billed charges ,156.14,percent of total billed charges ,156.14,percent of total billed charges ,136.62,percent of total billed charges ,136.62,percent of total billed charges ,117.1,percent of total billed charges ,117.1,percent of total billed charges ,117.1,percent of total billed charges ,117.1,percent of total billed charges ,,,,,103.83,percent of total billed charges ,,,,,98.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,,,54.65,percent of total billed charges,
METHYLERGONOVINE (METHERGINE) 0.2MG TAB,LOCAL,LOCAL,,,,both,1,each,66.87,66.87,18.72,66.87,66.87,percent of total billed charges,66.87,percent of total billed charges,66.87,percent of total billed charges,66.87,percent of total billed charges,66.87,percent of total billed charges,66.87,percent of total billed charges,66.87,percent of total billed charges,66.87,percent of total billed charges,48.15,percent of total billed charges,48.15,percent of total billed charges,48.15,percent of total billed charges,48.15,percent of total billed charges,48.15,percent of total billed charges,48.15,percent of total billed charges,49.48,percent of total billed charges,49.48,percent of total billed charges,53.5,percent of total billed charges,53.5,percent of total billed charges,,,48.15,percent of total billed charges ,,,53.5,percent of total billed charges ,56.17,percent of total billed charges ,56.17,percent of total billed charges ,52.16,percent of total billed charges ,52.16,percent of total billed charges ,53.5,percent of total billed charges ,53.5,percent of total billed charges ,46.81,percent of total billed charges ,46.81,percent of total billed charges ,40.12,percent of total billed charges ,40.12,percent of total billed charges ,40.12,percent of total billed charges ,40.12,percent of total billed charges ,,,,,35.57,percent of total billed charges ,,,,,33.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,,,18.72,percent of total billed charges,
methylPREDNISolone (MEDROL) 4MG TAB,J7509,CDM,,,,both,1,each,5.38,5.38,1.51,5.38,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,4.3,percent of total billed charges,4.3,percent of total billed charges,,,3.87,percent of total billed charges ,,,4.3,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.3,percent of total billed charges ,4.3,percent of total billed charges ,3.77,percent of total billed charges ,3.77,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,,,,,2.86,percent of total billed charges ,,,,,2.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,
methylPREDNISolone (DEPO-Medrol)80MG/1ML,J1040,CDM,,,,both,1,each,107.52,107.52,30.11,107.52,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,79.56,percent of total billed charges,79.56,percent of total billed charges,86.02,percent of total billed charges,86.02,percent of total billed charges,,,77.41,percent of total billed charges ,,,86.02,percent of total billed charges ,90.32,percent of total billed charges ,90.32,percent of total billed charges ,83.87,percent of total billed charges ,83.87,percent of total billed charges ,86.02,percent of total billed charges ,86.02,percent of total billed charges ,75.26,percent of total billed charges ,75.26,percent of total billed charges ,64.51,percent of total billed charges ,64.51,percent of total billed charges ,64.51,percent of total billed charges ,64.51,percent of total billed charges ,,,,,57.2,percent of total billed charges ,,,,,54.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,
methylPREDNISolone (DEPO-Medrol) 40MG/ML,J1020,CDM,,,,both,1,each,68.92,68.92,19.3,68.92,68.92,percent of total billed charges,68.92,percent of total billed charges,68.92,percent of total billed charges,68.92,percent of total billed charges,68.92,percent of total billed charges,68.92,percent of total billed charges,68.92,percent of total billed charges,68.92,percent of total billed charges,49.62,percent of total billed charges,49.62,percent of total billed charges,49.62,percent of total billed charges,49.62,percent of total billed charges,49.62,percent of total billed charges,49.62,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,55.14,percent of total billed charges,55.14,percent of total billed charges,,,49.62,percent of total billed charges ,,,55.14,percent of total billed charges ,57.89,percent of total billed charges ,57.89,percent of total billed charges ,53.76,percent of total billed charges ,53.76,percent of total billed charges ,55.14,percent of total billed charges ,55.14,percent of total billed charges ,48.24,percent of total billed charges ,48.24,percent of total billed charges ,41.35,percent of total billed charges ,41.35,percent of total billed charges ,41.35,percent of total billed charges ,41.35,percent of total billed charges ,,,,,36.67,percent of total billed charges ,,,,,34.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,,,19.3,percent of total billed charges,
TRIAMCINOLONE (KENALOG) CR 0.025%:15 GM,LOCAL,LOCAL,,,,both,1,each,47.09,47.09,13.19,47.09,47.09,percent of total billed charges,47.09,percent of total billed charges,47.09,percent of total billed charges,47.09,percent of total billed charges,47.09,percent of total billed charges,47.09,percent of total billed charges,47.09,percent of total billed charges,47.09,percent of total billed charges,33.9,percent of total billed charges,33.9,percent of total billed charges,33.9,percent of total billed charges,33.9,percent of total billed charges,33.9,percent of total billed charges,33.9,percent of total billed charges,34.85,percent of total billed charges,34.85,percent of total billed charges,37.67,percent of total billed charges,37.67,percent of total billed charges,,,33.9,percent of total billed charges ,,,37.67,percent of total billed charges ,39.56,percent of total billed charges ,39.56,percent of total billed charges ,36.73,percent of total billed charges ,36.73,percent of total billed charges ,37.67,percent of total billed charges ,37.67,percent of total billed charges ,32.96,percent of total billed charges ,32.96,percent of total billed charges ,28.25,percent of total billed charges ,28.25,percent of total billed charges ,28.25,percent of total billed charges ,28.25,percent of total billed charges ,,,,,25.05,percent of total billed charges ,,,,,23.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,,,13.19,percent of total billed charges,
AMIOdarone (CORDARONE) 150MG/3ML VIAL,J0282,CDM,,,,both,1,each,30.62,30.62,8.57,30.62,30.62,percent of total billed charges,30.62,percent of total billed charges,30.62,percent of total billed charges,30.62,percent of total billed charges,30.62,percent of total billed charges,30.62,percent of total billed charges,30.62,percent of total billed charges,30.62,percent of total billed charges,22.05,percent of total billed charges,22.05,percent of total billed charges,22.05,percent of total billed charges,22.05,percent of total billed charges,22.05,percent of total billed charges,22.05,percent of total billed charges,22.66,percent of total billed charges,22.66,percent of total billed charges,24.5,percent of total billed charges,24.5,percent of total billed charges,,,22.05,percent of total billed charges ,,,24.5,percent of total billed charges ,25.72,percent of total billed charges ,25.72,percent of total billed charges ,23.88,percent of total billed charges ,23.88,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21.43,percent of total billed charges ,21.43,percent of total billed charges ,18.37,percent of total billed charges ,18.37,percent of total billed charges ,18.37,percent of total billed charges ,18.37,percent of total billed charges ,,,,,16.29,percent of total billed charges ,,,,,15.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,,,8.57,percent of total billed charges,
ETHAMBUTOL (MYAMBUTOL) 400MG TAB,LOCAL,LOCAL,,,,both,1,each,2.57,2.57,0.72,2.57,2.57,percent of total billed charges,2.57,percent of total billed charges,2.57,percent of total billed charges,2.57,percent of total billed charges,2.57,percent of total billed charges,2.57,percent of total billed charges,2.57,percent of total billed charges,2.57,percent of total billed charges,1.85,percent of total billed charges,1.85,percent of total billed charges,1.85,percent of total billed charges,1.85,percent of total billed charges,1.85,percent of total billed charges,1.85,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,2.06,percent of total billed charges,2.06,percent of total billed charges,,,1.85,percent of total billed charges ,,,2.06,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2.06,percent of total billed charges ,2.06,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,,,,,1.37,percent of total billed charges ,,,,,1.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,
CLARITHROMYCIN (BIAXIN) 250MG TAB,LOCAL,LOCAL,,,,both,,,2.07,2.07,0.58,2.07,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,,,1.49,percent of total billed charges ,,,1.66,percent of total billed charges ,1.74,percent of total billed charges ,1.74,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,,,,,1.1,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,
**ALUM HYDROX/MAGNES HYDROX SUSP150ML,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**CITRATE MAG/BISACODYL (EVAC-Q-KWIK) KI,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
METOCLOPRAMIDE (REGLAN)  10MG/2ML INJ,J2765,CDM,,,,both,1,each,18.72,18.72,5.24,18.72,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,13.48,percent of total billed charges,13.48,percent of total billed charges,13.48,percent of total billed charges,13.48,percent of total billed charges,13.48,percent of total billed charges,13.48,percent of total billed charges,13.85,percent of total billed charges,13.85,percent of total billed charges,14.98,percent of total billed charges,14.98,percent of total billed charges,,,13.48,percent of total billed charges ,,,14.98,percent of total billed charges ,15.72,percent of total billed charges ,15.72,percent of total billed charges ,14.6,percent of total billed charges ,14.6,percent of total billed charges ,14.98,percent of total billed charges ,14.98,percent of total billed charges ,13.1,percent of total billed charges ,13.1,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,,,,,9.96,percent of total billed charges ,,,,,9.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,,,5.24,percent of total billed charges,
DESIPRAMINE (NORPRAMIN) 25 MG TAB,LOCAL,LOCAL,,,,both,1,each,3.69,3.69,1.03,3.69,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,,,2.66,percent of total billed charges ,,,2.95,percent of total billed charges ,3.1,percent of total billed charges ,3.1,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.95,percent of total billed charges ,2.95,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,,,,,1.96,percent of total billed charges ,,,,,1.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,
MAG CITRATE (CITRATE OF MAG.) 10OZ,LOCAL,LOCAL,,,,both,,,4.63,4.63,1.3,4.63,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,,,3.33,percent of total billed charges ,,,3.7,percent of total billed charges ,3.89,percent of total billed charges ,3.89,percent of total billed charges ,3.61,percent of total billed charges ,3.61,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,,,,,2.46,percent of total billed charges ,,,,,2.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,
Metoprolol TART (LOPRESSOR) 100 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**OLIVE OIL(SWEET OIL) OIL: 2OZ,LOCAL,LOCAL,,,,both,1,each,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
Metoprolol TART (LOPRESSOR) 50 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
METOPROLOL (LOPRESSOR) INJ 5MG/5ML,LOCAL,LOCAL,,,,both,1,each,9.81,9.81,2.75,9.81,9.81,percent of total billed charges,9.81,percent of total billed charges,9.81,percent of total billed charges,9.81,percent of total billed charges,9.81,percent of total billed charges,9.81,percent of total billed charges,9.81,percent of total billed charges,9.81,percent of total billed charges,7.06,percent of total billed charges,7.06,percent of total billed charges,7.06,percent of total billed charges,7.06,percent of total billed charges,7.06,percent of total billed charges,7.06,percent of total billed charges,7.26,percent of total billed charges,7.26,percent of total billed charges,7.85,percent of total billed charges,7.85,percent of total billed charges,,,7.06,percent of total billed charges ,,,7.85,percent of total billed charges ,8.24,percent of total billed charges ,8.24,percent of total billed charges ,7.65,percent of total billed charges ,7.65,percent of total billed charges ,7.85,percent of total billed charges ,7.85,percent of total billed charges ,6.87,percent of total billed charges ,6.87,percent of total billed charges ,5.89,percent of total billed charges ,5.89,percent of total billed charges ,5.89,percent of total billed charges ,5.89,percent of total billed charges ,,,,,5.22,percent of total billed charges ,,,,,4.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,,,2.75,percent of total billed charges,
MAGNESIUM SULFATE: 50% (500MG/ML) 10ML,J3475,CDM,,,,both,1,each,21.01,21.01,5.88,21.01,21.01,percent of total billed charges,21.01,percent of total billed charges,21.01,percent of total billed charges,21.01,percent of total billed charges,21.01,percent of total billed charges,21.01,percent of total billed charges,21.01,percent of total billed charges,21.01,percent of total billed charges,15.13,percent of total billed charges,15.13,percent of total billed charges,15.13,percent of total billed charges,15.13,percent of total billed charges,15.13,percent of total billed charges,15.13,percent of total billed charges,15.55,percent of total billed charges,15.55,percent of total billed charges,16.81,percent of total billed charges,16.81,percent of total billed charges,,,15.13,percent of total billed charges ,,,16.81,percent of total billed charges ,17.65,percent of total billed charges ,17.65,percent of total billed charges ,16.39,percent of total billed charges ,16.39,percent of total billed charges ,16.81,percent of total billed charges ,16.81,percent of total billed charges ,14.71,percent of total billed charges ,14.71,percent of total billed charges ,12.61,percent of total billed charges ,12.61,percent of total billed charges ,12.61,percent of total billed charges ,12.61,percent of total billed charges ,,,,,11.18,percent of total billed charges ,,,,,10.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**MAGNESIUM SULFATE SOLN 50%(BOWEL PREP),LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
metroNIDAZOLE (FLAGYL) 250MG TAB,LOCAL,LOCAL,,,,both,1,each,1.08,1.08,0.3,1.08,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,,,0.78,percent of total billed charges ,,,0.86,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
**METHYLCELLULOSE (CITRUCEL) 1OGM PACK,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
METHYLDOPA (ALDOMET) 250 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NEOMYCIN/POLYMIX/DEXAMETH OPHTH OINT,LOCAL,LOCAL,,,,both,1,each,283.72,283.72,79.44,283.72,283.72,percent of total billed charges,283.72,percent of total billed charges,283.72,percent of total billed charges,283.72,percent of total billed charges,283.72,percent of total billed charges,283.72,percent of total billed charges,283.72,percent of total billed charges,283.72,percent of total billed charges,204.28,percent of total billed charges,204.28,percent of total billed charges,204.28,percent of total billed charges,204.28,percent of total billed charges,204.28,percent of total billed charges,204.28,percent of total billed charges,209.95,percent of total billed charges,209.95,percent of total billed charges,226.98,percent of total billed charges,226.98,percent of total billed charges,,,204.28,percent of total billed charges ,,,226.98,percent of total billed charges ,238.32,percent of total billed charges ,238.32,percent of total billed charges ,221.3,percent of total billed charges ,221.3,percent of total billed charges ,226.98,percent of total billed charges ,226.98,percent of total billed charges ,198.6,percent of total billed charges ,198.6,percent of total billed charges ,170.23,percent of total billed charges ,170.23,percent of total billed charges ,170.23,percent of total billed charges ,170.23,percent of total billed charges ,,,,,150.94,percent of total billed charges ,,,,,143.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,,,79.44,percent of total billed charges,
EPINEPHrine (ADRENALIN) 30MG/30ML FTV,LOCAL,LOCAL,,,,both,1,each,907.09,907.09,253.99,907.09,907.09,percent of total billed charges,907.09,percent of total billed charges,907.09,percent of total billed charges,907.09,percent of total billed charges,907.09,percent of total billed charges,907.09,percent of total billed charges,907.09,percent of total billed charges,907.09,percent of total billed charges,653.1,percent of total billed charges,653.1,percent of total billed charges,653.1,percent of total billed charges,653.1,percent of total billed charges,653.1,percent of total billed charges,653.1,percent of total billed charges,671.25,percent of total billed charges,671.25,percent of total billed charges,725.67,percent of total billed charges,725.67,percent of total billed charges,,,653.1,percent of total billed charges ,,,725.67,percent of total billed charges ,761.96,percent of total billed charges ,761.96,percent of total billed charges ,707.53,percent of total billed charges ,707.53,percent of total billed charges ,725.67,percent of total billed charges ,725.67,percent of total billed charges ,634.96,percent of total billed charges ,634.96,percent of total billed charges ,544.25,percent of total billed charges ,544.25,percent of total billed charges ,544.25,percent of total billed charges ,544.25,percent of total billed charges ,,,,,482.57,percent of total billed charges ,,,,,458.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,,,253.99,percent of total billed charges,
MECLIZINE (ANTIVERT) 12.5MG TAB,LOCAL,LOCAL,,,,both,1,each,1.53,1.53,0.43,1.53,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.1,percent of total billed charges ,,,1.22,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.07,percent of total billed charges ,1.07,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
MECLIZINE (ANTIVERT) 25MG TAB,LOCAL,LOCAL,,,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
BENZOIN TINCTURE 60 ML,LOCAL,LOCAL,,,,both,1,each,131,131,36.68,131,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,96.94,percent of total billed charges,96.94,percent of total billed charges,104.8,percent of total billed charges,104.8,percent of total billed charges,,,94.32,percent of total billed charges ,,,104.8,percent of total billed charges ,110.04,percent of total billed charges ,110.04,percent of total billed charges ,102.18,percent of total billed charges ,102.18,percent of total billed charges ,104.8,percent of total billed charges ,104.8,percent of total billed charges ,91.7,percent of total billed charges ,91.7,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,,,,,69.69,percent of total billed charges ,,,,,66.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,
**METHYLPREDNISOLONE (DOSEPAK) 4MGTAB,J7509,CDM,,,,both,1,each,77.98,77.98,21.83,77.98,77.98,percent of total billed charges,77.98,percent of total billed charges,77.98,percent of total billed charges,77.98,percent of total billed charges,77.98,percent of total billed charges,77.98,percent of total billed charges,77.98,percent of total billed charges,77.98,percent of total billed charges,56.15,percent of total billed charges,56.15,percent of total billed charges,56.15,percent of total billed charges,56.15,percent of total billed charges,56.15,percent of total billed charges,56.15,percent of total billed charges,57.71,percent of total billed charges,57.71,percent of total billed charges,62.38,percent of total billed charges,62.38,percent of total billed charges,,,56.15,percent of total billed charges ,,,62.38,percent of total billed charges ,65.5,percent of total billed charges ,65.5,percent of total billed charges ,60.82,percent of total billed charges ,60.82,percent of total billed charges ,62.38,percent of total billed charges ,62.38,percent of total billed charges ,54.59,percent of total billed charges ,54.59,percent of total billed charges ,46.79,percent of total billed charges ,46.79,percent of total billed charges ,46.79,percent of total billed charges ,46.79,percent of total billed charges ,,,,,41.49,percent of total billed charges ,,,,,39.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,,,21.83,percent of total billed charges,
**KERI LOTION: 195ML,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
MEGESTROL (MEGACE) 40MG TAB,LOCAL,LOCAL,,,,both,1,each,0.82,0.82,0.23,0.82,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,,,0.59,percent of total billed charges ,,,0.66,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,,,,,0.44,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
MEPERIDINE (DEMEROL) 25MG/ML INJ,J2150,CDM,,,,both,1,each,48.64,48.64,13.62,48.64,48.64,percent of total billed charges,48.64,percent of total billed charges,48.64,percent of total billed charges,48.64,percent of total billed charges,48.64,percent of total billed charges,48.64,percent of total billed charges,48.64,percent of total billed charges,48.64,percent of total billed charges,35.02,percent of total billed charges,35.02,percent of total billed charges,35.02,percent of total billed charges,35.02,percent of total billed charges,35.02,percent of total billed charges,35.02,percent of total billed charges,35.99,percent of total billed charges,35.99,percent of total billed charges,38.91,percent of total billed charges,38.91,percent of total billed charges,,,35.02,percent of total billed charges ,,,38.91,percent of total billed charges ,40.86,percent of total billed charges ,40.86,percent of total billed charges ,37.94,percent of total billed charges ,37.94,percent of total billed charges ,38.91,percent of total billed charges ,38.91,percent of total billed charges ,34.05,percent of total billed charges ,34.05,percent of total billed charges ,29.18,percent of total billed charges ,29.18,percent of total billed charges ,29.18,percent of total billed charges ,29.18,percent of total billed charges ,,,,,25.88,percent of total billed charges ,,,,,24.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,,,13.62,percent of total billed charges,
MEPERIDINE (DEMEROL) 50MG/ML INJ,J2175,CDM,,,,both,1,each,50.43,50.43,14.12,50.43,50.43,percent of total billed charges,50.43,percent of total billed charges,50.43,percent of total billed charges,50.43,percent of total billed charges,50.43,percent of total billed charges,50.43,percent of total billed charges,50.43,percent of total billed charges,50.43,percent of total billed charges,36.31,percent of total billed charges,36.31,percent of total billed charges,36.31,percent of total billed charges,36.31,percent of total billed charges,36.31,percent of total billed charges,36.31,percent of total billed charges,37.32,percent of total billed charges,37.32,percent of total billed charges,40.34,percent of total billed charges,40.34,percent of total billed charges,,,36.31,percent of total billed charges ,,,40.34,percent of total billed charges ,42.36,percent of total billed charges ,42.36,percent of total billed charges ,39.34,percent of total billed charges ,39.34,percent of total billed charges ,40.34,percent of total billed charges ,40.34,percent of total billed charges ,35.3,percent of total billed charges ,35.3,percent of total billed charges ,30.26,percent of total billed charges ,30.26,percent of total billed charges ,30.26,percent of total billed charges ,30.26,percent of total billed charges ,,,,,26.83,percent of total billed charges ,,,,,25.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,,,14.12,percent of total billed charges,
**MEPERIDINE(DEMEROL) 50MG: TABLET,LOCAL,LOCAL,,,,both,1,each,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
MEPERIDINE (DEMEROL) 75 MG/ML INJ,J2175,CDM,,,,both,1,each,114.91,114.91,32.17,114.91,114.91,percent of total billed charges,114.91,percent of total billed charges,114.91,percent of total billed charges,114.91,percent of total billed charges,114.91,percent of total billed charges,114.91,percent of total billed charges,114.91,percent of total billed charges,114.91,percent of total billed charges,82.74,percent of total billed charges,82.74,percent of total billed charges,82.74,percent of total billed charges,82.74,percent of total billed charges,82.74,percent of total billed charges,82.74,percent of total billed charges,85.03,percent of total billed charges,85.03,percent of total billed charges,91.93,percent of total billed charges,91.93,percent of total billed charges,,,82.74,percent of total billed charges ,,,91.93,percent of total billed charges ,96.52,percent of total billed charges ,96.52,percent of total billed charges ,89.63,percent of total billed charges ,89.63,percent of total billed charges ,91.93,percent of total billed charges ,91.93,percent of total billed charges ,80.44,percent of total billed charges ,80.44,percent of total billed charges ,68.95,percent of total billed charges ,68.95,percent of total billed charges ,68.95,percent of total billed charges ,68.95,percent of total billed charges ,,,,,61.13,percent of total billed charges ,,,,,58.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,,,32.17,percent of total billed charges,
"**MEPERIDINE PCA SYRINGE 10 MG/ML, 30 ML",LOCAL,LOCAL,,,,both,1,each,36,36,10.08,36,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,,,25.92,percent of total billed charges ,,,28.8,percent of total billed charges ,30.24,percent of total billed charges ,30.24,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,,,,,19.15,percent of total billed charges ,,,,,18.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,
PHYTONADIONE (VITAMIN K) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,117.51,117.51,32.9,117.51,117.51,percent of total billed charges,117.51,percent of total billed charges,117.51,percent of total billed charges,117.51,percent of total billed charges,117.51,percent of total billed charges,117.51,percent of total billed charges,117.51,percent of total billed charges,117.51,percent of total billed charges,84.61,percent of total billed charges,84.61,percent of total billed charges,84.61,percent of total billed charges,84.61,percent of total billed charges,84.61,percent of total billed charges,84.61,percent of total billed charges,86.96,percent of total billed charges,86.96,percent of total billed charges,94.01,percent of total billed charges,94.01,percent of total billed charges,,,84.61,percent of total billed charges ,,,94.01,percent of total billed charges ,98.71,percent of total billed charges ,98.71,percent of total billed charges ,91.66,percent of total billed charges ,91.66,percent of total billed charges ,94.01,percent of total billed charges ,94.01,percent of total billed charges ,82.26,percent of total billed charges ,82.26,percent of total billed charges ,70.51,percent of total billed charges ,70.51,percent of total billed charges ,70.51,percent of total billed charges ,70.51,percent of total billed charges ,,,,,62.52,percent of total billed charges ,,,,,59.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,,,32.9,percent of total billed charges,
**MEPROBAMATE 400MG: TAB,LOCAL,LOCAL,,,,both,1,each,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
DOXEPIN (SINEQUAN) 10MG CAP,LOCAL,LOCAL,,,,both,1,each,2.35,2.35,0.66,2.35,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,,,1.69,percent of total billed charges ,,,1.88,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.65,percent of total billed charges ,1.65,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,,,,,1.25,percent of total billed charges ,,,,,1.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,
methylPHENIDATE (RITALIN) 5MG TAB,LOCAL,LOCAL,,,,both,1,each,8.96,8.96,2.51,8.96,8.96,percent of total billed charges,8.96,percent of total billed charges,8.96,percent of total billed charges,8.96,percent of total billed charges,8.96,percent of total billed charges,8.96,percent of total billed charges,8.96,percent of total billed charges,8.96,percent of total billed charges,6.45,percent of total billed charges,6.45,percent of total billed charges,6.45,percent of total billed charges,6.45,percent of total billed charges,6.45,percent of total billed charges,6.45,percent of total billed charges,6.63,percent of total billed charges,6.63,percent of total billed charges,7.17,percent of total billed charges,7.17,percent of total billed charges,,,6.45,percent of total billed charges ,,,7.17,percent of total billed charges ,7.53,percent of total billed charges ,7.53,percent of total billed charges ,6.99,percent of total billed charges ,6.99,percent of total billed charges ,7.17,percent of total billed charges ,7.17,percent of total billed charges ,6.27,percent of total billed charges ,6.27,percent of total billed charges ,5.38,percent of total billed charges ,5.38,percent of total billed charges ,5.38,percent of total billed charges ,5.38,percent of total billed charges ,,,,,4.77,percent of total billed charges ,,,,,4.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,,,2.51,percent of total billed charges,
TOLTERODINE (DETROL) 2 MG TAB,LOCAL,LOCAL,,,,both,1,each,3.06,3.06,0.86,3.06,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.26,percent of total billed charges,2.26,percent of total billed charges,2.45,percent of total billed charges,2.45,percent of total billed charges,,,2.2,percent of total billed charges ,,,2.45,percent of total billed charges ,2.57,percent of total billed charges ,2.57,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.45,percent of total billed charges ,2.45,percent of total billed charges ,2.14,percent of total billed charges ,2.14,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,,,,,1.63,percent of total billed charges ,,,,,1.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,
**BUPROPRION (WELLBUTRIN) 100 MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LORazepam (ATIVAN) 0.5MG TAB,LOCAL,LOCAL,,,,both,1,each,1.13,1.13,0.32,1.13,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,,,0.81,percent of total billed charges ,,,0.9,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,,,,,0.6,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,
LORazepam (ATIVAN) 1 MG TAB,LOCAL,LOCAL,,,,both,1,each,1.31,1.31,0.37,1.31,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,,,0.94,percent of total billed charges ,,,1.05,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,0.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,
LORazepam (ATIVAN) 2MG/ML INJ,J2060,CDM,,,,both,1,each,13.8,13.8,3.86,13.8,13.8,percent of total billed charges,13.8,percent of total billed charges,13.8,percent of total billed charges,13.8,percent of total billed charges,13.8,percent of total billed charges,13.8,percent of total billed charges,13.8,percent of total billed charges,13.8,percent of total billed charges,9.94,percent of total billed charges,9.94,percent of total billed charges,9.94,percent of total billed charges,9.94,percent of total billed charges,9.94,percent of total billed charges,9.94,percent of total billed charges,10.21,percent of total billed charges,10.21,percent of total billed charges,11.04,percent of total billed charges,11.04,percent of total billed charges,,,9.94,percent of total billed charges ,,,11.04,percent of total billed charges ,11.59,percent of total billed charges ,11.59,percent of total billed charges ,10.76,percent of total billed charges ,10.76,percent of total billed charges ,11.04,percent of total billed charges ,11.04,percent of total billed charges ,9.66,percent of total billed charges ,9.66,percent of total billed charges ,8.28,percent of total billed charges ,8.28,percent of total billed charges ,8.28,percent of total billed charges ,8.28,percent of total billed charges ,,,,,7.34,percent of total billed charges ,,,,,6.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,,,3.86,percent of total billed charges,
**LOXAPINE SUCCINATE (LOXITANE CAP) 10MG,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CLOTRIMAZOLE/BETAMETHASONE (LOTRISON,LOCAL,LOCAL,,,,both,1,each,221,221,61.88,221,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,221,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,159.12,percent of total billed charges,163.54,percent of total billed charges,163.54,percent of total billed charges,176.8,percent of total billed charges,176.8,percent of total billed charges,,,159.12,percent of total billed charges ,,,176.8,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,172.38,percent of total billed charges ,172.38,percent of total billed charges ,176.8,percent of total billed charges ,176.8,percent of total billed charges ,154.7,percent of total billed charges ,154.7,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,132.6,percent of total billed charges ,,,,,117.57,percent of total billed charges ,,,,,111.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,,,61.88,percent of total billed charges,
**LOVASTATIN (MEVACOR) 20MG TAB,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
FLUoxetine (PROzac) 10MG CAP,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
TETANUS IMMUNE GLOB (HyperTET) 250 UNITS,J1670,CDM,,,,both,1,each,"4,228.19","4,228.19","1,183.89","4,228.19","4,228.19",percent of total billed charges,"4,228.19",percent of total billed charges,"4,228.19",percent of total billed charges,"4,228.19",percent of total billed charges,"4,228.19",percent of total billed charges,"4,228.19",percent of total billed charges,"4,228.19",percent of total billed charges,"4,228.19",percent of total billed charges,"3,044.30",percent of total billed charges,"3,044.30",percent of total billed charges,"3,044.30",percent of total billed charges,"3,044.30",percent of total billed charges,"3,044.30",percent of total billed charges,"3,044.30",percent of total billed charges,"3,128.86",percent of total billed charges,"3,128.86",percent of total billed charges,"3,382.55",percent of total billed charges,"3,382.55",percent of total billed charges,,,"3,044.30",percent of total billed charges ,,,"3,382.55",percent of total billed charges ,"3,551.68",percent of total billed charges ,"3,551.68",percent of total billed charges ,"3,297.99",percent of total billed charges ,"3,297.99",percent of total billed charges ,"3,382.55",percent of total billed charges ,"3,382.55",percent of total billed charges ,"2,959.73",percent of total billed charges ,"2,959.73",percent of total billed charges ,"2,536.91",percent of total billed charges ,"2,536.91",percent of total billed charges ,"2,536.91",percent of total billed charges ,"2,536.91",percent of total billed charges ,,,,,"2,249.40",percent of total billed charges ,,,,,"2,136.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,,,"1,183.89",percent of total billed charges,
TETANUS-DIPTH TOXOIDS  0.5 ML INJ,LOCAL,LOCAL,,,,both,1,each,349.86,349.86,97.96,349.86,349.86,percent of total billed charges,349.86,percent of total billed charges,349.86,percent of total billed charges,349.86,percent of total billed charges,349.86,percent of total billed charges,349.86,percent of total billed charges,349.86,percent of total billed charges,349.86,percent of total billed charges,251.9,percent of total billed charges,251.9,percent of total billed charges,251.9,percent of total billed charges,251.9,percent of total billed charges,251.9,percent of total billed charges,251.9,percent of total billed charges,258.9,percent of total billed charges,258.9,percent of total billed charges,279.89,percent of total billed charges,279.89,percent of total billed charges,,,251.9,percent of total billed charges ,,,279.89,percent of total billed charges ,293.88,percent of total billed charges ,293.88,percent of total billed charges ,272.89,percent of total billed charges ,272.89,percent of total billed charges ,279.89,percent of total billed charges ,279.89,percent of total billed charges ,244.9,percent of total billed charges ,244.9,percent of total billed charges ,209.92,percent of total billed charges ,209.92,percent of total billed charges ,209.92,percent of total billed charges ,209.92,percent of total billed charges ,,,,,186.13,percent of total billed charges ,,,,,176.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,,,97.96,percent of total billed charges,
INSULIN (HUMAN) 50/50 100 UNIT/ML VIAL,J1815,CDM,,,,both,1,each,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
THEOPHYLLINE (THEODUR) ER 200 MG TAB,LOCAL,LOCAL,,,,both,1,each,10.6,10.6,2.97,10.6,10.6,percent of total billed charges,10.6,percent of total billed charges,10.6,percent of total billed charges,10.6,percent of total billed charges,10.6,percent of total billed charges,10.6,percent of total billed charges,10.6,percent of total billed charges,10.6,percent of total billed charges,7.63,percent of total billed charges,7.63,percent of total billed charges,7.63,percent of total billed charges,7.63,percent of total billed charges,7.63,percent of total billed charges,7.63,percent of total billed charges,7.84,percent of total billed charges,7.84,percent of total billed charges,8.48,percent of total billed charges,8.48,percent of total billed charges,,,7.63,percent of total billed charges ,,,8.48,percent of total billed charges ,8.9,percent of total billed charges ,8.9,percent of total billed charges ,8.27,percent of total billed charges ,8.27,percent of total billed charges ,8.48,percent of total billed charges ,8.48,percent of total billed charges ,7.42,percent of total billed charges ,7.42,percent of total billed charges ,6.36,percent of total billed charges ,6.36,percent of total billed charges ,6.36,percent of total billed charges ,6.36,percent of total billed charges ,,,,,5.64,percent of total billed charges ,,,,,5.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,,,2.97,percent of total billed charges,
THEOPHYLLINE (THEODUR) ER 300 MG TAB,LOCAL,LOCAL,,,,both,1,each,13.02,13.02,3.65,13.02,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,13.02,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.37,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,10.42,percent of total billed charges,10.42,percent of total billed charges,,,9.37,percent of total billed charges ,,,10.42,percent of total billed charges ,10.94,percent of total billed charges ,10.94,percent of total billed charges ,10.16,percent of total billed charges ,10.16,percent of total billed charges ,10.42,percent of total billed charges ,10.42,percent of total billed charges ,9.11,percent of total billed charges ,9.11,percent of total billed charges ,7.81,percent of total billed charges ,7.81,percent of total billed charges ,7.81,percent of total billed charges ,7.81,percent of total billed charges ,,,,,6.93,percent of total billed charges ,,,,,6.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,,,3.65,percent of total billed charges,
**TRIAMCINOLONE OINT 0.1% :30 GM,LOCAL,LOCAL,,,,both,1,each,30,30,8.4,30,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,,,21.6,percent of total billed charges ,,,24,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,,,,,15.96,percent of total billed charges ,,,,,15.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,
MULTIVITAMIN LIQUID (THERAVITE) 15ML UD,LOCAL,LOCAL,,,,both,1,each,7.82,7.82,2.19,7.82,7.82,percent of total billed charges,7.82,percent of total billed charges,7.82,percent of total billed charges,7.82,percent of total billed charges,7.82,percent of total billed charges,7.82,percent of total billed charges,7.82,percent of total billed charges,7.82,percent of total billed charges,5.63,percent of total billed charges,5.63,percent of total billed charges,5.63,percent of total billed charges,5.63,percent of total billed charges,5.63,percent of total billed charges,5.63,percent of total billed charges,5.79,percent of total billed charges,5.79,percent of total billed charges,6.26,percent of total billed charges,6.26,percent of total billed charges,,,5.63,percent of total billed charges ,,,6.26,percent of total billed charges ,6.57,percent of total billed charges ,6.57,percent of total billed charges ,6.1,percent of total billed charges ,6.1,percent of total billed charges ,6.26,percent of total billed charges ,6.26,percent of total billed charges ,5.47,percent of total billed charges ,5.47,percent of total billed charges ,4.69,percent of total billed charges ,4.69,percent of total billed charges ,4.69,percent of total billed charges ,4.69,percent of total billed charges ,,,,,4.16,percent of total billed charges ,,,,,3.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,,,2.19,percent of total billed charges,
**THIAMINE (VITAMIN B-1) TAB  50MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
THIAMINE (VIT B 1): 200MG/2 ML VIAL,J3411,CDM,,,,both,1,each,68.05,68.05,19.05,68.05,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,54.44,percent of total billed charges,54.44,percent of total billed charges,,,49,percent of total billed charges ,,,54.44,percent of total billed charges ,57.16,percent of total billed charges ,57.16,percent of total billed charges ,53.08,percent of total billed charges ,53.08,percent of total billed charges ,54.44,percent of total billed charges ,54.44,percent of total billed charges ,47.64,percent of total billed charges ,47.64,percent of total billed charges ,40.83,percent of total billed charges ,40.83,percent of total billed charges ,40.83,percent of total billed charges ,40.83,percent of total billed charges ,,,,,36.2,percent of total billed charges ,,,,,34.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,
THIORIDAZINE (MELLARIL) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,1.33,1.33,0.37,1.33,1.33,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,,,0.96,percent of total billed charges ,,,1.06,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,,,,,0.71,percent of total billed charges ,,,,,0.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,
THIORIDAZINE (MELLARIL) 25MG TAB,LOCAL,LOCAL,,,,both,1,each,2.31,2.31,0.65,2.31,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.85,percent of total billed charges,1.85,percent of total billed charges,,,1.66,percent of total billed charges ,,,1.85,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,,,,,1.23,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,
**LAMIVUDINE (EPIVIR) 150MG TAB,LOCAL,LOCAL,,,,both,1,each,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
THYROID TABLET 60MG,LOCAL,LOCAL,,,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**TIMOLOL (TIMOPTIC) OPHTH SOL 0.25% 5ML,LOCAL,LOCAL,,,,both,,,44,44,12.32,44,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,32.56,percent of total billed charges,32.56,percent of total billed charges,35.2,percent of total billed charges,35.2,percent of total billed charges,,,31.68,percent of total billed charges ,,,35.2,percent of total billed charges ,36.96,percent of total billed charges ,36.96,percent of total billed charges ,34.32,percent of total billed charges ,34.32,percent of total billed charges ,35.2,percent of total billed charges ,35.2,percent of total billed charges ,30.8,percent of total billed charges ,30.8,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,,,,,23.41,percent of total billed charges ,,,,,22.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,
**TIMOLOL (TIMOPTIC) OPHTH SOL 0.5% 10ML,LOCAL,LOCAL,,,,both,1,each,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
TOBRAM/DEXAMETHASONE OPTH SUSP  5ML,LOCAL,LOCAL,,,,both,1,each,178,178,49.84,178,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,131.72,percent of total billed charges,131.72,percent of total billed charges,142.4,percent of total billed charges,142.4,percent of total billed charges,,,128.16,percent of total billed charges ,,,142.4,percent of total billed charges ,149.52,percent of total billed charges ,149.52,percent of total billed charges ,138.84,percent of total billed charges ,138.84,percent of total billed charges ,142.4,percent of total billed charges ,142.4,percent of total billed charges ,124.6,percent of total billed charges ,124.6,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
TOBRAMYCIN (TOBREX) 0.3% OPHTH SOLN 5 ML,LOCAL,LOCAL,,,,both,1,each,41.88,41.88,11.73,41.88,41.88,percent of total billed charges,41.88,percent of total billed charges,41.88,percent of total billed charges,41.88,percent of total billed charges,41.88,percent of total billed charges,41.88,percent of total billed charges,41.88,percent of total billed charges,41.88,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.99,percent of total billed charges,30.99,percent of total billed charges,33.5,percent of total billed charges,33.5,percent of total billed charges,,,30.15,percent of total billed charges ,,,33.5,percent of total billed charges ,35.18,percent of total billed charges ,35.18,percent of total billed charges ,32.67,percent of total billed charges ,32.67,percent of total billed charges ,33.5,percent of total billed charges ,33.5,percent of total billed charges ,29.32,percent of total billed charges ,29.32,percent of total billed charges ,25.13,percent of total billed charges ,25.13,percent of total billed charges ,25.13,percent of total billed charges ,25.13,percent of total billed charges ,,,,,22.28,percent of total billed charges ,,,,,21.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,,,11.73,percent of total billed charges,
TOBRAMYCIN (TOBREX) 0.3% OP OINT 3.5GM,LOCAL,LOCAL,,,,both,1,each,609.77,609.77,170.74,609.77,609.77,percent of total billed charges,609.77,percent of total billed charges,609.77,percent of total billed charges,609.77,percent of total billed charges,609.77,percent of total billed charges,609.77,percent of total billed charges,609.77,percent of total billed charges,609.77,percent of total billed charges,439.03,percent of total billed charges,439.03,percent of total billed charges,439.03,percent of total billed charges,439.03,percent of total billed charges,439.03,percent of total billed charges,439.03,percent of total billed charges,451.23,percent of total billed charges,451.23,percent of total billed charges,487.82,percent of total billed charges,487.82,percent of total billed charges,,,439.03,percent of total billed charges ,,,487.82,percent of total billed charges ,512.21,percent of total billed charges ,512.21,percent of total billed charges ,475.62,percent of total billed charges ,475.62,percent of total billed charges ,487.82,percent of total billed charges ,487.82,percent of total billed charges ,426.84,percent of total billed charges ,426.84,percent of total billed charges ,365.86,percent of total billed charges ,365.86,percent of total billed charges ,365.86,percent of total billed charges ,365.86,percent of total billed charges ,,,,,324.4,percent of total billed charges ,,,,,308.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,,,170.74,percent of total billed charges,
**ISOSORBIDE DINITRATE(SORBITRATE)40MG T,LOCAL,LOCAL,,,,both,1,each,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
**TOLAZAMIDE(TOLINASE) TAB: 250MG,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**TOLAZAMIDE (TOLINASE) 100 MG:TAB,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**TOLUBTAMIDE (GENERIC ORNASE) 500MG: T,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
MINOXIDIL (LONITEN) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,2.24,2.24,0.63,2.24,2.24,percent of total billed charges,2.24,percent of total billed charges,2.24,percent of total billed charges,2.24,percent of total billed charges,2.24,percent of total billed charges,2.24,percent of total billed charges,2.24,percent of total billed charges,2.24,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.79,percent of total billed charges,1.79,percent of total billed charges,,,1.61,percent of total billed charges ,,,1.79,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,,,,,1.19,percent of total billed charges ,,,,,1.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,
traZODone  (DESYREL)  50MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NYSTATIN/TRIAMCINOLONE (MYCOLOG) CR,LOCAL,LOCAL,,,,both,1,each,59.72,59.72,16.72,59.72,59.72,percent of total billed charges,59.72,percent of total billed charges,59.72,percent of total billed charges,59.72,percent of total billed charges,59.72,percent of total billed charges,59.72,percent of total billed charges,59.72,percent of total billed charges,59.72,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,44.19,percent of total billed charges,44.19,percent of total billed charges,47.78,percent of total billed charges,47.78,percent of total billed charges,,,43,percent of total billed charges ,,,47.78,percent of total billed charges ,50.16,percent of total billed charges ,50.16,percent of total billed charges ,46.58,percent of total billed charges ,46.58,percent of total billed charges ,47.78,percent of total billed charges ,47.78,percent of total billed charges ,41.8,percent of total billed charges ,41.8,percent of total billed charges ,35.83,percent of total billed charges ,35.83,percent of total billed charges ,35.83,percent of total billed charges ,35.83,percent of total billed charges ,,,,,31.77,percent of total billed charges ,,,,,30.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,,,16.72,percent of total billed charges,
TRIAMCINOLONE DENTAL PASTE 0.1% 5 GM,LOCAL,LOCAL,,,,both,1,each,250.37,250.37,70.1,250.37,250.37,percent of total billed charges,250.37,percent of total billed charges,250.37,percent of total billed charges,250.37,percent of total billed charges,250.37,percent of total billed charges,250.37,percent of total billed charges,250.37,percent of total billed charges,250.37,percent of total billed charges,180.27,percent of total billed charges,180.27,percent of total billed charges,180.27,percent of total billed charges,180.27,percent of total billed charges,180.27,percent of total billed charges,180.27,percent of total billed charges,185.27,percent of total billed charges,185.27,percent of total billed charges,200.3,percent of total billed charges,200.3,percent of total billed charges,,,180.27,percent of total billed charges ,,,200.3,percent of total billed charges ,210.31,percent of total billed charges ,210.31,percent of total billed charges ,195.29,percent of total billed charges ,195.29,percent of total billed charges ,200.3,percent of total billed charges ,200.3,percent of total billed charges ,175.26,percent of total billed charges ,175.26,percent of total billed charges ,150.22,percent of total billed charges ,150.22,percent of total billed charges ,150.22,percent of total billed charges ,150.22,percent of total billed charges ,,,,,133.2,percent of total billed charges ,,,,,126.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,,,70.1,percent of total billed charges,
**TRIAMCINOLONE (AZMACORT) INHALER: 20 G,LOCAL,LOCAL,,,,both,1,each,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
TRIAMCINOLONE (KENALOG) INJ 40MG/ML,J3301,CDM,,,,both,1,each,110,110,30.8,110,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,81.4,percent of total billed charges,81.4,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,,,79.2,percent of total billed charges ,,,88,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,88,percent of total billed charges ,88,percent of total billed charges ,77,percent of total billed charges ,77,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,,,,,58.52,percent of total billed charges ,,,,,55.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,
**PLETAL (CILOSTAZOL) 50 MG: TAB,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**TRIAZOLAM (HALCION) 0.25 MG: TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**MYOFLEX CREAM 10%,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
TRIHEXYPHENIDYL (ARTANE) TAB 2MG,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
glipiZIDE ER 10MG TAB,LOCAL,LOCAL,,,,both,1,each,2.74,2.74,0.77,2.74,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,2.74,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,,,1.97,percent of total billed charges ,,,2.19,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,2.14,percent of total billed charges ,2.14,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,,,,,1.46,percent of total billed charges ,,,,,1.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,
SULFAMETHO/TRIM 800-160 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.71,0.71,0.2,0.71,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,,,0.51,percent of total billed charges ,,,0.57,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,,,,,0.38,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
**TRIMETHOPRIM 80MG SULFA 400MG TAB: REG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**TRIMETHOBENZAMIDE (TIGAN) 100MG: CAP,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**TRIMETHOBENZAM (TIGAN) 100MG SUPPOSITO,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**TRIMETHOBENZAM (TIGAN) INJ 200MG:,J3250,CDM,,,,both,1,each,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**TRIMETHOBENZAM(TIGAN) 200 MG SUPPOSITO,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
TRIMETHOPRIM (TRIMPEX) TAB 100MG,LOCAL,LOCAL,,,,both,1,each,1.55,1.55,0.43,1.55,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,,,1.12,percent of total billed charges ,,,1.24,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,0.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
**TRIPLE DYE APPLICATOR SOLN: PER APPLIC,LOCAL,LOCAL,,,,both,1,each,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
ASPIRIN EC (ENTERIC COATED) 81 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
AMPICILLIN/SULBACTAM (UNASYN) 1.5GM (IM),J0295,CDM,,,,both,,,37.75,37.75,10.57,37.75,37.75,percent of total billed charges,37.75,percent of total billed charges,37.75,percent of total billed charges,37.75,percent of total billed charges,37.75,percent of total billed charges,37.75,percent of total billed charges,37.75,percent of total billed charges,37.75,percent of total billed charges,27.18,percent of total billed charges,27.18,percent of total billed charges,27.18,percent of total billed charges,27.18,percent of total billed charges,27.18,percent of total billed charges,27.18,percent of total billed charges,27.94,percent of total billed charges,27.94,percent of total billed charges,30.2,percent of total billed charges,30.2,percent of total billed charges,,,27.18,percent of total billed charges ,,,30.2,percent of total billed charges ,31.71,percent of total billed charges ,31.71,percent of total billed charges ,29.45,percent of total billed charges ,29.45,percent of total billed charges ,30.2,percent of total billed charges ,30.2,percent of total billed charges ,26.43,percent of total billed charges ,26.43,percent of total billed charges ,22.65,percent of total billed charges ,22.65,percent of total billed charges ,22.65,percent of total billed charges ,22.65,percent of total billed charges ,,,,,20.08,percent of total billed charges ,,,,,19.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,,,10.57,percent of total billed charges,
diazePAM (VALIUM) 10MG/2ML INJ,J3360,CDM,,,,both,1,each,359.87,359.87,100.76,359.87,359.87,percent of total billed charges,359.87,percent of total billed charges,359.87,percent of total billed charges,359.87,percent of total billed charges,359.87,percent of total billed charges,359.87,percent of total billed charges,359.87,percent of total billed charges,359.87,percent of total billed charges,259.11,percent of total billed charges,259.11,percent of total billed charges,259.11,percent of total billed charges,259.11,percent of total billed charges,259.11,percent of total billed charges,259.11,percent of total billed charges,266.3,percent of total billed charges,266.3,percent of total billed charges,287.9,percent of total billed charges,287.9,percent of total billed charges,,,259.11,percent of total billed charges ,,,287.9,percent of total billed charges ,302.29,percent of total billed charges ,302.29,percent of total billed charges ,280.7,percent of total billed charges ,280.7,percent of total billed charges ,287.9,percent of total billed charges ,287.9,percent of total billed charges ,251.91,percent of total billed charges ,251.91,percent of total billed charges ,215.92,percent of total billed charges ,215.92,percent of total billed charges ,215.92,percent of total billed charges ,215.92,percent of total billed charges ,,,,,191.45,percent of total billed charges ,,,,,181.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,,,100.76,percent of total billed charges,
GABAPENTIN (NEURONTIN) 300MG CAP,LOCAL,LOCAL,,,,both,,,0.8,0.8,0.22,0.8,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,,,0.58,percent of total billed charges ,,,0.64,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,0.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
**VANCOMYCIN  125MG CAP,LOCAL,LOCAL,,,,both,1,each,8.23,8.23,2.3,8.23,8.23,percent of total billed charges,8.23,percent of total billed charges,8.23,percent of total billed charges,8.23,percent of total billed charges,8.23,percent of total billed charges,8.23,percent of total billed charges,8.23,percent of total billed charges,8.23,percent of total billed charges,5.93,percent of total billed charges,5.93,percent of total billed charges,5.93,percent of total billed charges,5.93,percent of total billed charges,5.93,percent of total billed charges,5.93,percent of total billed charges,6.09,percent of total billed charges,6.09,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,,,5.93,percent of total billed charges ,,,6.58,percent of total billed charges ,6.91,percent of total billed charges ,6.91,percent of total billed charges ,6.42,percent of total billed charges ,6.42,percent of total billed charges ,6.58,percent of total billed charges ,6.58,percent of total billed charges ,5.76,percent of total billed charges ,5.76,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,,,,,4.38,percent of total billed charges ,,,,,4.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,,,2.3,percent of total billed charges,
VASOPRESSIN (PITRESSIN) 20 UNIT/ML INJ,LOCAL,LOCAL,,,,both,1,each,259.29,259.29,72.6,259.29,259.29,percent of total billed charges,259.29,percent of total billed charges,259.29,percent of total billed charges,259.29,percent of total billed charges,259.29,percent of total billed charges,259.29,percent of total billed charges,259.29,percent of total billed charges,259.29,percent of total billed charges,186.69,percent of total billed charges,186.69,percent of total billed charges,186.69,percent of total billed charges,186.69,percent of total billed charges,186.69,percent of total billed charges,186.69,percent of total billed charges,191.87,percent of total billed charges,191.87,percent of total billed charges,207.43,percent of total billed charges,207.43,percent of total billed charges,,,186.69,percent of total billed charges ,,,207.43,percent of total billed charges ,217.8,percent of total billed charges ,217.8,percent of total billed charges ,202.25,percent of total billed charges ,202.25,percent of total billed charges ,207.43,percent of total billed charges ,207.43,percent of total billed charges ,181.5,percent of total billed charges ,181.5,percent of total billed charges ,155.57,percent of total billed charges ,155.57,percent of total billed charges ,155.57,percent of total billed charges ,155.57,percent of total billed charges ,,,,,137.94,percent of total billed charges ,,,,,131.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,,,72.6,percent of total billed charges,
**VERAPAMIL (ISOPTIN) TAB: 40MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
VERAPAMIL ER (CALAN SR) 120 MG CAP,LOCAL,LOCAL,,,,both,1,each,5.39,5.39,1.51,5.39,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,4.31,percent of total billed charges,4.31,percent of total billed charges,,,3.88,percent of total billed charges ,,,4.31,percent of total billed charges ,4.53,percent of total billed charges ,4.53,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.31,percent of total billed charges ,4.31,percent of total billed charges ,3.77,percent of total billed charges ,3.77,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,,,,,2.87,percent of total billed charges ,,,,,2.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,
VERAPAMIL 5 MG/2ML VIAL,LOCAL,LOCAL,,,,both,1,each,63.38,63.38,17.75,63.38,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,46.9,percent of total billed charges,46.9,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,,,45.63,percent of total billed charges ,,,50.7,percent of total billed charges ,53.24,percent of total billed charges ,53.24,percent of total billed charges ,49.44,percent of total billed charges ,49.44,percent of total billed charges ,50.7,percent of total billed charges ,50.7,percent of total billed charges ,44.37,percent of total billed charges ,44.37,percent of total billed charges ,38.03,percent of total billed charges ,38.03,percent of total billed charges ,38.03,percent of total billed charges ,38.03,percent of total billed charges ,,,,,33.72,percent of total billed charges ,,,,,32.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,
VERAPAMIL (ISOPTIN) 80MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
VERAPAMIL ER (CALAN)  180 MG TAB,LOCAL,LOCAL,,,,both,1,each,5.77,5.77,1.62,5.77,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,4.15,percent of total billed charges,4.15,percent of total billed charges,4.15,percent of total billed charges,4.15,percent of total billed charges,4.15,percent of total billed charges,4.15,percent of total billed charges,4.27,percent of total billed charges,4.27,percent of total billed charges,4.62,percent of total billed charges,4.62,percent of total billed charges,,,4.15,percent of total billed charges ,,,4.62,percent of total billed charges ,4.85,percent of total billed charges ,4.85,percent of total billed charges ,4.5,percent of total billed charges ,4.5,percent of total billed charges ,4.62,percent of total billed charges ,4.62,percent of total billed charges ,4.04,percent of total billed charges ,4.04,percent of total billed charges ,3.46,percent of total billed charges ,3.46,percent of total billed charges ,3.46,percent of total billed charges ,3.46,percent of total billed charges ,,,,,3.07,percent of total billed charges ,,,,,2.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,
VERAPAMIL ER (CALAN ER) TAB 240 MG,LOCAL,LOCAL,,,,both,1,each,5.39,5.39,1.51,5.39,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,5.39,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,4.31,percent of total billed charges,4.31,percent of total billed charges,,,3.88,percent of total billed charges ,,,4.31,percent of total billed charges ,4.53,percent of total billed charges ,4.53,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.31,percent of total billed charges ,4.31,percent of total billed charges ,3.77,percent of total billed charges ,3.77,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,,,,,2.87,percent of total billed charges ,,,,,2.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,
TETRAHYDROLOZINE (VISINE) OPTH SOLN 15ML,LOCAL,LOCAL,,,,both,1,each,20.75,20.75,5.81,20.75,20.75,percent of total billed charges,20.75,percent of total billed charges,20.75,percent of total billed charges,20.75,percent of total billed charges,20.75,percent of total billed charges,20.75,percent of total billed charges,20.75,percent of total billed charges,20.75,percent of total billed charges,14.94,percent of total billed charges,14.94,percent of total billed charges,14.94,percent of total billed charges,14.94,percent of total billed charges,14.94,percent of total billed charges,14.94,percent of total billed charges,15.36,percent of total billed charges,15.36,percent of total billed charges,16.6,percent of total billed charges,16.6,percent of total billed charges,,,14.94,percent of total billed charges ,,,16.6,percent of total billed charges ,17.43,percent of total billed charges ,17.43,percent of total billed charges ,16.19,percent of total billed charges ,16.19,percent of total billed charges ,16.6,percent of total billed charges ,16.6,percent of total billed charges ,14.53,percent of total billed charges ,14.53,percent of total billed charges ,12.45,percent of total billed charges ,12.45,percent of total billed charges ,12.45,percent of total billed charges ,12.45,percent of total billed charges ,,,,,11.04,percent of total billed charges ,,,,,10.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,,,5.81,percent of total billed charges,
**IRON/FOLIC ACID (IBERET FOLIC 500): TA,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
VITAMIN A&D OINT 4OZ,LOCAL,LOCAL,,,,both,1,each,36.41,36.41,10.19,36.41,36.41,percent of total billed charges,36.41,percent of total billed charges,36.41,percent of total billed charges,36.41,percent of total billed charges,36.41,percent of total billed charges,36.41,percent of total billed charges,36.41,percent of total billed charges,36.41,percent of total billed charges,26.22,percent of total billed charges,26.22,percent of total billed charges,26.22,percent of total billed charges,26.22,percent of total billed charges,26.22,percent of total billed charges,26.22,percent of total billed charges,26.94,percent of total billed charges,26.94,percent of total billed charges,29.13,percent of total billed charges,29.13,percent of total billed charges,,,26.22,percent of total billed charges ,,,29.13,percent of total billed charges ,30.58,percent of total billed charges ,30.58,percent of total billed charges ,28.4,percent of total billed charges ,28.4,percent of total billed charges ,29.13,percent of total billed charges ,29.13,percent of total billed charges ,25.49,percent of total billed charges ,25.49,percent of total billed charges ,21.85,percent of total billed charges ,21.85,percent of total billed charges ,21.85,percent of total billed charges ,21.85,percent of total billed charges ,,,,,19.37,percent of total billed charges ,,,,,18.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,,,10.19,percent of total billed charges,
"VITAMIN D2 (ERGOCALCIFEROL) 50,000 UNIT",LOCAL,LOCAL,,,,both,1,each,0.6,0.6,0.17,0.6,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,,,0.43,percent of total billed charges ,,,0.48,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
**MULTIVITAMIN-PRENATAL TAB,LOCAL,LOCAL,,,,both,1,each,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
GENTAMICIN: 80 MG/2ML INJ,J1580,CDM,,,,both,,,46.05,46.05,12.89,46.05,46.05,percent of total billed charges,46.05,percent of total billed charges,46.05,percent of total billed charges,46.05,percent of total billed charges,46.05,percent of total billed charges,46.05,percent of total billed charges,46.05,percent of total billed charges,46.05,percent of total billed charges,33.16,percent of total billed charges,33.16,percent of total billed charges,33.16,percent of total billed charges,33.16,percent of total billed charges,33.16,percent of total billed charges,33.16,percent of total billed charges,34.08,percent of total billed charges,34.08,percent of total billed charges,36.84,percent of total billed charges,36.84,percent of total billed charges,,,33.16,percent of total billed charges ,,,36.84,percent of total billed charges ,38.68,percent of total billed charges ,38.68,percent of total billed charges ,35.92,percent of total billed charges ,35.92,percent of total billed charges ,36.84,percent of total billed charges ,36.84,percent of total billed charges ,32.24,percent of total billed charges ,32.24,percent of total billed charges ,27.63,percent of total billed charges ,27.63,percent of total billed charges ,27.63,percent of total billed charges ,27.63,percent of total billed charges ,,,,,24.5,percent of total billed charges ,,,,,23.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,
WARFARIN (COUMADIN) 2.5MG TAB,LOCAL,LOCAL,,,,both,1,each,0.99,0.99,0.28,0.99,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,,,0.71,percent of total billed charges ,,,0.79,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
WARFARIN (COUMADIN) 2 MG TAB,LOCAL,LOCAL,,,,both,,,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
WARFARIN (COUMADIN) 5 MG TAB,LOCAL,LOCAL,,,,both,1,each,7.4,7.4,2.07,7.4,7.4,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,5.33,percent of total billed charges,5.33,percent of total billed charges,5.33,percent of total billed charges,5.33,percent of total billed charges,5.33,percent of total billed charges,5.33,percent of total billed charges,5.48,percent of total billed charges,5.48,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,,,5.33,percent of total billed charges ,,,5.92,percent of total billed charges ,6.22,percent of total billed charges ,6.22,percent of total billed charges ,5.77,percent of total billed charges ,5.77,percent of total billed charges ,5.92,percent of total billed charges ,5.92,percent of total billed charges ,5.18,percent of total billed charges ,5.18,percent of total billed charges ,4.44,percent of total billed charges ,4.44,percent of total billed charges ,4.44,percent of total billed charges ,4.44,percent of total billed charges ,,,,,3.94,percent of total billed charges ,,,,,3.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,,,2.07,percent of total billed charges,
PROMETHAZINE W/CODEINE 5ML U/D,LOCAL,LOCAL,,,,both,1,each,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**TUCKS MEDICATED PADS: PK 40,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**LIDOCAINE 1% W/EPINEPHERINE PF 10ML,J2001,CDM,,,,both,1,each,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
SILVER SULFADIAZINE(SSD) CRM 1% 400GM,LOCAL,LOCAL,,,,both,1,each,124.4,124.4,34.83,124.4,124.4,percent of total billed charges,124.4,percent of total billed charges,124.4,percent of total billed charges,124.4,percent of total billed charges,124.4,percent of total billed charges,124.4,percent of total billed charges,124.4,percent of total billed charges,124.4,percent of total billed charges,89.57,percent of total billed charges,89.57,percent of total billed charges,89.57,percent of total billed charges,89.57,percent of total billed charges,89.57,percent of total billed charges,89.57,percent of total billed charges,92.06,percent of total billed charges,92.06,percent of total billed charges,99.52,percent of total billed charges,99.52,percent of total billed charges,,,89.57,percent of total billed charges ,,,99.52,percent of total billed charges ,104.5,percent of total billed charges ,104.5,percent of total billed charges ,97.03,percent of total billed charges ,97.03,percent of total billed charges ,99.52,percent of total billed charges ,99.52,percent of total billed charges ,87.08,percent of total billed charges ,87.08,percent of total billed charges ,74.64,percent of total billed charges ,74.64,percent of total billed charges ,74.64,percent of total billed charges ,74.64,percent of total billed charges ,,,,,66.18,percent of total billed charges ,,,,,62.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,,,34.83,percent of total billed charges,
SILVER SULFADIAZINE (SSD) CREAM 1%  50GM,LOCAL,LOCAL,,,,both,,,96.42,96.42,27,96.42,96.42,percent of total billed charges,96.42,percent of total billed charges,96.42,percent of total billed charges,96.42,percent of total billed charges,96.42,percent of total billed charges,96.42,percent of total billed charges,96.42,percent of total billed charges,96.42,percent of total billed charges,69.42,percent of total billed charges,69.42,percent of total billed charges,69.42,percent of total billed charges,69.42,percent of total billed charges,69.42,percent of total billed charges,69.42,percent of total billed charges,71.35,percent of total billed charges,71.35,percent of total billed charges,77.14,percent of total billed charges,77.14,percent of total billed charges,,,69.42,percent of total billed charges ,,,77.14,percent of total billed charges ,80.99,percent of total billed charges ,80.99,percent of total billed charges ,75.21,percent of total billed charges ,75.21,percent of total billed charges ,77.14,percent of total billed charges ,77.14,percent of total billed charges ,67.49,percent of total billed charges ,67.49,percent of total billed charges ,57.85,percent of total billed charges ,57.85,percent of total billed charges ,57.85,percent of total billed charges ,57.85,percent of total billed charges ,,,,,51.3,percent of total billed charges ,,,,,48.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,,,27,percent of total billed charges,
SIMETHICONE (MYLICON) 80MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
HYOSCYAMINE (LEVSINEX) 0.375MG CAP,LOCAL,LOCAL,,,,both,,,1.52,1.52,0.43,1.52,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.09,percent of total billed charges ,,,1.22,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
methylPREDNISolone (SOLU-Medrol) 40MG,J2920,CDM,,,,both,1,each,82,82,22.96,82,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,60.68,percent of total billed charges,60.68,percent of total billed charges,65.6,percent of total billed charges,65.6,percent of total billed charges,,,59.04,percent of total billed charges ,,,65.6,percent of total billed charges ,68.88,percent of total billed charges ,68.88,percent of total billed charges ,63.96,percent of total billed charges ,63.96,percent of total billed charges ,65.6,percent of total billed charges ,65.6,percent of total billed charges ,57.4,percent of total billed charges ,57.4,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,,,,,43.62,percent of total billed charges ,,,,,41.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,
AMOXICILLIN 500 MG CAP,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
LOPERAMIDE (IMODIUM) 2MG CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ETHACRYNIC ACID (EDECRIN) INJ 50MG VIA,LOCAL,LOCAL,,,,both,1,each,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
TOBRAMYCIN/DEXAMETHASONE OP SUSP 5ML,LOCAL,LOCAL,,,,both,,,262.18,262.18,73.41,262.18,262.18,percent of total billed charges,262.18,percent of total billed charges,262.18,percent of total billed charges,262.18,percent of total billed charges,262.18,percent of total billed charges,262.18,percent of total billed charges,262.18,percent of total billed charges,262.18,percent of total billed charges,188.77,percent of total billed charges,188.77,percent of total billed charges,188.77,percent of total billed charges,188.77,percent of total billed charges,188.77,percent of total billed charges,188.77,percent of total billed charges,194.01,percent of total billed charges,194.01,percent of total billed charges,209.74,percent of total billed charges,209.74,percent of total billed charges,,,188.77,percent of total billed charges ,,,209.74,percent of total billed charges ,220.23,percent of total billed charges ,220.23,percent of total billed charges ,204.5,percent of total billed charges ,204.5,percent of total billed charges ,209.74,percent of total billed charges ,209.74,percent of total billed charges ,183.53,percent of total billed charges ,183.53,percent of total billed charges ,157.31,percent of total billed charges ,157.31,percent of total billed charges ,157.31,percent of total billed charges ,157.31,percent of total billed charges ,,,,,139.48,percent of total billed charges ,,,,,132.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,,,73.41,percent of total billed charges,
cefTRIAXone (ROCEPHIN) 250 MG IVPB,J0696,CDM,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
cefTRIAXone (ROCEPHIN) 1GM: FTV,J0696,CDM,,,,both,,,21.84,21.84,6.12,21.84,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,16.16,percent of total billed charges,16.16,percent of total billed charges,17.47,percent of total billed charges,17.47,percent of total billed charges,,,15.72,percent of total billed charges ,,,17.47,percent of total billed charges ,18.35,percent of total billed charges ,18.35,percent of total billed charges ,17.04,percent of total billed charges ,17.04,percent of total billed charges ,17.47,percent of total billed charges ,17.47,percent of total billed charges ,15.29,percent of total billed charges ,15.29,percent of total billed charges ,13.1,percent of total billed charges ,13.1,percent of total billed charges ,13.1,percent of total billed charges ,13.1,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,11.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,
**DUODERM DRESS. THIN 4 X 4 (BOX OF 10):,LOCAL,LOCAL,,,,both,1,each,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
AMPICILLIN/SULBACTAM 3GM FTV,J0295,CDM,,,,both,1,each,57.85,57.85,16.2,57.85,57.85,percent of total billed charges,57.85,percent of total billed charges,57.85,percent of total billed charges,57.85,percent of total billed charges,57.85,percent of total billed charges,57.85,percent of total billed charges,57.85,percent of total billed charges,57.85,percent of total billed charges,41.65,percent of total billed charges,41.65,percent of total billed charges,41.65,percent of total billed charges,41.65,percent of total billed charges,41.65,percent of total billed charges,41.65,percent of total billed charges,42.81,percent of total billed charges,42.81,percent of total billed charges,46.28,percent of total billed charges,46.28,percent of total billed charges,,,41.65,percent of total billed charges ,,,46.28,percent of total billed charges ,48.59,percent of total billed charges ,48.59,percent of total billed charges ,45.12,percent of total billed charges ,45.12,percent of total billed charges ,46.28,percent of total billed charges ,46.28,percent of total billed charges ,40.5,percent of total billed charges ,40.5,percent of total billed charges ,34.71,percent of total billed charges ,34.71,percent of total billed charges ,34.71,percent of total billed charges ,34.71,percent of total billed charges ,,,,,30.78,percent of total billed charges ,,,,,29.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,,,16.2,percent of total billed charges,
TOBRAMYCIN: 80MG/2ML  VIAL,J3260,CDM,,,,both,1,each,11.88,11.88,3.33,11.88,11.88,percent of total billed charges,11.88,percent of total billed charges,11.88,percent of total billed charges,11.88,percent of total billed charges,11.88,percent of total billed charges,11.88,percent of total billed charges,11.88,percent of total billed charges,11.88,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.55,percent of total billed charges,8.79,percent of total billed charges,8.79,percent of total billed charges,9.5,percent of total billed charges,9.5,percent of total billed charges,,,8.55,percent of total billed charges ,,,9.5,percent of total billed charges ,9.98,percent of total billed charges ,9.98,percent of total billed charges ,9.27,percent of total billed charges ,9.27,percent of total billed charges ,9.5,percent of total billed charges ,9.5,percent of total billed charges ,8.32,percent of total billed charges ,8.32,percent of total billed charges ,7.13,percent of total billed charges ,7.13,percent of total billed charges ,7.13,percent of total billed charges ,7.13,percent of total billed charges ,,,,,6.32,percent of total billed charges ,,,,,6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,
**DEFEROXAMINE (DESFERAL): 500MG,J0895,CDM,,,,both,,,282,282,78.96,282,282,percent of total billed charges,282,percent of total billed charges,282,percent of total billed charges,282,percent of total billed charges,282,percent of total billed charges,282,percent of total billed charges,282,percent of total billed charges,282,percent of total billed charges,203.04,percent of total billed charges,203.04,percent of total billed charges,203.04,percent of total billed charges,203.04,percent of total billed charges,203.04,percent of total billed charges,203.04,percent of total billed charges,208.68,percent of total billed charges,208.68,percent of total billed charges,225.6,percent of total billed charges,225.6,percent of total billed charges,,,203.04,percent of total billed charges ,,,225.6,percent of total billed charges ,236.88,percent of total billed charges ,236.88,percent of total billed charges ,219.96,percent of total billed charges ,219.96,percent of total billed charges ,225.6,percent of total billed charges ,225.6,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,169.2,percent of total billed charges ,169.2,percent of total billed charges ,169.2,percent of total billed charges ,169.2,percent of total billed charges ,,,,,150.02,percent of total billed charges ,,,,,142.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,,,78.96,percent of total billed charges,
MULTIVITAMIN (THERAGRAN) TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
prednisoLONE (PRED FORTE) OPHTH 1% 5ML,LOCAL,LOCAL,,,,both,1,each,130.74,130.74,36.61,130.74,130.74,percent of total billed charges,130.74,percent of total billed charges,130.74,percent of total billed charges,130.74,percent of total billed charges,130.74,percent of total billed charges,130.74,percent of total billed charges,130.74,percent of total billed charges,130.74,percent of total billed charges,94.13,percent of total billed charges,94.13,percent of total billed charges,94.13,percent of total billed charges,94.13,percent of total billed charges,94.13,percent of total billed charges,94.13,percent of total billed charges,96.75,percent of total billed charges,96.75,percent of total billed charges,104.59,percent of total billed charges,104.59,percent of total billed charges,,,94.13,percent of total billed charges ,,,104.59,percent of total billed charges ,109.82,percent of total billed charges ,109.82,percent of total billed charges ,101.98,percent of total billed charges ,101.98,percent of total billed charges ,104.59,percent of total billed charges ,104.59,percent of total billed charges ,91.52,percent of total billed charges ,91.52,percent of total billed charges ,78.44,percent of total billed charges ,78.44,percent of total billed charges ,78.44,percent of total billed charges ,78.44,percent of total billed charges ,,,,,69.55,percent of total billed charges ,,,,,66.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,
GABAPENTIN (NEURONTIN) 100MG CAP,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
BENZTROPINE (COGENTIN) 2MG/2ML INJ,J0515,CDM,,,,both,1,each,463.97,463.97,129.91,463.97,463.97,percent of total billed charges,463.97,percent of total billed charges,463.97,percent of total billed charges,463.97,percent of total billed charges,463.97,percent of total billed charges,463.97,percent of total billed charges,463.97,percent of total billed charges,463.97,percent of total billed charges,334.06,percent of total billed charges,334.06,percent of total billed charges,334.06,percent of total billed charges,334.06,percent of total billed charges,334.06,percent of total billed charges,334.06,percent of total billed charges,343.34,percent of total billed charges,343.34,percent of total billed charges,371.18,percent of total billed charges,371.18,percent of total billed charges,,,334.06,percent of total billed charges ,,,371.18,percent of total billed charges ,389.73,percent of total billed charges ,389.73,percent of total billed charges ,361.9,percent of total billed charges ,361.9,percent of total billed charges ,371.18,percent of total billed charges ,371.18,percent of total billed charges ,324.78,percent of total billed charges ,324.78,percent of total billed charges ,278.38,percent of total billed charges ,278.38,percent of total billed charges ,278.38,percent of total billed charges ,278.38,percent of total billed charges ,,,,,246.83,percent of total billed charges ,,,,,234.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,,,129.91,percent of total billed charges,
dexAMETHasone (DECADRON) 4MG/ML: 30 ML,LOCAL,LOCAL,,,,both,1,each,91.14,91.14,25.52,91.14,91.14,percent of total billed charges,91.14,percent of total billed charges,91.14,percent of total billed charges,91.14,percent of total billed charges,91.14,percent of total billed charges,91.14,percent of total billed charges,91.14,percent of total billed charges,91.14,percent of total billed charges,65.62,percent of total billed charges,65.62,percent of total billed charges,65.62,percent of total billed charges,65.62,percent of total billed charges,65.62,percent of total billed charges,65.62,percent of total billed charges,67.44,percent of total billed charges,67.44,percent of total billed charges,72.91,percent of total billed charges,72.91,percent of total billed charges,,,65.62,percent of total billed charges ,,,72.91,percent of total billed charges ,76.56,percent of total billed charges ,76.56,percent of total billed charges ,71.09,percent of total billed charges ,71.09,percent of total billed charges ,72.91,percent of total billed charges ,72.91,percent of total billed charges ,63.8,percent of total billed charges ,63.8,percent of total billed charges ,54.68,percent of total billed charges ,54.68,percent of total billed charges ,54.68,percent of total billed charges ,54.68,percent of total billed charges ,,,,,48.49,percent of total billed charges ,,,,,46.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,,,25.52,percent of total billed charges,
EPINEPHrine 1:1000 (ADRENALIN) 1MG/1ML,J0171,CDM,,,,both,1,each,195.52,195.52,54.75,195.52,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,195.52,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,140.77,percent of total billed charges,144.68,percent of total billed charges,144.68,percent of total billed charges,156.42,percent of total billed charges,156.42,percent of total billed charges,,,140.77,percent of total billed charges ,,,156.42,percent of total billed charges ,164.24,percent of total billed charges ,164.24,percent of total billed charges ,152.51,percent of total billed charges ,152.51,percent of total billed charges ,156.42,percent of total billed charges ,156.42,percent of total billed charges ,136.86,percent of total billed charges ,136.86,percent of total billed charges ,117.31,percent of total billed charges ,117.31,percent of total billed charges ,117.31,percent of total billed charges ,117.31,percent of total billed charges ,,,,,104.02,percent of total billed charges ,,,,,98.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,,,54.75,percent of total billed charges,
LIDOCAINE 1% (XYLOCAINE) MPF 2mL: SDV,J2001,CDM,,,,both,1,each,25.27,25.27,7.08,25.27,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.7,percent of total billed charges,18.7,percent of total billed charges,20.22,percent of total billed charges,20.22,percent of total billed charges,,,18.19,percent of total billed charges ,,,20.22,percent of total billed charges ,21.23,percent of total billed charges ,21.23,percent of total billed charges ,19.71,percent of total billed charges ,19.71,percent of total billed charges ,20.22,percent of total billed charges ,20.22,percent of total billed charges ,17.69,percent of total billed charges ,17.69,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,,,,,13.44,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,
NALBUPHINE (NUBAIN) 20MG/ML INJ,J2300,CDM,,,,both,1,each,76.34,76.34,21.38,76.34,76.34,percent of total billed charges,76.34,percent of total billed charges,76.34,percent of total billed charges,76.34,percent of total billed charges,76.34,percent of total billed charges,76.34,percent of total billed charges,76.34,percent of total billed charges,76.34,percent of total billed charges,54.96,percent of total billed charges,54.96,percent of total billed charges,54.96,percent of total billed charges,54.96,percent of total billed charges,54.96,percent of total billed charges,54.96,percent of total billed charges,56.49,percent of total billed charges,56.49,percent of total billed charges,61.07,percent of total billed charges,61.07,percent of total billed charges,,,54.96,percent of total billed charges ,,,61.07,percent of total billed charges ,64.13,percent of total billed charges ,64.13,percent of total billed charges ,59.55,percent of total billed charges ,59.55,percent of total billed charges ,61.07,percent of total billed charges ,61.07,percent of total billed charges ,53.44,percent of total billed charges ,53.44,percent of total billed charges ,45.8,percent of total billed charges ,45.8,percent of total billed charges ,45.8,percent of total billed charges ,45.8,percent of total billed charges ,,,,,40.61,percent of total billed charges ,,,,,38.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,,,21.38,percent of total billed charges,
PROMETHAZINE SYRUP 6.25 MG/5ML: 5ml UD,LOCAL,LOCAL,,,,both,1,each,0.89,0.89,0.25,0.89,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,,,0.64,percent of total billed charges ,,,0.71,percent of total billed charges ,0.75,percent of total billed charges ,0.75,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,,,,,0.47,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
SODIUM BICARBONATE 50MEQ/50ML VIAL,LOCAL,LOCAL,,,,both,1,each,124.22,124.22,34.78,124.22,124.22,percent of total billed charges,124.22,percent of total billed charges,124.22,percent of total billed charges,124.22,percent of total billed charges,124.22,percent of total billed charges,124.22,percent of total billed charges,124.22,percent of total billed charges,124.22,percent of total billed charges,89.44,percent of total billed charges,89.44,percent of total billed charges,89.44,percent of total billed charges,89.44,percent of total billed charges,89.44,percent of total billed charges,89.44,percent of total billed charges,91.92,percent of total billed charges,91.92,percent of total billed charges,99.38,percent of total billed charges,99.38,percent of total billed charges,,,89.44,percent of total billed charges ,,,99.38,percent of total billed charges ,104.34,percent of total billed charges ,104.34,percent of total billed charges ,96.89,percent of total billed charges ,96.89,percent of total billed charges ,99.38,percent of total billed charges ,99.38,percent of total billed charges ,86.95,percent of total billed charges ,86.95,percent of total billed charges ,74.53,percent of total billed charges ,74.53,percent of total billed charges ,74.53,percent of total billed charges ,74.53,percent of total billed charges ,,,,,66.09,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,,,34.78,percent of total billed charges,
CLOTRIMAZOLE (LOTRIMIN) 1% CRM 30GM,LOCAL,LOCAL,,,,both,,,22.56,22.56,6.32,22.56,22.56,percent of total billed charges,22.56,percent of total billed charges,22.56,percent of total billed charges,22.56,percent of total billed charges,22.56,percent of total billed charges,22.56,percent of total billed charges,22.56,percent of total billed charges,22.56,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.69,percent of total billed charges,16.69,percent of total billed charges,18.05,percent of total billed charges,18.05,percent of total billed charges,,,16.24,percent of total billed charges ,,,18.05,percent of total billed charges ,18.95,percent of total billed charges ,18.95,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,18.05,percent of total billed charges ,18.05,percent of total billed charges ,15.79,percent of total billed charges ,15.79,percent of total billed charges ,13.54,percent of total billed charges ,13.54,percent of total billed charges ,13.54,percent of total billed charges ,13.54,percent of total billed charges ,,,,,12,percent of total billed charges ,,,,,11.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,,,6.32,percent of total billed charges,
EPINEPHrine 1MG/10ML SYRINGE: CODE BLUE,J0171,CDM,,,,both,1,each,174.58,174.58,48.88,174.58,174.58,percent of total billed charges,174.58,percent of total billed charges,174.58,percent of total billed charges,174.58,percent of total billed charges,174.58,percent of total billed charges,174.58,percent of total billed charges,174.58,percent of total billed charges,174.58,percent of total billed charges,125.7,percent of total billed charges,125.7,percent of total billed charges,125.7,percent of total billed charges,125.7,percent of total billed charges,125.7,percent of total billed charges,125.7,percent of total billed charges,129.19,percent of total billed charges,129.19,percent of total billed charges,139.66,percent of total billed charges,139.66,percent of total billed charges,,,125.7,percent of total billed charges ,,,139.66,percent of total billed charges ,146.65,percent of total billed charges ,146.65,percent of total billed charges ,136.17,percent of total billed charges ,136.17,percent of total billed charges ,139.66,percent of total billed charges ,139.66,percent of total billed charges ,122.21,percent of total billed charges ,122.21,percent of total billed charges ,104.75,percent of total billed charges ,104.75,percent of total billed charges ,104.75,percent of total billed charges ,104.75,percent of total billed charges ,,,,,92.88,percent of total billed charges ,,,,,88.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,,,48.88,percent of total billed charges,
LIDOCAINE 2% (XYLOCAINE) 20ML INJ,J2001,CDM,,,,both,1,each,17.58,17.58,4.92,17.58,17.58,percent of total billed charges,17.58,percent of total billed charges,17.58,percent of total billed charges,17.58,percent of total billed charges,17.58,percent of total billed charges,17.58,percent of total billed charges,17.58,percent of total billed charges,17.58,percent of total billed charges,12.66,percent of total billed charges,12.66,percent of total billed charges,12.66,percent of total billed charges,12.66,percent of total billed charges,12.66,percent of total billed charges,12.66,percent of total billed charges,13.01,percent of total billed charges,13.01,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,,,12.66,percent of total billed charges ,,,14.06,percent of total billed charges ,14.77,percent of total billed charges ,14.77,percent of total billed charges ,13.71,percent of total billed charges ,13.71,percent of total billed charges ,14.06,percent of total billed charges ,14.06,percent of total billed charges ,12.31,percent of total billed charges ,12.31,percent of total billed charges ,10.55,percent of total billed charges ,10.55,percent of total billed charges ,10.55,percent of total billed charges ,10.55,percent of total billed charges ,,,,,9.35,percent of total billed charges ,,,,,8.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,,,4.92,percent of total billed charges,
SODIUM BICARBONATE 5MEQ/10ML SYR (PED),LOCAL,LOCAL,,,,both,1,each,125.8,125.8,35.22,125.8,125.8,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,125.8,percent of total billed charges,90.58,percent of total billed charges,90.58,percent of total billed charges,90.58,percent of total billed charges,90.58,percent of total billed charges,90.58,percent of total billed charges,90.58,percent of total billed charges,93.09,percent of total billed charges,93.09,percent of total billed charges,100.64,percent of total billed charges,100.64,percent of total billed charges,,,90.58,percent of total billed charges ,,,100.64,percent of total billed charges ,105.67,percent of total billed charges ,105.67,percent of total billed charges ,98.12,percent of total billed charges ,98.12,percent of total billed charges ,100.64,percent of total billed charges ,100.64,percent of total billed charges ,88.06,percent of total billed charges ,88.06,percent of total billed charges ,75.48,percent of total billed charges ,75.48,percent of total billed charges ,75.48,percent of total billed charges ,75.48,percent of total billed charges ,,,,,66.93,percent of total billed charges ,,,,,63.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,,,35.22,percent of total billed charges,
MICONAZOLE VAGINAL CRM (MONISTAT-7),LOCAL,LOCAL,,,,both,1,each,103.12,103.12,28.87,103.12,103.12,percent of total billed charges,103.12,percent of total billed charges,103.12,percent of total billed charges,103.12,percent of total billed charges,103.12,percent of total billed charges,103.12,percent of total billed charges,103.12,percent of total billed charges,103.12,percent of total billed charges,74.25,percent of total billed charges,74.25,percent of total billed charges,74.25,percent of total billed charges,74.25,percent of total billed charges,74.25,percent of total billed charges,74.25,percent of total billed charges,76.31,percent of total billed charges,76.31,percent of total billed charges,82.5,percent of total billed charges,82.5,percent of total billed charges,,,74.25,percent of total billed charges ,,,82.5,percent of total billed charges ,86.62,percent of total billed charges ,86.62,percent of total billed charges ,80.43,percent of total billed charges ,80.43,percent of total billed charges ,82.5,percent of total billed charges ,82.5,percent of total billed charges ,72.18,percent of total billed charges ,72.18,percent of total billed charges ,61.87,percent of total billed charges ,61.87,percent of total billed charges ,61.87,percent of total billed charges ,61.87,percent of total billed charges ,,,,,54.86,percent of total billed charges ,,,,,52.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,,,28.87,percent of total billed charges,
**TERCONAZOLE(TERAZOL) 0.4% CREAM:7 DAY,LOCAL,LOCAL,,,,both,1,each,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
**TERCONAZOLE(TERAZOL)0.8% VAG CR:3 DAY,LOCAL,LOCAL,,,,both,1,each,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
PROTAMINE SULFATE 250MG/25ML VIAL,J2720,CDM,,,,both,1,each,335.53,335.53,93.95,335.53,335.53,percent of total billed charges,335.53,percent of total billed charges,335.53,percent of total billed charges,335.53,percent of total billed charges,335.53,percent of total billed charges,335.53,percent of total billed charges,335.53,percent of total billed charges,335.53,percent of total billed charges,241.58,percent of total billed charges,241.58,percent of total billed charges,241.58,percent of total billed charges,241.58,percent of total billed charges,241.58,percent of total billed charges,241.58,percent of total billed charges,248.29,percent of total billed charges,248.29,percent of total billed charges,268.42,percent of total billed charges,268.42,percent of total billed charges,,,241.58,percent of total billed charges ,,,268.42,percent of total billed charges ,281.85,percent of total billed charges ,281.85,percent of total billed charges ,261.71,percent of total billed charges ,261.71,percent of total billed charges ,268.42,percent of total billed charges ,268.42,percent of total billed charges ,234.87,percent of total billed charges ,234.87,percent of total billed charges ,201.32,percent of total billed charges ,201.32,percent of total billed charges ,201.32,percent of total billed charges ,201.32,percent of total billed charges ,,,,,178.5,percent of total billed charges ,,,,,169.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,,,93.95,percent of total billed charges,
METHACHOLINE CHLORIDE INHAL SOLN KIT,J7674,CDM,,,,both,1,each,303.75,303.75,85.05,303.75,303.75,percent of total billed charges,303.75,percent of total billed charges,303.75,percent of total billed charges,303.75,percent of total billed charges,303.75,percent of total billed charges,303.75,percent of total billed charges,303.75,percent of total billed charges,303.75,percent of total billed charges,218.7,percent of total billed charges,218.7,percent of total billed charges,218.7,percent of total billed charges,218.7,percent of total billed charges,218.7,percent of total billed charges,218.7,percent of total billed charges,224.78,percent of total billed charges,224.78,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,,,218.7,percent of total billed charges ,,,243,percent of total billed charges ,255.15,percent of total billed charges ,255.15,percent of total billed charges ,236.93,percent of total billed charges ,236.93,percent of total billed charges ,243,percent of total billed charges ,243,percent of total billed charges ,212.63,percent of total billed charges ,212.63,percent of total billed charges ,182.25,percent of total billed charges ,182.25,percent of total billed charges ,182.25,percent of total billed charges ,182.25,percent of total billed charges ,,,,,161.6,percent of total billed charges ,,,,,153.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,,,85.05,percent of total billed charges,
***NEOMYCIN/POLYMIXIN/HYDROCORTISONE O/O,LOCAL,LOCAL,,,,both,1,each,78.8,78.8,22.06,78.8,78.8,percent of total billed charges,78.8,percent of total billed charges,78.8,percent of total billed charges,78.8,percent of total billed charges,78.8,percent of total billed charges,78.8,percent of total billed charges,78.8,percent of total billed charges,78.8,percent of total billed charges,56.74,percent of total billed charges,56.74,percent of total billed charges,56.74,percent of total billed charges,56.74,percent of total billed charges,56.74,percent of total billed charges,56.74,percent of total billed charges,58.31,percent of total billed charges,58.31,percent of total billed charges,63.04,percent of total billed charges,63.04,percent of total billed charges,,,56.74,percent of total billed charges ,,,63.04,percent of total billed charges ,66.19,percent of total billed charges ,66.19,percent of total billed charges ,61.46,percent of total billed charges ,61.46,percent of total billed charges ,63.04,percent of total billed charges ,63.04,percent of total billed charges ,55.16,percent of total billed charges ,55.16,percent of total billed charges ,47.28,percent of total billed charges ,47.28,percent of total billed charges ,47.28,percent of total billed charges ,47.28,percent of total billed charges ,,,,,41.92,percent of total billed charges ,,,,,39.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,,,22.06,percent of total billed charges,
**POLYB/BAC (POLYSPORIN)OPTH OINT: 3.5GM,LOCAL,LOCAL,,,,both,1,each,65,65,18.2,65,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,48.1,percent of total billed charges,48.1,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,,,46.8,percent of total billed charges ,,,52,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,50.7,percent of total billed charges ,50.7,percent of total billed charges ,52,percent of total billed charges ,52,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,,,,,34.58,percent of total billed charges ,,,,,32.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,
**ERYTHROMYCIN OPTH OINT: 1GM UNIT DOSE,LOCAL,LOCAL,,,,both,1,each,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
POLYMIXIN/TRIMETHOPRIM OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,44.55,44.55,12.47,44.55,44.55,percent of total billed charges,44.55,percent of total billed charges,44.55,percent of total billed charges,44.55,percent of total billed charges,44.55,percent of total billed charges,44.55,percent of total billed charges,44.55,percent of total billed charges,44.55,percent of total billed charges,32.08,percent of total billed charges,32.08,percent of total billed charges,32.08,percent of total billed charges,32.08,percent of total billed charges,32.08,percent of total billed charges,32.08,percent of total billed charges,32.97,percent of total billed charges,32.97,percent of total billed charges,35.64,percent of total billed charges,35.64,percent of total billed charges,,,32.08,percent of total billed charges ,,,35.64,percent of total billed charges ,37.42,percent of total billed charges ,37.42,percent of total billed charges ,34.75,percent of total billed charges ,34.75,percent of total billed charges ,35.64,percent of total billed charges ,35.64,percent of total billed charges ,31.19,percent of total billed charges ,31.19,percent of total billed charges ,26.73,percent of total billed charges ,26.73,percent of total billed charges ,26.73,percent of total billed charges ,26.73,percent of total billed charges ,,,,,23.7,percent of total billed charges ,,,,,22.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,,,12.47,percent of total billed charges,
**PROPARCAINE OPTH SOLN (ALCAINE): 15ML,LOCAL,LOCAL,,,,both,1,each,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
PHENYLEPHRINE 10% OPHTH SOLN 5 ML,LOCAL,LOCAL,,,,both,1,each,161.61,161.61,45.25,161.61,161.61,percent of total billed charges,161.61,percent of total billed charges,161.61,percent of total billed charges,161.61,percent of total billed charges,161.61,percent of total billed charges,161.61,percent of total billed charges,161.61,percent of total billed charges,161.61,percent of total billed charges,116.36,percent of total billed charges,116.36,percent of total billed charges,116.36,percent of total billed charges,116.36,percent of total billed charges,116.36,percent of total billed charges,116.36,percent of total billed charges,119.59,percent of total billed charges,119.59,percent of total billed charges,129.29,percent of total billed charges,129.29,percent of total billed charges,,,116.36,percent of total billed charges ,,,129.29,percent of total billed charges ,135.75,percent of total billed charges ,135.75,percent of total billed charges ,126.06,percent of total billed charges ,126.06,percent of total billed charges ,129.29,percent of total billed charges ,129.29,percent of total billed charges ,113.13,percent of total billed charges ,113.13,percent of total billed charges ,96.97,percent of total billed charges ,96.97,percent of total billed charges ,96.97,percent of total billed charges ,96.97,percent of total billed charges ,,,,,85.98,percent of total billed charges ,,,,,81.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,,,45.25,percent of total billed charges,
PHENYLEPHRINE 2.5% OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,127.1,127.1,35.59,127.1,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,94.05,percent of total billed charges,94.05,percent of total billed charges,101.68,percent of total billed charges,101.68,percent of total billed charges,,,91.51,percent of total billed charges ,,,101.68,percent of total billed charges ,106.76,percent of total billed charges ,106.76,percent of total billed charges ,99.14,percent of total billed charges ,99.14,percent of total billed charges ,101.68,percent of total billed charges ,101.68,percent of total billed charges ,88.97,percent of total billed charges ,88.97,percent of total billed charges ,76.26,percent of total billed charges ,76.26,percent of total billed charges ,76.26,percent of total billed charges ,76.26,percent of total billed charges ,,,,,67.62,percent of total billed charges ,,,,,64.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,
**NAPHAZOLINE/PHENIRAMINE OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
TETRACAINE 0.5% OPHTH SOLN 15 ML,LOCAL,LOCAL,,,,both,1,each,50.7,50.7,14.2,50.7,50.7,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,36.5,percent of total billed charges,36.5,percent of total billed charges,36.5,percent of total billed charges,36.5,percent of total billed charges,36.5,percent of total billed charges,36.5,percent of total billed charges,37.52,percent of total billed charges,37.52,percent of total billed charges,40.56,percent of total billed charges,40.56,percent of total billed charges,,,36.5,percent of total billed charges ,,,40.56,percent of total billed charges ,42.59,percent of total billed charges ,42.59,percent of total billed charges ,39.55,percent of total billed charges ,39.55,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,35.49,percent of total billed charges ,35.49,percent of total billed charges ,30.42,percent of total billed charges ,30.42,percent of total billed charges ,30.42,percent of total billed charges ,30.42,percent of total billed charges ,,,,,26.97,percent of total billed charges ,,,,,25.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,,,14.2,percent of total billed charges,
**TROPICAMIDE 1% OPTH SOLN 15mL,LOCAL,LOCAL,,,,both,1,each,51.03,51.03,14.29,51.03,51.03,percent of total billed charges,51.03,percent of total billed charges,51.03,percent of total billed charges,51.03,percent of total billed charges,51.03,percent of total billed charges,51.03,percent of total billed charges,51.03,percent of total billed charges,51.03,percent of total billed charges,36.74,percent of total billed charges,36.74,percent of total billed charges,36.74,percent of total billed charges,36.74,percent of total billed charges,36.74,percent of total billed charges,36.74,percent of total billed charges,37.76,percent of total billed charges,37.76,percent of total billed charges,40.82,percent of total billed charges,40.82,percent of total billed charges,,,36.74,percent of total billed charges ,,,40.82,percent of total billed charges ,42.87,percent of total billed charges ,42.87,percent of total billed charges ,39.8,percent of total billed charges ,39.8,percent of total billed charges ,40.82,percent of total billed charges ,40.82,percent of total billed charges ,35.72,percent of total billed charges ,35.72,percent of total billed charges ,30.62,percent of total billed charges ,30.62,percent of total billed charges ,30.62,percent of total billed charges ,30.62,percent of total billed charges ,,,,,27.15,percent of total billed charges ,,,,,25.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,,,14.29,percent of total billed charges,
MESALAMINE (PENTASA) CR 250 MG CAP,LOCAL,LOCAL,,,,both,,,9.86,9.86,2.76,9.86,9.86,percent of total billed charges,9.86,percent of total billed charges,9.86,percent of total billed charges,9.86,percent of total billed charges,9.86,percent of total billed charges,9.86,percent of total billed charges,9.86,percent of total billed charges,9.86,percent of total billed charges,7.1,percent of total billed charges,7.1,percent of total billed charges,7.1,percent of total billed charges,7.1,percent of total billed charges,7.1,percent of total billed charges,7.1,percent of total billed charges,7.3,percent of total billed charges,7.3,percent of total billed charges,7.89,percent of total billed charges,7.89,percent of total billed charges,,,7.1,percent of total billed charges ,,,7.89,percent of total billed charges ,8.28,percent of total billed charges ,8.28,percent of total billed charges ,7.69,percent of total billed charges ,7.69,percent of total billed charges ,7.89,percent of total billed charges ,7.89,percent of total billed charges ,6.9,percent of total billed charges ,6.9,percent of total billed charges ,5.92,percent of total billed charges ,5.92,percent of total billed charges ,5.92,percent of total billed charges ,5.92,percent of total billed charges ,,,,,5.25,percent of total billed charges ,,,,,4.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,
**AMOXICILLIN  125 MG/5ML ORAL SUSP 100,LOCAL,LOCAL,,,,both,1,each,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
AMOXICILLIN 250 MG/5ML ORAL SUSP 80ML,LOCAL,LOCAL,,,,both,1,each,40.61,40.61,11.37,40.61,40.61,percent of total billed charges,40.61,percent of total billed charges,40.61,percent of total billed charges,40.61,percent of total billed charges,40.61,percent of total billed charges,40.61,percent of total billed charges,40.61,percent of total billed charges,40.61,percent of total billed charges,29.24,percent of total billed charges,29.24,percent of total billed charges,29.24,percent of total billed charges,29.24,percent of total billed charges,29.24,percent of total billed charges,29.24,percent of total billed charges,30.05,percent of total billed charges,30.05,percent of total billed charges,32.49,percent of total billed charges,32.49,percent of total billed charges,,,29.24,percent of total billed charges ,,,32.49,percent of total billed charges ,34.11,percent of total billed charges ,34.11,percent of total billed charges ,31.68,percent of total billed charges ,31.68,percent of total billed charges ,32.49,percent of total billed charges ,32.49,percent of total billed charges ,28.43,percent of total billed charges ,28.43,percent of total billed charges ,24.37,percent of total billed charges ,24.37,percent of total billed charges ,24.37,percent of total billed charges ,24.37,percent of total billed charges ,,,,,21.6,percent of total billed charges ,,,,,20.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,,,11.37,percent of total billed charges,
**GAVISCON(ALUM/MAG.TRISIL) SUSP: 360 ML,LOCAL,LOCAL,,,,both,1,each,44,44,12.32,44,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,32.56,percent of total billed charges,32.56,percent of total billed charges,35.2,percent of total billed charges,35.2,percent of total billed charges,,,31.68,percent of total billed charges ,,,35.2,percent of total billed charges ,36.96,percent of total billed charges ,36.96,percent of total billed charges ,34.32,percent of total billed charges ,34.32,percent of total billed charges ,35.2,percent of total billed charges ,35.2,percent of total billed charges ,30.8,percent of total billed charges ,30.8,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,,,,,23.41,percent of total billed charges ,,,,,22.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,
**GUAIFENESIN CODEINE(ROB.AC) SYRP,LOCAL,LOCAL,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
**CEPHALEXIN 250MG/5ML SUSP: 100 ML,LOCAL,LOCAL,,,,both,1,each,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
NYSTATIN (NILSTAT) CREAM 30GM,LOCAL,LOCAL,,,,both,1,each,63.38,63.38,17.75,63.38,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,63.38,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,45.63,percent of total billed charges,46.9,percent of total billed charges,46.9,percent of total billed charges,50.7,percent of total billed charges,50.7,percent of total billed charges,,,45.63,percent of total billed charges ,,,50.7,percent of total billed charges ,53.24,percent of total billed charges ,53.24,percent of total billed charges ,49.44,percent of total billed charges ,49.44,percent of total billed charges ,50.7,percent of total billed charges ,50.7,percent of total billed charges ,44.37,percent of total billed charges ,44.37,percent of total billed charges ,38.03,percent of total billed charges ,38.03,percent of total billed charges ,38.03,percent of total billed charges ,38.03,percent of total billed charges ,,,,,33.72,percent of total billed charges ,,,,,32.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,,,17.75,percent of total billed charges,
**E-TRIAMINIC COLD & ALLERGY: 4OZ BOTTLE,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
FAMCICLOVIR (FAMVIR) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,6.17,6.17,1.73,6.17,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.57,percent of total billed charges,4.57,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,,,4.44,percent of total billed charges ,,,4.94,percent of total billed charges ,5.18,percent of total billed charges ,5.18,percent of total billed charges ,4.81,percent of total billed charges ,4.81,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,4.32,percent of total billed charges ,4.32,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,,,,,3.28,percent of total billed charges ,,,,,3.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,
ZINC SULFATE (ORAZINC) CAP220MG,LOCAL,LOCAL,,,,both,1,each,0.97,0.97,0.27,0.97,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,,,0.7,percent of total billed charges ,,,0.78,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,,,,,0.52,percent of total billed charges ,,,,,0.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
**MEGESTROL ACETATE(MEGACE):40MG/ML 120M,LOCAL,LOCAL,,,,both,1,each,352,352,98.56,352,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,260.48,percent of total billed charges,260.48,percent of total billed charges,281.6,percent of total billed charges,281.6,percent of total billed charges,,,253.44,percent of total billed charges ,,,281.6,percent of total billed charges ,295.68,percent of total billed charges ,295.68,percent of total billed charges ,274.56,percent of total billed charges ,274.56,percent of total billed charges ,281.6,percent of total billed charges ,281.6,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,,,,,187.26,percent of total billed charges ,,,,,177.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,
**TUSSIONEX (HYDROCOD/CHLORPHEN) SUSP:60,LOCAL,LOCAL,,,,both,1,each,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
AZITHROMYCIN 200MG/5ML 30ML,LOCAL,LOCAL,,,,both,1,each,69.25,69.25,19.39,69.25,69.25,percent of total billed charges,69.25,percent of total billed charges,69.25,percent of total billed charges,69.25,percent of total billed charges,69.25,percent of total billed charges,69.25,percent of total billed charges,69.25,percent of total billed charges,69.25,percent of total billed charges,49.86,percent of total billed charges,49.86,percent of total billed charges,49.86,percent of total billed charges,49.86,percent of total billed charges,49.86,percent of total billed charges,49.86,percent of total billed charges,51.25,percent of total billed charges,51.25,percent of total billed charges,55.4,percent of total billed charges,55.4,percent of total billed charges,,,49.86,percent of total billed charges ,,,55.4,percent of total billed charges ,58.17,percent of total billed charges ,58.17,percent of total billed charges ,54.02,percent of total billed charges ,54.02,percent of total billed charges ,55.4,percent of total billed charges ,55.4,percent of total billed charges ,48.48,percent of total billed charges ,48.48,percent of total billed charges ,41.55,percent of total billed charges ,41.55,percent of total billed charges ,41.55,percent of total billed charges ,41.55,percent of total billed charges ,,,,,36.84,percent of total billed charges ,,,,,35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,,,19.39,percent of total billed charges,
glipiZIDE ER 5MG TAB,LOCAL,LOCAL,,,,both,1,each,2.56,2.56,0.72,2.56,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,2.05,percent of total billed charges,2.05,percent of total billed charges,,,1.84,percent of total billed charges ,,,2.05,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,,,,,1.36,percent of total billed charges ,,,,,1.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,
**ALLEGRA D 12 HR:TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**SIMVASTATIN (ZOCOR) 10 MG TAB,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
PHENobarbital ELIXIR 20MG/5ML ORAL,LOCAL,LOCAL,,,,both,1,each,14.58,14.58,4.08,14.58,14.58,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.79,percent of total billed charges,10.79,percent of total billed charges,11.66,percent of total billed charges,11.66,percent of total billed charges,,,10.5,percent of total billed charges ,,,11.66,percent of total billed charges ,12.25,percent of total billed charges ,12.25,percent of total billed charges ,11.37,percent of total billed charges ,11.37,percent of total billed charges ,11.66,percent of total billed charges ,11.66,percent of total billed charges ,10.21,percent of total billed charges ,10.21,percent of total billed charges ,8.75,percent of total billed charges ,8.75,percent of total billed charges ,8.75,percent of total billed charges ,8.75,percent of total billed charges ,,,,,7.76,percent of total billed charges ,,,,,7.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,,,4.08,percent of total billed charges,
**GATIFLOXACIN (TEQUIN) 400MG: TAB,LOCAL,LOCAL,,,,both,1,each,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
**E-ACETAMINOPHEN SUSPENSION 160MG/5ML:4,LOCAL,LOCAL,,,,both,1,each,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
BOTULINUM TOXIN (BOTOX) 100 UNIT VIAL,J0585,CDM,,,,both,1,each,"3,512.36","3,512.36",983.46,"3,512.36","3,512.36",percent of total billed charges,"3,512.36",percent of total billed charges,"3,512.36",percent of total billed charges,"3,512.36",percent of total billed charges,"3,512.36",percent of total billed charges,"3,512.36",percent of total billed charges,"3,512.36",percent of total billed charges,"3,512.36",percent of total billed charges,"2,528.90",percent of total billed charges,"2,528.90",percent of total billed charges,"2,528.90",percent of total billed charges,"2,528.90",percent of total billed charges,"2,528.90",percent of total billed charges,"2,528.90",percent of total billed charges,"2,599.15",percent of total billed charges,"2,599.15",percent of total billed charges,"2,809.89",percent of total billed charges,"2,809.89",percent of total billed charges,,,"2,528.90",percent of total billed charges ,,,"2,809.89",percent of total billed charges ,"2,950.38",percent of total billed charges ,"2,950.38",percent of total billed charges ,"2,739.64",percent of total billed charges ,"2,739.64",percent of total billed charges ,"2,809.89",percent of total billed charges ,"2,809.89",percent of total billed charges ,"2,458.65",percent of total billed charges ,"2,458.65",percent of total billed charges ,"2,107.42",percent of total billed charges ,"2,107.42",percent of total billed charges ,"2,107.42",percent of total billed charges ,"2,107.42",percent of total billed charges ,,,,,"1,868.58",percent of total billed charges ,,,,,"1,775.15",percent of total billed charges ,,,,,,,,,,,,,,,,,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,,,983.46,percent of total billed charges,
CLOPIDOGREL (PLAVIX) 75 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.81,0.81,0.23,0.81,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,,,0.58,percent of total billed charges ,,,0.65,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
glyBURIDE (DIABETA) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,1.06,1.06,0.3,1.06,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,,,0.76,percent of total billed charges ,,,0.85,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
acetaZOLAMIDE (DIAMOX) 500MG SEQUELS,LOCAL,LOCAL,,,,both,1,each,14.04,14.04,3.93,14.04,14.04,percent of total billed charges,14.04,percent of total billed charges,14.04,percent of total billed charges,14.04,percent of total billed charges,14.04,percent of total billed charges,14.04,percent of total billed charges,14.04,percent of total billed charges,14.04,percent of total billed charges,10.11,percent of total billed charges,10.11,percent of total billed charges,10.11,percent of total billed charges,10.11,percent of total billed charges,10.11,percent of total billed charges,10.11,percent of total billed charges,10.39,percent of total billed charges,10.39,percent of total billed charges,11.23,percent of total billed charges,11.23,percent of total billed charges,,,10.11,percent of total billed charges ,,,11.23,percent of total billed charges ,11.79,percent of total billed charges ,11.79,percent of total billed charges ,10.95,percent of total billed charges ,10.95,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,9.83,percent of total billed charges ,9.83,percent of total billed charges ,8.42,percent of total billed charges ,8.42,percent of total billed charges ,8.42,percent of total billed charges ,8.42,percent of total billed charges ,,,,,7.47,percent of total billed charges ,,,,,7.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,,,3.93,percent of total billed charges,
DICYCLOMINE (BENTYL) INJ 20MG/2ML,J0500,CDM,,,,both,1,each,469.92,469.92,131.58,469.92,469.92,percent of total billed charges,469.92,percent of total billed charges,469.92,percent of total billed charges,469.92,percent of total billed charges,469.92,percent of total billed charges,469.92,percent of total billed charges,469.92,percent of total billed charges,469.92,percent of total billed charges,338.34,percent of total billed charges,338.34,percent of total billed charges,338.34,percent of total billed charges,338.34,percent of total billed charges,338.34,percent of total billed charges,338.34,percent of total billed charges,347.74,percent of total billed charges,347.74,percent of total billed charges,375.94,percent of total billed charges,375.94,percent of total billed charges,,,338.34,percent of total billed charges ,,,375.94,percent of total billed charges ,394.73,percent of total billed charges ,394.73,percent of total billed charges ,366.54,percent of total billed charges ,366.54,percent of total billed charges ,375.94,percent of total billed charges ,375.94,percent of total billed charges ,328.94,percent of total billed charges ,328.94,percent of total billed charges ,281.95,percent of total billed charges ,281.95,percent of total billed charges ,281.95,percent of total billed charges ,281.95,percent of total billed charges ,,,,,250,percent of total billed charges ,,,,,237.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,,,131.58,percent of total billed charges,
FLUMazenil (ROMAZICON) 0.5 MG/5ML INJ,LOCAL,LOCAL,,,,both,1,each,46.66,46.66,13.06,46.66,46.66,percent of total billed charges,46.66,percent of total billed charges,46.66,percent of total billed charges,46.66,percent of total billed charges,46.66,percent of total billed charges,46.66,percent of total billed charges,46.66,percent of total billed charges,46.66,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,34.53,percent of total billed charges,34.53,percent of total billed charges,37.33,percent of total billed charges,37.33,percent of total billed charges,,,33.6,percent of total billed charges ,,,37.33,percent of total billed charges ,39.19,percent of total billed charges ,39.19,percent of total billed charges ,36.39,percent of total billed charges ,36.39,percent of total billed charges ,37.33,percent of total billed charges ,37.33,percent of total billed charges ,32.66,percent of total billed charges ,32.66,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,,,,,24.82,percent of total billed charges ,,,,,23.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,,,13.06,percent of total billed charges,
TOPIRAMATE (TOPAMAX) 100MG TAB,LOCAL,LOCAL,,,,both,1,each,0.9,0.9,0.25,0.9,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,,,0.65,percent of total billed charges ,,,0.72,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
DIPYRIDAMOLE 200MG/ ASPIRIN 25 MG CAP,LOCAL,LOCAL,,,,both,1,each,12.34,12.34,3.46,12.34,12.34,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,12.34,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.13,percent of total billed charges,9.13,percent of total billed charges,9.87,percent of total billed charges,9.87,percent of total billed charges,,,8.88,percent of total billed charges ,,,9.87,percent of total billed charges ,10.37,percent of total billed charges ,10.37,percent of total billed charges ,9.63,percent of total billed charges ,9.63,percent of total billed charges ,9.87,percent of total billed charges ,9.87,percent of total billed charges ,8.64,percent of total billed charges ,8.64,percent of total billed charges ,7.4,percent of total billed charges ,7.4,percent of total billed charges ,7.4,percent of total billed charges ,7.4,percent of total billed charges ,,,,,6.56,percent of total billed charges ,,,,,6.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,
LINEZOLID (ZYVOX) 600MG TAB,LOCAL,LOCAL,,,,both,1,each,6.91,6.91,1.93,6.91,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,6.91,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,5.11,percent of total billed charges,5.11,percent of total billed charges,5.53,percent of total billed charges,5.53,percent of total billed charges,,,4.98,percent of total billed charges ,,,5.53,percent of total billed charges ,5.8,percent of total billed charges ,5.8,percent of total billed charges ,5.39,percent of total billed charges ,5.39,percent of total billed charges ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,4.84,percent of total billed charges ,4.84,percent of total billed charges ,4.15,percent of total billed charges ,4.15,percent of total billed charges ,4.15,percent of total billed charges ,4.15,percent of total billed charges ,,,,,3.68,percent of total billed charges ,,,,,3.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,,,1.93,percent of total billed charges,
BETAMETHASONE 0.05% (DIPROLENE) OINT 15G,LOCAL,LOCAL,,,,both,1,each,114.64,114.64,32.1,114.64,114.64,percent of total billed charges,114.64,percent of total billed charges,114.64,percent of total billed charges,114.64,percent of total billed charges,114.64,percent of total billed charges,114.64,percent of total billed charges,114.64,percent of total billed charges,114.64,percent of total billed charges,82.54,percent of total billed charges,82.54,percent of total billed charges,82.54,percent of total billed charges,82.54,percent of total billed charges,82.54,percent of total billed charges,82.54,percent of total billed charges,84.83,percent of total billed charges,84.83,percent of total billed charges,91.71,percent of total billed charges,91.71,percent of total billed charges,,,82.54,percent of total billed charges ,,,91.71,percent of total billed charges ,96.3,percent of total billed charges ,96.3,percent of total billed charges ,89.42,percent of total billed charges ,89.42,percent of total billed charges ,91.71,percent of total billed charges ,91.71,percent of total billed charges ,80.25,percent of total billed charges ,80.25,percent of total billed charges ,68.78,percent of total billed charges ,68.78,percent of total billed charges ,68.78,percent of total billed charges ,68.78,percent of total billed charges ,,,,,60.99,percent of total billed charges ,,,,,57.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,,,32.1,percent of total billed charges,
**SALSALATE (DISALCID) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**LOTREL 5/10 (AMLODIPINE/BENZAPRIL: CAP,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
"dexAMETHasone ELIX 0.5MG/5ML, 239ML",J8540,CDM,,,,both,1,each,128.74,128.74,36.05,128.74,128.74,percent of total billed charges,128.74,percent of total billed charges,128.74,percent of total billed charges,128.74,percent of total billed charges,128.74,percent of total billed charges,128.74,percent of total billed charges,128.74,percent of total billed charges,128.74,percent of total billed charges,92.69,percent of total billed charges,92.69,percent of total billed charges,92.69,percent of total billed charges,92.69,percent of total billed charges,92.69,percent of total billed charges,92.69,percent of total billed charges,95.27,percent of total billed charges,95.27,percent of total billed charges,102.99,percent of total billed charges,102.99,percent of total billed charges,,,92.69,percent of total billed charges ,,,102.99,percent of total billed charges ,108.14,percent of total billed charges ,108.14,percent of total billed charges ,100.42,percent of total billed charges ,100.42,percent of total billed charges ,102.99,percent of total billed charges ,102.99,percent of total billed charges ,90.12,percent of total billed charges ,90.12,percent of total billed charges ,77.24,percent of total billed charges ,77.24,percent of total billed charges ,77.24,percent of total billed charges ,77.24,percent of total billed charges ,,,,,68.49,percent of total billed charges ,,,,,65.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,,,36.05,percent of total billed charges,
**REFRESH P.M. OPTH. OINTMENT: 3.5GM,LOCAL,LOCAL,,,,both,1,each,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**FERROUS GLUCONATE 325 MG: TAB,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
tiZANidine (ZANAFLEX) 4MG TAB,LOCAL,LOCAL,,,,both,1,each,1.66,1.66,0.46,1.66,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,,,1.2,percent of total billed charges ,,,1.33,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,,,,,0.88,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
oxyCODONE SR (OxyCONTIN) 20MG TAB,LOCAL,LOCAL,,,,both,1,each,34.52,34.52,9.67,34.52,34.52,percent of total billed charges,34.52,percent of total billed charges,34.52,percent of total billed charges,34.52,percent of total billed charges,34.52,percent of total billed charges,34.52,percent of total billed charges,34.52,percent of total billed charges,34.52,percent of total billed charges,24.85,percent of total billed charges,24.85,percent of total billed charges,24.85,percent of total billed charges,24.85,percent of total billed charges,24.85,percent of total billed charges,24.85,percent of total billed charges,25.54,percent of total billed charges,25.54,percent of total billed charges,27.62,percent of total billed charges,27.62,percent of total billed charges,,,24.85,percent of total billed charges ,,,27.62,percent of total billed charges ,29,percent of total billed charges ,29,percent of total billed charges ,26.93,percent of total billed charges ,26.93,percent of total billed charges ,27.62,percent of total billed charges ,27.62,percent of total billed charges ,24.16,percent of total billed charges ,24.16,percent of total billed charges ,20.71,percent of total billed charges ,20.71,percent of total billed charges ,20.71,percent of total billed charges ,20.71,percent of total billed charges ,,,,,18.36,percent of total billed charges ,,,,,17.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,,,9.67,percent of total billed charges,
**HYDROCODODONE/GUAIFENESIN  LIQ: 120ML,LOCAL,LOCAL,,,,both,1,each,36,36,10.08,36,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,,,25.92,percent of total billed charges ,,,28.8,percent of total billed charges ,30.24,percent of total billed charges ,30.24,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,,,,,19.15,percent of total billed charges ,,,,,18.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,
buPROPion SR (ZYBAN) 150MG TAB,LOCAL,LOCAL,,,,both,1,each,3.32,3.32,0.93,3.32,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,,,2.39,percent of total billed charges ,,,2.66,percent of total billed charges ,2.79,percent of total billed charges ,2.79,percent of total billed charges ,2.59,percent of total billed charges ,2.59,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,,,,,1.77,percent of total billed charges ,,,,,1.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,
ASPIRIN 300MG SUPP,LOCAL,LOCAL,,,,both,1,each,4.82,4.82,1.35,4.82,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.47,percent of total billed charges,3.57,percent of total billed charges,3.57,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,,,3.47,percent of total billed charges ,,,3.86,percent of total billed charges ,4.05,percent of total billed charges ,4.05,percent of total billed charges ,3.76,percent of total billed charges ,3.76,percent of total billed charges ,3.86,percent of total billed charges ,3.86,percent of total billed charges ,3.37,percent of total billed charges ,3.37,percent of total billed charges ,2.89,percent of total billed charges ,2.89,percent of total billed charges ,2.89,percent of total billed charges ,2.89,percent of total billed charges ,,,,,2.56,percent of total billed charges ,,,,,2.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,
methylPREDNISolone 500MG IVPB,J2930,CDM,,,,both,1,each,216.42,216.42,60.6,216.42,216.42,percent of total billed charges,216.42,percent of total billed charges,216.42,percent of total billed charges,216.42,percent of total billed charges,216.42,percent of total billed charges,216.42,percent of total billed charges,216.42,percent of total billed charges,216.42,percent of total billed charges,155.82,percent of total billed charges,155.82,percent of total billed charges,155.82,percent of total billed charges,155.82,percent of total billed charges,155.82,percent of total billed charges,155.82,percent of total billed charges,160.15,percent of total billed charges,160.15,percent of total billed charges,173.14,percent of total billed charges,173.14,percent of total billed charges,,,155.82,percent of total billed charges ,,,173.14,percent of total billed charges ,181.79,percent of total billed charges ,181.79,percent of total billed charges ,168.81,percent of total billed charges ,168.81,percent of total billed charges ,173.14,percent of total billed charges ,173.14,percent of total billed charges ,151.49,percent of total billed charges ,151.49,percent of total billed charges ,129.85,percent of total billed charges ,129.85,percent of total billed charges ,129.85,percent of total billed charges ,129.85,percent of total billed charges ,,,,,115.14,percent of total billed charges ,,,,,109.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,,,60.6,percent of total billed charges,
ESTRADIOL (CLIMARA) PATCH 0.1 MG,LOCAL,LOCAL,,,,both,1,each,46,46,12.88,46,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,36.8,percent of total billed charges,36.8,percent of total billed charges,,,33.12,percent of total billed charges ,,,36.8,percent of total billed charges ,38.64,percent of total billed charges ,38.64,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,36.8,percent of total billed charges ,36.8,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,,,,,24.47,percent of total billed charges ,,,,,23.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,
CEFEPIME (MAXIPIME) 1 GM VIAL,J0692,CDM,,,,both,,,42.88,42.88,12.01,42.88,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,30.87,percent of total billed charges,30.87,percent of total billed charges,30.87,percent of total billed charges,30.87,percent of total billed charges,30.87,percent of total billed charges,30.87,percent of total billed charges,31.73,percent of total billed charges,31.73,percent of total billed charges,34.3,percent of total billed charges,34.3,percent of total billed charges,,,30.87,percent of total billed charges ,,,34.3,percent of total billed charges ,36.02,percent of total billed charges ,36.02,percent of total billed charges ,33.45,percent of total billed charges ,33.45,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,30.02,percent of total billed charges ,30.02,percent of total billed charges ,25.73,percent of total billed charges ,25.73,percent of total billed charges ,25.73,percent of total billed charges ,25.73,percent of total billed charges ,,,,,22.81,percent of total billed charges ,,,,,21.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,,,12.01,percent of total billed charges,
TRANDOLAPRIL (MAVIK) 2MG TAB,LOCAL,LOCAL,,,,both,1,each,1.86,1.86,0.52,1.86,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,,,1.34,percent of total billed charges ,,,1.49,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,,,,,0.99,percent of total billed charges ,,,,,0.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,
OLANZapine (ZyPREXA) 5MG TAB,LOCAL,LOCAL,,,,both,1,each,0.97,0.97,0.27,0.97,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,,,0.7,percent of total billed charges ,,,0.78,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,,,,,0.52,percent of total billed charges ,,,,,0.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
LINEZOLID (ZYVOX) 600MG IVPB,J2020,CDM,,,,both,1,each,185.27,185.27,51.88,185.27,185.27,percent of total billed charges,185.27,percent of total billed charges,185.27,percent of total billed charges,185.27,percent of total billed charges,185.27,percent of total billed charges,185.27,percent of total billed charges,185.27,percent of total billed charges,185.27,percent of total billed charges,133.39,percent of total billed charges,133.39,percent of total billed charges,133.39,percent of total billed charges,133.39,percent of total billed charges,133.39,percent of total billed charges,133.39,percent of total billed charges,137.1,percent of total billed charges,137.1,percent of total billed charges,148.22,percent of total billed charges,148.22,percent of total billed charges,,,133.39,percent of total billed charges ,,,148.22,percent of total billed charges ,155.63,percent of total billed charges ,155.63,percent of total billed charges ,144.51,percent of total billed charges ,144.51,percent of total billed charges ,148.22,percent of total billed charges ,148.22,percent of total billed charges ,129.69,percent of total billed charges ,129.69,percent of total billed charges ,111.16,percent of total billed charges ,111.16,percent of total billed charges ,111.16,percent of total billed charges ,111.16,percent of total billed charges ,,,,,98.56,percent of total billed charges ,,,,,93.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,,,51.88,percent of total billed charges,
MESALAMINE (ASACOL) 400MG DR TAB,LOCAL,LOCAL,,,,both,1,each,16.65,16.65,4.66,16.65,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,11.99,percent of total billed charges,11.99,percent of total billed charges,11.99,percent of total billed charges,11.99,percent of total billed charges,11.99,percent of total billed charges,11.99,percent of total billed charges,12.32,percent of total billed charges,12.32,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,,,11.99,percent of total billed charges ,,,13.32,percent of total billed charges ,13.99,percent of total billed charges ,13.99,percent of total billed charges ,12.99,percent of total billed charges ,12.99,percent of total billed charges ,13.32,percent of total billed charges ,13.32,percent of total billed charges ,11.66,percent of total billed charges ,11.66,percent of total billed charges ,9.99,percent of total billed charges ,9.99,percent of total billed charges ,9.99,percent of total billed charges ,9.99,percent of total billed charges ,,,,,8.86,percent of total billed charges ,,,,,8.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,,,4.66,percent of total billed charges,
CALCIUM ACETATE (PHOSLO) 667 MG CAP,LOCAL,LOCAL,,,,both,1,each,0.77,0.77,0.22,0.77,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,,,0.55,percent of total billed charges ,,,0.62,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
NAPHAZOLINE/PHENIRAMINE OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**LISINOPRIL(ZESTORETIC):20/HCTZ 12.5MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ANASTROZOLE  (ARIMIDEX) 1 MG TAB,LOCAL,LOCAL,,,,both,1,each,3.9,3.9,1.09,3.9,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.89,percent of total billed charges,2.89,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,,,2.81,percent of total billed charges ,,,3.12,percent of total billed charges ,3.28,percent of total billed charges ,3.28,percent of total billed charges ,3.04,percent of total billed charges ,3.04,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,2.73,percent of total billed charges ,2.73,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,,,,,2.07,percent of total billed charges ,,,,,1.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,,,1.09,percent of total billed charges,
ACYCLOVIR 5% (ZOVIRAX) 5GM,LOCAL,LOCAL,,,,both,1,each,405.24,405.24,113.47,405.24,405.24,percent of total billed charges,405.24,percent of total billed charges,405.24,percent of total billed charges,405.24,percent of total billed charges,405.24,percent of total billed charges,405.24,percent of total billed charges,405.24,percent of total billed charges,405.24,percent of total billed charges,291.77,percent of total billed charges,291.77,percent of total billed charges,291.77,percent of total billed charges,291.77,percent of total billed charges,291.77,percent of total billed charges,291.77,percent of total billed charges,299.88,percent of total billed charges,299.88,percent of total billed charges,324.19,percent of total billed charges,324.19,percent of total billed charges,,,291.77,percent of total billed charges ,,,324.19,percent of total billed charges ,340.4,percent of total billed charges ,340.4,percent of total billed charges ,316.09,percent of total billed charges ,316.09,percent of total billed charges ,324.19,percent of total billed charges ,324.19,percent of total billed charges ,283.67,percent of total billed charges ,283.67,percent of total billed charges ,243.14,percent of total billed charges ,243.14,percent of total billed charges ,243.14,percent of total billed charges ,243.14,percent of total billed charges ,,,,,215.59,percent of total billed charges ,,,,,204.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,,,113.47,percent of total billed charges,
"EPOTEIN ALFA 10,000 UNITS (NON DIALYSIS)",J0885,CDM,,,,both,1,each,550.78,550.78,154.22,550.78,550.78,percent of total billed charges,550.78,percent of total billed charges,550.78,percent of total billed charges,550.78,percent of total billed charges,550.78,percent of total billed charges,550.78,percent of total billed charges,550.78,percent of total billed charges,550.78,percent of total billed charges,396.56,percent of total billed charges,396.56,percent of total billed charges,396.56,percent of total billed charges,396.56,percent of total billed charges,396.56,percent of total billed charges,396.56,percent of total billed charges,407.58,percent of total billed charges,407.58,percent of total billed charges,440.62,percent of total billed charges,440.62,percent of total billed charges,,,396.56,percent of total billed charges ,,,440.62,percent of total billed charges ,462.66,percent of total billed charges ,462.66,percent of total billed charges ,429.61,percent of total billed charges ,429.61,percent of total billed charges ,440.62,percent of total billed charges ,440.62,percent of total billed charges ,385.55,percent of total billed charges ,385.55,percent of total billed charges ,330.47,percent of total billed charges ,330.47,percent of total billed charges ,330.47,percent of total billed charges ,330.47,percent of total billed charges ,,,,,293.01,percent of total billed charges ,,,,,278.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,,,154.22,percent of total billed charges,
**FOSFOMYCIN TROM. (MONUROL) 3GM: PACK,LOCAL,LOCAL,,,,both,1,each,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
OFLOXACIN (OCUFLOX) OPTH SOLN 0.3% 5 ML,LOCAL,LOCAL,,,,both,1,each,66,66,18.48,66,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,48.84,percent of total billed charges,48.84,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,,,47.52,percent of total billed charges ,,,52.8,percent of total billed charges ,55.44,percent of total billed charges ,55.44,percent of total billed charges ,51.48,percent of total billed charges ,51.48,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,,,,,35.11,percent of total billed charges ,,,,,33.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,
**DICLOFENAC/MISOPROSTOL 75MG/200MCG T,LOCAL,LOCAL,,,,both,1,each,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
PULMICORT (BUDESONIDE) INHALER: 120 DOSE,LOCAL,LOCAL,,,,both,1,each,462.4,462.4,129.47,462.4,462.4,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,462.4,percent of total billed charges,332.93,percent of total billed charges,332.93,percent of total billed charges,332.93,percent of total billed charges,332.93,percent of total billed charges,332.93,percent of total billed charges,332.93,percent of total billed charges,342.18,percent of total billed charges,342.18,percent of total billed charges,369.92,percent of total billed charges,369.92,percent of total billed charges,,,332.93,percent of total billed charges ,,,369.92,percent of total billed charges ,388.42,percent of total billed charges ,388.42,percent of total billed charges ,360.67,percent of total billed charges ,360.67,percent of total billed charges ,369.92,percent of total billed charges ,369.92,percent of total billed charges ,323.68,percent of total billed charges ,323.68,percent of total billed charges ,277.44,percent of total billed charges ,277.44,percent of total billed charges ,277.44,percent of total billed charges ,277.44,percent of total billed charges ,,,,,246,percent of total billed charges ,,,,,233.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,,,129.47,percent of total billed charges,
BUMETANIDE (BUMEX)  2.5MG/10ML INJ,LOCAL,LOCAL,,,,both,1,each,27.13,27.13,7.6,27.13,27.13,percent of total billed charges,27.13,percent of total billed charges,27.13,percent of total billed charges,27.13,percent of total billed charges,27.13,percent of total billed charges,27.13,percent of total billed charges,27.13,percent of total billed charges,27.13,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,20.08,percent of total billed charges,20.08,percent of total billed charges,21.7,percent of total billed charges,21.7,percent of total billed charges,,,19.53,percent of total billed charges ,,,21.7,percent of total billed charges ,22.79,percent of total billed charges ,22.79,percent of total billed charges ,21.16,percent of total billed charges ,21.16,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.99,percent of total billed charges ,18.99,percent of total billed charges ,16.28,percent of total billed charges ,16.28,percent of total billed charges ,16.28,percent of total billed charges ,16.28,percent of total billed charges ,,,,,14.43,percent of total billed charges ,,,,,13.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,,,7.6,percent of total billed charges,
SODIUM CHLORIDE 1000MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
levoFLOXacin (LEVAQUIN) 500MG TAB,LOCAL,LOCAL,,,,both,1,each,1.04,1.04,0.29,1.04,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,,,0.75,percent of total billed charges ,,,0.83,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,
**ESTRADIOL (ESTRACE) 2 MG TAB,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**7,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**TETRACYCLINE 250 MG CAPS:,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
BEN GAY OINTMENT 2OZ,LOCAL,LOCAL,,,,both,1,each,22.7,22.7,6.36,22.7,22.7,percent of total billed charges,22.7,percent of total billed charges,22.7,percent of total billed charges,22.7,percent of total billed charges,22.7,percent of total billed charges,22.7,percent of total billed charges,22.7,percent of total billed charges,22.7,percent of total billed charges,16.34,percent of total billed charges,16.34,percent of total billed charges,16.34,percent of total billed charges,16.34,percent of total billed charges,16.34,percent of total billed charges,16.34,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,18.16,percent of total billed charges,18.16,percent of total billed charges,,,16.34,percent of total billed charges ,,,18.16,percent of total billed charges ,19.07,percent of total billed charges ,19.07,percent of total billed charges ,17.71,percent of total billed charges ,17.71,percent of total billed charges ,18.16,percent of total billed charges ,18.16,percent of total billed charges ,15.89,percent of total billed charges ,15.89,percent of total billed charges ,13.62,percent of total billed charges ,13.62,percent of total billed charges ,13.62,percent of total billed charges ,13.62,percent of total billed charges ,,,,,12.08,percent of total billed charges ,,,,,11.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,,,6.36,percent of total billed charges,
**RISPERIDONE(RISPERDAL) SOL: 1MG/ML:30,LOCAL,LOCAL,,,,both,1,each,344,344,96.32,344,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,254.56,percent of total billed charges,254.56,percent of total billed charges,275.2,percent of total billed charges,275.2,percent of total billed charges,,,247.68,percent of total billed charges ,,,275.2,percent of total billed charges ,288.96,percent of total billed charges ,288.96,percent of total billed charges ,268.32,percent of total billed charges ,268.32,percent of total billed charges ,275.2,percent of total billed charges ,275.2,percent of total billed charges ,240.8,percent of total billed charges ,240.8,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,,,,,183.01,percent of total billed charges ,,,,,173.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,
SODIUM CL 5% (MURO-128) OPHTH SOLN,LOCAL,LOCAL,,,,both,1,each,79.48,79.48,22.25,79.48,79.48,percent of total billed charges,79.48,percent of total billed charges,79.48,percent of total billed charges,79.48,percent of total billed charges,79.48,percent of total billed charges,79.48,percent of total billed charges,79.48,percent of total billed charges,79.48,percent of total billed charges,57.23,percent of total billed charges,57.23,percent of total billed charges,57.23,percent of total billed charges,57.23,percent of total billed charges,57.23,percent of total billed charges,57.23,percent of total billed charges,58.82,percent of total billed charges,58.82,percent of total billed charges,63.58,percent of total billed charges,63.58,percent of total billed charges,,,57.23,percent of total billed charges ,,,63.58,percent of total billed charges ,66.76,percent of total billed charges ,66.76,percent of total billed charges ,61.99,percent of total billed charges ,61.99,percent of total billed charges ,63.58,percent of total billed charges ,63.58,percent of total billed charges ,55.64,percent of total billed charges ,55.64,percent of total billed charges ,47.69,percent of total billed charges ,47.69,percent of total billed charges ,47.69,percent of total billed charges ,47.69,percent of total billed charges ,,,,,42.28,percent of total billed charges ,,,,,40.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,,,22.25,percent of total billed charges,
**TOLMETIN(TOLECTIN) CAP: 400MG,LOCAL,LOCAL,,,,both,1,each,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
PENTOXIFYLLINE (TRENTAL) 400MG TAB,LOCAL,LOCAL,,,,both,1,each,0.9,0.9,0.25,0.9,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,,,0.65,percent of total billed charges ,,,0.72,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
**DOLASETRON MESYLATE 12.5MG:ANZEMET,J1260,CDM,,,,both,1,each,148,148,41.44,148,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,109.52,percent of total billed charges,109.52,percent of total billed charges,118.4,percent of total billed charges,118.4,percent of total billed charges,,,106.56,percent of total billed charges ,,,118.4,percent of total billed charges ,124.32,percent of total billed charges ,124.32,percent of total billed charges ,115.44,percent of total billed charges ,115.44,percent of total billed charges ,118.4,percent of total billed charges ,118.4,percent of total billed charges ,103.6,percent of total billed charges ,103.6,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,88.8,percent of total billed charges ,,,,,78.74,percent of total billed charges ,,,,,74.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,,,41.44,percent of total billed charges,
IMIPRAMINE (TOFRANIL) 10MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**E-ACETAMINOPHEN TABS 500MG: 500 COUNT,LOCAL,LOCAL,,,,both,1,each,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
CARVedilol (COREG) 12.5 MG TAB,LOCAL,LOCAL,,,,both,1,each,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**DICLOFENAC/MISOPROSTOL 50MG/200MCG T,LOCAL,LOCAL,,,,both,1,each,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
BRINZOLAMIDE (AZOPT) 1% OPTH SUSP10ML,LOCAL,LOCAL,,,,both,,,608.39,608.39,170.35,608.39,608.39,percent of total billed charges,608.39,percent of total billed charges,608.39,percent of total billed charges,608.39,percent of total billed charges,608.39,percent of total billed charges,608.39,percent of total billed charges,608.39,percent of total billed charges,608.39,percent of total billed charges,438.04,percent of total billed charges,438.04,percent of total billed charges,438.04,percent of total billed charges,438.04,percent of total billed charges,438.04,percent of total billed charges,438.04,percent of total billed charges,450.21,percent of total billed charges,450.21,percent of total billed charges,486.71,percent of total billed charges,486.71,percent of total billed charges,,,438.04,percent of total billed charges ,,,486.71,percent of total billed charges ,511.05,percent of total billed charges ,511.05,percent of total billed charges ,474.54,percent of total billed charges ,474.54,percent of total billed charges ,486.71,percent of total billed charges ,486.71,percent of total billed charges ,425.87,percent of total billed charges ,425.87,percent of total billed charges ,365.03,percent of total billed charges ,365.03,percent of total billed charges ,365.03,percent of total billed charges ,365.03,percent of total billed charges ,,,,,323.66,percent of total billed charges ,,,,,307.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,,,170.35,percent of total billed charges,
BISOPROLOL (ZIAC-10) 10MG/HCTZ6.25MG TAB,LOCAL,LOCAL,,,,both,,,1.62,1.62,0.45,1.62,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
pyRIDostigmine (MESTINON) 60MG TAB,LOCAL,LOCAL,,,,both,,,1.17,1.17,0.33,1.17,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,,,0.84,percent of total billed charges ,,,0.94,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,
FEXOFENADINE (ALLEGRA) 180MG TAB,LOCAL,LOCAL,,,,both,,,1.8,1.8,0.5,1.8,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.44,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,
TOCOPHERYL (VITAMIN E) 400 IU CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
DUOVISC INJ (VISCOELASTIC),LOCAL,LOCAL,,,,both,,,776,776,217.28,776,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,776,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,558.72,percent of total billed charges,574.24,percent of total billed charges,574.24,percent of total billed charges,620.8,percent of total billed charges,620.8,percent of total billed charges,,,558.72,percent of total billed charges ,,,620.8,percent of total billed charges ,651.84,percent of total billed charges ,651.84,percent of total billed charges ,605.28,percent of total billed charges ,605.28,percent of total billed charges ,620.8,percent of total billed charges ,620.8,percent of total billed charges ,543.2,percent of total billed charges ,543.2,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,,,,,412.83,percent of total billed charges ,,,,,392.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,,,217.28,percent of total billed charges,
TRIAMCINOLONE (NASACORT AQ) NASAL SPRAY,LOCAL,LOCAL,,,,both,,,67.31,67.31,18.85,67.31,67.31,percent of total billed charges,67.31,percent of total billed charges,67.31,percent of total billed charges,67.31,percent of total billed charges,67.31,percent of total billed charges,67.31,percent of total billed charges,67.31,percent of total billed charges,67.31,percent of total billed charges,48.46,percent of total billed charges,48.46,percent of total billed charges,48.46,percent of total billed charges,48.46,percent of total billed charges,48.46,percent of total billed charges,48.46,percent of total billed charges,49.81,percent of total billed charges,49.81,percent of total billed charges,53.85,percent of total billed charges,53.85,percent of total billed charges,,,48.46,percent of total billed charges ,,,53.85,percent of total billed charges ,56.54,percent of total billed charges ,56.54,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,53.85,percent of total billed charges ,53.85,percent of total billed charges ,47.12,percent of total billed charges ,47.12,percent of total billed charges ,40.39,percent of total billed charges ,40.39,percent of total billed charges ,40.39,percent of total billed charges ,40.39,percent of total billed charges ,,,,,35.81,percent of total billed charges ,,,,,34.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,,,18.85,percent of total billed charges,
**DICLOFENAC (VOLTAREN) OPHTH SOLN 2.5,LOCAL,LOCAL,,,,both,,,128,128,35.84,128,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,94.72,percent of total billed charges,94.72,percent of total billed charges,102.4,percent of total billed charges,102.4,percent of total billed charges,,,92.16,percent of total billed charges ,,,102.4,percent of total billed charges ,107.52,percent of total billed charges ,107.52,percent of total billed charges ,99.84,percent of total billed charges ,99.84,percent of total billed charges ,102.4,percent of total billed charges ,102.4,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,,,,,68.1,percent of total billed charges ,,,,,64.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,
**METIPRANOLOL (OPTIPRANOLOL) 0.3% OPHTH,LOCAL,LOCAL,,,,both,,,150,150,42,150,150,percent of total billed charges,150,percent of total billed charges,150,percent of total billed charges,150,percent of total billed charges,150,percent of total billed charges,150,percent of total billed charges,150,percent of total billed charges,150,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,111,percent of total billed charges,111,percent of total billed charges,120,percent of total billed charges,120,percent of total billed charges,,,108,percent of total billed charges ,,,120,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,117,percent of total billed charges ,117,percent of total billed charges ,120,percent of total billed charges ,120,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,90,percent of total billed charges ,90,percent of total billed charges ,90,percent of total billed charges ,90,percent of total billed charges ,,,,,79.8,percent of total billed charges ,,,,,75.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,,,42,percent of total billed charges,
**CLARITIN (LORATADINE)1MG/ML SYRUP:60 M,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**RANITIDINE (ZANTAC SY) 15MG/ML: 60 ML,LOCAL,LOCAL,,,,both,,,124,124,34.72,124,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,91.76,percent of total billed charges,91.76,percent of total billed charges,99.2,percent of total billed charges,99.2,percent of total billed charges,,,89.28,percent of total billed charges ,,,99.2,percent of total billed charges ,104.16,percent of total billed charges ,104.16,percent of total billed charges ,96.72,percent of total billed charges ,96.72,percent of total billed charges ,99.2,percent of total billed charges ,99.2,percent of total billed charges ,86.8,percent of total billed charges ,86.8,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,,,,,65.97,percent of total billed charges ,,,,,62.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,
VENLAFAXINE (EFFEXOR) 25 MG TAB,LOCAL,LOCAL,,,,both,,,4.1,4.1,1.15,4.1,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,3.03,percent of total billed charges,3.03,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,,,2.95,percent of total billed charges ,,,3.28,percent of total billed charges ,3.44,percent of total billed charges ,3.44,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,3.28,percent of total billed charges ,3.28,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,,,,,2.18,percent of total billed charges ,,,,,2.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,
methIMAzole (TAPAZOLE) 5 MG TABLET,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
BENZTROPINE (COGENTIN) 1MG TAB,LOCAL,LOCAL,,,,both,,,1.61,1.61,0.45,1.61,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.29,percent of total billed charges,1.29,percent of total billed charges,,,1.16,percent of total billed charges ,,,1.29,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
ACYCLOVIR (ZOVIRAX) 200 MG CAP,LOCAL,LOCAL,,,,both,,,1.2,1.2,0.34,1.2,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,,,0.86,percent of total billed charges ,,,0.96,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,0.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
**LIDOCAINE 5% OINT(XYLOCAINE):35GM,LOCAL,LOCAL,,,,both,,,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
**ROFECOXIB (VIOXX) 25 MG TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**CHLORAL HYDRATE SYRUP 500MG/5ML: 5,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**FAMOTIDINE (PEPCID) 20MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
diazePAM (DIASTAT RECTAL) GEL 10MG,LOCAL,LOCAL,,,,both,,,694.14,694.14,194.36,694.14,694.14,percent of total billed charges,694.14,percent of total billed charges,694.14,percent of total billed charges,694.14,percent of total billed charges,694.14,percent of total billed charges,694.14,percent of total billed charges,694.14,percent of total billed charges,694.14,percent of total billed charges,499.78,percent of total billed charges,499.78,percent of total billed charges,499.78,percent of total billed charges,499.78,percent of total billed charges,499.78,percent of total billed charges,499.78,percent of total billed charges,513.66,percent of total billed charges,513.66,percent of total billed charges,555.31,percent of total billed charges,555.31,percent of total billed charges,,,499.78,percent of total billed charges ,,,555.31,percent of total billed charges ,583.08,percent of total billed charges ,583.08,percent of total billed charges ,541.43,percent of total billed charges ,541.43,percent of total billed charges ,555.31,percent of total billed charges ,555.31,percent of total billed charges ,485.9,percent of total billed charges ,485.9,percent of total billed charges ,416.48,percent of total billed charges ,416.48,percent of total billed charges ,416.48,percent of total billed charges ,416.48,percent of total billed charges ,,,,,369.28,percent of total billed charges ,,,,,350.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,,,194.36,percent of total billed charges,
CONJ. ESTROGEN (PREMARIN) 0.3MG TAB,LOCAL,LOCAL,,,,both,,,20.72,20.72,5.8,20.72,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,14.92,percent of total billed charges,15.33,percent of total billed charges,15.33,percent of total billed charges,16.58,percent of total billed charges,16.58,percent of total billed charges,,,14.92,percent of total billed charges ,,,16.58,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,16.16,percent of total billed charges ,16.16,percent of total billed charges ,16.58,percent of total billed charges ,16.58,percent of total billed charges ,14.5,percent of total billed charges ,14.5,percent of total billed charges ,12.43,percent of total billed charges ,12.43,percent of total billed charges ,12.43,percent of total billed charges ,12.43,percent of total billed charges ,,,,,11.02,percent of total billed charges ,,,,,10.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,,,5.8,percent of total billed charges,
APRACLONDINE (IOPIDINE) 1% 0.1ML UD,LOCAL,LOCAL,,,,both,,,104.32,104.32,29.21,104.32,104.32,percent of total billed charges,104.32,percent of total billed charges,104.32,percent of total billed charges,104.32,percent of total billed charges,104.32,percent of total billed charges,104.32,percent of total billed charges,104.32,percent of total billed charges,104.32,percent of total billed charges,75.11,percent of total billed charges,75.11,percent of total billed charges,75.11,percent of total billed charges,75.11,percent of total billed charges,75.11,percent of total billed charges,75.11,percent of total billed charges,77.2,percent of total billed charges,77.2,percent of total billed charges,83.46,percent of total billed charges,83.46,percent of total billed charges,,,75.11,percent of total billed charges ,,,83.46,percent of total billed charges ,87.63,percent of total billed charges ,87.63,percent of total billed charges ,81.37,percent of total billed charges ,81.37,percent of total billed charges ,83.46,percent of total billed charges ,83.46,percent of total billed charges ,73.02,percent of total billed charges ,73.02,percent of total billed charges ,62.59,percent of total billed charges ,62.59,percent of total billed charges ,62.59,percent of total billed charges ,62.59,percent of total billed charges ,,,,,55.5,percent of total billed charges ,,,,,52.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,,,29.21,percent of total billed charges,
**AQUAPHOR OINTMENT:  14OZ,LOCAL,LOCAL,,,,both,,,34,34,9.52,34,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,25.16,percent of total billed charges,25.16,percent of total billed charges,27.2,percent of total billed charges,27.2,percent of total billed charges,,,24.48,percent of total billed charges ,,,27.2,percent of total billed charges ,28.56,percent of total billed charges ,28.56,percent of total billed charges ,26.52,percent of total billed charges ,26.52,percent of total billed charges ,27.2,percent of total billed charges ,27.2,percent of total billed charges ,23.8,percent of total billed charges ,23.8,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,,,,,18.09,percent of total billed charges ,,,,,17.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,
**TROPICAMIDE 0.5% OPTH SOLN :5ML,LOCAL,LOCAL,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
GENTAMICIN (GARAMYCIN) CREAM 15G,LOCAL,LOCAL,,,,both,,,117.86,117.86,33,117.86,117.86,percent of total billed charges,117.86,percent of total billed charges,117.86,percent of total billed charges,117.86,percent of total billed charges,117.86,percent of total billed charges,117.86,percent of total billed charges,117.86,percent of total billed charges,117.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,84.86,percent of total billed charges,87.22,percent of total billed charges,87.22,percent of total billed charges,94.29,percent of total billed charges,94.29,percent of total billed charges,,,84.86,percent of total billed charges ,,,94.29,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,91.93,percent of total billed charges ,91.93,percent of total billed charges ,94.29,percent of total billed charges ,94.29,percent of total billed charges ,82.5,percent of total billed charges ,82.5,percent of total billed charges ,70.72,percent of total billed charges ,70.72,percent of total billed charges ,70.72,percent of total billed charges ,70.72,percent of total billed charges ,,,,,62.7,percent of total billed charges ,,,,,59.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,,,33,percent of total billed charges,
**DIAZEPAM (VALIUM INTENSOL) SOL: 5MG/ML,LOCAL,LOCAL,,,,both,,,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
IRBESARTAN (AVAPRO) 150MG TAB,LOCAL,LOCAL,,,,both,,,1.31,1.31,0.37,1.31,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,,,0.94,percent of total billed charges ,,,1.05,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,0.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,
**ANUSOL (GENERIC) SUPPOSITORIES,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
MEASLES MUMPS RUBELLA (MMR VACCINE),90707,CDM,,,,both,,,692.81,692.81,193.99,692.81,692.81,percent of total billed charges,692.81,percent of total billed charges,692.81,percent of total billed charges,692.81,percent of total billed charges,692.81,percent of total billed charges,692.81,percent of total billed charges,692.81,percent of total billed charges,692.81,percent of total billed charges,498.82,percent of total billed charges,498.82,percent of total billed charges,498.82,percent of total billed charges,498.82,percent of total billed charges,498.82,percent of total billed charges,498.82,percent of total billed charges,512.68,percent of total billed charges,512.68,percent of total billed charges,554.25,percent of total billed charges,554.25,percent of total billed charges,,,498.82,percent of total billed charges ,,,554.25,percent of total billed charges ,581.96,percent of total billed charges ,581.96,percent of total billed charges ,540.39,percent of total billed charges ,540.39,percent of total billed charges ,554.25,percent of total billed charges ,554.25,percent of total billed charges ,484.97,percent of total billed charges ,484.97,percent of total billed charges ,415.69,percent of total billed charges ,415.69,percent of total billed charges ,415.69,percent of total billed charges ,415.69,percent of total billed charges ,,,,,368.57,percent of total billed charges ,,,,,350.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,,,193.99,percent of total billed charges,
PROMETHAZINE (PHENERGAN) 25 MG SUPP,LOCAL,LOCAL,,,,both,,,18.2,18.2,5.1,18.2,18.2,percent of total billed charges,18.2,percent of total billed charges,18.2,percent of total billed charges,18.2,percent of total billed charges,18.2,percent of total billed charges,18.2,percent of total billed charges,18.2,percent of total billed charges,18.2,percent of total billed charges,13.1,percent of total billed charges,13.1,percent of total billed charges,13.1,percent of total billed charges,13.1,percent of total billed charges,13.1,percent of total billed charges,13.1,percent of total billed charges,13.47,percent of total billed charges,13.47,percent of total billed charges,14.56,percent of total billed charges,14.56,percent of total billed charges,,,13.1,percent of total billed charges ,,,14.56,percent of total billed charges ,15.29,percent of total billed charges ,15.29,percent of total billed charges ,14.2,percent of total billed charges ,14.2,percent of total billed charges ,14.56,percent of total billed charges ,14.56,percent of total billed charges ,12.74,percent of total billed charges ,12.74,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,,,,,9.68,percent of total billed charges ,,,,,9.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,
DIGOXIN IMMUNE FAB (DIGIBIND) 38MG VIA,J1162,CDM,,,,both,,,"7,060.00","7,060.00","1,976.80","7,060.00","7,060.00",percent of total billed charges,"7,060.00",percent of total billed charges,"7,060.00",percent of total billed charges,"7,060.00",percent of total billed charges,"7,060.00",percent of total billed charges,"7,060.00",percent of total billed charges,"7,060.00",percent of total billed charges,"7,060.00",percent of total billed charges,"5,083.20",percent of total billed charges,"5,083.20",percent of total billed charges,"5,083.20",percent of total billed charges,"5,083.20",percent of total billed charges,"5,083.20",percent of total billed charges,"5,083.20",percent of total billed charges,"5,224.40",percent of total billed charges,"5,224.40",percent of total billed charges,"5,648.00",percent of total billed charges,"5,648.00",percent of total billed charges,,,"5,083.20",percent of total billed charges ,,,"5,648.00",percent of total billed charges ,"5,930.40",percent of total billed charges ,"5,930.40",percent of total billed charges ,"5,506.80",percent of total billed charges ,"5,506.80",percent of total billed charges ,"5,648.00",percent of total billed charges ,"5,648.00",percent of total billed charges ,"4,942.00",percent of total billed charges ,"4,942.00",percent of total billed charges ,"4,236.00",percent of total billed charges ,"4,236.00",percent of total billed charges ,"4,236.00",percent of total billed charges ,"4,236.00",percent of total billed charges ,,,,,"3,755.92",percent of total billed charges ,,,,,"3,568.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,,,"1,976.80",percent of total billed charges,
DEXTROSE 5% 250ML (GLASS BOTTLE),LOCAL,LOCAL,,,,both,,,30.56,30.56,8.56,30.56,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22.61,percent of total billed charges,22.61,percent of total billed charges,24.45,percent of total billed charges,24.45,percent of total billed charges,,,22,percent of total billed charges ,,,24.45,percent of total billed charges ,25.67,percent of total billed charges ,25.67,percent of total billed charges ,23.84,percent of total billed charges ,23.84,percent of total billed charges ,24.45,percent of total billed charges ,24.45,percent of total billed charges ,21.39,percent of total billed charges ,21.39,percent of total billed charges ,18.34,percent of total billed charges ,18.34,percent of total billed charges ,18.34,percent of total billed charges ,18.34,percent of total billed charges ,,,,,16.26,percent of total billed charges ,,,,,15.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,,,8.56,percent of total billed charges,
PROMETHAZINE (PHENERGAN) 25 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
POLYMIXIN/BACITRACIN (POLYSPORIN) OINT,LOCAL,LOCAL,,,,both,,,64.94,64.94,18.18,64.94,64.94,percent of total billed charges,64.94,percent of total billed charges,64.94,percent of total billed charges,64.94,percent of total billed charges,64.94,percent of total billed charges,64.94,percent of total billed charges,64.94,percent of total billed charges,64.94,percent of total billed charges,46.76,percent of total billed charges,46.76,percent of total billed charges,46.76,percent of total billed charges,46.76,percent of total billed charges,46.76,percent of total billed charges,46.76,percent of total billed charges,48.06,percent of total billed charges,48.06,percent of total billed charges,51.95,percent of total billed charges,51.95,percent of total billed charges,,,46.76,percent of total billed charges ,,,51.95,percent of total billed charges ,54.55,percent of total billed charges ,54.55,percent of total billed charges ,50.65,percent of total billed charges ,50.65,percent of total billed charges ,51.95,percent of total billed charges ,51.95,percent of total billed charges ,45.46,percent of total billed charges ,45.46,percent of total billed charges ,38.96,percent of total billed charges ,38.96,percent of total billed charges ,38.96,percent of total billed charges ,38.96,percent of total billed charges ,,,,,34.55,percent of total billed charges ,,,,,32.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,,,18.18,percent of total billed charges,
FLUOCINONIDE (LIDEX) 0.05% OINT 15GM,LOCAL,LOCAL,,,,both,,,82.67,82.67,23.15,82.67,82.67,percent of total billed charges,82.67,percent of total billed charges,82.67,percent of total billed charges,82.67,percent of total billed charges,82.67,percent of total billed charges,82.67,percent of total billed charges,82.67,percent of total billed charges,82.67,percent of total billed charges,59.52,percent of total billed charges,59.52,percent of total billed charges,59.52,percent of total billed charges,59.52,percent of total billed charges,59.52,percent of total billed charges,59.52,percent of total billed charges,61.18,percent of total billed charges,61.18,percent of total billed charges,66.14,percent of total billed charges,66.14,percent of total billed charges,,,59.52,percent of total billed charges ,,,66.14,percent of total billed charges ,69.44,percent of total billed charges ,69.44,percent of total billed charges ,64.48,percent of total billed charges ,64.48,percent of total billed charges ,66.14,percent of total billed charges ,66.14,percent of total billed charges ,57.87,percent of total billed charges ,57.87,percent of total billed charges ,49.6,percent of total billed charges ,49.6,percent of total billed charges ,49.6,percent of total billed charges ,49.6,percent of total billed charges ,,,,,43.98,percent of total billed charges ,,,,,41.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,,,23.15,percent of total billed charges,
CALCITONIN (MIACALCIN) 400 UNITS/2ML INJ,J0630,CDM,,,,both,,,"5,602.62","5,602.62","1,568.73","5,602.62","5,602.62",percent of total billed charges,"5,602.62",percent of total billed charges,"5,602.62",percent of total billed charges,"5,602.62",percent of total billed charges,"5,602.62",percent of total billed charges,"5,602.62",percent of total billed charges,"5,602.62",percent of total billed charges,"5,602.62",percent of total billed charges,"4,033.89",percent of total billed charges,"4,033.89",percent of total billed charges,"4,033.89",percent of total billed charges,"4,033.89",percent of total billed charges,"4,033.89",percent of total billed charges,"4,033.89",percent of total billed charges,"4,145.94",percent of total billed charges,"4,145.94",percent of total billed charges,"4,482.10",percent of total billed charges,"4,482.10",percent of total billed charges,,,"4,033.89",percent of total billed charges ,,,"4,482.10",percent of total billed charges ,"4,706.20",percent of total billed charges ,"4,706.20",percent of total billed charges ,"4,370.04",percent of total billed charges ,"4,370.04",percent of total billed charges ,"4,482.10",percent of total billed charges ,"4,482.10",percent of total billed charges ,"3,921.83",percent of total billed charges ,"3,921.83",percent of total billed charges ,"3,361.57",percent of total billed charges ,"3,361.57",percent of total billed charges ,"3,361.57",percent of total billed charges ,"3,361.57",percent of total billed charges ,,,,,"2,980.59",percent of total billed charges ,,,,,"2,831.56",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,,,"1,568.73",percent of total billed charges,
NORTRIPTYLINE 10 MG  CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
metroNIDAZOLE VAGINAL (METROGEL) 0.75%,LOCAL,LOCAL,,,,both,,,188.85,188.85,52.88,188.85,188.85,percent of total billed charges,188.85,percent of total billed charges,188.85,percent of total billed charges,188.85,percent of total billed charges,188.85,percent of total billed charges,188.85,percent of total billed charges,188.85,percent of total billed charges,188.85,percent of total billed charges,135.97,percent of total billed charges,135.97,percent of total billed charges,135.97,percent of total billed charges,135.97,percent of total billed charges,135.97,percent of total billed charges,135.97,percent of total billed charges,139.75,percent of total billed charges,139.75,percent of total billed charges,151.08,percent of total billed charges,151.08,percent of total billed charges,,,135.97,percent of total billed charges ,,,151.08,percent of total billed charges ,158.63,percent of total billed charges ,158.63,percent of total billed charges ,147.3,percent of total billed charges ,147.3,percent of total billed charges ,151.08,percent of total billed charges ,151.08,percent of total billed charges ,132.2,percent of total billed charges ,132.2,percent of total billed charges ,113.31,percent of total billed charges ,113.31,percent of total billed charges ,113.31,percent of total billed charges ,113.31,percent of total billed charges ,,,,,100.47,percent of total billed charges ,,,,,95.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,,,52.88,percent of total billed charges,
**NIFEDIPINE XL (PROCARDIA XL) 90MG CAP,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
GENTIAN VIOLET SOLUTION: 1%,LOCAL,LOCAL,,,,both,,,33.42,33.42,9.36,33.42,33.42,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,24.06,percent of total billed charges,24.06,percent of total billed charges,24.06,percent of total billed charges,24.06,percent of total billed charges,24.06,percent of total billed charges,24.06,percent of total billed charges,24.73,percent of total billed charges,24.73,percent of total billed charges,26.74,percent of total billed charges,26.74,percent of total billed charges,,,24.06,percent of total billed charges ,,,26.74,percent of total billed charges ,28.07,percent of total billed charges ,28.07,percent of total billed charges ,26.07,percent of total billed charges ,26.07,percent of total billed charges ,26.74,percent of total billed charges ,26.74,percent of total billed charges ,23.39,percent of total billed charges ,23.39,percent of total billed charges ,20.05,percent of total billed charges ,20.05,percent of total billed charges ,20.05,percent of total billed charges ,20.05,percent of total billed charges ,,,,,17.78,percent of total billed charges ,,,,,16.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,,,9.36,percent of total billed charges,
**CLARITHROMYCIN SUSP. (BIAXIN) 120MG/5M,LOCAL,LOCAL,,,,both,,,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
**CLARITHROMYCIN (BIAXIN) 250 MG/5ML 50,LOCAL,LOCAL,,,,both,,,147,147,41.16,147,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,147,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,105.84,percent of total billed charges,108.78,percent of total billed charges,108.78,percent of total billed charges,117.6,percent of total billed charges,117.6,percent of total billed charges,,,105.84,percent of total billed charges ,,,117.6,percent of total billed charges ,123.48,percent of total billed charges ,123.48,percent of total billed charges ,114.66,percent of total billed charges ,114.66,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,102.9,percent of total billed charges ,102.9,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,,,,,78.2,percent of total billed charges ,,,,,74.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,,,41.16,percent of total billed charges,
FLUVOXAMINE (LUVOX) 50MG TAB,LOCAL,LOCAL,,,,both,,,1.76,1.76,0.49,1.76,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,,,1.27,percent of total billed charges ,,,1.41,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,,,,,0.94,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,
**SODIUM CHLOR(NACL) RESP.THER. SOL: 3ML,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
VISCOAT 0.5 INJECTION,LOCAL,LOCAL,,,,both,,,582,582,162.96,582,582,percent of total billed charges,582,percent of total billed charges,582,percent of total billed charges,582,percent of total billed charges,582,percent of total billed charges,582,percent of total billed charges,582,percent of total billed charges,582,percent of total billed charges,419.04,percent of total billed charges,419.04,percent of total billed charges,419.04,percent of total billed charges,419.04,percent of total billed charges,419.04,percent of total billed charges,419.04,percent of total billed charges,430.68,percent of total billed charges,430.68,percent of total billed charges,465.6,percent of total billed charges,465.6,percent of total billed charges,,,419.04,percent of total billed charges ,,,465.6,percent of total billed charges ,488.88,percent of total billed charges ,488.88,percent of total billed charges ,453.96,percent of total billed charges ,453.96,percent of total billed charges ,465.6,percent of total billed charges ,465.6,percent of total billed charges ,407.4,percent of total billed charges ,407.4,percent of total billed charges ,349.2,percent of total billed charges ,349.2,percent of total billed charges ,349.2,percent of total billed charges ,349.2,percent of total billed charges ,,,,,309.62,percent of total billed charges ,,,,,294.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,,,162.96,percent of total billed charges,
**CLOBETASOL 0.05% (TEMOVATE) CRM 15GM,LOCAL,LOCAL,,,,both,,,126,126,35.28,126,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,93.24,percent of total billed charges,93.24,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,,,90.72,percent of total billed charges ,,,100.8,percent of total billed charges ,105.84,percent of total billed charges ,105.84,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,,,,,67.03,percent of total billed charges ,,,,,63.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,
TIMOLOL (TIMOPTIC XE) OPHTH GEL 0.5%,LOCAL,LOCAL,,,,both,,,561.03,561.03,157.09,561.03,561.03,percent of total billed charges,561.03,percent of total billed charges,561.03,percent of total billed charges,561.03,percent of total billed charges,561.03,percent of total billed charges,561.03,percent of total billed charges,561.03,percent of total billed charges,561.03,percent of total billed charges,403.94,percent of total billed charges,403.94,percent of total billed charges,403.94,percent of total billed charges,403.94,percent of total billed charges,403.94,percent of total billed charges,403.94,percent of total billed charges,415.16,percent of total billed charges,415.16,percent of total billed charges,448.82,percent of total billed charges,448.82,percent of total billed charges,,,403.94,percent of total billed charges ,,,448.82,percent of total billed charges ,471.27,percent of total billed charges ,471.27,percent of total billed charges ,437.6,percent of total billed charges ,437.6,percent of total billed charges ,448.82,percent of total billed charges ,448.82,percent of total billed charges ,392.72,percent of total billed charges ,392.72,percent of total billed charges ,336.62,percent of total billed charges ,336.62,percent of total billed charges ,336.62,percent of total billed charges ,336.62,percent of total billed charges ,,,,,298.47,percent of total billed charges ,,,,,283.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,,,157.09,percent of total billed charges,
LISINOPRIL (ZESTRIL) 20 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
KETACONAZOLE (NIZORAL) 2% SHAMPOO,LOCAL,LOCAL,,,,both,,,65.27,65.27,18.28,65.27,65.27,percent of total billed charges,65.27,percent of total billed charges,65.27,percent of total billed charges,65.27,percent of total billed charges,65.27,percent of total billed charges,65.27,percent of total billed charges,65.27,percent of total billed charges,65.27,percent of total billed charges,46.99,percent of total billed charges,46.99,percent of total billed charges,46.99,percent of total billed charges,46.99,percent of total billed charges,46.99,percent of total billed charges,46.99,percent of total billed charges,48.3,percent of total billed charges,48.3,percent of total billed charges,52.22,percent of total billed charges,52.22,percent of total billed charges,,,46.99,percent of total billed charges ,,,52.22,percent of total billed charges ,54.83,percent of total billed charges ,54.83,percent of total billed charges ,50.91,percent of total billed charges ,50.91,percent of total billed charges ,52.22,percent of total billed charges ,52.22,percent of total billed charges ,45.69,percent of total billed charges ,45.69,percent of total billed charges ,39.16,percent of total billed charges ,39.16,percent of total billed charges ,39.16,percent of total billed charges ,39.16,percent of total billed charges ,,,,,34.72,percent of total billed charges ,,,,,32.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,,,18.28,percent of total billed charges,
**ENALAPRILAT (VASOTEC) IV 2.5MG/2 ML,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
HEMORRHOIDAL (PREPARATION H) CR 1.8 OZ,LOCAL,LOCAL,,,,both,,,24.39,24.39,6.83,24.39,24.39,percent of total billed charges,24.39,percent of total billed charges,24.39,percent of total billed charges,24.39,percent of total billed charges,24.39,percent of total billed charges,24.39,percent of total billed charges,24.39,percent of total billed charges,24.39,percent of total billed charges,17.56,percent of total billed charges,17.56,percent of total billed charges,17.56,percent of total billed charges,17.56,percent of total billed charges,17.56,percent of total billed charges,17.56,percent of total billed charges,18.05,percent of total billed charges,18.05,percent of total billed charges,19.51,percent of total billed charges,19.51,percent of total billed charges,,,17.56,percent of total billed charges ,,,19.51,percent of total billed charges ,20.49,percent of total billed charges ,20.49,percent of total billed charges ,19.02,percent of total billed charges ,19.02,percent of total billed charges ,19.51,percent of total billed charges ,19.51,percent of total billed charges ,17.07,percent of total billed charges ,17.07,percent of total billed charges ,14.63,percent of total billed charges ,14.63,percent of total billed charges ,14.63,percent of total billed charges ,14.63,percent of total billed charges ,,,,,12.98,percent of total billed charges ,,,,,12.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,
CIPROFLOXACIN 400MG  IVPB,J0744,CDM,,,,both,,,49.25,49.25,13.79,49.25,49.25,percent of total billed charges,49.25,percent of total billed charges,49.25,percent of total billed charges,49.25,percent of total billed charges,49.25,percent of total billed charges,49.25,percent of total billed charges,49.25,percent of total billed charges,49.25,percent of total billed charges,35.46,percent of total billed charges,35.46,percent of total billed charges,35.46,percent of total billed charges,35.46,percent of total billed charges,35.46,percent of total billed charges,35.46,percent of total billed charges,36.45,percent of total billed charges,36.45,percent of total billed charges,39.4,percent of total billed charges,39.4,percent of total billed charges,,,35.46,percent of total billed charges ,,,39.4,percent of total billed charges ,41.37,percent of total billed charges ,41.37,percent of total billed charges ,38.42,percent of total billed charges ,38.42,percent of total billed charges ,39.4,percent of total billed charges ,39.4,percent of total billed charges ,34.48,percent of total billed charges ,34.48,percent of total billed charges ,29.55,percent of total billed charges ,29.55,percent of total billed charges ,29.55,percent of total billed charges ,29.55,percent of total billed charges ,,,,,26.2,percent of total billed charges ,,,,,24.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,,,13.79,percent of total billed charges,
TETRACAINE 0.5% OPTH SOL  4 ML,LOCAL,LOCAL,,,,both,,,132.85,132.85,37.2,132.85,132.85,percent of total billed charges,132.85,percent of total billed charges,132.85,percent of total billed charges,132.85,percent of total billed charges,132.85,percent of total billed charges,132.85,percent of total billed charges,132.85,percent of total billed charges,132.85,percent of total billed charges,95.65,percent of total billed charges,95.65,percent of total billed charges,95.65,percent of total billed charges,95.65,percent of total billed charges,95.65,percent of total billed charges,95.65,percent of total billed charges,98.31,percent of total billed charges,98.31,percent of total billed charges,106.28,percent of total billed charges,106.28,percent of total billed charges,,,95.65,percent of total billed charges ,,,106.28,percent of total billed charges ,111.59,percent of total billed charges ,111.59,percent of total billed charges ,103.62,percent of total billed charges ,103.62,percent of total billed charges ,106.28,percent of total billed charges ,106.28,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,79.71,percent of total billed charges ,79.71,percent of total billed charges ,79.71,percent of total billed charges ,79.71,percent of total billed charges ,,,,,70.68,percent of total billed charges ,,,,,67.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,,,37.2,percent of total billed charges,
**ATROPINE 1% UD:1 ML OPTH SOL,LOCAL,LOCAL,,,,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
**FERROUS SULFATE ELIXIR 220MG/5ML:  60,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**VERAPAMIL HS (COVERA HS) 180MG: TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
APRACLONIDINE (IOPIDINE) 1% U/D,LOCAL,LOCAL,,,,both,,,177.9,177.9,49.81,177.9,177.9,percent of total billed charges,177.9,percent of total billed charges,177.9,percent of total billed charges,177.9,percent of total billed charges,177.9,percent of total billed charges,177.9,percent of total billed charges,177.9,percent of total billed charges,177.9,percent of total billed charges,128.09,percent of total billed charges,128.09,percent of total billed charges,128.09,percent of total billed charges,128.09,percent of total billed charges,128.09,percent of total billed charges,128.09,percent of total billed charges,131.65,percent of total billed charges,131.65,percent of total billed charges,142.32,percent of total billed charges,142.32,percent of total billed charges,,,128.09,percent of total billed charges ,,,142.32,percent of total billed charges ,149.44,percent of total billed charges ,149.44,percent of total billed charges ,138.76,percent of total billed charges ,138.76,percent of total billed charges ,142.32,percent of total billed charges ,142.32,percent of total billed charges ,124.53,percent of total billed charges ,124.53,percent of total billed charges ,106.74,percent of total billed charges ,106.74,percent of total billed charges ,106.74,percent of total billed charges ,106.74,percent of total billed charges ,,,,,94.64,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,,,49.81,percent of total billed charges,
**OLSALAZINE (DIPENTUM) 250MG: CAP,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
COLLAGENASE OINTMENT (SANTYL) 30 GM,LOCAL,LOCAL,,,,both,,,600.43,600.43,168.12,600.43,600.43,percent of total billed charges,600.43,percent of total billed charges,600.43,percent of total billed charges,600.43,percent of total billed charges,600.43,percent of total billed charges,600.43,percent of total billed charges,600.43,percent of total billed charges,600.43,percent of total billed charges,432.31,percent of total billed charges,432.31,percent of total billed charges,432.31,percent of total billed charges,432.31,percent of total billed charges,432.31,percent of total billed charges,432.31,percent of total billed charges,444.32,percent of total billed charges,444.32,percent of total billed charges,480.34,percent of total billed charges,480.34,percent of total billed charges,,,432.31,percent of total billed charges ,,,480.34,percent of total billed charges ,504.36,percent of total billed charges ,504.36,percent of total billed charges ,468.34,percent of total billed charges ,468.34,percent of total billed charges ,480.34,percent of total billed charges ,480.34,percent of total billed charges ,420.3,percent of total billed charges ,420.3,percent of total billed charges ,360.26,percent of total billed charges ,360.26,percent of total billed charges ,360.26,percent of total billed charges ,360.26,percent of total billed charges ,,,,,319.43,percent of total billed charges ,,,,,303.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,,,168.12,percent of total billed charges,
PROPAFENONE (RYTHMOL) 150MG TAB,LOCAL,LOCAL,,,,both,,,1.35,1.35,0.38,1.35,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,,,0.97,percent of total billed charges ,,,1.08,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
**IMMUNE GLOBULIN (BAY GAM) IM 2 ML,J1470,CDM,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
**BECLOMETHASONE (VANCENASE AQ) NASAL SP,LOCAL,LOCAL,,,,both,,,627,627,175.56,627,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,627,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,451.44,percent of total billed charges,463.98,percent of total billed charges,463.98,percent of total billed charges,501.6,percent of total billed charges,501.6,percent of total billed charges,,,451.44,percent of total billed charges ,,,501.6,percent of total billed charges ,526.68,percent of total billed charges ,526.68,percent of total billed charges ,489.06,percent of total billed charges ,489.06,percent of total billed charges ,501.6,percent of total billed charges ,501.6,percent of total billed charges ,438.9,percent of total billed charges ,438.9,percent of total billed charges ,376.2,percent of total billed charges ,376.2,percent of total billed charges ,376.2,percent of total billed charges ,376.2,percent of total billed charges ,,,,,333.56,percent of total billed charges ,,,,,316.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,,,175.56,percent of total billed charges,
CIPROFLOXACIN (CILOXAN) OPHTH SOL 0.3%,LOCAL,LOCAL,,,,both,,,57.8,57.8,16.18,57.8,57.8,percent of total billed charges,57.8,percent of total billed charges,57.8,percent of total billed charges,57.8,percent of total billed charges,57.8,percent of total billed charges,57.8,percent of total billed charges,57.8,percent of total billed charges,57.8,percent of total billed charges,41.62,percent of total billed charges,41.62,percent of total billed charges,41.62,percent of total billed charges,41.62,percent of total billed charges,41.62,percent of total billed charges,41.62,percent of total billed charges,42.77,percent of total billed charges,42.77,percent of total billed charges,46.24,percent of total billed charges,46.24,percent of total billed charges,,,41.62,percent of total billed charges ,,,46.24,percent of total billed charges ,48.55,percent of total billed charges ,48.55,percent of total billed charges ,45.08,percent of total billed charges ,45.08,percent of total billed charges ,46.24,percent of total billed charges ,46.24,percent of total billed charges ,40.46,percent of total billed charges ,40.46,percent of total billed charges ,34.68,percent of total billed charges ,34.68,percent of total billed charges ,34.68,percent of total billed charges ,34.68,percent of total billed charges ,,,,,30.75,percent of total billed charges ,,,,,29.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,,,16.18,percent of total billed charges,
APRACLONIDINE (IOPIDINE) 0.5% 5ML,LOCAL,LOCAL,,,,both,,,134.5,134.5,37.66,134.5,134.5,percent of total billed charges,134.5,percent of total billed charges,134.5,percent of total billed charges,134.5,percent of total billed charges,134.5,percent of total billed charges,134.5,percent of total billed charges,134.5,percent of total billed charges,134.5,percent of total billed charges,96.84,percent of total billed charges,96.84,percent of total billed charges,96.84,percent of total billed charges,96.84,percent of total billed charges,96.84,percent of total billed charges,96.84,percent of total billed charges,99.53,percent of total billed charges,99.53,percent of total billed charges,107.6,percent of total billed charges,107.6,percent of total billed charges,,,96.84,percent of total billed charges ,,,107.6,percent of total billed charges ,112.98,percent of total billed charges ,112.98,percent of total billed charges ,104.91,percent of total billed charges ,104.91,percent of total billed charges ,107.6,percent of total billed charges ,107.6,percent of total billed charges ,94.15,percent of total billed charges ,94.15,percent of total billed charges ,80.7,percent of total billed charges ,80.7,percent of total billed charges ,80.7,percent of total billed charges ,80.7,percent of total billed charges ,,,,,71.55,percent of total billed charges ,,,,,67.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,,,37.66,percent of total billed charges,
clonazePAM (KlonoPIN) 0.5MG TAB,LOCAL,LOCAL,,,,both,,,0.95,0.95,0.27,0.95,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,,,0.68,percent of total billed charges ,,,0.76,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
**CHLORPROCAINE3%MPF(NESACAINEINJECTION,J2400,CDM,,,,both,,,116,116,32.48,116,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,83.52,percent of total billed charges,85.84,percent of total billed charges,85.84,percent of total billed charges,92.8,percent of total billed charges,92.8,percent of total billed charges,,,83.52,percent of total billed charges ,,,92.8,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,90.48,percent of total billed charges ,90.48,percent of total billed charges ,92.8,percent of total billed charges ,92.8,percent of total billed charges ,81.2,percent of total billed charges ,81.2,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,,,,,61.71,percent of total billed charges ,,,,,58.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,,,32.48,percent of total billed charges,
**ISRADIPINE (DYNACIRC) 2.5MG: CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
HYOSCYAMINE (LEVSIN) 0.125MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**INSULIN THERAPY(HUMULIN)100UNIT/ML:10,LOCAL,LOCAL,,,,both,,,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
BUPivacaine 0.75% MPF(SENSORCAINE) 30ML,LOCAL,LOCAL,,,,both,,,35.31,35.31,9.89,35.31,35.31,percent of total billed charges,35.31,percent of total billed charges,35.31,percent of total billed charges,35.31,percent of total billed charges,35.31,percent of total billed charges,35.31,percent of total billed charges,35.31,percent of total billed charges,35.31,percent of total billed charges,25.42,percent of total billed charges,25.42,percent of total billed charges,25.42,percent of total billed charges,25.42,percent of total billed charges,25.42,percent of total billed charges,25.42,percent of total billed charges,26.13,percent of total billed charges,26.13,percent of total billed charges,28.25,percent of total billed charges,28.25,percent of total billed charges,,,25.42,percent of total billed charges ,,,28.25,percent of total billed charges ,29.66,percent of total billed charges ,29.66,percent of total billed charges ,27.54,percent of total billed charges ,27.54,percent of total billed charges ,28.25,percent of total billed charges ,28.25,percent of total billed charges ,24.72,percent of total billed charges ,24.72,percent of total billed charges ,21.19,percent of total billed charges ,21.19,percent of total billed charges ,21.19,percent of total billed charges ,21.19,percent of total billed charges ,,,,,18.78,percent of total billed charges ,,,,,17.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,,,9.89,percent of total billed charges,
CARBACHOL (MIOSTAT) 0.01% SOL: 1.5ML,LOCAL,LOCAL,,,,both,,,74.07,74.07,20.74,74.07,74.07,percent of total billed charges,74.07,percent of total billed charges,74.07,percent of total billed charges,74.07,percent of total billed charges,74.07,percent of total billed charges,74.07,percent of total billed charges,74.07,percent of total billed charges,74.07,percent of total billed charges,53.33,percent of total billed charges,53.33,percent of total billed charges,53.33,percent of total billed charges,53.33,percent of total billed charges,53.33,percent of total billed charges,53.33,percent of total billed charges,54.81,percent of total billed charges,54.81,percent of total billed charges,59.26,percent of total billed charges,59.26,percent of total billed charges,,,53.33,percent of total billed charges ,,,59.26,percent of total billed charges ,62.22,percent of total billed charges ,62.22,percent of total billed charges ,57.77,percent of total billed charges ,57.77,percent of total billed charges ,59.26,percent of total billed charges ,59.26,percent of total billed charges ,51.85,percent of total billed charges ,51.85,percent of total billed charges ,44.44,percent of total billed charges ,44.44,percent of total billed charges ,44.44,percent of total billed charges ,44.44,percent of total billed charges ,,,,,39.41,percent of total billed charges ,,,,,37.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,,,20.74,percent of total billed charges,
"LIDOCAINE 2% W/EPI 1:100,000; 20 ML MDV",LOCAL,LOCAL,,,,both,,,45.8,45.8,12.82,45.8,45.8,percent of total billed charges,45.8,percent of total billed charges,45.8,percent of total billed charges,45.8,percent of total billed charges,45.8,percent of total billed charges,45.8,percent of total billed charges,45.8,percent of total billed charges,45.8,percent of total billed charges,32.98,percent of total billed charges,32.98,percent of total billed charges,32.98,percent of total billed charges,32.98,percent of total billed charges,32.98,percent of total billed charges,32.98,percent of total billed charges,33.89,percent of total billed charges,33.89,percent of total billed charges,36.64,percent of total billed charges,36.64,percent of total billed charges,,,32.98,percent of total billed charges ,,,36.64,percent of total billed charges ,38.47,percent of total billed charges ,38.47,percent of total billed charges ,35.72,percent of total billed charges ,35.72,percent of total billed charges ,36.64,percent of total billed charges ,36.64,percent of total billed charges ,32.06,percent of total billed charges ,32.06,percent of total billed charges ,27.48,percent of total billed charges ,27.48,percent of total billed charges ,27.48,percent of total billed charges ,27.48,percent of total billed charges ,,,,,24.37,percent of total billed charges ,,,,,23.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,,,12.82,percent of total billed charges,
**PYRAZINAMIDE 500MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DONNATAL ELIX.(ATROP/HYOSC/SCOP/PB:60,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**EULEXIN (FLUTAMIDE) 125MG: CAP,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**VASELINE LIP THERAPY 10 GM TUBE,LOCAL,LOCAL,,,,both,,,13.25,13.25,3.71,13.25,13.25,percent of total billed charges,13.25,percent of total billed charges,13.25,percent of total billed charges,13.25,percent of total billed charges,13.25,percent of total billed charges,13.25,percent of total billed charges,13.25,percent of total billed charges,13.25,percent of total billed charges,9.54,percent of total billed charges,9.54,percent of total billed charges,9.54,percent of total billed charges,9.54,percent of total billed charges,9.54,percent of total billed charges,9.54,percent of total billed charges,9.81,percent of total billed charges,9.81,percent of total billed charges,10.6,percent of total billed charges,10.6,percent of total billed charges,,,9.54,percent of total billed charges ,,,10.6,percent of total billed charges ,11.13,percent of total billed charges ,11.13,percent of total billed charges ,10.34,percent of total billed charges ,10.34,percent of total billed charges ,10.6,percent of total billed charges ,10.6,percent of total billed charges ,9.28,percent of total billed charges ,9.28,percent of total billed charges ,7.95,percent of total billed charges ,7.95,percent of total billed charges ,7.95,percent of total billed charges ,7.95,percent of total billed charges ,,,,,7.05,percent of total billed charges ,,,,,6.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,,,3.71,percent of total billed charges,
**SUCRALFATE (CARAFATE)SUSP 1GM/10ML,LOCAL,LOCAL,,,,both,,,36,36,10.08,36,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,,,25.92,percent of total billed charges ,,,28.8,percent of total billed charges ,30.24,percent of total billed charges ,30.24,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,,,,,19.15,percent of total billed charges ,,,,,18.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,
CARBIDOPA/LEVODOPA 50/200MG CR TAB,LOCAL,LOCAL,,,,both,,,2.81,2.81,0.79,2.81,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,,,2.02,percent of total billed charges ,,,2.25,percent of total billed charges ,2.36,percent of total billed charges ,2.36,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,,,,,1.49,percent of total billed charges ,,,,,1.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,
FLUoxetine (PROzac) 20MG CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**VERAPAMIL HS (COVERA HS) 240 MG: TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
COLCHICINE 0.6 MG TAB,LOCAL,LOCAL,,,,both,,,16.93,16.93,4.74,16.93,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,12.19,percent of total billed charges,12.19,percent of total billed charges,12.19,percent of total billed charges,12.19,percent of total billed charges,12.19,percent of total billed charges,12.19,percent of total billed charges,12.53,percent of total billed charges,12.53,percent of total billed charges,13.54,percent of total billed charges,13.54,percent of total billed charges,,,12.19,percent of total billed charges ,,,13.54,percent of total billed charges ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,13.21,percent of total billed charges ,13.21,percent of total billed charges ,13.54,percent of total billed charges ,13.54,percent of total billed charges ,11.85,percent of total billed charges ,11.85,percent of total billed charges ,10.16,percent of total billed charges ,10.16,percent of total billed charges ,10.16,percent of total billed charges ,10.16,percent of total billed charges ,,,,,9.01,percent of total billed charges ,,,,,8.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,,,4.74,percent of total billed charges,
ESTRADIOL (ESTRACE) 0.5MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
TERAZOSIN (HYTRIN) 2 MG CAP,LOCAL,LOCAL,,,,both,,,2.86,2.86,0.8,2.86,2.86,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,2.06,percent of total billed charges,2.06,percent of total billed charges,2.06,percent of total billed charges,2.06,percent of total billed charges,2.06,percent of total billed charges,2.06,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,,,2.06,percent of total billed charges ,,,2.29,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.23,percent of total billed charges ,2.23,percent of total billed charges ,2.29,percent of total billed charges ,2.29,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,1.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,,,0.8,percent of total billed charges,
**LOTENSIN (BENAZEPRIL) 5 MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
SODIUM CHLORIDE 5% OPHTH OINT 3.5GM,LOCAL,LOCAL,,,,both,,,97.13,97.13,27.2,97.13,97.13,percent of total billed charges,97.13,percent of total billed charges,97.13,percent of total billed charges,97.13,percent of total billed charges,97.13,percent of total billed charges,97.13,percent of total billed charges,97.13,percent of total billed charges,97.13,percent of total billed charges,69.93,percent of total billed charges,69.93,percent of total billed charges,69.93,percent of total billed charges,69.93,percent of total billed charges,69.93,percent of total billed charges,69.93,percent of total billed charges,71.88,percent of total billed charges,71.88,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,,,69.93,percent of total billed charges ,,,77.7,percent of total billed charges ,81.59,percent of total billed charges ,81.59,percent of total billed charges ,75.76,percent of total billed charges ,75.76,percent of total billed charges ,77.7,percent of total billed charges ,77.7,percent of total billed charges ,67.99,percent of total billed charges ,67.99,percent of total billed charges ,58.28,percent of total billed charges ,58.28,percent of total billed charges ,58.28,percent of total billed charges ,58.28,percent of total billed charges ,,,,,51.67,percent of total billed charges ,,,,,49.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,,,27.2,percent of total billed charges,
**DOXAZOSIN (CARDURA) TAB 1MG,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**RIMEOXOLONE (VEXOL) 1% OPTH SOLN:10ML,LOCAL,LOCAL,,,,both,,,348,348,97.44,348,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,348,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,250.56,percent of total billed charges,257.52,percent of total billed charges,257.52,percent of total billed charges,278.4,percent of total billed charges,278.4,percent of total billed charges,,,250.56,percent of total billed charges ,,,278.4,percent of total billed charges ,292.32,percent of total billed charges ,292.32,percent of total billed charges ,271.44,percent of total billed charges ,271.44,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,,,,,185.14,percent of total billed charges ,,,,,175.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,,,97.44,percent of total billed charges,
DOCUSATE LIQUID 50 MG/5ML: 60 ML,LOCAL,LOCAL,,,,both,,,4,4,1.12,4,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.96,percent of total billed charges,2.96,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,,,2.88,percent of total billed charges ,,,3.2,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,,,,,2.13,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
CITALOPRAM (CeleXA) 20 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NIFEdipine ER (PROCARDIA XL) 90MG CAP,LOCAL,LOCAL,,,,both,,,4.83,4.83,1.35,4.83,4.83,percent of total billed charges,4.83,percent of total billed charges,4.83,percent of total billed charges,4.83,percent of total billed charges,4.83,percent of total billed charges,4.83,percent of total billed charges,4.83,percent of total billed charges,4.83,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.48,percent of total billed charges,3.57,percent of total billed charges,3.57,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,,,3.48,percent of total billed charges ,,,3.86,percent of total billed charges ,4.06,percent of total billed charges ,4.06,percent of total billed charges ,3.77,percent of total billed charges ,3.77,percent of total billed charges ,3.86,percent of total billed charges ,3.86,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,,,,,2.57,percent of total billed charges ,,,,,2.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,,,1.35,percent of total billed charges,
LOSARTAN (COZAAR) 25 MG TAB,LOCAL,LOCAL,,,,both,,,1.63,1.63,0.46,1.63,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
"ALBUTEROL 0.083% NEB SOLN: 3 ML, EACH",LOCAL,LOCAL,,,,both,,,0.64,0.64,0.18,0.64,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,,,0.46,percent of total billed charges ,,,0.51,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
NITROGLYCERIN SPRAY  4.9 GM,LOCAL,LOCAL,,,,both,,,499.5,499.5,139.86,499.5,499.5,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,499.5,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,369.63,percent of total billed charges,369.63,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,,,359.64,percent of total billed charges ,,,399.6,percent of total billed charges ,419.58,percent of total billed charges ,419.58,percent of total billed charges ,389.61,percent of total billed charges ,389.61,percent of total billed charges ,399.6,percent of total billed charges ,399.6,percent of total billed charges ,349.65,percent of total billed charges ,349.65,percent of total billed charges ,299.7,percent of total billed charges ,299.7,percent of total billed charges ,299.7,percent of total billed charges ,299.7,percent of total billed charges ,,,,,265.73,percent of total billed charges ,,,,,252.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,,,139.86,percent of total billed charges,
FLUTICASONE (FLONASE) 50MCG NASAL SPRAY,LOCAL,LOCAL,,,,both,,,49.89,49.89,13.97,49.89,49.89,percent of total billed charges,49.89,percent of total billed charges,49.89,percent of total billed charges,49.89,percent of total billed charges,49.89,percent of total billed charges,49.89,percent of total billed charges,49.89,percent of total billed charges,49.89,percent of total billed charges,35.92,percent of total billed charges,35.92,percent of total billed charges,35.92,percent of total billed charges,35.92,percent of total billed charges,35.92,percent of total billed charges,35.92,percent of total billed charges,36.92,percent of total billed charges,36.92,percent of total billed charges,39.91,percent of total billed charges,39.91,percent of total billed charges,,,35.92,percent of total billed charges ,,,39.91,percent of total billed charges ,41.91,percent of total billed charges ,41.91,percent of total billed charges ,38.91,percent of total billed charges ,38.91,percent of total billed charges ,39.91,percent of total billed charges ,39.91,percent of total billed charges ,34.92,percent of total billed charges ,34.92,percent of total billed charges ,29.93,percent of total billed charges ,29.93,percent of total billed charges ,29.93,percent of total billed charges ,29.93,percent of total billed charges ,,,,,26.54,percent of total billed charges ,,,,,25.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,,,13.97,percent of total billed charges,
DANTROLENE (DANTRIUM) 20MG INJ VIAL,J3490,CDM,,,,both,,,450.17,450.17,126.05,450.17,450.17,percent of total billed charges,450.17,percent of total billed charges,450.17,percent of total billed charges,450.17,percent of total billed charges,450.17,percent of total billed charges,450.17,percent of total billed charges,450.17,percent of total billed charges,450.17,percent of total billed charges,324.12,percent of total billed charges,324.12,percent of total billed charges,324.12,percent of total billed charges,324.12,percent of total billed charges,324.12,percent of total billed charges,324.12,percent of total billed charges,333.13,percent of total billed charges,333.13,percent of total billed charges,360.14,percent of total billed charges,360.14,percent of total billed charges,,,324.12,percent of total billed charges ,,,360.14,percent of total billed charges ,378.14,percent of total billed charges ,378.14,percent of total billed charges ,351.13,percent of total billed charges ,351.13,percent of total billed charges ,360.14,percent of total billed charges ,360.14,percent of total billed charges ,315.12,percent of total billed charges ,315.12,percent of total billed charges ,270.1,percent of total billed charges ,270.1,percent of total billed charges ,270.1,percent of total billed charges ,270.1,percent of total billed charges ,,,,,239.49,percent of total billed charges ,,,,,227.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,,,126.05,percent of total billed charges,
traMADol (ULTRAM)  50MG TAB,LOCAL,LOCAL,,,,both,,,1.67,1.67,0.47,1.67,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,,,1.2,percent of total billed charges ,,,1.34,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,
SOD BICARBONATE TABLET 650MG,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
QUEtiapine (SEROQUEL) 100MG TAB,LOCAL,LOCAL,,,,both,,,2.07,2.07,0.58,2.07,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,,,1.49,percent of total billed charges ,,,1.66,percent of total billed charges ,1.74,percent of total billed charges ,1.74,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,,,,,1.1,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,
DIPYRIDAMOLE (PERSANTINE) 5MG/ML :INJ,J1245,CDM,,,,both,,,229.62,229.62,64.29,229.62,229.62,percent of total billed charges,229.62,percent of total billed charges,229.62,percent of total billed charges,229.62,percent of total billed charges,229.62,percent of total billed charges,229.62,percent of total billed charges,229.62,percent of total billed charges,229.62,percent of total billed charges,165.33,percent of total billed charges,165.33,percent of total billed charges,165.33,percent of total billed charges,165.33,percent of total billed charges,165.33,percent of total billed charges,165.33,percent of total billed charges,169.92,percent of total billed charges,169.92,percent of total billed charges,183.7,percent of total billed charges,183.7,percent of total billed charges,,,165.33,percent of total billed charges ,,,183.7,percent of total billed charges ,192.88,percent of total billed charges ,192.88,percent of total billed charges ,179.1,percent of total billed charges ,179.1,percent of total billed charges ,183.7,percent of total billed charges ,183.7,percent of total billed charges ,160.73,percent of total billed charges ,160.73,percent of total billed charges ,137.77,percent of total billed charges ,137.77,percent of total billed charges ,137.77,percent of total billed charges ,137.77,percent of total billed charges ,,,,,122.16,percent of total billed charges ,,,,,116.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,,,64.29,percent of total billed charges,
levoFLOXacin (LEVAQUIN) 500MG IVPB,J1956,CDM,,,,both,,,34.87,34.87,9.76,34.87,34.87,percent of total billed charges,34.87,percent of total billed charges,34.87,percent of total billed charges,34.87,percent of total billed charges,34.87,percent of total billed charges,34.87,percent of total billed charges,34.87,percent of total billed charges,34.87,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.8,percent of total billed charges,25.8,percent of total billed charges,27.9,percent of total billed charges,27.9,percent of total billed charges,,,25.11,percent of total billed charges ,,,27.9,percent of total billed charges ,29.29,percent of total billed charges ,29.29,percent of total billed charges ,27.2,percent of total billed charges ,27.2,percent of total billed charges ,27.9,percent of total billed charges ,27.9,percent of total billed charges ,24.41,percent of total billed charges ,24.41,percent of total billed charges ,20.92,percent of total billed charges ,20.92,percent of total billed charges ,20.92,percent of total billed charges ,20.92,percent of total billed charges ,,,,,18.55,percent of total billed charges ,,,,,17.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,,,9.76,percent of total billed charges,
REPAGLINIDE (PRANDIN) 1MG TAB,LOCAL,LOCAL,,,,both,,,7.98,7.98,2.23,7.98,7.98,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,5.75,percent of total billed charges,5.75,percent of total billed charges,5.75,percent of total billed charges,5.75,percent of total billed charges,5.75,percent of total billed charges,5.75,percent of total billed charges,5.91,percent of total billed charges,5.91,percent of total billed charges,6.38,percent of total billed charges,6.38,percent of total billed charges,,,5.75,percent of total billed charges ,,,6.38,percent of total billed charges ,6.7,percent of total billed charges ,6.7,percent of total billed charges ,6.22,percent of total billed charges ,6.22,percent of total billed charges ,6.38,percent of total billed charges ,6.38,percent of total billed charges ,5.59,percent of total billed charges ,5.59,percent of total billed charges ,4.79,percent of total billed charges ,4.79,percent of total billed charges ,4.79,percent of total billed charges ,4.79,percent of total billed charges ,,,,,4.25,percent of total billed charges ,,,,,4.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,,,2.23,percent of total billed charges,
BISOPROLOL 2.5MG/HCTZ 6.25MG (ZIAC 2.5),LOCAL,LOCAL,,,,both,,,1.71,1.71,0.48,1.71,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,,,1.23,percent of total billed charges ,,,1.37,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,
traMADol/ACETAMINOPHEN 37.5/325MG TAB,LOCAL,LOCAL,,,,both,,,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
FILGRASTIM (NEUPOGEN) 480 MCG: 0.8ML SYR,J1442,CDM,,,,both,,,"2,685.68","2,685.68",751.99,"2,685.68","2,685.68",percent of total billed charges,"2,685.68",percent of total billed charges,"2,685.68",percent of total billed charges,"2,685.68",percent of total billed charges,"2,685.68",percent of total billed charges,"2,685.68",percent of total billed charges,"2,685.68",percent of total billed charges,"2,685.68",percent of total billed charges,"1,933.69",percent of total billed charges,"1,933.69",percent of total billed charges,"1,933.69",percent of total billed charges,"1,933.69",percent of total billed charges,"1,933.69",percent of total billed charges,"1,933.69",percent of total billed charges,"1,987.40",percent of total billed charges,"1,987.40",percent of total billed charges,"2,148.54",percent of total billed charges,"2,148.54",percent of total billed charges,,,"1,933.69",percent of total billed charges ,,,"2,148.54",percent of total billed charges ,"2,255.97",percent of total billed charges ,"2,255.97",percent of total billed charges ,"2,094.83",percent of total billed charges ,"2,094.83",percent of total billed charges ,"2,148.54",percent of total billed charges ,"2,148.54",percent of total billed charges ,"1,879.98",percent of total billed charges ,"1,879.98",percent of total billed charges ,"1,611.41",percent of total billed charges ,"1,611.41",percent of total billed charges ,"1,611.41",percent of total billed charges ,"1,611.41",percent of total billed charges ,,,,,"1,428.78",percent of total billed charges ,,,,,"1,357.34",percent of total billed charges ,,,,,,,,,,,,,,,,,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,,,751.99,percent of total billed charges,
VENLAFAXINE (EFFEXOR) 37.5MG TAB,LOCAL,LOCAL,,,,both,,,2.27,2.27,0.64,2.27,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.68,percent of total billed charges,1.68,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,,,1.63,percent of total billed charges ,,,1.82,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.77,percent of total billed charges ,1.77,percent of total billed charges ,1.82,percent of total billed charges ,1.82,percent of total billed charges ,1.59,percent of total billed charges ,1.59,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,1.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,
CONJ.  ESTROGENS (PREMARIN) 0.9MG TAB,LOCAL,LOCAL,,,,both,,,18.1,18.1,5.07,18.1,18.1,percent of total billed charges,18.1,percent of total billed charges,18.1,percent of total billed charges,18.1,percent of total billed charges,18.1,percent of total billed charges,18.1,percent of total billed charges,18.1,percent of total billed charges,18.1,percent of total billed charges,13.03,percent of total billed charges,13.03,percent of total billed charges,13.03,percent of total billed charges,13.03,percent of total billed charges,13.03,percent of total billed charges,13.03,percent of total billed charges,13.39,percent of total billed charges,13.39,percent of total billed charges,14.48,percent of total billed charges,14.48,percent of total billed charges,,,13.03,percent of total billed charges ,,,14.48,percent of total billed charges ,15.2,percent of total billed charges ,15.2,percent of total billed charges ,14.12,percent of total billed charges ,14.12,percent of total billed charges ,14.48,percent of total billed charges ,14.48,percent of total billed charges ,12.67,percent of total billed charges ,12.67,percent of total billed charges ,10.86,percent of total billed charges ,10.86,percent of total billed charges ,10.86,percent of total billed charges ,10.86,percent of total billed charges ,,,,,9.63,percent of total billed charges ,,,,,9.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,
fentaNYL (DURAGESIC) 50 MCG/HR PATCH,LOCAL,LOCAL,,,,both,,,24.67,24.67,6.91,24.67,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,18.26,percent of total billed charges,18.26,percent of total billed charges,19.74,percent of total billed charges,19.74,percent of total billed charges,,,17.76,percent of total billed charges ,,,19.74,percent of total billed charges ,20.72,percent of total billed charges ,20.72,percent of total billed charges ,19.24,percent of total billed charges ,19.24,percent of total billed charges ,19.74,percent of total billed charges ,19.74,percent of total billed charges ,17.27,percent of total billed charges ,17.27,percent of total billed charges ,14.8,percent of total billed charges ,14.8,percent of total billed charges ,14.8,percent of total billed charges ,14.8,percent of total billed charges ,,,,,13.12,percent of total billed charges ,,,,,12.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,,,6.91,percent of total billed charges,
**DUODERM (HYDROACTIVE) THIN SPOT,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
ALENDRONATE (FOSAMAX) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
MORphine SULFATE 4 MG/ML CJ,J2270,CDM,,,,both,,,40.44,40.44,11.32,40.44,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.93,percent of total billed charges,29.93,percent of total billed charges,32.35,percent of total billed charges,32.35,percent of total billed charges,,,29.12,percent of total billed charges ,,,32.35,percent of total billed charges ,33.97,percent of total billed charges ,33.97,percent of total billed charges ,31.54,percent of total billed charges ,31.54,percent of total billed charges ,32.35,percent of total billed charges ,32.35,percent of total billed charges ,28.31,percent of total billed charges ,28.31,percent of total billed charges ,24.26,percent of total billed charges ,24.26,percent of total billed charges ,24.26,percent of total billed charges ,24.26,percent of total billed charges ,,,,,21.51,percent of total billed charges ,,,,,20.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,
ISOSORBIDE MONONITRATE (IMDUR) 30MG TAB,LOCAL,LOCAL,,,,both,,,1.86,1.86,0.52,1.86,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,,,1.34,percent of total billed charges ,,,1.49,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.49,percent of total billed charges ,1.49,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,,,,,0.99,percent of total billed charges ,,,,,0.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,
risperiDONE (RisperDAL) 1MG TAB,LOCAL,LOCAL,,,,both,,,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
DORZOLAMIDE 2% (TRUSOPT) OPHTH SOLN:10mL,LOCAL,LOCAL,,,,both,,,122.57,122.57,34.32,122.57,122.57,percent of total billed charges,122.57,percent of total billed charges,122.57,percent of total billed charges,122.57,percent of total billed charges,122.57,percent of total billed charges,122.57,percent of total billed charges,122.57,percent of total billed charges,122.57,percent of total billed charges,88.25,percent of total billed charges,88.25,percent of total billed charges,88.25,percent of total billed charges,88.25,percent of total billed charges,88.25,percent of total billed charges,88.25,percent of total billed charges,90.7,percent of total billed charges,90.7,percent of total billed charges,98.06,percent of total billed charges,98.06,percent of total billed charges,,,88.25,percent of total billed charges ,,,98.06,percent of total billed charges ,102.96,percent of total billed charges ,102.96,percent of total billed charges ,95.6,percent of total billed charges ,95.6,percent of total billed charges ,98.06,percent of total billed charges ,98.06,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,73.54,percent of total billed charges ,73.54,percent of total billed charges ,73.54,percent of total billed charges ,73.54,percent of total billed charges ,,,,,65.21,percent of total billed charges ,,,,,61.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,,,34.32,percent of total billed charges,
**ESTROGEN/METHYLTESTERONE 1.25/2.5,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
prednisoLONE (PRELONE) 15MG/5ML U/D,LOCAL,LOCAL,,,,both,,,1.35,1.35,0.38,1.35,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,,,0.97,percent of total billed charges ,,,1.08,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
**LORTAB(HYDRCOD/ACET) ELIX 2.5/15ML:60M,LOCAL,LOCAL,,,,both,,,305,305,85.4,305,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,305,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,219.6,percent of total billed charges,225.7,percent of total billed charges,225.7,percent of total billed charges,244,percent of total billed charges,244,percent of total billed charges,,,219.6,percent of total billed charges ,,,244,percent of total billed charges ,256.2,percent of total billed charges ,256.2,percent of total billed charges ,237.9,percent of total billed charges ,237.9,percent of total billed charges ,244,percent of total billed charges ,244,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,183,percent of total billed charges ,,,,,162.26,percent of total billed charges ,,,,,154.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,,,85.4,percent of total billed charges,
ACARBOSE (PRECOSE) 50MG TAB,LOCAL,LOCAL,,,,both,,,0.7,0.7,0.2,0.7,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,,,0.5,percent of total billed charges ,,,0.56,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
ACEBUTOLOL  (SECTRAL) 200MG TAB,LOCAL,LOCAL,,,,both,,,5.42,5.42,1.52,5.42,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,5.42,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,3.9,percent of total billed charges,4.01,percent of total billed charges,4.01,percent of total billed charges,4.34,percent of total billed charges,4.34,percent of total billed charges,,,3.9,percent of total billed charges ,,,4.34,percent of total billed charges ,4.55,percent of total billed charges ,4.55,percent of total billed charges ,4.23,percent of total billed charges ,4.23,percent of total billed charges ,4.34,percent of total billed charges ,4.34,percent of total billed charges ,3.79,percent of total billed charges ,3.79,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,,,,,2.88,percent of total billed charges ,,,,,2.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,,,1.52,percent of total billed charges,
IPRATROPIUM (ATROVENT) NASAL SP 0.06%,LOCAL,LOCAL,,,,both,,,101.19,101.19,28.33,101.19,101.19,percent of total billed charges,101.19,percent of total billed charges,101.19,percent of total billed charges,101.19,percent of total billed charges,101.19,percent of total billed charges,101.19,percent of total billed charges,101.19,percent of total billed charges,101.19,percent of total billed charges,72.86,percent of total billed charges,72.86,percent of total billed charges,72.86,percent of total billed charges,72.86,percent of total billed charges,72.86,percent of total billed charges,72.86,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,80.95,percent of total billed charges,80.95,percent of total billed charges,,,72.86,percent of total billed charges ,,,80.95,percent of total billed charges ,85,percent of total billed charges ,85,percent of total billed charges ,78.93,percent of total billed charges ,78.93,percent of total billed charges ,80.95,percent of total billed charges ,80.95,percent of total billed charges ,70.83,percent of total billed charges ,70.83,percent of total billed charges ,60.71,percent of total billed charges ,60.71,percent of total billed charges ,60.71,percent of total billed charges ,60.71,percent of total billed charges ,,,,,53.83,percent of total billed charges ,,,,,51.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,,,28.33,percent of total billed charges,
IPRATROPIUM (ATROVENT) NASAL SPRAY 0.03%,LOCAL,LOCAL,,,,both,,,129.78,129.78,36.34,129.78,129.78,percent of total billed charges,129.78,percent of total billed charges,129.78,percent of total billed charges,129.78,percent of total billed charges,129.78,percent of total billed charges,129.78,percent of total billed charges,129.78,percent of total billed charges,129.78,percent of total billed charges,93.44,percent of total billed charges,93.44,percent of total billed charges,93.44,percent of total billed charges,93.44,percent of total billed charges,93.44,percent of total billed charges,93.44,percent of total billed charges,96.04,percent of total billed charges,96.04,percent of total billed charges,103.82,percent of total billed charges,103.82,percent of total billed charges,,,93.44,percent of total billed charges ,,,103.82,percent of total billed charges ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,101.23,percent of total billed charges ,101.23,percent of total billed charges ,103.82,percent of total billed charges ,103.82,percent of total billed charges ,90.85,percent of total billed charges ,90.85,percent of total billed charges ,77.87,percent of total billed charges ,77.87,percent of total billed charges ,77.87,percent of total billed charges ,77.87,percent of total billed charges ,,,,,69.04,percent of total billed charges ,,,,,65.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,,,36.34,percent of total billed charges,
**NEFAZODONE (SERZONE) 100MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ZAFIRLUKAST (ACCOLATE) 20MG TAB,LOCAL,LOCAL,,,,both,,,7.64,7.64,2.14,7.64,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,7.64,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.5,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,6.11,percent of total billed charges,6.11,percent of total billed charges,,,5.5,percent of total billed charges ,,,6.11,percent of total billed charges ,6.42,percent of total billed charges ,6.42,percent of total billed charges ,5.96,percent of total billed charges ,5.96,percent of total billed charges ,6.11,percent of total billed charges ,6.11,percent of total billed charges ,5.35,percent of total billed charges ,5.35,percent of total billed charges ,4.58,percent of total billed charges ,4.58,percent of total billed charges ,4.58,percent of total billed charges ,4.58,percent of total billed charges ,,,,,4.06,percent of total billed charges ,,,,,3.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,
ESTRO/MEDROXYPROG(PREMPRO)0.625/2.5MG:TA,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
AMOXICILLIN/CLAVULANATE 875MG TAB,LOCAL,LOCAL,,,,both,,,1.58,1.58,0.44,1.58,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,,,1.14,percent of total billed charges ,,,1.26,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,0.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,
**REFRESH TEARS: 15 ML,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
MONTELUKAST (SINGULAIR) 10MG TAB,LOCAL,LOCAL,,,,both,,,1.61,1.61,0.45,1.61,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.29,percent of total billed charges,1.29,percent of total billed charges,,,1.16,percent of total billed charges ,,,1.29,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
**KETOPROFEN (ORUDIS) 50MG: CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**LEFLUNOMIDE (ARAVA) 20 MG TAB,LOCAL,LOCAL,,,,both,,,4,4,1.12,4,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.96,percent of total billed charges,2.96,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,,,2.88,percent of total billed charges ,,,3.2,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,,,,,2.13,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
CELECOXIB (CeleBREX) CAP 200MG,LOCAL,LOCAL,,,,both,,,5.13,5.13,1.44,5.13,5.13,percent of total billed charges,5.13,percent of total billed charges,5.13,percent of total billed charges,5.13,percent of total billed charges,5.13,percent of total billed charges,5.13,percent of total billed charges,5.13,percent of total billed charges,5.13,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,,,3.69,percent of total billed charges ,,,4.1,percent of total billed charges ,4.31,percent of total billed charges ,4.31,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,4.1,percent of total billed charges ,4.1,percent of total billed charges ,3.59,percent of total billed charges ,3.59,percent of total billed charges ,3.08,percent of total billed charges ,3.08,percent of total billed charges ,3.08,percent of total billed charges ,3.08,percent of total billed charges ,,,,,2.73,percent of total billed charges ,,,,,2.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,
FENOFIBRATE (TRICOR) 134 MG CAP,LOCAL,LOCAL,,,,both,,,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
AMOXICILLIN/CLAV 400MG-57/5ML: 50ML,LOCAL,LOCAL,,,,both,,,53.91,53.91,15.09,53.91,53.91,percent of total billed charges,53.91,percent of total billed charges,53.91,percent of total billed charges,53.91,percent of total billed charges,53.91,percent of total billed charges,53.91,percent of total billed charges,53.91,percent of total billed charges,53.91,percent of total billed charges,38.82,percent of total billed charges,38.82,percent of total billed charges,38.82,percent of total billed charges,38.82,percent of total billed charges,38.82,percent of total billed charges,38.82,percent of total billed charges,39.89,percent of total billed charges,39.89,percent of total billed charges,43.13,percent of total billed charges,43.13,percent of total billed charges,,,38.82,percent of total billed charges ,,,43.13,percent of total billed charges ,45.28,percent of total billed charges ,45.28,percent of total billed charges ,42.05,percent of total billed charges ,42.05,percent of total billed charges ,43.13,percent of total billed charges ,43.13,percent of total billed charges ,37.74,percent of total billed charges ,37.74,percent of total billed charges ,32.35,percent of total billed charges ,32.35,percent of total billed charges ,32.35,percent of total billed charges ,32.35,percent of total billed charges ,,,,,28.68,percent of total billed charges ,,,,,27.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,,,15.09,percent of total billed charges,
LOTEPREDNOL (LOTEMAX) OPTH.SUSP 0.5%,LOCAL,LOCAL,,,,both,,,443.1,443.1,124.07,443.1,443.1,percent of total billed charges,443.1,percent of total billed charges,443.1,percent of total billed charges,443.1,percent of total billed charges,443.1,percent of total billed charges,443.1,percent of total billed charges,443.1,percent of total billed charges,443.1,percent of total billed charges,319.03,percent of total billed charges,319.03,percent of total billed charges,319.03,percent of total billed charges,319.03,percent of total billed charges,319.03,percent of total billed charges,319.03,percent of total billed charges,327.89,percent of total billed charges,327.89,percent of total billed charges,354.48,percent of total billed charges,354.48,percent of total billed charges,,,319.03,percent of total billed charges ,,,354.48,percent of total billed charges ,372.2,percent of total billed charges ,372.2,percent of total billed charges ,345.62,percent of total billed charges ,345.62,percent of total billed charges ,354.48,percent of total billed charges ,354.48,percent of total billed charges ,310.17,percent of total billed charges ,310.17,percent of total billed charges ,265.86,percent of total billed charges ,265.86,percent of total billed charges ,265.86,percent of total billed charges ,265.86,percent of total billed charges ,,,,,235.73,percent of total billed charges ,,,,,223.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,,,124.07,percent of total billed charges,
**BUPROPRION (WELLBUTRIN SR) 100MG TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
ROPIvacaine (NAROPIN) 0.2% 100 ML INJ,J2795,CDM,,,,both,,,363.66,363.66,101.82,363.66,363.66,percent of total billed charges,363.66,percent of total billed charges,363.66,percent of total billed charges,363.66,percent of total billed charges,363.66,percent of total billed charges,363.66,percent of total billed charges,363.66,percent of total billed charges,363.66,percent of total billed charges,261.84,percent of total billed charges,261.84,percent of total billed charges,261.84,percent of total billed charges,261.84,percent of total billed charges,261.84,percent of total billed charges,261.84,percent of total billed charges,269.11,percent of total billed charges,269.11,percent of total billed charges,290.93,percent of total billed charges,290.93,percent of total billed charges,,,261.84,percent of total billed charges ,,,290.93,percent of total billed charges ,305.47,percent of total billed charges ,305.47,percent of total billed charges ,283.65,percent of total billed charges ,283.65,percent of total billed charges ,290.93,percent of total billed charges ,290.93,percent of total billed charges ,254.56,percent of total billed charges ,254.56,percent of total billed charges ,218.2,percent of total billed charges ,218.2,percent of total billed charges ,218.2,percent of total billed charges ,218.2,percent of total billed charges ,,,,,193.47,percent of total billed charges ,,,,,183.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,,,101.82,percent of total billed charges,
ORPHENADRINE (NORFLEX) 60MG/2ML INJ,J2360,CDM,,,,both,,,55.58,55.58,15.56,55.58,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,41.13,percent of total billed charges,41.13,percent of total billed charges,44.46,percent of total billed charges,44.46,percent of total billed charges,,,40.02,percent of total billed charges ,,,44.46,percent of total billed charges ,46.69,percent of total billed charges ,46.69,percent of total billed charges ,43.35,percent of total billed charges ,43.35,percent of total billed charges ,44.46,percent of total billed charges ,44.46,percent of total billed charges ,38.91,percent of total billed charges ,38.91,percent of total billed charges ,33.35,percent of total billed charges ,33.35,percent of total billed charges ,33.35,percent of total billed charges ,33.35,percent of total billed charges ,,,,,29.57,percent of total billed charges ,,,,,28.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,
**ROSIGLITAZONE (AVANDIA) 4 MG TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
NAPROXEN (NAPROSYN) 500MG TAB,LOCAL,LOCAL,,,,both,,,0.72,0.72,0.2,0.72,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.52,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,,,0.52,percent of total billed charges ,,,0.58,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,,,,,0.38,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
**LORACARBEF(LORABID CAPSULE):400MG,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
POTASSIUM CHLORIDE (K-DUR) ER 10 MEQ TAB,LOCAL,LOCAL,,,,both,,,0.64,0.64,0.18,0.64,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,,,0.46,percent of total billed charges ,,,0.51,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
**RABEPRAZOLE(ACIPHEX) TAB: 20MG,LOCAL,LOCAL,,,,both,,,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
LIDOCAINE 2% (XYLOCAINE) JELLY 5 ML,LOCAL,LOCAL,,,,both,,,14.95,14.95,4.19,14.95,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,11.06,percent of total billed charges,11.06,percent of total billed charges,11.96,percent of total billed charges,11.96,percent of total billed charges,,,10.76,percent of total billed charges ,,,11.96,percent of total billed charges ,12.56,percent of total billed charges ,12.56,percent of total billed charges ,11.66,percent of total billed charges ,11.66,percent of total billed charges ,11.96,percent of total billed charges ,11.96,percent of total billed charges ,10.47,percent of total billed charges ,10.47,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,,,,,7.95,percent of total billed charges ,,,,,7.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,
LIP BALM (CARMEX) OINT TUBE,LOCAL,LOCAL,,,,both,,,19,19,5.32,19,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,19,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,13.68,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,15.2,percent of total billed charges,15.2,percent of total billed charges,,,13.68,percent of total billed charges ,,,15.2,percent of total billed charges ,15.96,percent of total billed charges ,15.96,percent of total billed charges ,14.82,percent of total billed charges ,14.82,percent of total billed charges ,15.2,percent of total billed charges ,15.2,percent of total billed charges ,13.3,percent of total billed charges ,13.3,percent of total billed charges ,11.4,percent of total billed charges ,11.4,percent of total billed charges ,11.4,percent of total billed charges ,11.4,percent of total billed charges ,,,,,10.11,percent of total billed charges ,,,,,9.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,,,5.32,percent of total billed charges,
PRAVASTATIN (PRAVACHOL) 40MG TAB,LOCAL,LOCAL,,,,both,,,2.93,2.93,0.82,2.93,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.17,percent of total billed charges,2.17,percent of total billed charges,2.34,percent of total billed charges,2.34,percent of total billed charges,,,2.11,percent of total billed charges ,,,2.34,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.29,percent of total billed charges ,2.29,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,,,,,1.56,percent of total billed charges ,,,,,1.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,
PIPRACIL/TAZOBACTAM (ZOSYN) 3.375 ADV,J2543,CDM,,,,both,,,136.44,136.44,38.2,136.44,136.44,percent of total billed charges,136.44,percent of total billed charges,136.44,percent of total billed charges,136.44,percent of total billed charges,136.44,percent of total billed charges,136.44,percent of total billed charges,136.44,percent of total billed charges,136.44,percent of total billed charges,98.24,percent of total billed charges,98.24,percent of total billed charges,98.24,percent of total billed charges,98.24,percent of total billed charges,98.24,percent of total billed charges,98.24,percent of total billed charges,100.97,percent of total billed charges,100.97,percent of total billed charges,109.15,percent of total billed charges,109.15,percent of total billed charges,,,98.24,percent of total billed charges ,,,109.15,percent of total billed charges ,114.61,percent of total billed charges ,114.61,percent of total billed charges ,106.42,percent of total billed charges ,106.42,percent of total billed charges ,109.15,percent of total billed charges ,109.15,percent of total billed charges ,95.51,percent of total billed charges ,95.51,percent of total billed charges ,81.86,percent of total billed charges ,81.86,percent of total billed charges ,81.86,percent of total billed charges ,81.86,percent of total billed charges ,,,,,72.59,percent of total billed charges ,,,,,68.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,,,38.2,percent of total billed charges,
CLOTRIMAZOLE/BETAMETHASONE LOTION 30ML,LOCAL,LOCAL,,,,both,,,283.43,283.43,79.36,283.43,283.43,percent of total billed charges,283.43,percent of total billed charges,283.43,percent of total billed charges,283.43,percent of total billed charges,283.43,percent of total billed charges,283.43,percent of total billed charges,283.43,percent of total billed charges,283.43,percent of total billed charges,204.07,percent of total billed charges,204.07,percent of total billed charges,204.07,percent of total billed charges,204.07,percent of total billed charges,204.07,percent of total billed charges,204.07,percent of total billed charges,209.74,percent of total billed charges,209.74,percent of total billed charges,226.74,percent of total billed charges,226.74,percent of total billed charges,,,204.07,percent of total billed charges ,,,226.74,percent of total billed charges ,238.08,percent of total billed charges ,238.08,percent of total billed charges ,221.08,percent of total billed charges ,221.08,percent of total billed charges ,226.74,percent of total billed charges ,226.74,percent of total billed charges ,198.4,percent of total billed charges ,198.4,percent of total billed charges ,170.06,percent of total billed charges ,170.06,percent of total billed charges ,170.06,percent of total billed charges ,170.06,percent of total billed charges ,,,,,150.78,percent of total billed charges ,,,,,143.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,,,79.36,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.088 MG TAB,LOCAL,LOCAL,,,,both,,,0.81,0.81,0.23,0.81,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,,,0.58,percent of total billed charges ,,,0.65,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
**BECLOMETHASONE INH(VANCERIL DS):12.2,LOCAL,LOCAL,,,,both,,,126,126,35.28,126,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,93.24,percent of total billed charges,93.24,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,,,90.72,percent of total billed charges ,,,100.8,percent of total billed charges ,105.84,percent of total billed charges ,105.84,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,,,,,67.03,percent of total billed charges ,,,,,63.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,
**TILADE (NEOCROMIL) INHALER: 16.2 GM,LOCAL,LOCAL,,,,both,,,248,248,69.44,248,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,183.52,percent of total billed charges,183.52,percent of total billed charges,198.4,percent of total billed charges,198.4,percent of total billed charges,,,178.56,percent of total billed charges ,,,198.4,percent of total billed charges ,208.32,percent of total billed charges ,208.32,percent of total billed charges ,193.44,percent of total billed charges ,193.44,percent of total billed charges ,198.4,percent of total billed charges ,198.4,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,,,,,131.94,percent of total billed charges ,,,,,125.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,
LORATADINE (CLARITIN) 10 MG TAB,LOCAL,LOCAL,,,,both,,,0.78,0.78,0.22,0.78,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,,,0.56,percent of total billed charges ,,,0.62,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
**PIPRACILLIN (PIPRACIL):2GM,LOCAL,LOCAL,,,,both,,,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
LEVOTHYROXINE 0.175 MG TAB,LOCAL,LOCAL,,,,both,,,2.81,2.81,0.79,2.81,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.81,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.08,percent of total billed charges,2.08,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,,,2.02,percent of total billed charges ,,,2.25,percent of total billed charges ,2.36,percent of total billed charges ,2.36,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,,,,,1.49,percent of total billed charges ,,,,,1.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,
NYSTATIN TOPICAL POWDER 15 GM,LOCAL,LOCAL,,,,both,,,72.01,72.01,20.16,72.01,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,53.29,percent of total billed charges,53.29,percent of total billed charges,57.61,percent of total billed charges,57.61,percent of total billed charges,,,51.85,percent of total billed charges ,,,57.61,percent of total billed charges ,60.49,percent of total billed charges ,60.49,percent of total billed charges ,56.17,percent of total billed charges ,56.17,percent of total billed charges ,57.61,percent of total billed charges ,57.61,percent of total billed charges ,50.41,percent of total billed charges ,50.41,percent of total billed charges ,43.21,percent of total billed charges ,43.21,percent of total billed charges ,43.21,percent of total billed charges ,43.21,percent of total billed charges ,,,,,38.31,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
ZOLPIDEM (AMBIEN)10 MG TAB,LOCAL,LOCAL,,,,both,,,0.81,0.81,0.23,0.81,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,,,0.58,percent of total billed charges ,,,0.65,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
SUFentanil (SUFENTA)  250MCG/5ML AMP,LOCAL,LOCAL,,,,both,,,168.48,168.48,47.17,168.48,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,121.31,percent of total billed charges,121.31,percent of total billed charges,121.31,percent of total billed charges,121.31,percent of total billed charges,121.31,percent of total billed charges,121.31,percent of total billed charges,124.68,percent of total billed charges,124.68,percent of total billed charges,134.78,percent of total billed charges,134.78,percent of total billed charges,,,121.31,percent of total billed charges ,,,134.78,percent of total billed charges ,141.52,percent of total billed charges ,141.52,percent of total billed charges ,131.41,percent of total billed charges ,131.41,percent of total billed charges ,134.78,percent of total billed charges ,134.78,percent of total billed charges ,117.94,percent of total billed charges ,117.94,percent of total billed charges ,101.09,percent of total billed charges ,101.09,percent of total billed charges ,101.09,percent of total billed charges ,101.09,percent of total billed charges ,,,,,89.63,percent of total billed charges ,,,,,85.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,,,47.17,percent of total billed charges,
**E-TRIAMINIC CHEST CONGESTION SYRUP:4OZ,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
diphenhydrAMINE (BENADRYL) CR 30GM,LOCAL,LOCAL,,,,both,,,25.98,25.98,7.27,25.98,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,18.71,percent of total billed charges,18.71,percent of total billed charges,18.71,percent of total billed charges,18.71,percent of total billed charges,18.71,percent of total billed charges,18.71,percent of total billed charges,19.23,percent of total billed charges,19.23,percent of total billed charges,20.78,percent of total billed charges,20.78,percent of total billed charges,,,18.71,percent of total billed charges ,,,20.78,percent of total billed charges ,21.82,percent of total billed charges ,21.82,percent of total billed charges ,20.26,percent of total billed charges ,20.26,percent of total billed charges ,20.78,percent of total billed charges ,20.78,percent of total billed charges ,18.19,percent of total billed charges ,18.19,percent of total billed charges ,15.59,percent of total billed charges ,15.59,percent of total billed charges ,15.59,percent of total billed charges ,15.59,percent of total billed charges ,,,,,13.82,percent of total billed charges ,,,,,13.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,,,7.27,percent of total billed charges,
LATANOPROST (XALATAN) 0.005% OPHTH SOLN,LOCAL,LOCAL,,,,both,,,45.86,45.86,12.84,45.86,45.86,percent of total billed charges,45.86,percent of total billed charges,45.86,percent of total billed charges,45.86,percent of total billed charges,45.86,percent of total billed charges,45.86,percent of total billed charges,45.86,percent of total billed charges,45.86,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.94,percent of total billed charges,33.94,percent of total billed charges,36.69,percent of total billed charges,36.69,percent of total billed charges,,,33.02,percent of total billed charges ,,,36.69,percent of total billed charges ,38.52,percent of total billed charges ,38.52,percent of total billed charges ,35.77,percent of total billed charges ,35.77,percent of total billed charges ,36.69,percent of total billed charges ,36.69,percent of total billed charges ,32.1,percent of total billed charges ,32.1,percent of total billed charges ,27.52,percent of total billed charges ,27.52,percent of total billed charges ,27.52,percent of total billed charges ,27.52,percent of total billed charges ,,,,,24.4,percent of total billed charges ,,,,,23.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,,,12.84,percent of total billed charges,
NACL OPHTH HYPERTON(MURO-128 2%):15ML,LOCAL,LOCAL,,,,both,,,74.91,74.91,20.97,74.91,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,53.94,percent of total billed charges,53.94,percent of total billed charges,53.94,percent of total billed charges,53.94,percent of total billed charges,53.94,percent of total billed charges,53.94,percent of total billed charges,55.43,percent of total billed charges,55.43,percent of total billed charges,59.93,percent of total billed charges,59.93,percent of total billed charges,,,53.94,percent of total billed charges ,,,59.93,percent of total billed charges ,62.92,percent of total billed charges ,62.92,percent of total billed charges ,58.43,percent of total billed charges ,58.43,percent of total billed charges ,59.93,percent of total billed charges ,59.93,percent of total billed charges ,52.44,percent of total billed charges ,52.44,percent of total billed charges ,44.95,percent of total billed charges ,44.95,percent of total billed charges ,44.95,percent of total billed charges ,44.95,percent of total billed charges ,,,,,39.85,percent of total billed charges ,,,,,37.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,,,20.97,percent of total billed charges,
ENOXAPARIN (LOVENOX) 60 MG SYRINGE,J1650,CDM,,,,both,,,89.67,89.67,25.11,89.67,89.67,percent of total billed charges,89.67,percent of total billed charges,89.67,percent of total billed charges,89.67,percent of total billed charges,89.67,percent of total billed charges,89.67,percent of total billed charges,89.67,percent of total billed charges,89.67,percent of total billed charges,64.56,percent of total billed charges,64.56,percent of total billed charges,64.56,percent of total billed charges,64.56,percent of total billed charges,64.56,percent of total billed charges,64.56,percent of total billed charges,66.36,percent of total billed charges,66.36,percent of total billed charges,71.74,percent of total billed charges,71.74,percent of total billed charges,,,64.56,percent of total billed charges ,,,71.74,percent of total billed charges ,75.32,percent of total billed charges ,75.32,percent of total billed charges ,69.94,percent of total billed charges ,69.94,percent of total billed charges ,71.74,percent of total billed charges ,71.74,percent of total billed charges ,62.77,percent of total billed charges ,62.77,percent of total billed charges ,53.8,percent of total billed charges ,53.8,percent of total billed charges ,53.8,percent of total billed charges ,53.8,percent of total billed charges ,,,,,47.7,percent of total billed charges ,,,,,45.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,,,25.11,percent of total billed charges,
MILK OF MAGNESIA (MOM) 30ML SUSP,LOCAL,LOCAL,,,,both,,,6.3,6.3,1.76,6.3,6.3,percent of total billed charges,6.3,percent of total billed charges,6.3,percent of total billed charges,6.3,percent of total billed charges,6.3,percent of total billed charges,6.3,percent of total billed charges,6.3,percent of total billed charges,6.3,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,,,4.54,percent of total billed charges ,,,5.04,percent of total billed charges ,5.29,percent of total billed charges ,5.29,percent of total billed charges ,4.91,percent of total billed charges ,4.91,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.41,percent of total billed charges ,4.41,percent of total billed charges ,3.78,percent of total billed charges ,3.78,percent of total billed charges ,3.78,percent of total billed charges ,3.78,percent of total billed charges ,,,,,3.35,percent of total billed charges ,,,,,3.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,,,1.76,percent of total billed charges,
DIVALPROEX (DEPAKOTE) DR 500MG TAB,LOCAL,LOCAL,,,,both,,,1.01,1.01,0.28,1.01,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,,,0.73,percent of total billed charges ,,,0.81,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
SODIUM BICARBONATE 8.4% 10MEQ/10ML INJ,LOCAL,LOCAL,,,,both,,,59.55,59.55,16.67,59.55,59.55,percent of total billed charges,59.55,percent of total billed charges,59.55,percent of total billed charges,59.55,percent of total billed charges,59.55,percent of total billed charges,59.55,percent of total billed charges,59.55,percent of total billed charges,59.55,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,42.88,percent of total billed charges,44.07,percent of total billed charges,44.07,percent of total billed charges,47.64,percent of total billed charges,47.64,percent of total billed charges,,,42.88,percent of total billed charges ,,,47.64,percent of total billed charges ,50.02,percent of total billed charges ,50.02,percent of total billed charges ,46.45,percent of total billed charges ,46.45,percent of total billed charges ,47.64,percent of total billed charges ,47.64,percent of total billed charges ,41.69,percent of total billed charges ,41.69,percent of total billed charges ,35.73,percent of total billed charges ,35.73,percent of total billed charges ,35.73,percent of total billed charges ,35.73,percent of total billed charges ,,,,,31.68,percent of total billed charges ,,,,,30.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,,,16.67,percent of total billed charges,
CYANOCOBALAMIN (VIT B 12) 500 MCG TAB,LOCAL,LOCAL,,,,both,,,0.77,0.77,0.22,0.77,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,,,0.55,percent of total billed charges ,,,0.62,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
ISOSORBIDE MONONITRATE (ISMO) 20 MG:TAB,LOCAL,LOCAL,,,,both,,,2.03,2.03,0.57,2.03,2.03,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.5,percent of total billed charges,1.5,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,,,1.46,percent of total billed charges ,,,1.62,percent of total billed charges ,1.71,percent of total billed charges ,1.71,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.42,percent of total billed charges ,1.42,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,,,,,1.08,percent of total billed charges ,,,,,1.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,
**CERVIDIL(DINOPROSTONE)VAG INSERT 10MG:,LOCAL,LOCAL,,,,both,,,647,647,181.16,647,647,percent of total billed charges,647,percent of total billed charges,647,percent of total billed charges,647,percent of total billed charges,647,percent of total billed charges,647,percent of total billed charges,647,percent of total billed charges,647,percent of total billed charges,465.84,percent of total billed charges,465.84,percent of total billed charges,465.84,percent of total billed charges,465.84,percent of total billed charges,465.84,percent of total billed charges,465.84,percent of total billed charges,478.78,percent of total billed charges,478.78,percent of total billed charges,517.6,percent of total billed charges,517.6,percent of total billed charges,,,465.84,percent of total billed charges ,,,517.6,percent of total billed charges ,543.48,percent of total billed charges ,543.48,percent of total billed charges ,504.66,percent of total billed charges ,504.66,percent of total billed charges ,517.6,percent of total billed charges ,517.6,percent of total billed charges ,452.9,percent of total billed charges ,452.9,percent of total billed charges ,388.2,percent of total billed charges ,388.2,percent of total billed charges ,388.2,percent of total billed charges ,388.2,percent of total billed charges ,,,,,344.2,percent of total billed charges ,,,,,326.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,,,181.16,percent of total billed charges,
"EPOETIN ALFA 40,000 UNITS (NON-DIALYSIS)",J0885,CDM,,,,both,,,"2,758.22","2,758.22",772.3,"2,758.22","2,758.22",percent of total billed charges,"2,758.22",percent of total billed charges,"2,758.22",percent of total billed charges,"2,758.22",percent of total billed charges,"2,758.22",percent of total billed charges,"2,758.22",percent of total billed charges,"2,758.22",percent of total billed charges,"2,758.22",percent of total billed charges,"1,985.92",percent of total billed charges,"1,985.92",percent of total billed charges,"1,985.92",percent of total billed charges,"1,985.92",percent of total billed charges,"1,985.92",percent of total billed charges,"1,985.92",percent of total billed charges,"2,041.08",percent of total billed charges,"2,041.08",percent of total billed charges,"2,206.58",percent of total billed charges,"2,206.58",percent of total billed charges,,,"1,985.92",percent of total billed charges ,,,"2,206.58",percent of total billed charges ,"2,316.90",percent of total billed charges ,"2,316.90",percent of total billed charges ,"2,151.41",percent of total billed charges ,"2,151.41",percent of total billed charges ,"2,206.58",percent of total billed charges ,"2,206.58",percent of total billed charges ,"1,930.75",percent of total billed charges ,"1,930.75",percent of total billed charges ,"1,654.93",percent of total billed charges ,"1,654.93",percent of total billed charges ,"1,654.93",percent of total billed charges ,"1,654.93",percent of total billed charges ,,,,,"1,467.37",percent of total billed charges ,,,,,"1,394.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,,,772.3,percent of total billed charges,
GI COCKTAIL 45 ML ORAL SUSP,LOCAL,LOCAL,,,,both,,,10.5,10.5,2.94,10.5,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,7.56,percent of total billed charges,7.56,percent of total billed charges,7.56,percent of total billed charges,7.56,percent of total billed charges,7.56,percent of total billed charges,7.56,percent of total billed charges,7.77,percent of total billed charges,7.77,percent of total billed charges,8.4,percent of total billed charges,8.4,percent of total billed charges,,,7.56,percent of total billed charges ,,,8.4,percent of total billed charges ,8.82,percent of total billed charges ,8.82,percent of total billed charges ,8.19,percent of total billed charges ,8.19,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.35,percent of total billed charges ,7.35,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,,,,,5.59,percent of total billed charges ,,,,,5.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,,,2.94,percent of total billed charges,
fentaNYL (DURAGESIC) 75 MCG/HR PATCH,LOCAL,LOCAL,,,,both,,,25.79,25.79,7.22,25.79,25.79,percent of total billed charges,25.79,percent of total billed charges,25.79,percent of total billed charges,25.79,percent of total billed charges,25.79,percent of total billed charges,25.79,percent of total billed charges,25.79,percent of total billed charges,25.79,percent of total billed charges,18.57,percent of total billed charges,18.57,percent of total billed charges,18.57,percent of total billed charges,18.57,percent of total billed charges,18.57,percent of total billed charges,18.57,percent of total billed charges,19.08,percent of total billed charges,19.08,percent of total billed charges,20.63,percent of total billed charges,20.63,percent of total billed charges,,,18.57,percent of total billed charges ,,,20.63,percent of total billed charges ,21.66,percent of total billed charges ,21.66,percent of total billed charges ,20.12,percent of total billed charges ,20.12,percent of total billed charges ,20.63,percent of total billed charges ,20.63,percent of total billed charges ,18.05,percent of total billed charges ,18.05,percent of total billed charges ,15.47,percent of total billed charges ,15.47,percent of total billed charges ,15.47,percent of total billed charges ,15.47,percent of total billed charges ,,,,,13.72,percent of total billed charges ,,,,,13.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,,,7.22,percent of total billed charges,
GENTAMICIN 0.3%(GARAMYCIN) OPTH SOLN 5ML,LOCAL,LOCAL,,,,both,,,44.12,44.12,12.35,44.12,44.12,percent of total billed charges,44.12,percent of total billed charges,44.12,percent of total billed charges,44.12,percent of total billed charges,44.12,percent of total billed charges,44.12,percent of total billed charges,44.12,percent of total billed charges,44.12,percent of total billed charges,31.77,percent of total billed charges,31.77,percent of total billed charges,31.77,percent of total billed charges,31.77,percent of total billed charges,31.77,percent of total billed charges,31.77,percent of total billed charges,32.65,percent of total billed charges,32.65,percent of total billed charges,35.3,percent of total billed charges,35.3,percent of total billed charges,,,31.77,percent of total billed charges ,,,35.3,percent of total billed charges ,37.06,percent of total billed charges ,37.06,percent of total billed charges ,34.41,percent of total billed charges ,34.41,percent of total billed charges ,35.3,percent of total billed charges ,35.3,percent of total billed charges ,30.88,percent of total billed charges ,30.88,percent of total billed charges ,26.47,percent of total billed charges ,26.47,percent of total billed charges ,26.47,percent of total billed charges ,26.47,percent of total billed charges ,,,,,23.47,percent of total billed charges ,,,,,22.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,,,12.35,percent of total billed charges,
CARBAMIDE (DEBROX) EAR DROPS 15 ML,LOCAL,LOCAL,,,,both,,,21.23,21.23,5.94,21.23,21.23,percent of total billed charges,21.23,percent of total billed charges,21.23,percent of total billed charges,21.23,percent of total billed charges,21.23,percent of total billed charges,21.23,percent of total billed charges,21.23,percent of total billed charges,21.23,percent of total billed charges,15.29,percent of total billed charges,15.29,percent of total billed charges,15.29,percent of total billed charges,15.29,percent of total billed charges,15.29,percent of total billed charges,15.29,percent of total billed charges,15.71,percent of total billed charges,15.71,percent of total billed charges,16.98,percent of total billed charges,16.98,percent of total billed charges,,,15.29,percent of total billed charges ,,,16.98,percent of total billed charges ,17.83,percent of total billed charges ,17.83,percent of total billed charges ,16.56,percent of total billed charges ,16.56,percent of total billed charges ,16.98,percent of total billed charges ,16.98,percent of total billed charges ,14.86,percent of total billed charges ,14.86,percent of total billed charges ,12.74,percent of total billed charges ,12.74,percent of total billed charges ,12.74,percent of total billed charges ,12.74,percent of total billed charges ,,,,,11.29,percent of total billed charges ,,,,,10.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,,,5.94,percent of total billed charges,
**LUBRIDERM PUMP (LOTION):16OZ,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
"EPOETIN ALFA 4,000 UNITS (NON-DIALYSIS)",J0885,CDM,,,,both,,,515.87,515.87,144.44,515.87,515.87,percent of total billed charges,515.87,percent of total billed charges,515.87,percent of total billed charges,515.87,percent of total billed charges,515.87,percent of total billed charges,515.87,percent of total billed charges,515.87,percent of total billed charges,515.87,percent of total billed charges,371.43,percent of total billed charges,371.43,percent of total billed charges,371.43,percent of total billed charges,371.43,percent of total billed charges,371.43,percent of total billed charges,371.43,percent of total billed charges,381.74,percent of total billed charges,381.74,percent of total billed charges,412.7,percent of total billed charges,412.7,percent of total billed charges,,,371.43,percent of total billed charges ,,,412.7,percent of total billed charges ,433.33,percent of total billed charges ,433.33,percent of total billed charges ,402.38,percent of total billed charges ,402.38,percent of total billed charges ,412.7,percent of total billed charges ,412.7,percent of total billed charges ,361.11,percent of total billed charges ,361.11,percent of total billed charges ,309.52,percent of total billed charges ,309.52,percent of total billed charges ,309.52,percent of total billed charges ,309.52,percent of total billed charges ,,,,,274.44,percent of total billed charges ,,,,,260.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,,,144.44,percent of total billed charges,
**LEVOBUNOLOL (BETAGAN) 0.25% OPHTH SO,LOCAL,LOCAL,,,,both,,,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
fentaNYL (DURAGESIC) 100 MCG/HR PATCH,LOCAL,LOCAL,,,,both,,,105.85,105.85,29.64,105.85,105.85,percent of total billed charges,105.85,percent of total billed charges,105.85,percent of total billed charges,105.85,percent of total billed charges,105.85,percent of total billed charges,105.85,percent of total billed charges,105.85,percent of total billed charges,105.85,percent of total billed charges,76.21,percent of total billed charges,76.21,percent of total billed charges,76.21,percent of total billed charges,76.21,percent of total billed charges,76.21,percent of total billed charges,76.21,percent of total billed charges,78.33,percent of total billed charges,78.33,percent of total billed charges,84.68,percent of total billed charges,84.68,percent of total billed charges,,,76.21,percent of total billed charges ,,,84.68,percent of total billed charges ,88.91,percent of total billed charges ,88.91,percent of total billed charges ,82.56,percent of total billed charges ,82.56,percent of total billed charges ,84.68,percent of total billed charges ,84.68,percent of total billed charges ,74.1,percent of total billed charges ,74.1,percent of total billed charges ,63.51,percent of total billed charges ,63.51,percent of total billed charges ,63.51,percent of total billed charges ,63.51,percent of total billed charges ,,,,,56.31,percent of total billed charges ,,,,,53.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,,,29.64,percent of total billed charges,
guanFACINE (TENEX) 1MG TAB,LOCAL,LOCAL,,,,both,,,5.15,5.15,1.44,5.15,5.15,percent of total billed charges,5.15,percent of total billed charges,5.15,percent of total billed charges,5.15,percent of total billed charges,5.15,percent of total billed charges,5.15,percent of total billed charges,5.15,percent of total billed charges,5.15,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.71,percent of total billed charges,3.81,percent of total billed charges,3.81,percent of total billed charges,4.12,percent of total billed charges,4.12,percent of total billed charges,,,3.71,percent of total billed charges ,,,4.12,percent of total billed charges ,4.33,percent of total billed charges ,4.33,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,4.12,percent of total billed charges ,4.12,percent of total billed charges ,3.61,percent of total billed charges ,3.61,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,,,,,2.74,percent of total billed charges ,,,,,2.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,,,1.44,percent of total billed charges,
**MINOCYCLINE (MINOCIN) 50MG: CAP,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
FELODIPINE ER (PLENDIL) 5 MG TAB,LOCAL,LOCAL,,,,both,,,0.54,0.54,0.15,0.54,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,,,0.39,percent of total billed charges ,,,0.43,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
**LIVOSTIN (LEVOCARBASTINE) 0.05%: 5 ML,LOCAL,LOCAL,,,,both,,,134,134,37.52,134,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,134,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,96.48,percent of total billed charges,99.16,percent of total billed charges,99.16,percent of total billed charges,107.2,percent of total billed charges,107.2,percent of total billed charges,,,96.48,percent of total billed charges ,,,107.2,percent of total billed charges ,112.56,percent of total billed charges ,112.56,percent of total billed charges ,104.52,percent of total billed charges ,104.52,percent of total billed charges ,107.2,percent of total billed charges ,107.2,percent of total billed charges ,93.8,percent of total billed charges ,93.8,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,80.4,percent of total billed charges ,,,,,71.29,percent of total billed charges ,,,,,67.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,,,37.52,percent of total billed charges,
**VICODIN (HYDROCODONE 5 APAP 500): TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
dilTIAZem (CARDIZEM) 25MG/5ML VIAL,LOCAL,LOCAL,,,,both,,,26.2,26.2,7.34,26.2,26.2,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,26.2,percent of total billed charges,18.86,percent of total billed charges,18.86,percent of total billed charges,18.86,percent of total billed charges,18.86,percent of total billed charges,18.86,percent of total billed charges,18.86,percent of total billed charges,19.39,percent of total billed charges,19.39,percent of total billed charges,20.96,percent of total billed charges,20.96,percent of total billed charges,,,18.86,percent of total billed charges ,,,20.96,percent of total billed charges ,22.01,percent of total billed charges ,22.01,percent of total billed charges ,20.44,percent of total billed charges ,20.44,percent of total billed charges ,20.96,percent of total billed charges ,20.96,percent of total billed charges ,18.34,percent of total billed charges ,18.34,percent of total billed charges ,15.72,percent of total billed charges ,15.72,percent of total billed charges ,15.72,percent of total billed charges ,15.72,percent of total billed charges ,,,,,13.94,percent of total billed charges ,,,,,13.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,
NICOTINE (NICODERM) 7MG PATCH,LOCAL,LOCAL,,,,both,,,4.46,4.46,1.25,4.46,4.46,percent of total billed charges,4.46,percent of total billed charges,4.46,percent of total billed charges,4.46,percent of total billed charges,4.46,percent of total billed charges,4.46,percent of total billed charges,4.46,percent of total billed charges,4.46,percent of total billed charges,3.21,percent of total billed charges,3.21,percent of total billed charges,3.21,percent of total billed charges,3.21,percent of total billed charges,3.21,percent of total billed charges,3.21,percent of total billed charges,3.3,percent of total billed charges,3.3,percent of total billed charges,3.57,percent of total billed charges,3.57,percent of total billed charges,,,3.21,percent of total billed charges ,,,3.57,percent of total billed charges ,3.75,percent of total billed charges ,3.75,percent of total billed charges ,3.48,percent of total billed charges ,3.48,percent of total billed charges ,3.57,percent of total billed charges ,3.57,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,2.68,percent of total billed charges ,2.68,percent of total billed charges ,2.68,percent of total billed charges ,2.68,percent of total billed charges ,,,,,2.37,percent of total billed charges ,,,,,2.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,,,1.25,percent of total billed charges,
NICOTINE (NICODERM) 14MG PATCH,LOCAL,LOCAL,,,,both,,,5.18,5.18,1.45,5.18,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,3.83,percent of total billed charges,3.83,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,,,3.73,percent of total billed charges ,,,4.14,percent of total billed charges ,4.35,percent of total billed charges ,4.35,percent of total billed charges ,4.04,percent of total billed charges ,4.04,percent of total billed charges ,4.14,percent of total billed charges ,4.14,percent of total billed charges ,3.63,percent of total billed charges ,3.63,percent of total billed charges ,3.11,percent of total billed charges ,3.11,percent of total billed charges ,3.11,percent of total billed charges ,3.11,percent of total billed charges ,,,,,2.76,percent of total billed charges ,,,,,2.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,,,1.45,percent of total billed charges,
**RAMIPRIL (ALTACE) 2.5 MG CAP,LOCAL,LOCAL,,,,both,,,0.9,0.9,0.25,0.9,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,,,0.65,percent of total billed charges ,,,0.72,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
DESONIDE (TRIDESILON) 0.05% CREAM 15GM,LOCAL,LOCAL,,,,both,,,84.41,84.41,23.63,84.41,84.41,percent of total billed charges,84.41,percent of total billed charges,84.41,percent of total billed charges,84.41,percent of total billed charges,84.41,percent of total billed charges,84.41,percent of total billed charges,84.41,percent of total billed charges,84.41,percent of total billed charges,60.78,percent of total billed charges,60.78,percent of total billed charges,60.78,percent of total billed charges,60.78,percent of total billed charges,60.78,percent of total billed charges,60.78,percent of total billed charges,62.46,percent of total billed charges,62.46,percent of total billed charges,67.53,percent of total billed charges,67.53,percent of total billed charges,,,60.78,percent of total billed charges ,,,67.53,percent of total billed charges ,70.9,percent of total billed charges ,70.9,percent of total billed charges ,65.84,percent of total billed charges ,65.84,percent of total billed charges ,67.53,percent of total billed charges ,67.53,percent of total billed charges ,59.09,percent of total billed charges ,59.09,percent of total billed charges ,50.65,percent of total billed charges ,50.65,percent of total billed charges ,50.65,percent of total billed charges ,50.65,percent of total billed charges ,,,,,44.91,percent of total billed charges ,,,,,42.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,,,23.63,percent of total billed charges,
fentaNYL (DURAGESIC) 25 MCG/HR PATCH,LOCAL,LOCAL,,,,both,,,8.6,8.6,2.41,8.6,8.6,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,6.19,percent of total billed charges,6.19,percent of total billed charges,6.19,percent of total billed charges,6.19,percent of total billed charges,6.19,percent of total billed charges,6.19,percent of total billed charges,6.36,percent of total billed charges,6.36,percent of total billed charges,6.88,percent of total billed charges,6.88,percent of total billed charges,,,6.19,percent of total billed charges ,,,6.88,percent of total billed charges ,7.22,percent of total billed charges ,7.22,percent of total billed charges ,6.71,percent of total billed charges ,6.71,percent of total billed charges ,6.88,percent of total billed charges ,6.88,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,5.16,percent of total billed charges ,5.16,percent of total billed charges ,5.16,percent of total billed charges ,5.16,percent of total billed charges ,,,,,4.58,percent of total billed charges ,,,,,4.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,,,2.41,percent of total billed charges,
"**HEPARIN 100UNIT/ML, 30ML FLUSH SOLN",J1642,CDM,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
"EPOETIN 3,000 UNITS (NON-DIALYSIS)",J0885,CDM,,,,both,,,532.9,532.9,149.21,532.9,532.9,percent of total billed charges,532.9,percent of total billed charges,532.9,percent of total billed charges,532.9,percent of total billed charges,532.9,percent of total billed charges,532.9,percent of total billed charges,532.9,percent of total billed charges,532.9,percent of total billed charges,383.69,percent of total billed charges,383.69,percent of total billed charges,383.69,percent of total billed charges,383.69,percent of total billed charges,383.69,percent of total billed charges,383.69,percent of total billed charges,394.35,percent of total billed charges,394.35,percent of total billed charges,426.32,percent of total billed charges,426.32,percent of total billed charges,,,383.69,percent of total billed charges ,,,426.32,percent of total billed charges ,447.64,percent of total billed charges ,447.64,percent of total billed charges ,415.66,percent of total billed charges ,415.66,percent of total billed charges ,426.32,percent of total billed charges ,426.32,percent of total billed charges ,373.03,percent of total billed charges ,373.03,percent of total billed charges ,319.74,percent of total billed charges ,319.74,percent of total billed charges ,319.74,percent of total billed charges ,319.74,percent of total billed charges ,,,,,283.5,percent of total billed charges ,,,,,269.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,,,149.21,percent of total billed charges,
dilTIAZem CD (CARDIZEM CD) 180MG CAP,LOCAL,LOCAL,,,,both,,,1.73,1.73,0.48,1.73,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,,,1.25,percent of total billed charges ,,,1.38,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,,,,,0.92,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,
FLUCONAZOLE (DIFLUCAN) 100MG TAB,LOCAL,LOCAL,,,,both,,,4.95,4.95,1.39,4.95,4.95,percent of total billed charges,4.95,percent of total billed charges,4.95,percent of total billed charges,4.95,percent of total billed charges,4.95,percent of total billed charges,4.95,percent of total billed charges,4.95,percent of total billed charges,4.95,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.56,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.96,percent of total billed charges,3.96,percent of total billed charges,,,3.56,percent of total billed charges ,,,3.96,percent of total billed charges ,4.16,percent of total billed charges ,4.16,percent of total billed charges ,3.86,percent of total billed charges ,3.86,percent of total billed charges ,3.96,percent of total billed charges ,3.96,percent of total billed charges ,3.47,percent of total billed charges ,3.47,percent of total billed charges ,2.97,percent of total billed charges ,2.97,percent of total billed charges ,2.97,percent of total billed charges ,2.97,percent of total billed charges ,,,,,2.63,percent of total billed charges ,,,,,2.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,,,1.39,percent of total billed charges,
BENZONATATE (TESSALON PERLE) 100MG CAP,LOCAL,LOCAL,,,,both,,,1.72,1.72,0.48,1.72,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,,,1.24,percent of total billed charges ,,,1.38,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,,,,,0.92,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,
**TUSSI 12(CARBET.CHLORPH.PE) SUSP: 60 M,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
PHENTOLAMINE (REGITINE) 5MG VIAL,J2760,CDM,,,,both,,,"1,702.18","1,702.18",476.61,"1,702.18","1,702.18",percent of total billed charges,"1,702.18",percent of total billed charges,"1,702.18",percent of total billed charges,"1,702.18",percent of total billed charges,"1,702.18",percent of total billed charges,"1,702.18",percent of total billed charges,"1,702.18",percent of total billed charges,"1,702.18",percent of total billed charges,"1,225.57",percent of total billed charges,"1,225.57",percent of total billed charges,"1,225.57",percent of total billed charges,"1,225.57",percent of total billed charges,"1,225.57",percent of total billed charges,"1,225.57",percent of total billed charges,"1,259.61",percent of total billed charges,"1,259.61",percent of total billed charges,"1,361.74",percent of total billed charges,"1,361.74",percent of total billed charges,,,"1,225.57",percent of total billed charges ,,,"1,361.74",percent of total billed charges ,"1,429.83",percent of total billed charges ,"1,429.83",percent of total billed charges ,"1,327.70",percent of total billed charges ,"1,327.70",percent of total billed charges ,"1,361.74",percent of total billed charges ,"1,361.74",percent of total billed charges ,"1,191.53",percent of total billed charges ,"1,191.53",percent of total billed charges ,"1,021.31",percent of total billed charges ,"1,021.31",percent of total billed charges ,"1,021.31",percent of total billed charges ,"1,021.31",percent of total billed charges ,,,,,905.56,percent of total billed charges ,,,,,860.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,,,476.61,percent of total billed charges,
**PENICILLIN-VK SUSP 250 MG/5ML: 100ML,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
SERTRALINE (ZOLOFT) 50 MG TAB,LOCAL,LOCAL,,,,both,,,1.34,1.34,0.38,1.34,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,,,0.96,percent of total billed charges ,,,1.07,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.07,percent of total billed charges ,1.07,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,,,,,0.71,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
**AMANTADINE (SYMMETREL) SYR 50MG/5ML 60,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
GLIMEPIRIDE (AMARYL) 2MG TAB,LOCAL,LOCAL,,,,both,,,0.95,0.95,0.27,0.95,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,,,0.68,percent of total billed charges ,,,0.76,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
FEXOFENADINE (ALLEGRA) 60 MG TAB,LOCAL,LOCAL,,,,both,,,3.6,3.6,1.01,3.6,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,,,2.59,percent of total billed charges ,,,2.88,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,,,,,1.92,percent of total billed charges ,,,,,1.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,
DOXAZOSIN (CARDURA) 2 MG TAB,LOCAL,LOCAL,,,,both,,,2.37,2.37,0.66,2.37,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,,,1.71,percent of total billed charges ,,,1.9,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.42,percent of total billed charges ,1.42,percent of total billed charges ,1.42,percent of total billed charges ,1.42,percent of total billed charges ,,,,,1.26,percent of total billed charges ,,,,,1.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,
MORphine SR (MS-CONTIN) 15MG TAB,LOCAL,LOCAL,,,,both,,,6.72,6.72,1.88,6.72,6.72,percent of total billed charges,6.72,percent of total billed charges,6.72,percent of total billed charges,6.72,percent of total billed charges,6.72,percent of total billed charges,6.72,percent of total billed charges,6.72,percent of total billed charges,6.72,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,4.97,percent of total billed charges,4.97,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,,,4.84,percent of total billed charges ,,,5.38,percent of total billed charges ,5.64,percent of total billed charges ,5.64,percent of total billed charges ,5.24,percent of total billed charges ,5.24,percent of total billed charges ,5.38,percent of total billed charges ,5.38,percent of total billed charges ,4.7,percent of total billed charges ,4.7,percent of total billed charges ,4.03,percent of total billed charges ,4.03,percent of total billed charges ,4.03,percent of total billed charges ,4.03,percent of total billed charges ,,,,,3.58,percent of total billed charges ,,,,,3.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,
**CYCLOPENTOLATE (CYCLOGYL) 2% OPHTH SO,LOCAL,LOCAL,,,,both,,,269,269,75.32,269,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,269,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,193.68,percent of total billed charges,199.06,percent of total billed charges,199.06,percent of total billed charges,215.2,percent of total billed charges,215.2,percent of total billed charges,,,193.68,percent of total billed charges ,,,215.2,percent of total billed charges ,225.96,percent of total billed charges ,225.96,percent of total billed charges ,209.82,percent of total billed charges ,209.82,percent of total billed charges ,215.2,percent of total billed charges ,215.2,percent of total billed charges ,188.3,percent of total billed charges ,188.3,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,161.4,percent of total billed charges ,,,,,143.11,percent of total billed charges ,,,,,135.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,,,75.32,percent of total billed charges,
ENOXAPARIN (LOVENOX) 80 MG SYRINGE,J1650,CDM,,,,both,,,121.65,121.65,34.06,121.65,121.65,percent of total billed charges,121.65,percent of total billed charges,121.65,percent of total billed charges,121.65,percent of total billed charges,121.65,percent of total billed charges,121.65,percent of total billed charges,121.65,percent of total billed charges,121.65,percent of total billed charges,87.59,percent of total billed charges,87.59,percent of total billed charges,87.59,percent of total billed charges,87.59,percent of total billed charges,87.59,percent of total billed charges,87.59,percent of total billed charges,90.02,percent of total billed charges,90.02,percent of total billed charges,97.32,percent of total billed charges,97.32,percent of total billed charges,,,87.59,percent of total billed charges ,,,97.32,percent of total billed charges ,102.19,percent of total billed charges ,102.19,percent of total billed charges ,94.89,percent of total billed charges ,94.89,percent of total billed charges ,97.32,percent of total billed charges ,97.32,percent of total billed charges ,85.16,percent of total billed charges ,85.16,percent of total billed charges ,72.99,percent of total billed charges ,72.99,percent of total billed charges ,72.99,percent of total billed charges ,72.99,percent of total billed charges ,,,,,64.72,percent of total billed charges ,,,,,61.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,,,34.06,percent of total billed charges,
TORSEMIDE(DEMADEX) TAB 20MG,LOCAL,LOCAL,,,,both,,,1.32,1.32,0.37,1.32,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,,,0.95,percent of total billed charges ,,,1.06,percent of total billed charges ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,0.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,
SUFentanil (SUFENTA) 50 MCG/ML 1ML,LOCAL,LOCAL,,,,both,,,105.52,105.52,29.55,105.52,105.52,percent of total billed charges,105.52,percent of total billed charges,105.52,percent of total billed charges,105.52,percent of total billed charges,105.52,percent of total billed charges,105.52,percent of total billed charges,105.52,percent of total billed charges,105.52,percent of total billed charges,75.97,percent of total billed charges,75.97,percent of total billed charges,75.97,percent of total billed charges,75.97,percent of total billed charges,75.97,percent of total billed charges,75.97,percent of total billed charges,78.08,percent of total billed charges,78.08,percent of total billed charges,84.42,percent of total billed charges,84.42,percent of total billed charges,,,75.97,percent of total billed charges ,,,84.42,percent of total billed charges ,88.64,percent of total billed charges ,88.64,percent of total billed charges ,82.31,percent of total billed charges ,82.31,percent of total billed charges ,84.42,percent of total billed charges ,84.42,percent of total billed charges ,73.86,percent of total billed charges ,73.86,percent of total billed charges ,63.31,percent of total billed charges ,63.31,percent of total billed charges ,63.31,percent of total billed charges ,63.31,percent of total billed charges ,,,,,56.14,percent of total billed charges ,,,,,53.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,,,29.55,percent of total billed charges,
NABUMETONE (RELAFEN) TAB 500MG,LOCAL,LOCAL,,,,both,,,4.36,4.36,1.22,4.36,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.14,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,,,3.14,percent of total billed charges ,,,3.49,percent of total billed charges ,3.66,percent of total billed charges ,3.66,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,,,,,2.32,percent of total billed charges ,,,,,2.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,,,1.22,percent of total billed charges,
SUCCINYLCHOLINE (ANECTINE) 200MG/10ML,J0330,CDM,,,,both,,,83.42,83.42,23.36,83.42,83.42,percent of total billed charges,83.42,percent of total billed charges,83.42,percent of total billed charges,83.42,percent of total billed charges,83.42,percent of total billed charges,83.42,percent of total billed charges,83.42,percent of total billed charges,83.42,percent of total billed charges,60.06,percent of total billed charges,60.06,percent of total billed charges,60.06,percent of total billed charges,60.06,percent of total billed charges,60.06,percent of total billed charges,60.06,percent of total billed charges,61.73,percent of total billed charges,61.73,percent of total billed charges,66.74,percent of total billed charges,66.74,percent of total billed charges,,,60.06,percent of total billed charges ,,,66.74,percent of total billed charges ,70.07,percent of total billed charges ,70.07,percent of total billed charges ,65.07,percent of total billed charges ,65.07,percent of total billed charges ,66.74,percent of total billed charges ,66.74,percent of total billed charges ,58.39,percent of total billed charges ,58.39,percent of total billed charges ,50.05,percent of total billed charges ,50.05,percent of total billed charges ,50.05,percent of total billed charges ,50.05,percent of total billed charges ,,,,,44.38,percent of total billed charges ,,,,,42.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,,,23.36,percent of total billed charges,
METHOHEXITAL (BREVITAL) 500MG VIAL,LOCAL,LOCAL,,,,both,,,"1,166.92","1,166.92",326.74,"1,166.92","1,166.92",percent of total billed charges,"1,166.92",percent of total billed charges,"1,166.92",percent of total billed charges,"1,166.92",percent of total billed charges,"1,166.92",percent of total billed charges,"1,166.92",percent of total billed charges,"1,166.92",percent of total billed charges,"1,166.92",percent of total billed charges,840.18,percent of total billed charges,840.18,percent of total billed charges,840.18,percent of total billed charges,840.18,percent of total billed charges,840.18,percent of total billed charges,840.18,percent of total billed charges,863.52,percent of total billed charges,863.52,percent of total billed charges,933.54,percent of total billed charges,933.54,percent of total billed charges,,,840.18,percent of total billed charges ,,,933.54,percent of total billed charges ,980.21,percent of total billed charges ,980.21,percent of total billed charges ,910.2,percent of total billed charges ,910.2,percent of total billed charges ,933.54,percent of total billed charges ,933.54,percent of total billed charges ,816.84,percent of total billed charges ,816.84,percent of total billed charges ,700.15,percent of total billed charges ,700.15,percent of total billed charges ,700.15,percent of total billed charges ,700.15,percent of total billed charges ,,,,,620.8,percent of total billed charges ,,,,,589.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,,,326.74,percent of total billed charges,
CALCIUM CHLORIDE 1GM/10ML (10%) INJ,LOCAL,LOCAL,,,,both,,,153.97,153.97,43.11,153.97,153.97,percent of total billed charges,153.97,percent of total billed charges,153.97,percent of total billed charges,153.97,percent of total billed charges,153.97,percent of total billed charges,153.97,percent of total billed charges,153.97,percent of total billed charges,153.97,percent of total billed charges,110.86,percent of total billed charges,110.86,percent of total billed charges,110.86,percent of total billed charges,110.86,percent of total billed charges,110.86,percent of total billed charges,110.86,percent of total billed charges,113.94,percent of total billed charges,113.94,percent of total billed charges,123.18,percent of total billed charges,123.18,percent of total billed charges,,,110.86,percent of total billed charges ,,,123.18,percent of total billed charges ,129.33,percent of total billed charges ,129.33,percent of total billed charges ,120.1,percent of total billed charges ,120.1,percent of total billed charges ,123.18,percent of total billed charges ,123.18,percent of total billed charges ,107.78,percent of total billed charges ,107.78,percent of total billed charges ,92.38,percent of total billed charges ,92.38,percent of total billed charges ,92.38,percent of total billed charges ,92.38,percent of total billed charges ,,,,,81.91,percent of total billed charges ,,,,,77.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,,,43.11,percent of total billed charges,
**CURARE(TUBOCURARINE INJECT)3MG/ML: 1,LOCAL,LOCAL,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
PROPOFOL (DIPRIVAN) 200MG/20ML INJ,J2704,CDM,,,,both,,,62.64,62.64,17.54,62.64,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,45.1,percent of total billed charges,45.1,percent of total billed charges,45.1,percent of total billed charges,45.1,percent of total billed charges,45.1,percent of total billed charges,45.1,percent of total billed charges,46.35,percent of total billed charges,46.35,percent of total billed charges,50.11,percent of total billed charges,50.11,percent of total billed charges,,,45.1,percent of total billed charges ,,,50.11,percent of total billed charges ,52.62,percent of total billed charges ,52.62,percent of total billed charges ,48.86,percent of total billed charges ,48.86,percent of total billed charges ,50.11,percent of total billed charges ,50.11,percent of total billed charges ,43.85,percent of total billed charges ,43.85,percent of total billed charges ,37.58,percent of total billed charges ,37.58,percent of total billed charges ,37.58,percent of total billed charges ,37.58,percent of total billed charges ,,,,,33.32,percent of total billed charges ,,,,,31.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,,,17.54,percent of total billed charges,
DOXAPRAM (DOPRAM) 400MG INJ,LOCAL,LOCAL,,,,both,,,460.36,460.36,128.9,460.36,460.36,percent of total billed charges,460.36,percent of total billed charges,460.36,percent of total billed charges,460.36,percent of total billed charges,460.36,percent of total billed charges,460.36,percent of total billed charges,460.36,percent of total billed charges,460.36,percent of total billed charges,331.46,percent of total billed charges,331.46,percent of total billed charges,331.46,percent of total billed charges,331.46,percent of total billed charges,331.46,percent of total billed charges,331.46,percent of total billed charges,340.67,percent of total billed charges,340.67,percent of total billed charges,368.29,percent of total billed charges,368.29,percent of total billed charges,,,331.46,percent of total billed charges ,,,368.29,percent of total billed charges ,386.7,percent of total billed charges ,386.7,percent of total billed charges ,359.08,percent of total billed charges ,359.08,percent of total billed charges ,368.29,percent of total billed charges ,368.29,percent of total billed charges ,322.25,percent of total billed charges ,322.25,percent of total billed charges ,276.22,percent of total billed charges ,276.22,percent of total billed charges ,276.22,percent of total billed charges ,276.22,percent of total billed charges ,,,,,244.91,percent of total billed charges ,,,,,232.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,,,128.9,percent of total billed charges,
droPERidol (INAPSINE) 2.5MG/1ML 2ML VIAL,J1790,CDM,,,,both,,,127.36,127.36,35.66,127.36,127.36,percent of total billed charges,127.36,percent of total billed charges,127.36,percent of total billed charges,127.36,percent of total billed charges,127.36,percent of total billed charges,127.36,percent of total billed charges,127.36,percent of total billed charges,127.36,percent of total billed charges,91.7,percent of total billed charges,91.7,percent of total billed charges,91.7,percent of total billed charges,91.7,percent of total billed charges,91.7,percent of total billed charges,91.7,percent of total billed charges,94.25,percent of total billed charges,94.25,percent of total billed charges,101.89,percent of total billed charges,101.89,percent of total billed charges,,,91.7,percent of total billed charges ,,,101.89,percent of total billed charges ,106.98,percent of total billed charges ,106.98,percent of total billed charges ,99.34,percent of total billed charges ,99.34,percent of total billed charges ,101.89,percent of total billed charges ,101.89,percent of total billed charges ,89.15,percent of total billed charges ,89.15,percent of total billed charges ,76.42,percent of total billed charges ,76.42,percent of total billed charges ,76.42,percent of total billed charges ,76.42,percent of total billed charges ,,,,,67.76,percent of total billed charges ,,,,,64.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,,,35.66,percent of total billed charges,
MORphine PF(DURAMORPH) 5MG/10ML PF AMP,J2274,CDM,,,,both,,,445.9,445.9,124.85,445.9,445.9,percent of total billed charges,445.9,percent of total billed charges,445.9,percent of total billed charges,445.9,percent of total billed charges,445.9,percent of total billed charges,445.9,percent of total billed charges,445.9,percent of total billed charges,445.9,percent of total billed charges,321.05,percent of total billed charges,321.05,percent of total billed charges,321.05,percent of total billed charges,321.05,percent of total billed charges,321.05,percent of total billed charges,321.05,percent of total billed charges,329.97,percent of total billed charges,329.97,percent of total billed charges,356.72,percent of total billed charges,356.72,percent of total billed charges,,,321.05,percent of total billed charges ,,,356.72,percent of total billed charges ,374.56,percent of total billed charges ,374.56,percent of total billed charges ,347.8,percent of total billed charges ,347.8,percent of total billed charges ,356.72,percent of total billed charges ,356.72,percent of total billed charges ,312.13,percent of total billed charges ,312.13,percent of total billed charges ,267.54,percent of total billed charges ,267.54,percent of total billed charges ,267.54,percent of total billed charges ,267.54,percent of total billed charges ,,,,,237.22,percent of total billed charges ,,,,,225.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,,,124.85,percent of total billed charges,
ePHEDrine 50MG/ML INJ,LOCAL,LOCAL,,,,both,,,244.09,244.09,68.35,244.09,244.09,percent of total billed charges,244.09,percent of total billed charges,244.09,percent of total billed charges,244.09,percent of total billed charges,244.09,percent of total billed charges,244.09,percent of total billed charges,244.09,percent of total billed charges,244.09,percent of total billed charges,175.74,percent of total billed charges,175.74,percent of total billed charges,175.74,percent of total billed charges,175.74,percent of total billed charges,175.74,percent of total billed charges,175.74,percent of total billed charges,180.63,percent of total billed charges,180.63,percent of total billed charges,195.27,percent of total billed charges,195.27,percent of total billed charges,,,175.74,percent of total billed charges ,,,195.27,percent of total billed charges ,205.04,percent of total billed charges ,205.04,percent of total billed charges ,190.39,percent of total billed charges ,190.39,percent of total billed charges ,195.27,percent of total billed charges ,195.27,percent of total billed charges ,170.86,percent of total billed charges ,170.86,percent of total billed charges ,146.45,percent of total billed charges ,146.45,percent of total billed charges ,146.45,percent of total billed charges ,146.45,percent of total billed charges ,,,,,129.86,percent of total billed charges ,,,,,123.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,,,68.35,percent of total billed charges,
BUPivacaine 0.25% (SENSORCAINE) 30ML SDV,LOCAL,LOCAL,,,,both,,,26.88,26.88,7.53,26.88,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.89,percent of total billed charges,19.89,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,,,19.35,percent of total billed charges ,,,21.5,percent of total billed charges ,22.58,percent of total billed charges ,22.58,percent of total billed charges ,20.97,percent of total billed charges ,20.97,percent of total billed charges ,21.5,percent of total billed charges ,21.5,percent of total billed charges ,18.82,percent of total billed charges ,18.82,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,,,,,14.3,percent of total billed charges ,,,,,13.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,
FLUMazenil (ROMAZICON) 1MG/10ML INJ,LOCAL,LOCAL,,,,both,,,80.57,80.57,22.56,80.57,80.57,percent of total billed charges,80.57,percent of total billed charges,80.57,percent of total billed charges,80.57,percent of total billed charges,80.57,percent of total billed charges,80.57,percent of total billed charges,80.57,percent of total billed charges,80.57,percent of total billed charges,58.01,percent of total billed charges,58.01,percent of total billed charges,58.01,percent of total billed charges,58.01,percent of total billed charges,58.01,percent of total billed charges,58.01,percent of total billed charges,59.62,percent of total billed charges,59.62,percent of total billed charges,64.46,percent of total billed charges,64.46,percent of total billed charges,,,58.01,percent of total billed charges ,,,64.46,percent of total billed charges ,67.68,percent of total billed charges ,67.68,percent of total billed charges ,62.84,percent of total billed charges ,62.84,percent of total billed charges ,64.46,percent of total billed charges ,64.46,percent of total billed charges ,56.4,percent of total billed charges ,56.4,percent of total billed charges ,48.34,percent of total billed charges ,48.34,percent of total billed charges ,48.34,percent of total billed charges ,48.34,percent of total billed charges ,,,,,42.86,percent of total billed charges ,,,,,40.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,,,22.56,percent of total billed charges,
ADENOSINE (ADENOCARD) 6MG/2ML VIAL,J0153,CDM,,,,both,,,31.89,31.89,8.93,31.89,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,23.6,percent of total billed charges,23.6,percent of total billed charges,25.51,percent of total billed charges,25.51,percent of total billed charges,,,22.96,percent of total billed charges ,,,25.51,percent of total billed charges ,26.79,percent of total billed charges ,26.79,percent of total billed charges ,24.87,percent of total billed charges ,24.87,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,22.32,percent of total billed charges ,22.32,percent of total billed charges ,19.13,percent of total billed charges ,19.13,percent of total billed charges ,19.13,percent of total billed charges ,19.13,percent of total billed charges ,,,,,16.97,percent of total billed charges ,,,,,16.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,
THIOPENTAL (PENTOTHAL) 500MG SYRINGE,LOCAL,LOCAL,,,,both,,,994,994,278.32,994,994,percent of total billed charges,994,percent of total billed charges,994,percent of total billed charges,994,percent of total billed charges,994,percent of total billed charges,994,percent of total billed charges,994,percent of total billed charges,994,percent of total billed charges,715.68,percent of total billed charges,715.68,percent of total billed charges,715.68,percent of total billed charges,715.68,percent of total billed charges,715.68,percent of total billed charges,715.68,percent of total billed charges,735.56,percent of total billed charges,735.56,percent of total billed charges,795.2,percent of total billed charges,795.2,percent of total billed charges,,,715.68,percent of total billed charges ,,,795.2,percent of total billed charges ,834.96,percent of total billed charges ,834.96,percent of total billed charges ,775.32,percent of total billed charges ,775.32,percent of total billed charges ,795.2,percent of total billed charges ,795.2,percent of total billed charges ,695.8,percent of total billed charges ,695.8,percent of total billed charges ,596.4,percent of total billed charges ,596.4,percent of total billed charges ,596.4,percent of total billed charges ,596.4,percent of total billed charges ,,,,,528.81,percent of total billed charges ,,,,,502.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,,,278.32,percent of total billed charges,
pyRIDostigmine (REGONAL) INJ 5MG/2ML,LOCAL,LOCAL,,,,both,,,295,295,82.6,295,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,218.3,percent of total billed charges,218.3,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,,,212.4,percent of total billed charges ,,,236,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,230.1,percent of total billed charges ,230.1,percent of total billed charges ,236,percent of total billed charges ,236,percent of total billed charges ,206.5,percent of total billed charges ,206.5,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,,,,,156.94,percent of total billed charges ,,,,,149.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,
fentaNYL 50MCG/1ML : 2mL FTV,J3010,CDM,,,,both,,,17.86,17.86,5,17.86,17.86,percent of total billed charges,17.86,percent of total billed charges,17.86,percent of total billed charges,17.86,percent of total billed charges,17.86,percent of total billed charges,17.86,percent of total billed charges,17.86,percent of total billed charges,17.86,percent of total billed charges,12.86,percent of total billed charges,12.86,percent of total billed charges,12.86,percent of total billed charges,12.86,percent of total billed charges,12.86,percent of total billed charges,12.86,percent of total billed charges,13.22,percent of total billed charges,13.22,percent of total billed charges,14.29,percent of total billed charges,14.29,percent of total billed charges,,,12.86,percent of total billed charges ,,,14.29,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,13.93,percent of total billed charges ,13.93,percent of total billed charges ,14.29,percent of total billed charges ,14.29,percent of total billed charges ,12.5,percent of total billed charges ,12.5,percent of total billed charges ,10.72,percent of total billed charges ,10.72,percent of total billed charges ,10.72,percent of total billed charges ,10.72,percent of total billed charges ,,,,,9.5,percent of total billed charges ,,,,,9.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,
ATRACURIUM 50MG/5 ML VIAL,LOCAL,LOCAL,,,,both,,,67.02,67.02,18.77,67.02,67.02,percent of total billed charges,67.02,percent of total billed charges,67.02,percent of total billed charges,67.02,percent of total billed charges,67.02,percent of total billed charges,67.02,percent of total billed charges,67.02,percent of total billed charges,67.02,percent of total billed charges,48.25,percent of total billed charges,48.25,percent of total billed charges,48.25,percent of total billed charges,48.25,percent of total billed charges,48.25,percent of total billed charges,48.25,percent of total billed charges,49.59,percent of total billed charges,49.59,percent of total billed charges,53.62,percent of total billed charges,53.62,percent of total billed charges,,,48.25,percent of total billed charges ,,,53.62,percent of total billed charges ,56.3,percent of total billed charges ,56.3,percent of total billed charges ,52.28,percent of total billed charges ,52.28,percent of total billed charges ,53.62,percent of total billed charges ,53.62,percent of total billed charges ,46.91,percent of total billed charges ,46.91,percent of total billed charges ,40.21,percent of total billed charges ,40.21,percent of total billed charges ,40.21,percent of total billed charges ,40.21,percent of total billed charges ,,,,,35.65,percent of total billed charges ,,,,,33.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,
MIDAZOLAM (VERSED)  5MG/5ML INJ,J2250,CDM,,,,both,,,47.22,47.22,13.22,47.22,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34.94,percent of total billed charges,34.94,percent of total billed charges,37.78,percent of total billed charges,37.78,percent of total billed charges,,,34,percent of total billed charges ,,,37.78,percent of total billed charges ,39.66,percent of total billed charges ,39.66,percent of total billed charges ,36.83,percent of total billed charges ,36.83,percent of total billed charges ,37.78,percent of total billed charges ,37.78,percent of total billed charges ,33.05,percent of total billed charges ,33.05,percent of total billed charges ,28.33,percent of total billed charges ,28.33,percent of total billed charges ,28.33,percent of total billed charges ,28.33,percent of total billed charges ,,,,,25.12,percent of total billed charges ,,,,,23.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,
FLUCONAZOLE 200MG IVPB: 100mL NS,J1450,CDM,,,,both,,,46.47,46.47,13.01,46.47,46.47,percent of total billed charges,46.47,percent of total billed charges,46.47,percent of total billed charges,46.47,percent of total billed charges,46.47,percent of total billed charges,46.47,percent of total billed charges,46.47,percent of total billed charges,46.47,percent of total billed charges,33.46,percent of total billed charges,33.46,percent of total billed charges,33.46,percent of total billed charges,33.46,percent of total billed charges,33.46,percent of total billed charges,33.46,percent of total billed charges,34.39,percent of total billed charges,34.39,percent of total billed charges,37.18,percent of total billed charges,37.18,percent of total billed charges,,,33.46,percent of total billed charges ,,,37.18,percent of total billed charges ,39.03,percent of total billed charges ,39.03,percent of total billed charges ,36.25,percent of total billed charges ,36.25,percent of total billed charges ,37.18,percent of total billed charges ,37.18,percent of total billed charges ,32.53,percent of total billed charges ,32.53,percent of total billed charges ,27.88,percent of total billed charges ,27.88,percent of total billed charges ,27.88,percent of total billed charges ,27.88,percent of total billed charges ,,,,,24.72,percent of total billed charges ,,,,,23.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,,,13.01,percent of total billed charges,
**ASPIRIN BUTABARBITAL CAFFEINE TABS:,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**MIVACURIUM  2MG/ML: 10 ML VIAL,LOCAL,LOCAL,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
**TICLOPIDINE (TICLID) TAB 250MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**KAOPECTATE (ATTAPULGITE 750MG/15ML:240,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
BISMUTH SUBSALYCILATE 524MG/30ML,LOCAL,LOCAL,,,,both,,,1.98,1.98,0.55,1.98,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,,,1.43,percent of total billed charges ,,,1.58,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,
dilTIAZem CD (CARDIZEM CD)  240 MG CAP,LOCAL,LOCAL,,,,both,,,1.4,1.4,0.39,1.4,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,,,1.01,percent of total billed charges ,,,1.12,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,,,,,0.74,percent of total billed charges ,,,,,0.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,
**LIDOCAINE 5%/DEXTROSE 7.5%  2ML INJ,LOCAL,LOCAL,,,,both,,,57,57,15.96,57,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,57,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,41.04,percent of total billed charges,42.18,percent of total billed charges,42.18,percent of total billed charges,45.6,percent of total billed charges,45.6,percent of total billed charges,,,41.04,percent of total billed charges ,,,45.6,percent of total billed charges ,47.88,percent of total billed charges ,47.88,percent of total billed charges ,44.46,percent of total billed charges ,44.46,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,39.9,percent of total billed charges ,39.9,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,34.2,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,28.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,,,15.96,percent of total billed charges,
KETOROLAC 10MG TAB,LOCAL,LOCAL,,,,both,,,16.23,16.23,4.54,16.23,16.23,percent of total billed charges,16.23,percent of total billed charges,16.23,percent of total billed charges,16.23,percent of total billed charges,16.23,percent of total billed charges,16.23,percent of total billed charges,16.23,percent of total billed charges,16.23,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,12.01,percent of total billed charges,12.01,percent of total billed charges,12.98,percent of total billed charges,12.98,percent of total billed charges,,,11.69,percent of total billed charges ,,,12.98,percent of total billed charges ,13.63,percent of total billed charges ,13.63,percent of total billed charges ,12.66,percent of total billed charges ,12.66,percent of total billed charges ,12.98,percent of total billed charges ,12.98,percent of total billed charges ,11.36,percent of total billed charges ,11.36,percent of total billed charges ,9.74,percent of total billed charges ,9.74,percent of total billed charges ,9.74,percent of total billed charges ,9.74,percent of total billed charges ,,,,,8.63,percent of total billed charges ,,,,,8.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,,,4.54,percent of total billed charges,
Metoprolol SUCC (TOPROL XL) 25MG,LOCAL,LOCAL,,,,both,,,1.82,1.82,0.51,1.82,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.82,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,,,1.31,percent of total billed charges ,,,1.46,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.42,percent of total billed charges ,1.42,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,,,,,0.97,percent of total billed charges ,,,,,0.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,
**POTASSIUM ACETATE  2 MEQ/ML,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**HEPARIN 10UNIT/ML 30ML (PEDIATRIC),J1642,CDM,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**PSEUDO120/GUAIF600 (ENTEX PSE TABLET):,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
MORphine SR (MS-CONTIN) 60MG TAB,LOCAL,LOCAL,,,,both,,,14.91,14.91,4.17,14.91,14.91,percent of total billed charges,14.91,percent of total billed charges,14.91,percent of total billed charges,14.91,percent of total billed charges,14.91,percent of total billed charges,14.91,percent of total billed charges,14.91,percent of total billed charges,14.91,percent of total billed charges,10.74,percent of total billed charges,10.74,percent of total billed charges,10.74,percent of total billed charges,10.74,percent of total billed charges,10.74,percent of total billed charges,10.74,percent of total billed charges,11.03,percent of total billed charges,11.03,percent of total billed charges,11.93,percent of total billed charges,11.93,percent of total billed charges,,,10.74,percent of total billed charges ,,,11.93,percent of total billed charges ,12.52,percent of total billed charges ,12.52,percent of total billed charges ,11.63,percent of total billed charges ,11.63,percent of total billed charges ,11.93,percent of total billed charges ,11.93,percent of total billed charges ,10.44,percent of total billed charges ,10.44,percent of total billed charges ,8.95,percent of total billed charges ,8.95,percent of total billed charges ,8.95,percent of total billed charges ,8.95,percent of total billed charges ,,,,,7.93,percent of total billed charges ,,,,,7.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,,,4.17,percent of total billed charges,
**MORPHINE SULFATE SUPP(RMS-10),LOCAL,LOCAL,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
BACITRACIN OPHTH OINT 3.5 GM,LOCAL,LOCAL,,,,both,,,359.98,359.98,100.79,359.98,359.98,percent of total billed charges,359.98,percent of total billed charges,359.98,percent of total billed charges,359.98,percent of total billed charges,359.98,percent of total billed charges,359.98,percent of total billed charges,359.98,percent of total billed charges,359.98,percent of total billed charges,259.19,percent of total billed charges,259.19,percent of total billed charges,259.19,percent of total billed charges,259.19,percent of total billed charges,259.19,percent of total billed charges,259.19,percent of total billed charges,266.39,percent of total billed charges,266.39,percent of total billed charges,287.98,percent of total billed charges,287.98,percent of total billed charges,,,259.19,percent of total billed charges ,,,287.98,percent of total billed charges ,302.38,percent of total billed charges ,302.38,percent of total billed charges ,280.78,percent of total billed charges ,280.78,percent of total billed charges ,287.98,percent of total billed charges ,287.98,percent of total billed charges ,251.99,percent of total billed charges ,251.99,percent of total billed charges ,215.99,percent of total billed charges ,215.99,percent of total billed charges ,215.99,percent of total billed charges ,215.99,percent of total billed charges ,,,,,191.51,percent of total billed charges ,,,,,181.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,,,100.79,percent of total billed charges,
HEPATITIS B RECOMBINANT 5 MCG PEDIATRIC,90744,CDM,,,,both,,,151.85,151.85,42.52,151.85,151.85,percent of total billed charges,151.85,percent of total billed charges,151.85,percent of total billed charges,151.85,percent of total billed charges,151.85,percent of total billed charges,151.85,percent of total billed charges,151.85,percent of total billed charges,151.85,percent of total billed charges,109.33,percent of total billed charges,109.33,percent of total billed charges,109.33,percent of total billed charges,109.33,percent of total billed charges,109.33,percent of total billed charges,109.33,percent of total billed charges,112.37,percent of total billed charges,112.37,percent of total billed charges,121.48,percent of total billed charges,121.48,percent of total billed charges,,,109.33,percent of total billed charges ,,,121.48,percent of total billed charges ,127.55,percent of total billed charges ,127.55,percent of total billed charges ,118.44,percent of total billed charges ,118.44,percent of total billed charges ,121.48,percent of total billed charges ,121.48,percent of total billed charges ,106.3,percent of total billed charges ,106.3,percent of total billed charges ,91.11,percent of total billed charges ,91.11,percent of total billed charges ,91.11,percent of total billed charges ,91.11,percent of total billed charges ,,,,,80.78,percent of total billed charges ,,,,,76.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,,,42.52,percent of total billed charges,
TOBRAMYCIN/DEXAMETHASONE OPTH OINT,LOCAL,LOCAL,,,,both,,,502.05,502.05,140.57,502.05,502.05,percent of total billed charges,502.05,percent of total billed charges,502.05,percent of total billed charges,502.05,percent of total billed charges,502.05,percent of total billed charges,502.05,percent of total billed charges,502.05,percent of total billed charges,502.05,percent of total billed charges,361.48,percent of total billed charges,361.48,percent of total billed charges,361.48,percent of total billed charges,361.48,percent of total billed charges,361.48,percent of total billed charges,361.48,percent of total billed charges,371.52,percent of total billed charges,371.52,percent of total billed charges,401.64,percent of total billed charges,401.64,percent of total billed charges,,,361.48,percent of total billed charges ,,,401.64,percent of total billed charges ,421.72,percent of total billed charges ,421.72,percent of total billed charges ,391.6,percent of total billed charges ,391.6,percent of total billed charges ,401.64,percent of total billed charges ,401.64,percent of total billed charges ,351.44,percent of total billed charges ,351.44,percent of total billed charges ,301.23,percent of total billed charges ,301.23,percent of total billed charges ,301.23,percent of total billed charges ,301.23,percent of total billed charges ,,,,,267.09,percent of total billed charges ,,,,,253.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,,,140.57,percent of total billed charges,
NEOSTIGMINE (1:1000) 10MG/10ML INJ,J2710,CDM,,,,both,,,234.82,234.82,65.75,234.82,234.82,percent of total billed charges,234.82,percent of total billed charges,234.82,percent of total billed charges,234.82,percent of total billed charges,234.82,percent of total billed charges,234.82,percent of total billed charges,234.82,percent of total billed charges,234.82,percent of total billed charges,169.07,percent of total billed charges,169.07,percent of total billed charges,169.07,percent of total billed charges,169.07,percent of total billed charges,169.07,percent of total billed charges,169.07,percent of total billed charges,173.77,percent of total billed charges,173.77,percent of total billed charges,187.86,percent of total billed charges,187.86,percent of total billed charges,,,169.07,percent of total billed charges ,,,187.86,percent of total billed charges ,197.25,percent of total billed charges ,197.25,percent of total billed charges ,183.16,percent of total billed charges ,183.16,percent of total billed charges ,187.86,percent of total billed charges ,187.86,percent of total billed charges ,164.37,percent of total billed charges ,164.37,percent of total billed charges ,140.89,percent of total billed charges ,140.89,percent of total billed charges ,140.89,percent of total billed charges ,140.89,percent of total billed charges ,,,,,124.92,percent of total billed charges ,,,,,118.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,,,65.75,percent of total billed charges,
IBUPROFEN (MOTRIN) 100MG/5ML ORAL SUSP,LOCAL,LOCAL,,,,both,,,2.76,2.76,0.77,2.76,2.76,percent of total billed charges,2.76,percent of total billed charges,2.76,percent of total billed charges,2.76,percent of total billed charges,2.76,percent of total billed charges,2.76,percent of total billed charges,2.76,percent of total billed charges,2.76,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,2.04,percent of total billed charges,2.04,percent of total billed charges,2.21,percent of total billed charges,2.21,percent of total billed charges,,,1.99,percent of total billed charges ,,,2.21,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,1.93,percent of total billed charges ,1.93,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,,,,,1.47,percent of total billed charges ,,,,,1.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,,,0.77,percent of total billed charges,
TRIPLE ANTIBIOTIC (NEOSPORIN) OINT 1GM,LOCAL,LOCAL,,,,both,,,35.81,35.81,10.03,35.81,35.81,percent of total billed charges,35.81,percent of total billed charges,35.81,percent of total billed charges,35.81,percent of total billed charges,35.81,percent of total billed charges,35.81,percent of total billed charges,35.81,percent of total billed charges,35.81,percent of total billed charges,25.78,percent of total billed charges,25.78,percent of total billed charges,25.78,percent of total billed charges,25.78,percent of total billed charges,25.78,percent of total billed charges,25.78,percent of total billed charges,26.5,percent of total billed charges,26.5,percent of total billed charges,28.65,percent of total billed charges,28.65,percent of total billed charges,,,25.78,percent of total billed charges ,,,28.65,percent of total billed charges ,30.08,percent of total billed charges ,30.08,percent of total billed charges ,27.93,percent of total billed charges ,27.93,percent of total billed charges ,28.65,percent of total billed charges ,28.65,percent of total billed charges ,25.07,percent of total billed charges ,25.07,percent of total billed charges ,21.49,percent of total billed charges ,21.49,percent of total billed charges ,21.49,percent of total billed charges ,21.49,percent of total billed charges ,,,,,19.05,percent of total billed charges ,,,,,18.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,,,10.03,percent of total billed charges,
**PAMIDRONATE (AREDIA) INJ 30MG VIAL,J2430,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
MOMETASONE (ELOCON) CR 0.1%15GM,LOCAL,LOCAL,,,,both,,,99.46,99.46,27.85,99.46,99.46,percent of total billed charges,99.46,percent of total billed charges,99.46,percent of total billed charges,99.46,percent of total billed charges,99.46,percent of total billed charges,99.46,percent of total billed charges,99.46,percent of total billed charges,99.46,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,73.6,percent of total billed charges,73.6,percent of total billed charges,79.57,percent of total billed charges,79.57,percent of total billed charges,,,71.61,percent of total billed charges ,,,79.57,percent of total billed charges ,83.55,percent of total billed charges ,83.55,percent of total billed charges ,77.58,percent of total billed charges ,77.58,percent of total billed charges ,79.57,percent of total billed charges ,79.57,percent of total billed charges ,69.62,percent of total billed charges ,69.62,percent of total billed charges ,59.68,percent of total billed charges ,59.68,percent of total billed charges ,59.68,percent of total billed charges ,59.68,percent of total billed charges ,,,,,52.91,percent of total billed charges ,,,,,50.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,
**INSULIN (LANTUS) 100 UNIT/ML VIAL,LOCAL,LOCAL,,,,both,,,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
**NITROGLYCERIN 0.4 MG SL TAB,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
FOSINOPRIL (MONOPRIL) 10MG TAB,LOCAL,LOCAL,,,,both,,,1.41,1.41,0.39,1.41,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,,,1.02,percent of total billed charges ,,,1.13,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,,,,,0.75,percent of total billed charges ,,,,,0.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,
SODIUM CHLORIDE 0.9% 100ML A/V IVPB,LOCAL,LOCAL,,,,both,,,25.86,25.86,7.24,25.86,25.86,percent of total billed charges,25.86,percent of total billed charges,25.86,percent of total billed charges,25.86,percent of total billed charges,25.86,percent of total billed charges,25.86,percent of total billed charges,25.86,percent of total billed charges,25.86,percent of total billed charges,18.62,percent of total billed charges,18.62,percent of total billed charges,18.62,percent of total billed charges,18.62,percent of total billed charges,18.62,percent of total billed charges,18.62,percent of total billed charges,19.14,percent of total billed charges,19.14,percent of total billed charges,20.69,percent of total billed charges,20.69,percent of total billed charges,,,18.62,percent of total billed charges ,,,20.69,percent of total billed charges ,21.72,percent of total billed charges ,21.72,percent of total billed charges ,20.17,percent of total billed charges ,20.17,percent of total billed charges ,20.69,percent of total billed charges ,20.69,percent of total billed charges ,18.1,percent of total billed charges ,18.1,percent of total billed charges ,15.52,percent of total billed charges ,15.52,percent of total billed charges ,15.52,percent of total billed charges ,15.52,percent of total billed charges ,,,,,13.76,percent of total billed charges ,,,,,13.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,,,7.24,percent of total billed charges,
FINASTERIDE (PROSCAR) 5MG TAB,LOCAL,LOCAL,,,,both,,,2.59,2.59,0.73,2.59,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.92,percent of total billed charges,1.92,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,,,1.86,percent of total billed charges ,,,2.07,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,2.07,percent of total billed charges ,2.07,percent of total billed charges ,1.81,percent of total billed charges ,1.81,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,,,,,1.38,percent of total billed charges ,,,,,1.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,
**RIMANTIDINE (FLUMADINE) 100MG TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
EUCERIN CREAM: 113 GM,LOCAL,LOCAL,,,,both,,,67.05,67.05,18.77,67.05,67.05,percent of total billed charges,67.05,percent of total billed charges,67.05,percent of total billed charges,67.05,percent of total billed charges,67.05,percent of total billed charges,67.05,percent of total billed charges,67.05,percent of total billed charges,67.05,percent of total billed charges,48.28,percent of total billed charges,48.28,percent of total billed charges,48.28,percent of total billed charges,48.28,percent of total billed charges,48.28,percent of total billed charges,48.28,percent of total billed charges,49.62,percent of total billed charges,49.62,percent of total billed charges,53.64,percent of total billed charges,53.64,percent of total billed charges,,,48.28,percent of total billed charges ,,,53.64,percent of total billed charges ,56.32,percent of total billed charges ,56.32,percent of total billed charges ,52.3,percent of total billed charges ,52.3,percent of total billed charges ,53.64,percent of total billed charges ,53.64,percent of total billed charges ,46.94,percent of total billed charges ,46.94,percent of total billed charges ,40.23,percent of total billed charges ,40.23,percent of total billed charges ,40.23,percent of total billed charges ,40.23,percent of total billed charges ,,,,,35.67,percent of total billed charges ,,,,,33.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,,,18.77,percent of total billed charges,
EUCERIN LOTION: 8OZ,LOCAL,LOCAL,,,,both,,,96.9,96.9,27.13,96.9,96.9,percent of total billed charges,96.9,percent of total billed charges,96.9,percent of total billed charges,96.9,percent of total billed charges,96.9,percent of total billed charges,96.9,percent of total billed charges,96.9,percent of total billed charges,96.9,percent of total billed charges,69.77,percent of total billed charges,69.77,percent of total billed charges,69.77,percent of total billed charges,69.77,percent of total billed charges,69.77,percent of total billed charges,69.77,percent of total billed charges,71.71,percent of total billed charges,71.71,percent of total billed charges,77.52,percent of total billed charges,77.52,percent of total billed charges,,,69.77,percent of total billed charges ,,,77.52,percent of total billed charges ,81.4,percent of total billed charges ,81.4,percent of total billed charges ,75.58,percent of total billed charges ,75.58,percent of total billed charges ,77.52,percent of total billed charges ,77.52,percent of total billed charges ,67.83,percent of total billed charges ,67.83,percent of total billed charges ,58.14,percent of total billed charges ,58.14,percent of total billed charges ,58.14,percent of total billed charges ,58.14,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,48.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,,,27.13,percent of total billed charges,
**VITAMIN B3 (NIACIN TAB) 500 MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
MULTIVITAMIN (OCUVITE) TAB,LOCAL,LOCAL,,,,both,,,0.71,0.71,0.2,0.71,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,,,0.51,percent of total billed charges ,,,0.57,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,,,,,0.38,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
**BUPIVACAINE 0.75% MPF (SENSORCAINE) 30,LOCAL,LOCAL,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
**E-GUAIFENESIN DEXTHROMETHORPHAN: 4OZ B,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
LIDOCAINE 2GM IN D5W 500ML DRIP,J2001,CDM,,,,both,,,42.43,42.43,11.88,42.43,42.43,percent of total billed charges,42.43,percent of total billed charges,42.43,percent of total billed charges,42.43,percent of total billed charges,42.43,percent of total billed charges,42.43,percent of total billed charges,42.43,percent of total billed charges,42.43,percent of total billed charges,30.55,percent of total billed charges,30.55,percent of total billed charges,30.55,percent of total billed charges,30.55,percent of total billed charges,30.55,percent of total billed charges,30.55,percent of total billed charges,31.4,percent of total billed charges,31.4,percent of total billed charges,33.94,percent of total billed charges,33.94,percent of total billed charges,,,30.55,percent of total billed charges ,,,33.94,percent of total billed charges ,35.64,percent of total billed charges ,35.64,percent of total billed charges ,33.1,percent of total billed charges ,33.1,percent of total billed charges ,33.94,percent of total billed charges ,33.94,percent of total billed charges ,29.7,percent of total billed charges ,29.7,percent of total billed charges ,25.46,percent of total billed charges ,25.46,percent of total billed charges ,25.46,percent of total billed charges ,25.46,percent of total billed charges ,,,,,22.57,percent of total billed charges ,,,,,21.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,,,11.88,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.112 MG TAB,LOCAL,LOCAL,,,,both,,,1.9,1.9,0.53,1.9,1.9,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,,,1.37,percent of total billed charges ,,,1.52,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,
PAMIDRONATE: (AREDIA) 30MG VIAL,J2430,CDM,,,,both,,,156.85,156.85,43.92,156.85,156.85,percent of total billed charges,156.85,percent of total billed charges,156.85,percent of total billed charges,156.85,percent of total billed charges,156.85,percent of total billed charges,156.85,percent of total billed charges,156.85,percent of total billed charges,156.85,percent of total billed charges,112.93,percent of total billed charges,112.93,percent of total billed charges,112.93,percent of total billed charges,112.93,percent of total billed charges,112.93,percent of total billed charges,112.93,percent of total billed charges,116.07,percent of total billed charges,116.07,percent of total billed charges,125.48,percent of total billed charges,125.48,percent of total billed charges,,,112.93,percent of total billed charges ,,,125.48,percent of total billed charges ,131.75,percent of total billed charges ,131.75,percent of total billed charges ,122.34,percent of total billed charges ,122.34,percent of total billed charges ,125.48,percent of total billed charges ,125.48,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,94.11,percent of total billed charges ,94.11,percent of total billed charges ,94.11,percent of total billed charges ,94.11,percent of total billed charges ,,,,,83.44,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,
WARFARIN (COUMADIN) 1 MG TAB,LOCAL,LOCAL,,,,both,,,0.67,0.67,0.19,0.67,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.48,percent of total billed charges ,,,0.54,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
**ETODOLAC (LODINE) 400MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
chlorproMAZINE (THORAZINE) 50MG/2ML INJ,J3230,CDM,,,,both,,,303.78,303.78,85.06,303.78,303.78,percent of total billed charges,303.78,percent of total billed charges,303.78,percent of total billed charges,303.78,percent of total billed charges,303.78,percent of total billed charges,303.78,percent of total billed charges,303.78,percent of total billed charges,303.78,percent of total billed charges,218.72,percent of total billed charges,218.72,percent of total billed charges,218.72,percent of total billed charges,218.72,percent of total billed charges,218.72,percent of total billed charges,218.72,percent of total billed charges,224.8,percent of total billed charges,224.8,percent of total billed charges,243.02,percent of total billed charges,243.02,percent of total billed charges,,,218.72,percent of total billed charges ,,,243.02,percent of total billed charges ,255.18,percent of total billed charges ,255.18,percent of total billed charges ,236.95,percent of total billed charges ,236.95,percent of total billed charges ,243.02,percent of total billed charges ,243.02,percent of total billed charges ,212.65,percent of total billed charges ,212.65,percent of total billed charges ,182.27,percent of total billed charges ,182.27,percent of total billed charges ,182.27,percent of total billed charges ,182.27,percent of total billed charges ,,,,,161.61,percent of total billed charges ,,,,,153.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,,,85.06,percent of total billed charges,
metFORMIN (GLUCOPHAGE) 500MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
CLINDAMYCIN (CLEOCIN): INJ 600 MG VIAL,LOCAL,LOCAL,,,,both,,,8.41,8.41,2.35,8.41,8.41,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,8.41,percent of total billed charges,6.06,percent of total billed charges,6.06,percent of total billed charges,6.06,percent of total billed charges,6.06,percent of total billed charges,6.06,percent of total billed charges,6.06,percent of total billed charges,6.22,percent of total billed charges,6.22,percent of total billed charges,6.73,percent of total billed charges,6.73,percent of total billed charges,,,6.06,percent of total billed charges ,,,6.73,percent of total billed charges ,7.06,percent of total billed charges ,7.06,percent of total billed charges ,6.56,percent of total billed charges ,6.56,percent of total billed charges ,6.73,percent of total billed charges ,6.73,percent of total billed charges ,5.89,percent of total billed charges ,5.89,percent of total billed charges ,5.05,percent of total billed charges ,5.05,percent of total billed charges ,5.05,percent of total billed charges ,5.05,percent of total billed charges ,,,,,4.47,percent of total billed charges ,,,,,4.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,
HYDROCORTISONE CREAM 2.5% 20 GM,LOCAL,LOCAL,,,,both,,,26.65,26.65,7.46,26.65,26.65,percent of total billed charges,26.65,percent of total billed charges,26.65,percent of total billed charges,26.65,percent of total billed charges,26.65,percent of total billed charges,26.65,percent of total billed charges,26.65,percent of total billed charges,26.65,percent of total billed charges,19.19,percent of total billed charges,19.19,percent of total billed charges,19.19,percent of total billed charges,19.19,percent of total billed charges,19.19,percent of total billed charges,19.19,percent of total billed charges,19.72,percent of total billed charges,19.72,percent of total billed charges,21.32,percent of total billed charges,21.32,percent of total billed charges,,,19.19,percent of total billed charges ,,,21.32,percent of total billed charges ,22.39,percent of total billed charges ,22.39,percent of total billed charges ,20.79,percent of total billed charges ,20.79,percent of total billed charges ,21.32,percent of total billed charges ,21.32,percent of total billed charges ,18.66,percent of total billed charges ,18.66,percent of total billed charges ,15.99,percent of total billed charges ,15.99,percent of total billed charges ,15.99,percent of total billed charges ,15.99,percent of total billed charges ,,,,,14.18,percent of total billed charges ,,,,,13.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,
**IMMUNE GLOBULIN(VENOGLOBULIN) IV: 10 G,LOCAL,LOCAL,,,,both,,,"2,033.00","2,033.00",569.24,"2,033.00","2,033.00",percent of total billed charges,"2,033.00",percent of total billed charges,"2,033.00",percent of total billed charges,"2,033.00",percent of total billed charges,"2,033.00",percent of total billed charges,"2,033.00",percent of total billed charges,"2,033.00",percent of total billed charges,"2,033.00",percent of total billed charges,"1,463.76",percent of total billed charges,"1,463.76",percent of total billed charges,"1,463.76",percent of total billed charges,"1,463.76",percent of total billed charges,"1,463.76",percent of total billed charges,"1,463.76",percent of total billed charges,"1,504.42",percent of total billed charges,"1,504.42",percent of total billed charges,"1,626.40",percent of total billed charges,"1,626.40",percent of total billed charges,,,"1,463.76",percent of total billed charges ,,,"1,626.40",percent of total billed charges ,"1,707.72",percent of total billed charges ,"1,707.72",percent of total billed charges ,"1,585.74",percent of total billed charges ,"1,585.74",percent of total billed charges ,"1,626.40",percent of total billed charges ,"1,626.40",percent of total billed charges ,"1,423.10",percent of total billed charges ,"1,423.10",percent of total billed charges ,"1,219.80",percent of total billed charges ,"1,219.80",percent of total billed charges ,"1,219.80",percent of total billed charges ,"1,219.80",percent of total billed charges ,,,,,"1,081.56",percent of total billed charges ,,,,,"1,027.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,,,569.24,percent of total billed charges,
metFORMIN (GLUCOPHAGE) 850MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**D 30 (DEXTROSE 30%): 500 ML,LOCAL,LOCAL,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**TORSEMIDE (DEMADEX) INJ 20MG/2ML,J3265,CDM,,,,both,,,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
DIPHENOXYLATE/ATROPINE (LOMOTIL) LIQ,LOCAL,LOCAL,,,,both,,,295.94,295.94,82.86,295.94,295.94,percent of total billed charges,295.94,percent of total billed charges,295.94,percent of total billed charges,295.94,percent of total billed charges,295.94,percent of total billed charges,295.94,percent of total billed charges,295.94,percent of total billed charges,295.94,percent of total billed charges,213.08,percent of total billed charges,213.08,percent of total billed charges,213.08,percent of total billed charges,213.08,percent of total billed charges,213.08,percent of total billed charges,213.08,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,236.75,percent of total billed charges,236.75,percent of total billed charges,,,213.08,percent of total billed charges ,,,236.75,percent of total billed charges ,248.59,percent of total billed charges ,248.59,percent of total billed charges ,230.83,percent of total billed charges ,230.83,percent of total billed charges ,236.75,percent of total billed charges ,236.75,percent of total billed charges ,207.16,percent of total billed charges ,207.16,percent of total billed charges ,177.56,percent of total billed charges ,177.56,percent of total billed charges ,177.56,percent of total billed charges ,177.56,percent of total billed charges ,,,,,157.44,percent of total billed charges ,,,,,149.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,,,82.86,percent of total billed charges,
KETOROLAC (TORADOL) 30MG INJ,J1885,CDM,,,,both,,,11.74,11.74,3.29,11.74,11.74,percent of total billed charges,11.74,percent of total billed charges,11.74,percent of total billed charges,11.74,percent of total billed charges,11.74,percent of total billed charges,11.74,percent of total billed charges,11.74,percent of total billed charges,11.74,percent of total billed charges,8.45,percent of total billed charges,8.45,percent of total billed charges,8.45,percent of total billed charges,8.45,percent of total billed charges,8.45,percent of total billed charges,8.45,percent of total billed charges,8.69,percent of total billed charges,8.69,percent of total billed charges,9.39,percent of total billed charges,9.39,percent of total billed charges,,,8.45,percent of total billed charges ,,,9.39,percent of total billed charges ,9.86,percent of total billed charges ,9.86,percent of total billed charges ,9.16,percent of total billed charges ,9.16,percent of total billed charges ,9.39,percent of total billed charges ,9.39,percent of total billed charges ,8.22,percent of total billed charges ,8.22,percent of total billed charges ,7.04,percent of total billed charges ,7.04,percent of total billed charges ,7.04,percent of total billed charges ,7.04,percent of total billed charges ,,,,,6.25,percent of total billed charges ,,,,,5.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,,,3.29,percent of total billed charges,
PROCAINAMIDE MDV 1GM/10ML VIAL,J2690,CDM,,,,both,,,495.54,495.54,138.75,495.54,495.54,percent of total billed charges,495.54,percent of total billed charges,495.54,percent of total billed charges,495.54,percent of total billed charges,495.54,percent of total billed charges,495.54,percent of total billed charges,495.54,percent of total billed charges,495.54,percent of total billed charges,356.79,percent of total billed charges,356.79,percent of total billed charges,356.79,percent of total billed charges,356.79,percent of total billed charges,356.79,percent of total billed charges,356.79,percent of total billed charges,366.7,percent of total billed charges,366.7,percent of total billed charges,396.43,percent of total billed charges,396.43,percent of total billed charges,,,356.79,percent of total billed charges ,,,396.43,percent of total billed charges ,416.25,percent of total billed charges ,416.25,percent of total billed charges ,386.52,percent of total billed charges ,386.52,percent of total billed charges ,396.43,percent of total billed charges ,396.43,percent of total billed charges ,346.88,percent of total billed charges ,346.88,percent of total billed charges ,297.32,percent of total billed charges ,297.32,percent of total billed charges ,297.32,percent of total billed charges ,297.32,percent of total billed charges ,,,,,263.63,percent of total billed charges ,,,,,250.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,,,138.75,percent of total billed charges,
**TRIAMCINOLONE CREAM: 0.1% 30 GM,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
PRAVASTATIN (PRAVACHOL) 20MG TAB,LOCAL,LOCAL,,,,both,,,2.11,2.11,0.59,2.11,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.56,percent of total billed charges,1.56,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,,,1.52,percent of total billed charges ,,,1.69,percent of total billed charges ,1.77,percent of total billed charges ,1.77,percent of total billed charges ,1.65,percent of total billed charges ,1.65,percent of total billed charges ,1.69,percent of total billed charges ,1.69,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,,,,,1.12,percent of total billed charges ,,,,,1.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,
CLARITHROMYCIN (BIAXIN) TABLET 500 MG,LOCAL,LOCAL,,,,both,,,1.98,1.98,0.55,1.98,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.98,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.43,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,,,1.43,percent of total billed charges ,,,1.58,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,
ROCURONIUM (ZEMURON) 10MG/ML INJ: 10ML,LOCAL,LOCAL,,,,both,,,65.33,65.33,18.29,65.33,65.33,percent of total billed charges,65.33,percent of total billed charges,65.33,percent of total billed charges,65.33,percent of total billed charges,65.33,percent of total billed charges,65.33,percent of total billed charges,65.33,percent of total billed charges,65.33,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,47.04,percent of total billed charges,48.34,percent of total billed charges,48.34,percent of total billed charges,52.26,percent of total billed charges,52.26,percent of total billed charges,,,47.04,percent of total billed charges ,,,52.26,percent of total billed charges ,54.88,percent of total billed charges ,54.88,percent of total billed charges ,50.96,percent of total billed charges ,50.96,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,45.73,percent of total billed charges ,45.73,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,,,,,34.76,percent of total billed charges ,,,,,33.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,,,18.29,percent of total billed charges,
ZINC  OXIDE OINTMENT 30 GM,LOCAL,LOCAL,,,,both,,,41.84,41.84,11.72,41.84,41.84,percent of total billed charges,41.84,percent of total billed charges,41.84,percent of total billed charges,41.84,percent of total billed charges,41.84,percent of total billed charges,41.84,percent of total billed charges,41.84,percent of total billed charges,41.84,percent of total billed charges,30.12,percent of total billed charges,30.12,percent of total billed charges,30.12,percent of total billed charges,30.12,percent of total billed charges,30.12,percent of total billed charges,30.12,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,33.47,percent of total billed charges,33.47,percent of total billed charges,,,30.12,percent of total billed charges ,,,33.47,percent of total billed charges ,35.15,percent of total billed charges ,35.15,percent of total billed charges ,32.64,percent of total billed charges ,32.64,percent of total billed charges ,33.47,percent of total billed charges ,33.47,percent of total billed charges ,29.29,percent of total billed charges ,29.29,percent of total billed charges ,25.1,percent of total billed charges ,25.1,percent of total billed charges ,25.1,percent of total billed charges ,25.1,percent of total billed charges ,,,,,22.26,percent of total billed charges ,,,,,21.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,
**ATROPINE  0.4 MG/ML 1ML VIAL,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
BUPIVACAINE 0.50% SDV(SENSORCAINE): 30ML,LOCAL,LOCAL,,,,both,,,17.95,17.95,5.03,17.95,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,17.95,percent of total billed charges,12.92,percent of total billed charges,12.92,percent of total billed charges,12.92,percent of total billed charges,12.92,percent of total billed charges,12.92,percent of total billed charges,12.92,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,14.36,percent of total billed charges,14.36,percent of total billed charges,,,12.92,percent of total billed charges ,,,14.36,percent of total billed charges ,15.08,percent of total billed charges ,15.08,percent of total billed charges ,14,percent of total billed charges ,14,percent of total billed charges ,14.36,percent of total billed charges ,14.36,percent of total billed charges ,12.57,percent of total billed charges ,12.57,percent of total billed charges ,10.77,percent of total billed charges ,10.77,percent of total billed charges ,10.77,percent of total billed charges ,10.77,percent of total billed charges ,,,,,9.55,percent of total billed charges ,,,,,9.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,
HYDROCORTISONE (Solu CORTEF) 100MG INJ,J1720,CDM,,,,both,,,254.91,254.91,71.37,254.91,254.91,percent of total billed charges,254.91,percent of total billed charges,254.91,percent of total billed charges,254.91,percent of total billed charges,254.91,percent of total billed charges,254.91,percent of total billed charges,254.91,percent of total billed charges,254.91,percent of total billed charges,183.54,percent of total billed charges,183.54,percent of total billed charges,183.54,percent of total billed charges,183.54,percent of total billed charges,183.54,percent of total billed charges,183.54,percent of total billed charges,188.63,percent of total billed charges,188.63,percent of total billed charges,203.93,percent of total billed charges,203.93,percent of total billed charges,,,183.54,percent of total billed charges ,,,203.93,percent of total billed charges ,214.12,percent of total billed charges ,214.12,percent of total billed charges ,198.83,percent of total billed charges ,198.83,percent of total billed charges ,203.93,percent of total billed charges ,203.93,percent of total billed charges ,178.44,percent of total billed charges ,178.44,percent of total billed charges ,152.95,percent of total billed charges ,152.95,percent of total billed charges ,152.95,percent of total billed charges ,152.95,percent of total billed charges ,,,,,135.61,percent of total billed charges ,,,,,128.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,,,71.37,percent of total billed charges,
EPINEPHrine 1:1000 (1MG/ML) PF: 1ML AMP,J0171,CDM,,,,both,,,153.12,153.12,42.87,153.12,153.12,percent of total billed charges,153.12,percent of total billed charges,153.12,percent of total billed charges,153.12,percent of total billed charges,153.12,percent of total billed charges,153.12,percent of total billed charges,153.12,percent of total billed charges,153.12,percent of total billed charges,110.25,percent of total billed charges,110.25,percent of total billed charges,110.25,percent of total billed charges,110.25,percent of total billed charges,110.25,percent of total billed charges,110.25,percent of total billed charges,113.31,percent of total billed charges,113.31,percent of total billed charges,122.5,percent of total billed charges,122.5,percent of total billed charges,,,110.25,percent of total billed charges ,,,122.5,percent of total billed charges ,128.62,percent of total billed charges ,128.62,percent of total billed charges ,119.43,percent of total billed charges ,119.43,percent of total billed charges ,122.5,percent of total billed charges ,122.5,percent of total billed charges ,107.18,percent of total billed charges ,107.18,percent of total billed charges ,91.87,percent of total billed charges ,91.87,percent of total billed charges ,91.87,percent of total billed charges ,91.87,percent of total billed charges ,,,,,81.46,percent of total billed charges ,,,,,77.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,,,42.87,percent of total billed charges,
LIDOCAINE 4% TOPICAL (XYLOCAINE) 50ML,LOCAL,LOCAL,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
ALTEPLASE (ACTIVASE) 100MG/100ML INJ,J2997,CDM,,,,both,,,"42,049.25","42,049.25","11,773.79","42,049.25","42,049.25",percent of total billed charges,"42,049.25",percent of total billed charges,"42,049.25",percent of total billed charges,"42,049.25",percent of total billed charges,"42,049.25",percent of total billed charges,"42,049.25",percent of total billed charges,"42,049.25",percent of total billed charges,"42,049.25",percent of total billed charges,"30,275.46",percent of total billed charges,"30,275.46",percent of total billed charges,"30,275.46",percent of total billed charges,"30,275.46",percent of total billed charges,"30,275.46",percent of total billed charges,"30,275.46",percent of total billed charges,"31,116.45",percent of total billed charges,"31,116.45",percent of total billed charges,"33,639.40",percent of total billed charges,"33,639.40",percent of total billed charges,,,"30,275.46",percent of total billed charges ,,,"33,639.40",percent of total billed charges ,"35,321.37",percent of total billed charges ,"35,321.37",percent of total billed charges ,"32,798.42",percent of total billed charges ,"32,798.42",percent of total billed charges ,"33,639.40",percent of total billed charges ,"33,639.40",percent of total billed charges ,"29,434.48",percent of total billed charges ,"29,434.48",percent of total billed charges ,"25,229.55",percent of total billed charges ,"25,229.55",percent of total billed charges ,"25,229.55",percent of total billed charges ,"25,229.55",percent of total billed charges ,,,,,"22,370.20",percent of total billed charges ,,,,,"21,251.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,,,"11,773.79",percent of total billed charges,
"BUPivacaine-EPI 0.5%-1:200,000 MPF 10 ML",LOCAL,LOCAL,,,,both,,,95.78,95.78,26.82,95.78,95.78,percent of total billed charges,95.78,percent of total billed charges,95.78,percent of total billed charges,95.78,percent of total billed charges,95.78,percent of total billed charges,95.78,percent of total billed charges,95.78,percent of total billed charges,95.78,percent of total billed charges,68.96,percent of total billed charges,68.96,percent of total billed charges,68.96,percent of total billed charges,68.96,percent of total billed charges,68.96,percent of total billed charges,68.96,percent of total billed charges,70.88,percent of total billed charges,70.88,percent of total billed charges,76.62,percent of total billed charges,76.62,percent of total billed charges,,,68.96,percent of total billed charges ,,,76.62,percent of total billed charges ,80.46,percent of total billed charges ,80.46,percent of total billed charges ,74.71,percent of total billed charges ,74.71,percent of total billed charges ,76.62,percent of total billed charges ,76.62,percent of total billed charges ,67.05,percent of total billed charges ,67.05,percent of total billed charges ,57.47,percent of total billed charges ,57.47,percent of total billed charges ,57.47,percent of total billed charges ,57.47,percent of total billed charges ,,,,,50.95,percent of total billed charges ,,,,,48.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,,,26.82,percent of total billed charges,
SALIVA SUSTITUTE SOLN 60 ML,LOCAL,LOCAL,,,,both,,,59.06,59.06,16.54,59.06,59.06,percent of total billed charges,59.06,percent of total billed charges,59.06,percent of total billed charges,59.06,percent of total billed charges,59.06,percent of total billed charges,59.06,percent of total billed charges,59.06,percent of total billed charges,59.06,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,43.7,percent of total billed charges,43.7,percent of total billed charges,47.25,percent of total billed charges,47.25,percent of total billed charges,,,42.52,percent of total billed charges ,,,47.25,percent of total billed charges ,49.61,percent of total billed charges ,49.61,percent of total billed charges ,46.07,percent of total billed charges ,46.07,percent of total billed charges ,47.25,percent of total billed charges ,47.25,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,35.44,percent of total billed charges ,35.44,percent of total billed charges ,35.44,percent of total billed charges ,35.44,percent of total billed charges ,,,,,31.42,percent of total billed charges ,,,,,29.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,,,16.54,percent of total billed charges,
amLODIPine (NORVASC) 5 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
MIOCHOL E SYSTEM PAK : EA,LOCAL,LOCAL,,,,both,,,234.27,234.27,65.6,234.27,234.27,percent of total billed charges,234.27,percent of total billed charges,234.27,percent of total billed charges,234.27,percent of total billed charges,234.27,percent of total billed charges,234.27,percent of total billed charges,234.27,percent of total billed charges,234.27,percent of total billed charges,168.67,percent of total billed charges,168.67,percent of total billed charges,168.67,percent of total billed charges,168.67,percent of total billed charges,168.67,percent of total billed charges,168.67,percent of total billed charges,173.36,percent of total billed charges,173.36,percent of total billed charges,187.42,percent of total billed charges,187.42,percent of total billed charges,,,168.67,percent of total billed charges ,,,187.42,percent of total billed charges ,196.79,percent of total billed charges ,196.79,percent of total billed charges ,182.73,percent of total billed charges ,182.73,percent of total billed charges ,187.42,percent of total billed charges ,187.42,percent of total billed charges ,163.99,percent of total billed charges ,163.99,percent of total billed charges ,140.56,percent of total billed charges ,140.56,percent of total billed charges ,140.56,percent of total billed charges ,140.56,percent of total billed charges ,,,,,124.63,percent of total billed charges ,,,,,118.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,,,65.6,percent of total billed charges,
FLUOROURACIL (EFUDEX) 5% CREAM 40GM,LOCAL,LOCAL,,,,both,,,173.18,173.18,48.49,173.18,173.18,percent of total billed charges,173.18,percent of total billed charges,173.18,percent of total billed charges,173.18,percent of total billed charges,173.18,percent of total billed charges,173.18,percent of total billed charges,173.18,percent of total billed charges,173.18,percent of total billed charges,124.69,percent of total billed charges,124.69,percent of total billed charges,124.69,percent of total billed charges,124.69,percent of total billed charges,124.69,percent of total billed charges,124.69,percent of total billed charges,128.15,percent of total billed charges,128.15,percent of total billed charges,138.54,percent of total billed charges,138.54,percent of total billed charges,,,124.69,percent of total billed charges ,,,138.54,percent of total billed charges ,145.47,percent of total billed charges ,145.47,percent of total billed charges ,135.08,percent of total billed charges ,135.08,percent of total billed charges ,138.54,percent of total billed charges ,138.54,percent of total billed charges ,121.23,percent of total billed charges ,121.23,percent of total billed charges ,103.91,percent of total billed charges ,103.91,percent of total billed charges ,103.91,percent of total billed charges ,103.91,percent of total billed charges ,,,,,92.13,percent of total billed charges ,,,,,87.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,,,48.49,percent of total billed charges,
dilTIAZem (CARDIZEM CD) 300MG CAP,LOCAL,LOCAL,,,,both,,,5.88,5.88,1.65,5.88,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.35,percent of total billed charges,4.35,percent of total billed charges,4.7,percent of total billed charges,4.7,percent of total billed charges,,,4.23,percent of total billed charges ,,,4.7,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,4.59,percent of total billed charges ,4.59,percent of total billed charges ,4.7,percent of total billed charges ,4.7,percent of total billed charges ,4.12,percent of total billed charges ,4.12,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,,,,,3.13,percent of total billed charges ,,,,,2.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,
ERYTHROMYCIN (ERYPED) 200MG/5ML100ML,LOCAL,LOCAL,,,,both,,,483.21,483.21,135.3,483.21,483.21,percent of total billed charges,483.21,percent of total billed charges,483.21,percent of total billed charges,483.21,percent of total billed charges,483.21,percent of total billed charges,483.21,percent of total billed charges,483.21,percent of total billed charges,483.21,percent of total billed charges,347.91,percent of total billed charges,347.91,percent of total billed charges,347.91,percent of total billed charges,347.91,percent of total billed charges,347.91,percent of total billed charges,347.91,percent of total billed charges,357.58,percent of total billed charges,357.58,percent of total billed charges,386.57,percent of total billed charges,386.57,percent of total billed charges,,,347.91,percent of total billed charges ,,,386.57,percent of total billed charges ,405.9,percent of total billed charges ,405.9,percent of total billed charges ,376.9,percent of total billed charges ,376.9,percent of total billed charges ,386.57,percent of total billed charges ,386.57,percent of total billed charges ,338.25,percent of total billed charges ,338.25,percent of total billed charges ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,289.93,percent of total billed charges ,,,,,257.07,percent of total billed charges ,,,,,244.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,,,135.3,percent of total billed charges,
dilTIAZem (CARDIZEM CD) 120MG CAP,LOCAL,LOCAL,,,,both,,,1.75,1.75,0.49,1.75,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,,,1.26,percent of total billed charges ,,,1.4,percent of total billed charges ,1.47,percent of total billed charges ,1.47,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,,,,,0.93,percent of total billed charges ,,,,,0.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,
FERROUS POLYSACCARIDE (NIFEREX) 150MG,LOCAL,LOCAL,,,,both,,,0.51,0.51,0.14,0.51,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,,,0.37,percent of total billed charges ,,,0.41,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
TENECTEPLASE(TNKASE) INJ 50 MG,J3101,CDM,,,,both,,,"39,369.15","39,369.15","11,023.36","39,369.15","39,369.15",percent of total billed charges,"39,369.15",percent of total billed charges,"39,369.15",percent of total billed charges,"39,369.15",percent of total billed charges,"39,369.15",percent of total billed charges,"39,369.15",percent of total billed charges,"39,369.15",percent of total billed charges,"39,369.15",percent of total billed charges,"28,345.79",percent of total billed charges,"28,345.79",percent of total billed charges,"28,345.79",percent of total billed charges,"28,345.79",percent of total billed charges,"28,345.79",percent of total billed charges,"28,345.79",percent of total billed charges,"29,133.17",percent of total billed charges,"29,133.17",percent of total billed charges,"31,495.32",percent of total billed charges,"31,495.32",percent of total billed charges,,,"28,345.79",percent of total billed charges ,,,"31,495.32",percent of total billed charges ,"33,070.09",percent of total billed charges ,"33,070.09",percent of total billed charges ,"30,707.94",percent of total billed charges ,"30,707.94",percent of total billed charges ,"31,495.32",percent of total billed charges ,"31,495.32",percent of total billed charges ,"27,558.41",percent of total billed charges ,"27,558.41",percent of total billed charges ,"23,621.49",percent of total billed charges ,"23,621.49",percent of total billed charges ,"23,621.49",percent of total billed charges ,"23,621.49",percent of total billed charges ,,,,,"20,944.39",percent of total billed charges ,,,,,"19,897.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,,,"11,023.36",percent of total billed charges,
VANCOMYCIN 250MG: CAP,LOCAL,LOCAL,,,,both,,,24.44,24.44,6.84,24.44,24.44,percent of total billed charges,24.44,percent of total billed charges,24.44,percent of total billed charges,24.44,percent of total billed charges,24.44,percent of total billed charges,24.44,percent of total billed charges,24.44,percent of total billed charges,24.44,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,18.09,percent of total billed charges,18.09,percent of total billed charges,19.55,percent of total billed charges,19.55,percent of total billed charges,,,17.6,percent of total billed charges ,,,19.55,percent of total billed charges ,20.53,percent of total billed charges ,20.53,percent of total billed charges ,19.06,percent of total billed charges ,19.06,percent of total billed charges ,19.55,percent of total billed charges ,19.55,percent of total billed charges ,17.11,percent of total billed charges ,17.11,percent of total billed charges ,14.66,percent of total billed charges ,14.66,percent of total billed charges ,14.66,percent of total billed charges ,14.66,percent of total billed charges ,,,,,13,percent of total billed charges ,,,,,12.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,,,6.84,percent of total billed charges,
**VERAPAMIL (CALAN SR) 120MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**MEDROXYPROGESTERONE (PROVERA) 5MG T,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
cefPROZIL (CEFZIL) SUSP 250MG/5ML 50ML,LOCAL,LOCAL,,,,both,,,72.31,72.31,20.25,72.31,72.31,percent of total billed charges,72.31,percent of total billed charges,72.31,percent of total billed charges,72.31,percent of total billed charges,72.31,percent of total billed charges,72.31,percent of total billed charges,72.31,percent of total billed charges,72.31,percent of total billed charges,52.06,percent of total billed charges,52.06,percent of total billed charges,52.06,percent of total billed charges,52.06,percent of total billed charges,52.06,percent of total billed charges,52.06,percent of total billed charges,53.51,percent of total billed charges,53.51,percent of total billed charges,57.85,percent of total billed charges,57.85,percent of total billed charges,,,52.06,percent of total billed charges ,,,57.85,percent of total billed charges ,60.74,percent of total billed charges ,60.74,percent of total billed charges ,56.4,percent of total billed charges ,56.4,percent of total billed charges ,57.85,percent of total billed charges ,57.85,percent of total billed charges ,50.62,percent of total billed charges ,50.62,percent of total billed charges ,43.39,percent of total billed charges ,43.39,percent of total billed charges ,43.39,percent of total billed charges ,43.39,percent of total billed charges ,,,,,38.47,percent of total billed charges ,,,,,36.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,,,20.25,percent of total billed charges,
PARoxetine (PAXIL) 20MG TAB,LOCAL,LOCAL,,,,both,,,0.69,0.69,0.19,0.69,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,,,0.5,percent of total billed charges ,,,0.55,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
SUMAtriptan (IMITREX) INJ 6MG,J3030,CDM,,,,both,,,68.07,68.07,19.06,68.07,68.07,percent of total billed charges,68.07,percent of total billed charges,68.07,percent of total billed charges,68.07,percent of total billed charges,68.07,percent of total billed charges,68.07,percent of total billed charges,68.07,percent of total billed charges,68.07,percent of total billed charges,49.01,percent of total billed charges,49.01,percent of total billed charges,49.01,percent of total billed charges,49.01,percent of total billed charges,49.01,percent of total billed charges,49.01,percent of total billed charges,50.37,percent of total billed charges,50.37,percent of total billed charges,54.46,percent of total billed charges,54.46,percent of total billed charges,,,49.01,percent of total billed charges ,,,54.46,percent of total billed charges ,57.18,percent of total billed charges ,57.18,percent of total billed charges ,53.09,percent of total billed charges ,53.09,percent of total billed charges ,54.46,percent of total billed charges ,54.46,percent of total billed charges ,47.65,percent of total billed charges ,47.65,percent of total billed charges ,40.84,percent of total billed charges ,40.84,percent of total billed charges ,40.84,percent of total billed charges ,40.84,percent of total billed charges ,,,,,36.21,percent of total billed charges ,,,,,34.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,,,19.06,percent of total billed charges,
**IRON DEXTRAN (INFED) INJ 100MG/2ML,J1751,CDM,,,,both,,,198,198,55.44,198,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,198,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,142.56,percent of total billed charges,146.52,percent of total billed charges,146.52,percent of total billed charges,158.4,percent of total billed charges,158.4,percent of total billed charges,,,142.56,percent of total billed charges ,,,158.4,percent of total billed charges ,166.32,percent of total billed charges ,166.32,percent of total billed charges ,154.44,percent of total billed charges ,154.44,percent of total billed charges ,158.4,percent of total billed charges ,158.4,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,118.8,percent of total billed charges ,,,,,105.34,percent of total billed charges ,,,,,100.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,,,55.44,percent of total billed charges,
MILRINONE:    (PRIMACOR) 20MG/100ML IVPB,J2260,CDM,,,,both,,,207.98,207.98,58.23,207.98,207.98,percent of total billed charges,207.98,percent of total billed charges,207.98,percent of total billed charges,207.98,percent of total billed charges,207.98,percent of total billed charges,207.98,percent of total billed charges,207.98,percent of total billed charges,207.98,percent of total billed charges,149.75,percent of total billed charges,149.75,percent of total billed charges,149.75,percent of total billed charges,149.75,percent of total billed charges,149.75,percent of total billed charges,149.75,percent of total billed charges,153.91,percent of total billed charges,153.91,percent of total billed charges,166.38,percent of total billed charges,166.38,percent of total billed charges,,,149.75,percent of total billed charges ,,,166.38,percent of total billed charges ,174.7,percent of total billed charges ,174.7,percent of total billed charges ,162.22,percent of total billed charges ,162.22,percent of total billed charges ,166.38,percent of total billed charges ,166.38,percent of total billed charges ,145.59,percent of total billed charges ,145.59,percent of total billed charges ,124.79,percent of total billed charges ,124.79,percent of total billed charges ,124.79,percent of total billed charges ,124.79,percent of total billed charges ,,,,,110.65,percent of total billed charges ,,,,,105.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,,,58.23,percent of total billed charges,
PSYLLIUM (METAMUCIL) 3.4 GM PACKET,LOCAL,LOCAL,,,,both,,,1.53,1.53,0.43,1.53,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.1,percent of total billed charges ,,,1.22,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.07,percent of total billed charges ,1.07,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
**ONDANSETRON (ZOFRAN) 4 MG TAB,J8597,CDM,,,,both,,,421,421,117.88,421,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,421,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,303.12,percent of total billed charges,311.54,percent of total billed charges,311.54,percent of total billed charges,336.8,percent of total billed charges,336.8,percent of total billed charges,,,303.12,percent of total billed charges ,,,336.8,percent of total billed charges ,353.64,percent of total billed charges ,353.64,percent of total billed charges ,328.38,percent of total billed charges ,328.38,percent of total billed charges ,336.8,percent of total billed charges ,336.8,percent of total billed charges ,294.7,percent of total billed charges ,294.7,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,252.6,percent of total billed charges ,,,,,223.97,percent of total billed charges ,,,,,212.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,,,117.88,percent of total billed charges,
**PERMETHRIN (ELIMITE) CREAM 5%,LOCAL,LOCAL,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
**E-TRIAMINIC COUGH & COLD:  4OZ BOTTLE,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
BETAXOLOL (BETOPTIC S) OPTH  0.25% 5 M,LOCAL,LOCAL,,,,both,,,584,584,163.52,584,584,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,584,percent of total billed charges,420.48,percent of total billed charges,420.48,percent of total billed charges,420.48,percent of total billed charges,420.48,percent of total billed charges,420.48,percent of total billed charges,420.48,percent of total billed charges,432.16,percent of total billed charges,432.16,percent of total billed charges,467.2,percent of total billed charges,467.2,percent of total billed charges,,,420.48,percent of total billed charges ,,,467.2,percent of total billed charges ,490.56,percent of total billed charges ,490.56,percent of total billed charges ,455.52,percent of total billed charges ,455.52,percent of total billed charges ,467.2,percent of total billed charges ,467.2,percent of total billed charges ,408.8,percent of total billed charges ,408.8,percent of total billed charges ,350.4,percent of total billed charges ,350.4,percent of total billed charges ,350.4,percent of total billed charges ,350.4,percent of total billed charges ,,,,,310.69,percent of total billed charges ,,,,,295.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,,,163.52,percent of total billed charges,
**VITAMIN E 1000 UNIT: CAPSULE,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**MULTIVITAMIN W/MINERALS (THERAGRAN-M),LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
MIDAZOLAM (VERSED) INJ 2MG/2ML,J2250,CDM,,,,both,,,15.05,15.05,4.21,15.05,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,11.14,percent of total billed charges,11.14,percent of total billed charges,12.04,percent of total billed charges,12.04,percent of total billed charges,,,10.84,percent of total billed charges ,,,12.04,percent of total billed charges ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,11.74,percent of total billed charges ,11.74,percent of total billed charges ,12.04,percent of total billed charges ,12.04,percent of total billed charges ,10.54,percent of total billed charges ,10.54,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,,,,,8.01,percent of total billed charges ,,,,,7.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,
QUINAPRIL (ACCUpril) 10 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ZYPREXA (OLANZAPINE) 10MG: TAB,LOCAL,LOCAL,,,,both,,,2.31,2.31,0.65,2.31,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.85,percent of total billed charges,1.85,percent of total billed charges,,,1.66,percent of total billed charges ,,,1.85,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,,,,,1.23,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,,,0.65,percent of total billed charges,
SIMPLE(CHERRY) SYRUP: 1OZ,LOCAL,LOCAL,,,,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
VENLAFAXINE ER (EFFEXOR XR) 37.5 MG CAP,LOCAL,LOCAL,,,,both,,,1.27,1.27,0.36,1.27,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,,,0.91,percent of total billed charges ,,,1.02,percent of total billed charges ,1.07,percent of total billed charges ,1.07,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
VENLAFAXINE XR (EFFEXOR XR) 75 MG CAP,LOCAL,LOCAL,,,,both,,,2.14,2.14,0.6,2.14,2.14,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,2.14,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.54,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,,,1.54,percent of total billed charges ,,,1.71,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.71,percent of total billed charges ,1.71,percent of total billed charges ,1.5,percent of total billed charges ,1.5,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,,,,,1.14,percent of total billed charges ,,,,,1.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,
LIDOCAINE/RACEPI/TETRACAINE 3ML,LOCAL,LOCAL,,,,both,,,12.38,12.38,3.47,12.38,12.38,percent of total billed charges,12.38,percent of total billed charges,12.38,percent of total billed charges,12.38,percent of total billed charges,12.38,percent of total billed charges,12.38,percent of total billed charges,12.38,percent of total billed charges,12.38,percent of total billed charges,8.91,percent of total billed charges,8.91,percent of total billed charges,8.91,percent of total billed charges,8.91,percent of total billed charges,8.91,percent of total billed charges,8.91,percent of total billed charges,9.16,percent of total billed charges,9.16,percent of total billed charges,9.9,percent of total billed charges,9.9,percent of total billed charges,,,8.91,percent of total billed charges ,,,9.9,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.66,percent of total billed charges ,9.66,percent of total billed charges ,9.9,percent of total billed charges ,9.9,percent of total billed charges ,8.67,percent of total billed charges ,8.67,percent of total billed charges ,7.43,percent of total billed charges ,7.43,percent of total billed charges ,7.43,percent of total billed charges ,7.43,percent of total billed charges ,,,,,6.59,percent of total billed charges ,,,,,6.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,
**CYANOCOBALAMIN (VIT B12) 1000 MCG: T,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**LOTREL 5/20 (AMLODIPINE/BENZAPRIL): CA,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
NITROFURANTOIN (MACROBID) 100MG CAP,LOCAL,LOCAL,,,,both,,,3.49,3.49,0.98,3.49,3.49,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,3.49,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.79,percent of total billed charges,2.79,percent of total billed charges,,,2.51,percent of total billed charges ,,,2.79,percent of total billed charges ,2.93,percent of total billed charges ,2.93,percent of total billed charges ,2.72,percent of total billed charges ,2.72,percent of total billed charges ,2.79,percent of total billed charges ,2.79,percent of total billed charges ,2.44,percent of total billed charges ,2.44,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,,,,,1.86,percent of total billed charges ,,,,,1.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,,,0.98,percent of total billed charges,
CIPROFLOXACIN (CIPRO) 200 MG  IVPB,J0744,CDM,,,,both,,,33.18,33.18,9.29,33.18,33.18,percent of total billed charges,33.18,percent of total billed charges,33.18,percent of total billed charges,33.18,percent of total billed charges,33.18,percent of total billed charges,33.18,percent of total billed charges,33.18,percent of total billed charges,33.18,percent of total billed charges,23.89,percent of total billed charges,23.89,percent of total billed charges,23.89,percent of total billed charges,23.89,percent of total billed charges,23.89,percent of total billed charges,23.89,percent of total billed charges,24.55,percent of total billed charges,24.55,percent of total billed charges,26.54,percent of total billed charges,26.54,percent of total billed charges,,,23.89,percent of total billed charges ,,,26.54,percent of total billed charges ,27.87,percent of total billed charges ,27.87,percent of total billed charges ,25.88,percent of total billed charges ,25.88,percent of total billed charges ,26.54,percent of total billed charges ,26.54,percent of total billed charges ,23.23,percent of total billed charges ,23.23,percent of total billed charges ,19.91,percent of total billed charges ,19.91,percent of total billed charges ,19.91,percent of total billed charges ,19.91,percent of total billed charges ,,,,,17.65,percent of total billed charges ,,,,,16.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,,,9.29,percent of total billed charges,
DIVALPROEX DR (SPRINKLE) 125MG CAP,LOCAL,LOCAL,,,,both,,,3.29,3.29,0.92,3.29,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,,,2.37,percent of total billed charges ,,,2.63,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.57,percent of total billed charges ,2.57,percent of total billed charges ,2.63,percent of total billed charges ,2.63,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,,,,,1.75,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,
oxyBUTYnin XL (DITROPAN XL)  5MG TAB,LOCAL,LOCAL,,,,both,,,5.59,5.59,1.57,5.59,5.59,percent of total billed charges,5.59,percent of total billed charges,5.59,percent of total billed charges,5.59,percent of total billed charges,5.59,percent of total billed charges,5.59,percent of total billed charges,5.59,percent of total billed charges,5.59,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.02,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,4.47,percent of total billed charges,4.47,percent of total billed charges,,,4.02,percent of total billed charges ,,,4.47,percent of total billed charges ,4.7,percent of total billed charges ,4.7,percent of total billed charges ,4.36,percent of total billed charges ,4.36,percent of total billed charges ,4.47,percent of total billed charges ,4.47,percent of total billed charges ,3.91,percent of total billed charges ,3.91,percent of total billed charges ,3.35,percent of total billed charges ,3.35,percent of total billed charges ,3.35,percent of total billed charges ,3.35,percent of total billed charges ,,,,,2.97,percent of total billed charges ,,,,,2.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,
BISOPROLOL (ZEBETA) 5MG TAB,LOCAL,LOCAL,,,,both,,,1.51,1.51,0.42,1.51,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,,,1.09,percent of total billed charges ,,,1.21,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,,,,,0.8,percent of total billed charges ,,,,,0.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,
**POTASSIUM CHLORIDE POWDER 25MEQ  PKT,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
NISOLDIPINE (SULAR) 8.5MG TAB,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**THEOPHYLLINE(UNIPHYL) 400MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
VALSARTAN (DIOVAN) 80 MG TAB,LOCAL,LOCAL,,,,both,,,3.29,3.29,0.92,3.29,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,,,2.37,percent of total billed charges ,,,2.63,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.57,percent of total billed charges ,2.57,percent of total billed charges ,2.63,percent of total billed charges ,2.63,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,,,,,1.75,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,
FOMepizole  (ANTIZOLE): 1GM/1.5ML INJ,J1451,CDM,,,,both,,,"2,864.52","2,864.52",802.07,"2,864.52","2,864.52",percent of total billed charges,"2,864.52",percent of total billed charges,"2,864.52",percent of total billed charges,"2,864.52",percent of total billed charges,"2,864.52",percent of total billed charges,"2,864.52",percent of total billed charges,"2,864.52",percent of total billed charges,"2,864.52",percent of total billed charges,"2,062.45",percent of total billed charges,"2,062.45",percent of total billed charges,"2,062.45",percent of total billed charges,"2,062.45",percent of total billed charges,"2,062.45",percent of total billed charges,"2,062.45",percent of total billed charges,"2,119.74",percent of total billed charges,"2,119.74",percent of total billed charges,"2,291.62",percent of total billed charges,"2,291.62",percent of total billed charges,,,"2,062.45",percent of total billed charges ,,,"2,291.62",percent of total billed charges ,"2,406.20",percent of total billed charges ,"2,406.20",percent of total billed charges ,"2,234.33",percent of total billed charges ,"2,234.33",percent of total billed charges ,"2,291.62",percent of total billed charges ,"2,291.62",percent of total billed charges ,"2,005.16",percent of total billed charges ,"2,005.16",percent of total billed charges ,"1,718.71",percent of total billed charges ,"1,718.71",percent of total billed charges ,"1,718.71",percent of total billed charges ,"1,718.71",percent of total billed charges ,,,,,"1,523.92",percent of total billed charges ,,,,,"1,447.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,,,802.07,percent of total billed charges,
**ZOLMITRIPTAN (ZOMIG) TAB:5MG,LOCAL,LOCAL,,,,both,,,64,64,17.92,64,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,51.2,percent of total billed charges,51.2,percent of total billed charges,,,46.08,percent of total billed charges ,,,51.2,percent of total billed charges ,53.76,percent of total billed charges ,53.76,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,,,,,34.05,percent of total billed charges ,,,,,32.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,
SUMAtriptan (IMITREX) TAB 50MG,LOCAL,LOCAL,,,,both,,,3.05,3.05,0.85,3.05,3.05,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.26,percent of total billed charges,2.26,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,,,2.2,percent of total billed charges ,,,2.44,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.38,percent of total billed charges ,2.38,percent of total billed charges ,2.44,percent of total billed charges ,2.44,percent of total billed charges ,2.14,percent of total billed charges ,2.14,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,,,,,1.62,percent of total billed charges ,,,,,1.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,,,0.85,percent of total billed charges,
**OMEPRAZOLE (PRILOSEC) 10MG: CAP,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
OLANZapine (ZyPREXA) 2.5 MG TAB,LOCAL,LOCAL,,,,both,,,1.3,1.3,0.36,1.3,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,,,0.94,percent of total billed charges ,,,1.04,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,,,,,0.69,percent of total billed charges ,,,,,0.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
**DEXTROSE 5% 500ML BOTTLE,J7060,CDM,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
**DEXTROSE 5%:  100 ML IVPB,LOCAL,LOCAL,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
DEXTROSE 5%: 50ML IVPB,LOCAL,LOCAL,,,,both,,,16.29,16.29,4.56,16.29,16.29,percent of total billed charges,16.29,percent of total billed charges,16.29,percent of total billed charges,16.29,percent of total billed charges,16.29,percent of total billed charges,16.29,percent of total billed charges,16.29,percent of total billed charges,16.29,percent of total billed charges,11.73,percent of total billed charges,11.73,percent of total billed charges,11.73,percent of total billed charges,11.73,percent of total billed charges,11.73,percent of total billed charges,11.73,percent of total billed charges,12.05,percent of total billed charges,12.05,percent of total billed charges,13.03,percent of total billed charges,13.03,percent of total billed charges,,,11.73,percent of total billed charges ,,,13.03,percent of total billed charges ,13.68,percent of total billed charges ,13.68,percent of total billed charges ,12.71,percent of total billed charges ,12.71,percent of total billed charges ,13.03,percent of total billed charges ,13.03,percent of total billed charges ,11.4,percent of total billed charges ,11.4,percent of total billed charges ,9.77,percent of total billed charges ,9.77,percent of total billed charges ,9.77,percent of total billed charges ,9.77,percent of total billed charges ,,,,,8.67,percent of total billed charges ,,,,,8.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,,,4.56,percent of total billed charges,
DEXTROSE 5% 500 ML BAG,LOCAL,LOCAL,,,,both,,,24.56,24.56,6.88,24.56,24.56,percent of total billed charges,24.56,percent of total billed charges,24.56,percent of total billed charges,24.56,percent of total billed charges,24.56,percent of total billed charges,24.56,percent of total billed charges,24.56,percent of total billed charges,24.56,percent of total billed charges,17.68,percent of total billed charges,17.68,percent of total billed charges,17.68,percent of total billed charges,17.68,percent of total billed charges,17.68,percent of total billed charges,17.68,percent of total billed charges,18.17,percent of total billed charges,18.17,percent of total billed charges,19.65,percent of total billed charges,19.65,percent of total billed charges,,,17.68,percent of total billed charges ,,,19.65,percent of total billed charges ,20.63,percent of total billed charges ,20.63,percent of total billed charges ,19.16,percent of total billed charges ,19.16,percent of total billed charges ,19.65,percent of total billed charges ,19.65,percent of total billed charges ,17.19,percent of total billed charges ,17.19,percent of total billed charges ,14.74,percent of total billed charges ,14.74,percent of total billed charges ,14.74,percent of total billed charges ,14.74,percent of total billed charges ,,,,,13.07,percent of total billed charges ,,,,,12.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,,,6.88,percent of total billed charges,
**METHYLDOPATE 250MG INJ: VIAL,J0210,CDM,,,,both,,,325,325,91,325,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,325,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,240.5,percent of total billed charges,240.5,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,,,234,percent of total billed charges ,,,260,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,253.5,percent of total billed charges ,253.5,percent of total billed charges ,260,percent of total billed charges ,260,percent of total billed charges ,227.5,percent of total billed charges ,227.5,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,,,,,172.9,percent of total billed charges ,,,,,164.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,,,91,percent of total billed charges,
**KANAMYCIN 1 GM: 3 ML VIAL,J1840,CDM,,,,both,,,53,53,14.84,53,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,39.22,percent of total billed charges,39.22,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,,,38.16,percent of total billed charges ,,,42.4,percent of total billed charges ,44.52,percent of total billed charges ,44.52,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,42.4,percent of total billed charges ,42.4,percent of total billed charges ,37.1,percent of total billed charges ,37.1,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,,,,,28.2,percent of total billed charges ,,,,,26.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,
ACYCLOVIR: 500 MG INJ,J0133,CDM,,,,both,,,33.84,33.84,9.48,33.84,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,24.36,percent of total billed charges,24.36,percent of total billed charges,24.36,percent of total billed charges,24.36,percent of total billed charges,24.36,percent of total billed charges,24.36,percent of total billed charges,25.04,percent of total billed charges,25.04,percent of total billed charges,27.07,percent of total billed charges,27.07,percent of total billed charges,,,24.36,percent of total billed charges ,,,27.07,percent of total billed charges ,28.43,percent of total billed charges ,28.43,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,27.07,percent of total billed charges ,27.07,percent of total billed charges ,23.69,percent of total billed charges ,23.69,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,,,,,18,percent of total billed charges ,,,,,17.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,,,9.48,percent of total billed charges,
WATER FOR IRRIGATION,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**ALBUMIN 25% 25GM): 100 ML,LOCAL,LOCAL,,,,both,,,343,343,96.04,343,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,343,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,246.96,percent of total billed charges,253.82,percent of total billed charges,253.82,percent of total billed charges,274.4,percent of total billed charges,274.4,percent of total billed charges,,,246.96,percent of total billed charges ,,,274.4,percent of total billed charges ,288.12,percent of total billed charges ,288.12,percent of total billed charges ,267.54,percent of total billed charges ,267.54,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,240.1,percent of total billed charges ,240.1,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,205.8,percent of total billed charges ,,,,,182.48,percent of total billed charges ,,,,,173.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,,,96.04,percent of total billed charges,
**AMINO ACID 7% (AMINOSYN):500 ML,LOCAL,LOCAL,,,,both,,,542,542,151.76,542,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,401.08,percent of total billed charges,401.08,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,,,390.24,percent of total billed charges ,,,433.6,percent of total billed charges ,455.28,percent of total billed charges ,455.28,percent of total billed charges ,422.76,percent of total billed charges ,422.76,percent of total billed charges ,433.6,percent of total billed charges ,433.6,percent of total billed charges ,379.4,percent of total billed charges ,379.4,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,,,,,288.34,percent of total billed charges ,,,,,273.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,
**AMINO ACID 10% (AMINOSYN) : 500 ML,LOCAL,LOCAL,,,,both,,,192,192,53.76,192,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,138.24,percent of total billed charges,142.08,percent of total billed charges,142.08,percent of total billed charges,153.6,percent of total billed charges,153.6,percent of total billed charges,,,138.24,percent of total billed charges ,,,153.6,percent of total billed charges ,161.28,percent of total billed charges ,161.28,percent of total billed charges ,149.76,percent of total billed charges ,149.76,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,,,,,102.14,percent of total billed charges ,,,,,97.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,,,53.76,percent of total billed charges,
AMINOPHYLLINE INJ: 500MG/25ML VIAL,J0280,CDM,,,,both,,,93.91,93.91,26.29,93.91,93.91,percent of total billed charges,93.91,percent of total billed charges,93.91,percent of total billed charges,93.91,percent of total billed charges,93.91,percent of total billed charges,93.91,percent of total billed charges,93.91,percent of total billed charges,93.91,percent of total billed charges,67.62,percent of total billed charges,67.62,percent of total billed charges,67.62,percent of total billed charges,67.62,percent of total billed charges,67.62,percent of total billed charges,67.62,percent of total billed charges,69.49,percent of total billed charges,69.49,percent of total billed charges,75.13,percent of total billed charges,75.13,percent of total billed charges,,,67.62,percent of total billed charges ,,,75.13,percent of total billed charges ,78.88,percent of total billed charges ,78.88,percent of total billed charges ,73.25,percent of total billed charges ,73.25,percent of total billed charges ,75.13,percent of total billed charges ,75.13,percent of total billed charges ,65.74,percent of total billed charges ,65.74,percent of total billed charges ,56.35,percent of total billed charges ,56.35,percent of total billed charges ,56.35,percent of total billed charges ,56.35,percent of total billed charges ,,,,,49.96,percent of total billed charges ,,,,,47.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,,,26.29,percent of total billed charges,
AMPHOTERICIN B 50 MG: INJECTION,J0285,CDM,,,,both,,,443.61,443.61,124.21,443.61,443.61,percent of total billed charges,443.61,percent of total billed charges,443.61,percent of total billed charges,443.61,percent of total billed charges,443.61,percent of total billed charges,443.61,percent of total billed charges,443.61,percent of total billed charges,443.61,percent of total billed charges,319.4,percent of total billed charges,319.4,percent of total billed charges,319.4,percent of total billed charges,319.4,percent of total billed charges,319.4,percent of total billed charges,319.4,percent of total billed charges,328.27,percent of total billed charges,328.27,percent of total billed charges,354.89,percent of total billed charges,354.89,percent of total billed charges,,,319.4,percent of total billed charges ,,,354.89,percent of total billed charges ,372.63,percent of total billed charges ,372.63,percent of total billed charges ,346.02,percent of total billed charges ,346.02,percent of total billed charges ,354.89,percent of total billed charges ,354.89,percent of total billed charges ,310.53,percent of total billed charges ,310.53,percent of total billed charges ,266.17,percent of total billed charges ,266.17,percent of total billed charges ,266.17,percent of total billed charges ,266.17,percent of total billed charges ,,,,,236,percent of total billed charges ,,,,,224.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,,,124.21,percent of total billed charges,
**EVACUATED STERILE CONTAINER 150 ML:,LOCAL,LOCAL,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
AMPICILLIN:  250MG INJ,J0290,CDM,,,,both,,,17.81,17.81,4.99,17.81,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,13.18,percent of total billed charges,13.18,percent of total billed charges,14.25,percent of total billed charges,14.25,percent of total billed charges,,,12.82,percent of total billed charges ,,,14.25,percent of total billed charges ,14.96,percent of total billed charges ,14.96,percent of total billed charges ,13.89,percent of total billed charges ,13.89,percent of total billed charges ,14.25,percent of total billed charges ,14.25,percent of total billed charges ,12.47,percent of total billed charges ,12.47,percent of total billed charges ,10.69,percent of total billed charges ,10.69,percent of total billed charges ,10.69,percent of total billed charges ,10.69,percent of total billed charges ,,,,,9.47,percent of total billed charges ,,,,,9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,,,4.99,percent of total billed charges,
AMPICILLIN  2GM: ADVANT,J0290,CDM,,,,both,,,266.98,266.98,74.75,266.98,266.98,percent of total billed charges,266.98,percent of total billed charges,266.98,percent of total billed charges,266.98,percent of total billed charges,266.98,percent of total billed charges,266.98,percent of total billed charges,266.98,percent of total billed charges,266.98,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,197.57,percent of total billed charges,197.57,percent of total billed charges,213.58,percent of total billed charges,213.58,percent of total billed charges,,,192.23,percent of total billed charges ,,,213.58,percent of total billed charges ,224.26,percent of total billed charges ,224.26,percent of total billed charges ,208.24,percent of total billed charges ,208.24,percent of total billed charges ,213.58,percent of total billed charges ,213.58,percent of total billed charges ,186.89,percent of total billed charges ,186.89,percent of total billed charges ,160.19,percent of total billed charges ,160.19,percent of total billed charges ,160.19,percent of total billed charges ,160.19,percent of total billed charges ,,,,,142.03,percent of total billed charges ,,,,,134.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,,,74.75,percent of total billed charges,
**ESMOLOL (BREVIBLOC): 2500MG IN 250ML D,LOCAL,LOCAL,,,,both,,,268,268,75.04,268,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,198.32,percent of total billed charges,198.32,percent of total billed charges,214.4,percent of total billed charges,214.4,percent of total billed charges,,,192.96,percent of total billed charges ,,,214.4,percent of total billed charges ,225.12,percent of total billed charges ,225.12,percent of total billed charges ,209.04,percent of total billed charges ,209.04,percent of total billed charges ,214.4,percent of total billed charges ,214.4,percent of total billed charges ,187.6,percent of total billed charges ,187.6,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,,,,,142.58,percent of total billed charges ,,,,,135.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,
AMPICILLIN 500 MG VIAL,J0290,CDM,,,,both,,,15.67,15.67,4.39,15.67,15.67,percent of total billed charges,15.67,percent of total billed charges,15.67,percent of total billed charges,15.67,percent of total billed charges,15.67,percent of total billed charges,15.67,percent of total billed charges,15.67,percent of total billed charges,15.67,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,11.6,percent of total billed charges,11.6,percent of total billed charges,12.54,percent of total billed charges,12.54,percent of total billed charges,,,11.28,percent of total billed charges ,,,12.54,percent of total billed charges ,13.16,percent of total billed charges ,13.16,percent of total billed charges ,12.22,percent of total billed charges ,12.22,percent of total billed charges ,12.54,percent of total billed charges ,12.54,percent of total billed charges ,10.97,percent of total billed charges ,10.97,percent of total billed charges ,9.4,percent of total billed charges ,9.4,percent of total billed charges ,9.4,percent of total billed charges ,9.4,percent of total billed charges ,,,,,8.34,percent of total billed charges ,,,,,7.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,,,4.39,percent of total billed charges,
AMPICILLIN 1GM: VIAL,J0290,CDM,,,,both,,,32.34,32.34,9.06,32.34,32.34,percent of total billed charges,32.34,percent of total billed charges,32.34,percent of total billed charges,32.34,percent of total billed charges,32.34,percent of total billed charges,32.34,percent of total billed charges,32.34,percent of total billed charges,32.34,percent of total billed charges,23.28,percent of total billed charges,23.28,percent of total billed charges,23.28,percent of total billed charges,23.28,percent of total billed charges,23.28,percent of total billed charges,23.28,percent of total billed charges,23.93,percent of total billed charges,23.93,percent of total billed charges,25.87,percent of total billed charges,25.87,percent of total billed charges,,,23.28,percent of total billed charges ,,,25.87,percent of total billed charges ,27.17,percent of total billed charges ,27.17,percent of total billed charges ,25.23,percent of total billed charges ,25.23,percent of total billed charges ,25.87,percent of total billed charges ,25.87,percent of total billed charges ,22.64,percent of total billed charges ,22.64,percent of total billed charges ,19.4,percent of total billed charges ,19.4,percent of total billed charges ,19.4,percent of total billed charges ,19.4,percent of total billed charges ,,,,,17.2,percent of total billed charges ,,,,,16.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,,,9.06,percent of total billed charges,
AMPICILLIN 1 GM:ADVANT,J0290,CDM,,,,both,,,167.26,167.26,46.83,167.26,167.26,percent of total billed charges,167.26,percent of total billed charges,167.26,percent of total billed charges,167.26,percent of total billed charges,167.26,percent of total billed charges,167.26,percent of total billed charges,167.26,percent of total billed charges,167.26,percent of total billed charges,120.43,percent of total billed charges,120.43,percent of total billed charges,120.43,percent of total billed charges,120.43,percent of total billed charges,120.43,percent of total billed charges,120.43,percent of total billed charges,123.77,percent of total billed charges,123.77,percent of total billed charges,133.81,percent of total billed charges,133.81,percent of total billed charges,,,120.43,percent of total billed charges ,,,133.81,percent of total billed charges ,140.5,percent of total billed charges ,140.5,percent of total billed charges ,130.46,percent of total billed charges ,130.46,percent of total billed charges ,133.81,percent of total billed charges ,133.81,percent of total billed charges ,117.08,percent of total billed charges ,117.08,percent of total billed charges ,100.36,percent of total billed charges ,100.36,percent of total billed charges ,100.36,percent of total billed charges ,100.36,percent of total billed charges ,,,,,88.98,percent of total billed charges ,,,,,84.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,,,46.83,percent of total billed charges,
AMPICILLIN/SUBACTAM: 1.5GM  VIAL,J0295,CDM,,,,both,,,60.76,60.76,17.01,60.76,60.76,percent of total billed charges,60.76,percent of total billed charges,60.76,percent of total billed charges,60.76,percent of total billed charges,60.76,percent of total billed charges,60.76,percent of total billed charges,60.76,percent of total billed charges,60.76,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,43.75,percent of total billed charges,44.96,percent of total billed charges,44.96,percent of total billed charges,48.61,percent of total billed charges,48.61,percent of total billed charges,,,43.75,percent of total billed charges ,,,48.61,percent of total billed charges ,51.04,percent of total billed charges ,51.04,percent of total billed charges ,47.39,percent of total billed charges ,47.39,percent of total billed charges ,48.61,percent of total billed charges ,48.61,percent of total billed charges ,42.53,percent of total billed charges ,42.53,percent of total billed charges ,36.46,percent of total billed charges ,36.46,percent of total billed charges ,36.46,percent of total billed charges ,36.46,percent of total billed charges ,,,,,32.32,percent of total billed charges ,,,,,30.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,
VANCOMYCIN: 1 GM VIAL,J3370,CDM,,,,both,,,58.69,58.69,16.43,58.69,58.69,percent of total billed charges,58.69,percent of total billed charges,58.69,percent of total billed charges,58.69,percent of total billed charges,58.69,percent of total billed charges,58.69,percent of total billed charges,58.69,percent of total billed charges,58.69,percent of total billed charges,42.26,percent of total billed charges,42.26,percent of total billed charges,42.26,percent of total billed charges,42.26,percent of total billed charges,42.26,percent of total billed charges,42.26,percent of total billed charges,43.43,percent of total billed charges,43.43,percent of total billed charges,46.95,percent of total billed charges,46.95,percent of total billed charges,,,42.26,percent of total billed charges ,,,46.95,percent of total billed charges ,49.3,percent of total billed charges ,49.3,percent of total billed charges ,45.78,percent of total billed charges ,45.78,percent of total billed charges ,46.95,percent of total billed charges ,46.95,percent of total billed charges ,41.08,percent of total billed charges ,41.08,percent of total billed charges ,35.21,percent of total billed charges ,35.21,percent of total billed charges ,35.21,percent of total billed charges ,35.21,percent of total billed charges ,,,,,31.22,percent of total billed charges ,,,,,29.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,,,16.43,percent of total billed charges,
CALCIUM GLUCONATE 1 GM/10ML INJ,J0612,CDM,,,,both,,,161.79,161.79,45.3,161.79,161.79,percent of total billed charges,161.79,percent of total billed charges,161.79,percent of total billed charges,161.79,percent of total billed charges,161.79,percent of total billed charges,161.79,percent of total billed charges,161.79,percent of total billed charges,161.79,percent of total billed charges,116.49,percent of total billed charges,116.49,percent of total billed charges,116.49,percent of total billed charges,116.49,percent of total billed charges,116.49,percent of total billed charges,116.49,percent of total billed charges,119.72,percent of total billed charges,119.72,percent of total billed charges,129.43,percent of total billed charges,129.43,percent of total billed charges,,,116.49,percent of total billed charges ,,,129.43,percent of total billed charges ,135.9,percent of total billed charges ,135.9,percent of total billed charges ,126.2,percent of total billed charges ,126.2,percent of total billed charges ,129.43,percent of total billed charges ,129.43,percent of total billed charges ,113.25,percent of total billed charges ,113.25,percent of total billed charges ,97.07,percent of total billed charges ,97.07,percent of total billed charges ,97.07,percent of total billed charges ,97.07,percent of total billed charges ,,,,,86.07,percent of total billed charges ,,,,,81.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,,,45.3,percent of total billed charges,
**CEFOTETAN  (CEFOTAN) 1GM: ADVANTAGE,LOCAL,LOCAL,,,,both,,,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
CEFOTAXIME (CLAFORAN ) 1 GM IVPB MB+,J0698,CDM,,,,both,,,71.62,71.62,20.05,71.62,71.62,percent of total billed charges,71.62,percent of total billed charges,71.62,percent of total billed charges,71.62,percent of total billed charges,71.62,percent of total billed charges,71.62,percent of total billed charges,71.62,percent of total billed charges,71.62,percent of total billed charges,51.57,percent of total billed charges,51.57,percent of total billed charges,51.57,percent of total billed charges,51.57,percent of total billed charges,51.57,percent of total billed charges,51.57,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,57.3,percent of total billed charges,57.3,percent of total billed charges,,,51.57,percent of total billed charges ,,,57.3,percent of total billed charges ,60.16,percent of total billed charges ,60.16,percent of total billed charges ,55.86,percent of total billed charges ,55.86,percent of total billed charges ,57.3,percent of total billed charges ,57.3,percent of total billed charges ,50.13,percent of total billed charges ,50.13,percent of total billed charges ,42.97,percent of total billed charges ,42.97,percent of total billed charges ,42.97,percent of total billed charges ,42.97,percent of total billed charges ,,,,,38.1,percent of total billed charges ,,,,,36.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,
SODIUM CHLORIDE 0.9% IRRIGATION: 1000ML,LOCAL,LOCAL,,,,both,,,5.22,5.22,1.46,5.22,5.22,percent of total billed charges,5.22,percent of total billed charges,5.22,percent of total billed charges,5.22,percent of total billed charges,5.22,percent of total billed charges,5.22,percent of total billed charges,5.22,percent of total billed charges,5.22,percent of total billed charges,3.76,percent of total billed charges,3.76,percent of total billed charges,3.76,percent of total billed charges,3.76,percent of total billed charges,3.76,percent of total billed charges,3.76,percent of total billed charges,3.86,percent of total billed charges,3.86,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,,,3.76,percent of total billed charges ,,,4.18,percent of total billed charges ,4.38,percent of total billed charges ,4.38,percent of total billed charges ,4.07,percent of total billed charges ,4.07,percent of total billed charges ,4.18,percent of total billed charges ,4.18,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.13,percent of total billed charges ,3.13,percent of total billed charges ,3.13,percent of total billed charges ,3.13,percent of total billed charges ,,,,,2.78,percent of total billed charges ,,,,,2.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,
cefOXitin (MEFOXIN) 2GM VIAL,J0694,CDM,,,,both,,,108.69,108.69,30.43,108.69,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,80.43,percent of total billed charges,80.43,percent of total billed charges,86.95,percent of total billed charges,86.95,percent of total billed charges,,,78.26,percent of total billed charges ,,,86.95,percent of total billed charges ,91.3,percent of total billed charges ,91.3,percent of total billed charges ,84.78,percent of total billed charges ,84.78,percent of total billed charges ,86.95,percent of total billed charges ,86.95,percent of total billed charges ,76.08,percent of total billed charges ,76.08,percent of total billed charges ,65.21,percent of total billed charges ,65.21,percent of total billed charges ,65.21,percent of total billed charges ,65.21,percent of total billed charges ,,,,,57.82,percent of total billed charges ,,,,,54.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,
cefOXitin (MEFOXIN) 1GM: IM OR IVPB,J0694,CDM,,,,both,,,40.93,40.93,11.46,40.93,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,30.29,percent of total billed charges,30.29,percent of total billed charges,32.74,percent of total billed charges,32.74,percent of total billed charges,,,29.47,percent of total billed charges ,,,32.74,percent of total billed charges ,34.38,percent of total billed charges ,34.38,percent of total billed charges ,31.93,percent of total billed charges ,31.93,percent of total billed charges ,32.74,percent of total billed charges ,32.74,percent of total billed charges ,28.65,percent of total billed charges ,28.65,percent of total billed charges ,24.56,percent of total billed charges ,24.56,percent of total billed charges ,24.56,percent of total billed charges ,24.56,percent of total billed charges ,,,,,21.77,percent of total billed charges ,,,,,20.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,
cefTAZidime 1GM INJ,J0713,CDM,,,,both,,,46.34,46.34,12.98,46.34,46.34,percent of total billed charges,46.34,percent of total billed charges,46.34,percent of total billed charges,46.34,percent of total billed charges,46.34,percent of total billed charges,46.34,percent of total billed charges,46.34,percent of total billed charges,46.34,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,37.07,percent of total billed charges,37.07,percent of total billed charges,,,33.36,percent of total billed charges ,,,37.07,percent of total billed charges ,38.93,percent of total billed charges ,38.93,percent of total billed charges ,36.15,percent of total billed charges ,36.15,percent of total billed charges ,37.07,percent of total billed charges ,37.07,percent of total billed charges ,32.44,percent of total billed charges ,32.44,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,,,,,24.65,percent of total billed charges ,,,,,23.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,
cefTAZidime 2 GM/100ML NS IVPB,J0713,CDM,,,,both,,,141.86,141.86,39.72,141.86,141.86,percent of total billed charges,141.86,percent of total billed charges,141.86,percent of total billed charges,141.86,percent of total billed charges,141.86,percent of total billed charges,141.86,percent of total billed charges,141.86,percent of total billed charges,141.86,percent of total billed charges,102.14,percent of total billed charges,102.14,percent of total billed charges,102.14,percent of total billed charges,102.14,percent of total billed charges,102.14,percent of total billed charges,102.14,percent of total billed charges,104.98,percent of total billed charges,104.98,percent of total billed charges,113.49,percent of total billed charges,113.49,percent of total billed charges,,,102.14,percent of total billed charges ,,,113.49,percent of total billed charges ,119.16,percent of total billed charges ,119.16,percent of total billed charges ,110.65,percent of total billed charges ,110.65,percent of total billed charges ,113.49,percent of total billed charges ,113.49,percent of total billed charges ,99.3,percent of total billed charges ,99.3,percent of total billed charges ,85.12,percent of total billed charges ,85.12,percent of total billed charges ,85.12,percent of total billed charges ,85.12,percent of total billed charges ,,,,,75.47,percent of total billed charges ,,,,,71.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,,,39.72,percent of total billed charges,
**AMINO ACID 10%(AMINOSYN 10%):500 ML,LOCAL,LOCAL,,,,both,,,433,433,121.24,433,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,433,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,311.76,percent of total billed charges,320.42,percent of total billed charges,320.42,percent of total billed charges,346.4,percent of total billed charges,346.4,percent of total billed charges,,,311.76,percent of total billed charges ,,,346.4,percent of total billed charges ,363.72,percent of total billed charges ,363.72,percent of total billed charges ,337.74,percent of total billed charges ,337.74,percent of total billed charges ,346.4,percent of total billed charges ,346.4,percent of total billed charges ,303.1,percent of total billed charges ,303.1,percent of total billed charges ,259.8,percent of total billed charges ,259.8,percent of total billed charges ,259.8,percent of total billed charges ,259.8,percent of total billed charges ,,,,,230.36,percent of total billed charges ,,,,,218.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,,,121.24,percent of total billed charges,
cefTRIAXone (ROCEPHIN) 1 GM: ADVANTAGE,J0696,CDM,,,,both,,,45.67,45.67,12.79,45.67,45.67,percent of total billed charges,45.67,percent of total billed charges,45.67,percent of total billed charges,45.67,percent of total billed charges,45.67,percent of total billed charges,45.67,percent of total billed charges,45.67,percent of total billed charges,45.67,percent of total billed charges,32.88,percent of total billed charges,32.88,percent of total billed charges,32.88,percent of total billed charges,32.88,percent of total billed charges,32.88,percent of total billed charges,32.88,percent of total billed charges,33.8,percent of total billed charges,33.8,percent of total billed charges,36.54,percent of total billed charges,36.54,percent of total billed charges,,,32.88,percent of total billed charges ,,,36.54,percent of total billed charges ,38.36,percent of total billed charges ,38.36,percent of total billed charges ,35.62,percent of total billed charges ,35.62,percent of total billed charges ,36.54,percent of total billed charges ,36.54,percent of total billed charges ,31.97,percent of total billed charges ,31.97,percent of total billed charges ,27.4,percent of total billed charges ,27.4,percent of total billed charges ,27.4,percent of total billed charges ,27.4,percent of total billed charges ,,,,,24.3,percent of total billed charges ,,,,,23.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,,,12.79,percent of total billed charges,
CEFUROXIME: (ZINACEF) 750MG INJ,J0697,CDM,,,,both,,,25.11,25.11,7.03,25.11,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,25.11,percent of total billed charges,18.08,percent of total billed charges,18.08,percent of total billed charges,18.08,percent of total billed charges,18.08,percent of total billed charges,18.08,percent of total billed charges,18.08,percent of total billed charges,18.58,percent of total billed charges,18.58,percent of total billed charges,20.09,percent of total billed charges,20.09,percent of total billed charges,,,18.08,percent of total billed charges ,,,20.09,percent of total billed charges ,21.09,percent of total billed charges ,21.09,percent of total billed charges ,19.59,percent of total billed charges ,19.59,percent of total billed charges ,20.09,percent of total billed charges ,20.09,percent of total billed charges ,17.58,percent of total billed charges ,17.58,percent of total billed charges ,15.07,percent of total billed charges ,15.07,percent of total billed charges ,15.07,percent of total billed charges ,15.07,percent of total billed charges ,,,,,13.36,percent of total billed charges ,,,,,12.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,,,7.03,percent of total billed charges,
**CLINDAMYCIN 900 MG ADVANT VIAL:,LOCAL,LOCAL,,,,both,,,28.83,28.83,8.07,28.83,28.83,percent of total billed charges,28.83,percent of total billed charges,28.83,percent of total billed charges,28.83,percent of total billed charges,28.83,percent of total billed charges,28.83,percent of total billed charges,28.83,percent of total billed charges,28.83,percent of total billed charges,20.76,percent of total billed charges,20.76,percent of total billed charges,20.76,percent of total billed charges,20.76,percent of total billed charges,20.76,percent of total billed charges,20.76,percent of total billed charges,21.33,percent of total billed charges,21.33,percent of total billed charges,23.06,percent of total billed charges,23.06,percent of total billed charges,,,20.76,percent of total billed charges ,,,23.06,percent of total billed charges ,24.22,percent of total billed charges ,24.22,percent of total billed charges ,22.49,percent of total billed charges ,22.49,percent of total billed charges ,23.06,percent of total billed charges ,23.06,percent of total billed charges ,20.18,percent of total billed charges ,20.18,percent of total billed charges ,17.3,percent of total billed charges ,17.3,percent of total billed charges ,17.3,percent of total billed charges ,17.3,percent of total billed charges ,,,,,15.34,percent of total billed charges ,,,,,14.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,,,8.07,percent of total billed charges,
**CYCLOPHOSPHAMIDE (CYTOXAN) 50MG T,J8530,CDM,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
D5/0.45% NACL + KCL 10 MEQ 1000ML,LOCAL,LOCAL,,,,both,,,102.85,102.85,28.8,102.85,102.85,percent of total billed charges,102.85,percent of total billed charges,102.85,percent of total billed charges,102.85,percent of total billed charges,102.85,percent of total billed charges,102.85,percent of total billed charges,102.85,percent of total billed charges,102.85,percent of total billed charges,74.05,percent of total billed charges,74.05,percent of total billed charges,74.05,percent of total billed charges,74.05,percent of total billed charges,74.05,percent of total billed charges,74.05,percent of total billed charges,76.11,percent of total billed charges,76.11,percent of total billed charges,82.28,percent of total billed charges,82.28,percent of total billed charges,,,74.05,percent of total billed charges ,,,82.28,percent of total billed charges ,86.39,percent of total billed charges ,86.39,percent of total billed charges ,80.22,percent of total billed charges ,80.22,percent of total billed charges ,82.28,percent of total billed charges ,82.28,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,61.71,percent of total billed charges ,61.71,percent of total billed charges ,61.71,percent of total billed charges ,61.71,percent of total billed charges ,,,,,54.72,percent of total billed charges ,,,,,51.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,,,28.8,percent of total billed charges,
D5/0.45% NACL + 20MEQ KCL 1000ML,LOCAL,LOCAL,,,,both,,,72.58,72.58,20.32,72.58,72.58,percent of total billed charges,72.58,percent of total billed charges,72.58,percent of total billed charges,72.58,percent of total billed charges,72.58,percent of total billed charges,72.58,percent of total billed charges,72.58,percent of total billed charges,72.58,percent of total billed charges,52.26,percent of total billed charges,52.26,percent of total billed charges,52.26,percent of total billed charges,52.26,percent of total billed charges,52.26,percent of total billed charges,52.26,percent of total billed charges,53.71,percent of total billed charges,53.71,percent of total billed charges,58.06,percent of total billed charges,58.06,percent of total billed charges,,,52.26,percent of total billed charges ,,,58.06,percent of total billed charges ,60.97,percent of total billed charges ,60.97,percent of total billed charges ,56.61,percent of total billed charges ,56.61,percent of total billed charges ,58.06,percent of total billed charges ,58.06,percent of total billed charges ,50.81,percent of total billed charges ,50.81,percent of total billed charges ,43.55,percent of total billed charges ,43.55,percent of total billed charges ,43.55,percent of total billed charges ,43.55,percent of total billed charges ,,,,,38.61,percent of total billed charges ,,,,,36.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,,,20.32,percent of total billed charges,
D5/0.45% NACL + KCL 30 MEQ 1000ML,LOCAL,LOCAL,,,,both,,,269.15,269.15,75.36,269.15,269.15,percent of total billed charges,269.15,percent of total billed charges,269.15,percent of total billed charges,269.15,percent of total billed charges,269.15,percent of total billed charges,269.15,percent of total billed charges,269.15,percent of total billed charges,269.15,percent of total billed charges,193.79,percent of total billed charges,193.79,percent of total billed charges,193.79,percent of total billed charges,193.79,percent of total billed charges,193.79,percent of total billed charges,193.79,percent of total billed charges,199.17,percent of total billed charges,199.17,percent of total billed charges,215.32,percent of total billed charges,215.32,percent of total billed charges,,,193.79,percent of total billed charges ,,,215.32,percent of total billed charges ,226.09,percent of total billed charges ,226.09,percent of total billed charges ,209.94,percent of total billed charges ,209.94,percent of total billed charges ,215.32,percent of total billed charges ,215.32,percent of total billed charges ,188.41,percent of total billed charges ,188.41,percent of total billed charges ,161.49,percent of total billed charges ,161.49,percent of total billed charges ,161.49,percent of total billed charges ,161.49,percent of total billed charges ,,,,,143.19,percent of total billed charges ,,,,,136.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,,,75.36,percent of total billed charges,
D5/0.45% NACL + KCL 40 MEQ 1000ML,LOCAL,LOCAL,,,,both,,,100.34,100.34,28.1,100.34,100.34,percent of total billed charges,100.34,percent of total billed charges,100.34,percent of total billed charges,100.34,percent of total billed charges,100.34,percent of total billed charges,100.34,percent of total billed charges,100.34,percent of total billed charges,100.34,percent of total billed charges,72.24,percent of total billed charges,72.24,percent of total billed charges,72.24,percent of total billed charges,72.24,percent of total billed charges,72.24,percent of total billed charges,72.24,percent of total billed charges,74.25,percent of total billed charges,74.25,percent of total billed charges,80.27,percent of total billed charges,80.27,percent of total billed charges,,,72.24,percent of total billed charges ,,,80.27,percent of total billed charges ,84.29,percent of total billed charges ,84.29,percent of total billed charges ,78.27,percent of total billed charges ,78.27,percent of total billed charges ,80.27,percent of total billed charges ,80.27,percent of total billed charges ,70.24,percent of total billed charges ,70.24,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,,,,,53.38,percent of total billed charges ,,,,,50.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,,,28.1,percent of total billed charges,
**D50W (DEXTROSE 50%): 500 ML BOTTLE,LOCAL,LOCAL,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
DEXTROSE 10% 1000ML,LOCAL,LOCAL,,,,both,,,73.34,73.34,20.54,73.34,73.34,percent of total billed charges,73.34,percent of total billed charges,73.34,percent of total billed charges,73.34,percent of total billed charges,73.34,percent of total billed charges,73.34,percent of total billed charges,73.34,percent of total billed charges,73.34,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,54.27,percent of total billed charges,54.27,percent of total billed charges,58.67,percent of total billed charges,58.67,percent of total billed charges,,,52.8,percent of total billed charges ,,,58.67,percent of total billed charges ,61.61,percent of total billed charges ,61.61,percent of total billed charges ,57.21,percent of total billed charges ,57.21,percent of total billed charges ,58.67,percent of total billed charges ,58.67,percent of total billed charges ,51.34,percent of total billed charges ,51.34,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,,,,,39.02,percent of total billed charges ,,,,,37.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,,,20.54,percent of total billed charges,
DEXTROSE 5%: 100 ML A/V IVPB,LOCAL,LOCAL,,,,both,,,20.31,20.31,5.69,20.31,20.31,percent of total billed charges,20.31,percent of total billed charges,20.31,percent of total billed charges,20.31,percent of total billed charges,20.31,percent of total billed charges,20.31,percent of total billed charges,20.31,percent of total billed charges,20.31,percent of total billed charges,14.62,percent of total billed charges,14.62,percent of total billed charges,14.62,percent of total billed charges,14.62,percent of total billed charges,14.62,percent of total billed charges,14.62,percent of total billed charges,15.03,percent of total billed charges,15.03,percent of total billed charges,16.25,percent of total billed charges,16.25,percent of total billed charges,,,14.62,percent of total billed charges ,,,16.25,percent of total billed charges ,17.06,percent of total billed charges ,17.06,percent of total billed charges ,15.84,percent of total billed charges ,15.84,percent of total billed charges ,16.25,percent of total billed charges ,16.25,percent of total billed charges ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,12.19,percent of total billed charges ,12.19,percent of total billed charges ,12.19,percent of total billed charges ,12.19,percent of total billed charges ,,,,,10.8,percent of total billed charges ,,,,,10.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,,,5.69,percent of total billed charges,
DEXTROSE 5% IN LACTATED RINGERS 1000ML,LOCAL,LOCAL,,,,both,,,57.02,57.02,15.97,57.02,57.02,percent of total billed charges,57.02,percent of total billed charges,57.02,percent of total billed charges,57.02,percent of total billed charges,57.02,percent of total billed charges,57.02,percent of total billed charges,57.02,percent of total billed charges,57.02,percent of total billed charges,41.05,percent of total billed charges,41.05,percent of total billed charges,41.05,percent of total billed charges,41.05,percent of total billed charges,41.05,percent of total billed charges,41.05,percent of total billed charges,42.19,percent of total billed charges,42.19,percent of total billed charges,45.62,percent of total billed charges,45.62,percent of total billed charges,,,41.05,percent of total billed charges ,,,45.62,percent of total billed charges ,47.9,percent of total billed charges ,47.9,percent of total billed charges ,44.48,percent of total billed charges ,44.48,percent of total billed charges ,45.62,percent of total billed charges ,45.62,percent of total billed charges ,39.91,percent of total billed charges ,39.91,percent of total billed charges ,34.21,percent of total billed charges ,34.21,percent of total billed charges ,34.21,percent of total billed charges ,34.21,percent of total billed charges ,,,,,30.33,percent of total billed charges ,,,,,28.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,,,15.97,percent of total billed charges,
DEXTROSE 5%  1000 ML,J7070,CDM,,,,both,,,66.7,66.7,18.68,66.7,66.7,percent of total billed charges,66.7,percent of total billed charges,66.7,percent of total billed charges,66.7,percent of total billed charges,66.7,percent of total billed charges,66.7,percent of total billed charges,66.7,percent of total billed charges,66.7,percent of total billed charges,48.02,percent of total billed charges,48.02,percent of total billed charges,48.02,percent of total billed charges,48.02,percent of total billed charges,48.02,percent of total billed charges,48.02,percent of total billed charges,49.36,percent of total billed charges,49.36,percent of total billed charges,53.36,percent of total billed charges,53.36,percent of total billed charges,,,48.02,percent of total billed charges ,,,53.36,percent of total billed charges ,56.03,percent of total billed charges ,56.03,percent of total billed charges ,52.03,percent of total billed charges ,52.03,percent of total billed charges ,53.36,percent of total billed charges ,53.36,percent of total billed charges ,46.69,percent of total billed charges ,46.69,percent of total billed charges ,40.02,percent of total billed charges ,40.02,percent of total billed charges ,40.02,percent of total billed charges ,40.02,percent of total billed charges ,,,,,35.48,percent of total billed charges ,,,,,33.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,,,18.68,percent of total billed charges,
DEXTROSE 5%: 250ML IVPB,LOCAL,LOCAL,,,,both,,,27.75,27.75,7.77,27.75,27.75,percent of total billed charges,27.75,percent of total billed charges,27.75,percent of total billed charges,27.75,percent of total billed charges,27.75,percent of total billed charges,27.75,percent of total billed charges,27.75,percent of total billed charges,27.75,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,20.54,percent of total billed charges,20.54,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,,,19.98,percent of total billed charges ,,,22.2,percent of total billed charges ,23.31,percent of total billed charges ,23.31,percent of total billed charges ,21.65,percent of total billed charges ,21.65,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,19.43,percent of total billed charges ,19.43,percent of total billed charges ,16.65,percent of total billed charges ,16.65,percent of total billed charges ,16.65,percent of total billed charges ,16.65,percent of total billed charges ,,,,,14.76,percent of total billed charges ,,,,,14.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,,,7.77,percent of total billed charges,
**NALOXONE INJ: 0.4MG/ML 10ML 1ML/CHG,J2310,CDM,,,,both,,,89,89,24.92,89,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,65.86,percent of total billed charges,65.86,percent of total billed charges,71.2,percent of total billed charges,71.2,percent of total billed charges,,,64.08,percent of total billed charges ,,,71.2,percent of total billed charges ,74.76,percent of total billed charges ,74.76,percent of total billed charges ,69.42,percent of total billed charges ,69.42,percent of total billed charges ,71.2,percent of total billed charges ,71.2,percent of total billed charges ,62.3,percent of total billed charges ,62.3,percent of total billed charges ,53.4,percent of total billed charges ,53.4,percent of total billed charges ,53.4,percent of total billed charges ,53.4,percent of total billed charges ,,,,,47.35,percent of total billed charges ,,,,,44.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,
ERYTHROMYCIN: 500MG VIAL,J1364,CDM,,,,both,,,468.3,468.3,131.12,468.3,468.3,percent of total billed charges,468.3,percent of total billed charges,468.3,percent of total billed charges,468.3,percent of total billed charges,468.3,percent of total billed charges,468.3,percent of total billed charges,468.3,percent of total billed charges,468.3,percent of total billed charges,337.18,percent of total billed charges,337.18,percent of total billed charges,337.18,percent of total billed charges,337.18,percent of total billed charges,337.18,percent of total billed charges,337.18,percent of total billed charges,346.54,percent of total billed charges,346.54,percent of total billed charges,374.64,percent of total billed charges,374.64,percent of total billed charges,,,337.18,percent of total billed charges ,,,374.64,percent of total billed charges ,393.37,percent of total billed charges ,393.37,percent of total billed charges ,365.27,percent of total billed charges ,365.27,percent of total billed charges ,374.64,percent of total billed charges ,374.64,percent of total billed charges ,327.81,percent of total billed charges ,327.81,percent of total billed charges ,280.98,percent of total billed charges ,280.98,percent of total billed charges ,280.98,percent of total billed charges ,280.98,percent of total billed charges ,,,,,249.14,percent of total billed charges ,,,,,236.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,,,131.12,percent of total billed charges,
DEXTROSE 5%: 50ML A/V IVPB,LOCAL,LOCAL,,,,both,,,16.25,16.25,4.55,16.25,16.25,percent of total billed charges,16.25,percent of total billed charges,16.25,percent of total billed charges,16.25,percent of total billed charges,16.25,percent of total billed charges,16.25,percent of total billed charges,16.25,percent of total billed charges,16.25,percent of total billed charges,11.7,percent of total billed charges,11.7,percent of total billed charges,11.7,percent of total billed charges,11.7,percent of total billed charges,11.7,percent of total billed charges,11.7,percent of total billed charges,12.03,percent of total billed charges,12.03,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,,,11.7,percent of total billed charges ,,,13,percent of total billed charges ,13.65,percent of total billed charges ,13.65,percent of total billed charges ,12.68,percent of total billed charges ,12.68,percent of total billed charges ,13,percent of total billed charges ,13,percent of total billed charges ,11.38,percent of total billed charges ,11.38,percent of total billed charges ,9.75,percent of total billed charges ,9.75,percent of total billed charges ,9.75,percent of total billed charges ,9.75,percent of total billed charges ,,,,,8.65,percent of total billed charges ,,,,,8.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,
**NORMOSOL M 5% DEXTROSE:(ISOLYTE H):LIT,LOCAL,LOCAL,,,,both,,,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
DEXTROSE 5% IN 0.225% NACL 1000ML,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
D5/0.45% NACL 1000ML,LOCAL,LOCAL,,,,both,,,21.9,21.9,6.13,21.9,21.9,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,15.77,percent of total billed charges,15.77,percent of total billed charges,15.77,percent of total billed charges,15.77,percent of total billed charges,15.77,percent of total billed charges,15.77,percent of total billed charges,16.21,percent of total billed charges,16.21,percent of total billed charges,17.52,percent of total billed charges,17.52,percent of total billed charges,,,15.77,percent of total billed charges ,,,17.52,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,17.08,percent of total billed charges ,17.08,percent of total billed charges ,17.52,percent of total billed charges ,17.52,percent of total billed charges ,15.33,percent of total billed charges ,15.33,percent of total billed charges ,13.14,percent of total billed charges ,13.14,percent of total billed charges ,13.14,percent of total billed charges ,13.14,percent of total billed charges ,,,,,11.65,percent of total billed charges ,,,,,11.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,,,6.13,percent of total billed charges,
DEXTROSE 5% IN 0.9% NACL 1000ML,J7042,CDM,,,,both,,,74.93,74.93,20.98,74.93,74.93,percent of total billed charges,74.93,percent of total billed charges,74.93,percent of total billed charges,74.93,percent of total billed charges,74.93,percent of total billed charges,74.93,percent of total billed charges,74.93,percent of total billed charges,74.93,percent of total billed charges,53.95,percent of total billed charges,53.95,percent of total billed charges,53.95,percent of total billed charges,53.95,percent of total billed charges,53.95,percent of total billed charges,53.95,percent of total billed charges,55.45,percent of total billed charges,55.45,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,,,53.95,percent of total billed charges ,,,59.94,percent of total billed charges ,62.94,percent of total billed charges ,62.94,percent of total billed charges ,58.45,percent of total billed charges ,58.45,percent of total billed charges ,59.94,percent of total billed charges ,59.94,percent of total billed charges ,52.45,percent of total billed charges ,52.45,percent of total billed charges ,44.96,percent of total billed charges ,44.96,percent of total billed charges ,44.96,percent of total billed charges ,44.96,percent of total billed charges ,,,,,39.86,percent of total billed charges ,,,,,37.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,,,20.98,percent of total billed charges,
STERILE WATER FOR INJ: 1000 ML,LOCAL,LOCAL,,,,both,,,30.39,30.39,8.51,30.39,30.39,percent of total billed charges,30.39,percent of total billed charges,30.39,percent of total billed charges,30.39,percent of total billed charges,30.39,percent of total billed charges,30.39,percent of total billed charges,30.39,percent of total billed charges,30.39,percent of total billed charges,21.88,percent of total billed charges,21.88,percent of total billed charges,21.88,percent of total billed charges,21.88,percent of total billed charges,21.88,percent of total billed charges,21.88,percent of total billed charges,22.49,percent of total billed charges,22.49,percent of total billed charges,24.31,percent of total billed charges,24.31,percent of total billed charges,,,21.88,percent of total billed charges ,,,24.31,percent of total billed charges ,25.53,percent of total billed charges ,25.53,percent of total billed charges ,23.7,percent of total billed charges ,23.7,percent of total billed charges ,24.31,percent of total billed charges ,24.31,percent of total billed charges ,21.27,percent of total billed charges ,21.27,percent of total billed charges ,18.23,percent of total billed charges ,18.23,percent of total billed charges ,18.23,percent of total billed charges ,18.23,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,15.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,,,8.51,percent of total billed charges,
DOPamine 400MG / 250ML DRIP,J1265,CDM,,,,both,,,25.07,25.07,7.02,25.07,25.07,percent of total billed charges,25.07,percent of total billed charges,25.07,percent of total billed charges,25.07,percent of total billed charges,25.07,percent of total billed charges,25.07,percent of total billed charges,25.07,percent of total billed charges,25.07,percent of total billed charges,18.05,percent of total billed charges,18.05,percent of total billed charges,18.05,percent of total billed charges,18.05,percent of total billed charges,18.05,percent of total billed charges,18.05,percent of total billed charges,18.55,percent of total billed charges,18.55,percent of total billed charges,20.06,percent of total billed charges,20.06,percent of total billed charges,,,18.05,percent of total billed charges ,,,20.06,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,19.55,percent of total billed charges ,19.55,percent of total billed charges ,20.06,percent of total billed charges ,20.06,percent of total billed charges ,17.55,percent of total billed charges ,17.55,percent of total billed charges ,15.04,percent of total billed charges ,15.04,percent of total billed charges ,15.04,percent of total billed charges ,15.04,percent of total billed charges ,,,,,13.34,percent of total billed charges ,,,,,12.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,,,7.02,percent of total billed charges,
"HEPARIN 12,500 UNITS IN 0.45% NS 250ML",J1644,CDM,,,,both,,,71.36,71.36,19.98,71.36,71.36,percent of total billed charges,71.36,percent of total billed charges,71.36,percent of total billed charges,71.36,percent of total billed charges,71.36,percent of total billed charges,71.36,percent of total billed charges,71.36,percent of total billed charges,71.36,percent of total billed charges,51.38,percent of total billed charges,51.38,percent of total billed charges,51.38,percent of total billed charges,51.38,percent of total billed charges,51.38,percent of total billed charges,51.38,percent of total billed charges,52.81,percent of total billed charges,52.81,percent of total billed charges,57.09,percent of total billed charges,57.09,percent of total billed charges,,,51.38,percent of total billed charges ,,,57.09,percent of total billed charges ,59.94,percent of total billed charges ,59.94,percent of total billed charges ,55.66,percent of total billed charges ,55.66,percent of total billed charges ,57.09,percent of total billed charges ,57.09,percent of total billed charges ,49.95,percent of total billed charges ,49.95,percent of total billed charges ,42.82,percent of total billed charges ,42.82,percent of total billed charges ,42.82,percent of total billed charges ,42.82,percent of total billed charges ,,,,,37.96,percent of total billed charges ,,,,,36.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,,,19.98,percent of total billed charges,
**CALCIUM GLUCONATE: 1GM/10ML INJ,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
ALTEPLASE (CATH-FLO) 2 MG INJ,J2997,CDM,,,,both,,,848.78,848.78,237.66,848.78,848.78,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,848.78,percent of total billed charges,611.12,percent of total billed charges,611.12,percent of total billed charges,611.12,percent of total billed charges,611.12,percent of total billed charges,611.12,percent of total billed charges,611.12,percent of total billed charges,628.1,percent of total billed charges,628.1,percent of total billed charges,679.02,percent of total billed charges,679.02,percent of total billed charges,,,611.12,percent of total billed charges ,,,679.02,percent of total billed charges ,712.98,percent of total billed charges ,712.98,percent of total billed charges ,662.05,percent of total billed charges ,662.05,percent of total billed charges ,679.02,percent of total billed charges ,679.02,percent of total billed charges ,594.15,percent of total billed charges ,594.15,percent of total billed charges ,509.27,percent of total billed charges ,509.27,percent of total billed charges ,509.27,percent of total billed charges ,509.27,percent of total billed charges ,,,,,451.55,percent of total billed charges ,,,,,428.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,,,237.66,percent of total billed charges,
IMMUNE GLOBULIN 10% (PRIVIGEN) 10GM SDV,J1459,CDM,,,,both,,,"6,004.66","6,004.66","1,681.30","6,004.66","6,004.66",percent of total billed charges,"6,004.66",percent of total billed charges,"6,004.66",percent of total billed charges,"6,004.66",percent of total billed charges,"6,004.66",percent of total billed charges,"6,004.66",percent of total billed charges,"6,004.66",percent of total billed charges,"6,004.66",percent of total billed charges,"4,323.36",percent of total billed charges,"4,323.36",percent of total billed charges,"4,323.36",percent of total billed charges,"4,323.36",percent of total billed charges,"4,323.36",percent of total billed charges,"4,323.36",percent of total billed charges,"4,443.45",percent of total billed charges,"4,443.45",percent of total billed charges,"4,803.73",percent of total billed charges,"4,803.73",percent of total billed charges,,,"4,323.36",percent of total billed charges ,,,"4,803.73",percent of total billed charges ,"5,043.91",percent of total billed charges ,"5,043.91",percent of total billed charges ,"4,683.63",percent of total billed charges ,"4,683.63",percent of total billed charges ,"4,803.73",percent of total billed charges ,"4,803.73",percent of total billed charges ,"4,203.26",percent of total billed charges ,"4,203.26",percent of total billed charges ,"3,602.80",percent of total billed charges ,"3,602.80",percent of total billed charges ,"3,602.80",percent of total billed charges ,"3,602.80",percent of total billed charges ,,,,,"3,194.48",percent of total billed charges ,,,,,"3,034.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,,,"1,681.30",percent of total billed charges,
**IONOSOL MB/DEXTROSE 5%:,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
LACTATED RINGERS 1000ML,J7120,CDM,,,,both,,,65.59,65.59,18.37,65.59,65.59,percent of total billed charges,65.59,percent of total billed charges,65.59,percent of total billed charges,65.59,percent of total billed charges,65.59,percent of total billed charges,65.59,percent of total billed charges,65.59,percent of total billed charges,65.59,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,48.54,percent of total billed charges,48.54,percent of total billed charges,52.47,percent of total billed charges,52.47,percent of total billed charges,,,47.22,percent of total billed charges ,,,52.47,percent of total billed charges ,55.1,percent of total billed charges ,55.1,percent of total billed charges ,51.16,percent of total billed charges ,51.16,percent of total billed charges ,52.47,percent of total billed charges ,52.47,percent of total billed charges ,45.91,percent of total billed charges ,45.91,percent of total billed charges ,39.35,percent of total billed charges ,39.35,percent of total billed charges ,39.35,percent of total billed charges ,39.35,percent of total billed charges ,,,,,34.89,percent of total billed charges ,,,,,33.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,,,18.37,percent of total billed charges,
**NITROGLYCERIN 25MG INJ: VIAL,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
FAT EMULSION (LIPOSYN II 10%): 500ML,LOCAL,LOCAL,,,,both,,,152.78,152.78,42.78,152.78,152.78,percent of total billed charges,152.78,percent of total billed charges,152.78,percent of total billed charges,152.78,percent of total billed charges,152.78,percent of total billed charges,152.78,percent of total billed charges,152.78,percent of total billed charges,152.78,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,113.06,percent of total billed charges,113.06,percent of total billed charges,122.22,percent of total billed charges,122.22,percent of total billed charges,,,110,percent of total billed charges ,,,122.22,percent of total billed charges ,128.34,percent of total billed charges ,128.34,percent of total billed charges ,119.17,percent of total billed charges ,119.17,percent of total billed charges ,122.22,percent of total billed charges ,122.22,percent of total billed charges ,106.95,percent of total billed charges ,106.95,percent of total billed charges ,91.67,percent of total billed charges ,91.67,percent of total billed charges ,91.67,percent of total billed charges ,91.67,percent of total billed charges ,,,,,81.28,percent of total billed charges ,,,,,77.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,,,42.78,percent of total billed charges,
**DOBUTAMINE (DOBUTREX) 250MG INJ:VIAL,J1250,CDM,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
DOXYCYCLINE: (VIBRAMYCIN) 100MG VIAL,LOCAL,LOCAL,,,,both,,,230.31,230.31,64.49,230.31,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,170.43,percent of total billed charges,170.43,percent of total billed charges,184.25,percent of total billed charges,184.25,percent of total billed charges,,,165.82,percent of total billed charges ,,,184.25,percent of total billed charges ,193.46,percent of total billed charges ,193.46,percent of total billed charges ,179.64,percent of total billed charges ,179.64,percent of total billed charges ,184.25,percent of total billed charges ,184.25,percent of total billed charges ,161.22,percent of total billed charges ,161.22,percent of total billed charges ,138.19,percent of total billed charges ,138.19,percent of total billed charges ,138.19,percent of total billed charges ,138.19,percent of total billed charges ,,,,,122.52,percent of total billed charges ,,,,,116.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,
DOBUTamine:           500MG IN D5W 250ML,J1250,CDM,,,,both,,,149.43,149.43,41.84,149.43,149.43,percent of total billed charges,149.43,percent of total billed charges,149.43,percent of total billed charges,149.43,percent of total billed charges,149.43,percent of total billed charges,149.43,percent of total billed charges,149.43,percent of total billed charges,149.43,percent of total billed charges,107.59,percent of total billed charges,107.59,percent of total billed charges,107.59,percent of total billed charges,107.59,percent of total billed charges,107.59,percent of total billed charges,107.59,percent of total billed charges,110.58,percent of total billed charges,110.58,percent of total billed charges,119.54,percent of total billed charges,119.54,percent of total billed charges,,,107.59,percent of total billed charges ,,,119.54,percent of total billed charges ,125.52,percent of total billed charges ,125.52,percent of total billed charges ,116.56,percent of total billed charges ,116.56,percent of total billed charges ,119.54,percent of total billed charges ,119.54,percent of total billed charges ,104.6,percent of total billed charges ,104.6,percent of total billed charges ,89.66,percent of total billed charges ,89.66,percent of total billed charges ,89.66,percent of total billed charges ,89.66,percent of total billed charges ,,,,,79.5,percent of total billed charges ,,,,,75.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,,,41.84,percent of total billed charges,
MULTIVITAMIN (MVI-12): INJ 10ML,LOCAL,LOCAL,,,,both,,,128.65,128.65,36.02,128.65,128.65,percent of total billed charges,128.65,percent of total billed charges,128.65,percent of total billed charges,128.65,percent of total billed charges,128.65,percent of total billed charges,128.65,percent of total billed charges,128.65,percent of total billed charges,128.65,percent of total billed charges,92.63,percent of total billed charges,92.63,percent of total billed charges,92.63,percent of total billed charges,92.63,percent of total billed charges,92.63,percent of total billed charges,92.63,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,102.92,percent of total billed charges,102.92,percent of total billed charges,,,92.63,percent of total billed charges ,,,102.92,percent of total billed charges ,108.07,percent of total billed charges ,108.07,percent of total billed charges ,100.35,percent of total billed charges ,100.35,percent of total billed charges ,102.92,percent of total billed charges ,102.92,percent of total billed charges ,90.06,percent of total billed charges ,90.06,percent of total billed charges ,77.19,percent of total billed charges ,77.19,percent of total billed charges ,77.19,percent of total billed charges ,77.19,percent of total billed charges ,,,,,68.44,percent of total billed charges ,,,,,65.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,,,36.02,percent of total billed charges,
metroNIDAZOLE (FLAGYL) 500MG IVPB,LOCAL,LOCAL,,,,both,,,26.88,26.88,7.53,26.88,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,26.88,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.35,percent of total billed charges,19.89,percent of total billed charges,19.89,percent of total billed charges,21.5,percent of total billed charges,21.5,percent of total billed charges,,,19.35,percent of total billed charges ,,,21.5,percent of total billed charges ,22.58,percent of total billed charges ,22.58,percent of total billed charges ,20.97,percent of total billed charges ,20.97,percent of total billed charges ,21.5,percent of total billed charges ,21.5,percent of total billed charges ,18.82,percent of total billed charges ,18.82,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,16.13,percent of total billed charges ,,,,,14.3,percent of total billed charges ,,,,,13.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,,,7.53,percent of total billed charges,
FAT EMULSION (LIPOSYN II 20%): 500ML,LOCAL,LOCAL,,,,both,,,168.66,168.66,47.22,168.66,168.66,percent of total billed charges,168.66,percent of total billed charges,168.66,percent of total billed charges,168.66,percent of total billed charges,168.66,percent of total billed charges,168.66,percent of total billed charges,168.66,percent of total billed charges,168.66,percent of total billed charges,121.44,percent of total billed charges,121.44,percent of total billed charges,121.44,percent of total billed charges,121.44,percent of total billed charges,121.44,percent of total billed charges,121.44,percent of total billed charges,124.81,percent of total billed charges,124.81,percent of total billed charges,134.93,percent of total billed charges,134.93,percent of total billed charges,,,121.44,percent of total billed charges ,,,134.93,percent of total billed charges ,141.67,percent of total billed charges ,141.67,percent of total billed charges ,131.55,percent of total billed charges ,131.55,percent of total billed charges ,134.93,percent of total billed charges ,134.93,percent of total billed charges ,118.06,percent of total billed charges ,118.06,percent of total billed charges ,101.2,percent of total billed charges ,101.2,percent of total billed charges ,101.2,percent of total billed charges ,101.2,percent of total billed charges ,,,,,89.73,percent of total billed charges ,,,,,85.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,,,47.22,percent of total billed charges,
**TICAR/CLAVULAN(TIMENTIN) 3:1 GM: ADVAN,LOCAL,LOCAL,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
IMIPENEM/CILISTATIN (PRIMAXIN) 500MG AV,J0743,CDM,,,,both,,,152.14,152.14,42.6,152.14,152.14,percent of total billed charges,152.14,percent of total billed charges,152.14,percent of total billed charges,152.14,percent of total billed charges,152.14,percent of total billed charges,152.14,percent of total billed charges,152.14,percent of total billed charges,152.14,percent of total billed charges,109.54,percent of total billed charges,109.54,percent of total billed charges,109.54,percent of total billed charges,109.54,percent of total billed charges,109.54,percent of total billed charges,109.54,percent of total billed charges,112.58,percent of total billed charges,112.58,percent of total billed charges,121.71,percent of total billed charges,121.71,percent of total billed charges,,,109.54,percent of total billed charges ,,,121.71,percent of total billed charges ,127.8,percent of total billed charges ,127.8,percent of total billed charges ,118.67,percent of total billed charges ,118.67,percent of total billed charges ,121.71,percent of total billed charges ,121.71,percent of total billed charges ,106.5,percent of total billed charges ,106.5,percent of total billed charges ,91.28,percent of total billed charges ,91.28,percent of total billed charges ,91.28,percent of total billed charges ,91.28,percent of total billed charges ,,,,,80.94,percent of total billed charges ,,,,,76.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,,,42.6,percent of total billed charges,
raNITIdine: 50 MG / 0.45% NACL 50ML IVPB,J2780,CDM,,,,both,,,99.37,99.37,27.82,99.37,99.37,percent of total billed charges,99.37,percent of total billed charges,99.37,percent of total billed charges,99.37,percent of total billed charges,99.37,percent of total billed charges,99.37,percent of total billed charges,99.37,percent of total billed charges,99.37,percent of total billed charges,71.55,percent of total billed charges,71.55,percent of total billed charges,71.55,percent of total billed charges,71.55,percent of total billed charges,71.55,percent of total billed charges,71.55,percent of total billed charges,73.53,percent of total billed charges,73.53,percent of total billed charges,79.5,percent of total billed charges,79.5,percent of total billed charges,,,71.55,percent of total billed charges ,,,79.5,percent of total billed charges ,83.47,percent of total billed charges ,83.47,percent of total billed charges ,77.51,percent of total billed charges ,77.51,percent of total billed charges ,79.5,percent of total billed charges ,79.5,percent of total billed charges ,69.56,percent of total billed charges ,69.56,percent of total billed charges ,59.62,percent of total billed charges ,59.62,percent of total billed charges ,59.62,percent of total billed charges ,59.62,percent of total billed charges ,,,,,52.86,percent of total billed charges ,,,,,50.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,,,27.82,percent of total billed charges,
SODIUM CHLORIDE 0.45%:1000ML,LOCAL,LOCAL,,,,both,,,59.63,59.63,16.7,59.63,59.63,percent of total billed charges,59.63,percent of total billed charges,59.63,percent of total billed charges,59.63,percent of total billed charges,59.63,percent of total billed charges,59.63,percent of total billed charges,59.63,percent of total billed charges,59.63,percent of total billed charges,42.93,percent of total billed charges,42.93,percent of total billed charges,42.93,percent of total billed charges,42.93,percent of total billed charges,42.93,percent of total billed charges,42.93,percent of total billed charges,44.13,percent of total billed charges,44.13,percent of total billed charges,47.7,percent of total billed charges,47.7,percent of total billed charges,,,42.93,percent of total billed charges ,,,47.7,percent of total billed charges ,50.09,percent of total billed charges ,50.09,percent of total billed charges ,46.51,percent of total billed charges ,46.51,percent of total billed charges ,47.7,percent of total billed charges ,47.7,percent of total billed charges ,41.74,percent of total billed charges ,41.74,percent of total billed charges ,35.78,percent of total billed charges ,35.78,percent of total billed charges ,35.78,percent of total billed charges ,35.78,percent of total billed charges ,,,,,31.72,percent of total billed charges ,,,,,30.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,
SODIUM CHLORIDE 0.9%1000 ML,J7030,CDM,,,,both,,,77.22,77.22,21.62,77.22,77.22,percent of total billed charges,77.22,percent of total billed charges,77.22,percent of total billed charges,77.22,percent of total billed charges,77.22,percent of total billed charges,77.22,percent of total billed charges,77.22,percent of total billed charges,77.22,percent of total billed charges,55.6,percent of total billed charges,55.6,percent of total billed charges,55.6,percent of total billed charges,55.6,percent of total billed charges,55.6,percent of total billed charges,55.6,percent of total billed charges,57.14,percent of total billed charges,57.14,percent of total billed charges,61.78,percent of total billed charges,61.78,percent of total billed charges,,,55.6,percent of total billed charges ,,,61.78,percent of total billed charges ,64.86,percent of total billed charges ,64.86,percent of total billed charges ,60.23,percent of total billed charges ,60.23,percent of total billed charges ,61.78,percent of total billed charges ,61.78,percent of total billed charges ,54.05,percent of total billed charges ,54.05,percent of total billed charges ,46.33,percent of total billed charges ,46.33,percent of total billed charges ,46.33,percent of total billed charges ,46.33,percent of total billed charges ,,,,,41.08,percent of total billed charges ,,,,,39.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,,,21.62,percent of total billed charges,
SODIUM CHLORIDE 0.9% 250 ML IVPB,J7050,CDM,,,,both,,,21.84,21.84,6.12,21.84,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,21.84,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,15.72,percent of total billed charges,16.16,percent of total billed charges,16.16,percent of total billed charges,17.47,percent of total billed charges,17.47,percent of total billed charges,,,15.72,percent of total billed charges ,,,17.47,percent of total billed charges ,18.35,percent of total billed charges ,18.35,percent of total billed charges ,17.04,percent of total billed charges ,17.04,percent of total billed charges ,17.47,percent of total billed charges ,17.47,percent of total billed charges ,15.29,percent of total billed charges ,15.29,percent of total billed charges ,13.1,percent of total billed charges ,13.1,percent of total billed charges ,13.1,percent of total billed charges ,13.1,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,11.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,,,6.12,percent of total billed charges,
SODIUM CHLORIDE 0.9%: 50ML IVPB,LOCAL,LOCAL,,,,both,,,30.89,30.89,8.65,30.89,30.89,percent of total billed charges,30.89,percent of total billed charges,30.89,percent of total billed charges,30.89,percent of total billed charges,30.89,percent of total billed charges,30.89,percent of total billed charges,30.89,percent of total billed charges,30.89,percent of total billed charges,22.24,percent of total billed charges,22.24,percent of total billed charges,22.24,percent of total billed charges,22.24,percent of total billed charges,22.24,percent of total billed charges,22.24,percent of total billed charges,22.86,percent of total billed charges,22.86,percent of total billed charges,24.71,percent of total billed charges,24.71,percent of total billed charges,,,22.24,percent of total billed charges ,,,24.71,percent of total billed charges ,25.95,percent of total billed charges ,25.95,percent of total billed charges ,24.09,percent of total billed charges ,24.09,percent of total billed charges ,24.71,percent of total billed charges ,24.71,percent of total billed charges ,21.62,percent of total billed charges ,21.62,percent of total billed charges ,18.53,percent of total billed charges ,18.53,percent of total billed charges ,18.53,percent of total billed charges ,18.53,percent of total billed charges ,,,,,16.43,percent of total billed charges ,,,,,15.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,,,8.65,percent of total billed charges,
SODIUM CHLORIDE 0.9% 500ML,J7040,CDM,,,,both,,,62.93,62.93,17.62,62.93,62.93,percent of total billed charges,62.93,percent of total billed charges,62.93,percent of total billed charges,62.93,percent of total billed charges,62.93,percent of total billed charges,62.93,percent of total billed charges,62.93,percent of total billed charges,62.93,percent of total billed charges,45.31,percent of total billed charges,45.31,percent of total billed charges,45.31,percent of total billed charges,45.31,percent of total billed charges,45.31,percent of total billed charges,45.31,percent of total billed charges,46.57,percent of total billed charges,46.57,percent of total billed charges,50.34,percent of total billed charges,50.34,percent of total billed charges,,,45.31,percent of total billed charges ,,,50.34,percent of total billed charges ,52.86,percent of total billed charges ,52.86,percent of total billed charges ,49.09,percent of total billed charges ,49.09,percent of total billed charges ,50.34,percent of total billed charges ,50.34,percent of total billed charges ,44.05,percent of total billed charges ,44.05,percent of total billed charges ,37.76,percent of total billed charges ,37.76,percent of total billed charges ,37.76,percent of total billed charges ,37.76,percent of total billed charges ,,,,,33.48,percent of total billed charges ,,,,,31.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,,,17.62,percent of total billed charges,
SODIUM CHLORIDE 0.9%: 50ML A/V IVPB,LOCAL,LOCAL,,,,both,,,16.24,16.24,4.55,16.24,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,16.24,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,11.69,percent of total billed charges,12.02,percent of total billed charges,12.02,percent of total billed charges,12.99,percent of total billed charges,12.99,percent of total billed charges,,,11.69,percent of total billed charges ,,,12.99,percent of total billed charges ,13.64,percent of total billed charges ,13.64,percent of total billed charges ,12.67,percent of total billed charges ,12.67,percent of total billed charges ,12.99,percent of total billed charges ,12.99,percent of total billed charges ,11.37,percent of total billed charges ,11.37,percent of total billed charges ,9.74,percent of total billed charges ,9.74,percent of total billed charges ,9.74,percent of total billed charges ,9.74,percent of total billed charges ,,,,,8.64,percent of total billed charges ,,,,,8.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,,,4.55,percent of total billed charges,
SODIUM CHLORIDE 0.9% 100ML IVPB,LOCAL,LOCAL,,,,both,,,24.65,24.65,6.9,24.65,24.65,percent of total billed charges,24.65,percent of total billed charges,24.65,percent of total billed charges,24.65,percent of total billed charges,24.65,percent of total billed charges,24.65,percent of total billed charges,24.65,percent of total billed charges,24.65,percent of total billed charges,17.75,percent of total billed charges,17.75,percent of total billed charges,17.75,percent of total billed charges,17.75,percent of total billed charges,17.75,percent of total billed charges,17.75,percent of total billed charges,18.24,percent of total billed charges,18.24,percent of total billed charges,19.72,percent of total billed charges,19.72,percent of total billed charges,,,17.75,percent of total billed charges ,,,19.72,percent of total billed charges ,20.71,percent of total billed charges ,20.71,percent of total billed charges ,19.23,percent of total billed charges ,19.23,percent of total billed charges ,19.72,percent of total billed charges ,19.72,percent of total billed charges ,17.26,percent of total billed charges ,17.26,percent of total billed charges ,14.79,percent of total billed charges ,14.79,percent of total billed charges ,14.79,percent of total billed charges ,14.79,percent of total billed charges ,,,,,13.11,percent of total billed charges ,,,,,12.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,,,6.9,percent of total billed charges,
SODIUM CHLORIDE 0.9% FOR IRRIG. 500ML,LOCAL,LOCAL,,,,both,,,6.7,6.7,1.88,6.7,6.7,percent of total billed charges,6.7,percent of total billed charges,6.7,percent of total billed charges,6.7,percent of total billed charges,6.7,percent of total billed charges,6.7,percent of total billed charges,6.7,percent of total billed charges,6.7,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.96,percent of total billed charges,4.96,percent of total billed charges,5.36,percent of total billed charges,5.36,percent of total billed charges,,,4.82,percent of total billed charges ,,,5.36,percent of total billed charges ,5.63,percent of total billed charges ,5.63,percent of total billed charges ,5.23,percent of total billed charges ,5.23,percent of total billed charges ,5.36,percent of total billed charges ,5.36,percent of total billed charges ,4.69,percent of total billed charges ,4.69,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,,,,,3.56,percent of total billed charges ,,,,,3.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,,,1.88,percent of total billed charges,
**CEFAZOLIN INJECTION 2 GM:,J0690,CDM,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
**CEFOTAXIME (CLAFORAN): 2GM,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**PENICILLIN G POT.INJECT 20 MU:,J2540,CDM,,,,both,,,68,68,19.04,68,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,,,48.96,percent of total billed charges ,,,54.4,percent of total billed charges ,57.12,percent of total billed charges ,57.12,percent of total billed charges ,53.04,percent of total billed charges ,53.04,percent of total billed charges ,54.4,percent of total billed charges ,54.4,percent of total billed charges ,47.6,percent of total billed charges ,47.6,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,,,,,36.18,percent of total billed charges ,,,,,34.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,
**ASCORBIC ACID (VITAMIN C) 500MG INJ,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**TIROFIBAN 12.5MG/250ML PREMIX: AGGRAST,J3246,CDM,,,,both,,,"1,140.00","1,140.00",319.2,"1,140.00","1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,843.6,percent of total billed charges,843.6,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,,,820.8,percent of total billed charges ,,,912,percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,889.2,percent of total billed charges ,889.2,percent of total billed charges ,912,percent of total billed charges ,912,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,,,,,606.48,percent of total billed charges ,,,,,576.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,
**PENICILLIN G POT INJECTION 10 MU:,J2540,CDM,,,,both,,,68,68,19.04,68,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,,,48.96,percent of total billed charges ,,,54.4,percent of total billed charges ,57.12,percent of total billed charges ,57.12,percent of total billed charges ,53.04,percent of total billed charges ,53.04,percent of total billed charges ,54.4,percent of total billed charges ,54.4,percent of total billed charges ,47.6,percent of total billed charges ,47.6,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,,,,,36.18,percent of total billed charges ,,,,,34.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,
**CLINDAMYCIN (CLEOCIN) INJ: 300MG IM,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**AZITHROMYCIN (ZITHROMAX) 500MG: MB+,LOCAL,LOCAL,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
**EPTIFIBATIDE (INTEGRELIN) 0.75MG/ML100,J1327,CDM,,,,both,,,"2,957.00","2,957.00",827.96,"2,957.00","2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,957.00",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,129.04",percent of total billed charges,"2,188.18",percent of total billed charges,"2,188.18",percent of total billed charges,"2,365.60",percent of total billed charges,"2,365.60",percent of total billed charges,,,"2,129.04",percent of total billed charges ,,,"2,365.60",percent of total billed charges ,"2,483.88",percent of total billed charges ,"2,483.88",percent of total billed charges ,"2,306.46",percent of total billed charges ,"2,306.46",percent of total billed charges ,"2,365.60",percent of total billed charges ,"2,365.60",percent of total billed charges ,"2,069.90",percent of total billed charges ,"2,069.90",percent of total billed charges ,"1,774.20",percent of total billed charges ,"1,774.20",percent of total billed charges ,"1,774.20",percent of total billed charges ,"1,774.20",percent of total billed charges ,,,,,"1,573.12",percent of total billed charges ,,,,,"1,494.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,,,827.96,percent of total billed charges,
**EPTIFIBATIDE (INTEGRELIN) 20MG/10ML IV,J1327,CDM,,,,both,,,946,946,264.88,946,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,700.04,percent of total billed charges,700.04,percent of total billed charges,756.8,percent of total billed charges,756.8,percent of total billed charges,,,681.12,percent of total billed charges ,,,756.8,percent of total billed charges ,794.64,percent of total billed charges ,794.64,percent of total billed charges ,737.88,percent of total billed charges ,737.88,percent of total billed charges ,756.8,percent of total billed charges ,756.8,percent of total billed charges ,662.2,percent of total billed charges ,662.2,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,,,,,503.27,percent of total billed charges ,,,,,478.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,
**QUININE 325MG CAP,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
valACYclovir (VALTREX) 500MG: TAB,LOCAL,LOCAL,,,,both,,,5.49,5.49,1.54,5.49,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,5.49,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,3.95,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.39,percent of total billed charges,4.39,percent of total billed charges,,,3.95,percent of total billed charges ,,,4.39,percent of total billed charges ,4.61,percent of total billed charges ,4.61,percent of total billed charges ,4.28,percent of total billed charges ,4.28,percent of total billed charges ,4.39,percent of total billed charges ,4.39,percent of total billed charges ,3.84,percent of total billed charges ,3.84,percent of total billed charges ,3.29,percent of total billed charges ,3.29,percent of total billed charges ,3.29,percent of total billed charges ,3.29,percent of total billed charges ,,,,,2.92,percent of total billed charges ,,,,,2.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,
**UNNA BOOT 4  X 10 YARD BANDAGE:,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**ACLOVATE (ALCLOMETASONE) 0.05% OINT:45,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
ATROPINE 1% OPTH OINT:,LOCAL,LOCAL,,,,both,,,75.84,75.84,21.24,75.84,75.84,percent of total billed charges,75.84,percent of total billed charges,75.84,percent of total billed charges,75.84,percent of total billed charges,75.84,percent of total billed charges,75.84,percent of total billed charges,75.84,percent of total billed charges,75.84,percent of total billed charges,54.6,percent of total billed charges,54.6,percent of total billed charges,54.6,percent of total billed charges,54.6,percent of total billed charges,54.6,percent of total billed charges,54.6,percent of total billed charges,56.12,percent of total billed charges,56.12,percent of total billed charges,60.67,percent of total billed charges,60.67,percent of total billed charges,,,54.6,percent of total billed charges ,,,60.67,percent of total billed charges ,63.71,percent of total billed charges ,63.71,percent of total billed charges ,59.16,percent of total billed charges ,59.16,percent of total billed charges ,60.67,percent of total billed charges ,60.67,percent of total billed charges ,53.09,percent of total billed charges ,53.09,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,,,,,40.35,percent of total billed charges ,,,,,38.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,,,21.24,percent of total billed charges,
BACITRACIN TOPICAL OINT 28.4GM,LOCAL,LOCAL,,,,both,,,18.89,18.89,5.29,18.89,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.98,percent of total billed charges,13.98,percent of total billed charges,15.11,percent of total billed charges,15.11,percent of total billed charges,,,13.6,percent of total billed charges ,,,15.11,percent of total billed charges ,15.87,percent of total billed charges ,15.87,percent of total billed charges ,14.73,percent of total billed charges ,14.73,percent of total billed charges ,15.11,percent of total billed charges ,15.11,percent of total billed charges ,13.22,percent of total billed charges ,13.22,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,,,,,10.05,percent of total billed charges ,,,,,9.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,
BENAZepril (LOTENSIN) 10MG TAB,LOCAL,LOCAL,,,,both,,,2.19,2.19,0.61,2.19,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,2.19,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,,,1.58,percent of total billed charges ,,,1.75,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.71,percent of total billed charges ,1.71,percent of total billed charges ,1.75,percent of total billed charges ,1.75,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,
CALCIUM + VITAMIN D 500/200 (OSCAL-D),LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ENTACAPONE (COMTAN) 200 MG TAB,LOCAL,LOCAL,,,,both,,,3.98,3.98,1.11,3.98,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,3.18,percent of total billed charges,3.18,percent of total billed charges,,,2.87,percent of total billed charges ,,,3.18,percent of total billed charges ,3.34,percent of total billed charges ,3.34,percent of total billed charges ,3.1,percent of total billed charges ,3.1,percent of total billed charges ,3.18,percent of total billed charges ,3.18,percent of total billed charges ,2.79,percent of total billed charges ,2.79,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,,,,,2.12,percent of total billed charges ,,,,,2.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,,,1.11,percent of total billed charges,
CARBIDOPA/LEVADOPA 25/100MG C/R TAB,LOCAL,LOCAL,,,,both,,,0.99,0.99,0.28,0.99,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,,,0.71,percent of total billed charges ,,,0.79,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
cefTRIAXone (ROCEPHIN) 2 GM ADV,J0696,CDM,,,,both,,,89.04,89.04,24.93,89.04,89.04,percent of total billed charges,89.04,percent of total billed charges,89.04,percent of total billed charges,89.04,percent of total billed charges,89.04,percent of total billed charges,89.04,percent of total billed charges,89.04,percent of total billed charges,89.04,percent of total billed charges,64.11,percent of total billed charges,64.11,percent of total billed charges,64.11,percent of total billed charges,64.11,percent of total billed charges,64.11,percent of total billed charges,64.11,percent of total billed charges,65.89,percent of total billed charges,65.89,percent of total billed charges,71.23,percent of total billed charges,71.23,percent of total billed charges,,,64.11,percent of total billed charges ,,,71.23,percent of total billed charges ,74.79,percent of total billed charges ,74.79,percent of total billed charges ,69.45,percent of total billed charges ,69.45,percent of total billed charges ,71.23,percent of total billed charges ,71.23,percent of total billed charges ,62.33,percent of total billed charges ,62.33,percent of total billed charges ,53.42,percent of total billed charges ,53.42,percent of total billed charges ,53.42,percent of total billed charges ,53.42,percent of total billed charges ,,,,,47.37,percent of total billed charges ,,,,,45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,,,24.93,percent of total billed charges,
**BIAXIN XL 500MG: TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
CLOMIPRAMINE (ANAFRANIL) 25MG CAP,LOCAL,LOCAL,,,,both,,,22.68,22.68,6.35,22.68,22.68,percent of total billed charges,22.68,percent of total billed charges,22.68,percent of total billed charges,22.68,percent of total billed charges,22.68,percent of total billed charges,22.68,percent of total billed charges,22.68,percent of total billed charges,22.68,percent of total billed charges,16.33,percent of total billed charges,16.33,percent of total billed charges,16.33,percent of total billed charges,16.33,percent of total billed charges,16.33,percent of total billed charges,16.33,percent of total billed charges,16.78,percent of total billed charges,16.78,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,,,16.33,percent of total billed charges ,,,18.14,percent of total billed charges ,19.05,percent of total billed charges ,19.05,percent of total billed charges ,17.69,percent of total billed charges ,17.69,percent of total billed charges ,18.14,percent of total billed charges ,18.14,percent of total billed charges ,15.88,percent of total billed charges ,15.88,percent of total billed charges ,13.61,percent of total billed charges ,13.61,percent of total billed charges ,13.61,percent of total billed charges ,13.61,percent of total billed charges ,,,,,12.07,percent of total billed charges ,,,,,11.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,,,6.35,percent of total billed charges,
PRAMIPEXOLE (MIRAPEX) 0.25MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**ERYTHROMYCIN EC(E-MYCIN EC) 333 MG: T,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ACTONEL (RISEDRONATE) 5 MG: TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
FILGRASTIM (NEUPOGEN) VIAL 300MCG,J1442,CDM,,,,both,,,"1,052.49","1,052.49",294.7,"1,052.49","1,052.49",percent of total billed charges,"1,052.49",percent of total billed charges,"1,052.49",percent of total billed charges,"1,052.49",percent of total billed charges,"1,052.49",percent of total billed charges,"1,052.49",percent of total billed charges,"1,052.49",percent of total billed charges,"1,052.49",percent of total billed charges,757.79,percent of total billed charges,757.79,percent of total billed charges,757.79,percent of total billed charges,757.79,percent of total billed charges,757.79,percent of total billed charges,757.79,percent of total billed charges,778.84,percent of total billed charges,778.84,percent of total billed charges,841.99,percent of total billed charges,841.99,percent of total billed charges,,,757.79,percent of total billed charges ,,,841.99,percent of total billed charges ,884.09,percent of total billed charges ,884.09,percent of total billed charges ,820.94,percent of total billed charges ,820.94,percent of total billed charges ,841.99,percent of total billed charges ,841.99,percent of total billed charges ,736.74,percent of total billed charges ,736.74,percent of total billed charges ,631.49,percent of total billed charges ,631.49,percent of total billed charges ,631.49,percent of total billed charges ,631.49,percent of total billed charges ,,,,,559.92,percent of total billed charges ,,,,,531.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,,,294.7,percent of total billed charges,
**ALENDRONATE (FOSAMAX) 70MG TAB,LOCAL,LOCAL,,,,both,,,4,4,1.12,4,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,2.96,percent of total billed charges,2.96,percent of total billed charges,3.2,percent of total billed charges,3.2,percent of total billed charges,,,2.88,percent of total billed charges ,,,3.2,percent of total billed charges ,3.36,percent of total billed charges ,3.36,percent of total billed charges ,3.12,percent of total billed charges ,3.12,percent of total billed charges ,3.2,percent of total billed charges ,3.2,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,,,,,2.13,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
ATORVASTATIN (LIPITOR) 40MG TAB,LOCAL,LOCAL,,,,both,,,1.11,1.11,0.31,1.11,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,1.11,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.82,percent of total billed charges,0.82,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,,,0.8,percent of total billed charges ,,,0.89,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
**FLUTICASONE (FLOVENT) 220MCG INHALER,LOCAL,LOCAL,,,,both,,,249,249,69.72,249,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,184.26,percent of total billed charges,184.26,percent of total billed charges,199.2,percent of total billed charges,199.2,percent of total billed charges,,,179.28,percent of total billed charges ,,,199.2,percent of total billed charges ,209.16,percent of total billed charges ,209.16,percent of total billed charges ,194.22,percent of total billed charges ,194.22,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,174.3,percent of total billed charges ,174.3,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,,,,,132.47,percent of total billed charges ,,,,,125.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,
LIP BALM (NATURAL ICE LIP BALM):,LOCAL,LOCAL,,,,both,,,11.84,11.84,3.32,11.84,11.84,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,8.52,percent of total billed charges,8.52,percent of total billed charges,8.52,percent of total billed charges,8.52,percent of total billed charges,8.52,percent of total billed charges,8.52,percent of total billed charges,8.76,percent of total billed charges,8.76,percent of total billed charges,9.47,percent of total billed charges,9.47,percent of total billed charges,,,8.52,percent of total billed charges ,,,9.47,percent of total billed charges ,9.95,percent of total billed charges ,9.95,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,9.47,percent of total billed charges ,9.47,percent of total billed charges ,8.29,percent of total billed charges ,8.29,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,,,,,6.3,percent of total billed charges ,,,,,5.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,,,3.32,percent of total billed charges,
**LEVOTHYROXINE (SYNTHROID) 0.075MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LIDOCAINE: 2000 MG IN DEXTROSE 5% 250ML,J2001,CDM,,,,both,,,42.32,42.32,11.85,42.32,42.32,percent of total billed charges,42.32,percent of total billed charges,42.32,percent of total billed charges,42.32,percent of total billed charges,42.32,percent of total billed charges,42.32,percent of total billed charges,42.32,percent of total billed charges,42.32,percent of total billed charges,30.47,percent of total billed charges,30.47,percent of total billed charges,30.47,percent of total billed charges,30.47,percent of total billed charges,30.47,percent of total billed charges,30.47,percent of total billed charges,31.32,percent of total billed charges,31.32,percent of total billed charges,33.86,percent of total billed charges,33.86,percent of total billed charges,,,30.47,percent of total billed charges ,,,33.86,percent of total billed charges ,35.55,percent of total billed charges ,35.55,percent of total billed charges ,33.01,percent of total billed charges ,33.01,percent of total billed charges ,33.86,percent of total billed charges ,33.86,percent of total billed charges ,29.62,percent of total billed charges ,29.62,percent of total billed charges ,25.39,percent of total billed charges ,25.39,percent of total billed charges ,25.39,percent of total billed charges ,25.39,percent of total billed charges ,,,,,22.51,percent of total billed charges ,,,,,21.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,,,11.85,percent of total billed charges,
TOLTERODINE LA (DETROL LA) 4MG CAP.,LOCAL,LOCAL,,,,both,,,18.12,18.12,5.07,18.12,18.12,percent of total billed charges,18.12,percent of total billed charges,18.12,percent of total billed charges,18.12,percent of total billed charges,18.12,percent of total billed charges,18.12,percent of total billed charges,18.12,percent of total billed charges,18.12,percent of total billed charges,13.05,percent of total billed charges,13.05,percent of total billed charges,13.05,percent of total billed charges,13.05,percent of total billed charges,13.05,percent of total billed charges,13.05,percent of total billed charges,13.41,percent of total billed charges,13.41,percent of total billed charges,14.5,percent of total billed charges,14.5,percent of total billed charges,,,13.05,percent of total billed charges ,,,14.5,percent of total billed charges ,15.22,percent of total billed charges ,15.22,percent of total billed charges ,14.13,percent of total billed charges ,14.13,percent of total billed charges ,14.5,percent of total billed charges ,14.5,percent of total billed charges ,12.68,percent of total billed charges ,12.68,percent of total billed charges ,10.87,percent of total billed charges ,10.87,percent of total billed charges ,10.87,percent of total billed charges ,10.87,percent of total billed charges ,,,,,9.64,percent of total billed charges ,,,,,9.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,,,5.07,percent of total billed charges,
LITHIUM CARBONATE (ESKALITH) 300MG CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
MAGNESIUM SULFATE(EPSOM SALT/SOAK):454,LOCAL,LOCAL,,,,both,,,3.6,3.6,1.01,3.6,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,,,2.59,percent of total billed charges ,,,2.88,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,,,,,1.92,percent of total billed charges ,,,,,1.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,
metFORMIN XR (GLUCOPHAGE XR) 500MG TAB,LOCAL,LOCAL,,,,both,,,2.56,2.56,0.72,2.56,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,2.05,percent of total billed charges,2.05,percent of total billed charges,,,1.84,percent of total billed charges ,,,2.05,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,,,,,1.36,percent of total billed charges ,,,,,1.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,
metroNIDAZOLE (FLAGYL) 500MG TAB,LOCAL,LOCAL,,,,both,,,2.35,2.35,0.66,2.35,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,2.35,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,,,1.69,percent of total billed charges ,,,1.88,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.88,percent of total billed charges ,1.88,percent of total billed charges ,1.65,percent of total billed charges ,1.65,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,,,,,1.25,percent of total billed charges ,,,,,1.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,,,0.66,percent of total billed charges,
**MORPHINE (TABLET IR) 30MG TAB,LOCAL,LOCAL,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
TRIPLE ANTIBIOTIC (NEOSPORIN) OINT 30GM,LOCAL,LOCAL,,,,both,,,34.98,34.98,9.79,34.98,34.98,percent of total billed charges,34.98,percent of total billed charges,34.98,percent of total billed charges,34.98,percent of total billed charges,34.98,percent of total billed charges,34.98,percent of total billed charges,34.98,percent of total billed charges,34.98,percent of total billed charges,25.19,percent of total billed charges,25.19,percent of total billed charges,25.19,percent of total billed charges,25.19,percent of total billed charges,25.19,percent of total billed charges,25.19,percent of total billed charges,25.89,percent of total billed charges,25.89,percent of total billed charges,27.98,percent of total billed charges,27.98,percent of total billed charges,,,25.19,percent of total billed charges ,,,27.98,percent of total billed charges ,29.38,percent of total billed charges ,29.38,percent of total billed charges ,27.28,percent of total billed charges ,27.28,percent of total billed charges ,27.98,percent of total billed charges ,27.98,percent of total billed charges ,24.49,percent of total billed charges ,24.49,percent of total billed charges ,20.99,percent of total billed charges ,20.99,percent of total billed charges ,20.99,percent of total billed charges ,20.99,percent of total billed charges ,,,,,18.61,percent of total billed charges ,,,,,17.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,,,9.79,percent of total billed charges,
**NIFEDIPINE(PROCARDIA) CAP: 20MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**NITROGLYCERIN PREMIX 25MG/250ML D5W:,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
**FLOXIN 0.3% (OFLOXACIN)OTIC SUSP: 5ML,LOCAL,LOCAL,,,,both,,,100,100,28,100,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,,,72,percent of total billed charges ,,,80,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,80,percent of total billed charges ,80,percent of total billed charges ,70,percent of total billed charges ,70,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,,,,,53.2,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,
oxyCODONE 5MG IMMEDIATE RELEASE TAB,LOCAL,LOCAL,,,,both,,,2.93,2.93,0.82,2.93,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.17,percent of total billed charges,2.17,percent of total billed charges,2.34,percent of total billed charges,2.34,percent of total billed charges,,,2.11,percent of total billed charges ,,,2.34,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.29,percent of total billed charges ,2.29,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,,,,,1.56,percent of total billed charges ,,,,,1.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,
oxyCODONE (OxyCONTIN) 10MG CR TAB,LOCAL,LOCAL,,,,both,,,12.51,12.51,3.5,12.51,12.51,percent of total billed charges,12.51,percent of total billed charges,12.51,percent of total billed charges,12.51,percent of total billed charges,12.51,percent of total billed charges,12.51,percent of total billed charges,12.51,percent of total billed charges,12.51,percent of total billed charges,9.01,percent of total billed charges,9.01,percent of total billed charges,9.01,percent of total billed charges,9.01,percent of total billed charges,9.01,percent of total billed charges,9.01,percent of total billed charges,9.26,percent of total billed charges,9.26,percent of total billed charges,10.01,percent of total billed charges,10.01,percent of total billed charges,,,9.01,percent of total billed charges ,,,10.01,percent of total billed charges ,10.51,percent of total billed charges ,10.51,percent of total billed charges ,9.76,percent of total billed charges ,9.76,percent of total billed charges ,10.01,percent of total billed charges ,10.01,percent of total billed charges ,8.76,percent of total billed charges ,8.76,percent of total billed charges ,7.51,percent of total billed charges ,7.51,percent of total billed charges ,7.51,percent of total billed charges ,7.51,percent of total billed charges ,,,,,6.66,percent of total billed charges ,,,,,6.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,,,3.5,percent of total billed charges,
PHENYLEPHRINE 10% VISCOUS OPTH : 5ML,LOCAL,LOCAL,,,,both,,,139.44,139.44,39.04,139.44,139.44,percent of total billed charges,139.44,percent of total billed charges,139.44,percent of total billed charges,139.44,percent of total billed charges,139.44,percent of total billed charges,139.44,percent of total billed charges,139.44,percent of total billed charges,139.44,percent of total billed charges,100.4,percent of total billed charges,100.4,percent of total billed charges,100.4,percent of total billed charges,100.4,percent of total billed charges,100.4,percent of total billed charges,100.4,percent of total billed charges,103.19,percent of total billed charges,103.19,percent of total billed charges,111.55,percent of total billed charges,111.55,percent of total billed charges,,,100.4,percent of total billed charges ,,,111.55,percent of total billed charges ,117.13,percent of total billed charges ,117.13,percent of total billed charges ,108.76,percent of total billed charges ,108.76,percent of total billed charges ,111.55,percent of total billed charges ,111.55,percent of total billed charges ,97.61,percent of total billed charges ,97.61,percent of total billed charges ,83.66,percent of total billed charges ,83.66,percent of total billed charges ,83.66,percent of total billed charges ,83.66,percent of total billed charges ,,,,,74.18,percent of total billed charges ,,,,,70.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,,,39.04,percent of total billed charges,
**PHENYTOIN SUSP (DILANTIN) 125MG/5ML 60,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
POTASSIUM CHLORIDE ER 20 MEQ TAB,LOCAL,LOCAL,,,,both,,,1.16,1.16,0.32,1.16,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,1.16,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,,,0.84,percent of total billed charges ,,,0.93,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,,,0.32,percent of total billed charges,
PANTOPRAZOLE (PROTONIX) 40MG INJ,C9113,CDM,,,,both,,,47.22,47.22,13.22,47.22,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,47.22,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34.94,percent of total billed charges,34.94,percent of total billed charges,37.78,percent of total billed charges,37.78,percent of total billed charges,,,34,percent of total billed charges ,,,37.78,percent of total billed charges ,39.66,percent of total billed charges ,39.66,percent of total billed charges ,36.83,percent of total billed charges ,36.83,percent of total billed charges ,37.78,percent of total billed charges ,37.78,percent of total billed charges ,33.05,percent of total billed charges ,33.05,percent of total billed charges ,28.33,percent of total billed charges ,28.33,percent of total billed charges ,28.33,percent of total billed charges ,28.33,percent of total billed charges ,,,,,25.12,percent of total billed charges ,,,,,23.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,
**QUININE CAPSULE: 325MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
SENNA/DOCUSATE (SENNA S) 8.6/50MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NACL 0.9% 10ML CATHETER FLUSH,LOCAL,LOCAL,,,,both,,,4.12,4.12,1.15,4.12,4.12,percent of total billed charges,4.12,percent of total billed charges,4.12,percent of total billed charges,4.12,percent of total billed charges,4.12,percent of total billed charges,4.12,percent of total billed charges,4.12,percent of total billed charges,4.12,percent of total billed charges,2.97,percent of total billed charges,2.97,percent of total billed charges,2.97,percent of total billed charges,2.97,percent of total billed charges,2.97,percent of total billed charges,2.97,percent of total billed charges,3.05,percent of total billed charges,3.05,percent of total billed charges,3.3,percent of total billed charges,3.3,percent of total billed charges,,,2.97,percent of total billed charges ,,,3.3,percent of total billed charges ,3.46,percent of total billed charges ,3.46,percent of total billed charges ,3.21,percent of total billed charges ,3.21,percent of total billed charges ,3.3,percent of total billed charges ,3.3,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.47,percent of total billed charges ,2.47,percent of total billed charges ,2.47,percent of total billed charges ,2.47,percent of total billed charges ,,,,,2.19,percent of total billed charges ,,,,,2.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,,,1.15,percent of total billed charges,
SODIUM CHLORIDE 3% INJ 500ML,LOCAL,LOCAL,,,,both,,,32.92,32.92,9.22,32.92,32.92,percent of total billed charges,32.92,percent of total billed charges,32.92,percent of total billed charges,32.92,percent of total billed charges,32.92,percent of total billed charges,32.92,percent of total billed charges,32.92,percent of total billed charges,32.92,percent of total billed charges,23.7,percent of total billed charges,23.7,percent of total billed charges,23.7,percent of total billed charges,23.7,percent of total billed charges,23.7,percent of total billed charges,23.7,percent of total billed charges,24.36,percent of total billed charges,24.36,percent of total billed charges,26.34,percent of total billed charges,26.34,percent of total billed charges,,,23.7,percent of total billed charges ,,,26.34,percent of total billed charges ,27.65,percent of total billed charges ,27.65,percent of total billed charges ,25.68,percent of total billed charges ,25.68,percent of total billed charges ,26.34,percent of total billed charges ,26.34,percent of total billed charges ,23.04,percent of total billed charges ,23.04,percent of total billed charges ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,,,,,17.51,percent of total billed charges ,,,,,16.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,,,9.22,percent of total billed charges,
TIMOLOL (TIMOPTIC) 0.5% OPTH SOLN:2.5 mL,LOCAL,LOCAL,,,,both,,,200.97,200.97,56.27,200.97,200.97,percent of total billed charges,200.97,percent of total billed charges,200.97,percent of total billed charges,200.97,percent of total billed charges,200.97,percent of total billed charges,200.97,percent of total billed charges,200.97,percent of total billed charges,200.97,percent of total billed charges,144.7,percent of total billed charges,144.7,percent of total billed charges,144.7,percent of total billed charges,144.7,percent of total billed charges,144.7,percent of total billed charges,144.7,percent of total billed charges,148.72,percent of total billed charges,148.72,percent of total billed charges,160.78,percent of total billed charges,160.78,percent of total billed charges,,,144.7,percent of total billed charges ,,,160.78,percent of total billed charges ,168.81,percent of total billed charges ,168.81,percent of total billed charges ,156.76,percent of total billed charges ,156.76,percent of total billed charges ,160.78,percent of total billed charges ,160.78,percent of total billed charges ,140.68,percent of total billed charges ,140.68,percent of total billed charges ,120.58,percent of total billed charges ,120.58,percent of total billed charges ,120.58,percent of total billed charges ,120.58,percent of total billed charges ,,,,,106.92,percent of total billed charges ,,,,,101.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,,,56.27,percent of total billed charges,
**RESTORIL 7.5MG (TEMAZEPAM),LOCAL,LOCAL,,,,both,,,"1,794.00","1,794.00",502.32,"1,794.00","1,794.00",percent of total billed charges,"1,794.00",percent of total billed charges,"1,794.00",percent of total billed charges,"1,794.00",percent of total billed charges,"1,794.00",percent of total billed charges,"1,794.00",percent of total billed charges,"1,794.00",percent of total billed charges,"1,794.00",percent of total billed charges,"1,291.68",percent of total billed charges,"1,291.68",percent of total billed charges,"1,291.68",percent of total billed charges,"1,291.68",percent of total billed charges,"1,291.68",percent of total billed charges,"1,291.68",percent of total billed charges,"1,327.56",percent of total billed charges,"1,327.56",percent of total billed charges,"1,435.20",percent of total billed charges,"1,435.20",percent of total billed charges,,,"1,291.68",percent of total billed charges ,,,"1,435.20",percent of total billed charges ,"1,506.96",percent of total billed charges ,"1,506.96",percent of total billed charges ,"1,399.32",percent of total billed charges ,"1,399.32",percent of total billed charges ,"1,435.20",percent of total billed charges ,"1,435.20",percent of total billed charges ,"1,255.80",percent of total billed charges ,"1,255.80",percent of total billed charges ,"1,076.40",percent of total billed charges ,"1,076.40",percent of total billed charges ,"1,076.40",percent of total billed charges ,"1,076.40",percent of total billed charges ,,,,,954.41,percent of total billed charges ,,,,,906.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,,,502.32,percent of total billed charges,
fosPHENYTOIN: (CEREBYX) 500PE/10ML,LOCAL,LOCAL,,,,both,,,179.31,179.31,50.21,179.31,179.31,percent of total billed charges,179.31,percent of total billed charges,179.31,percent of total billed charges,179.31,percent of total billed charges,179.31,percent of total billed charges,179.31,percent of total billed charges,179.31,percent of total billed charges,179.31,percent of total billed charges,129.1,percent of total billed charges,129.1,percent of total billed charges,129.1,percent of total billed charges,129.1,percent of total billed charges,129.1,percent of total billed charges,129.1,percent of total billed charges,132.69,percent of total billed charges,132.69,percent of total billed charges,143.45,percent of total billed charges,143.45,percent of total billed charges,,,129.1,percent of total billed charges ,,,143.45,percent of total billed charges ,150.62,percent of total billed charges ,150.62,percent of total billed charges ,139.86,percent of total billed charges ,139.86,percent of total billed charges ,143.45,percent of total billed charges ,143.45,percent of total billed charges ,125.52,percent of total billed charges ,125.52,percent of total billed charges ,107.59,percent of total billed charges ,107.59,percent of total billed charges ,107.59,percent of total billed charges ,107.59,percent of total billed charges ,,,,,95.39,percent of total billed charges ,,,,,90.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,,,50.21,percent of total billed charges,
**LEVOFLOXIN(LEVAQUIN500MG):VIAL,J1956,CDM,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
levoFLOXacin (LEVAQUIN) 250MG IVPB,J1956,CDM,,,,both,,,23.51,23.51,6.58,23.51,23.51,percent of total billed charges,23.51,percent of total billed charges,23.51,percent of total billed charges,23.51,percent of total billed charges,23.51,percent of total billed charges,23.51,percent of total billed charges,23.51,percent of total billed charges,23.51,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,16.93,percent of total billed charges,17.4,percent of total billed charges,17.4,percent of total billed charges,18.81,percent of total billed charges,18.81,percent of total billed charges,,,16.93,percent of total billed charges ,,,18.81,percent of total billed charges ,19.75,percent of total billed charges ,19.75,percent of total billed charges ,18.34,percent of total billed charges ,18.34,percent of total billed charges ,18.81,percent of total billed charges ,18.81,percent of total billed charges ,16.46,percent of total billed charges ,16.46,percent of total billed charges ,14.11,percent of total billed charges ,14.11,percent of total billed charges ,14.11,percent of total billed charges ,14.11,percent of total billed charges ,,,,,12.51,percent of total billed charges ,,,,,11.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,,,6.58,percent of total billed charges,
KETAMINE 100MG/1ML INJ: 5mL FTV,LOCAL,LOCAL,,,,both,,,166.16,166.16,46.52,166.16,166.16,percent of total billed charges,166.16,percent of total billed charges,166.16,percent of total billed charges,166.16,percent of total billed charges,166.16,percent of total billed charges,166.16,percent of total billed charges,166.16,percent of total billed charges,166.16,percent of total billed charges,119.64,percent of total billed charges,119.64,percent of total billed charges,119.64,percent of total billed charges,119.64,percent of total billed charges,119.64,percent of total billed charges,119.64,percent of total billed charges,122.96,percent of total billed charges,122.96,percent of total billed charges,132.93,percent of total billed charges,132.93,percent of total billed charges,,,119.64,percent of total billed charges ,,,132.93,percent of total billed charges ,139.57,percent of total billed charges ,139.57,percent of total billed charges ,129.6,percent of total billed charges ,129.6,percent of total billed charges ,132.93,percent of total billed charges ,132.93,percent of total billed charges ,116.31,percent of total billed charges ,116.31,percent of total billed charges ,99.7,percent of total billed charges ,99.7,percent of total billed charges ,99.7,percent of total billed charges ,99.7,percent of total billed charges ,,,,,88.4,percent of total billed charges ,,,,,83.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,,,46.52,percent of total billed charges,
ALUMINUM OH/MAGNESIUM OH 30ML,LOCAL,LOCAL,,,,both,,,8.57,8.57,2.4,8.57,8.57,percent of total billed charges,8.57,percent of total billed charges,8.57,percent of total billed charges,8.57,percent of total billed charges,8.57,percent of total billed charges,8.57,percent of total billed charges,8.57,percent of total billed charges,8.57,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.34,percent of total billed charges,6.34,percent of total billed charges,6.86,percent of total billed charges,6.86,percent of total billed charges,,,6.17,percent of total billed charges ,,,6.86,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.68,percent of total billed charges ,6.68,percent of total billed charges ,6.86,percent of total billed charges ,6.86,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,5.14,percent of total billed charges ,5.14,percent of total billed charges ,5.14,percent of total billed charges ,5.14,percent of total billed charges ,,,,,4.56,percent of total billed charges ,,,,,4.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,,,2.4,percent of total billed charges,
ATROPINE 1% 5 ML OPTH SOL,LOCAL,LOCAL,,,,both,,,145.1,145.1,40.63,145.1,145.1,percent of total billed charges,145.1,percent of total billed charges,145.1,percent of total billed charges,145.1,percent of total billed charges,145.1,percent of total billed charges,145.1,percent of total billed charges,145.1,percent of total billed charges,145.1,percent of total billed charges,104.47,percent of total billed charges,104.47,percent of total billed charges,104.47,percent of total billed charges,104.47,percent of total billed charges,104.47,percent of total billed charges,104.47,percent of total billed charges,107.37,percent of total billed charges,107.37,percent of total billed charges,116.08,percent of total billed charges,116.08,percent of total billed charges,,,104.47,percent of total billed charges ,,,116.08,percent of total billed charges ,121.88,percent of total billed charges ,121.88,percent of total billed charges ,113.18,percent of total billed charges ,113.18,percent of total billed charges ,116.08,percent of total billed charges ,116.08,percent of total billed charges ,101.57,percent of total billed charges ,101.57,percent of total billed charges ,87.06,percent of total billed charges ,87.06,percent of total billed charges ,87.06,percent of total billed charges ,87.06,percent of total billed charges ,,,,,77.19,percent of total billed charges ,,,,,73.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,,,40.63,percent of total billed charges,
NEOMYCIN/POLYMIXIN/HC OTIC SOLN: 10mL,LOCAL,LOCAL,,,,both,,,233.63,233.63,65.42,233.63,233.63,percent of total billed charges,233.63,percent of total billed charges,233.63,percent of total billed charges,233.63,percent of total billed charges,233.63,percent of total billed charges,233.63,percent of total billed charges,233.63,percent of total billed charges,233.63,percent of total billed charges,168.21,percent of total billed charges,168.21,percent of total billed charges,168.21,percent of total billed charges,168.21,percent of total billed charges,168.21,percent of total billed charges,168.21,percent of total billed charges,172.89,percent of total billed charges,172.89,percent of total billed charges,186.9,percent of total billed charges,186.9,percent of total billed charges,,,168.21,percent of total billed charges ,,,186.9,percent of total billed charges ,196.25,percent of total billed charges ,196.25,percent of total billed charges ,182.23,percent of total billed charges ,182.23,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,163.54,percent of total billed charges ,163.54,percent of total billed charges ,140.18,percent of total billed charges ,140.18,percent of total billed charges ,140.18,percent of total billed charges ,140.18,percent of total billed charges ,,,,,124.29,percent of total billed charges ,,,,,118.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,,,65.42,percent of total billed charges,
GLUCAGON 1MG INJ,J1610,CDM,,,,both,,,675.88,675.88,189.25,675.88,675.88,percent of total billed charges,675.88,percent of total billed charges,675.88,percent of total billed charges,675.88,percent of total billed charges,675.88,percent of total billed charges,675.88,percent of total billed charges,675.88,percent of total billed charges,675.88,percent of total billed charges,486.63,percent of total billed charges,486.63,percent of total billed charges,486.63,percent of total billed charges,486.63,percent of total billed charges,486.63,percent of total billed charges,486.63,percent of total billed charges,500.15,percent of total billed charges,500.15,percent of total billed charges,540.7,percent of total billed charges,540.7,percent of total billed charges,,,486.63,percent of total billed charges ,,,540.7,percent of total billed charges ,567.74,percent of total billed charges ,567.74,percent of total billed charges ,527.19,percent of total billed charges ,527.19,percent of total billed charges ,540.7,percent of total billed charges ,540.7,percent of total billed charges ,473.12,percent of total billed charges ,473.12,percent of total billed charges ,405.53,percent of total billed charges ,405.53,percent of total billed charges ,405.53,percent of total billed charges ,405.53,percent of total billed charges ,,,,,359.57,percent of total billed charges ,,,,,341.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,,,189.25,percent of total billed charges,
**INSULIN HumaLOG 75/25 100U/ML PER DOSE,J1815,CDM,,,,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
DONEPEZIL (ARICEPT) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ATORVASTATIN (LIPITOR) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.85,0.85,0.24,0.85,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,,,0.61,percent of total billed charges ,,,0.68,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,
ALBUMIN 25% (12.5GM/50 ML) INJ,P9047,CDM,,,,both,,,290.77,290.77,81.42,290.77,290.77,percent of total billed charges,290.77,percent of total billed charges,290.77,percent of total billed charges,290.77,percent of total billed charges,290.77,percent of total billed charges,290.77,percent of total billed charges,290.77,percent of total billed charges,290.77,percent of total billed charges,209.35,percent of total billed charges,209.35,percent of total billed charges,209.35,percent of total billed charges,209.35,percent of total billed charges,209.35,percent of total billed charges,209.35,percent of total billed charges,215.17,percent of total billed charges,215.17,percent of total billed charges,232.62,percent of total billed charges,232.62,percent of total billed charges,,,209.35,percent of total billed charges ,,,232.62,percent of total billed charges ,244.25,percent of total billed charges ,244.25,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,232.62,percent of total billed charges ,232.62,percent of total billed charges ,203.54,percent of total billed charges ,203.54,percent of total billed charges ,174.46,percent of total billed charges ,174.46,percent of total billed charges ,174.46,percent of total billed charges ,174.46,percent of total billed charges ,,,,,154.69,percent of total billed charges ,,,,,146.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,,,81.42,percent of total billed charges,
DORZOLAMIDE-TIMOLOL 22.3/6.8MG OPTH:10mL,LOCAL,LOCAL,,,,both,,,113.63,113.63,31.82,113.63,113.63,percent of total billed charges,113.63,percent of total billed charges,113.63,percent of total billed charges,113.63,percent of total billed charges,113.63,percent of total billed charges,113.63,percent of total billed charges,113.63,percent of total billed charges,113.63,percent of total billed charges,81.81,percent of total billed charges,81.81,percent of total billed charges,81.81,percent of total billed charges,81.81,percent of total billed charges,81.81,percent of total billed charges,81.81,percent of total billed charges,84.09,percent of total billed charges,84.09,percent of total billed charges,90.9,percent of total billed charges,90.9,percent of total billed charges,,,81.81,percent of total billed charges ,,,90.9,percent of total billed charges ,95.45,percent of total billed charges ,95.45,percent of total billed charges ,88.63,percent of total billed charges ,88.63,percent of total billed charges ,90.9,percent of total billed charges ,90.9,percent of total billed charges ,79.54,percent of total billed charges ,79.54,percent of total billed charges ,68.18,percent of total billed charges ,68.18,percent of total billed charges ,68.18,percent of total billed charges ,68.18,percent of total billed charges ,,,,,60.45,percent of total billed charges ,,,,,57.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,,,31.82,percent of total billed charges,
**FLOVENT 110MCG(FLUTICASONE)INH 60DSE:7,LOCAL,LOCAL,,,,both,,,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
FLUTICASONE (FLOVENT) 44 MCG INHALER,LOCAL,LOCAL,,,,both,,,505.39,505.39,141.51,505.39,505.39,percent of total billed charges,505.39,percent of total billed charges,505.39,percent of total billed charges,505.39,percent of total billed charges,505.39,percent of total billed charges,505.39,percent of total billed charges,505.39,percent of total billed charges,505.39,percent of total billed charges,363.88,percent of total billed charges,363.88,percent of total billed charges,363.88,percent of total billed charges,363.88,percent of total billed charges,363.88,percent of total billed charges,363.88,percent of total billed charges,373.99,percent of total billed charges,373.99,percent of total billed charges,404.31,percent of total billed charges,404.31,percent of total billed charges,,,363.88,percent of total billed charges ,,,404.31,percent of total billed charges ,424.53,percent of total billed charges ,424.53,percent of total billed charges ,394.2,percent of total billed charges ,394.2,percent of total billed charges ,404.31,percent of total billed charges ,404.31,percent of total billed charges ,353.77,percent of total billed charges ,353.77,percent of total billed charges ,303.23,percent of total billed charges ,303.23,percent of total billed charges ,303.23,percent of total billed charges ,303.23,percent of total billed charges ,,,,,268.87,percent of total billed charges ,,,,,255.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,,,141.51,percent of total billed charges,
**HID****SALMETEROL) INHALER: 60 DOSE,LOCAL,LOCAL,,,,both,,,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
SIMVASTATIN (ZOCOR) 40 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
HYALURONATE OCULAR(PROVISC)INJ: .85ML,LOCAL,LOCAL,,,,both,,,456.25,456.25,127.75,456.25,456.25,percent of total billed charges,456.25,percent of total billed charges,456.25,percent of total billed charges,456.25,percent of total billed charges,456.25,percent of total billed charges,456.25,percent of total billed charges,456.25,percent of total billed charges,456.25,percent of total billed charges,328.5,percent of total billed charges,328.5,percent of total billed charges,328.5,percent of total billed charges,328.5,percent of total billed charges,328.5,percent of total billed charges,328.5,percent of total billed charges,337.63,percent of total billed charges,337.63,percent of total billed charges,365,percent of total billed charges,365,percent of total billed charges,,,328.5,percent of total billed charges ,,,365,percent of total billed charges ,383.25,percent of total billed charges ,383.25,percent of total billed charges ,355.88,percent of total billed charges ,355.88,percent of total billed charges ,365,percent of total billed charges ,365,percent of total billed charges ,319.38,percent of total billed charges ,319.38,percent of total billed charges ,273.75,percent of total billed charges ,273.75,percent of total billed charges ,273.75,percent of total billed charges ,273.75,percent of total billed charges ,,,,,242.73,percent of total billed charges ,,,,,230.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,,,127.75,percent of total billed charges,
BUPivacaine 0.5% MPF (SENSORCAINE):10ML,LOCAL,LOCAL,,,,both,,,17.93,17.93,5.02,17.93,17.93,percent of total billed charges,17.93,percent of total billed charges,17.93,percent of total billed charges,17.93,percent of total billed charges,17.93,percent of total billed charges,17.93,percent of total billed charges,17.93,percent of total billed charges,17.93,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,12.91,percent of total billed charges,13.27,percent of total billed charges,13.27,percent of total billed charges,14.34,percent of total billed charges,14.34,percent of total billed charges,,,12.91,percent of total billed charges ,,,14.34,percent of total billed charges ,15.06,percent of total billed charges ,15.06,percent of total billed charges ,13.99,percent of total billed charges ,13.99,percent of total billed charges ,14.34,percent of total billed charges ,14.34,percent of total billed charges ,12.55,percent of total billed charges ,12.55,percent of total billed charges ,10.76,percent of total billed charges ,10.76,percent of total billed charges ,10.76,percent of total billed charges ,10.76,percent of total billed charges ,,,,,9.54,percent of total billed charges ,,,,,9.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,,,5.02,percent of total billed charges,
CLINDAMYCIN 600MG: ADVANTAGE,LOCAL,LOCAL,,,,both,,,32.4,32.4,9.07,32.4,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,23.33,percent of total billed charges,23.33,percent of total billed charges,23.33,percent of total billed charges,23.33,percent of total billed charges,23.33,percent of total billed charges,23.33,percent of total billed charges,23.98,percent of total billed charges,23.98,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,,,23.33,percent of total billed charges ,,,25.92,percent of total billed charges ,27.22,percent of total billed charges ,27.22,percent of total billed charges ,25.27,percent of total billed charges ,25.27,percent of total billed charges ,25.92,percent of total billed charges ,25.92,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,19.44,percent of total billed charges ,19.44,percent of total billed charges ,19.44,percent of total billed charges ,19.44,percent of total billed charges ,,,,,17.24,percent of total billed charges ,,,,,16.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,,,9.07,percent of total billed charges,
ceFAZolin 1 GM/100ML IVPB A/V,J0690,CDM,,,,both,,,39.14,39.14,10.96,39.14,39.14,percent of total billed charges,39.14,percent of total billed charges,39.14,percent of total billed charges,39.14,percent of total billed charges,39.14,percent of total billed charges,39.14,percent of total billed charges,39.14,percent of total billed charges,39.14,percent of total billed charges,28.18,percent of total billed charges,28.18,percent of total billed charges,28.18,percent of total billed charges,28.18,percent of total billed charges,28.18,percent of total billed charges,28.18,percent of total billed charges,28.96,percent of total billed charges,28.96,percent of total billed charges,31.31,percent of total billed charges,31.31,percent of total billed charges,,,28.18,percent of total billed charges ,,,31.31,percent of total billed charges ,32.88,percent of total billed charges ,32.88,percent of total billed charges ,30.53,percent of total billed charges ,30.53,percent of total billed charges ,31.31,percent of total billed charges ,31.31,percent of total billed charges ,27.4,percent of total billed charges ,27.4,percent of total billed charges ,23.48,percent of total billed charges ,23.48,percent of total billed charges ,23.48,percent of total billed charges ,23.48,percent of total billed charges ,,,,,20.82,percent of total billed charges ,,,,,19.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,,,10.96,percent of total billed charges,
**KETOROLAC (ACULAR) OPTH SUSP  3 ML,LOCAL,LOCAL,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.075 MG TAB,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**TRICOR (FENOFIBRATE) 200 MG: CAP,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
NF-sAXagliptin (ONGLYZA) 5MG TAB,LOCAL,LOCAL,,,,both,,,40.57,40.57,11.36,40.57,40.57,percent of total billed charges,40.57,percent of total billed charges,40.57,percent of total billed charges,40.57,percent of total billed charges,40.57,percent of total billed charges,40.57,percent of total billed charges,40.57,percent of total billed charges,40.57,percent of total billed charges,29.21,percent of total billed charges,29.21,percent of total billed charges,29.21,percent of total billed charges,29.21,percent of total billed charges,29.21,percent of total billed charges,29.21,percent of total billed charges,30.02,percent of total billed charges,30.02,percent of total billed charges,32.46,percent of total billed charges,32.46,percent of total billed charges,,,29.21,percent of total billed charges ,,,32.46,percent of total billed charges ,34.08,percent of total billed charges ,34.08,percent of total billed charges ,31.64,percent of total billed charges ,31.64,percent of total billed charges ,32.46,percent of total billed charges ,32.46,percent of total billed charges ,28.4,percent of total billed charges ,28.4,percent of total billed charges ,24.34,percent of total billed charges ,24.34,percent of total billed charges ,24.34,percent of total billed charges ,24.34,percent of total billed charges ,,,,,21.58,percent of total billed charges ,,,,,20.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,,,11.36,percent of total billed charges,
rifAMPin 600MG INJ,J3490,CDM,,,,both,,,604.58,604.58,169.28,604.58,604.58,percent of total billed charges,604.58,percent of total billed charges,604.58,percent of total billed charges,604.58,percent of total billed charges,604.58,percent of total billed charges,604.58,percent of total billed charges,604.58,percent of total billed charges,604.58,percent of total billed charges,435.3,percent of total billed charges,435.3,percent of total billed charges,435.3,percent of total billed charges,435.3,percent of total billed charges,435.3,percent of total billed charges,435.3,percent of total billed charges,447.39,percent of total billed charges,447.39,percent of total billed charges,483.66,percent of total billed charges,483.66,percent of total billed charges,,,435.3,percent of total billed charges ,,,483.66,percent of total billed charges ,507.85,percent of total billed charges ,507.85,percent of total billed charges ,471.57,percent of total billed charges ,471.57,percent of total billed charges ,483.66,percent of total billed charges ,483.66,percent of total billed charges ,423.21,percent of total billed charges ,423.21,percent of total billed charges ,362.75,percent of total billed charges ,362.75,percent of total billed charges ,362.75,percent of total billed charges ,362.75,percent of total billed charges ,,,,,321.64,percent of total billed charges ,,,,,305.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,,,169.28,percent of total billed charges,
VITAMIN D 5000 UNIT CAP,LOCAL,LOCAL,,,,both,,,0.93,0.93,0.26,0.93,0.93,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,,,0.67,percent of total billed charges ,,,0.74,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,,,,,0.49,percent of total billed charges ,,,,,0.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,,,0.26,percent of total billed charges,
GLUCOSE ORAL GEL (DEX-4) 1.34OZ TUBE,LOCAL,LOCAL,,,,both,,,14.19,14.19,3.97,14.19,14.19,percent of total billed charges,14.19,percent of total billed charges,14.19,percent of total billed charges,14.19,percent of total billed charges,14.19,percent of total billed charges,14.19,percent of total billed charges,14.19,percent of total billed charges,14.19,percent of total billed charges,10.22,percent of total billed charges,10.22,percent of total billed charges,10.22,percent of total billed charges,10.22,percent of total billed charges,10.22,percent of total billed charges,10.22,percent of total billed charges,10.5,percent of total billed charges,10.5,percent of total billed charges,11.35,percent of total billed charges,11.35,percent of total billed charges,,,10.22,percent of total billed charges ,,,11.35,percent of total billed charges ,11.92,percent of total billed charges ,11.92,percent of total billed charges ,11.07,percent of total billed charges ,11.07,percent of total billed charges ,11.35,percent of total billed charges ,11.35,percent of total billed charges ,9.93,percent of total billed charges ,9.93,percent of total billed charges ,8.51,percent of total billed charges ,8.51,percent of total billed charges ,8.51,percent of total billed charges ,8.51,percent of total billed charges ,,,,,7.55,percent of total billed charges ,,,,,7.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,,,3.97,percent of total billed charges,
TAPENTADOL (NUCYNTA) 50MG TAB,LOCAL,LOCAL,,,,both,,,37.36,37.36,10.46,37.36,37.36,percent of total billed charges,37.36,percent of total billed charges,37.36,percent of total billed charges,37.36,percent of total billed charges,37.36,percent of total billed charges,37.36,percent of total billed charges,37.36,percent of total billed charges,37.36,percent of total billed charges,26.9,percent of total billed charges,26.9,percent of total billed charges,26.9,percent of total billed charges,26.9,percent of total billed charges,26.9,percent of total billed charges,26.9,percent of total billed charges,27.65,percent of total billed charges,27.65,percent of total billed charges,29.89,percent of total billed charges,29.89,percent of total billed charges,,,26.9,percent of total billed charges ,,,29.89,percent of total billed charges ,31.38,percent of total billed charges ,31.38,percent of total billed charges ,29.14,percent of total billed charges ,29.14,percent of total billed charges ,29.89,percent of total billed charges ,29.89,percent of total billed charges ,26.15,percent of total billed charges ,26.15,percent of total billed charges ,22.42,percent of total billed charges ,22.42,percent of total billed charges ,22.42,percent of total billed charges ,22.42,percent of total billed charges ,,,,,19.88,percent of total billed charges ,,,,,18.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,,,10.46,percent of total billed charges,
**HYDROMORPHONE 0.2MG/ML  30ML PCA,J1170,CDM,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
HYDROmorphone 1 MG/ML  30ML PCA,J1170,CDM,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
DICLOFENAC (VOLTAREN) 1% GEL,LOCAL,LOCAL,,,,both,,,72.01,72.01,20.16,72.01,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,72.01,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,51.85,percent of total billed charges,53.29,percent of total billed charges,53.29,percent of total billed charges,57.61,percent of total billed charges,57.61,percent of total billed charges,,,51.85,percent of total billed charges ,,,57.61,percent of total billed charges ,60.49,percent of total billed charges ,60.49,percent of total billed charges ,56.17,percent of total billed charges ,56.17,percent of total billed charges ,57.61,percent of total billed charges ,57.61,percent of total billed charges ,50.41,percent of total billed charges ,50.41,percent of total billed charges ,43.21,percent of total billed charges ,43.21,percent of total billed charges ,43.21,percent of total billed charges ,43.21,percent of total billed charges ,,,,,38.31,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**INFLUENZA (6-36 MONTHS) VACCINE 2011 -,90656,CDM,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
EXENATIDE (BYETTA) 10MCG/DOSE PEN,LOCAL,LOCAL,,,,both,,,"1,827.68","1,827.68",511.75,"1,827.68","1,827.68",percent of total billed charges,"1,827.68",percent of total billed charges,"1,827.68",percent of total billed charges,"1,827.68",percent of total billed charges,"1,827.68",percent of total billed charges,"1,827.68",percent of total billed charges,"1,827.68",percent of total billed charges,"1,827.68",percent of total billed charges,"1,315.93",percent of total billed charges,"1,315.93",percent of total billed charges,"1,315.93",percent of total billed charges,"1,315.93",percent of total billed charges,"1,315.93",percent of total billed charges,"1,315.93",percent of total billed charges,"1,352.48",percent of total billed charges,"1,352.48",percent of total billed charges,"1,462.14",percent of total billed charges,"1,462.14",percent of total billed charges,,,"1,315.93",percent of total billed charges ,,,"1,462.14",percent of total billed charges ,"1,535.25",percent of total billed charges ,"1,535.25",percent of total billed charges ,"1,425.59",percent of total billed charges ,"1,425.59",percent of total billed charges ,"1,462.14",percent of total billed charges ,"1,462.14",percent of total billed charges ,"1,279.38",percent of total billed charges ,"1,279.38",percent of total billed charges ,"1,096.61",percent of total billed charges ,"1,096.61",percent of total billed charges ,"1,096.61",percent of total billed charges ,"1,096.61",percent of total billed charges ,,,,,972.33,percent of total billed charges ,,,,,923.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,,,511.75,percent of total billed charges,
TELEVANCIN (VIBATIV): 750MG INJ,J3095,CDM,,,,both,,,"1,672.66","1,672.66",468.34,"1,672.66","1,672.66",percent of total billed charges,"1,672.66",percent of total billed charges,"1,672.66",percent of total billed charges,"1,672.66",percent of total billed charges,"1,672.66",percent of total billed charges,"1,672.66",percent of total billed charges,"1,672.66",percent of total billed charges,"1,672.66",percent of total billed charges,"1,204.32",percent of total billed charges,"1,204.32",percent of total billed charges,"1,204.32",percent of total billed charges,"1,204.32",percent of total billed charges,"1,204.32",percent of total billed charges,"1,204.32",percent of total billed charges,"1,237.77",percent of total billed charges,"1,237.77",percent of total billed charges,"1,338.13",percent of total billed charges,"1,338.13",percent of total billed charges,,,"1,204.32",percent of total billed charges ,,,"1,338.13",percent of total billed charges ,"1,405.03",percent of total billed charges ,"1,405.03",percent of total billed charges ,"1,304.67",percent of total billed charges ,"1,304.67",percent of total billed charges ,"1,338.13",percent of total billed charges ,"1,338.13",percent of total billed charges ,"1,170.86",percent of total billed charges ,"1,170.86",percent of total billed charges ,"1,003.60",percent of total billed charges ,"1,003.60",percent of total billed charges ,"1,003.60",percent of total billed charges ,"1,003.60",percent of total billed charges ,,,,,889.86,percent of total billed charges ,,,,,845.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,,,468.34,percent of total billed charges,
lamiVUDine/ZIDOVUDINE 150/300 MG TAB,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
DABIGATRAN (PRADAXA) 150MG TAB,LOCAL,LOCAL,,,,both,,,20.86,20.86,5.84,20.86,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.44,percent of total billed charges,15.44,percent of total billed charges,16.69,percent of total billed charges,16.69,percent of total billed charges,,,15.02,percent of total billed charges ,,,16.69,percent of total billed charges ,17.52,percent of total billed charges ,17.52,percent of total billed charges ,16.27,percent of total billed charges ,16.27,percent of total billed charges ,16.69,percent of total billed charges ,16.69,percent of total billed charges ,14.6,percent of total billed charges ,14.6,percent of total billed charges ,12.52,percent of total billed charges ,12.52,percent of total billed charges ,12.52,percent of total billed charges ,12.52,percent of total billed charges ,,,,,11.1,percent of total billed charges ,,,,,10.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,
LOPINAVIR/RITONAVIR (KALETRA) 200/50 TAB,LOCAL,LOCAL,,,,both,,,26.64,26.64,7.46,26.64,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,19.18,percent of total billed charges,19.18,percent of total billed charges,19.18,percent of total billed charges,19.18,percent of total billed charges,19.18,percent of total billed charges,19.18,percent of total billed charges,19.71,percent of total billed charges,19.71,percent of total billed charges,21.31,percent of total billed charges,21.31,percent of total billed charges,,,19.18,percent of total billed charges ,,,21.31,percent of total billed charges ,22.38,percent of total billed charges ,22.38,percent of total billed charges ,20.78,percent of total billed charges ,20.78,percent of total billed charges ,21.31,percent of total billed charges ,21.31,percent of total billed charges ,18.65,percent of total billed charges ,18.65,percent of total billed charges ,15.98,percent of total billed charges ,15.98,percent of total billed charges ,15.98,percent of total billed charges ,15.98,percent of total billed charges ,,,,,14.17,percent of total billed charges ,,,,,13.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,
VENLAFAXINE I/R (EFFEXOR) 75MG TAB,LOCAL,LOCAL,,,,both,,,3.28,3.28,0.92,3.28,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,,,2.36,percent of total billed charges ,,,2.62,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,,,,,1.74,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,
OSELTAMIVIR (TAMIFLU) 45 MG CAPS,LOCAL,LOCAL,,,,both,,,44.8,44.8,12.54,44.8,44.8,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,32.26,percent of total billed charges,32.26,percent of total billed charges,32.26,percent of total billed charges,32.26,percent of total billed charges,32.26,percent of total billed charges,32.26,percent of total billed charges,33.15,percent of total billed charges,33.15,percent of total billed charges,35.84,percent of total billed charges,35.84,percent of total billed charges,,,32.26,percent of total billed charges ,,,35.84,percent of total billed charges ,37.63,percent of total billed charges ,37.63,percent of total billed charges ,34.94,percent of total billed charges ,34.94,percent of total billed charges ,35.84,percent of total billed charges ,35.84,percent of total billed charges ,31.36,percent of total billed charges ,31.36,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,,,,,23.83,percent of total billed charges ,,,,,22.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,,,12.54,percent of total billed charges,
OSELTAMIVIR (TAMIFLU) 30 MG CAP,LOCAL,LOCAL,,,,both,,,35.6,35.6,9.97,35.6,35.6,percent of total billed charges,35.6,percent of total billed charges,35.6,percent of total billed charges,35.6,percent of total billed charges,35.6,percent of total billed charges,35.6,percent of total billed charges,35.6,percent of total billed charges,35.6,percent of total billed charges,25.63,percent of total billed charges,25.63,percent of total billed charges,25.63,percent of total billed charges,25.63,percent of total billed charges,25.63,percent of total billed charges,25.63,percent of total billed charges,26.34,percent of total billed charges,26.34,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,,,25.63,percent of total billed charges ,,,28.48,percent of total billed charges ,29.9,percent of total billed charges ,29.9,percent of total billed charges ,27.77,percent of total billed charges ,27.77,percent of total billed charges ,28.48,percent of total billed charges ,28.48,percent of total billed charges ,24.92,percent of total billed charges ,24.92,percent of total billed charges ,21.36,percent of total billed charges ,21.36,percent of total billed charges ,21.36,percent of total billed charges ,21.36,percent of total billed charges ,,,,,18.94,percent of total billed charges ,,,,,17.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,,,9.97,percent of total billed charges,
LOXAPINE (LOXITANE) 25MG CAP,LOCAL,LOCAL,,,,both,,,2.12,2.12,0.59,2.12,2.12,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,2.12,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.57,percent of total billed charges,1.57,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,,,1.53,percent of total billed charges ,,,1.7,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.65,percent of total billed charges ,1.65,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,,,,,1.13,percent of total billed charges ,,,,,1.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,,,0.59,percent of total billed charges,
IRON DEXTRAN (INFED): 100MG/2ML INJ,J1750,CDM,,,,both,,,266.99,266.99,74.76,266.99,266.99,percent of total billed charges,266.99,percent of total billed charges,266.99,percent of total billed charges,266.99,percent of total billed charges,266.99,percent of total billed charges,266.99,percent of total billed charges,266.99,percent of total billed charges,266.99,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,192.23,percent of total billed charges,197.57,percent of total billed charges,197.57,percent of total billed charges,213.59,percent of total billed charges,213.59,percent of total billed charges,,,192.23,percent of total billed charges ,,,213.59,percent of total billed charges ,224.27,percent of total billed charges ,224.27,percent of total billed charges ,208.25,percent of total billed charges ,208.25,percent of total billed charges ,213.59,percent of total billed charges ,213.59,percent of total billed charges ,186.89,percent of total billed charges ,186.89,percent of total billed charges ,160.19,percent of total billed charges ,160.19,percent of total billed charges ,160.19,percent of total billed charges ,160.19,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
HYDROCORTISONE (Solu CORTEF) 1000MG:,J1720,CDM,,,,both,,,156.46,156.46,43.81,156.46,156.46,percent of total billed charges,156.46,percent of total billed charges,156.46,percent of total billed charges,156.46,percent of total billed charges,156.46,percent of total billed charges,156.46,percent of total billed charges,156.46,percent of total billed charges,156.46,percent of total billed charges,112.65,percent of total billed charges,112.65,percent of total billed charges,112.65,percent of total billed charges,112.65,percent of total billed charges,112.65,percent of total billed charges,112.65,percent of total billed charges,115.78,percent of total billed charges,115.78,percent of total billed charges,125.17,percent of total billed charges,125.17,percent of total billed charges,,,112.65,percent of total billed charges ,,,125.17,percent of total billed charges ,131.43,percent of total billed charges ,131.43,percent of total billed charges ,122.04,percent of total billed charges ,122.04,percent of total billed charges ,125.17,percent of total billed charges ,125.17,percent of total billed charges ,109.52,percent of total billed charges ,109.52,percent of total billed charges ,93.88,percent of total billed charges ,93.88,percent of total billed charges ,93.88,percent of total billed charges ,93.88,percent of total billed charges ,,,,,83.24,percent of total billed charges ,,,,,79.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,,,43.81,percent of total billed charges,
fosPHENYTOIN (CEREBYX) 100 PE/2ML,LOCAL,LOCAL,,,,both,,,39.84,39.84,11.16,39.84,39.84,percent of total billed charges,39.84,percent of total billed charges,39.84,percent of total billed charges,39.84,percent of total billed charges,39.84,percent of total billed charges,39.84,percent of total billed charges,39.84,percent of total billed charges,39.84,percent of total billed charges,28.68,percent of total billed charges,28.68,percent of total billed charges,28.68,percent of total billed charges,28.68,percent of total billed charges,28.68,percent of total billed charges,28.68,percent of total billed charges,29.48,percent of total billed charges,29.48,percent of total billed charges,31.87,percent of total billed charges,31.87,percent of total billed charges,,,28.68,percent of total billed charges ,,,31.87,percent of total billed charges ,33.47,percent of total billed charges ,33.47,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,31.87,percent of total billed charges ,31.87,percent of total billed charges ,27.89,percent of total billed charges ,27.89,percent of total billed charges ,23.9,percent of total billed charges ,23.9,percent of total billed charges ,23.9,percent of total billed charges ,23.9,percent of total billed charges ,,,,,21.19,percent of total billed charges ,,,,,20.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,,,11.16,percent of total billed charges,
FLUVASTATIN XL (LESCOL XL) 80MG TAB,LOCAL,LOCAL,,,,both,,,15.05,15.05,4.21,15.05,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,11.14,percent of total billed charges,11.14,percent of total billed charges,12.04,percent of total billed charges,12.04,percent of total billed charges,,,10.84,percent of total billed charges ,,,12.04,percent of total billed charges ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,11.74,percent of total billed charges ,11.74,percent of total billed charges ,12.04,percent of total billed charges ,12.04,percent of total billed charges ,10.54,percent of total billed charges ,10.54,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,,,,,8.01,percent of total billed charges ,,,,,7.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,
PENICILLIN BENZ. (BICILLIN LA) 600 KU,J0561,CDM,,,,both,,,858.89,858.89,240.49,858.89,858.89,percent of total billed charges,858.89,percent of total billed charges,858.89,percent of total billed charges,858.89,percent of total billed charges,858.89,percent of total billed charges,858.89,percent of total billed charges,858.89,percent of total billed charges,858.89,percent of total billed charges,618.4,percent of total billed charges,618.4,percent of total billed charges,618.4,percent of total billed charges,618.4,percent of total billed charges,618.4,percent of total billed charges,618.4,percent of total billed charges,635.58,percent of total billed charges,635.58,percent of total billed charges,687.11,percent of total billed charges,687.11,percent of total billed charges,,,618.4,percent of total billed charges ,,,687.11,percent of total billed charges ,721.47,percent of total billed charges ,721.47,percent of total billed charges ,669.93,percent of total billed charges ,669.93,percent of total billed charges ,687.11,percent of total billed charges ,687.11,percent of total billed charges ,601.22,percent of total billed charges ,601.22,percent of total billed charges ,515.33,percent of total billed charges ,515.33,percent of total billed charges ,515.33,percent of total billed charges ,515.33,percent of total billed charges ,,,,,456.93,percent of total billed charges ,,,,,434.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,,,240.49,percent of total billed charges,
cefTRIAXone (ROCEPHIN): 500MG: FOR IM,J0696,CDM,,,,both,,,12.4,12.4,3.47,12.4,12.4,percent of total billed charges,12.4,percent of total billed charges,12.4,percent of total billed charges,12.4,percent of total billed charges,12.4,percent of total billed charges,12.4,percent of total billed charges,12.4,percent of total billed charges,12.4,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,9.18,percent of total billed charges,9.18,percent of total billed charges,9.92,percent of total billed charges,9.92,percent of total billed charges,,,8.93,percent of total billed charges ,,,9.92,percent of total billed charges ,10.42,percent of total billed charges ,10.42,percent of total billed charges ,9.67,percent of total billed charges ,9.67,percent of total billed charges ,9.92,percent of total billed charges ,9.92,percent of total billed charges ,8.68,percent of total billed charges ,8.68,percent of total billed charges ,7.44,percent of total billed charges ,7.44,percent of total billed charges ,7.44,percent of total billed charges ,7.44,percent of total billed charges ,,,,,6.6,percent of total billed charges ,,,,,6.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,,,3.47,percent of total billed charges,
**ESOMEPRAZOLE (NexIUM) 40MG ORAL SUSP,LOCAL,LOCAL,,,,both,,,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
**TELEVANCIN (VIBATIV): 250MG INJ,J3095,CDM,,,,both,,,122,122,34.16,122,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,90.28,percent of total billed charges,90.28,percent of total billed charges,97.6,percent of total billed charges,97.6,percent of total billed charges,,,87.84,percent of total billed charges ,,,97.6,percent of total billed charges ,102.48,percent of total billed charges ,102.48,percent of total billed charges ,95.16,percent of total billed charges ,95.16,percent of total billed charges ,97.6,percent of total billed charges ,97.6,percent of total billed charges ,85.4,percent of total billed charges ,85.4,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,,,,,64.9,percent of total billed charges ,,,,,61.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,
AZTREONAM (AZACTAM) 2 GM IVPB,J0457,CDM,,,,both,,,673.48,673.48,188.57,673.48,673.48,percent of total billed charges,673.48,percent of total billed charges,673.48,percent of total billed charges,673.48,percent of total billed charges,673.48,percent of total billed charges,673.48,percent of total billed charges,673.48,percent of total billed charges,673.48,percent of total billed charges,484.91,percent of total billed charges,484.91,percent of total billed charges,484.91,percent of total billed charges,484.91,percent of total billed charges,484.91,percent of total billed charges,484.91,percent of total billed charges,498.38,percent of total billed charges,498.38,percent of total billed charges,538.78,percent of total billed charges,538.78,percent of total billed charges,,,484.91,percent of total billed charges ,,,538.78,percent of total billed charges ,565.72,percent of total billed charges ,565.72,percent of total billed charges ,525.31,percent of total billed charges ,525.31,percent of total billed charges ,538.78,percent of total billed charges ,538.78,percent of total billed charges ,471.44,percent of total billed charges ,471.44,percent of total billed charges ,404.09,percent of total billed charges ,404.09,percent of total billed charges ,404.09,percent of total billed charges ,404.09,percent of total billed charges ,,,,,358.29,percent of total billed charges ,,,,,340.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,,,188.57,percent of total billed charges,
RT LEVABUTEROL 0.31MG/3 ML,LOCAL,LOCAL,,,,both,,,5.74,5.74,1.61,5.74,5.74,percent of total billed charges,5.74,percent of total billed charges,5.74,percent of total billed charges,5.74,percent of total billed charges,5.74,percent of total billed charges,5.74,percent of total billed charges,5.74,percent of total billed charges,5.74,percent of total billed charges,4.13,percent of total billed charges,4.13,percent of total billed charges,4.13,percent of total billed charges,4.13,percent of total billed charges,4.13,percent of total billed charges,4.13,percent of total billed charges,4.25,percent of total billed charges,4.25,percent of total billed charges,4.59,percent of total billed charges,4.59,percent of total billed charges,,,4.13,percent of total billed charges ,,,4.59,percent of total billed charges ,4.82,percent of total billed charges ,4.82,percent of total billed charges ,4.48,percent of total billed charges ,4.48,percent of total billed charges ,4.59,percent of total billed charges ,4.59,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,3.44,percent of total billed charges ,3.44,percent of total billed charges ,3.44,percent of total billed charges ,3.44,percent of total billed charges ,,,,,3.05,percent of total billed charges ,,,,,2.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,,,1.61,percent of total billed charges,
MICAFUNGIN (MYCAMINE): 100MG INJ,J2248,CDM,,,,both,,,439.02,439.02,122.93,439.02,439.02,percent of total billed charges,439.02,percent of total billed charges,439.02,percent of total billed charges,439.02,percent of total billed charges,439.02,percent of total billed charges,439.02,percent of total billed charges,439.02,percent of total billed charges,439.02,percent of total billed charges,316.09,percent of total billed charges,316.09,percent of total billed charges,316.09,percent of total billed charges,316.09,percent of total billed charges,316.09,percent of total billed charges,316.09,percent of total billed charges,324.87,percent of total billed charges,324.87,percent of total billed charges,351.22,percent of total billed charges,351.22,percent of total billed charges,,,316.09,percent of total billed charges ,,,351.22,percent of total billed charges ,368.78,percent of total billed charges ,368.78,percent of total billed charges ,342.44,percent of total billed charges ,342.44,percent of total billed charges ,351.22,percent of total billed charges ,351.22,percent of total billed charges ,307.31,percent of total billed charges ,307.31,percent of total billed charges ,263.41,percent of total billed charges ,263.41,percent of total billed charges ,263.41,percent of total billed charges ,263.41,percent of total billed charges ,,,,,233.56,percent of total billed charges ,,,,,221.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,,,122.93,percent of total billed charges,
**WHEAT DEXTRIN (BENEFIBER): 161GM BOTTL,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**TORSEMIDE (DEMADEX) INJ 50MG/5ML,J3265,CDM,,,,both,,,105,105,29.4,105,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,105,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,75.6,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,,,75.6,percent of total billed charges ,,,84,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,73.5,percent of total billed charges ,73.5,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,,,,,55.86,percent of total billed charges ,,,,,53.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,,,29.4,percent of total billed charges,
VANCOMYCIN 500 MG VIAL (MB+),J3370,CDM,,,,both,,,39.99,39.99,11.2,39.99,39.99,percent of total billed charges,39.99,percent of total billed charges,39.99,percent of total billed charges,39.99,percent of total billed charges,39.99,percent of total billed charges,39.99,percent of total billed charges,39.99,percent of total billed charges,39.99,percent of total billed charges,28.79,percent of total billed charges,28.79,percent of total billed charges,28.79,percent of total billed charges,28.79,percent of total billed charges,28.79,percent of total billed charges,28.79,percent of total billed charges,29.59,percent of total billed charges,29.59,percent of total billed charges,31.99,percent of total billed charges,31.99,percent of total billed charges,,,28.79,percent of total billed charges ,,,31.99,percent of total billed charges ,33.59,percent of total billed charges ,33.59,percent of total billed charges ,31.19,percent of total billed charges ,31.19,percent of total billed charges ,31.99,percent of total billed charges ,31.99,percent of total billed charges ,27.99,percent of total billed charges ,27.99,percent of total billed charges ,23.99,percent of total billed charges ,23.99,percent of total billed charges ,23.99,percent of total billed charges ,23.99,percent of total billed charges ,,,,,21.27,percent of total billed charges ,,,,,20.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
CEFTAROLINE (TEFLARO): 600MG INJ,J0712,CDM,,,,both,,,607.37,607.37,170.06,607.37,607.37,percent of total billed charges,607.37,percent of total billed charges,607.37,percent of total billed charges,607.37,percent of total billed charges,607.37,percent of total billed charges,607.37,percent of total billed charges,607.37,percent of total billed charges,607.37,percent of total billed charges,437.31,percent of total billed charges,437.31,percent of total billed charges,437.31,percent of total billed charges,437.31,percent of total billed charges,437.31,percent of total billed charges,437.31,percent of total billed charges,449.45,percent of total billed charges,449.45,percent of total billed charges,485.9,percent of total billed charges,485.9,percent of total billed charges,,,437.31,percent of total billed charges ,,,485.9,percent of total billed charges ,510.19,percent of total billed charges ,510.19,percent of total billed charges ,473.75,percent of total billed charges ,473.75,percent of total billed charges ,485.9,percent of total billed charges ,485.9,percent of total billed charges ,425.16,percent of total billed charges ,425.16,percent of total billed charges ,364.42,percent of total billed charges ,364.42,percent of total billed charges ,364.42,percent of total billed charges ,364.42,percent of total billed charges ,,,,,323.12,percent of total billed charges ,,,,,306.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,,,170.06,percent of total billed charges,
**PROPOFOL 500MG/50ML INJ,LOCAL,LOCAL,,,,both,,,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
PROPOFOL 500MG/50ML INJ,J2704,CDM,,,,both,,,80.08,80.08,22.42,80.08,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,59.26,percent of total billed charges,59.26,percent of total billed charges,64.06,percent of total billed charges,64.06,percent of total billed charges,,,57.66,percent of total billed charges ,,,64.06,percent of total billed charges ,67.27,percent of total billed charges ,67.27,percent of total billed charges ,62.46,percent of total billed charges ,62.46,percent of total billed charges ,64.06,percent of total billed charges ,64.06,percent of total billed charges ,56.06,percent of total billed charges ,56.06,percent of total billed charges ,48.05,percent of total billed charges ,48.05,percent of total billed charges ,48.05,percent of total billed charges ,48.05,percent of total billed charges ,,,,,42.6,percent of total billed charges ,,,,,40.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,
MYCOPHENOLIC ACID (MYFORTIC) 360MG TAB,J7518,CDM,,,,both,,,24.6,24.6,6.89,24.6,24.6,percent of total billed charges,24.6,percent of total billed charges,24.6,percent of total billed charges,24.6,percent of total billed charges,24.6,percent of total billed charges,24.6,percent of total billed charges,24.6,percent of total billed charges,24.6,percent of total billed charges,17.71,percent of total billed charges,17.71,percent of total billed charges,17.71,percent of total billed charges,17.71,percent of total billed charges,17.71,percent of total billed charges,17.71,percent of total billed charges,18.2,percent of total billed charges,18.2,percent of total billed charges,19.68,percent of total billed charges,19.68,percent of total billed charges,,,17.71,percent of total billed charges ,,,19.68,percent of total billed charges ,20.66,percent of total billed charges ,20.66,percent of total billed charges ,19.19,percent of total billed charges ,19.19,percent of total billed charges ,19.68,percent of total billed charges ,19.68,percent of total billed charges ,17.22,percent of total billed charges ,17.22,percent of total billed charges ,14.76,percent of total billed charges ,14.76,percent of total billed charges ,14.76,percent of total billed charges ,14.76,percent of total billed charges ,,,,,13.09,percent of total billed charges ,,,,,12.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,,,6.89,percent of total billed charges,
cycloSPORINE (GENGRAF) 25MG CAP,J7515,CDM,,,,both,,,1.89,1.89,0.53,1.89,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.51,percent of total billed charges,1.51,percent of total billed charges,,,1.36,percent of total billed charges ,,,1.51,percent of total billed charges ,1.59,percent of total billed charges ,1.59,percent of total billed charges ,1.47,percent of total billed charges ,1.47,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,,,0.53,percent of total billed charges,
**ESOMEPRAZOLE 80MG/100ML IV DRIP,LOCAL,LOCAL,,,,both,,,544,544,152.32,544,544,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,544,percent of total billed charges,391.68,percent of total billed charges,391.68,percent of total billed charges,391.68,percent of total billed charges,391.68,percent of total billed charges,391.68,percent of total billed charges,391.68,percent of total billed charges,402.56,percent of total billed charges,402.56,percent of total billed charges,435.2,percent of total billed charges,435.2,percent of total billed charges,,,391.68,percent of total billed charges ,,,435.2,percent of total billed charges ,456.96,percent of total billed charges ,456.96,percent of total billed charges ,424.32,percent of total billed charges ,424.32,percent of total billed charges ,435.2,percent of total billed charges ,435.2,percent of total billed charges ,380.8,percent of total billed charges ,380.8,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,326.4,percent of total billed charges ,,,,,289.41,percent of total billed charges ,,,,,274.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,,,152.32,percent of total billed charges,
dexAMETHasone (DECADRON) 20MG/5ML INJ,J1100,CDM,,,,both,,,7.75,7.75,2.17,7.75,7.75,percent of total billed charges,7.75,percent of total billed charges,7.75,percent of total billed charges,7.75,percent of total billed charges,7.75,percent of total billed charges,7.75,percent of total billed charges,7.75,percent of total billed charges,7.75,percent of total billed charges,5.58,percent of total billed charges,5.58,percent of total billed charges,5.58,percent of total billed charges,5.58,percent of total billed charges,5.58,percent of total billed charges,5.58,percent of total billed charges,5.74,percent of total billed charges,5.74,percent of total billed charges,6.2,percent of total billed charges,6.2,percent of total billed charges,,,5.58,percent of total billed charges ,,,6.2,percent of total billed charges ,6.51,percent of total billed charges ,6.51,percent of total billed charges ,6.05,percent of total billed charges ,6.05,percent of total billed charges ,6.2,percent of total billed charges ,6.2,percent of total billed charges ,5.43,percent of total billed charges ,5.43,percent of total billed charges ,4.65,percent of total billed charges ,4.65,percent of total billed charges ,4.65,percent of total billed charges ,4.65,percent of total billed charges ,,,,,4.12,percent of total billed charges ,,,,,3.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,,,2.17,percent of total billed charges,
NEOSTIGMINE (1:2000) 5MG/10ML INJ,J2710,CDM,,,,both,,,99.98,99.98,27.99,99.98,99.98,percent of total billed charges,99.98,percent of total billed charges,99.98,percent of total billed charges,99.98,percent of total billed charges,99.98,percent of total billed charges,99.98,percent of total billed charges,99.98,percent of total billed charges,99.98,percent of total billed charges,71.99,percent of total billed charges,71.99,percent of total billed charges,71.99,percent of total billed charges,71.99,percent of total billed charges,71.99,percent of total billed charges,71.99,percent of total billed charges,73.99,percent of total billed charges,73.99,percent of total billed charges,79.98,percent of total billed charges,79.98,percent of total billed charges,,,71.99,percent of total billed charges ,,,79.98,percent of total billed charges ,83.98,percent of total billed charges ,83.98,percent of total billed charges ,77.98,percent of total billed charges ,77.98,percent of total billed charges ,79.98,percent of total billed charges ,79.98,percent of total billed charges ,69.99,percent of total billed charges ,69.99,percent of total billed charges ,59.99,percent of total billed charges ,59.99,percent of total billed charges ,59.99,percent of total billed charges ,59.99,percent of total billed charges ,,,,,53.19,percent of total billed charges ,,,,,50.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,,,27.99,percent of total billed charges,
THROMBIN 20 MILLION UNITS INJ,J3490,CDM,,,,both,,,728.16,728.16,203.88,728.16,728.16,percent of total billed charges,728.16,percent of total billed charges,728.16,percent of total billed charges,728.16,percent of total billed charges,728.16,percent of total billed charges,728.16,percent of total billed charges,728.16,percent of total billed charges,728.16,percent of total billed charges,524.28,percent of total billed charges,524.28,percent of total billed charges,524.28,percent of total billed charges,524.28,percent of total billed charges,524.28,percent of total billed charges,524.28,percent of total billed charges,538.84,percent of total billed charges,538.84,percent of total billed charges,582.53,percent of total billed charges,582.53,percent of total billed charges,,,524.28,percent of total billed charges ,,,582.53,percent of total billed charges ,611.65,percent of total billed charges ,611.65,percent of total billed charges ,567.96,percent of total billed charges ,567.96,percent of total billed charges ,582.53,percent of total billed charges ,582.53,percent of total billed charges ,509.71,percent of total billed charges ,509.71,percent of total billed charges ,436.9,percent of total billed charges ,436.9,percent of total billed charges ,436.9,percent of total billed charges ,436.9,percent of total billed charges ,,,,,387.38,percent of total billed charges ,,,,,368.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,,,203.88,percent of total billed charges,
BRIMONIDINE 0.1% (ALPHAGAN P) OPHTH SOLN,LOCAL,LOCAL,,,,both,,,624.71,624.71,174.92,624.71,624.71,percent of total billed charges,624.71,percent of total billed charges,624.71,percent of total billed charges,624.71,percent of total billed charges,624.71,percent of total billed charges,624.71,percent of total billed charges,624.71,percent of total billed charges,624.71,percent of total billed charges,449.79,percent of total billed charges,449.79,percent of total billed charges,449.79,percent of total billed charges,449.79,percent of total billed charges,449.79,percent of total billed charges,449.79,percent of total billed charges,462.29,percent of total billed charges,462.29,percent of total billed charges,499.77,percent of total billed charges,499.77,percent of total billed charges,,,449.79,percent of total billed charges ,,,499.77,percent of total billed charges ,524.76,percent of total billed charges ,524.76,percent of total billed charges ,487.27,percent of total billed charges ,487.27,percent of total billed charges ,499.77,percent of total billed charges ,499.77,percent of total billed charges ,437.3,percent of total billed charges ,437.3,percent of total billed charges ,374.83,percent of total billed charges ,374.83,percent of total billed charges ,374.83,percent of total billed charges ,374.83,percent of total billed charges ,,,,,332.35,percent of total billed charges ,,,,,315.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,,,174.92,percent of total billed charges,
DRONEDARONE (MULTAQ) 400MG TAB,LOCAL,LOCAL,,,,both,,,42.45,42.45,11.89,42.45,42.45,percent of total billed charges,42.45,percent of total billed charges,42.45,percent of total billed charges,42.45,percent of total billed charges,42.45,percent of total billed charges,42.45,percent of total billed charges,42.45,percent of total billed charges,42.45,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,30.56,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,33.96,percent of total billed charges,33.96,percent of total billed charges,,,30.56,percent of total billed charges ,,,33.96,percent of total billed charges ,35.66,percent of total billed charges ,35.66,percent of total billed charges ,33.11,percent of total billed charges ,33.11,percent of total billed charges ,33.96,percent of total billed charges ,33.96,percent of total billed charges ,29.72,percent of total billed charges ,29.72,percent of total billed charges ,25.47,percent of total billed charges ,25.47,percent of total billed charges ,25.47,percent of total billed charges ,25.47,percent of total billed charges ,,,,,22.58,percent of total billed charges ,,,,,21.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,,,11.89,percent of total billed charges,
TOBRAMYCIN DOSING BY RPH,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
GENTAMICIN DOSING BY RPH,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
DABIGATRAN (PRADAXA) 75 MG TAB,LOCAL,LOCAL,,,,both,,,20.86,20.86,5.84,20.86,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,20.86,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.02,percent of total billed charges,15.44,percent of total billed charges,15.44,percent of total billed charges,16.69,percent of total billed charges,16.69,percent of total billed charges,,,15.02,percent of total billed charges ,,,16.69,percent of total billed charges ,17.52,percent of total billed charges ,17.52,percent of total billed charges ,16.27,percent of total billed charges ,16.27,percent of total billed charges ,16.69,percent of total billed charges ,16.69,percent of total billed charges ,14.6,percent of total billed charges ,14.6,percent of total billed charges ,12.52,percent of total billed charges ,12.52,percent of total billed charges ,12.52,percent of total billed charges ,12.52,percent of total billed charges ,,,,,11.1,percent of total billed charges ,,,,,10.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,,,5.84,percent of total billed charges,
FLUTICASONE/SALMETEROL 45/21 INHALER,LOCAL,LOCAL,,,,both,,,620.19,620.19,173.65,620.19,620.19,percent of total billed charges,620.19,percent of total billed charges,620.19,percent of total billed charges,620.19,percent of total billed charges,620.19,percent of total billed charges,620.19,percent of total billed charges,620.19,percent of total billed charges,620.19,percent of total billed charges,446.54,percent of total billed charges,446.54,percent of total billed charges,446.54,percent of total billed charges,446.54,percent of total billed charges,446.54,percent of total billed charges,446.54,percent of total billed charges,458.94,percent of total billed charges,458.94,percent of total billed charges,496.15,percent of total billed charges,496.15,percent of total billed charges,,,446.54,percent of total billed charges ,,,496.15,percent of total billed charges ,520.96,percent of total billed charges ,520.96,percent of total billed charges ,483.75,percent of total billed charges ,483.75,percent of total billed charges ,496.15,percent of total billed charges ,496.15,percent of total billed charges ,434.13,percent of total billed charges ,434.13,percent of total billed charges ,372.11,percent of total billed charges ,372.11,percent of total billed charges ,372.11,percent of total billed charges ,372.11,percent of total billed charges ,,,,,329.94,percent of total billed charges ,,,,,313.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,,,173.65,percent of total billed charges,
FLUTICASONE/SALMETEROL 115/21 INHALER,LOCAL,LOCAL,,,,both,,,770.56,770.56,215.76,770.56,770.56,percent of total billed charges,770.56,percent of total billed charges,770.56,percent of total billed charges,770.56,percent of total billed charges,770.56,percent of total billed charges,770.56,percent of total billed charges,770.56,percent of total billed charges,770.56,percent of total billed charges,554.8,percent of total billed charges,554.8,percent of total billed charges,554.8,percent of total billed charges,554.8,percent of total billed charges,554.8,percent of total billed charges,554.8,percent of total billed charges,570.21,percent of total billed charges,570.21,percent of total billed charges,616.45,percent of total billed charges,616.45,percent of total billed charges,,,554.8,percent of total billed charges ,,,616.45,percent of total billed charges ,647.27,percent of total billed charges ,647.27,percent of total billed charges ,601.04,percent of total billed charges ,601.04,percent of total billed charges ,616.45,percent of total billed charges ,616.45,percent of total billed charges ,539.39,percent of total billed charges ,539.39,percent of total billed charges ,462.34,percent of total billed charges ,462.34,percent of total billed charges ,462.34,percent of total billed charges ,462.34,percent of total billed charges ,,,,,409.94,percent of total billed charges ,,,,,389.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,,,215.76,percent of total billed charges,
FLUTICASONE/SALMETEROL 230/21 INHALER,LOCAL,LOCAL,,,,both,,,612.84,612.84,171.6,612.84,612.84,percent of total billed charges,612.84,percent of total billed charges,612.84,percent of total billed charges,612.84,percent of total billed charges,612.84,percent of total billed charges,612.84,percent of total billed charges,612.84,percent of total billed charges,612.84,percent of total billed charges,441.24,percent of total billed charges,441.24,percent of total billed charges,441.24,percent of total billed charges,441.24,percent of total billed charges,441.24,percent of total billed charges,441.24,percent of total billed charges,453.5,percent of total billed charges,453.5,percent of total billed charges,490.27,percent of total billed charges,490.27,percent of total billed charges,,,441.24,percent of total billed charges ,,,490.27,percent of total billed charges ,514.79,percent of total billed charges ,514.79,percent of total billed charges ,478.02,percent of total billed charges ,478.02,percent of total billed charges ,490.27,percent of total billed charges ,490.27,percent of total billed charges ,428.99,percent of total billed charges ,428.99,percent of total billed charges ,367.7,percent of total billed charges ,367.7,percent of total billed charges ,367.7,percent of total billed charges ,367.7,percent of total billed charges ,,,,,326.03,percent of total billed charges ,,,,,309.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,,,171.6,percent of total billed charges,
ABATACEPT (ORENCIA): 250MG VIAL,J0129,CDM,,,,both,,,"11,916.17","11,916.17","3,336.53","11,916.17","11,916.17",percent of total billed charges,"11,916.17",percent of total billed charges,"11,916.17",percent of total billed charges,"11,916.17",percent of total billed charges,"11,916.17",percent of total billed charges,"11,916.17",percent of total billed charges,"11,916.17",percent of total billed charges,"11,916.17",percent of total billed charges,"8,579.64",percent of total billed charges,"8,579.64",percent of total billed charges,"8,579.64",percent of total billed charges,"8,579.64",percent of total billed charges,"8,579.64",percent of total billed charges,"8,579.64",percent of total billed charges,"8,817.97",percent of total billed charges,"8,817.97",percent of total billed charges,"9,532.94",percent of total billed charges,"9,532.94",percent of total billed charges,,,"8,579.64",percent of total billed charges ,,,"9,532.94",percent of total billed charges ,"10,009.58",percent of total billed charges ,"10,009.58",percent of total billed charges ,"9,294.61",percent of total billed charges ,"9,294.61",percent of total billed charges ,"9,532.94",percent of total billed charges ,"9,532.94",percent of total billed charges ,"8,341.32",percent of total billed charges ,"8,341.32",percent of total billed charges ,"7,149.70",percent of total billed charges ,"7,149.70",percent of total billed charges ,"7,149.70",percent of total billed charges ,"7,149.70",percent of total billed charges ,,,,,"6,339.40",percent of total billed charges ,,,,,"6,022.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,,,"3,336.53",percent of total billed charges,
MYCOPHENOLATE (CELLCEPT) 250 MG CAP,LOCAL,LOCAL,,,,both,,,3.6,3.6,1.01,3.6,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.88,percent of total billed charges,2.88,percent of total billed charges,,,2.59,percent of total billed charges ,,,2.88,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,,,,,1.92,percent of total billed charges ,,,,,1.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,
buPROPion XL (WELLBUTRIN XL) 150MG TAB,LOCAL,LOCAL,,,,both,,,1.62,1.62,0.45,1.62,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
IMMUNE GLOBULIN 10% (PRIVIGEN) PER GRAM,J1459,CDM,,,,both,,,600.47,600.47,168.13,600.47,600.47,percent of total billed charges,600.47,percent of total billed charges,600.47,percent of total billed charges,600.47,percent of total billed charges,600.47,percent of total billed charges,600.47,percent of total billed charges,600.47,percent of total billed charges,600.47,percent of total billed charges,432.34,percent of total billed charges,432.34,percent of total billed charges,432.34,percent of total billed charges,432.34,percent of total billed charges,432.34,percent of total billed charges,432.34,percent of total billed charges,444.35,percent of total billed charges,444.35,percent of total billed charges,480.38,percent of total billed charges,480.38,percent of total billed charges,,,432.34,percent of total billed charges ,,,480.38,percent of total billed charges ,504.39,percent of total billed charges ,504.39,percent of total billed charges ,468.37,percent of total billed charges ,468.37,percent of total billed charges ,480.38,percent of total billed charges ,480.38,percent of total billed charges ,420.33,percent of total billed charges ,420.33,percent of total billed charges ,360.28,percent of total billed charges ,360.28,percent of total billed charges ,360.28,percent of total billed charges ,360.28,percent of total billed charges ,,,,,319.45,percent of total billed charges ,,,,,303.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,,,168.13,percent of total billed charges,
**HYDROmorphone: 40MG/20ML VIAL,J1170,CDM,,,,both,,,140,140,39.2,140,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,103.6,percent of total billed charges,103.6,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,,,100.8,percent of total billed charges ,,,112,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,112,percent of total billed charges ,112,percent of total billed charges ,98,percent of total billed charges ,98,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,,,,,74.48,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,,,39.2,percent of total billed charges,
INFLUENZA (ADULT) VACCINE,90686,CDM,,,,both,,,220.85,220.85,61.84,220.85,220.85,percent of total billed charges,220.85,percent of total billed charges,220.85,percent of total billed charges,220.85,percent of total billed charges,220.85,percent of total billed charges,220.85,percent of total billed charges,220.85,percent of total billed charges,220.85,percent of total billed charges,159.01,percent of total billed charges,159.01,percent of total billed charges,159.01,percent of total billed charges,159.01,percent of total billed charges,159.01,percent of total billed charges,159.01,percent of total billed charges,163.43,percent of total billed charges,163.43,percent of total billed charges,176.68,percent of total billed charges,176.68,percent of total billed charges,,,159.01,percent of total billed charges ,,,176.68,percent of total billed charges ,185.51,percent of total billed charges ,185.51,percent of total billed charges ,172.26,percent of total billed charges ,172.26,percent of total billed charges ,176.68,percent of total billed charges ,176.68,percent of total billed charges ,154.6,percent of total billed charges ,154.6,percent of total billed charges ,132.51,percent of total billed charges ,132.51,percent of total billed charges ,132.51,percent of total billed charges ,132.51,percent of total billed charges ,,,,,117.49,percent of total billed charges ,,,,,111.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,,,61.84,percent of total billed charges,
**INFLUENZA (PEDIATRIC) VACCINE,90685,CDM,,,,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
HYDROmorphone: 50 MG/5 ML AMP,J1170,CDM,,,,both,,,186.84,186.84,52.32,186.84,186.84,percent of total billed charges,186.84,percent of total billed charges,186.84,percent of total billed charges,186.84,percent of total billed charges,186.84,percent of total billed charges,186.84,percent of total billed charges,186.84,percent of total billed charges,186.84,percent of total billed charges,134.52,percent of total billed charges,134.52,percent of total billed charges,134.52,percent of total billed charges,134.52,percent of total billed charges,134.52,percent of total billed charges,134.52,percent of total billed charges,138.26,percent of total billed charges,138.26,percent of total billed charges,149.47,percent of total billed charges,149.47,percent of total billed charges,,,134.52,percent of total billed charges ,,,149.47,percent of total billed charges ,156.95,percent of total billed charges ,156.95,percent of total billed charges ,145.74,percent of total billed charges ,145.74,percent of total billed charges ,149.47,percent of total billed charges ,149.47,percent of total billed charges ,130.79,percent of total billed charges ,130.79,percent of total billed charges ,112.1,percent of total billed charges ,112.1,percent of total billed charges ,112.1,percent of total billed charges ,112.1,percent of total billed charges ,,,,,99.4,percent of total billed charges ,,,,,94.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,,,52.32,percent of total billed charges,
AMOXICILLIN (AMOXIL) 875 MG TAB,LOCAL,LOCAL,,,,both,,,2.7,2.7,0.76,2.7,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,,,1.94,percent of total billed charges ,,,2.16,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,2.11,percent of total billed charges ,2.11,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,,,,,1.44,percent of total billed charges ,,,,,1.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,,,0.76,percent of total billed charges,
dilTIAZem (CARDIZEM) 50MG/10ML VIAL,LOCAL,LOCAL,,,,both,,,33.02,33.02,9.25,33.02,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,33.02,percent of total billed charges,23.77,percent of total billed charges,23.77,percent of total billed charges,23.77,percent of total billed charges,23.77,percent of total billed charges,23.77,percent of total billed charges,23.77,percent of total billed charges,24.43,percent of total billed charges,24.43,percent of total billed charges,26.42,percent of total billed charges,26.42,percent of total billed charges,,,23.77,percent of total billed charges ,,,26.42,percent of total billed charges ,27.74,percent of total billed charges ,27.74,percent of total billed charges ,25.76,percent of total billed charges ,25.76,percent of total billed charges ,26.42,percent of total billed charges ,26.42,percent of total billed charges ,23.11,percent of total billed charges ,23.11,percent of total billed charges ,19.81,percent of total billed charges ,19.81,percent of total billed charges ,19.81,percent of total billed charges ,19.81,percent of total billed charges ,,,,,17.57,percent of total billed charges ,,,,,16.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,,,9.25,percent of total billed charges,
ATROPINE 8MG/20ML MULTIDOSE VIAL,J0461,CDM,,,,both,,,292.6,292.6,81.93,292.6,292.6,percent of total billed charges,292.6,percent of total billed charges,292.6,percent of total billed charges,292.6,percent of total billed charges,292.6,percent of total billed charges,292.6,percent of total billed charges,292.6,percent of total billed charges,292.6,percent of total billed charges,210.67,percent of total billed charges,210.67,percent of total billed charges,210.67,percent of total billed charges,210.67,percent of total billed charges,210.67,percent of total billed charges,210.67,percent of total billed charges,216.52,percent of total billed charges,216.52,percent of total billed charges,234.08,percent of total billed charges,234.08,percent of total billed charges,,,210.67,percent of total billed charges ,,,234.08,percent of total billed charges ,245.78,percent of total billed charges ,245.78,percent of total billed charges ,228.23,percent of total billed charges ,228.23,percent of total billed charges ,234.08,percent of total billed charges ,234.08,percent of total billed charges ,204.82,percent of total billed charges ,204.82,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,,,,,155.66,percent of total billed charges ,,,,,147.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,,,81.93,percent of total billed charges,
ROFLUMILAST (DALIRESP) 500MCG TAB,LOCAL,LOCAL,,,,both,,,30.97,30.97,8.67,30.97,30.97,percent of total billed charges,30.97,percent of total billed charges,30.97,percent of total billed charges,30.97,percent of total billed charges,30.97,percent of total billed charges,30.97,percent of total billed charges,30.97,percent of total billed charges,30.97,percent of total billed charges,22.3,percent of total billed charges,22.3,percent of total billed charges,22.3,percent of total billed charges,22.3,percent of total billed charges,22.3,percent of total billed charges,22.3,percent of total billed charges,22.92,percent of total billed charges,22.92,percent of total billed charges,24.78,percent of total billed charges,24.78,percent of total billed charges,,,22.3,percent of total billed charges ,,,24.78,percent of total billed charges ,26.01,percent of total billed charges ,26.01,percent of total billed charges ,24.16,percent of total billed charges ,24.16,percent of total billed charges ,24.78,percent of total billed charges ,24.78,percent of total billed charges ,21.68,percent of total billed charges ,21.68,percent of total billed charges ,18.58,percent of total billed charges ,18.58,percent of total billed charges ,18.58,percent of total billed charges ,18.58,percent of total billed charges ,,,,,16.48,percent of total billed charges ,,,,,15.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,,,8.67,percent of total billed charges,
BIMATOPROST 0.01% (LUMIGAN) OPHTH SOLN,LOCAL,LOCAL,,,,both,,,534.3,534.3,149.6,534.3,534.3,percent of total billed charges,534.3,percent of total billed charges,534.3,percent of total billed charges,534.3,percent of total billed charges,534.3,percent of total billed charges,534.3,percent of total billed charges,534.3,percent of total billed charges,534.3,percent of total billed charges,384.7,percent of total billed charges,384.7,percent of total billed charges,384.7,percent of total billed charges,384.7,percent of total billed charges,384.7,percent of total billed charges,384.7,percent of total billed charges,395.38,percent of total billed charges,395.38,percent of total billed charges,427.44,percent of total billed charges,427.44,percent of total billed charges,,,384.7,percent of total billed charges ,,,427.44,percent of total billed charges ,448.81,percent of total billed charges ,448.81,percent of total billed charges ,416.75,percent of total billed charges ,416.75,percent of total billed charges ,427.44,percent of total billed charges ,427.44,percent of total billed charges ,374.01,percent of total billed charges ,374.01,percent of total billed charges ,320.58,percent of total billed charges ,320.58,percent of total billed charges ,320.58,percent of total billed charges ,320.58,percent of total billed charges ,,,,,284.25,percent of total billed charges ,,,,,270.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,,,149.6,percent of total billed charges,
OMALIZUMAB (XOLAIR) 150MG PFS,J2357,CDM,,,,both,,,"11,734.28","11,734.28","3,285.60","11,734.28","11,734.28",percent of total billed charges,"11,734.28",percent of total billed charges,"11,734.28",percent of total billed charges,"11,734.28",percent of total billed charges,"11,734.28",percent of total billed charges,"11,734.28",percent of total billed charges,"11,734.28",percent of total billed charges,"11,734.28",percent of total billed charges,"8,448.68",percent of total billed charges,"8,448.68",percent of total billed charges,"8,448.68",percent of total billed charges,"8,448.68",percent of total billed charges,"8,448.68",percent of total billed charges,"8,448.68",percent of total billed charges,"8,683.37",percent of total billed charges,"8,683.37",percent of total billed charges,"9,387.42",percent of total billed charges,"9,387.42",percent of total billed charges,,,"8,448.68",percent of total billed charges ,,,"9,387.42",percent of total billed charges ,"9,856.80",percent of total billed charges ,"9,856.80",percent of total billed charges ,"9,152.74",percent of total billed charges ,"9,152.74",percent of total billed charges ,"9,387.42",percent of total billed charges ,"9,387.42",percent of total billed charges ,"8,214.00",percent of total billed charges ,"8,214.00",percent of total billed charges ,"7,040.57",percent of total billed charges ,"7,040.57",percent of total billed charges ,"7,040.57",percent of total billed charges ,"7,040.57",percent of total billed charges ,,,,,"6,242.64",percent of total billed charges ,,,,,"5,930.51",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,,,"3,285.60",percent of total billed charges,
RIVAROXABAN (XARELTO) 10 MG TAB,LOCAL,LOCAL,,,,both,,,54.49,54.49,15.26,54.49,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,43.59,percent of total billed charges,43.59,percent of total billed charges,,,39.23,percent of total billed charges ,,,43.59,percent of total billed charges ,45.77,percent of total billed charges ,45.77,percent of total billed charges ,42.5,percent of total billed charges ,42.5,percent of total billed charges ,43.59,percent of total billed charges ,43.59,percent of total billed charges ,38.14,percent of total billed charges ,38.14,percent of total billed charges ,32.69,percent of total billed charges ,32.69,percent of total billed charges ,32.69,percent of total billed charges ,32.69,percent of total billed charges ,,,,,28.99,percent of total billed charges ,,,,,27.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,
RIVAROXABAN (XARELTO) 15 MG TAB,LOCAL,LOCAL,,,,both,,,54.49,54.49,15.26,54.49,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,54.49,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,39.23,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,43.59,percent of total billed charges,43.59,percent of total billed charges,,,39.23,percent of total billed charges ,,,43.59,percent of total billed charges ,45.77,percent of total billed charges ,45.77,percent of total billed charges ,42.5,percent of total billed charges ,42.5,percent of total billed charges ,43.59,percent of total billed charges ,43.59,percent of total billed charges ,38.14,percent of total billed charges ,38.14,percent of total billed charges ,32.69,percent of total billed charges ,32.69,percent of total billed charges ,32.69,percent of total billed charges ,32.69,percent of total billed charges ,,,,,28.99,percent of total billed charges ,,,,,27.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,
ACIDOPHILUS LACTOBACILLI CAPSULE,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
MELATONIN 3MG TABLET,LOCAL,LOCAL,,,,both,,,1.07,1.07,0.3,1.07,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,,,0.77,percent of total billed charges ,,,0.86,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.75,percent of total billed charges ,0.75,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
"HEPARIN 12,500 UNITS / D5W 250ML",J1644,CDM,,,,both,,,96.1,96.1,26.91,96.1,96.1,percent of total billed charges,96.1,percent of total billed charges,96.1,percent of total billed charges,96.1,percent of total billed charges,96.1,percent of total billed charges,96.1,percent of total billed charges,96.1,percent of total billed charges,96.1,percent of total billed charges,69.19,percent of total billed charges,69.19,percent of total billed charges,69.19,percent of total billed charges,69.19,percent of total billed charges,69.19,percent of total billed charges,69.19,percent of total billed charges,71.11,percent of total billed charges,71.11,percent of total billed charges,76.88,percent of total billed charges,76.88,percent of total billed charges,,,69.19,percent of total billed charges ,,,76.88,percent of total billed charges ,80.72,percent of total billed charges ,80.72,percent of total billed charges ,74.96,percent of total billed charges ,74.96,percent of total billed charges ,76.88,percent of total billed charges ,76.88,percent of total billed charges ,67.27,percent of total billed charges ,67.27,percent of total billed charges ,57.66,percent of total billed charges ,57.66,percent of total billed charges ,57.66,percent of total billed charges ,57.66,percent of total billed charges ,,,,,51.13,percent of total billed charges ,,,,,48.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,,,26.91,percent of total billed charges,
APREPITANT (EMEND) 40MG CAP,J8501,CDM,,,,both,,,137.9,137.9,38.61,137.9,137.9,percent of total billed charges,137.9,percent of total billed charges,137.9,percent of total billed charges,137.9,percent of total billed charges,137.9,percent of total billed charges,137.9,percent of total billed charges,137.9,percent of total billed charges,137.9,percent of total billed charges,99.29,percent of total billed charges,99.29,percent of total billed charges,99.29,percent of total billed charges,99.29,percent of total billed charges,99.29,percent of total billed charges,99.29,percent of total billed charges,102.05,percent of total billed charges,102.05,percent of total billed charges,110.32,percent of total billed charges,110.32,percent of total billed charges,,,99.29,percent of total billed charges ,,,110.32,percent of total billed charges ,115.84,percent of total billed charges ,115.84,percent of total billed charges ,107.56,percent of total billed charges ,107.56,percent of total billed charges ,110.32,percent of total billed charges ,110.32,percent of total billed charges ,96.53,percent of total billed charges ,96.53,percent of total billed charges ,82.74,percent of total billed charges ,82.74,percent of total billed charges ,82.74,percent of total billed charges ,82.74,percent of total billed charges ,,,,,73.36,percent of total billed charges ,,,,,69.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,,,38.61,percent of total billed charges,
MORphine (DURAMORPH) 10MG/10ML PF-AMP,J2274,CDM,,,,both,,,307.46,307.46,86.09,307.46,307.46,percent of total billed charges,307.46,percent of total billed charges,307.46,percent of total billed charges,307.46,percent of total billed charges,307.46,percent of total billed charges,307.46,percent of total billed charges,307.46,percent of total billed charges,307.46,percent of total billed charges,221.37,percent of total billed charges,221.37,percent of total billed charges,221.37,percent of total billed charges,221.37,percent of total billed charges,221.37,percent of total billed charges,221.37,percent of total billed charges,227.52,percent of total billed charges,227.52,percent of total billed charges,245.97,percent of total billed charges,245.97,percent of total billed charges,,,221.37,percent of total billed charges ,,,245.97,percent of total billed charges ,258.27,percent of total billed charges ,258.27,percent of total billed charges ,239.82,percent of total billed charges ,239.82,percent of total billed charges ,245.97,percent of total billed charges ,245.97,percent of total billed charges ,215.22,percent of total billed charges ,215.22,percent of total billed charges ,184.48,percent of total billed charges ,184.48,percent of total billed charges ,184.48,percent of total billed charges ,184.48,percent of total billed charges ,,,,,163.57,percent of total billed charges ,,,,,155.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,,,86.09,percent of total billed charges,
AMIOdarone             360MG/200ML DRIP,J0282,CDM,,,,both,,,543.74,543.74,152.25,543.74,543.74,percent of total billed charges,543.74,percent of total billed charges,543.74,percent of total billed charges,543.74,percent of total billed charges,543.74,percent of total billed charges,543.74,percent of total billed charges,543.74,percent of total billed charges,543.74,percent of total billed charges,391.49,percent of total billed charges,391.49,percent of total billed charges,391.49,percent of total billed charges,391.49,percent of total billed charges,391.49,percent of total billed charges,391.49,percent of total billed charges,402.37,percent of total billed charges,402.37,percent of total billed charges,434.99,percent of total billed charges,434.99,percent of total billed charges,,,391.49,percent of total billed charges ,,,434.99,percent of total billed charges ,456.74,percent of total billed charges ,456.74,percent of total billed charges ,424.12,percent of total billed charges ,424.12,percent of total billed charges ,434.99,percent of total billed charges ,434.99,percent of total billed charges ,380.62,percent of total billed charges ,380.62,percent of total billed charges ,326.24,percent of total billed charges ,326.24,percent of total billed charges ,326.24,percent of total billed charges ,326.24,percent of total billed charges ,,,,,289.27,percent of total billed charges ,,,,,274.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,,,152.25,percent of total billed charges,
buPROPion (WELLBUTRIN) 75MG TAB,LOCAL,LOCAL,,,,both,,,3.66,3.66,1.02,3.66,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,,,2.64,percent of total billed charges ,,,2.93,percent of total billed charges ,3.07,percent of total billed charges ,3.07,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.93,percent of total billed charges ,2.93,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.2,percent of total billed charges ,2.2,percent of total billed charges ,2.2,percent of total billed charges ,2.2,percent of total billed charges ,,,,,1.95,percent of total billed charges ,,,,,1.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,
PALONOSETRON (ALOXI) 0.25MG/5ML INJ,J2469,CDM,,,,both,,,"1,790.01","1,790.01",501.2,"1,790.01","1,790.01",percent of total billed charges,"1,790.01",percent of total billed charges,"1,790.01",percent of total billed charges,"1,790.01",percent of total billed charges,"1,790.01",percent of total billed charges,"1,790.01",percent of total billed charges,"1,790.01",percent of total billed charges,"1,790.01",percent of total billed charges,"1,288.81",percent of total billed charges,"1,288.81",percent of total billed charges,"1,288.81",percent of total billed charges,"1,288.81",percent of total billed charges,"1,288.81",percent of total billed charges,"1,288.81",percent of total billed charges,"1,324.61",percent of total billed charges,"1,324.61",percent of total billed charges,"1,432.01",percent of total billed charges,"1,432.01",percent of total billed charges,,,"1,288.81",percent of total billed charges ,,,"1,432.01",percent of total billed charges ,"1,503.61",percent of total billed charges ,"1,503.61",percent of total billed charges ,"1,396.21",percent of total billed charges ,"1,396.21",percent of total billed charges ,"1,432.01",percent of total billed charges ,"1,432.01",percent of total billed charges ,"1,253.01",percent of total billed charges ,"1,253.01",percent of total billed charges ,"1,074.01",percent of total billed charges ,"1,074.01",percent of total billed charges ,"1,074.01",percent of total billed charges ,"1,074.01",percent of total billed charges ,,,,,952.29,percent of total billed charges ,,,,,904.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,,,501.2,percent of total billed charges,
**DORIPENEM (DORIBAX): 500MG INJ,J1267,CDM,,,,both,,,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
"**MORPHINE 5MG/ML, 1ML VIAL",J2271,CDM,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
"HEPARIN 20,000 UNITS/1 ML VIAL",J1644,CDM,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
carBAMazepine XR (TEGRETOL XR) 100MG TAB,LOCAL,LOCAL,,,,both,,,1.84,1.84,0.52,1.84,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,1.47,percent of total billed charges,1.47,percent of total billed charges,,,1.32,percent of total billed charges ,,,1.47,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.47,percent of total billed charges ,1.47,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,,,,,0.98,percent of total billed charges ,,,,,0.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,,,0.52,percent of total billed charges,
PARICALCITOL (ZEMPLAR) 2 MCG CAP,LOCAL,LOCAL,,,,both,,,15.05,15.05,4.21,15.05,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,15.05,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,10.84,percent of total billed charges,11.14,percent of total billed charges,11.14,percent of total billed charges,12.04,percent of total billed charges,12.04,percent of total billed charges,,,10.84,percent of total billed charges ,,,12.04,percent of total billed charges ,12.64,percent of total billed charges ,12.64,percent of total billed charges ,11.74,percent of total billed charges ,11.74,percent of total billed charges ,12.04,percent of total billed charges ,12.04,percent of total billed charges ,10.54,percent of total billed charges ,10.54,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,,,,,8.01,percent of total billed charges ,,,,,7.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,,,4.21,percent of total billed charges,
EPINEPHrine (EPI-PEN) 0.3MG INJECTOR KIT,J0171,CDM,,,,both,,,716.72,716.72,200.68,716.72,716.72,percent of total billed charges,716.72,percent of total billed charges,716.72,percent of total billed charges,716.72,percent of total billed charges,716.72,percent of total billed charges,716.72,percent of total billed charges,716.72,percent of total billed charges,716.72,percent of total billed charges,516.04,percent of total billed charges,516.04,percent of total billed charges,516.04,percent of total billed charges,516.04,percent of total billed charges,516.04,percent of total billed charges,516.04,percent of total billed charges,530.37,percent of total billed charges,530.37,percent of total billed charges,573.38,percent of total billed charges,573.38,percent of total billed charges,,,516.04,percent of total billed charges ,,,573.38,percent of total billed charges ,602.04,percent of total billed charges ,602.04,percent of total billed charges ,559.04,percent of total billed charges ,559.04,percent of total billed charges ,573.38,percent of total billed charges ,573.38,percent of total billed charges ,501.7,percent of total billed charges ,501.7,percent of total billed charges ,430.03,percent of total billed charges ,430.03,percent of total billed charges ,430.03,percent of total billed charges ,430.03,percent of total billed charges ,,,,,381.3,percent of total billed charges ,,,,,362.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,,,200.68,percent of total billed charges,
BUPivacaine PF 0.5% 30ML VIAL,LOCAL,LOCAL,,,,both,,,21.1,21.1,5.91,21.1,21.1,percent of total billed charges,21.1,percent of total billed charges,21.1,percent of total billed charges,21.1,percent of total billed charges,21.1,percent of total billed charges,21.1,percent of total billed charges,21.1,percent of total billed charges,21.1,percent of total billed charges,15.19,percent of total billed charges,15.19,percent of total billed charges,15.19,percent of total billed charges,15.19,percent of total billed charges,15.19,percent of total billed charges,15.19,percent of total billed charges,15.61,percent of total billed charges,15.61,percent of total billed charges,16.88,percent of total billed charges,16.88,percent of total billed charges,,,15.19,percent of total billed charges ,,,16.88,percent of total billed charges ,17.72,percent of total billed charges ,17.72,percent of total billed charges ,16.46,percent of total billed charges ,16.46,percent of total billed charges ,16.88,percent of total billed charges ,16.88,percent of total billed charges ,14.77,percent of total billed charges ,14.77,percent of total billed charges ,12.66,percent of total billed charges ,12.66,percent of total billed charges ,12.66,percent of total billed charges ,12.66,percent of total billed charges ,,,,,11.23,percent of total billed charges ,,,,,10.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,,,5.91,percent of total billed charges,
NAPROXEN (NAPROSYN) 375 MG TAB,LOCAL,LOCAL,,,,both,,,0.86,0.86,0.24,0.86,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,,,0.62,percent of total billed charges ,,,0.69,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,,,,,0.46,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,
ANIDULAFUNGIN (ERAXIS) 100MG INJ,J0348,CDM,,,,both,,,486.4,486.4,136.19,486.4,486.4,percent of total billed charges,486.4,percent of total billed charges,486.4,percent of total billed charges,486.4,percent of total billed charges,486.4,percent of total billed charges,486.4,percent of total billed charges,486.4,percent of total billed charges,486.4,percent of total billed charges,350.21,percent of total billed charges,350.21,percent of total billed charges,350.21,percent of total billed charges,350.21,percent of total billed charges,350.21,percent of total billed charges,350.21,percent of total billed charges,359.94,percent of total billed charges,359.94,percent of total billed charges,389.12,percent of total billed charges,389.12,percent of total billed charges,,,350.21,percent of total billed charges ,,,389.12,percent of total billed charges ,408.58,percent of total billed charges ,408.58,percent of total billed charges ,379.39,percent of total billed charges ,379.39,percent of total billed charges ,389.12,percent of total billed charges ,389.12,percent of total billed charges ,340.48,percent of total billed charges ,340.48,percent of total billed charges ,291.84,percent of total billed charges ,291.84,percent of total billed charges ,291.84,percent of total billed charges ,291.84,percent of total billed charges ,,,,,258.76,percent of total billed charges ,,,,,245.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,,,136.19,percent of total billed charges,
niCARdipine (CARDENE) 20MG/200ML DRIP,J3490,CDM,,,,both,,,496.9,496.9,139.13,496.9,496.9,percent of total billed charges,496.9,percent of total billed charges,496.9,percent of total billed charges,496.9,percent of total billed charges,496.9,percent of total billed charges,496.9,percent of total billed charges,496.9,percent of total billed charges,496.9,percent of total billed charges,357.77,percent of total billed charges,357.77,percent of total billed charges,357.77,percent of total billed charges,357.77,percent of total billed charges,357.77,percent of total billed charges,357.77,percent of total billed charges,367.71,percent of total billed charges,367.71,percent of total billed charges,397.52,percent of total billed charges,397.52,percent of total billed charges,,,357.77,percent of total billed charges ,,,397.52,percent of total billed charges ,417.4,percent of total billed charges ,417.4,percent of total billed charges ,387.58,percent of total billed charges ,387.58,percent of total billed charges ,397.52,percent of total billed charges ,397.52,percent of total billed charges ,347.83,percent of total billed charges ,347.83,percent of total billed charges ,298.14,percent of total billed charges ,298.14,percent of total billed charges ,298.14,percent of total billed charges ,298.14,percent of total billed charges ,,,,,264.35,percent of total billed charges ,,,,,251.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,,,139.13,percent of total billed charges,
THIAMINE 500MG IN 0.9% NACL 100ML IVPB,J3411,CDM,,,,both,,,618,618,173.04,618,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,457.32,percent of total billed charges,457.32,percent of total billed charges,494.4,percent of total billed charges,494.4,percent of total billed charges,,,444.96,percent of total billed charges ,,,494.4,percent of total billed charges ,519.12,percent of total billed charges ,519.12,percent of total billed charges ,482.04,percent of total billed charges ,482.04,percent of total billed charges ,494.4,percent of total billed charges ,494.4,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,,,,,328.78,percent of total billed charges ,,,,,312.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,
**DOCUSATE SYRUP 100MG/25ML,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
DICLOXACILLIN (DYNAPEN) 250MG CAP,LOCAL,LOCAL,,,,both,,,1.67,1.67,0.47,1.67,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,,,1.2,percent of total billed charges ,,,1.34,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,
BANANA BAG IV 1000ML,LOCAL,LOCAL,,,,both,,,553.2,553.2,154.9,553.2,553.2,percent of total billed charges,553.2,percent of total billed charges,553.2,percent of total billed charges,553.2,percent of total billed charges,553.2,percent of total billed charges,553.2,percent of total billed charges,553.2,percent of total billed charges,553.2,percent of total billed charges,398.3,percent of total billed charges,398.3,percent of total billed charges,398.3,percent of total billed charges,398.3,percent of total billed charges,398.3,percent of total billed charges,398.3,percent of total billed charges,409.37,percent of total billed charges,409.37,percent of total billed charges,442.56,percent of total billed charges,442.56,percent of total billed charges,,,398.3,percent of total billed charges ,,,442.56,percent of total billed charges ,464.69,percent of total billed charges ,464.69,percent of total billed charges ,431.5,percent of total billed charges ,431.5,percent of total billed charges ,442.56,percent of total billed charges ,442.56,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,331.92,percent of total billed charges ,331.92,percent of total billed charges ,331.92,percent of total billed charges ,331.92,percent of total billed charges ,,,,,294.3,percent of total billed charges ,,,,,279.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,,,154.9,percent of total billed charges,
"HEPARIN 25,000 UNITS / 0.45% NACL 500 ML",J1644,CDM,,,,both,,,107.52,107.52,30.11,107.52,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,107.52,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,77.41,percent of total billed charges,79.56,percent of total billed charges,79.56,percent of total billed charges,86.02,percent of total billed charges,86.02,percent of total billed charges,,,77.41,percent of total billed charges ,,,86.02,percent of total billed charges ,90.32,percent of total billed charges ,90.32,percent of total billed charges ,83.87,percent of total billed charges ,83.87,percent of total billed charges ,86.02,percent of total billed charges ,86.02,percent of total billed charges ,75.26,percent of total billed charges ,75.26,percent of total billed charges ,64.51,percent of total billed charges ,64.51,percent of total billed charges ,64.51,percent of total billed charges ,64.51,percent of total billed charges ,,,,,57.2,percent of total billed charges ,,,,,54.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,,,30.11,percent of total billed charges,
FIDAXOMICIN (DIFICID) 200MG TAB,LOCAL,LOCAL,,,,both,,,264.75,264.75,74.13,264.75,264.75,percent of total billed charges,264.75,percent of total billed charges,264.75,percent of total billed charges,264.75,percent of total billed charges,264.75,percent of total billed charges,264.75,percent of total billed charges,264.75,percent of total billed charges,264.75,percent of total billed charges,190.62,percent of total billed charges,190.62,percent of total billed charges,190.62,percent of total billed charges,190.62,percent of total billed charges,190.62,percent of total billed charges,190.62,percent of total billed charges,195.92,percent of total billed charges,195.92,percent of total billed charges,211.8,percent of total billed charges,211.8,percent of total billed charges,,,190.62,percent of total billed charges ,,,211.8,percent of total billed charges ,222.39,percent of total billed charges ,222.39,percent of total billed charges ,206.51,percent of total billed charges ,206.51,percent of total billed charges ,211.8,percent of total billed charges ,211.8,percent of total billed charges ,185.33,percent of total billed charges ,185.33,percent of total billed charges ,158.85,percent of total billed charges ,158.85,percent of total billed charges ,158.85,percent of total billed charges ,158.85,percent of total billed charges ,,,,,140.85,percent of total billed charges ,,,,,133.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,,,74.13,percent of total billed charges,
BUPivacaine LIPOSOMAL(EXPAREL) 1.3% 20ML,C9290,CDM,,,,both,,,"1,354.50","1,354.50",379.26,"1,354.50","1,354.50",percent of total billed charges,"1,354.50",percent of total billed charges,"1,354.50",percent of total billed charges,"1,354.50",percent of total billed charges,"1,354.50",percent of total billed charges,"1,354.50",percent of total billed charges,"1,354.50",percent of total billed charges,"1,354.50",percent of total billed charges,975.24,percent of total billed charges,975.24,percent of total billed charges,975.24,percent of total billed charges,975.24,percent of total billed charges,975.24,percent of total billed charges,975.24,percent of total billed charges,"1,002.33",percent of total billed charges,"1,002.33",percent of total billed charges,"1,083.60",percent of total billed charges,"1,083.60",percent of total billed charges,,,975.24,percent of total billed charges ,,,"1,083.60",percent of total billed charges ,"1,137.78",percent of total billed charges ,"1,137.78",percent of total billed charges ,"1,056.51",percent of total billed charges ,"1,056.51",percent of total billed charges ,"1,083.60",percent of total billed charges ,"1,083.60",percent of total billed charges ,948.15,percent of total billed charges ,948.15,percent of total billed charges ,812.7,percent of total billed charges ,812.7,percent of total billed charges ,812.7,percent of total billed charges ,812.7,percent of total billed charges ,,,,,720.59,percent of total billed charges ,,,,,684.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,,,379.26,percent of total billed charges,
**PHARMACY CONSULT,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
CISATRACURIUM (NIMBEX) 10MG/5ML INJ,LOCAL,LOCAL,,,,both,,,57.28,57.28,16.04,57.28,57.28,percent of total billed charges,57.28,percent of total billed charges,57.28,percent of total billed charges,57.28,percent of total billed charges,57.28,percent of total billed charges,57.28,percent of total billed charges,57.28,percent of total billed charges,57.28,percent of total billed charges,41.24,percent of total billed charges,41.24,percent of total billed charges,41.24,percent of total billed charges,41.24,percent of total billed charges,41.24,percent of total billed charges,41.24,percent of total billed charges,42.39,percent of total billed charges,42.39,percent of total billed charges,45.82,percent of total billed charges,45.82,percent of total billed charges,,,41.24,percent of total billed charges ,,,45.82,percent of total billed charges ,48.12,percent of total billed charges ,48.12,percent of total billed charges ,44.68,percent of total billed charges ,44.68,percent of total billed charges ,45.82,percent of total billed charges ,45.82,percent of total billed charges ,40.1,percent of total billed charges ,40.1,percent of total billed charges ,34.37,percent of total billed charges ,34.37,percent of total billed charges ,34.37,percent of total billed charges ,34.37,percent of total billed charges ,,,,,30.47,percent of total billed charges ,,,,,28.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,,,16.04,percent of total billed charges,
TICAGRELOR (BRILINTA) 90 MG TAB,LOCAL,LOCAL,,,,both,,,25.45,25.45,7.13,25.45,25.45,percent of total billed charges,25.45,percent of total billed charges,25.45,percent of total billed charges,25.45,percent of total billed charges,25.45,percent of total billed charges,25.45,percent of total billed charges,25.45,percent of total billed charges,25.45,percent of total billed charges,18.32,percent of total billed charges,18.32,percent of total billed charges,18.32,percent of total billed charges,18.32,percent of total billed charges,18.32,percent of total billed charges,18.32,percent of total billed charges,18.83,percent of total billed charges,18.83,percent of total billed charges,20.36,percent of total billed charges,20.36,percent of total billed charges,,,18.32,percent of total billed charges ,,,20.36,percent of total billed charges ,21.38,percent of total billed charges ,21.38,percent of total billed charges ,19.85,percent of total billed charges ,19.85,percent of total billed charges ,20.36,percent of total billed charges ,20.36,percent of total billed charges ,17.82,percent of total billed charges ,17.82,percent of total billed charges ,15.27,percent of total billed charges ,15.27,percent of total billed charges ,15.27,percent of total billed charges ,15.27,percent of total billed charges ,,,,,13.54,percent of total billed charges ,,,,,12.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,,,7.13,percent of total billed charges,
ACETAMINOPHEN (EXT. RELEASE) 650MG TAB,LOCAL,LOCAL,,,,both,,,3.07,3.07,0.86,3.07,3.07,percent of total billed charges,3.07,percent of total billed charges,3.07,percent of total billed charges,3.07,percent of total billed charges,3.07,percent of total billed charges,3.07,percent of total billed charges,3.07,percent of total billed charges,3.07,percent of total billed charges,2.21,percent of total billed charges,2.21,percent of total billed charges,2.21,percent of total billed charges,2.21,percent of total billed charges,2.21,percent of total billed charges,2.21,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,,,2.21,percent of total billed charges ,,,2.46,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.15,percent of total billed charges ,2.15,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,,,,,1.63,percent of total billed charges ,,,,,1.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,
FENOFIBRATE (TRICOR) 54 MG TAB,LOCAL,LOCAL,,,,both,,,13.95,13.95,3.91,13.95,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.04,percent of total billed charges,10.32,percent of total billed charges,10.32,percent of total billed charges,11.16,percent of total billed charges,11.16,percent of total billed charges,,,10.04,percent of total billed charges ,,,11.16,percent of total billed charges ,11.72,percent of total billed charges ,11.72,percent of total billed charges ,10.88,percent of total billed charges ,10.88,percent of total billed charges ,11.16,percent of total billed charges ,11.16,percent of total billed charges ,9.77,percent of total billed charges ,9.77,percent of total billed charges ,8.37,percent of total billed charges ,8.37,percent of total billed charges ,8.37,percent of total billed charges ,8.37,percent of total billed charges ,,,,,7.42,percent of total billed charges ,,,,,7.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,,,3.91,percent of total billed charges,
SACCHAROMYCES BOULARDII (FLORASTOR),LOCAL,LOCAL,,,,both,,,3.67,3.67,1.03,3.67,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.64,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.94,percent of total billed charges,2.94,percent of total billed charges,,,2.64,percent of total billed charges ,,,2.94,percent of total billed charges ,3.08,percent of total billed charges ,3.08,percent of total billed charges ,2.86,percent of total billed charges ,2.86,percent of total billed charges ,2.94,percent of total billed charges ,2.94,percent of total billed charges ,2.57,percent of total billed charges ,2.57,percent of total billed charges ,2.2,percent of total billed charges ,2.2,percent of total billed charges ,2.2,percent of total billed charges ,2.2,percent of total billed charges ,,,,,1.95,percent of total billed charges ,,,,,1.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,
"HEPARIN 25,000 UNITS IN D5W 500ML",J1644,CDM,,,,both,,,133.2,133.2,37.3,133.2,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,95.9,percent of total billed charges,95.9,percent of total billed charges,95.9,percent of total billed charges,95.9,percent of total billed charges,95.9,percent of total billed charges,95.9,percent of total billed charges,98.57,percent of total billed charges,98.57,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,,,95.9,percent of total billed charges ,,,106.56,percent of total billed charges ,111.89,percent of total billed charges ,111.89,percent of total billed charges ,103.9,percent of total billed charges ,103.9,percent of total billed charges ,106.56,percent of total billed charges ,106.56,percent of total billed charges ,93.24,percent of total billed charges ,93.24,percent of total billed charges ,79.92,percent of total billed charges ,79.92,percent of total billed charges ,79.92,percent of total billed charges ,79.92,percent of total billed charges ,,,,,70.86,percent of total billed charges ,,,,,67.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,,,37.3,percent of total billed charges,
AMIKACIN: 1000 MG/4 ML VIAL,J0278,CDM,,,,both,,,117.06,117.06,32.78,117.06,117.06,percent of total billed charges,117.06,percent of total billed charges,117.06,percent of total billed charges,117.06,percent of total billed charges,117.06,percent of total billed charges,117.06,percent of total billed charges,117.06,percent of total billed charges,117.06,percent of total billed charges,84.28,percent of total billed charges,84.28,percent of total billed charges,84.28,percent of total billed charges,84.28,percent of total billed charges,84.28,percent of total billed charges,84.28,percent of total billed charges,86.62,percent of total billed charges,86.62,percent of total billed charges,93.65,percent of total billed charges,93.65,percent of total billed charges,,,84.28,percent of total billed charges ,,,93.65,percent of total billed charges ,98.33,percent of total billed charges ,98.33,percent of total billed charges ,91.31,percent of total billed charges ,91.31,percent of total billed charges ,93.65,percent of total billed charges ,93.65,percent of total billed charges ,81.94,percent of total billed charges ,81.94,percent of total billed charges ,70.24,percent of total billed charges ,70.24,percent of total billed charges ,70.24,percent of total billed charges ,70.24,percent of total billed charges ,,,,,62.28,percent of total billed charges ,,,,,59.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,,,32.78,percent of total billed charges,
rifAXIMin (XIFAXAN) 550MG TAB,LOCAL,LOCAL,,,,both,,,114.81,114.81,32.15,114.81,114.81,percent of total billed charges,114.81,percent of total billed charges,114.81,percent of total billed charges,114.81,percent of total billed charges,114.81,percent of total billed charges,114.81,percent of total billed charges,114.81,percent of total billed charges,114.81,percent of total billed charges,82.66,percent of total billed charges,82.66,percent of total billed charges,82.66,percent of total billed charges,82.66,percent of total billed charges,82.66,percent of total billed charges,82.66,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,91.85,percent of total billed charges,91.85,percent of total billed charges,,,82.66,percent of total billed charges ,,,91.85,percent of total billed charges ,96.44,percent of total billed charges ,96.44,percent of total billed charges ,89.55,percent of total billed charges ,89.55,percent of total billed charges ,91.85,percent of total billed charges ,91.85,percent of total billed charges ,80.37,percent of total billed charges ,80.37,percent of total billed charges ,68.89,percent of total billed charges ,68.89,percent of total billed charges ,68.89,percent of total billed charges ,68.89,percent of total billed charges ,,,,,61.08,percent of total billed charges ,,,,,58.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,,,32.15,percent of total billed charges,
hydrOXYzine (VISTARIL) 100MG/2ML INJ,J3410,CDM,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
NF-linaGLIPtin (TRADJENTA) 5MG TAB,LOCAL,LOCAL,,,,both,,,59.92,59.92,16.78,59.92,59.92,percent of total billed charges,59.92,percent of total billed charges,59.92,percent of total billed charges,59.92,percent of total billed charges,59.92,percent of total billed charges,59.92,percent of total billed charges,59.92,percent of total billed charges,59.92,percent of total billed charges,43.14,percent of total billed charges,43.14,percent of total billed charges,43.14,percent of total billed charges,43.14,percent of total billed charges,43.14,percent of total billed charges,43.14,percent of total billed charges,44.34,percent of total billed charges,44.34,percent of total billed charges,47.94,percent of total billed charges,47.94,percent of total billed charges,,,43.14,percent of total billed charges ,,,47.94,percent of total billed charges ,50.33,percent of total billed charges ,50.33,percent of total billed charges ,46.74,percent of total billed charges ,46.74,percent of total billed charges ,47.94,percent of total billed charges ,47.94,percent of total billed charges ,41.94,percent of total billed charges ,41.94,percent of total billed charges ,35.95,percent of total billed charges ,35.95,percent of total billed charges ,35.95,percent of total billed charges ,35.95,percent of total billed charges ,,,,,31.88,percent of total billed charges ,,,,,30.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,,,16.78,percent of total billed charges,
MEROPENEM 500MG VIAL,J2185,CDM,,,,both,,,76.1,76.1,21.31,76.1,76.1,percent of total billed charges,76.1,percent of total billed charges,76.1,percent of total billed charges,76.1,percent of total billed charges,76.1,percent of total billed charges,76.1,percent of total billed charges,76.1,percent of total billed charges,76.1,percent of total billed charges,54.79,percent of total billed charges,54.79,percent of total billed charges,54.79,percent of total billed charges,54.79,percent of total billed charges,54.79,percent of total billed charges,54.79,percent of total billed charges,56.31,percent of total billed charges,56.31,percent of total billed charges,60.88,percent of total billed charges,60.88,percent of total billed charges,,,54.79,percent of total billed charges ,,,60.88,percent of total billed charges ,63.92,percent of total billed charges ,63.92,percent of total billed charges ,59.36,percent of total billed charges ,59.36,percent of total billed charges ,60.88,percent of total billed charges ,60.88,percent of total billed charges ,53.27,percent of total billed charges ,53.27,percent of total billed charges ,45.66,percent of total billed charges ,45.66,percent of total billed charges ,45.66,percent of total billed charges ,45.66,percent of total billed charges ,,,,,40.49,percent of total billed charges ,,,,,38.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,
LEUCOVORIN 5MG TAB,LOCAL,LOCAL,,,,both,,,3.33,3.33,0.93,3.33,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,,,2.4,percent of total billed charges ,,,2.66,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.33,percent of total billed charges ,2.33,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,,,,,1.77,percent of total billed charges ,,,,,1.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,
PRALIDOXIME (PROTOPAM) 1GM INJ,J2730,CDM,,,,both,,,581.74,581.74,162.89,581.74,581.74,percent of total billed charges,581.74,percent of total billed charges,581.74,percent of total billed charges,581.74,percent of total billed charges,581.74,percent of total billed charges,581.74,percent of total billed charges,581.74,percent of total billed charges,581.74,percent of total billed charges,418.85,percent of total billed charges,418.85,percent of total billed charges,418.85,percent of total billed charges,418.85,percent of total billed charges,418.85,percent of total billed charges,418.85,percent of total billed charges,430.49,percent of total billed charges,430.49,percent of total billed charges,465.39,percent of total billed charges,465.39,percent of total billed charges,,,418.85,percent of total billed charges ,,,465.39,percent of total billed charges ,488.66,percent of total billed charges ,488.66,percent of total billed charges ,453.76,percent of total billed charges ,453.76,percent of total billed charges ,465.39,percent of total billed charges ,465.39,percent of total billed charges ,407.22,percent of total billed charges ,407.22,percent of total billed charges ,349.04,percent of total billed charges ,349.04,percent of total billed charges ,349.04,percent of total billed charges ,349.04,percent of total billed charges ,,,,,309.49,percent of total billed charges ,,,,,294.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,,,162.89,percent of total billed charges,
valGANciclovir (VALCYTE) 450MG TAB,LOCAL,LOCAL,,,,both,,,19.46,19.46,5.45,19.46,19.46,percent of total billed charges,19.46,percent of total billed charges,19.46,percent of total billed charges,19.46,percent of total billed charges,19.46,percent of total billed charges,19.46,percent of total billed charges,19.46,percent of total billed charges,19.46,percent of total billed charges,14.01,percent of total billed charges,14.01,percent of total billed charges,14.01,percent of total billed charges,14.01,percent of total billed charges,14.01,percent of total billed charges,14.01,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,15.57,percent of total billed charges,15.57,percent of total billed charges,,,14.01,percent of total billed charges ,,,15.57,percent of total billed charges ,16.35,percent of total billed charges ,16.35,percent of total billed charges ,15.18,percent of total billed charges ,15.18,percent of total billed charges ,15.57,percent of total billed charges ,15.57,percent of total billed charges ,13.62,percent of total billed charges ,13.62,percent of total billed charges ,11.68,percent of total billed charges ,11.68,percent of total billed charges ,11.68,percent of total billed charges ,11.68,percent of total billed charges ,,,,,10.35,percent of total billed charges ,,,,,9.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,
HYDROXOCOBALAMIN (CYANOKIT) 5GM INJ,LOCAL,LOCAL,,,,both,,,"3,375.45","3,375.45",945.13,"3,375.45","3,375.45",percent of total billed charges,"3,375.45",percent of total billed charges,"3,375.45",percent of total billed charges,"3,375.45",percent of total billed charges,"3,375.45",percent of total billed charges,"3,375.45",percent of total billed charges,"3,375.45",percent of total billed charges,"3,375.45",percent of total billed charges,"2,430.32",percent of total billed charges,"2,430.32",percent of total billed charges,"2,430.32",percent of total billed charges,"2,430.32",percent of total billed charges,"2,430.32",percent of total billed charges,"2,430.32",percent of total billed charges,"2,497.83",percent of total billed charges,"2,497.83",percent of total billed charges,"2,700.36",percent of total billed charges,"2,700.36",percent of total billed charges,,,"2,430.32",percent of total billed charges ,,,"2,700.36",percent of total billed charges ,"2,835.38",percent of total billed charges ,"2,835.38",percent of total billed charges ,"2,632.85",percent of total billed charges ,"2,632.85",percent of total billed charges ,"2,700.36",percent of total billed charges ,"2,700.36",percent of total billed charges ,"2,362.82",percent of total billed charges ,"2,362.82",percent of total billed charges ,"2,025.27",percent of total billed charges ,"2,025.27",percent of total billed charges ,"2,025.27",percent of total billed charges ,"2,025.27",percent of total billed charges ,,,,,"1,795.74",percent of total billed charges ,,,,,"1,705.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,,,945.13,percent of total billed charges,
"CHLORHEXIDINE (PERIDEX) 0.12%, 15ML UD",LOCAL,LOCAL,,,,both,,,28.62,28.62,8.01,28.62,28.62,percent of total billed charges,28.62,percent of total billed charges,28.62,percent of total billed charges,28.62,percent of total billed charges,28.62,percent of total billed charges,28.62,percent of total billed charges,28.62,percent of total billed charges,28.62,percent of total billed charges,20.61,percent of total billed charges,20.61,percent of total billed charges,20.61,percent of total billed charges,20.61,percent of total billed charges,20.61,percent of total billed charges,20.61,percent of total billed charges,21.18,percent of total billed charges,21.18,percent of total billed charges,22.9,percent of total billed charges,22.9,percent of total billed charges,,,20.61,percent of total billed charges ,,,22.9,percent of total billed charges ,24.04,percent of total billed charges ,24.04,percent of total billed charges ,22.32,percent of total billed charges ,22.32,percent of total billed charges ,22.9,percent of total billed charges ,22.9,percent of total billed charges ,20.03,percent of total billed charges ,20.03,percent of total billed charges ,17.17,percent of total billed charges ,17.17,percent of total billed charges ,17.17,percent of total billed charges ,17.17,percent of total billed charges ,,,,,15.23,percent of total billed charges ,,,,,14.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,,,8.01,percent of total billed charges,
PANTOPRAZOLE (PROTONIX) 40MG DRIP,LOCAL,LOCAL,,,,both,,,43.09,43.09,12.07,43.09,43.09,percent of total billed charges,43.09,percent of total billed charges,43.09,percent of total billed charges,43.09,percent of total billed charges,43.09,percent of total billed charges,43.09,percent of total billed charges,43.09,percent of total billed charges,43.09,percent of total billed charges,31.02,percent of total billed charges,31.02,percent of total billed charges,31.02,percent of total billed charges,31.02,percent of total billed charges,31.02,percent of total billed charges,31.02,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,34.47,percent of total billed charges,34.47,percent of total billed charges,,,31.02,percent of total billed charges ,,,34.47,percent of total billed charges ,36.2,percent of total billed charges ,36.2,percent of total billed charges ,33.61,percent of total billed charges ,33.61,percent of total billed charges ,34.47,percent of total billed charges ,34.47,percent of total billed charges ,30.16,percent of total billed charges ,30.16,percent of total billed charges ,25.85,percent of total billed charges ,25.85,percent of total billed charges ,25.85,percent of total billed charges ,25.85,percent of total billed charges ,,,,,22.92,percent of total billed charges ,,,,,21.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,,,12.07,percent of total billed charges,
GABAPENTIN (NEURONTIN) 400MG CAP,LOCAL,LOCAL,,,,both,,,0.73,0.73,0.2,0.73,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,,,0.53,percent of total billed charges ,,,0.58,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
ASPIRIN-ACETAMINOPHEN-CAFFEINE TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
IPRATROPIUM/ALBUTEROL (COMBIVENT) INH,LOCAL,LOCAL,,,,both,,,866.82,866.82,242.71,866.82,866.82,percent of total billed charges,866.82,percent of total billed charges,866.82,percent of total billed charges,866.82,percent of total billed charges,866.82,percent of total billed charges,866.82,percent of total billed charges,866.82,percent of total billed charges,866.82,percent of total billed charges,624.11,percent of total billed charges,624.11,percent of total billed charges,624.11,percent of total billed charges,624.11,percent of total billed charges,624.11,percent of total billed charges,624.11,percent of total billed charges,641.45,percent of total billed charges,641.45,percent of total billed charges,693.46,percent of total billed charges,693.46,percent of total billed charges,,,624.11,percent of total billed charges ,,,693.46,percent of total billed charges ,728.13,percent of total billed charges ,728.13,percent of total billed charges ,676.12,percent of total billed charges ,676.12,percent of total billed charges ,693.46,percent of total billed charges ,693.46,percent of total billed charges ,606.77,percent of total billed charges ,606.77,percent of total billed charges ,520.09,percent of total billed charges ,520.09,percent of total billed charges ,520.09,percent of total billed charges ,520.09,percent of total billed charges ,,,,,461.15,percent of total billed charges ,,,,,438.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,,,242.71,percent of total billed charges,
TETANUS/DIPTHERIA/PERTUSSIS (BOOSTRIX),90715,CDM,,,,both,,,447.04,447.04,125.17,447.04,447.04,percent of total billed charges,447.04,percent of total billed charges,447.04,percent of total billed charges,447.04,percent of total billed charges,447.04,percent of total billed charges,447.04,percent of total billed charges,447.04,percent of total billed charges,447.04,percent of total billed charges,321.87,percent of total billed charges,321.87,percent of total billed charges,321.87,percent of total billed charges,321.87,percent of total billed charges,321.87,percent of total billed charges,321.87,percent of total billed charges,330.81,percent of total billed charges,330.81,percent of total billed charges,357.63,percent of total billed charges,357.63,percent of total billed charges,,,321.87,percent of total billed charges ,,,357.63,percent of total billed charges ,375.51,percent of total billed charges ,375.51,percent of total billed charges ,348.69,percent of total billed charges ,348.69,percent of total billed charges ,357.63,percent of total billed charges ,357.63,percent of total billed charges ,312.93,percent of total billed charges ,312.93,percent of total billed charges ,268.22,percent of total billed charges ,268.22,percent of total billed charges ,268.22,percent of total billed charges ,268.22,percent of total billed charges ,,,,,237.83,percent of total billed charges ,,,,,225.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,,,125.17,percent of total billed charges,
TRANEXAMIC ACID 1000MG/10ML INJ,LOCAL,LOCAL,,,,both,,,80.08,80.08,22.42,80.08,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,80.08,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,57.66,percent of total billed charges,59.26,percent of total billed charges,59.26,percent of total billed charges,64.06,percent of total billed charges,64.06,percent of total billed charges,,,57.66,percent of total billed charges ,,,64.06,percent of total billed charges ,67.27,percent of total billed charges ,67.27,percent of total billed charges ,62.46,percent of total billed charges ,62.46,percent of total billed charges ,64.06,percent of total billed charges ,64.06,percent of total billed charges ,56.06,percent of total billed charges ,56.06,percent of total billed charges ,48.05,percent of total billed charges ,48.05,percent of total billed charges ,48.05,percent of total billed charges ,48.05,percent of total billed charges ,,,,,42.6,percent of total billed charges ,,,,,40.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,
riTUXimab (RITUXAN) 500MG INJ,J9312,CDM,,,,both,,,"34,252.28","34,252.28","9,590.64","34,252.28","34,252.28",percent of total billed charges,"34,252.28",percent of total billed charges,"34,252.28",percent of total billed charges,"34,252.28",percent of total billed charges,"34,252.28",percent of total billed charges,"34,252.28",percent of total billed charges,"34,252.28",percent of total billed charges,"34,252.28",percent of total billed charges,"24,661.64",percent of total billed charges,"24,661.64",percent of total billed charges,"24,661.64",percent of total billed charges,"24,661.64",percent of total billed charges,"24,661.64",percent of total billed charges,"24,661.64",percent of total billed charges,"25,346.69",percent of total billed charges,"25,346.69",percent of total billed charges,"27,401.82",percent of total billed charges,"27,401.82",percent of total billed charges,,,"24,661.64",percent of total billed charges ,,,"27,401.82",percent of total billed charges ,"28,771.92",percent of total billed charges ,"28,771.92",percent of total billed charges ,"26,716.78",percent of total billed charges ,"26,716.78",percent of total billed charges ,"27,401.82",percent of total billed charges ,"27,401.82",percent of total billed charges ,"23,976.60",percent of total billed charges ,"23,976.60",percent of total billed charges ,"20,551.37",percent of total billed charges ,"20,551.37",percent of total billed charges ,"20,551.37",percent of total billed charges ,"20,551.37",percent of total billed charges ,,,,,"18,222.21",percent of total billed charges ,,,,,"17,311.10",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,,,"9,590.64",percent of total billed charges,
levETIRAcetam 100MG/ML/ 5ML UD O/S,LOCAL,LOCAL,,,,both,,,5.12,5.12,1.43,5.12,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,5.12,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.79,percent of total billed charges,3.79,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,,,3.69,percent of total billed charges ,,,4.1,percent of total billed charges ,4.3,percent of total billed charges ,4.3,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,4.1,percent of total billed charges ,4.1,percent of total billed charges ,3.58,percent of total billed charges ,3.58,percent of total billed charges ,3.07,percent of total billed charges ,3.07,percent of total billed charges ,3.07,percent of total billed charges ,3.07,percent of total billed charges ,,,,,2.72,percent of total billed charges ,,,,,2.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,
0.9% NACL 50ML IVPB (MINI-BAG+),LOCAL,LOCAL,,,,both,,,70.91,70.91,19.85,70.91,70.91,percent of total billed charges,70.91,percent of total billed charges,70.91,percent of total billed charges,70.91,percent of total billed charges,70.91,percent of total billed charges,70.91,percent of total billed charges,70.91,percent of total billed charges,70.91,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,52.47,percent of total billed charges,52.47,percent of total billed charges,56.73,percent of total billed charges,56.73,percent of total billed charges,,,51.06,percent of total billed charges ,,,56.73,percent of total billed charges ,59.56,percent of total billed charges ,59.56,percent of total billed charges ,55.31,percent of total billed charges ,55.31,percent of total billed charges ,56.73,percent of total billed charges ,56.73,percent of total billed charges ,49.64,percent of total billed charges ,49.64,percent of total billed charges ,42.55,percent of total billed charges ,42.55,percent of total billed charges ,42.55,percent of total billed charges ,42.55,percent of total billed charges ,,,,,37.72,percent of total billed charges ,,,,,35.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,,,19.85,percent of total billed charges,
dexAMETHasone (DECADRON) 10MG/ML INJ,J1100,CDM,,,,both,,,42.98,42.98,12.03,42.98,42.98,percent of total billed charges,42.98,percent of total billed charges,42.98,percent of total billed charges,42.98,percent of total billed charges,42.98,percent of total billed charges,42.98,percent of total billed charges,42.98,percent of total billed charges,42.98,percent of total billed charges,30.95,percent of total billed charges,30.95,percent of total billed charges,30.95,percent of total billed charges,30.95,percent of total billed charges,30.95,percent of total billed charges,30.95,percent of total billed charges,31.81,percent of total billed charges,31.81,percent of total billed charges,34.38,percent of total billed charges,34.38,percent of total billed charges,,,30.95,percent of total billed charges ,,,34.38,percent of total billed charges ,36.1,percent of total billed charges ,36.1,percent of total billed charges ,33.52,percent of total billed charges ,33.52,percent of total billed charges ,34.38,percent of total billed charges ,34.38,percent of total billed charges ,30.09,percent of total billed charges ,30.09,percent of total billed charges ,25.79,percent of total billed charges ,25.79,percent of total billed charges ,25.79,percent of total billed charges ,25.79,percent of total billed charges ,,,,,22.87,percent of total billed charges ,,,,,21.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,,,12.03,percent of total billed charges,
**ACETAMINOPHEN (OFIRMEV) 1000MG/100ML,J0131,CDM,,,,both,,,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
oxyCODONE/ACETAMINOPHEN 10/325 TAB,LOCAL,LOCAL,,,,both,,,10.88,10.88,3.05,10.88,10.88,percent of total billed charges,10.88,percent of total billed charges,10.88,percent of total billed charges,10.88,percent of total billed charges,10.88,percent of total billed charges,10.88,percent of total billed charges,10.88,percent of total billed charges,10.88,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,7.83,percent of total billed charges,8.05,percent of total billed charges,8.05,percent of total billed charges,8.7,percent of total billed charges,8.7,percent of total billed charges,,,7.83,percent of total billed charges ,,,8.7,percent of total billed charges ,9.14,percent of total billed charges ,9.14,percent of total billed charges ,8.49,percent of total billed charges ,8.49,percent of total billed charges ,8.7,percent of total billed charges ,8.7,percent of total billed charges ,7.62,percent of total billed charges ,7.62,percent of total billed charges ,6.53,percent of total billed charges ,6.53,percent of total billed charges ,6.53,percent of total billed charges ,6.53,percent of total billed charges ,,,,,5.79,percent of total billed charges ,,,,,5.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,,,3.05,percent of total billed charges,
CLINDAMYCIN 600MG IVPB,LOCAL,LOCAL,,,,both,,,80.06,80.06,22.42,80.06,80.06,percent of total billed charges,80.06,percent of total billed charges,80.06,percent of total billed charges,80.06,percent of total billed charges,80.06,percent of total billed charges,80.06,percent of total billed charges,80.06,percent of total billed charges,80.06,percent of total billed charges,57.64,percent of total billed charges,57.64,percent of total billed charges,57.64,percent of total billed charges,57.64,percent of total billed charges,57.64,percent of total billed charges,57.64,percent of total billed charges,59.24,percent of total billed charges,59.24,percent of total billed charges,64.05,percent of total billed charges,64.05,percent of total billed charges,,,57.64,percent of total billed charges ,,,64.05,percent of total billed charges ,67.25,percent of total billed charges ,67.25,percent of total billed charges ,62.45,percent of total billed charges ,62.45,percent of total billed charges ,64.05,percent of total billed charges ,64.05,percent of total billed charges ,56.04,percent of total billed charges ,56.04,percent of total billed charges ,48.04,percent of total billed charges ,48.04,percent of total billed charges ,48.04,percent of total billed charges ,48.04,percent of total billed charges ,,,,,42.59,percent of total billed charges ,,,,,40.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,,,22.42,percent of total billed charges,
"**DIMETHYLSULFOXIDE (RIMSO) 50%, 50ML",J1212,CDM,,,,both,,,962,962,269.36,962,962,percent of total billed charges,962,percent of total billed charges,962,percent of total billed charges,962,percent of total billed charges,962,percent of total billed charges,962,percent of total billed charges,962,percent of total billed charges,962,percent of total billed charges,692.64,percent of total billed charges,692.64,percent of total billed charges,692.64,percent of total billed charges,692.64,percent of total billed charges,692.64,percent of total billed charges,692.64,percent of total billed charges,711.88,percent of total billed charges,711.88,percent of total billed charges,769.6,percent of total billed charges,769.6,percent of total billed charges,,,692.64,percent of total billed charges ,,,769.6,percent of total billed charges ,808.08,percent of total billed charges ,808.08,percent of total billed charges ,750.36,percent of total billed charges ,750.36,percent of total billed charges ,769.6,percent of total billed charges ,769.6,percent of total billed charges ,673.4,percent of total billed charges ,673.4,percent of total billed charges ,577.2,percent of total billed charges ,577.2,percent of total billed charges ,577.2,percent of total billed charges ,577.2,percent of total billed charges ,,,,,511.78,percent of total billed charges ,,,,,486.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,,,269.36,percent of total billed charges,
AFORMOTEROL (BROVANA) 15MCG/2ML NEB,LOCAL,LOCAL,,,,both,,,20.44,20.44,5.72,20.44,20.44,percent of total billed charges,20.44,percent of total billed charges,20.44,percent of total billed charges,20.44,percent of total billed charges,20.44,percent of total billed charges,20.44,percent of total billed charges,20.44,percent of total billed charges,20.44,percent of total billed charges,14.72,percent of total billed charges,14.72,percent of total billed charges,14.72,percent of total billed charges,14.72,percent of total billed charges,14.72,percent of total billed charges,14.72,percent of total billed charges,15.13,percent of total billed charges,15.13,percent of total billed charges,16.35,percent of total billed charges,16.35,percent of total billed charges,,,14.72,percent of total billed charges ,,,16.35,percent of total billed charges ,17.17,percent of total billed charges ,17.17,percent of total billed charges ,15.94,percent of total billed charges ,15.94,percent of total billed charges ,16.35,percent of total billed charges ,16.35,percent of total billed charges ,14.31,percent of total billed charges ,14.31,percent of total billed charges ,12.26,percent of total billed charges ,12.26,percent of total billed charges ,12.26,percent of total billed charges ,12.26,percent of total billed charges ,,,,,10.87,percent of total billed charges ,,,,,10.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,,,5.72,percent of total billed charges,
AMIOdarone 150MG/100ML IVPB,J0282,CDM,,,,both,,,320.61,320.61,89.77,320.61,320.61,percent of total billed charges,320.61,percent of total billed charges,320.61,percent of total billed charges,320.61,percent of total billed charges,320.61,percent of total billed charges,320.61,percent of total billed charges,320.61,percent of total billed charges,320.61,percent of total billed charges,230.84,percent of total billed charges,230.84,percent of total billed charges,230.84,percent of total billed charges,230.84,percent of total billed charges,230.84,percent of total billed charges,230.84,percent of total billed charges,237.25,percent of total billed charges,237.25,percent of total billed charges,256.49,percent of total billed charges,256.49,percent of total billed charges,,,230.84,percent of total billed charges ,,,256.49,percent of total billed charges ,269.31,percent of total billed charges ,269.31,percent of total billed charges ,250.08,percent of total billed charges ,250.08,percent of total billed charges ,256.49,percent of total billed charges ,256.49,percent of total billed charges ,224.43,percent of total billed charges ,224.43,percent of total billed charges ,192.37,percent of total billed charges ,192.37,percent of total billed charges ,192.37,percent of total billed charges ,192.37,percent of total billed charges ,,,,,170.56,percent of total billed charges ,,,,,162.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,,,89.77,percent of total billed charges,
ANTIFUNGAL (ALOE VESTA) OINTMENT 5OZ,LOCAL,LOCAL,,,,both,,,91.69,91.69,25.67,91.69,91.69,percent of total billed charges,91.69,percent of total billed charges,91.69,percent of total billed charges,91.69,percent of total billed charges,91.69,percent of total billed charges,91.69,percent of total billed charges,91.69,percent of total billed charges,91.69,percent of total billed charges,66.02,percent of total billed charges,66.02,percent of total billed charges,66.02,percent of total billed charges,66.02,percent of total billed charges,66.02,percent of total billed charges,66.02,percent of total billed charges,67.85,percent of total billed charges,67.85,percent of total billed charges,73.35,percent of total billed charges,73.35,percent of total billed charges,,,66.02,percent of total billed charges ,,,73.35,percent of total billed charges ,77.02,percent of total billed charges ,77.02,percent of total billed charges ,71.52,percent of total billed charges ,71.52,percent of total billed charges ,73.35,percent of total billed charges ,73.35,percent of total billed charges ,64.18,percent of total billed charges ,64.18,percent of total billed charges ,55.01,percent of total billed charges ,55.01,percent of total billed charges ,55.01,percent of total billed charges ,55.01,percent of total billed charges ,,,,,48.78,percent of total billed charges ,,,,,46.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,,,25.67,percent of total billed charges,
ENALAPRILAT (VASOTEC) 2.5MG/2 ML 2ML FTV,LOCAL,LOCAL,,,,both,,,120.29,120.29,33.68,120.29,120.29,percent of total billed charges,120.29,percent of total billed charges,120.29,percent of total billed charges,120.29,percent of total billed charges,120.29,percent of total billed charges,120.29,percent of total billed charges,120.29,percent of total billed charges,120.29,percent of total billed charges,86.61,percent of total billed charges,86.61,percent of total billed charges,86.61,percent of total billed charges,86.61,percent of total billed charges,86.61,percent of total billed charges,86.61,percent of total billed charges,89.01,percent of total billed charges,89.01,percent of total billed charges,96.23,percent of total billed charges,96.23,percent of total billed charges,,,86.61,percent of total billed charges ,,,96.23,percent of total billed charges ,101.04,percent of total billed charges ,101.04,percent of total billed charges ,93.83,percent of total billed charges ,93.83,percent of total billed charges ,96.23,percent of total billed charges ,96.23,percent of total billed charges ,84.2,percent of total billed charges ,84.2,percent of total billed charges ,72.17,percent of total billed charges ,72.17,percent of total billed charges ,72.17,percent of total billed charges ,72.17,percent of total billed charges ,,,,,63.99,percent of total billed charges ,,,,,60.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,,,33.68,percent of total billed charges,
APIXABAN (ELIQUIS) 5MG TAB,LOCAL,LOCAL,,,,both,,,28.16,28.16,7.88,28.16,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.84,percent of total billed charges,20.84,percent of total billed charges,22.53,percent of total billed charges,22.53,percent of total billed charges,,,20.28,percent of total billed charges ,,,22.53,percent of total billed charges ,23.65,percent of total billed charges ,23.65,percent of total billed charges ,21.96,percent of total billed charges ,21.96,percent of total billed charges ,22.53,percent of total billed charges ,22.53,percent of total billed charges ,19.71,percent of total billed charges ,19.71,percent of total billed charges ,16.9,percent of total billed charges ,16.9,percent of total billed charges ,16.9,percent of total billed charges ,16.9,percent of total billed charges ,,,,,14.98,percent of total billed charges ,,,,,14.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,
APIXABAN (ELIQUIS) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,28.16,28.16,7.88,28.16,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,28.16,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.84,percent of total billed charges,20.84,percent of total billed charges,22.53,percent of total billed charges,22.53,percent of total billed charges,,,20.28,percent of total billed charges ,,,22.53,percent of total billed charges ,23.65,percent of total billed charges ,23.65,percent of total billed charges ,21.96,percent of total billed charges ,21.96,percent of total billed charges ,22.53,percent of total billed charges ,22.53,percent of total billed charges ,19.71,percent of total billed charges ,19.71,percent of total billed charges ,16.9,percent of total billed charges ,16.9,percent of total billed charges ,16.9,percent of total billed charges ,16.9,percent of total billed charges ,,,,,14.98,percent of total billed charges ,,,,,14.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,
PARICALCITOL (ZEMPLAR) 1 MCG CAP,LOCAL,LOCAL,,,,both,,,10.92,10.92,3.06,10.92,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,10.92,percent of total billed charges,7.86,percent of total billed charges,7.86,percent of total billed charges,7.86,percent of total billed charges,7.86,percent of total billed charges,7.86,percent of total billed charges,7.86,percent of total billed charges,8.08,percent of total billed charges,8.08,percent of total billed charges,8.74,percent of total billed charges,8.74,percent of total billed charges,,,7.86,percent of total billed charges ,,,8.74,percent of total billed charges ,9.17,percent of total billed charges ,9.17,percent of total billed charges ,8.52,percent of total billed charges ,8.52,percent of total billed charges ,8.74,percent of total billed charges ,8.74,percent of total billed charges ,7.64,percent of total billed charges ,7.64,percent of total billed charges ,6.55,percent of total billed charges ,6.55,percent of total billed charges ,6.55,percent of total billed charges ,6.55,percent of total billed charges ,,,,,5.81,percent of total billed charges ,,,,,5.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,,,3.06,percent of total billed charges,
BUPivacaine (MARCAINE) 0.25% 10ML SDV,LOCAL,LOCAL,,,,both,,,44.59,44.59,12.49,44.59,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,32.1,percent of total billed charges,32.1,percent of total billed charges,32.1,percent of total billed charges,32.1,percent of total billed charges,32.1,percent of total billed charges,32.1,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,35.67,percent of total billed charges,35.67,percent of total billed charges,,,32.1,percent of total billed charges ,,,35.67,percent of total billed charges ,37.46,percent of total billed charges ,37.46,percent of total billed charges ,34.78,percent of total billed charges ,34.78,percent of total billed charges ,35.67,percent of total billed charges ,35.67,percent of total billed charges ,31.21,percent of total billed charges ,31.21,percent of total billed charges ,26.75,percent of total billed charges ,26.75,percent of total billed charges ,26.75,percent of total billed charges ,26.75,percent of total billed charges ,,,,,23.72,percent of total billed charges ,,,,,22.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,,,12.49,percent of total billed charges,
NF droNABinol (MARINOL) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,24.4,24.4,6.83,24.4,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,18.06,percent of total billed charges,18.06,percent of total billed charges,19.52,percent of total billed charges,19.52,percent of total billed charges,,,17.57,percent of total billed charges ,,,19.52,percent of total billed charges ,20.5,percent of total billed charges ,20.5,percent of total billed charges ,19.03,percent of total billed charges ,19.03,percent of total billed charges ,19.52,percent of total billed charges ,19.52,percent of total billed charges ,17.08,percent of total billed charges ,17.08,percent of total billed charges ,14.64,percent of total billed charges ,14.64,percent of total billed charges ,14.64,percent of total billed charges ,14.64,percent of total billed charges ,,,,,12.98,percent of total billed charges ,,,,,12.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,
PRIMIDONE (MYSOLINE) 250MG TAB,LOCAL,LOCAL,,,,both,,,1.81,1.81,0.51,1.81,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.45,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,
ACETYLCYSTEINE (MUCOMYST) 600MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
GOLIMUMAB (SIMPONI ARIA): 50MG/4ML INJ,J1602,CDM,,,,both,,,"17,255.37","17,255.37","4,831.50","17,255.37","17,255.37",percent of total billed charges,"17,255.37",percent of total billed charges,"17,255.37",percent of total billed charges,"17,255.37",percent of total billed charges,"17,255.37",percent of total billed charges,"17,255.37",percent of total billed charges,"17,255.37",percent of total billed charges,"17,255.37",percent of total billed charges,"12,423.87",percent of total billed charges,"12,423.87",percent of total billed charges,"12,423.87",percent of total billed charges,"12,423.87",percent of total billed charges,"12,423.87",percent of total billed charges,"12,423.87",percent of total billed charges,"12,768.97",percent of total billed charges,"12,768.97",percent of total billed charges,"13,804.30",percent of total billed charges,"13,804.30",percent of total billed charges,,,"12,423.87",percent of total billed charges ,,,"13,804.30",percent of total billed charges ,"14,494.51",percent of total billed charges ,"14,494.51",percent of total billed charges ,"13,459.19",percent of total billed charges ,"13,459.19",percent of total billed charges ,"13,804.30",percent of total billed charges ,"13,804.30",percent of total billed charges ,"12,078.76",percent of total billed charges ,"12,078.76",percent of total billed charges ,"10,353.22",percent of total billed charges ,"10,353.22",percent of total billed charges ,"10,353.22",percent of total billed charges ,"10,353.22",percent of total billed charges ,,,,,"9,179.86",percent of total billed charges ,,,,,"8,720.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,,,"4,831.50",percent of total billed charges,
LIDOCAINE 1% 20 ML MDV,J2001,CDM,,,,both,,,19.61,19.61,5.49,19.61,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,14.12,percent of total billed charges,14.12,percent of total billed charges,14.12,percent of total billed charges,14.12,percent of total billed charges,14.12,percent of total billed charges,14.12,percent of total billed charges,14.51,percent of total billed charges,14.51,percent of total billed charges,15.69,percent of total billed charges,15.69,percent of total billed charges,,,14.12,percent of total billed charges ,,,15.69,percent of total billed charges ,16.47,percent of total billed charges ,16.47,percent of total billed charges ,15.3,percent of total billed charges ,15.3,percent of total billed charges ,15.69,percent of total billed charges ,15.69,percent of total billed charges ,13.73,percent of total billed charges ,13.73,percent of total billed charges ,11.77,percent of total billed charges ,11.77,percent of total billed charges ,11.77,percent of total billed charges ,11.77,percent of total billed charges ,,,,,10.43,percent of total billed charges ,,,,,9.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,,,5.49,percent of total billed charges,
LIDOCAINE 1% 5ML MPF SDV,J2001,CDM,,,,both,,,9.95,9.95,2.79,9.95,9.95,percent of total billed charges,9.95,percent of total billed charges,9.95,percent of total billed charges,9.95,percent of total billed charges,9.95,percent of total billed charges,9.95,percent of total billed charges,9.95,percent of total billed charges,9.95,percent of total billed charges,7.16,percent of total billed charges,7.16,percent of total billed charges,7.16,percent of total billed charges,7.16,percent of total billed charges,7.16,percent of total billed charges,7.16,percent of total billed charges,7.36,percent of total billed charges,7.36,percent of total billed charges,7.96,percent of total billed charges,7.96,percent of total billed charges,,,7.16,percent of total billed charges ,,,7.96,percent of total billed charges ,8.36,percent of total billed charges ,8.36,percent of total billed charges ,7.76,percent of total billed charges ,7.76,percent of total billed charges ,7.96,percent of total billed charges ,7.96,percent of total billed charges ,6.97,percent of total billed charges ,6.97,percent of total billed charges ,5.97,percent of total billed charges ,5.97,percent of total billed charges ,5.97,percent of total billed charges ,5.97,percent of total billed charges ,,,,,5.29,percent of total billed charges ,,,,,5.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,
CINACALCET (SENSIPAR) 30MG TAB,LOCAL,LOCAL,,,,both,,,73.96,73.96,20.71,73.96,73.96,percent of total billed charges,73.96,percent of total billed charges,73.96,percent of total billed charges,73.96,percent of total billed charges,73.96,percent of total billed charges,73.96,percent of total billed charges,73.96,percent of total billed charges,73.96,percent of total billed charges,53.25,percent of total billed charges,53.25,percent of total billed charges,53.25,percent of total billed charges,53.25,percent of total billed charges,53.25,percent of total billed charges,53.25,percent of total billed charges,54.73,percent of total billed charges,54.73,percent of total billed charges,59.17,percent of total billed charges,59.17,percent of total billed charges,,,53.25,percent of total billed charges ,,,59.17,percent of total billed charges ,62.13,percent of total billed charges ,62.13,percent of total billed charges ,57.69,percent of total billed charges ,57.69,percent of total billed charges ,59.17,percent of total billed charges ,59.17,percent of total billed charges ,51.77,percent of total billed charges ,51.77,percent of total billed charges ,44.38,percent of total billed charges ,44.38,percent of total billed charges ,44.38,percent of total billed charges ,44.38,percent of total billed charges ,,,,,39.35,percent of total billed charges ,,,,,37.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,,,20.71,percent of total billed charges,
DOXYLAMINE (UNISOM) 25MG TAB,LOCAL,LOCAL,,,,both,,,1.17,1.17,0.33,1.17,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,0.87,percent of total billed charges,0.87,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,,,0.84,percent of total billed charges ,,,0.94,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,
"AMOXICILLIN/CLAVULANATE 600MG/5ML, 75ML",LOCAL,LOCAL,,,,both,,,74.04,74.04,20.73,74.04,74.04,percent of total billed charges,74.04,percent of total billed charges,74.04,percent of total billed charges,74.04,percent of total billed charges,74.04,percent of total billed charges,74.04,percent of total billed charges,74.04,percent of total billed charges,74.04,percent of total billed charges,53.31,percent of total billed charges,53.31,percent of total billed charges,53.31,percent of total billed charges,53.31,percent of total billed charges,53.31,percent of total billed charges,53.31,percent of total billed charges,54.79,percent of total billed charges,54.79,percent of total billed charges,59.23,percent of total billed charges,59.23,percent of total billed charges,,,53.31,percent of total billed charges ,,,59.23,percent of total billed charges ,62.19,percent of total billed charges ,62.19,percent of total billed charges ,57.75,percent of total billed charges ,57.75,percent of total billed charges ,59.23,percent of total billed charges ,59.23,percent of total billed charges ,51.83,percent of total billed charges ,51.83,percent of total billed charges ,44.42,percent of total billed charges ,44.42,percent of total billed charges ,44.42,percent of total billed charges ,44.42,percent of total billed charges ,,,,,39.39,percent of total billed charges ,,,,,37.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,,,20.73,percent of total billed charges,
busPIRone (BUSPAR) 5MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
NF droNABinol (MARINOL) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,24.4,24.4,6.83,24.4,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,24.4,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,17.57,percent of total billed charges,18.06,percent of total billed charges,18.06,percent of total billed charges,19.52,percent of total billed charges,19.52,percent of total billed charges,,,17.57,percent of total billed charges ,,,19.52,percent of total billed charges ,20.5,percent of total billed charges ,20.5,percent of total billed charges ,19.03,percent of total billed charges ,19.03,percent of total billed charges ,19.52,percent of total billed charges ,19.52,percent of total billed charges ,17.08,percent of total billed charges ,17.08,percent of total billed charges ,14.64,percent of total billed charges ,14.64,percent of total billed charges ,14.64,percent of total billed charges ,14.64,percent of total billed charges ,,,,,12.98,percent of total billed charges ,,,,,12.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,,,6.83,percent of total billed charges,
idaruCIZUmab (PRAXBIND) 2.5GM/50ML INJ,J3490,CDM,,,,both,,,"26,209.30","26,209.30","7,338.60","26,209.30","26,209.30",percent of total billed charges,"26,209.30",percent of total billed charges,"26,209.30",percent of total billed charges,"26,209.30",percent of total billed charges,"26,209.30",percent of total billed charges,"26,209.30",percent of total billed charges,"26,209.30",percent of total billed charges,"26,209.30",percent of total billed charges,"18,870.70",percent of total billed charges,"18,870.70",percent of total billed charges,"18,870.70",percent of total billed charges,"18,870.70",percent of total billed charges,"18,870.70",percent of total billed charges,"18,870.70",percent of total billed charges,"19,394.88",percent of total billed charges,"19,394.88",percent of total billed charges,"20,967.44",percent of total billed charges,"20,967.44",percent of total billed charges,,,"18,870.70",percent of total billed charges ,,,"20,967.44",percent of total billed charges ,"22,015.81",percent of total billed charges ,"22,015.81",percent of total billed charges ,"20,443.25",percent of total billed charges ,"20,443.25",percent of total billed charges ,"20,967.44",percent of total billed charges ,"20,967.44",percent of total billed charges ,"18,346.51",percent of total billed charges ,"18,346.51",percent of total billed charges ,"15,725.58",percent of total billed charges ,"15,725.58",percent of total billed charges ,"15,725.58",percent of total billed charges ,"15,725.58",percent of total billed charges ,,,,,"13,943.35",percent of total billed charges ,,,,,"13,246.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,,,"7,338.60",percent of total billed charges,
PRASUGREL (EFFIENT) 10MG TAB,LOCAL,LOCAL,,,,both,,,1.94,1.94,0.54,1.94,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,,,1.4,percent of total billed charges ,,,1.55,percent of total billed charges ,1.63,percent of total billed charges ,1.63,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,,,,,1.03,percent of total billed charges ,,,,,0.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,,,0.54,percent of total billed charges,
**FERUMOXYTOL (FERAHEME) 510MG INJ,Q0138,CDM,,,,both,,,"1,667.59","1,667.59",466.93,"1,667.59","1,667.59",percent of total billed charges,"1,667.59",percent of total billed charges,"1,667.59",percent of total billed charges,"1,667.59",percent of total billed charges,"1,667.59",percent of total billed charges,"1,667.59",percent of total billed charges,"1,667.59",percent of total billed charges,"1,667.59",percent of total billed charges,"1,200.66",percent of total billed charges,"1,200.66",percent of total billed charges,"1,200.66",percent of total billed charges,"1,200.66",percent of total billed charges,"1,200.66",percent of total billed charges,"1,200.66",percent of total billed charges,"1,234.02",percent of total billed charges,"1,234.02",percent of total billed charges,"1,334.07",percent of total billed charges,"1,334.07",percent of total billed charges,,,"1,200.66",percent of total billed charges ,,,"1,334.07",percent of total billed charges ,"1,400.78",percent of total billed charges ,"1,400.78",percent of total billed charges ,"1,300.72",percent of total billed charges ,"1,300.72",percent of total billed charges ,"1,334.07",percent of total billed charges ,"1,334.07",percent of total billed charges ,"1,167.31",percent of total billed charges ,"1,167.31",percent of total billed charges ,"1,000.55",percent of total billed charges ,"1,000.55",percent of total billed charges ,"1,000.55",percent of total billed charges ,"1,000.55",percent of total billed charges ,,,,,887.16,percent of total billed charges ,,,,,842.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,,,466.93,percent of total billed charges,
TORSEMIDE(DEMADEX) TAB 100MG,LOCAL,LOCAL,,,,both,,,2.18,2.18,0.61,2.18,2.18,percent of total billed charges,2.18,percent of total billed charges,2.18,percent of total billed charges,2.18,percent of total billed charges,2.18,percent of total billed charges,2.18,percent of total billed charges,2.18,percent of total billed charges,2.18,percent of total billed charges,1.57,percent of total billed charges,1.57,percent of total billed charges,1.57,percent of total billed charges,1.57,percent of total billed charges,1.57,percent of total billed charges,1.57,percent of total billed charges,1.61,percent of total billed charges,1.61,percent of total billed charges,1.74,percent of total billed charges,1.74,percent of total billed charges,,,1.57,percent of total billed charges ,,,1.74,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.74,percent of total billed charges ,1.74,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,,,,,1.16,percent of total billed charges ,,,,,1.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,,,0.61,percent of total billed charges,
VANCOMYCIN 1250 MG IN 0.9% NACL 250 ML,J3370,CDM,,,,both,,,235.96,235.96,66.07,235.96,235.96,percent of total billed charges,235.96,percent of total billed charges,235.96,percent of total billed charges,235.96,percent of total billed charges,235.96,percent of total billed charges,235.96,percent of total billed charges,235.96,percent of total billed charges,235.96,percent of total billed charges,169.89,percent of total billed charges,169.89,percent of total billed charges,169.89,percent of total billed charges,169.89,percent of total billed charges,169.89,percent of total billed charges,169.89,percent of total billed charges,174.61,percent of total billed charges,174.61,percent of total billed charges,188.77,percent of total billed charges,188.77,percent of total billed charges,,,169.89,percent of total billed charges ,,,188.77,percent of total billed charges ,198.21,percent of total billed charges ,198.21,percent of total billed charges ,184.05,percent of total billed charges ,184.05,percent of total billed charges ,188.77,percent of total billed charges ,188.77,percent of total billed charges ,165.17,percent of total billed charges ,165.17,percent of total billed charges ,141.58,percent of total billed charges ,141.58,percent of total billed charges ,141.58,percent of total billed charges ,141.58,percent of total billed charges ,,,,,125.53,percent of total billed charges ,,,,,119.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,,,66.07,percent of total billed charges,
VANCOMYCIN 1500 MG IN 0.9% NACL 250 ML,J3370,CDM,,,,both,,,75.33,75.33,21.09,75.33,75.33,percent of total billed charges,75.33,percent of total billed charges,75.33,percent of total billed charges,75.33,percent of total billed charges,75.33,percent of total billed charges,75.33,percent of total billed charges,75.33,percent of total billed charges,75.33,percent of total billed charges,54.24,percent of total billed charges,54.24,percent of total billed charges,54.24,percent of total billed charges,54.24,percent of total billed charges,54.24,percent of total billed charges,54.24,percent of total billed charges,55.74,percent of total billed charges,55.74,percent of total billed charges,60.26,percent of total billed charges,60.26,percent of total billed charges,,,54.24,percent of total billed charges ,,,60.26,percent of total billed charges ,63.28,percent of total billed charges ,63.28,percent of total billed charges ,58.76,percent of total billed charges ,58.76,percent of total billed charges ,60.26,percent of total billed charges ,60.26,percent of total billed charges ,52.73,percent of total billed charges ,52.73,percent of total billed charges ,45.2,percent of total billed charges ,45.2,percent of total billed charges ,45.2,percent of total billed charges ,45.2,percent of total billed charges ,,,,,40.08,percent of total billed charges ,,,,,38.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,,,21.09,percent of total billed charges,
VANCOMYCIN 1750 MG IN 0.9% NACL 500 ML,J3370,CDM,,,,both,,,87.89,87.89,24.61,87.89,87.89,percent of total billed charges,87.89,percent of total billed charges,87.89,percent of total billed charges,87.89,percent of total billed charges,87.89,percent of total billed charges,87.89,percent of total billed charges,87.89,percent of total billed charges,87.89,percent of total billed charges,63.28,percent of total billed charges,63.28,percent of total billed charges,63.28,percent of total billed charges,63.28,percent of total billed charges,63.28,percent of total billed charges,63.28,percent of total billed charges,65.04,percent of total billed charges,65.04,percent of total billed charges,70.31,percent of total billed charges,70.31,percent of total billed charges,,,63.28,percent of total billed charges ,,,70.31,percent of total billed charges ,73.83,percent of total billed charges ,73.83,percent of total billed charges ,68.55,percent of total billed charges ,68.55,percent of total billed charges ,70.31,percent of total billed charges ,70.31,percent of total billed charges ,61.52,percent of total billed charges ,61.52,percent of total billed charges ,52.73,percent of total billed charges ,52.73,percent of total billed charges ,52.73,percent of total billed charges ,52.73,percent of total billed charges ,,,,,46.76,percent of total billed charges ,,,,,44.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,,,24.61,percent of total billed charges,
VANCOMYCIN 2000 MG IN 0.9% NACL 500 ML,J3370,CDM,,,,both,,,100.44,100.44,28.12,100.44,100.44,percent of total billed charges,100.44,percent of total billed charges,100.44,percent of total billed charges,100.44,percent of total billed charges,100.44,percent of total billed charges,100.44,percent of total billed charges,100.44,percent of total billed charges,100.44,percent of total billed charges,72.32,percent of total billed charges,72.32,percent of total billed charges,72.32,percent of total billed charges,72.32,percent of total billed charges,72.32,percent of total billed charges,72.32,percent of total billed charges,74.33,percent of total billed charges,74.33,percent of total billed charges,80.35,percent of total billed charges,80.35,percent of total billed charges,,,72.32,percent of total billed charges ,,,80.35,percent of total billed charges ,84.37,percent of total billed charges ,84.37,percent of total billed charges ,78.34,percent of total billed charges ,78.34,percent of total billed charges ,80.35,percent of total billed charges ,80.35,percent of total billed charges ,70.31,percent of total billed charges ,70.31,percent of total billed charges ,60.26,percent of total billed charges ,60.26,percent of total billed charges ,60.26,percent of total billed charges ,60.26,percent of total billed charges ,,,,,53.43,percent of total billed charges ,,,,,50.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,,,28.12,percent of total billed charges,
raNITIdine: 50MG/2ML INJ,J2780,CDM,,,,both,,,90.57,90.57,25.36,90.57,90.57,percent of total billed charges,90.57,percent of total billed charges,90.57,percent of total billed charges,90.57,percent of total billed charges,90.57,percent of total billed charges,90.57,percent of total billed charges,90.57,percent of total billed charges,90.57,percent of total billed charges,65.21,percent of total billed charges,65.21,percent of total billed charges,65.21,percent of total billed charges,65.21,percent of total billed charges,65.21,percent of total billed charges,65.21,percent of total billed charges,67.02,percent of total billed charges,67.02,percent of total billed charges,72.46,percent of total billed charges,72.46,percent of total billed charges,,,65.21,percent of total billed charges ,,,72.46,percent of total billed charges ,76.08,percent of total billed charges ,76.08,percent of total billed charges ,70.64,percent of total billed charges ,70.64,percent of total billed charges ,72.46,percent of total billed charges ,72.46,percent of total billed charges ,63.4,percent of total billed charges ,63.4,percent of total billed charges ,54.34,percent of total billed charges ,54.34,percent of total billed charges ,54.34,percent of total billed charges ,54.34,percent of total billed charges ,,,,,48.18,percent of total billed charges ,,,,,45.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,,,25.36,percent of total billed charges,
"TESTOSTERONE CYP 200MG/ML, 1ML INJ",J1071,CDM,,,,both,,,175.64,175.64,49.18,175.64,175.64,percent of total billed charges,175.64,percent of total billed charges,175.64,percent of total billed charges,175.64,percent of total billed charges,175.64,percent of total billed charges,175.64,percent of total billed charges,175.64,percent of total billed charges,175.64,percent of total billed charges,126.46,percent of total billed charges,126.46,percent of total billed charges,126.46,percent of total billed charges,126.46,percent of total billed charges,126.46,percent of total billed charges,126.46,percent of total billed charges,129.97,percent of total billed charges,129.97,percent of total billed charges,140.51,percent of total billed charges,140.51,percent of total billed charges,,,126.46,percent of total billed charges ,,,140.51,percent of total billed charges ,147.54,percent of total billed charges ,147.54,percent of total billed charges ,137,percent of total billed charges ,137,percent of total billed charges ,140.51,percent of total billed charges ,140.51,percent of total billed charges ,122.95,percent of total billed charges ,122.95,percent of total billed charges ,105.38,percent of total billed charges ,105.38,percent of total billed charges ,105.38,percent of total billed charges ,105.38,percent of total billed charges ,,,,,93.44,percent of total billed charges ,,,,,88.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,,,49.18,percent of total billed charges,
FAMOTIDINE 20MG IN 0.9% NACL 50ML IVPB,J3490,CDM,,,,both,,,47.3,47.3,13.24,47.3,47.3,percent of total billed charges,47.3,percent of total billed charges,47.3,percent of total billed charges,47.3,percent of total billed charges,47.3,percent of total billed charges,47.3,percent of total billed charges,47.3,percent of total billed charges,47.3,percent of total billed charges,34.06,percent of total billed charges,34.06,percent of total billed charges,34.06,percent of total billed charges,34.06,percent of total billed charges,34.06,percent of total billed charges,34.06,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,37.84,percent of total billed charges,37.84,percent of total billed charges,,,34.06,percent of total billed charges ,,,37.84,percent of total billed charges ,39.73,percent of total billed charges ,39.73,percent of total billed charges ,36.89,percent of total billed charges ,36.89,percent of total billed charges ,37.84,percent of total billed charges ,37.84,percent of total billed charges ,33.11,percent of total billed charges ,33.11,percent of total billed charges ,28.38,percent of total billed charges ,28.38,percent of total billed charges ,28.38,percent of total billed charges ,28.38,percent of total billed charges ,,,,,25.16,percent of total billed charges ,,,,,23.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,
FAMOTIDINE 20MG/2ML FTV,S0028,CDM,,,,both,,,12.82,12.82,3.59,12.82,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,9.23,percent of total billed charges,9.23,percent of total billed charges,9.23,percent of total billed charges,9.23,percent of total billed charges,9.23,percent of total billed charges,9.23,percent of total billed charges,9.49,percent of total billed charges,9.49,percent of total billed charges,10.26,percent of total billed charges,10.26,percent of total billed charges,,,9.23,percent of total billed charges ,,,10.26,percent of total billed charges ,10.77,percent of total billed charges ,10.77,percent of total billed charges ,10,percent of total billed charges ,10,percent of total billed charges ,10.26,percent of total billed charges ,10.26,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,7.69,percent of total billed charges ,7.69,percent of total billed charges ,7.69,percent of total billed charges ,7.69,percent of total billed charges ,,,,,6.82,percent of total billed charges ,,,,,6.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,,,3.59,percent of total billed charges,
GLYCOPYRROLATE (ROBINUL) 0.2MG/ML:1MLFTV,LOCAL,LOCAL,,,,both,,,15.14,15.14,4.24,15.14,15.14,percent of total billed charges,15.14,percent of total billed charges,15.14,percent of total billed charges,15.14,percent of total billed charges,15.14,percent of total billed charges,15.14,percent of total billed charges,15.14,percent of total billed charges,15.14,percent of total billed charges,10.9,percent of total billed charges,10.9,percent of total billed charges,10.9,percent of total billed charges,10.9,percent of total billed charges,10.9,percent of total billed charges,10.9,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,12.11,percent of total billed charges,12.11,percent of total billed charges,,,10.9,percent of total billed charges ,,,12.11,percent of total billed charges ,12.72,percent of total billed charges ,12.72,percent of total billed charges ,11.81,percent of total billed charges ,11.81,percent of total billed charges ,12.11,percent of total billed charges ,12.11,percent of total billed charges ,10.6,percent of total billed charges ,10.6,percent of total billed charges ,9.08,percent of total billed charges ,9.08,percent of total billed charges ,9.08,percent of total billed charges ,9.08,percent of total billed charges ,,,,,8.05,percent of total billed charges ,,,,,7.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,,,4.24,percent of total billed charges,
SUGAMADEX (BRIDION) 200MG/2ML INJ,LOCAL,LOCAL,,,,both,,,624.1,624.1,174.75,624.1,624.1,percent of total billed charges,624.1,percent of total billed charges,624.1,percent of total billed charges,624.1,percent of total billed charges,624.1,percent of total billed charges,624.1,percent of total billed charges,624.1,percent of total billed charges,624.1,percent of total billed charges,449.35,percent of total billed charges,449.35,percent of total billed charges,449.35,percent of total billed charges,449.35,percent of total billed charges,449.35,percent of total billed charges,449.35,percent of total billed charges,461.83,percent of total billed charges,461.83,percent of total billed charges,499.28,percent of total billed charges,499.28,percent of total billed charges,,,449.35,percent of total billed charges ,,,499.28,percent of total billed charges ,524.24,percent of total billed charges ,524.24,percent of total billed charges ,486.8,percent of total billed charges ,486.8,percent of total billed charges ,499.28,percent of total billed charges ,499.28,percent of total billed charges ,436.87,percent of total billed charges ,436.87,percent of total billed charges ,374.46,percent of total billed charges ,374.46,percent of total billed charges ,374.46,percent of total billed charges ,374.46,percent of total billed charges ,,,,,332.02,percent of total billed charges ,,,,,315.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,,,174.75,percent of total billed charges,
HYDROcodone/APAP 7.5MG/325MG IN 15 ML,LOCAL,LOCAL,,,,both,,,17.85,17.85,5,17.85,17.85,percent of total billed charges,17.85,percent of total billed charges,17.85,percent of total billed charges,17.85,percent of total billed charges,17.85,percent of total billed charges,17.85,percent of total billed charges,17.85,percent of total billed charges,17.85,percent of total billed charges,12.85,percent of total billed charges,12.85,percent of total billed charges,12.85,percent of total billed charges,12.85,percent of total billed charges,12.85,percent of total billed charges,12.85,percent of total billed charges,13.21,percent of total billed charges,13.21,percent of total billed charges,14.28,percent of total billed charges,14.28,percent of total billed charges,,,12.85,percent of total billed charges ,,,14.28,percent of total billed charges ,14.99,percent of total billed charges ,14.99,percent of total billed charges ,13.92,percent of total billed charges ,13.92,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,12.5,percent of total billed charges ,12.5,percent of total billed charges ,10.71,percent of total billed charges ,10.71,percent of total billed charges ,10.71,percent of total billed charges ,10.71,percent of total billed charges ,,,,,9.5,percent of total billed charges ,,,,,9.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,,,5,percent of total billed charges,
TICAGRELOR (BRILINTA) 60 MG TAB,LOCAL,LOCAL,,,,both,,,19.95,19.95,5.59,19.95,19.95,percent of total billed charges,19.95,percent of total billed charges,19.95,percent of total billed charges,19.95,percent of total billed charges,19.95,percent of total billed charges,19.95,percent of total billed charges,19.95,percent of total billed charges,19.95,percent of total billed charges,14.36,percent of total billed charges,14.36,percent of total billed charges,14.36,percent of total billed charges,14.36,percent of total billed charges,14.36,percent of total billed charges,14.36,percent of total billed charges,14.76,percent of total billed charges,14.76,percent of total billed charges,15.96,percent of total billed charges,15.96,percent of total billed charges,,,14.36,percent of total billed charges ,,,15.96,percent of total billed charges ,16.76,percent of total billed charges ,16.76,percent of total billed charges ,15.56,percent of total billed charges ,15.56,percent of total billed charges ,15.96,percent of total billed charges ,15.96,percent of total billed charges ,13.97,percent of total billed charges ,13.97,percent of total billed charges ,11.97,percent of total billed charges ,11.97,percent of total billed charges ,11.97,percent of total billed charges ,11.97,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,10.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,,,5.59,percent of total billed charges,
DOCOSANOL (ABREVA) 10% CR 2GM,LOCAL,LOCAL,,,,both,,,76.09,76.09,21.31,76.09,76.09,percent of total billed charges,76.09,percent of total billed charges,76.09,percent of total billed charges,76.09,percent of total billed charges,76.09,percent of total billed charges,76.09,percent of total billed charges,76.09,percent of total billed charges,76.09,percent of total billed charges,54.78,percent of total billed charges,54.78,percent of total billed charges,54.78,percent of total billed charges,54.78,percent of total billed charges,54.78,percent of total billed charges,54.78,percent of total billed charges,56.31,percent of total billed charges,56.31,percent of total billed charges,60.87,percent of total billed charges,60.87,percent of total billed charges,,,54.78,percent of total billed charges ,,,60.87,percent of total billed charges ,63.92,percent of total billed charges ,63.92,percent of total billed charges ,59.35,percent of total billed charges ,59.35,percent of total billed charges ,60.87,percent of total billed charges ,60.87,percent of total billed charges ,53.26,percent of total billed charges ,53.26,percent of total billed charges ,45.65,percent of total billed charges ,45.65,percent of total billed charges ,45.65,percent of total billed charges ,45.65,percent of total billed charges ,,,,,40.48,percent of total billed charges ,,,,,38.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,,,21.31,percent of total billed charges,
DENOSUMAB (XGEVA) 120MG/1.7ML INJ,J0897,CDM,,,,both,,,"12,802.44","12,802.44","3,584.68","12,802.44","12,802.44",percent of total billed charges,"12,802.44",percent of total billed charges,"12,802.44",percent of total billed charges,"12,802.44",percent of total billed charges,"12,802.44",percent of total billed charges,"12,802.44",percent of total billed charges,"12,802.44",percent of total billed charges,"12,802.44",percent of total billed charges,"9,217.76",percent of total billed charges,"9,217.76",percent of total billed charges,"9,217.76",percent of total billed charges,"9,217.76",percent of total billed charges,"9,217.76",percent of total billed charges,"9,217.76",percent of total billed charges,"9,473.81",percent of total billed charges,"9,473.81",percent of total billed charges,"10,241.95",percent of total billed charges,"10,241.95",percent of total billed charges,,,"9,217.76",percent of total billed charges ,,,"10,241.95",percent of total billed charges ,"10,754.05",percent of total billed charges ,"10,754.05",percent of total billed charges ,"9,985.90",percent of total billed charges ,"9,985.90",percent of total billed charges ,"10,241.95",percent of total billed charges ,"10,241.95",percent of total billed charges ,"8,961.71",percent of total billed charges ,"8,961.71",percent of total billed charges ,"7,681.46",percent of total billed charges ,"7,681.46",percent of total billed charges ,"7,681.46",percent of total billed charges ,"7,681.46",percent of total billed charges ,,,,,"6,810.90",percent of total billed charges ,,,,,"6,470.35",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,,,"3,584.68",percent of total billed charges,
LIDOCAINE (ATKEN) 3.5% OPHTH GEL 1ML,LOCAL,LOCAL,,,,both,,,70.26,70.26,19.67,70.26,70.26,percent of total billed charges,70.26,percent of total billed charges,70.26,percent of total billed charges,70.26,percent of total billed charges,70.26,percent of total billed charges,70.26,percent of total billed charges,70.26,percent of total billed charges,70.26,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,51.99,percent of total billed charges,51.99,percent of total billed charges,56.21,percent of total billed charges,56.21,percent of total billed charges,,,50.59,percent of total billed charges ,,,56.21,percent of total billed charges ,59.02,percent of total billed charges ,59.02,percent of total billed charges ,54.8,percent of total billed charges ,54.8,percent of total billed charges ,56.21,percent of total billed charges ,56.21,percent of total billed charges ,49.18,percent of total billed charges ,49.18,percent of total billed charges ,42.16,percent of total billed charges ,42.16,percent of total billed charges ,42.16,percent of total billed charges ,42.16,percent of total billed charges ,,,,,37.38,percent of total billed charges ,,,,,35.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,,,19.67,percent of total billed charges,
INSULIN-LISPRO (HumaLOG): 100 U/ML 3ML,J1815,CDM,,,,both,,,41.87,41.87,11.72,41.87,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.98,percent of total billed charges,30.98,percent of total billed charges,33.5,percent of total billed charges,33.5,percent of total billed charges,,,30.15,percent of total billed charges ,,,33.5,percent of total billed charges ,35.17,percent of total billed charges ,35.17,percent of total billed charges ,32.66,percent of total billed charges ,32.66,percent of total billed charges ,33.5,percent of total billed charges ,33.5,percent of total billed charges ,29.31,percent of total billed charges ,29.31,percent of total billed charges ,25.12,percent of total billed charges ,25.12,percent of total billed charges ,25.12,percent of total billed charges ,25.12,percent of total billed charges ,,,,,22.27,percent of total billed charges ,,,,,21.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,
"INSULIN-REGULAR: 100 UNITS/ML, 3ML FTV",J1815,CDM,,,,both,,,14.95,14.95,4.19,14.95,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,11.06,percent of total billed charges,11.06,percent of total billed charges,11.96,percent of total billed charges,11.96,percent of total billed charges,,,10.76,percent of total billed charges ,,,11.96,percent of total billed charges ,12.56,percent of total billed charges ,12.56,percent of total billed charges ,11.66,percent of total billed charges ,11.66,percent of total billed charges ,11.96,percent of total billed charges ,11.96,percent of total billed charges ,10.47,percent of total billed charges ,10.47,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,,,,,7.95,percent of total billed charges ,,,,,7.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,
**INSULIN 70/30 (HumuLIN 70/30): 3ML FTV,J1815,CDM,,,,both,,,12.48,12.48,3.49,12.48,12.48,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,12.48,percent of total billed charges,8.99,percent of total billed charges,8.99,percent of total billed charges,8.99,percent of total billed charges,8.99,percent of total billed charges,8.99,percent of total billed charges,8.99,percent of total billed charges,9.24,percent of total billed charges,9.24,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,,,8.99,percent of total billed charges ,,,9.98,percent of total billed charges ,10.48,percent of total billed charges ,10.48,percent of total billed charges ,9.73,percent of total billed charges ,9.73,percent of total billed charges ,9.98,percent of total billed charges ,9.98,percent of total billed charges ,8.74,percent of total billed charges ,8.74,percent of total billed charges ,7.49,percent of total billed charges ,7.49,percent of total billed charges ,7.49,percent of total billed charges ,7.49,percent of total billed charges ,,,,,6.64,percent of total billed charges ,,,,,6.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,,,3.49,percent of total billed charges,
"INSULIN-NPH: 100 UNITS/ML, 3ML FLEXPEN",J1815,CDM,,,,both,,,169.86,169.86,47.56,169.86,169.86,percent of total billed charges,169.86,percent of total billed charges,169.86,percent of total billed charges,169.86,percent of total billed charges,169.86,percent of total billed charges,169.86,percent of total billed charges,169.86,percent of total billed charges,169.86,percent of total billed charges,122.3,percent of total billed charges,122.3,percent of total billed charges,122.3,percent of total billed charges,122.3,percent of total billed charges,122.3,percent of total billed charges,122.3,percent of total billed charges,125.7,percent of total billed charges,125.7,percent of total billed charges,135.89,percent of total billed charges,135.89,percent of total billed charges,,,122.3,percent of total billed charges ,,,135.89,percent of total billed charges ,142.68,percent of total billed charges ,142.68,percent of total billed charges ,132.49,percent of total billed charges ,132.49,percent of total billed charges ,135.89,percent of total billed charges ,135.89,percent of total billed charges ,118.9,percent of total billed charges ,118.9,percent of total billed charges ,101.92,percent of total billed charges ,101.92,percent of total billed charges ,101.92,percent of total billed charges ,101.92,percent of total billed charges ,,,,,90.37,percent of total billed charges ,,,,,85.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,,,47.56,percent of total billed charges,
"**INSULIN - HumaLOG 75/25: 100 U/ML, PEN",J1815,CDM,,,,both,,,54.51,54.51,15.26,54.51,54.51,percent of total billed charges,54.51,percent of total billed charges,54.51,percent of total billed charges,54.51,percent of total billed charges,54.51,percent of total billed charges,54.51,percent of total billed charges,54.51,percent of total billed charges,54.51,percent of total billed charges,39.25,percent of total billed charges,39.25,percent of total billed charges,39.25,percent of total billed charges,39.25,percent of total billed charges,39.25,percent of total billed charges,39.25,percent of total billed charges,40.34,percent of total billed charges,40.34,percent of total billed charges,43.61,percent of total billed charges,43.61,percent of total billed charges,,,39.25,percent of total billed charges ,,,43.61,percent of total billed charges ,45.79,percent of total billed charges ,45.79,percent of total billed charges ,42.52,percent of total billed charges ,42.52,percent of total billed charges ,43.61,percent of total billed charges ,43.61,percent of total billed charges ,38.16,percent of total billed charges ,38.16,percent of total billed charges ,32.71,percent of total billed charges ,32.71,percent of total billed charges ,32.71,percent of total billed charges ,32.71,percent of total billed charges ,,,,,29,percent of total billed charges ,,,,,27.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,,,15.26,percent of total billed charges,
"INSULIN - LANTUS: 100 U/ML, 3ML PEN",J1815,CDM,,,,both,,,67.26,67.26,18.83,67.26,67.26,percent of total billed charges,67.26,percent of total billed charges,67.26,percent of total billed charges,67.26,percent of total billed charges,67.26,percent of total billed charges,67.26,percent of total billed charges,67.26,percent of total billed charges,67.26,percent of total billed charges,48.43,percent of total billed charges,48.43,percent of total billed charges,48.43,percent of total billed charges,48.43,percent of total billed charges,48.43,percent of total billed charges,48.43,percent of total billed charges,49.77,percent of total billed charges,49.77,percent of total billed charges,53.81,percent of total billed charges,53.81,percent of total billed charges,,,48.43,percent of total billed charges ,,,53.81,percent of total billed charges ,56.5,percent of total billed charges ,56.5,percent of total billed charges ,52.46,percent of total billed charges ,52.46,percent of total billed charges ,53.81,percent of total billed charges ,53.81,percent of total billed charges ,47.08,percent of total billed charges ,47.08,percent of total billed charges ,40.36,percent of total billed charges ,40.36,percent of total billed charges ,40.36,percent of total billed charges ,40.36,percent of total billed charges ,,,,,35.78,percent of total billed charges ,,,,,33.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,,,18.83,percent of total billed charges,
**INSULIN - NovoLOG 70/30:  PEN,J1815,CDM,,,,both,,,89.23,89.23,24.98,89.23,89.23,percent of total billed charges,89.23,percent of total billed charges,89.23,percent of total billed charges,89.23,percent of total billed charges,89.23,percent of total billed charges,89.23,percent of total billed charges,89.23,percent of total billed charges,89.23,percent of total billed charges,64.25,percent of total billed charges,64.25,percent of total billed charges,64.25,percent of total billed charges,64.25,percent of total billed charges,64.25,percent of total billed charges,64.25,percent of total billed charges,66.03,percent of total billed charges,66.03,percent of total billed charges,71.38,percent of total billed charges,71.38,percent of total billed charges,,,64.25,percent of total billed charges ,,,71.38,percent of total billed charges ,74.95,percent of total billed charges ,74.95,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,71.38,percent of total billed charges ,71.38,percent of total billed charges ,62.46,percent of total billed charges ,62.46,percent of total billed charges ,53.54,percent of total billed charges ,53.54,percent of total billed charges ,53.54,percent of total billed charges ,53.54,percent of total billed charges ,,,,,47.47,percent of total billed charges ,,,,,45.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,,,24.98,percent of total billed charges,
"**INSULIN - HumaLOG 50/50: 100 U/ML, PEN",J1815,CDM,,,,both,,,56.46,56.46,15.81,56.46,56.46,percent of total billed charges,56.46,percent of total billed charges,56.46,percent of total billed charges,56.46,percent of total billed charges,56.46,percent of total billed charges,56.46,percent of total billed charges,56.46,percent of total billed charges,56.46,percent of total billed charges,40.65,percent of total billed charges,40.65,percent of total billed charges,40.65,percent of total billed charges,40.65,percent of total billed charges,40.65,percent of total billed charges,40.65,percent of total billed charges,41.78,percent of total billed charges,41.78,percent of total billed charges,45.17,percent of total billed charges,45.17,percent of total billed charges,,,40.65,percent of total billed charges ,,,45.17,percent of total billed charges ,47.43,percent of total billed charges ,47.43,percent of total billed charges ,44.04,percent of total billed charges ,44.04,percent of total billed charges ,45.17,percent of total billed charges ,45.17,percent of total billed charges ,39.52,percent of total billed charges ,39.52,percent of total billed charges ,33.88,percent of total billed charges ,33.88,percent of total billed charges ,33.88,percent of total billed charges ,33.88,percent of total billed charges ,,,,,30.04,percent of total billed charges ,,,,,28.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,
NALOXONE (NARCAN) NASAL SPRAY 4MG,J2310,CDM,,,,both,,,125.48,125.48,35.13,125.48,125.48,percent of total billed charges,125.48,percent of total billed charges,125.48,percent of total billed charges,125.48,percent of total billed charges,125.48,percent of total billed charges,125.48,percent of total billed charges,125.48,percent of total billed charges,125.48,percent of total billed charges,90.35,percent of total billed charges,90.35,percent of total billed charges,90.35,percent of total billed charges,90.35,percent of total billed charges,90.35,percent of total billed charges,90.35,percent of total billed charges,92.86,percent of total billed charges,92.86,percent of total billed charges,100.38,percent of total billed charges,100.38,percent of total billed charges,,,90.35,percent of total billed charges ,,,100.38,percent of total billed charges ,105.4,percent of total billed charges ,105.4,percent of total billed charges ,97.87,percent of total billed charges ,97.87,percent of total billed charges ,100.38,percent of total billed charges ,100.38,percent of total billed charges ,87.84,percent of total billed charges ,87.84,percent of total billed charges ,75.29,percent of total billed charges ,75.29,percent of total billed charges ,75.29,percent of total billed charges ,75.29,percent of total billed charges ,,,,,66.76,percent of total billed charges ,,,,,63.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,,,35.13,percent of total billed charges,
VECURONIUM 50MG IN 250ML 0.9% NACL,LOCAL,LOCAL,,,,both,,,59.32,59.32,16.61,59.32,59.32,percent of total billed charges,59.32,percent of total billed charges,59.32,percent of total billed charges,59.32,percent of total billed charges,59.32,percent of total billed charges,59.32,percent of total billed charges,59.32,percent of total billed charges,59.32,percent of total billed charges,42.71,percent of total billed charges,42.71,percent of total billed charges,42.71,percent of total billed charges,42.71,percent of total billed charges,42.71,percent of total billed charges,42.71,percent of total billed charges,43.9,percent of total billed charges,43.9,percent of total billed charges,47.46,percent of total billed charges,47.46,percent of total billed charges,,,42.71,percent of total billed charges ,,,47.46,percent of total billed charges ,49.83,percent of total billed charges ,49.83,percent of total billed charges ,46.27,percent of total billed charges ,46.27,percent of total billed charges ,47.46,percent of total billed charges ,47.46,percent of total billed charges ,41.52,percent of total billed charges ,41.52,percent of total billed charges ,35.59,percent of total billed charges ,35.59,percent of total billed charges ,35.59,percent of total billed charges ,35.59,percent of total billed charges ,,,,,31.56,percent of total billed charges ,,,,,29.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,,,16.61,percent of total billed charges,
PHENAZOPYRIDINE (AZO) 95 MG TAB,LOCAL,LOCAL,,,,both,,,0.83,0.83,0.23,0.83,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,,,0.6,percent of total billed charges ,,,0.66,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,,,,,0.44,percent of total billed charges ,,,,,0.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
TRIAMCINOLONE/MOXIFLOXACIN OPHTH INJ,LOCAL,LOCAL,,,,both,,,223,223,62.44,223,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,223,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,160.56,percent of total billed charges,165.02,percent of total billed charges,165.02,percent of total billed charges,178.4,percent of total billed charges,178.4,percent of total billed charges,,,160.56,percent of total billed charges ,,,178.4,percent of total billed charges ,187.32,percent of total billed charges ,187.32,percent of total billed charges ,173.94,percent of total billed charges ,173.94,percent of total billed charges ,178.4,percent of total billed charges ,178.4,percent of total billed charges ,156.1,percent of total billed charges ,156.1,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,133.8,percent of total billed charges ,,,,,118.64,percent of total billed charges ,,,,,112.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,,,62.44,percent of total billed charges,
LIDOCAINE/PHENYLEPHRINE OPHTH INJ 1ML,LOCAL,LOCAL,,,,both,,,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
"ONDANSETRON 4MG/5ML ORAL SOLN, 50ML",LOCAL,LOCAL,,,,both,,,316.32,316.32,88.57,316.32,316.32,percent of total billed charges,316.32,percent of total billed charges,316.32,percent of total billed charges,316.32,percent of total billed charges,316.32,percent of total billed charges,316.32,percent of total billed charges,316.32,percent of total billed charges,316.32,percent of total billed charges,227.75,percent of total billed charges,227.75,percent of total billed charges,227.75,percent of total billed charges,227.75,percent of total billed charges,227.75,percent of total billed charges,227.75,percent of total billed charges,234.08,percent of total billed charges,234.08,percent of total billed charges,253.06,percent of total billed charges,253.06,percent of total billed charges,,,227.75,percent of total billed charges ,,,253.06,percent of total billed charges ,265.71,percent of total billed charges ,265.71,percent of total billed charges ,246.73,percent of total billed charges ,246.73,percent of total billed charges ,253.06,percent of total billed charges ,253.06,percent of total billed charges ,221.42,percent of total billed charges ,221.42,percent of total billed charges ,189.79,percent of total billed charges ,189.79,percent of total billed charges ,189.79,percent of total billed charges ,189.79,percent of total billed charges ,,,,,168.28,percent of total billed charges ,,,,,159.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,,,88.57,percent of total billed charges,
"HALOPERIDOL DECANOATE 100MG/ML, 1ML INJ",J1631,CDM,,,,both,,,409.51,409.51,114.66,409.51,409.51,percent of total billed charges,409.51,percent of total billed charges,409.51,percent of total billed charges,409.51,percent of total billed charges,409.51,percent of total billed charges,409.51,percent of total billed charges,409.51,percent of total billed charges,409.51,percent of total billed charges,294.85,percent of total billed charges,294.85,percent of total billed charges,294.85,percent of total billed charges,294.85,percent of total billed charges,294.85,percent of total billed charges,294.85,percent of total billed charges,303.04,percent of total billed charges,303.04,percent of total billed charges,327.61,percent of total billed charges,327.61,percent of total billed charges,,,294.85,percent of total billed charges ,,,327.61,percent of total billed charges ,343.99,percent of total billed charges ,343.99,percent of total billed charges ,319.42,percent of total billed charges ,319.42,percent of total billed charges ,327.61,percent of total billed charges ,327.61,percent of total billed charges ,286.66,percent of total billed charges ,286.66,percent of total billed charges ,245.71,percent of total billed charges ,245.71,percent of total billed charges ,245.71,percent of total billed charges ,245.71,percent of total billed charges ,,,,,217.86,percent of total billed charges ,,,,,206.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,,,114.66,percent of total billed charges,
"MEPERIDINE (DEMEROL) 50MG/ML, 1 ML FTV",J2175,CDM,,,,both,,,50.35,50.35,14.1,50.35,50.35,percent of total billed charges,50.35,percent of total billed charges,50.35,percent of total billed charges,50.35,percent of total billed charges,50.35,percent of total billed charges,50.35,percent of total billed charges,50.35,percent of total billed charges,50.35,percent of total billed charges,36.25,percent of total billed charges,36.25,percent of total billed charges,36.25,percent of total billed charges,36.25,percent of total billed charges,36.25,percent of total billed charges,36.25,percent of total billed charges,37.26,percent of total billed charges,37.26,percent of total billed charges,40.28,percent of total billed charges,40.28,percent of total billed charges,,,36.25,percent of total billed charges ,,,40.28,percent of total billed charges ,42.29,percent of total billed charges ,42.29,percent of total billed charges ,39.27,percent of total billed charges ,39.27,percent of total billed charges ,40.28,percent of total billed charges ,40.28,percent of total billed charges ,35.25,percent of total billed charges ,35.25,percent of total billed charges ,30.21,percent of total billed charges ,30.21,percent of total billed charges ,30.21,percent of total billed charges ,30.21,percent of total billed charges ,,,,,26.79,percent of total billed charges ,,,,,25.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,,,14.1,percent of total billed charges,
"ROPIvacaine (NAROPIN) 0.5%, 30ML FTV",J2795,CDM,,,,both,,,84.89,84.89,23.77,84.89,84.89,percent of total billed charges,84.89,percent of total billed charges,84.89,percent of total billed charges,84.89,percent of total billed charges,84.89,percent of total billed charges,84.89,percent of total billed charges,84.89,percent of total billed charges,84.89,percent of total billed charges,61.12,percent of total billed charges,61.12,percent of total billed charges,61.12,percent of total billed charges,61.12,percent of total billed charges,61.12,percent of total billed charges,61.12,percent of total billed charges,62.82,percent of total billed charges,62.82,percent of total billed charges,67.91,percent of total billed charges,67.91,percent of total billed charges,,,61.12,percent of total billed charges ,,,67.91,percent of total billed charges ,71.31,percent of total billed charges ,71.31,percent of total billed charges ,66.21,percent of total billed charges ,66.21,percent of total billed charges ,67.91,percent of total billed charges ,67.91,percent of total billed charges ,59.42,percent of total billed charges ,59.42,percent of total billed charges ,50.93,percent of total billed charges ,50.93,percent of total billed charges ,50.93,percent of total billed charges ,50.93,percent of total billed charges ,,,,,45.16,percent of total billed charges ,,,,,42.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,,,23.77,percent of total billed charges,
levoFLOXacin (LEVAQUIN) 750MG TAB,LOCAL,LOCAL,,,,both,,,1.8,1.8,0.5,1.8,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.33,percent of total billed charges,1.33,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.44,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,,,0.5,percent of total billed charges,
FLECAINIDE (TAMBOCOR) 50MG TAB,LOCAL,LOCAL,,,,both,,,1.58,1.58,0.44,1.58,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.14,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,,,1.14,percent of total billed charges ,,,1.26,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,0.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,,,0.44,percent of total billed charges,
busPIRone (BUSPAR) 30 MG TAB,LOCAL,LOCAL,,,,both,,,3.1,3.1,0.87,3.1,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,,,2.23,percent of total billed charges ,,,2.48,percent of total billed charges ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.42,percent of total billed charges ,2.42,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,,,,,1.65,percent of total billed charges ,,,,,1.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,
levETIRAcetam (KEPPRA) 250MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
RT NACL 7% HYPERTONIC SALINE,LOCAL,LOCAL,,,,both,,,1.08,1.08,0.3,1.08,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,,,0.78,percent of total billed charges ,,,0.86,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,0.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
DEXTROSE 10% 250ML IVPB,LOCAL,LOCAL,,,,both,,,88.81,88.81,24.87,88.81,88.81,percent of total billed charges,88.81,percent of total billed charges,88.81,percent of total billed charges,88.81,percent of total billed charges,88.81,percent of total billed charges,88.81,percent of total billed charges,88.81,percent of total billed charges,88.81,percent of total billed charges,63.94,percent of total billed charges,63.94,percent of total billed charges,63.94,percent of total billed charges,63.94,percent of total billed charges,63.94,percent of total billed charges,63.94,percent of total billed charges,65.72,percent of total billed charges,65.72,percent of total billed charges,71.05,percent of total billed charges,71.05,percent of total billed charges,,,63.94,percent of total billed charges ,,,71.05,percent of total billed charges ,74.6,percent of total billed charges ,74.6,percent of total billed charges ,69.27,percent of total billed charges ,69.27,percent of total billed charges ,71.05,percent of total billed charges ,71.05,percent of total billed charges ,62.17,percent of total billed charges ,62.17,percent of total billed charges ,53.29,percent of total billed charges ,53.29,percent of total billed charges ,53.29,percent of total billed charges ,53.29,percent of total billed charges ,,,,,47.25,percent of total billed charges ,,,,,44.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,,,24.87,percent of total billed charges,
guaiFENesin CODEINE SYRUP 5 ML UD,LOCAL,LOCAL,,,,both,,,5.65,5.65,1.58,5.65,5.65,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,5.65,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.52,percent of total billed charges,4.52,percent of total billed charges,,,4.07,percent of total billed charges ,,,4.52,percent of total billed charges ,4.75,percent of total billed charges ,4.75,percent of total billed charges ,4.41,percent of total billed charges ,4.41,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,3.96,percent of total billed charges ,3.96,percent of total billed charges ,3.39,percent of total billed charges ,3.39,percent of total billed charges ,3.39,percent of total billed charges ,3.39,percent of total billed charges ,,,,,3.01,percent of total billed charges ,,,,,2.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,
"LIDOCAINE W/EPI 1:200,000 30ML MPF VIAL",J2001,CDM,,,,both,,,109.89,109.89,30.77,109.89,109.89,percent of total billed charges,109.89,percent of total billed charges,109.89,percent of total billed charges,109.89,percent of total billed charges,109.89,percent of total billed charges,109.89,percent of total billed charges,109.89,percent of total billed charges,109.89,percent of total billed charges,79.12,percent of total billed charges,79.12,percent of total billed charges,79.12,percent of total billed charges,79.12,percent of total billed charges,79.12,percent of total billed charges,79.12,percent of total billed charges,81.32,percent of total billed charges,81.32,percent of total billed charges,87.91,percent of total billed charges,87.91,percent of total billed charges,,,79.12,percent of total billed charges ,,,87.91,percent of total billed charges ,92.31,percent of total billed charges ,92.31,percent of total billed charges ,85.71,percent of total billed charges ,85.71,percent of total billed charges ,87.91,percent of total billed charges ,87.91,percent of total billed charges ,76.92,percent of total billed charges ,76.92,percent of total billed charges ,65.93,percent of total billed charges ,65.93,percent of total billed charges ,65.93,percent of total billed charges ,65.93,percent of total billed charges ,,,,,58.46,percent of total billed charges ,,,,,55.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,,,30.77,percent of total billed charges,
TOCILIZUMAB (ACTEMRA) 200MG/10ML INJ,J3262,CDM,,,,both,,,"7,125.42","7,125.42","1,995.12","7,125.42","7,125.42",percent of total billed charges,"7,125.42",percent of total billed charges,"7,125.42",percent of total billed charges,"7,125.42",percent of total billed charges,"7,125.42",percent of total billed charges,"7,125.42",percent of total billed charges,"7,125.42",percent of total billed charges,"7,125.42",percent of total billed charges,"5,130.30",percent of total billed charges,"5,130.30",percent of total billed charges,"5,130.30",percent of total billed charges,"5,130.30",percent of total billed charges,"5,130.30",percent of total billed charges,"5,130.30",percent of total billed charges,"5,272.81",percent of total billed charges,"5,272.81",percent of total billed charges,"5,700.34",percent of total billed charges,"5,700.34",percent of total billed charges,,,"5,130.30",percent of total billed charges ,,,"5,700.34",percent of total billed charges ,"5,985.35",percent of total billed charges ,"5,985.35",percent of total billed charges ,"5,557.83",percent of total billed charges ,"5,557.83",percent of total billed charges ,"5,700.34",percent of total billed charges ,"5,700.34",percent of total billed charges ,"4,987.79",percent of total billed charges ,"4,987.79",percent of total billed charges ,"4,275.25",percent of total billed charges ,"4,275.25",percent of total billed charges ,"4,275.25",percent of total billed charges ,"4,275.25",percent of total billed charges ,,,,,"3,790.72",percent of total billed charges ,,,,,"3,601.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,,,"1,995.12",percent of total billed charges,
TOCILIZUMAB (ACTEMRA) 80MG/4ML INJ,J3262,CDM,,,,both,,,"2,850.15","2,850.15",798.04,"2,850.15","2,850.15",percent of total billed charges,"2,850.15",percent of total billed charges,"2,850.15",percent of total billed charges,"2,850.15",percent of total billed charges,"2,850.15",percent of total billed charges,"2,850.15",percent of total billed charges,"2,850.15",percent of total billed charges,"2,850.15",percent of total billed charges,"2,052.11",percent of total billed charges,"2,052.11",percent of total billed charges,"2,052.11",percent of total billed charges,"2,052.11",percent of total billed charges,"2,052.11",percent of total billed charges,"2,052.11",percent of total billed charges,"2,109.11",percent of total billed charges,"2,109.11",percent of total billed charges,"2,280.12",percent of total billed charges,"2,280.12",percent of total billed charges,,,"2,052.11",percent of total billed charges ,,,"2,280.12",percent of total billed charges ,"2,394.13",percent of total billed charges ,"2,394.13",percent of total billed charges ,"2,223.12",percent of total billed charges ,"2,223.12",percent of total billed charges ,"2,280.12",percent of total billed charges ,"2,280.12",percent of total billed charges ,"1,995.11",percent of total billed charges ,"1,995.11",percent of total billed charges ,"1,710.09",percent of total billed charges ,"1,710.09",percent of total billed charges ,"1,710.09",percent of total billed charges ,"1,710.09",percent of total billed charges ,,,,,"1,516.28",percent of total billed charges ,,,,,"1,440.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,,,798.04,percent of total billed charges,
"MEPERIDINE (DEMEROL) 100MG/ML, 1ML FTV",J2175,CDM,,,,both,,,62.35,62.35,17.46,62.35,62.35,percent of total billed charges,62.35,percent of total billed charges,62.35,percent of total billed charges,62.35,percent of total billed charges,62.35,percent of total billed charges,62.35,percent of total billed charges,62.35,percent of total billed charges,62.35,percent of total billed charges,44.89,percent of total billed charges,44.89,percent of total billed charges,44.89,percent of total billed charges,44.89,percent of total billed charges,44.89,percent of total billed charges,44.89,percent of total billed charges,46.14,percent of total billed charges,46.14,percent of total billed charges,49.88,percent of total billed charges,49.88,percent of total billed charges,,,44.89,percent of total billed charges ,,,49.88,percent of total billed charges ,52.37,percent of total billed charges ,52.37,percent of total billed charges ,48.63,percent of total billed charges ,48.63,percent of total billed charges ,49.88,percent of total billed charges ,49.88,percent of total billed charges ,43.65,percent of total billed charges ,43.65,percent of total billed charges ,37.41,percent of total billed charges ,37.41,percent of total billed charges ,37.41,percent of total billed charges ,37.41,percent of total billed charges ,,,,,33.17,percent of total billed charges ,,,,,31.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,,,17.46,percent of total billed charges,
**EPININEPHRINE 2MG IN DEXTROSE 5% 500ML,LOCAL,LOCAL,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
MAGNESIUM SULFATE 4GM IN 100ML WATER IV,J3475,CDM,,,,both,,,39.81,39.81,11.15,39.81,39.81,percent of total billed charges,39.81,percent of total billed charges,39.81,percent of total billed charges,39.81,percent of total billed charges,39.81,percent of total billed charges,39.81,percent of total billed charges,39.81,percent of total billed charges,39.81,percent of total billed charges,28.66,percent of total billed charges,28.66,percent of total billed charges,28.66,percent of total billed charges,28.66,percent of total billed charges,28.66,percent of total billed charges,28.66,percent of total billed charges,29.46,percent of total billed charges,29.46,percent of total billed charges,31.85,percent of total billed charges,31.85,percent of total billed charges,,,28.66,percent of total billed charges ,,,31.85,percent of total billed charges ,33.44,percent of total billed charges ,33.44,percent of total billed charges ,31.05,percent of total billed charges ,31.05,percent of total billed charges ,31.85,percent of total billed charges ,31.85,percent of total billed charges ,27.87,percent of total billed charges ,27.87,percent of total billed charges ,23.89,percent of total billed charges ,23.89,percent of total billed charges ,23.89,percent of total billed charges ,23.89,percent of total billed charges ,,,,,21.18,percent of total billed charges ,,,,,20.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,,,11.15,percent of total billed charges,
CEFTOLOZANE/TAZOBACTAM (ZERBAXA) 1.5GM,J0695,CDM,,,,both,,,729.51,729.51,204.26,729.51,729.51,percent of total billed charges,729.51,percent of total billed charges,729.51,percent of total billed charges,729.51,percent of total billed charges,729.51,percent of total billed charges,729.51,percent of total billed charges,729.51,percent of total billed charges,729.51,percent of total billed charges,525.25,percent of total billed charges,525.25,percent of total billed charges,525.25,percent of total billed charges,525.25,percent of total billed charges,525.25,percent of total billed charges,525.25,percent of total billed charges,539.84,percent of total billed charges,539.84,percent of total billed charges,583.61,percent of total billed charges,583.61,percent of total billed charges,,,525.25,percent of total billed charges ,,,583.61,percent of total billed charges ,612.79,percent of total billed charges ,612.79,percent of total billed charges ,569.02,percent of total billed charges ,569.02,percent of total billed charges ,583.61,percent of total billed charges ,583.61,percent of total billed charges ,510.66,percent of total billed charges ,510.66,percent of total billed charges ,437.71,percent of total billed charges ,437.71,percent of total billed charges ,437.71,percent of total billed charges ,437.71,percent of total billed charges ,,,,,388.1,percent of total billed charges ,,,,,368.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,,,204.26,percent of total billed charges,
dilTIAZem (CARDIZEM) 30 MG TAB,LOCAL,LOCAL,,,,both,,,3.29,3.29,0.92,3.29,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,3.29,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.37,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.63,percent of total billed charges,2.63,percent of total billed charges,,,2.37,percent of total billed charges ,,,2.63,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.57,percent of total billed charges ,2.57,percent of total billed charges ,2.63,percent of total billed charges ,2.63,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,,,,,1.75,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,
CITALOPRAM (CeleXA) 10 MG TAB,LOCAL,LOCAL,,,,both,,,0.53,0.53,0.15,0.53,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,,,0.38,percent of total billed charges ,,,0.42,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
CYCLOBENZAPRINE (FLEXERIL) 5MG TAB,LOCAL,LOCAL,,,,both,,,1.73,1.73,0.48,1.73,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,,,1.25,percent of total billed charges ,,,1.38,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,,,,,0.92,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,
CALCIUM CARBONATE 1250MG/5ML ORAL SUSP,LOCAL,LOCAL,,,,both,,,23.07,23.07,6.46,23.07,23.07,percent of total billed charges,23.07,percent of total billed charges,23.07,percent of total billed charges,23.07,percent of total billed charges,23.07,percent of total billed charges,23.07,percent of total billed charges,23.07,percent of total billed charges,23.07,percent of total billed charges,16.61,percent of total billed charges,16.61,percent of total billed charges,16.61,percent of total billed charges,16.61,percent of total billed charges,16.61,percent of total billed charges,16.61,percent of total billed charges,17.07,percent of total billed charges,17.07,percent of total billed charges,18.46,percent of total billed charges,18.46,percent of total billed charges,,,16.61,percent of total billed charges ,,,18.46,percent of total billed charges ,19.38,percent of total billed charges ,19.38,percent of total billed charges ,17.99,percent of total billed charges ,17.99,percent of total billed charges ,18.46,percent of total billed charges ,18.46,percent of total billed charges ,16.15,percent of total billed charges ,16.15,percent of total billed charges ,13.84,percent of total billed charges ,13.84,percent of total billed charges ,13.84,percent of total billed charges ,13.84,percent of total billed charges ,,,,,12.27,percent of total billed charges ,,,,,11.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,,,6.46,percent of total billed charges,
ESCITALOPRAM (LEXAPRO) 5 MG TAB,LOCAL,LOCAL,,,,both,,,0.85,0.85,0.24,0.85,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,,,0.61,percent of total billed charges ,,,0.68,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,
ISOSORBIDE (SORBITRATE) 10 MG TAB,LOCAL,LOCAL,,,,both,,,1.65,1.65,0.46,1.65,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.65,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,,,1.19,percent of total billed charges ,,,1.32,percent of total billed charges ,1.39,percent of total billed charges ,1.39,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,,,,,0.88,percent of total billed charges ,,,,,0.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
FILGRASTIM-SNDZ (ZARXIO) 300MCG INJ: PFS,Q5101,CDM,,,,both,,,703.02,703.02,196.85,703.02,703.02,percent of total billed charges,703.02,percent of total billed charges,703.02,percent of total billed charges,703.02,percent of total billed charges,703.02,percent of total billed charges,703.02,percent of total billed charges,703.02,percent of total billed charges,703.02,percent of total billed charges,506.17,percent of total billed charges,506.17,percent of total billed charges,506.17,percent of total billed charges,506.17,percent of total billed charges,506.17,percent of total billed charges,506.17,percent of total billed charges,520.23,percent of total billed charges,520.23,percent of total billed charges,562.42,percent of total billed charges,562.42,percent of total billed charges,,,506.17,percent of total billed charges ,,,562.42,percent of total billed charges ,590.54,percent of total billed charges ,590.54,percent of total billed charges ,548.36,percent of total billed charges ,548.36,percent of total billed charges ,562.42,percent of total billed charges ,562.42,percent of total billed charges ,492.11,percent of total billed charges ,492.11,percent of total billed charges ,421.81,percent of total billed charges ,421.81,percent of total billed charges ,421.81,percent of total billed charges ,421.81,percent of total billed charges ,,,,,374.01,percent of total billed charges ,,,,,355.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,,,196.85,percent of total billed charges,
SPIRONOLACTONE (ALDACTONE) 100 MG,LOCAL,LOCAL,,,,both,,,3.38,3.38,0.95,3.38,3.38,percent of total billed charges,3.38,percent of total billed charges,3.38,percent of total billed charges,3.38,percent of total billed charges,3.38,percent of total billed charges,3.38,percent of total billed charges,3.38,percent of total billed charges,3.38,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,,,2.43,percent of total billed charges ,,,2.7,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.64,percent of total billed charges ,2.64,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,,,,,1.8,percent of total billed charges ,,,,,1.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,
VENLAFAXINE XR (EFFEXOR XR) 150 MG CAP,LOCAL,LOCAL,,,,both,,,1.49,1.49,0.42,1.49,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,,,1.07,percent of total billed charges ,,,1.19,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,,,,,0.79,percent of total billed charges ,,,,,0.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,
PRAVASTATIN (PRAVACHOL) 10 MG TAB,LOCAL,LOCAL,,,,both,,,1.26,1.26,0.35,1.26,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.91,percent of total billed charges,0.93,percent of total billed charges,0.93,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,,,0.91,percent of total billed charges ,,,1.01,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,,,,,0.67,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,,,0.35,percent of total billed charges,
DOXAZOSIN (CARDURA) 1 MG TAB,LOCAL,LOCAL,,,,both,,,2.61,2.61,0.73,2.61,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,2.09,percent of total billed charges,2.09,percent of total billed charges,,,1.88,percent of total billed charges ,,,2.09,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,,,,,1.39,percent of total billed charges ,,,,,1.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,
EMTRICITABINE/TENOFOVIR 200/300 MG TAB,LOCAL,LOCAL,,,,both,,,103.64,103.64,29.02,103.64,103.64,percent of total billed charges,103.64,percent of total billed charges,103.64,percent of total billed charges,103.64,percent of total billed charges,103.64,percent of total billed charges,103.64,percent of total billed charges,103.64,percent of total billed charges,103.64,percent of total billed charges,74.62,percent of total billed charges,74.62,percent of total billed charges,74.62,percent of total billed charges,74.62,percent of total billed charges,74.62,percent of total billed charges,74.62,percent of total billed charges,76.69,percent of total billed charges,76.69,percent of total billed charges,82.91,percent of total billed charges,82.91,percent of total billed charges,,,74.62,percent of total billed charges ,,,82.91,percent of total billed charges ,87.06,percent of total billed charges ,87.06,percent of total billed charges ,80.84,percent of total billed charges ,80.84,percent of total billed charges ,82.91,percent of total billed charges ,82.91,percent of total billed charges ,72.55,percent of total billed charges ,72.55,percent of total billed charges ,62.18,percent of total billed charges ,62.18,percent of total billed charges ,62.18,percent of total billed charges ,62.18,percent of total billed charges ,,,,,55.14,percent of total billed charges ,,,,,52.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,,,29.02,percent of total billed charges,
HYDROmorphone (DILAUDID) 2MG/ML VIAL,J1170,CDM,,,,both,,,33.79,33.79,9.46,33.79,33.79,percent of total billed charges,33.79,percent of total billed charges,33.79,percent of total billed charges,33.79,percent of total billed charges,33.79,percent of total billed charges,33.79,percent of total billed charges,33.79,percent of total billed charges,33.79,percent of total billed charges,24.33,percent of total billed charges,24.33,percent of total billed charges,24.33,percent of total billed charges,24.33,percent of total billed charges,24.33,percent of total billed charges,24.33,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,27.03,percent of total billed charges,27.03,percent of total billed charges,,,24.33,percent of total billed charges ,,,27.03,percent of total billed charges ,28.38,percent of total billed charges ,28.38,percent of total billed charges ,26.36,percent of total billed charges ,26.36,percent of total billed charges ,27.03,percent of total billed charges ,27.03,percent of total billed charges ,23.65,percent of total billed charges ,23.65,percent of total billed charges ,20.27,percent of total billed charges ,20.27,percent of total billed charges ,20.27,percent of total billed charges ,20.27,percent of total billed charges ,,,,,17.98,percent of total billed charges ,,,,,17.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,,,9.46,percent of total billed charges,
BENZTROPINE (COGENTIN) 0.5 MG TAB,LOCAL,LOCAL,,,,both,,,1.4,1.4,0.39,1.4,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,,,1.01,percent of total billed charges ,,,1.12,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,,,,,0.74,percent of total billed charges ,,,,,0.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,
DOFETILIDE (TIKOSYN) 250 MCG CAP,LOCAL,LOCAL,,,,both,,,13.37,13.37,3.74,13.37,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.89,percent of total billed charges,9.89,percent of total billed charges,10.7,percent of total billed charges,10.7,percent of total billed charges,,,9.63,percent of total billed charges ,,,10.7,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,10.43,percent of total billed charges ,10.43,percent of total billed charges ,10.7,percent of total billed charges ,10.7,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,8.02,percent of total billed charges ,8.02,percent of total billed charges ,8.02,percent of total billed charges ,8.02,percent of total billed charges ,,,,,7.11,percent of total billed charges ,,,,,6.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,
CEFPODOXIME (VANTIN) 200MG TAB,LOCAL,LOCAL,,,,both,,,14.63,14.63,4.1,14.63,14.63,percent of total billed charges,14.63,percent of total billed charges,14.63,percent of total billed charges,14.63,percent of total billed charges,14.63,percent of total billed charges,14.63,percent of total billed charges,14.63,percent of total billed charges,14.63,percent of total billed charges,10.53,percent of total billed charges,10.53,percent of total billed charges,10.53,percent of total billed charges,10.53,percent of total billed charges,10.53,percent of total billed charges,10.53,percent of total billed charges,10.83,percent of total billed charges,10.83,percent of total billed charges,11.7,percent of total billed charges,11.7,percent of total billed charges,,,10.53,percent of total billed charges ,,,11.7,percent of total billed charges ,12.29,percent of total billed charges ,12.29,percent of total billed charges ,11.41,percent of total billed charges ,11.41,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,10.24,percent of total billed charges ,10.24,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,,,,,7.78,percent of total billed charges ,,,,,7.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,,,4.1,percent of total billed charges,
PANTOPRAZOLE (PROTONIX) 40MG O/S PKT,LOCAL,LOCAL,,,,both,,,37.82,37.82,10.59,37.82,37.82,percent of total billed charges,37.82,percent of total billed charges,37.82,percent of total billed charges,37.82,percent of total billed charges,37.82,percent of total billed charges,37.82,percent of total billed charges,37.82,percent of total billed charges,37.82,percent of total billed charges,27.23,percent of total billed charges,27.23,percent of total billed charges,27.23,percent of total billed charges,27.23,percent of total billed charges,27.23,percent of total billed charges,27.23,percent of total billed charges,27.99,percent of total billed charges,27.99,percent of total billed charges,30.26,percent of total billed charges,30.26,percent of total billed charges,,,27.23,percent of total billed charges ,,,30.26,percent of total billed charges ,31.77,percent of total billed charges ,31.77,percent of total billed charges ,29.5,percent of total billed charges ,29.5,percent of total billed charges ,30.26,percent of total billed charges ,30.26,percent of total billed charges ,26.47,percent of total billed charges ,26.47,percent of total billed charges ,22.69,percent of total billed charges ,22.69,percent of total billed charges ,22.69,percent of total billed charges ,22.69,percent of total billed charges ,,,,,20.12,percent of total billed charges ,,,,,19.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,,,10.59,percent of total billed charges,
VALSARTAN (DIOVAN) 40 MG TAB,LOCAL,LOCAL,,,,both,,,3.46,3.46,0.97,3.46,3.46,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,2.49,percent of total billed charges,2.49,percent of total billed charges,2.49,percent of total billed charges,2.49,percent of total billed charges,2.49,percent of total billed charges,2.49,percent of total billed charges,2.56,percent of total billed charges,2.56,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,,,2.49,percent of total billed charges ,,,2.77,percent of total billed charges ,2.91,percent of total billed charges ,2.91,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.77,percent of total billed charges ,2.77,percent of total billed charges ,2.42,percent of total billed charges ,2.42,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,2.08,percent of total billed charges ,,,,,1.84,percent of total billed charges ,,,,,1.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,,,0.97,percent of total billed charges,
predniSONE (DELTASONE) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
MIRTAZAPINE (REMERON) 7.5 MG TAB,LOCAL,LOCAL,,,,both,,,5.31,5.31,1.49,5.31,5.31,percent of total billed charges,5.31,percent of total billed charges,5.31,percent of total billed charges,5.31,percent of total billed charges,5.31,percent of total billed charges,5.31,percent of total billed charges,5.31,percent of total billed charges,5.31,percent of total billed charges,3.82,percent of total billed charges,3.82,percent of total billed charges,3.82,percent of total billed charges,3.82,percent of total billed charges,3.82,percent of total billed charges,3.82,percent of total billed charges,3.93,percent of total billed charges,3.93,percent of total billed charges,4.25,percent of total billed charges,4.25,percent of total billed charges,,,3.82,percent of total billed charges ,,,4.25,percent of total billed charges ,4.46,percent of total billed charges ,4.46,percent of total billed charges ,4.14,percent of total billed charges ,4.14,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,3.72,percent of total billed charges ,3.72,percent of total billed charges ,3.19,percent of total billed charges ,3.19,percent of total billed charges ,3.19,percent of total billed charges ,3.19,percent of total billed charges ,,,,,2.82,percent of total billed charges ,,,,,2.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,,,1.49,percent of total billed charges,
CEFTAROLINE (TEFLARO) 400MG INJ,J0712,CDM,,,,both,,,954.95,954.95,267.39,954.95,954.95,percent of total billed charges,954.95,percent of total billed charges,954.95,percent of total billed charges,954.95,percent of total billed charges,954.95,percent of total billed charges,954.95,percent of total billed charges,954.95,percent of total billed charges,954.95,percent of total billed charges,687.56,percent of total billed charges,687.56,percent of total billed charges,687.56,percent of total billed charges,687.56,percent of total billed charges,687.56,percent of total billed charges,687.56,percent of total billed charges,706.66,percent of total billed charges,706.66,percent of total billed charges,763.96,percent of total billed charges,763.96,percent of total billed charges,,,687.56,percent of total billed charges ,,,763.96,percent of total billed charges ,802.16,percent of total billed charges ,802.16,percent of total billed charges ,744.86,percent of total billed charges ,744.86,percent of total billed charges ,763.96,percent of total billed charges ,763.96,percent of total billed charges ,668.47,percent of total billed charges ,668.47,percent of total billed charges ,572.97,percent of total billed charges ,572.97,percent of total billed charges ,572.97,percent of total billed charges ,572.97,percent of total billed charges ,,,,,508.03,percent of total billed charges ,,,,,482.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,,,267.39,percent of total billed charges,
MIDODRINE HCL (PROMATINE) TABLET 10MG,LOCAL,LOCAL,,,,both,,,3.75,3.75,1.05,3.75,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,,,2.7,percent of total billed charges ,,,3,percent of total billed charges ,3.15,percent of total billed charges ,3.15,percent of total billed charges ,2.93,percent of total billed charges ,2.93,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,2.63,percent of total billed charges ,2.63,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,,,,,2,percent of total billed charges ,,,,,1.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,
LANSOPRAZOLE ORAL CAP DR 30MG,LOCAL,LOCAL,,,,both,,,1.63,1.63,0.46,1.63,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.14,percent of total billed charges ,1.14,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
EDARAVONE (RADICAVA) 30MG/100ML IVPB,J1301,CDM,,,,both,,,"2,626.95","2,626.95",735.55,"2,626.95","2,626.95",percent of total billed charges,"2,626.95",percent of total billed charges,"2,626.95",percent of total billed charges,"2,626.95",percent of total billed charges,"2,626.95",percent of total billed charges,"2,626.95",percent of total billed charges,"2,626.95",percent of total billed charges,"2,626.95",percent of total billed charges,"1,891.40",percent of total billed charges,"1,891.40",percent of total billed charges,"1,891.40",percent of total billed charges,"1,891.40",percent of total billed charges,"1,891.40",percent of total billed charges,"1,891.40",percent of total billed charges,"1,943.94",percent of total billed charges,"1,943.94",percent of total billed charges,"2,101.56",percent of total billed charges,"2,101.56",percent of total billed charges,,,"1,891.40",percent of total billed charges ,,,"2,101.56",percent of total billed charges ,"2,206.64",percent of total billed charges ,"2,206.64",percent of total billed charges ,"2,049.02",percent of total billed charges ,"2,049.02",percent of total billed charges ,"2,101.56",percent of total billed charges ,"2,101.56",percent of total billed charges ,"1,838.87",percent of total billed charges ,"1,838.87",percent of total billed charges ,"1,576.17",percent of total billed charges ,"1,576.17",percent of total billed charges ,"1,576.17",percent of total billed charges ,"1,576.17",percent of total billed charges ,,,,,"1,397.54",percent of total billed charges ,,,,,"1,327.66",percent of total billed charges ,,,,,,,,,,,,,,,,,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,,,735.55,percent of total billed charges,
ROSUVASTATIN (CRESTOR) 5 MG TAB,LOCAL,LOCAL,,,,both,,,4.14,4.14,1.16,4.14,4.14,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,4.14,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.31,percent of total billed charges,3.31,percent of total billed charges,,,2.98,percent of total billed charges ,,,3.31,percent of total billed charges ,3.48,percent of total billed charges ,3.48,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.31,percent of total billed charges ,3.31,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,,,,,2.2,percent of total billed charges ,,,,,2.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,,,1.16,percent of total billed charges,
TORSEMIDE (DEMADEX) 10MG TAB,LOCAL,LOCAL,,,,both,,,1.01,1.01,0.28,1.01,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,1.01,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.75,percent of total billed charges,0.75,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,,,0.73,percent of total billed charges ,,,0.81,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
VANCOMYCIN 125MG CAP,LOCAL,LOCAL,,,,both,,,6.08,6.08,1.7,6.08,6.08,percent of total billed charges,6.08,percent of total billed charges,6.08,percent of total billed charges,6.08,percent of total billed charges,6.08,percent of total billed charges,6.08,percent of total billed charges,6.08,percent of total billed charges,6.08,percent of total billed charges,4.38,percent of total billed charges,4.38,percent of total billed charges,4.38,percent of total billed charges,4.38,percent of total billed charges,4.38,percent of total billed charges,4.38,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.86,percent of total billed charges,4.86,percent of total billed charges,,,4.38,percent of total billed charges ,,,4.86,percent of total billed charges ,5.11,percent of total billed charges ,5.11,percent of total billed charges ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,4.86,percent of total billed charges ,4.86,percent of total billed charges ,4.26,percent of total billed charges ,4.26,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,,,,,3.23,percent of total billed charges ,,,,,3.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,,,1.7,percent of total billed charges,
VALPROIC ACID (DEPAKENE) 250MG CAP,LOCAL,LOCAL,,,,both,,,1.44,1.44,0.4,1.44,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,,,1.04,percent of total billed charges ,,,1.15,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,0.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,,,0.4,percent of total billed charges,
SACUBITRIL/VALSARTAN 97/103 MG TAB,LOCAL,LOCAL,,,,both,,,27.02,27.02,7.57,27.02,27.02,percent of total billed charges,27.02,percent of total billed charges,27.02,percent of total billed charges,27.02,percent of total billed charges,27.02,percent of total billed charges,27.02,percent of total billed charges,27.02,percent of total billed charges,27.02,percent of total billed charges,19.45,percent of total billed charges,19.45,percent of total billed charges,19.45,percent of total billed charges,19.45,percent of total billed charges,19.45,percent of total billed charges,19.45,percent of total billed charges,19.99,percent of total billed charges,19.99,percent of total billed charges,21.62,percent of total billed charges,21.62,percent of total billed charges,,,19.45,percent of total billed charges ,,,21.62,percent of total billed charges ,22.7,percent of total billed charges ,22.7,percent of total billed charges ,21.08,percent of total billed charges ,21.08,percent of total billed charges ,21.62,percent of total billed charges ,21.62,percent of total billed charges ,18.91,percent of total billed charges ,18.91,percent of total billed charges ,16.21,percent of total billed charges ,16.21,percent of total billed charges ,16.21,percent of total billed charges ,16.21,percent of total billed charges ,,,,,14.37,percent of total billed charges ,,,,,13.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,,,7.57,percent of total billed charges,
SACUBITRIL/VALSARTAN 49/51 MG TAB,LOCAL,LOCAL,,,,both,,,36.95,36.95,10.35,36.95,36.95,percent of total billed charges,36.95,percent of total billed charges,36.95,percent of total billed charges,36.95,percent of total billed charges,36.95,percent of total billed charges,36.95,percent of total billed charges,36.95,percent of total billed charges,36.95,percent of total billed charges,26.6,percent of total billed charges,26.6,percent of total billed charges,26.6,percent of total billed charges,26.6,percent of total billed charges,26.6,percent of total billed charges,26.6,percent of total billed charges,27.34,percent of total billed charges,27.34,percent of total billed charges,29.56,percent of total billed charges,29.56,percent of total billed charges,,,26.6,percent of total billed charges ,,,29.56,percent of total billed charges ,31.04,percent of total billed charges ,31.04,percent of total billed charges ,28.82,percent of total billed charges ,28.82,percent of total billed charges ,29.56,percent of total billed charges ,29.56,percent of total billed charges ,25.87,percent of total billed charges ,25.87,percent of total billed charges ,22.17,percent of total billed charges ,22.17,percent of total billed charges ,22.17,percent of total billed charges ,22.17,percent of total billed charges ,,,,,19.66,percent of total billed charges ,,,,,18.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,,,10.35,percent of total billed charges,
SACUBITRIL/VALSARTAN (ENTRESTO) 24/26 MG,LOCAL,LOCAL,,,,both,,,44.28,44.28,12.4,44.28,44.28,percent of total billed charges,44.28,percent of total billed charges,44.28,percent of total billed charges,44.28,percent of total billed charges,44.28,percent of total billed charges,44.28,percent of total billed charges,44.28,percent of total billed charges,44.28,percent of total billed charges,31.88,percent of total billed charges,31.88,percent of total billed charges,31.88,percent of total billed charges,31.88,percent of total billed charges,31.88,percent of total billed charges,31.88,percent of total billed charges,32.77,percent of total billed charges,32.77,percent of total billed charges,35.42,percent of total billed charges,35.42,percent of total billed charges,,,31.88,percent of total billed charges ,,,35.42,percent of total billed charges ,37.2,percent of total billed charges ,37.2,percent of total billed charges ,34.54,percent of total billed charges ,34.54,percent of total billed charges ,35.42,percent of total billed charges ,35.42,percent of total billed charges ,31,percent of total billed charges ,31,percent of total billed charges ,26.57,percent of total billed charges ,26.57,percent of total billed charges ,26.57,percent of total billed charges ,26.57,percent of total billed charges ,,,,,23.56,percent of total billed charges ,,,,,22.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,,,12.4,percent of total billed charges,
EMPAGLIFLOZIN (JARDIANCE) 25 MG TAB,LOCAL,LOCAL,,,,both,,,63.17,63.17,17.69,63.17,63.17,percent of total billed charges,63.17,percent of total billed charges,63.17,percent of total billed charges,63.17,percent of total billed charges,63.17,percent of total billed charges,63.17,percent of total billed charges,63.17,percent of total billed charges,63.17,percent of total billed charges,45.48,percent of total billed charges,45.48,percent of total billed charges,45.48,percent of total billed charges,45.48,percent of total billed charges,45.48,percent of total billed charges,45.48,percent of total billed charges,46.75,percent of total billed charges,46.75,percent of total billed charges,50.54,percent of total billed charges,50.54,percent of total billed charges,,,45.48,percent of total billed charges ,,,50.54,percent of total billed charges ,53.06,percent of total billed charges ,53.06,percent of total billed charges ,49.27,percent of total billed charges ,49.27,percent of total billed charges ,50.54,percent of total billed charges ,50.54,percent of total billed charges ,44.22,percent of total billed charges ,44.22,percent of total billed charges ,37.9,percent of total billed charges ,37.9,percent of total billed charges ,37.9,percent of total billed charges ,37.9,percent of total billed charges ,,,,,33.61,percent of total billed charges ,,,,,31.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,,,17.69,percent of total billed charges,
VENLAFAXINE (EFFEXOR) 50MG I/R TAB,LOCAL,LOCAL,,,,both,,,3.16,3.16,0.88,3.16,3.16,percent of total billed charges,3.16,percent of total billed charges,3.16,percent of total billed charges,3.16,percent of total billed charges,3.16,percent of total billed charges,3.16,percent of total billed charges,3.16,percent of total billed charges,3.16,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.28,percent of total billed charges,2.34,percent of total billed charges,2.34,percent of total billed charges,2.53,percent of total billed charges,2.53,percent of total billed charges,,,2.28,percent of total billed charges ,,,2.53,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.53,percent of total billed charges ,2.53,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,,,,,1.68,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,
FERUMOXYTOL (FERAHEME) 510MG INJ,Q0138,CDM,,,,both,,,"1,162.35","1,162.35",325.46,"1,162.35","1,162.35",percent of total billed charges,"1,162.35",percent of total billed charges,"1,162.35",percent of total billed charges,"1,162.35",percent of total billed charges,"1,162.35",percent of total billed charges,"1,162.35",percent of total billed charges,"1,162.35",percent of total billed charges,"1,162.35",percent of total billed charges,836.89,percent of total billed charges,836.89,percent of total billed charges,836.89,percent of total billed charges,836.89,percent of total billed charges,836.89,percent of total billed charges,836.89,percent of total billed charges,860.14,percent of total billed charges,860.14,percent of total billed charges,929.88,percent of total billed charges,929.88,percent of total billed charges,,,836.89,percent of total billed charges ,,,929.88,percent of total billed charges ,976.37,percent of total billed charges ,976.37,percent of total billed charges ,906.63,percent of total billed charges ,906.63,percent of total billed charges ,929.88,percent of total billed charges ,929.88,percent of total billed charges ,813.65,percent of total billed charges ,813.65,percent of total billed charges ,697.41,percent of total billed charges ,697.41,percent of total billed charges ,697.41,percent of total billed charges ,697.41,percent of total billed charges ,,,,,618.37,percent of total billed charges ,,,,,587.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,,,325.46,percent of total billed charges,
PROTHROMBIN COMPLEX CONC (KCENTRA) /UNIT,J7168,CDM,,,,both,,,11.91,11.91,3.33,11.91,11.91,percent of total billed charges,11.91,percent of total billed charges,11.91,percent of total billed charges,11.91,percent of total billed charges,11.91,percent of total billed charges,11.91,percent of total billed charges,11.91,percent of total billed charges,11.91,percent of total billed charges,8.58,percent of total billed charges,8.58,percent of total billed charges,8.58,percent of total billed charges,8.58,percent of total billed charges,8.58,percent of total billed charges,8.58,percent of total billed charges,8.81,percent of total billed charges,8.81,percent of total billed charges,9.53,percent of total billed charges,9.53,percent of total billed charges,,,8.58,percent of total billed charges ,,,9.53,percent of total billed charges ,10,percent of total billed charges ,10,percent of total billed charges ,9.29,percent of total billed charges ,9.29,percent of total billed charges ,9.53,percent of total billed charges ,9.53,percent of total billed charges ,8.34,percent of total billed charges ,8.34,percent of total billed charges ,7.15,percent of total billed charges ,7.15,percent of total billed charges ,7.15,percent of total billed charges ,7.15,percent of total billed charges ,,,,,6.34,percent of total billed charges ,,,,,6.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,,,3.33,percent of total billed charges,
LOVASTATIN (MEVACOR) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
AMIOdarone (CORDARONE) 100MG TAB,LOCAL,LOCAL,,,,both,,,8.93,8.93,2.5,8.93,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,8.93,percent of total billed charges,6.43,percent of total billed charges,6.43,percent of total billed charges,6.43,percent of total billed charges,6.43,percent of total billed charges,6.43,percent of total billed charges,6.43,percent of total billed charges,6.61,percent of total billed charges,6.61,percent of total billed charges,7.14,percent of total billed charges,7.14,percent of total billed charges,,,6.43,percent of total billed charges ,,,7.14,percent of total billed charges ,7.5,percent of total billed charges ,7.5,percent of total billed charges ,6.97,percent of total billed charges ,6.97,percent of total billed charges ,7.14,percent of total billed charges ,7.14,percent of total billed charges ,6.25,percent of total billed charges ,6.25,percent of total billed charges ,5.36,percent of total billed charges ,5.36,percent of total billed charges ,5.36,percent of total billed charges ,5.36,percent of total billed charges ,,,,,4.75,percent of total billed charges ,,,,,4.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,,,2.5,percent of total billed charges,
ISOSORBIDE (ISORDIL) 5MG TAB,LOCAL,LOCAL,,,,both,,,3.64,3.64,1.02,3.64,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.91,percent of total billed charges,2.91,percent of total billed charges,,,2.62,percent of total billed charges ,,,2.91,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.91,percent of total billed charges ,2.91,percent of total billed charges ,2.55,percent of total billed charges ,2.55,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,,,,,1.94,percent of total billed charges ,,,,,1.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,
NITROPRUSSIDE 20MG/100ML RTU,LOCAL,LOCAL,,,,both,,,385.5,385.5,107.94,385.5,385.5,percent of total billed charges,385.5,percent of total billed charges,385.5,percent of total billed charges,385.5,percent of total billed charges,385.5,percent of total billed charges,385.5,percent of total billed charges,385.5,percent of total billed charges,385.5,percent of total billed charges,277.56,percent of total billed charges,277.56,percent of total billed charges,277.56,percent of total billed charges,277.56,percent of total billed charges,277.56,percent of total billed charges,277.56,percent of total billed charges,285.27,percent of total billed charges,285.27,percent of total billed charges,308.4,percent of total billed charges,308.4,percent of total billed charges,,,277.56,percent of total billed charges ,,,308.4,percent of total billed charges ,323.82,percent of total billed charges ,323.82,percent of total billed charges ,300.69,percent of total billed charges ,300.69,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,269.85,percent of total billed charges ,269.85,percent of total billed charges ,231.3,percent of total billed charges ,231.3,percent of total billed charges ,231.3,percent of total billed charges ,231.3,percent of total billed charges ,,,,,205.09,percent of total billed charges ,,,,,194.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,,,107.94,percent of total billed charges,
dexmedeTOMIDine 200MCG/2ML INJ,LOCAL,LOCAL,,,,both,,,60.63,60.63,16.98,60.63,60.63,percent of total billed charges,60.63,percent of total billed charges,60.63,percent of total billed charges,60.63,percent of total billed charges,60.63,percent of total billed charges,60.63,percent of total billed charges,60.63,percent of total billed charges,60.63,percent of total billed charges,43.65,percent of total billed charges,43.65,percent of total billed charges,43.65,percent of total billed charges,43.65,percent of total billed charges,43.65,percent of total billed charges,43.65,percent of total billed charges,44.87,percent of total billed charges,44.87,percent of total billed charges,48.5,percent of total billed charges,48.5,percent of total billed charges,,,43.65,percent of total billed charges ,,,48.5,percent of total billed charges ,50.93,percent of total billed charges ,50.93,percent of total billed charges ,47.29,percent of total billed charges ,47.29,percent of total billed charges ,48.5,percent of total billed charges ,48.5,percent of total billed charges ,42.44,percent of total billed charges ,42.44,percent of total billed charges ,36.38,percent of total billed charges ,36.38,percent of total billed charges ,36.38,percent of total billed charges ,36.38,percent of total billed charges ,,,,,32.26,percent of total billed charges ,,,,,30.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,,,16.98,percent of total billed charges,
MEPOLIZUMAB (NUCALA) 100MG FTV,J2182,CDM,,,,both,,,"14,048.63","14,048.63","3,933.62","14,048.63","14,048.63",percent of total billed charges,"14,048.63",percent of total billed charges,"14,048.63",percent of total billed charges,"14,048.63",percent of total billed charges,"14,048.63",percent of total billed charges,"14,048.63",percent of total billed charges,"14,048.63",percent of total billed charges,"14,048.63",percent of total billed charges,"10,115.01",percent of total billed charges,"10,115.01",percent of total billed charges,"10,115.01",percent of total billed charges,"10,115.01",percent of total billed charges,"10,115.01",percent of total billed charges,"10,115.01",percent of total billed charges,"10,395.99",percent of total billed charges,"10,395.99",percent of total billed charges,"11,238.90",percent of total billed charges,"11,238.90",percent of total billed charges,,,"10,115.01",percent of total billed charges ,,,"11,238.90",percent of total billed charges ,"11,800.85",percent of total billed charges ,"11,800.85",percent of total billed charges ,"10,957.93",percent of total billed charges ,"10,957.93",percent of total billed charges ,"11,238.90",percent of total billed charges ,"11,238.90",percent of total billed charges ,"9,834.04",percent of total billed charges ,"9,834.04",percent of total billed charges ,"8,429.18",percent of total billed charges ,"8,429.18",percent of total billed charges ,"8,429.18",percent of total billed charges ,"8,429.18",percent of total billed charges ,,,,,"7,473.87",percent of total billed charges ,,,,,"7,100.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,,,"3,933.62",percent of total billed charges,
VANCOMYCIN 1250MG FTV,J3370,CDM,,,,both,,,272.33,272.33,76.25,272.33,272.33,percent of total billed charges,272.33,percent of total billed charges,272.33,percent of total billed charges,272.33,percent of total billed charges,272.33,percent of total billed charges,272.33,percent of total billed charges,272.33,percent of total billed charges,272.33,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,201.52,percent of total billed charges,201.52,percent of total billed charges,217.86,percent of total billed charges,217.86,percent of total billed charges,,,196.08,percent of total billed charges ,,,217.86,percent of total billed charges ,228.76,percent of total billed charges ,228.76,percent of total billed charges ,212.42,percent of total billed charges ,212.42,percent of total billed charges ,217.86,percent of total billed charges ,217.86,percent of total billed charges ,190.63,percent of total billed charges ,190.63,percent of total billed charges ,163.4,percent of total billed charges ,163.4,percent of total billed charges ,163.4,percent of total billed charges ,163.4,percent of total billed charges ,,,,,144.88,percent of total billed charges ,,,,,137.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,,,76.25,percent of total billed charges,
VANCOMYCIN 1500MG FTV,J3370,CDM,,,,both,,,173.34,173.34,48.54,173.34,173.34,percent of total billed charges,173.34,percent of total billed charges,173.34,percent of total billed charges,173.34,percent of total billed charges,173.34,percent of total billed charges,173.34,percent of total billed charges,173.34,percent of total billed charges,173.34,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,128.27,percent of total billed charges,128.27,percent of total billed charges,138.67,percent of total billed charges,138.67,percent of total billed charges,,,124.8,percent of total billed charges ,,,138.67,percent of total billed charges ,145.61,percent of total billed charges ,145.61,percent of total billed charges ,135.21,percent of total billed charges ,135.21,percent of total billed charges ,138.67,percent of total billed charges ,138.67,percent of total billed charges ,121.34,percent of total billed charges ,121.34,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,,,,,92.22,percent of total billed charges ,,,,,87.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,,,48.54,percent of total billed charges,
"LIDOCAINE 2% W/EPI 1:100,000, 50ML VIAL",LOCAL,LOCAL,,,,both,,,75.49,75.49,21.14,75.49,75.49,percent of total billed charges,75.49,percent of total billed charges,75.49,percent of total billed charges,75.49,percent of total billed charges,75.49,percent of total billed charges,75.49,percent of total billed charges,75.49,percent of total billed charges,75.49,percent of total billed charges,54.35,percent of total billed charges,54.35,percent of total billed charges,54.35,percent of total billed charges,54.35,percent of total billed charges,54.35,percent of total billed charges,54.35,percent of total billed charges,55.86,percent of total billed charges,55.86,percent of total billed charges,60.39,percent of total billed charges,60.39,percent of total billed charges,,,54.35,percent of total billed charges ,,,60.39,percent of total billed charges ,63.41,percent of total billed charges ,63.41,percent of total billed charges ,58.88,percent of total billed charges ,58.88,percent of total billed charges ,60.39,percent of total billed charges ,60.39,percent of total billed charges ,52.84,percent of total billed charges ,52.84,percent of total billed charges ,45.29,percent of total billed charges ,45.29,percent of total billed charges ,45.29,percent of total billed charges ,45.29,percent of total billed charges ,,,,,40.16,percent of total billed charges ,,,,,38.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,,,21.14,percent of total billed charges,
DAPTOmycin (CUBICIN) 350MG VIAL,J0878,CDM,,,,both,,,265.25,265.25,74.27,265.25,265.25,percent of total billed charges,265.25,percent of total billed charges,265.25,percent of total billed charges,265.25,percent of total billed charges,265.25,percent of total billed charges,265.25,percent of total billed charges,265.25,percent of total billed charges,265.25,percent of total billed charges,190.98,percent of total billed charges,190.98,percent of total billed charges,190.98,percent of total billed charges,190.98,percent of total billed charges,190.98,percent of total billed charges,190.98,percent of total billed charges,196.29,percent of total billed charges,196.29,percent of total billed charges,212.2,percent of total billed charges,212.2,percent of total billed charges,,,190.98,percent of total billed charges ,,,212.2,percent of total billed charges ,222.81,percent of total billed charges ,222.81,percent of total billed charges ,206.9,percent of total billed charges ,206.9,percent of total billed charges ,212.2,percent of total billed charges ,212.2,percent of total billed charges ,185.68,percent of total billed charges ,185.68,percent of total billed charges ,159.15,percent of total billed charges ,159.15,percent of total billed charges ,159.15,percent of total billed charges ,159.15,percent of total billed charges ,,,,,141.11,percent of total billed charges ,,,,,134.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,,,74.27,percent of total billed charges,
COLISTIMETHATE: 150MG INJ,J0770,CDM,,,,both,,,127.64,127.64,35.74,127.64,127.64,percent of total billed charges,127.64,percent of total billed charges,127.64,percent of total billed charges,127.64,percent of total billed charges,127.64,percent of total billed charges,127.64,percent of total billed charges,127.64,percent of total billed charges,127.64,percent of total billed charges,91.9,percent of total billed charges,91.9,percent of total billed charges,91.9,percent of total billed charges,91.9,percent of total billed charges,91.9,percent of total billed charges,91.9,percent of total billed charges,94.45,percent of total billed charges,94.45,percent of total billed charges,102.11,percent of total billed charges,102.11,percent of total billed charges,,,91.9,percent of total billed charges ,,,102.11,percent of total billed charges ,107.22,percent of total billed charges ,107.22,percent of total billed charges ,99.56,percent of total billed charges ,99.56,percent of total billed charges ,102.11,percent of total billed charges ,102.11,percent of total billed charges ,89.35,percent of total billed charges ,89.35,percent of total billed charges ,76.58,percent of total billed charges ,76.58,percent of total billed charges ,76.58,percent of total billed charges ,76.58,percent of total billed charges ,,,,,67.9,percent of total billed charges ,,,,,64.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,,,35.74,percent of total billed charges,
LEVONORGESTEROL (PLAN B) 1.5 MG TAB,LOCAL,LOCAL,,,,both,,,89.25,89.25,24.99,89.25,89.25,percent of total billed charges,89.25,percent of total billed charges,89.25,percent of total billed charges,89.25,percent of total billed charges,89.25,percent of total billed charges,89.25,percent of total billed charges,89.25,percent of total billed charges,89.25,percent of total billed charges,64.26,percent of total billed charges,64.26,percent of total billed charges,64.26,percent of total billed charges,64.26,percent of total billed charges,64.26,percent of total billed charges,64.26,percent of total billed charges,66.05,percent of total billed charges,66.05,percent of total billed charges,71.4,percent of total billed charges,71.4,percent of total billed charges,,,64.26,percent of total billed charges ,,,71.4,percent of total billed charges ,74.97,percent of total billed charges ,74.97,percent of total billed charges ,69.62,percent of total billed charges ,69.62,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,62.48,percent of total billed charges ,62.48,percent of total billed charges ,53.55,percent of total billed charges ,53.55,percent of total billed charges ,53.55,percent of total billed charges ,53.55,percent of total billed charges ,,,,,47.48,percent of total billed charges ,,,,,45.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,,,24.99,percent of total billed charges,
MELATONIN 5MG TAB,LOCAL,LOCAL,,,,both,,,1.12,1.12,0.31,1.12,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,,,0.81,percent of total billed charges ,,,0.9,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,,,,,0.6,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
FOSFOMYCIN (MONUROL) 3GM O/S,LOCAL,LOCAL,,,,both,,,130.76,130.76,36.61,130.76,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,130.76,percent of total billed charges,94.15,percent of total billed charges,94.15,percent of total billed charges,94.15,percent of total billed charges,94.15,percent of total billed charges,94.15,percent of total billed charges,94.15,percent of total billed charges,96.76,percent of total billed charges,96.76,percent of total billed charges,104.61,percent of total billed charges,104.61,percent of total billed charges,,,94.15,percent of total billed charges ,,,104.61,percent of total billed charges ,109.84,percent of total billed charges ,109.84,percent of total billed charges ,101.99,percent of total billed charges ,101.99,percent of total billed charges ,104.61,percent of total billed charges ,104.61,percent of total billed charges ,91.53,percent of total billed charges ,91.53,percent of total billed charges ,78.46,percent of total billed charges ,78.46,percent of total billed charges ,78.46,percent of total billed charges ,78.46,percent of total billed charges ,,,,,69.56,percent of total billed charges ,,,,,66.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,,,36.61,percent of total billed charges,
HUMAN PAPILLOVIRUS (GARDASIL) 0.5MG INJ,90651,CDM,,,,both,,,829.15,829.15,232.16,829.15,829.15,percent of total billed charges,829.15,percent of total billed charges,829.15,percent of total billed charges,829.15,percent of total billed charges,829.15,percent of total billed charges,829.15,percent of total billed charges,829.15,percent of total billed charges,829.15,percent of total billed charges,596.99,percent of total billed charges,596.99,percent of total billed charges,596.99,percent of total billed charges,596.99,percent of total billed charges,596.99,percent of total billed charges,596.99,percent of total billed charges,613.57,percent of total billed charges,613.57,percent of total billed charges,663.32,percent of total billed charges,663.32,percent of total billed charges,,,596.99,percent of total billed charges ,,,663.32,percent of total billed charges ,696.49,percent of total billed charges ,696.49,percent of total billed charges ,646.74,percent of total billed charges ,646.74,percent of total billed charges ,663.32,percent of total billed charges ,663.32,percent of total billed charges ,580.41,percent of total billed charges ,580.41,percent of total billed charges ,497.49,percent of total billed charges ,497.49,percent of total billed charges ,497.49,percent of total billed charges ,497.49,percent of total billed charges ,,,,,441.11,percent of total billed charges ,,,,,419.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,,,232.16,percent of total billed charges,
metFORMIN ER (GLUCOPHAGE) 750 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
FILGRASTIM-SNDZ (ZARXIO) 480MCG INJ,Q5101,CDM,,,,both,,,724.81,724.81,202.95,724.81,724.81,percent of total billed charges,724.81,percent of total billed charges,724.81,percent of total billed charges,724.81,percent of total billed charges,724.81,percent of total billed charges,724.81,percent of total billed charges,724.81,percent of total billed charges,724.81,percent of total billed charges,521.86,percent of total billed charges,521.86,percent of total billed charges,521.86,percent of total billed charges,521.86,percent of total billed charges,521.86,percent of total billed charges,521.86,percent of total billed charges,536.36,percent of total billed charges,536.36,percent of total billed charges,579.85,percent of total billed charges,579.85,percent of total billed charges,,,521.86,percent of total billed charges ,,,579.85,percent of total billed charges ,608.84,percent of total billed charges ,608.84,percent of total billed charges ,565.35,percent of total billed charges ,565.35,percent of total billed charges ,579.85,percent of total billed charges ,579.85,percent of total billed charges ,507.37,percent of total billed charges ,507.37,percent of total billed charges ,434.89,percent of total billed charges ,434.89,percent of total billed charges ,434.89,percent of total billed charges ,434.89,percent of total billed charges ,,,,,385.6,percent of total billed charges ,,,,,366.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,,,202.95,percent of total billed charges,
CEFPODOXIME (VANTIN) 100MG TAB,LOCAL,LOCAL,,,,both,,,10.4,10.4,2.91,10.4,10.4,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,7.49,percent of total billed charges,7.49,percent of total billed charges,7.49,percent of total billed charges,7.49,percent of total billed charges,7.49,percent of total billed charges,7.49,percent of total billed charges,7.7,percent of total billed charges,7.7,percent of total billed charges,8.32,percent of total billed charges,8.32,percent of total billed charges,,,7.49,percent of total billed charges ,,,8.32,percent of total billed charges ,8.74,percent of total billed charges ,8.74,percent of total billed charges ,8.11,percent of total billed charges ,8.11,percent of total billed charges ,8.32,percent of total billed charges ,8.32,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,,,,,5.53,percent of total billed charges ,,,,,5.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,,,2.91,percent of total billed charges,
UMECLIDINIUM 62.5MCG (INCRUSE) INHALER,LOCAL,LOCAL,,,,both,,,191.39,191.39,53.59,191.39,191.39,percent of total billed charges,191.39,percent of total billed charges,191.39,percent of total billed charges,191.39,percent of total billed charges,191.39,percent of total billed charges,191.39,percent of total billed charges,191.39,percent of total billed charges,191.39,percent of total billed charges,137.8,percent of total billed charges,137.8,percent of total billed charges,137.8,percent of total billed charges,137.8,percent of total billed charges,137.8,percent of total billed charges,137.8,percent of total billed charges,141.63,percent of total billed charges,141.63,percent of total billed charges,153.11,percent of total billed charges,153.11,percent of total billed charges,,,137.8,percent of total billed charges ,,,153.11,percent of total billed charges ,160.77,percent of total billed charges ,160.77,percent of total billed charges ,149.28,percent of total billed charges ,149.28,percent of total billed charges ,153.11,percent of total billed charges ,153.11,percent of total billed charges ,133.97,percent of total billed charges ,133.97,percent of total billed charges ,114.83,percent of total billed charges ,114.83,percent of total billed charges ,114.83,percent of total billed charges ,114.83,percent of total billed charges ,,,,,101.82,percent of total billed charges ,,,,,96.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,,,53.59,percent of total billed charges,
dexAMETHasone (DECADRON) 2 MG TAB,LOCAL,LOCAL,,,,both,,,3.33,3.33,0.93,3.33,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,,,2.4,percent of total billed charges ,,,2.66,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.33,percent of total billed charges ,2.33,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,,,,,1.77,percent of total billed charges ,,,,,1.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,
IBANDRONATE (BONIVA) 3MG/3ML INJ,J1740,CDM,,,,both,,,500.27,500.27,140.08,500.27,500.27,percent of total billed charges,500.27,percent of total billed charges,500.27,percent of total billed charges,500.27,percent of total billed charges,500.27,percent of total billed charges,500.27,percent of total billed charges,500.27,percent of total billed charges,500.27,percent of total billed charges,360.19,percent of total billed charges,360.19,percent of total billed charges,360.19,percent of total billed charges,360.19,percent of total billed charges,360.19,percent of total billed charges,360.19,percent of total billed charges,370.2,percent of total billed charges,370.2,percent of total billed charges,400.22,percent of total billed charges,400.22,percent of total billed charges,,,360.19,percent of total billed charges ,,,400.22,percent of total billed charges ,420.23,percent of total billed charges ,420.23,percent of total billed charges ,390.21,percent of total billed charges ,390.21,percent of total billed charges ,400.22,percent of total billed charges ,400.22,percent of total billed charges ,350.19,percent of total billed charges ,350.19,percent of total billed charges ,300.16,percent of total billed charges ,300.16,percent of total billed charges ,300.16,percent of total billed charges ,300.16,percent of total billed charges ,,,,,266.14,percent of total billed charges ,,,,,252.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,,,140.08,percent of total billed charges,
VANCOMYCIN 2000MG/400ML PM IVPB,J3370,CDM,,,,both,,,306.44,306.44,85.8,306.44,306.44,percent of total billed charges,306.44,percent of total billed charges,306.44,percent of total billed charges,306.44,percent of total billed charges,306.44,percent of total billed charges,306.44,percent of total billed charges,306.44,percent of total billed charges,306.44,percent of total billed charges,220.64,percent of total billed charges,220.64,percent of total billed charges,220.64,percent of total billed charges,220.64,percent of total billed charges,220.64,percent of total billed charges,220.64,percent of total billed charges,226.77,percent of total billed charges,226.77,percent of total billed charges,245.15,percent of total billed charges,245.15,percent of total billed charges,,,220.64,percent of total billed charges ,,,245.15,percent of total billed charges ,257.41,percent of total billed charges ,257.41,percent of total billed charges ,239.02,percent of total billed charges ,239.02,percent of total billed charges ,245.15,percent of total billed charges ,245.15,percent of total billed charges ,214.51,percent of total billed charges ,214.51,percent of total billed charges ,183.86,percent of total billed charges ,183.86,percent of total billed charges ,183.86,percent of total billed charges ,183.86,percent of total billed charges ,,,,,163.03,percent of total billed charges ,,,,,154.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,,,85.8,percent of total billed charges,
VANCOMYCIN 1500MG IN 300ML PM IVPB,J3370,CDM,,,,both,,,272.34,272.34,76.26,272.34,272.34,percent of total billed charges,272.34,percent of total billed charges,272.34,percent of total billed charges,272.34,percent of total billed charges,272.34,percent of total billed charges,272.34,percent of total billed charges,272.34,percent of total billed charges,272.34,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,196.08,percent of total billed charges,201.53,percent of total billed charges,201.53,percent of total billed charges,217.87,percent of total billed charges,217.87,percent of total billed charges,,,196.08,percent of total billed charges ,,,217.87,percent of total billed charges ,228.77,percent of total billed charges ,228.77,percent of total billed charges ,212.43,percent of total billed charges ,212.43,percent of total billed charges ,217.87,percent of total billed charges ,217.87,percent of total billed charges ,190.64,percent of total billed charges ,190.64,percent of total billed charges ,163.4,percent of total billed charges ,163.4,percent of total billed charges ,163.4,percent of total billed charges ,163.4,percent of total billed charges ,,,,,144.88,percent of total billed charges ,,,,,137.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,,,76.26,percent of total billed charges,
RABIES IMMUNE GLOB: 1500 U (5ML),90375,CDM,,,,both,,,"21,466.61","21,466.61","6,010.65","21,466.61","21,466.61",percent of total billed charges,"21,466.61",percent of total billed charges,"21,466.61",percent of total billed charges,"21,466.61",percent of total billed charges,"21,466.61",percent of total billed charges,"21,466.61",percent of total billed charges,"21,466.61",percent of total billed charges,"21,466.61",percent of total billed charges,"15,455.96",percent of total billed charges,"15,455.96",percent of total billed charges,"15,455.96",percent of total billed charges,"15,455.96",percent of total billed charges,"15,455.96",percent of total billed charges,"15,455.96",percent of total billed charges,"15,885.29",percent of total billed charges,"15,885.29",percent of total billed charges,"17,173.29",percent of total billed charges,"17,173.29",percent of total billed charges,,,"15,455.96",percent of total billed charges ,,,"17,173.29",percent of total billed charges ,"18,031.95",percent of total billed charges ,"18,031.95",percent of total billed charges ,"16,743.96",percent of total billed charges ,"16,743.96",percent of total billed charges ,"17,173.29",percent of total billed charges ,"17,173.29",percent of total billed charges ,"15,026.63",percent of total billed charges ,"15,026.63",percent of total billed charges ,"12,879.97",percent of total billed charges ,"12,879.97",percent of total billed charges ,"12,879.97",percent of total billed charges ,"12,879.97",percent of total billed charges ,,,,,"11,420.24",percent of total billed charges ,,,,,"10,849.22",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,,,"6,010.65",percent of total billed charges,
EMPAGLIFLOZIN (JARDIANCE) 10 MG TAB,LOCAL,LOCAL,,,,both,,,59.81,59.81,16.75,59.81,59.81,percent of total billed charges,59.81,percent of total billed charges,59.81,percent of total billed charges,59.81,percent of total billed charges,59.81,percent of total billed charges,59.81,percent of total billed charges,59.81,percent of total billed charges,59.81,percent of total billed charges,43.06,percent of total billed charges,43.06,percent of total billed charges,43.06,percent of total billed charges,43.06,percent of total billed charges,43.06,percent of total billed charges,43.06,percent of total billed charges,44.26,percent of total billed charges,44.26,percent of total billed charges,47.85,percent of total billed charges,47.85,percent of total billed charges,,,43.06,percent of total billed charges ,,,47.85,percent of total billed charges ,50.24,percent of total billed charges ,50.24,percent of total billed charges ,46.65,percent of total billed charges ,46.65,percent of total billed charges ,47.85,percent of total billed charges ,47.85,percent of total billed charges ,41.87,percent of total billed charges ,41.87,percent of total billed charges ,35.89,percent of total billed charges ,35.89,percent of total billed charges ,35.89,percent of total billed charges ,35.89,percent of total billed charges ,,,,,31.82,percent of total billed charges ,,,,,30.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,
BUPivacaine 0.5%W/EPI1:200 MPF 30ML:SDV,LOCAL,LOCAL,,,,both,,,177.84,177.84,49.8,177.84,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,128.04,percent of total billed charges,128.04,percent of total billed charges,128.04,percent of total billed charges,128.04,percent of total billed charges,128.04,percent of total billed charges,128.04,percent of total billed charges,131.6,percent of total billed charges,131.6,percent of total billed charges,142.27,percent of total billed charges,142.27,percent of total billed charges,,,128.04,percent of total billed charges ,,,142.27,percent of total billed charges ,149.39,percent of total billed charges ,149.39,percent of total billed charges ,138.72,percent of total billed charges ,138.72,percent of total billed charges ,142.27,percent of total billed charges ,142.27,percent of total billed charges ,124.49,percent of total billed charges ,124.49,percent of total billed charges ,106.7,percent of total billed charges ,106.7,percent of total billed charges ,106.7,percent of total billed charges ,106.7,percent of total billed charges ,,,,,94.61,percent of total billed charges ,,,,,89.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,,,49.8,percent of total billed charges,
ALPHA-PROTEINASE INH (PROLASTIN)  1 GM,J0256,CDM,,,,both,,,"4,008.49","4,008.49","1,122.38","4,008.49","4,008.49",percent of total billed charges,"4,008.49",percent of total billed charges,"4,008.49",percent of total billed charges,"4,008.49",percent of total billed charges,"4,008.49",percent of total billed charges,"4,008.49",percent of total billed charges,"4,008.49",percent of total billed charges,"4,008.49",percent of total billed charges,"2,886.11",percent of total billed charges,"2,886.11",percent of total billed charges,"2,886.11",percent of total billed charges,"2,886.11",percent of total billed charges,"2,886.11",percent of total billed charges,"2,886.11",percent of total billed charges,"2,966.28",percent of total billed charges,"2,966.28",percent of total billed charges,"3,206.79",percent of total billed charges,"3,206.79",percent of total billed charges,,,"2,886.11",percent of total billed charges ,,,"3,206.79",percent of total billed charges ,"3,367.13",percent of total billed charges ,"3,367.13",percent of total billed charges ,"3,126.62",percent of total billed charges ,"3,126.62",percent of total billed charges ,"3,206.79",percent of total billed charges ,"3,206.79",percent of total billed charges ,"2,805.94",percent of total billed charges ,"2,805.94",percent of total billed charges ,"2,405.09",percent of total billed charges ,"2,405.09",percent of total billed charges ,"2,405.09",percent of total billed charges ,"2,405.09",percent of total billed charges ,,,,,"2,132.52",percent of total billed charges ,,,,,"2,025.89",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,,,"1,122.38",percent of total billed charges,
HALOPERIDOL (HALDOL) 0.5MG TAB,LOCAL,LOCAL,,,,both,,,1.22,1.22,0.34,1.22,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,,,0.88,percent of total billed charges ,,,0.98,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,,,,,0.65,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
RABIES IMMUNE GLOB: 300 units/ml,90375,CDM,,,,both,,,"3,352.92","3,352.92",938.82,"3,352.92","3,352.92",percent of total billed charges,"3,352.92",percent of total billed charges,"3,352.92",percent of total billed charges,"3,352.92",percent of total billed charges,"3,352.92",percent of total billed charges,"3,352.92",percent of total billed charges,"3,352.92",percent of total billed charges,"3,352.92",percent of total billed charges,"2,414.10",percent of total billed charges,"2,414.10",percent of total billed charges,"2,414.10",percent of total billed charges,"2,414.10",percent of total billed charges,"2,414.10",percent of total billed charges,"2,414.10",percent of total billed charges,"2,481.16",percent of total billed charges,"2,481.16",percent of total billed charges,"2,682.34",percent of total billed charges,"2,682.34",percent of total billed charges,,,"2,414.10",percent of total billed charges ,,,"2,682.34",percent of total billed charges ,"2,816.45",percent of total billed charges ,"2,816.45",percent of total billed charges ,"2,615.28",percent of total billed charges ,"2,615.28",percent of total billed charges ,"2,682.34",percent of total billed charges ,"2,682.34",percent of total billed charges ,"2,347.04",percent of total billed charges ,"2,347.04",percent of total billed charges ,"2,011.75",percent of total billed charges ,"2,011.75",percent of total billed charges ,"2,011.75",percent of total billed charges ,"2,011.75",percent of total billed charges ,,,,,"1,783.75",percent of total billed charges ,,,,,"1,694.57",percent of total billed charges ,,,,,,,,,,,,,,,,,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,,,938.82,percent of total billed charges,
sitaGLIPtin (JANUVIA) 50MG TAB,LOCAL,LOCAL,,,,both,,,56.16,56.16,15.72,56.16,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,41.56,percent of total billed charges,41.56,percent of total billed charges,44.93,percent of total billed charges,44.93,percent of total billed charges,,,40.44,percent of total billed charges ,,,44.93,percent of total billed charges ,47.17,percent of total billed charges ,47.17,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,44.93,percent of total billed charges ,44.93,percent of total billed charges ,39.31,percent of total billed charges ,39.31,percent of total billed charges ,33.7,percent of total billed charges ,33.7,percent of total billed charges ,33.7,percent of total billed charges ,33.7,percent of total billed charges ,,,,,29.88,percent of total billed charges ,,,,,28.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,,,15.72,percent of total billed charges,
OCRELIZUMAB (OCREVUS) 300MG/10ML INJ,J2350,CDM,,,,both,,,"71,535.04","71,535.04","20,029.81","71,535.04","71,535.04",percent of total billed charges,"71,535.04",percent of total billed charges,"71,535.04",percent of total billed charges,"71,535.04",percent of total billed charges,"71,535.04",percent of total billed charges,"71,535.04",percent of total billed charges,"71,535.04",percent of total billed charges,"71,535.04",percent of total billed charges,"51,505.23",percent of total billed charges,"51,505.23",percent of total billed charges,"51,505.23",percent of total billed charges,"51,505.23",percent of total billed charges,"51,505.23",percent of total billed charges,"51,505.23",percent of total billed charges,"52,935.93",percent of total billed charges,"52,935.93",percent of total billed charges,"57,228.03",percent of total billed charges,"57,228.03",percent of total billed charges,,,"51,505.23",percent of total billed charges ,,,"57,228.03",percent of total billed charges ,"60,089.43",percent of total billed charges ,"60,089.43",percent of total billed charges ,"55,797.33",percent of total billed charges ,"55,797.33",percent of total billed charges ,"57,228.03",percent of total billed charges ,"57,228.03",percent of total billed charges ,"50,074.53",percent of total billed charges ,"50,074.53",percent of total billed charges ,"42,921.02",percent of total billed charges ,"42,921.02",percent of total billed charges ,"42,921.02",percent of total billed charges ,"42,921.02",percent of total billed charges ,,,,,"38,056.64",percent of total billed charges ,,,,,"36,153.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,,,"20,029.81",percent of total billed charges,
FULVESTRANT (FASLODEX) 250MG INJ: 2X5ML,J9395,CDM,,,,both,,,564.03,564.03,157.93,564.03,564.03,percent of total billed charges,564.03,percent of total billed charges,564.03,percent of total billed charges,564.03,percent of total billed charges,564.03,percent of total billed charges,564.03,percent of total billed charges,564.03,percent of total billed charges,564.03,percent of total billed charges,406.1,percent of total billed charges,406.1,percent of total billed charges,406.1,percent of total billed charges,406.1,percent of total billed charges,406.1,percent of total billed charges,406.1,percent of total billed charges,417.38,percent of total billed charges,417.38,percent of total billed charges,451.22,percent of total billed charges,451.22,percent of total billed charges,,,406.1,percent of total billed charges ,,,451.22,percent of total billed charges ,473.79,percent of total billed charges ,473.79,percent of total billed charges ,439.94,percent of total billed charges ,439.94,percent of total billed charges ,451.22,percent of total billed charges ,451.22,percent of total billed charges ,394.82,percent of total billed charges ,394.82,percent of total billed charges ,338.42,percent of total billed charges ,338.42,percent of total billed charges ,338.42,percent of total billed charges ,338.42,percent of total billed charges ,,,,,300.06,percent of total billed charges ,,,,,285.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,,,157.93,percent of total billed charges,
NALOXONE (NARCAN) 4MG/10ML FTV,J2310,CDM,,,,both,,,65.1,65.1,18.23,65.1,65.1,percent of total billed charges,65.1,percent of total billed charges,65.1,percent of total billed charges,65.1,percent of total billed charges,65.1,percent of total billed charges,65.1,percent of total billed charges,65.1,percent of total billed charges,65.1,percent of total billed charges,46.87,percent of total billed charges,46.87,percent of total billed charges,46.87,percent of total billed charges,46.87,percent of total billed charges,46.87,percent of total billed charges,46.87,percent of total billed charges,48.17,percent of total billed charges,48.17,percent of total billed charges,52.08,percent of total billed charges,52.08,percent of total billed charges,,,46.87,percent of total billed charges ,,,52.08,percent of total billed charges ,54.68,percent of total billed charges ,54.68,percent of total billed charges ,50.78,percent of total billed charges ,50.78,percent of total billed charges ,52.08,percent of total billed charges ,52.08,percent of total billed charges ,45.57,percent of total billed charges ,45.57,percent of total billed charges ,39.06,percent of total billed charges ,39.06,percent of total billed charges ,39.06,percent of total billed charges ,39.06,percent of total billed charges ,,,,,34.63,percent of total billed charges ,,,,,32.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,,,18.23,percent of total billed charges,
ITRACONAZOLE (SPORANOX) 10MG/ML: 1ML O/S,LOCAL,LOCAL,,,,both,,,9.58,9.58,2.68,9.58,9.58,percent of total billed charges,9.58,percent of total billed charges,9.58,percent of total billed charges,9.58,percent of total billed charges,9.58,percent of total billed charges,9.58,percent of total billed charges,9.58,percent of total billed charges,9.58,percent of total billed charges,6.9,percent of total billed charges,6.9,percent of total billed charges,6.9,percent of total billed charges,6.9,percent of total billed charges,6.9,percent of total billed charges,6.9,percent of total billed charges,7.09,percent of total billed charges,7.09,percent of total billed charges,7.66,percent of total billed charges,7.66,percent of total billed charges,,,6.9,percent of total billed charges ,,,7.66,percent of total billed charges ,8.05,percent of total billed charges ,8.05,percent of total billed charges ,7.47,percent of total billed charges ,7.47,percent of total billed charges ,7.66,percent of total billed charges ,7.66,percent of total billed charges ,6.71,percent of total billed charges ,6.71,percent of total billed charges ,5.75,percent of total billed charges ,5.75,percent of total billed charges ,5.75,percent of total billed charges ,5.75,percent of total billed charges ,,,,,5.1,percent of total billed charges ,,,,,4.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,
FLUTIC/UMECLI/VILAN (TRELEGY)100/62.5/25,LOCAL,LOCAL,,,,both,,,554.93,554.93,155.38,554.93,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,410.65,percent of total billed charges,410.65,percent of total billed charges,443.94,percent of total billed charges,443.94,percent of total billed charges,,,399.55,percent of total billed charges ,,,443.94,percent of total billed charges ,466.14,percent of total billed charges ,466.14,percent of total billed charges ,432.85,percent of total billed charges ,432.85,percent of total billed charges ,443.94,percent of total billed charges ,443.94,percent of total billed charges ,388.45,percent of total billed charges ,388.45,percent of total billed charges ,332.96,percent of total billed charges ,332.96,percent of total billed charges ,332.96,percent of total billed charges ,332.96,percent of total billed charges ,,,,,295.22,percent of total billed charges ,,,,,280.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,
ORITAVANCIN (ORBATIV) 400MG VIAL,J2407,CDM,,,,both,,,"4,220.39","4,220.39","1,181.71","4,220.39","4,220.39",percent of total billed charges,"4,220.39",percent of total billed charges,"4,220.39",percent of total billed charges,"4,220.39",percent of total billed charges,"4,220.39",percent of total billed charges,"4,220.39",percent of total billed charges,"4,220.39",percent of total billed charges,"4,220.39",percent of total billed charges,"3,038.68",percent of total billed charges,"3,038.68",percent of total billed charges,"3,038.68",percent of total billed charges,"3,038.68",percent of total billed charges,"3,038.68",percent of total billed charges,"3,038.68",percent of total billed charges,"3,123.09",percent of total billed charges,"3,123.09",percent of total billed charges,"3,376.31",percent of total billed charges,"3,376.31",percent of total billed charges,,,"3,038.68",percent of total billed charges ,,,"3,376.31",percent of total billed charges ,"3,545.13",percent of total billed charges ,"3,545.13",percent of total billed charges ,"3,291.90",percent of total billed charges ,"3,291.90",percent of total billed charges ,"3,376.31",percent of total billed charges ,"3,376.31",percent of total billed charges ,"2,954.27",percent of total billed charges ,"2,954.27",percent of total billed charges ,"2,532.23",percent of total billed charges ,"2,532.23",percent of total billed charges ,"2,532.23",percent of total billed charges ,"2,532.23",percent of total billed charges ,,,,,"2,245.25",percent of total billed charges ,,,,,"2,132.99",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,,,"1,181.71",percent of total billed charges,
RIVAROXABAN (XARELTO) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,27.24,27.24,7.63,27.24,27.24,percent of total billed charges,27.24,percent of total billed charges,27.24,percent of total billed charges,27.24,percent of total billed charges,27.24,percent of total billed charges,27.24,percent of total billed charges,27.24,percent of total billed charges,27.24,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,21.79,percent of total billed charges,21.79,percent of total billed charges,,,19.61,percent of total billed charges ,,,21.79,percent of total billed charges ,22.88,percent of total billed charges ,22.88,percent of total billed charges ,21.25,percent of total billed charges ,21.25,percent of total billed charges ,21.79,percent of total billed charges ,21.79,percent of total billed charges ,19.07,percent of total billed charges ,19.07,percent of total billed charges ,16.34,percent of total billed charges ,16.34,percent of total billed charges ,16.34,percent of total billed charges ,16.34,percent of total billed charges ,,,,,14.49,percent of total billed charges ,,,,,13.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,,,7.63,percent of total billed charges,
SODIUM THIOSULFATE 12.5 GM / 50 ML INJ,LOCAL,LOCAL,,,,both,,,680.85,680.85,190.64,680.85,680.85,percent of total billed charges,680.85,percent of total billed charges,680.85,percent of total billed charges,680.85,percent of total billed charges,680.85,percent of total billed charges,680.85,percent of total billed charges,680.85,percent of total billed charges,680.85,percent of total billed charges,490.21,percent of total billed charges,490.21,percent of total billed charges,490.21,percent of total billed charges,490.21,percent of total billed charges,490.21,percent of total billed charges,490.21,percent of total billed charges,503.83,percent of total billed charges,503.83,percent of total billed charges,544.68,percent of total billed charges,544.68,percent of total billed charges,,,490.21,percent of total billed charges ,,,544.68,percent of total billed charges ,571.91,percent of total billed charges ,571.91,percent of total billed charges ,531.06,percent of total billed charges ,531.06,percent of total billed charges ,544.68,percent of total billed charges ,544.68,percent of total billed charges ,476.6,percent of total billed charges ,476.6,percent of total billed charges ,408.51,percent of total billed charges ,408.51,percent of total billed charges ,408.51,percent of total billed charges ,408.51,percent of total billed charges ,,,,,362.21,percent of total billed charges ,,,,,344.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,,,190.64,percent of total billed charges,
FLUTICASONE/VILANTROL (BREO) 200/25 INH,LOCAL,LOCAL,,,,both,,,450.88,450.88,126.25,450.88,450.88,percent of total billed charges,450.88,percent of total billed charges,450.88,percent of total billed charges,450.88,percent of total billed charges,450.88,percent of total billed charges,450.88,percent of total billed charges,450.88,percent of total billed charges,450.88,percent of total billed charges,324.63,percent of total billed charges,324.63,percent of total billed charges,324.63,percent of total billed charges,324.63,percent of total billed charges,324.63,percent of total billed charges,324.63,percent of total billed charges,333.65,percent of total billed charges,333.65,percent of total billed charges,360.7,percent of total billed charges,360.7,percent of total billed charges,,,324.63,percent of total billed charges ,,,360.7,percent of total billed charges ,378.74,percent of total billed charges ,378.74,percent of total billed charges ,351.69,percent of total billed charges ,351.69,percent of total billed charges ,360.7,percent of total billed charges ,360.7,percent of total billed charges ,315.62,percent of total billed charges ,315.62,percent of total billed charges ,270.53,percent of total billed charges ,270.53,percent of total billed charges ,270.53,percent of total billed charges ,270.53,percent of total billed charges ,,,,,239.87,percent of total billed charges ,,,,,227.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,,,126.25,percent of total billed charges,
FLUTICASONE (ARNUITY) 200MCG INHALER,LOCAL,LOCAL,,,,both,,,430.19,430.19,120.45,430.19,430.19,percent of total billed charges,430.19,percent of total billed charges,430.19,percent of total billed charges,430.19,percent of total billed charges,430.19,percent of total billed charges,430.19,percent of total billed charges,430.19,percent of total billed charges,430.19,percent of total billed charges,309.74,percent of total billed charges,309.74,percent of total billed charges,309.74,percent of total billed charges,309.74,percent of total billed charges,309.74,percent of total billed charges,309.74,percent of total billed charges,318.34,percent of total billed charges,318.34,percent of total billed charges,344.15,percent of total billed charges,344.15,percent of total billed charges,,,309.74,percent of total billed charges ,,,344.15,percent of total billed charges ,361.36,percent of total billed charges ,361.36,percent of total billed charges ,335.55,percent of total billed charges ,335.55,percent of total billed charges ,344.15,percent of total billed charges ,344.15,percent of total billed charges ,301.13,percent of total billed charges ,301.13,percent of total billed charges ,258.11,percent of total billed charges ,258.11,percent of total billed charges ,258.11,percent of total billed charges ,258.11,percent of total billed charges ,,,,,228.86,percent of total billed charges ,,,,,217.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,,,120.45,percent of total billed charges,
FLUTICASONE (ARNUITY) 100MCG INHALER,LOCAL,LOCAL,,,,both,,,231.29,231.29,64.76,231.29,231.29,percent of total billed charges,231.29,percent of total billed charges,231.29,percent of total billed charges,231.29,percent of total billed charges,231.29,percent of total billed charges,231.29,percent of total billed charges,231.29,percent of total billed charges,231.29,percent of total billed charges,166.53,percent of total billed charges,166.53,percent of total billed charges,166.53,percent of total billed charges,166.53,percent of total billed charges,166.53,percent of total billed charges,166.53,percent of total billed charges,171.15,percent of total billed charges,171.15,percent of total billed charges,185.03,percent of total billed charges,185.03,percent of total billed charges,,,166.53,percent of total billed charges ,,,185.03,percent of total billed charges ,194.28,percent of total billed charges ,194.28,percent of total billed charges ,180.41,percent of total billed charges ,180.41,percent of total billed charges ,185.03,percent of total billed charges ,185.03,percent of total billed charges ,161.9,percent of total billed charges ,161.9,percent of total billed charges ,138.77,percent of total billed charges ,138.77,percent of total billed charges ,138.77,percent of total billed charges ,138.77,percent of total billed charges ,,,,,123.05,percent of total billed charges ,,,,,116.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,,,64.76,percent of total billed charges,
UMECLIDINIUM 62.5/VILANTROL 25MCG(ANORO),LOCAL,LOCAL,,,,both,,,283.01,283.01,79.24,283.01,283.01,percent of total billed charges,283.01,percent of total billed charges,283.01,percent of total billed charges,283.01,percent of total billed charges,283.01,percent of total billed charges,283.01,percent of total billed charges,283.01,percent of total billed charges,283.01,percent of total billed charges,203.77,percent of total billed charges,203.77,percent of total billed charges,203.77,percent of total billed charges,203.77,percent of total billed charges,203.77,percent of total billed charges,203.77,percent of total billed charges,209.43,percent of total billed charges,209.43,percent of total billed charges,226.41,percent of total billed charges,226.41,percent of total billed charges,,,203.77,percent of total billed charges ,,,226.41,percent of total billed charges ,237.73,percent of total billed charges ,237.73,percent of total billed charges ,220.75,percent of total billed charges ,220.75,percent of total billed charges ,226.41,percent of total billed charges ,226.41,percent of total billed charges ,198.11,percent of total billed charges ,198.11,percent of total billed charges ,169.81,percent of total billed charges ,169.81,percent of total billed charges ,169.81,percent of total billed charges ,169.81,percent of total billed charges ,,,,,150.56,percent of total billed charges ,,,,,143.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,,,79.24,percent of total billed charges,
FLUTICASONE/VILANTROL (BREO) 100/25 INH,LOCAL,LOCAL,,,,both,,,437.69,437.69,122.55,437.69,437.69,percent of total billed charges,437.69,percent of total billed charges,437.69,percent of total billed charges,437.69,percent of total billed charges,437.69,percent of total billed charges,437.69,percent of total billed charges,437.69,percent of total billed charges,437.69,percent of total billed charges,315.14,percent of total billed charges,315.14,percent of total billed charges,315.14,percent of total billed charges,315.14,percent of total billed charges,315.14,percent of total billed charges,315.14,percent of total billed charges,323.89,percent of total billed charges,323.89,percent of total billed charges,350.15,percent of total billed charges,350.15,percent of total billed charges,,,315.14,percent of total billed charges ,,,350.15,percent of total billed charges ,367.66,percent of total billed charges ,367.66,percent of total billed charges ,341.4,percent of total billed charges ,341.4,percent of total billed charges ,350.15,percent of total billed charges ,350.15,percent of total billed charges ,306.38,percent of total billed charges ,306.38,percent of total billed charges ,262.61,percent of total billed charges ,262.61,percent of total billed charges ,262.61,percent of total billed charges ,262.61,percent of total billed charges ,,,,,232.85,percent of total billed charges ,,,,,221.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,,,122.55,percent of total billed charges,
"ePHEDrine 5MG/ML, 10 ML VIAL",LOCAL,LOCAL,,,,both,,,282.86,282.86,79.2,282.86,282.86,percent of total billed charges,282.86,percent of total billed charges,282.86,percent of total billed charges,282.86,percent of total billed charges,282.86,percent of total billed charges,282.86,percent of total billed charges,282.86,percent of total billed charges,282.86,percent of total billed charges,203.66,percent of total billed charges,203.66,percent of total billed charges,203.66,percent of total billed charges,203.66,percent of total billed charges,203.66,percent of total billed charges,203.66,percent of total billed charges,209.32,percent of total billed charges,209.32,percent of total billed charges,226.29,percent of total billed charges,226.29,percent of total billed charges,,,203.66,percent of total billed charges ,,,226.29,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,220.63,percent of total billed charges ,220.63,percent of total billed charges ,226.29,percent of total billed charges ,226.29,percent of total billed charges ,198,percent of total billed charges ,198,percent of total billed charges ,169.72,percent of total billed charges ,169.72,percent of total billed charges ,169.72,percent of total billed charges ,169.72,percent of total billed charges ,,,,,150.48,percent of total billed charges ,,,,,142.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,,,79.2,percent of total billed charges,
HYDROCORTISONE (CORTEF) 5MG TAB,LOCAL,LOCAL,,,,both,,,4.07,4.07,1.14,4.07,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,3.01,percent of total billed charges,3.01,percent of total billed charges,3.26,percent of total billed charges,3.26,percent of total billed charges,,,2.93,percent of total billed charges ,,,3.26,percent of total billed charges ,3.42,percent of total billed charges ,3.42,percent of total billed charges ,3.17,percent of total billed charges ,3.17,percent of total billed charges ,3.26,percent of total billed charges ,3.26,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.44,percent of total billed charges ,2.44,percent of total billed charges ,2.44,percent of total billed charges ,2.44,percent of total billed charges ,,,,,2.17,percent of total billed charges ,,,,,2.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,,,1.14,percent of total billed charges,
REGULAR INSULIN 100 IU/100 ML 0.9% NACL,LOCAL,LOCAL,,,,both,,,237.42,237.42,66.48,237.42,237.42,percent of total billed charges,237.42,percent of total billed charges,237.42,percent of total billed charges,237.42,percent of total billed charges,237.42,percent of total billed charges,237.42,percent of total billed charges,237.42,percent of total billed charges,237.42,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,170.94,percent of total billed charges,175.69,percent of total billed charges,175.69,percent of total billed charges,189.94,percent of total billed charges,189.94,percent of total billed charges,,,170.94,percent of total billed charges ,,,189.94,percent of total billed charges ,199.43,percent of total billed charges ,199.43,percent of total billed charges ,185.19,percent of total billed charges ,185.19,percent of total billed charges ,189.94,percent of total billed charges ,189.94,percent of total billed charges ,166.19,percent of total billed charges ,166.19,percent of total billed charges ,142.45,percent of total billed charges ,142.45,percent of total billed charges ,142.45,percent of total billed charges ,142.45,percent of total billed charges ,,,,,126.31,percent of total billed charges ,,,,,119.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,,,66.48,percent of total billed charges,
VALBENAZINE (INGREZZA) 80MG TAB,LOCAL,LOCAL,,,,both,,,"1,402.71","1,402.71",392.76,"1,402.71","1,402.71",percent of total billed charges,"1,402.71",percent of total billed charges,"1,402.71",percent of total billed charges,"1,402.71",percent of total billed charges,"1,402.71",percent of total billed charges,"1,402.71",percent of total billed charges,"1,402.71",percent of total billed charges,"1,402.71",percent of total billed charges,"1,009.95",percent of total billed charges,"1,009.95",percent of total billed charges,"1,009.95",percent of total billed charges,"1,009.95",percent of total billed charges,"1,009.95",percent of total billed charges,"1,009.95",percent of total billed charges,"1,038.01",percent of total billed charges,"1,038.01",percent of total billed charges,"1,122.17",percent of total billed charges,"1,122.17",percent of total billed charges,,,"1,009.95",percent of total billed charges ,,,"1,122.17",percent of total billed charges ,"1,178.28",percent of total billed charges ,"1,178.28",percent of total billed charges ,"1,094.11",percent of total billed charges ,"1,094.11",percent of total billed charges ,"1,122.17",percent of total billed charges ,"1,122.17",percent of total billed charges ,981.9,percent of total billed charges ,981.9,percent of total billed charges ,841.63,percent of total billed charges ,841.63,percent of total billed charges ,841.63,percent of total billed charges ,841.63,percent of total billed charges ,,,,,746.24,percent of total billed charges ,,,,,708.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,,,392.76,percent of total billed charges,
DICLOFENAC (VOLTAREN) 25MG TAB,LOCAL,LOCAL,,,,both,,,4.5,4.5,1.26,4.5,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,4.5,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,,,3.24,percent of total billed charges ,,,3.6,percent of total billed charges ,3.78,percent of total billed charges ,3.78,percent of total billed charges ,3.51,percent of total billed charges ,3.51,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.15,percent of total billed charges ,3.15,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,2.7,percent of total billed charges ,,,,,2.39,percent of total billed charges ,,,,,2.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,,,1.26,percent of total billed charges,
REMDESIVIR (VEKLURY) 100MG INJ,J0248,CDM,,,,both,,,"3,354.59","3,354.59",939.29,"3,354.59","3,354.59",percent of total billed charges,"3,354.59",percent of total billed charges,"3,354.59",percent of total billed charges,"3,354.59",percent of total billed charges,"3,354.59",percent of total billed charges,"3,354.59",percent of total billed charges,"3,354.59",percent of total billed charges,"3,354.59",percent of total billed charges,"2,415.30",percent of total billed charges,"2,415.30",percent of total billed charges,"2,415.30",percent of total billed charges,"2,415.30",percent of total billed charges,"2,415.30",percent of total billed charges,"2,415.30",percent of total billed charges,"2,482.40",percent of total billed charges,"2,482.40",percent of total billed charges,"2,683.67",percent of total billed charges,"2,683.67",percent of total billed charges,,,"2,415.30",percent of total billed charges ,,,"2,683.67",percent of total billed charges ,"2,817.86",percent of total billed charges ,"2,817.86",percent of total billed charges ,"2,616.58",percent of total billed charges ,"2,616.58",percent of total billed charges ,"2,683.67",percent of total billed charges ,"2,683.67",percent of total billed charges ,"2,348.21",percent of total billed charges ,"2,348.21",percent of total billed charges ,"2,012.75",percent of total billed charges ,"2,012.75",percent of total billed charges ,"2,012.75",percent of total billed charges ,"2,012.75",percent of total billed charges ,,,,,"1,784.64",percent of total billed charges ,,,,,"1,695.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,,,939.29,percent of total billed charges,
VANCOMYCIN 1250 MG IN 250 ML RTU,J3370,CDM,,,,both,,,226.94,226.94,63.54,226.94,226.94,percent of total billed charges,226.94,percent of total billed charges,226.94,percent of total billed charges,226.94,percent of total billed charges,226.94,percent of total billed charges,226.94,percent of total billed charges,226.94,percent of total billed charges,226.94,percent of total billed charges,163.4,percent of total billed charges,163.4,percent of total billed charges,163.4,percent of total billed charges,163.4,percent of total billed charges,163.4,percent of total billed charges,163.4,percent of total billed charges,167.94,percent of total billed charges,167.94,percent of total billed charges,181.55,percent of total billed charges,181.55,percent of total billed charges,,,163.4,percent of total billed charges ,,,181.55,percent of total billed charges ,190.63,percent of total billed charges ,190.63,percent of total billed charges ,177.01,percent of total billed charges ,177.01,percent of total billed charges ,181.55,percent of total billed charges ,181.55,percent of total billed charges ,158.86,percent of total billed charges ,158.86,percent of total billed charges ,136.16,percent of total billed charges ,136.16,percent of total billed charges ,136.16,percent of total billed charges ,136.16,percent of total billed charges ,,,,,120.73,percent of total billed charges ,,,,,114.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,,,63.54,percent of total billed charges,
VANCOMYCIN 1750 MG IN 350 ML IVPB,J3370,CDM,,,,both,,,278.86,278.86,78.08,278.86,278.86,percent of total billed charges,278.86,percent of total billed charges,278.86,percent of total billed charges,278.86,percent of total billed charges,278.86,percent of total billed charges,278.86,percent of total billed charges,278.86,percent of total billed charges,278.86,percent of total billed charges,200.78,percent of total billed charges,200.78,percent of total billed charges,200.78,percent of total billed charges,200.78,percent of total billed charges,200.78,percent of total billed charges,200.78,percent of total billed charges,206.36,percent of total billed charges,206.36,percent of total billed charges,223.09,percent of total billed charges,223.09,percent of total billed charges,,,200.78,percent of total billed charges ,,,223.09,percent of total billed charges ,234.24,percent of total billed charges ,234.24,percent of total billed charges ,217.51,percent of total billed charges ,217.51,percent of total billed charges ,223.09,percent of total billed charges ,223.09,percent of total billed charges ,195.2,percent of total billed charges ,195.2,percent of total billed charges ,167.32,percent of total billed charges ,167.32,percent of total billed charges ,167.32,percent of total billed charges ,167.32,percent of total billed charges ,,,,,148.35,percent of total billed charges ,,,,,140.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,,,78.08,percent of total billed charges,
NADOLOL (CORGARD) 20MG TAB,LOCAL,LOCAL,,,,both,,,7.72,7.72,2.16,7.72,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,7.72,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.56,percent of total billed charges,5.71,percent of total billed charges,5.71,percent of total billed charges,6.18,percent of total billed charges,6.18,percent of total billed charges,,,5.56,percent of total billed charges ,,,6.18,percent of total billed charges ,6.48,percent of total billed charges ,6.48,percent of total billed charges ,6.02,percent of total billed charges ,6.02,percent of total billed charges ,6.18,percent of total billed charges ,6.18,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,,,,,4.11,percent of total billed charges ,,,,,3.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,,,2.16,percent of total billed charges,
MEPIVACAINE-MPF SOLN 2% 20MG/ML (20ML),LOCAL,LOCAL,,,,both,,,103.07,103.07,28.86,103.07,103.07,percent of total billed charges,103.07,percent of total billed charges,103.07,percent of total billed charges,103.07,percent of total billed charges,103.07,percent of total billed charges,103.07,percent of total billed charges,103.07,percent of total billed charges,103.07,percent of total billed charges,74.21,percent of total billed charges,74.21,percent of total billed charges,74.21,percent of total billed charges,74.21,percent of total billed charges,74.21,percent of total billed charges,74.21,percent of total billed charges,76.27,percent of total billed charges,76.27,percent of total billed charges,82.46,percent of total billed charges,82.46,percent of total billed charges,,,74.21,percent of total billed charges ,,,82.46,percent of total billed charges ,86.58,percent of total billed charges ,86.58,percent of total billed charges ,80.39,percent of total billed charges ,80.39,percent of total billed charges ,82.46,percent of total billed charges ,82.46,percent of total billed charges ,72.15,percent of total billed charges ,72.15,percent of total billed charges ,61.84,percent of total billed charges ,61.84,percent of total billed charges ,61.84,percent of total billed charges ,61.84,percent of total billed charges ,,,,,54.83,percent of total billed charges ,,,,,52.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,,,28.86,percent of total billed charges,
QUEtiapine (SEROQUEL) 50MG TAB,LOCAL,LOCAL,,,,both,,,1.05,1.05,0.29,1.05,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,,,0.76,percent of total billed charges ,,,0.84,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,
MIDODRINE (PROAMATINE) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,2.98,2.98,0.83,2.98,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.98,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.21,percent of total billed charges,2.21,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,,,2.15,percent of total billed charges ,,,2.38,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.38,percent of total billed charges ,2.38,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,,,,,1.59,percent of total billed charges ,,,,,1.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,,,0.83,percent of total billed charges,
VANCOMYCIN (FIRVANQ) 50MG/1ML ORAL SUSP,LOCAL,LOCAL,,,,both,,,2.02,2.02,0.57,2.02,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,,,1.45,percent of total billed charges ,,,1.62,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.62,percent of total billed charges ,1.62,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,,,,,1.07,percent of total billed charges ,,,,,1.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,,,0.57,percent of total billed charges,
BARICITINIB (OLUMIANT) 2MG TAB,LOCAL,LOCAL,,,,both,,,184.48,184.48,51.65,184.48,184.48,percent of total billed charges,184.48,percent of total billed charges,184.48,percent of total billed charges,184.48,percent of total billed charges,184.48,percent of total billed charges,184.48,percent of total billed charges,184.48,percent of total billed charges,184.48,percent of total billed charges,132.83,percent of total billed charges,132.83,percent of total billed charges,132.83,percent of total billed charges,132.83,percent of total billed charges,132.83,percent of total billed charges,132.83,percent of total billed charges,136.52,percent of total billed charges,136.52,percent of total billed charges,147.58,percent of total billed charges,147.58,percent of total billed charges,,,132.83,percent of total billed charges ,,,147.58,percent of total billed charges ,154.96,percent of total billed charges ,154.96,percent of total billed charges ,143.89,percent of total billed charges ,143.89,percent of total billed charges ,147.58,percent of total billed charges ,147.58,percent of total billed charges ,129.14,percent of total billed charges ,129.14,percent of total billed charges ,110.69,percent of total billed charges ,110.69,percent of total billed charges ,110.69,percent of total billed charges ,110.69,percent of total billed charges ,,,,,98.14,percent of total billed charges ,,,,,93.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,,,51.65,percent of total billed charges,
dexmedeTOMIDine 400MCG/100ML SOD CL 0.9%,J3490,CDM,,,,both,,,644.28,644.28,180.4,644.28,644.28,percent of total billed charges,644.28,percent of total billed charges,644.28,percent of total billed charges,644.28,percent of total billed charges,644.28,percent of total billed charges,644.28,percent of total billed charges,644.28,percent of total billed charges,644.28,percent of total billed charges,463.88,percent of total billed charges,463.88,percent of total billed charges,463.88,percent of total billed charges,463.88,percent of total billed charges,463.88,percent of total billed charges,463.88,percent of total billed charges,476.77,percent of total billed charges,476.77,percent of total billed charges,515.42,percent of total billed charges,515.42,percent of total billed charges,,,463.88,percent of total billed charges ,,,515.42,percent of total billed charges ,541.2,percent of total billed charges ,541.2,percent of total billed charges ,502.54,percent of total billed charges ,502.54,percent of total billed charges ,515.42,percent of total billed charges ,515.42,percent of total billed charges ,451,percent of total billed charges ,451,percent of total billed charges ,386.57,percent of total billed charges ,386.57,percent of total billed charges ,386.57,percent of total billed charges ,386.57,percent of total billed charges ,,,,,342.76,percent of total billed charges ,,,,,325.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,,,180.4,percent of total billed charges,
OLANZapine (ZyPREXA) 10MG TAB,LOCAL,LOCAL,,,,both,,,1.62,1.62,0.45,1.62,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.17,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,,,1.17,percent of total billed charges ,,,1.3,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.26,percent of total billed charges ,1.26,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
"LIDOCAINE 1% W/EPI 1:100,000 INJ 50ML",J2001,CDM,,,,both,,,29.74,29.74,8.33,29.74,29.74,percent of total billed charges,29.74,percent of total billed charges,29.74,percent of total billed charges,29.74,percent of total billed charges,29.74,percent of total billed charges,29.74,percent of total billed charges,29.74,percent of total billed charges,29.74,percent of total billed charges,21.41,percent of total billed charges,21.41,percent of total billed charges,21.41,percent of total billed charges,21.41,percent of total billed charges,21.41,percent of total billed charges,21.41,percent of total billed charges,22.01,percent of total billed charges,22.01,percent of total billed charges,23.79,percent of total billed charges,23.79,percent of total billed charges,,,21.41,percent of total billed charges ,,,23.79,percent of total billed charges ,24.98,percent of total billed charges ,24.98,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,23.79,percent of total billed charges ,23.79,percent of total billed charges ,20.82,percent of total billed charges ,20.82,percent of total billed charges ,17.84,percent of total billed charges ,17.84,percent of total billed charges ,17.84,percent of total billed charges ,17.84,percent of total billed charges ,,,,,15.82,percent of total billed charges ,,,,,15.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,,,8.33,percent of total billed charges,
levETIRAcetam 500MG/100ML PRE-MIX IVPB,J1953,CDM,,,,both,,,150.64,150.64,42.18,150.64,150.64,percent of total billed charges,150.64,percent of total billed charges,150.64,percent of total billed charges,150.64,percent of total billed charges,150.64,percent of total billed charges,150.64,percent of total billed charges,150.64,percent of total billed charges,150.64,percent of total billed charges,108.46,percent of total billed charges,108.46,percent of total billed charges,108.46,percent of total billed charges,108.46,percent of total billed charges,108.46,percent of total billed charges,108.46,percent of total billed charges,111.47,percent of total billed charges,111.47,percent of total billed charges,120.51,percent of total billed charges,120.51,percent of total billed charges,,,108.46,percent of total billed charges ,,,120.51,percent of total billed charges ,126.54,percent of total billed charges ,126.54,percent of total billed charges ,117.5,percent of total billed charges ,117.5,percent of total billed charges ,120.51,percent of total billed charges ,120.51,percent of total billed charges ,105.45,percent of total billed charges ,105.45,percent of total billed charges ,90.38,percent of total billed charges ,90.38,percent of total billed charges ,90.38,percent of total billed charges ,90.38,percent of total billed charges ,,,,,80.14,percent of total billed charges ,,,,,76.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,,,42.18,percent of total billed charges,
inFLIXimab-DYYB 100MG VIAL,Q5103,CDM,,,,both,,,"3,522.00","3,522.00",986.16,"3,522.00","3,522.00",percent of total billed charges,"3,522.00",percent of total billed charges,"3,522.00",percent of total billed charges,"3,522.00",percent of total billed charges,"3,522.00",percent of total billed charges,"3,522.00",percent of total billed charges,"3,522.00",percent of total billed charges,"3,522.00",percent of total billed charges,"2,535.84",percent of total billed charges,"2,535.84",percent of total billed charges,"2,535.84",percent of total billed charges,"2,535.84",percent of total billed charges,"2,535.84",percent of total billed charges,"2,535.84",percent of total billed charges,"2,606.28",percent of total billed charges,"2,606.28",percent of total billed charges,"2,817.60",percent of total billed charges,"2,817.60",percent of total billed charges,,,"2,535.84",percent of total billed charges ,,,"2,817.60",percent of total billed charges ,"2,958.48",percent of total billed charges ,"2,958.48",percent of total billed charges ,"2,747.16",percent of total billed charges ,"2,747.16",percent of total billed charges ,"2,817.60",percent of total billed charges ,"2,817.60",percent of total billed charges ,"2,465.40",percent of total billed charges ,"2,465.40",percent of total billed charges ,"2,113.20",percent of total billed charges ,"2,113.20",percent of total billed charges ,"2,113.20",percent of total billed charges ,"2,113.20",percent of total billed charges ,,,,,"1,873.70",percent of total billed charges ,,,,,"1,780.02",percent of total billed charges ,,,,,,,,,,,,,,,,,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,,,986.16,percent of total billed charges,
FLUCONAZOLE (DIFLUCAN) 150MG TAB,LOCAL,LOCAL,,,,both,,,5.88,5.88,1.65,5.88,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.23,percent of total billed charges,4.35,percent of total billed charges,4.35,percent of total billed charges,4.7,percent of total billed charges,4.7,percent of total billed charges,,,4.23,percent of total billed charges ,,,4.7,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,4.59,percent of total billed charges ,4.59,percent of total billed charges ,4.7,percent of total billed charges ,4.7,percent of total billed charges ,4.12,percent of total billed charges ,4.12,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,3.53,percent of total billed charges ,,,,,3.13,percent of total billed charges ,,,,,2.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,,,1.65,percent of total billed charges,
AMPHOTERICIN B LIPOSOME 50MG VIAL,J0289,CDM,,,,both,,,595.53,595.53,166.75,595.53,595.53,percent of total billed charges,595.53,percent of total billed charges,595.53,percent of total billed charges,595.53,percent of total billed charges,595.53,percent of total billed charges,595.53,percent of total billed charges,595.53,percent of total billed charges,595.53,percent of total billed charges,428.78,percent of total billed charges,428.78,percent of total billed charges,428.78,percent of total billed charges,428.78,percent of total billed charges,428.78,percent of total billed charges,428.78,percent of total billed charges,440.69,percent of total billed charges,440.69,percent of total billed charges,476.42,percent of total billed charges,476.42,percent of total billed charges,,,428.78,percent of total billed charges ,,,476.42,percent of total billed charges ,500.25,percent of total billed charges ,500.25,percent of total billed charges ,464.51,percent of total billed charges ,464.51,percent of total billed charges ,476.42,percent of total billed charges ,476.42,percent of total billed charges ,416.87,percent of total billed charges ,416.87,percent of total billed charges ,357.32,percent of total billed charges ,357.32,percent of total billed charges ,357.32,percent of total billed charges ,357.32,percent of total billed charges ,,,,,316.82,percent of total billed charges ,,,,,300.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,,,166.75,percent of total billed charges,
ROMOSOZUMAB (EVENITY) 105MG/1.17ML,J3111,CDM,,,,both,,,"9,043.79","9,043.79","2,532.26","9,043.79","9,043.79",percent of total billed charges,"9,043.79",percent of total billed charges,"9,043.79",percent of total billed charges,"9,043.79",percent of total billed charges,"9,043.79",percent of total billed charges,"9,043.79",percent of total billed charges,"9,043.79",percent of total billed charges,"9,043.79",percent of total billed charges,"6,511.53",percent of total billed charges,"6,511.53",percent of total billed charges,"6,511.53",percent of total billed charges,"6,511.53",percent of total billed charges,"6,511.53",percent of total billed charges,"6,511.53",percent of total billed charges,"6,692.40",percent of total billed charges,"6,692.40",percent of total billed charges,"7,235.03",percent of total billed charges,"7,235.03",percent of total billed charges,,,"6,511.53",percent of total billed charges ,,,"7,235.03",percent of total billed charges ,"7,596.78",percent of total billed charges ,"7,596.78",percent of total billed charges ,"7,054.16",percent of total billed charges ,"7,054.16",percent of total billed charges ,"7,235.03",percent of total billed charges ,"7,235.03",percent of total billed charges ,"6,330.65",percent of total billed charges ,"6,330.65",percent of total billed charges ,"5,426.27",percent of total billed charges ,"5,426.27",percent of total billed charges ,"5,426.27",percent of total billed charges ,"5,426.27",percent of total billed charges ,,,,,"4,811.30",percent of total billed charges ,,,,,"4,570.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,,,"2,532.26",percent of total billed charges,
TOCILIZUMAB (ACTEMRA) 400MG/20ML INJ,J3262,CDM,,,,both,,,"17,027.73","17,027.73","4,767.76","17,027.73","17,027.73",percent of total billed charges,"17,027.73",percent of total billed charges,"17,027.73",percent of total billed charges,"17,027.73",percent of total billed charges,"17,027.73",percent of total billed charges,"17,027.73",percent of total billed charges,"17,027.73",percent of total billed charges,"17,027.73",percent of total billed charges,"12,259.97",percent of total billed charges,"12,259.97",percent of total billed charges,"12,259.97",percent of total billed charges,"12,259.97",percent of total billed charges,"12,259.97",percent of total billed charges,"12,259.97",percent of total billed charges,"12,600.52",percent of total billed charges,"12,600.52",percent of total billed charges,"13,622.18",percent of total billed charges,"13,622.18",percent of total billed charges,,,"12,259.97",percent of total billed charges ,,,"13,622.18",percent of total billed charges ,"14,303.29",percent of total billed charges ,"14,303.29",percent of total billed charges ,"13,281.63",percent of total billed charges ,"13,281.63",percent of total billed charges ,"13,622.18",percent of total billed charges ,"13,622.18",percent of total billed charges ,"11,919.41",percent of total billed charges ,"11,919.41",percent of total billed charges ,"10,216.64",percent of total billed charges ,"10,216.64",percent of total billed charges ,"10,216.64",percent of total billed charges ,"10,216.64",percent of total billed charges ,,,,,"9,058.75",percent of total billed charges ,,,,,"8,605.81",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,,,"4,767.76",percent of total billed charges,
BEZLOTOXUMAB: 1000MG/40ML VIAL,J0565,CDM,,,,both,,,"27,707.47","27,707.47","7,758.09","27,707.47","27,707.47",percent of total billed charges,"27,707.47",percent of total billed charges,"27,707.47",percent of total billed charges,"27,707.47",percent of total billed charges,"27,707.47",percent of total billed charges,"27,707.47",percent of total billed charges,"27,707.47",percent of total billed charges,"27,707.47",percent of total billed charges,"19,949.38",percent of total billed charges,"19,949.38",percent of total billed charges,"19,949.38",percent of total billed charges,"19,949.38",percent of total billed charges,"19,949.38",percent of total billed charges,"19,949.38",percent of total billed charges,"20,503.53",percent of total billed charges,"20,503.53",percent of total billed charges,"22,165.98",percent of total billed charges,"22,165.98",percent of total billed charges,,,"19,949.38",percent of total billed charges ,,,"22,165.98",percent of total billed charges ,"23,274.27",percent of total billed charges ,"23,274.27",percent of total billed charges ,"21,611.83",percent of total billed charges ,"21,611.83",percent of total billed charges ,"22,165.98",percent of total billed charges ,"22,165.98",percent of total billed charges ,"19,395.23",percent of total billed charges ,"19,395.23",percent of total billed charges ,"16,624.48",percent of total billed charges ,"16,624.48",percent of total billed charges ,"16,624.48",percent of total billed charges ,"16,624.48",percent of total billed charges ,,,,,"14,740.37",percent of total billed charges ,,,,,"14,003.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,,,"7,758.09",percent of total billed charges,
MIDAZOLAM 100MG-NACL 0.9% 100ML IVPB,J2250,CDM,,,,both,,,327.98,327.98,91.83,327.98,327.98,percent of total billed charges,327.98,percent of total billed charges,327.98,percent of total billed charges,327.98,percent of total billed charges,327.98,percent of total billed charges,327.98,percent of total billed charges,327.98,percent of total billed charges,327.98,percent of total billed charges,236.15,percent of total billed charges,236.15,percent of total billed charges,236.15,percent of total billed charges,236.15,percent of total billed charges,236.15,percent of total billed charges,236.15,percent of total billed charges,242.71,percent of total billed charges,242.71,percent of total billed charges,262.38,percent of total billed charges,262.38,percent of total billed charges,,,236.15,percent of total billed charges ,,,262.38,percent of total billed charges ,275.5,percent of total billed charges ,275.5,percent of total billed charges ,255.82,percent of total billed charges ,255.82,percent of total billed charges ,262.38,percent of total billed charges ,262.38,percent of total billed charges ,229.59,percent of total billed charges ,229.59,percent of total billed charges ,196.79,percent of total billed charges ,196.79,percent of total billed charges ,196.79,percent of total billed charges ,196.79,percent of total billed charges ,,,,,174.49,percent of total billed charges ,,,,,165.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,,,91.83,percent of total billed charges,
HYDROmorphone 20MG/100MLDRIP:10MG/1MLFTV,J1170,CDM,,,,both,,,87.64,87.64,24.54,87.64,87.64,percent of total billed charges,87.64,percent of total billed charges,87.64,percent of total billed charges,87.64,percent of total billed charges,87.64,percent of total billed charges,87.64,percent of total billed charges,87.64,percent of total billed charges,87.64,percent of total billed charges,63.1,percent of total billed charges,63.1,percent of total billed charges,63.1,percent of total billed charges,63.1,percent of total billed charges,63.1,percent of total billed charges,63.1,percent of total billed charges,64.85,percent of total billed charges,64.85,percent of total billed charges,70.11,percent of total billed charges,70.11,percent of total billed charges,,,63.1,percent of total billed charges ,,,70.11,percent of total billed charges ,73.62,percent of total billed charges ,73.62,percent of total billed charges ,68.36,percent of total billed charges ,68.36,percent of total billed charges ,70.11,percent of total billed charges ,70.11,percent of total billed charges ,61.35,percent of total billed charges ,61.35,percent of total billed charges ,52.58,percent of total billed charges ,52.58,percent of total billed charges ,52.58,percent of total billed charges ,52.58,percent of total billed charges ,,,,,46.62,percent of total billed charges ,,,,,44.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,,,24.54,percent of total billed charges,
NORepinephrine/D5W 4MG/250ML (16MCG/ML),LOCAL,LOCAL,,,,both,,,265.56,265.56,74.36,265.56,265.56,percent of total billed charges,265.56,percent of total billed charges,265.56,percent of total billed charges,265.56,percent of total billed charges,265.56,percent of total billed charges,265.56,percent of total billed charges,265.56,percent of total billed charges,265.56,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,196.51,percent of total billed charges,196.51,percent of total billed charges,212.45,percent of total billed charges,212.45,percent of total billed charges,,,191.2,percent of total billed charges ,,,212.45,percent of total billed charges ,223.07,percent of total billed charges ,223.07,percent of total billed charges ,207.14,percent of total billed charges ,207.14,percent of total billed charges ,212.45,percent of total billed charges ,212.45,percent of total billed charges ,185.89,percent of total billed charges ,185.89,percent of total billed charges ,159.34,percent of total billed charges ,159.34,percent of total billed charges ,159.34,percent of total billed charges ,159.34,percent of total billed charges ,,,,,141.28,percent of total billed charges ,,,,,134.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,,,74.36,percent of total billed charges,
TRANEXAMIC ACID 1000MG/100ML 0.7%NACL IV,LOCAL,LOCAL,,,,both,,,357.28,357.28,100.04,357.28,357.28,percent of total billed charges,357.28,percent of total billed charges,357.28,percent of total billed charges,357.28,percent of total billed charges,357.28,percent of total billed charges,357.28,percent of total billed charges,357.28,percent of total billed charges,357.28,percent of total billed charges,257.24,percent of total billed charges,257.24,percent of total billed charges,257.24,percent of total billed charges,257.24,percent of total billed charges,257.24,percent of total billed charges,257.24,percent of total billed charges,264.39,percent of total billed charges,264.39,percent of total billed charges,285.82,percent of total billed charges,285.82,percent of total billed charges,,,257.24,percent of total billed charges ,,,285.82,percent of total billed charges ,300.12,percent of total billed charges ,300.12,percent of total billed charges ,278.68,percent of total billed charges ,278.68,percent of total billed charges ,285.82,percent of total billed charges ,285.82,percent of total billed charges ,250.1,percent of total billed charges ,250.1,percent of total billed charges ,214.37,percent of total billed charges ,214.37,percent of total billed charges ,214.37,percent of total billed charges ,214.37,percent of total billed charges ,,,,,190.07,percent of total billed charges ,,,,,180.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,,,100.04,percent of total billed charges,
CEFIDEROCOL (FETROJA) 1GM VIAL,J0699,CDM,,,,both,,,906.67,906.67,253.87,906.67,906.67,percent of total billed charges,906.67,percent of total billed charges,906.67,percent of total billed charges,906.67,percent of total billed charges,906.67,percent of total billed charges,906.67,percent of total billed charges,906.67,percent of total billed charges,906.67,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,652.8,percent of total billed charges,670.94,percent of total billed charges,670.94,percent of total billed charges,725.34,percent of total billed charges,725.34,percent of total billed charges,,,652.8,percent of total billed charges ,,,725.34,percent of total billed charges ,761.6,percent of total billed charges ,761.6,percent of total billed charges ,707.2,percent of total billed charges ,707.2,percent of total billed charges ,725.34,percent of total billed charges ,725.34,percent of total billed charges ,634.67,percent of total billed charges ,634.67,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,544,percent of total billed charges ,,,,,482.35,percent of total billed charges ,,,,,458.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,,,253.87,percent of total billed charges,
ZIPRASIDONE MESYLATE 20mg/mL SDV,J3486,CDM,,,,both,,,188.93,188.93,52.9,188.93,188.93,percent of total billed charges,188.93,percent of total billed charges,188.93,percent of total billed charges,188.93,percent of total billed charges,188.93,percent of total billed charges,188.93,percent of total billed charges,188.93,percent of total billed charges,188.93,percent of total billed charges,136.03,percent of total billed charges,136.03,percent of total billed charges,136.03,percent of total billed charges,136.03,percent of total billed charges,136.03,percent of total billed charges,136.03,percent of total billed charges,139.81,percent of total billed charges,139.81,percent of total billed charges,151.14,percent of total billed charges,151.14,percent of total billed charges,,,136.03,percent of total billed charges ,,,151.14,percent of total billed charges ,158.7,percent of total billed charges ,158.7,percent of total billed charges ,147.37,percent of total billed charges ,147.37,percent of total billed charges ,151.14,percent of total billed charges ,151.14,percent of total billed charges ,132.25,percent of total billed charges ,132.25,percent of total billed charges ,113.36,percent of total billed charges ,113.36,percent of total billed charges ,113.36,percent of total billed charges ,113.36,percent of total billed charges ,,,,,100.51,percent of total billed charges ,,,,,95.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,,,52.9,percent of total billed charges,
USTEKINUMAB FTV: 130mg/26 mL,J3358,CDM,,,,both,,,"9,696.11","9,696.11","2,714.91","9,696.11","9,696.11",percent of total billed charges,"9,696.11",percent of total billed charges,"9,696.11",percent of total billed charges,"9,696.11",percent of total billed charges,"9,696.11",percent of total billed charges,"9,696.11",percent of total billed charges,"9,696.11",percent of total billed charges,"9,696.11",percent of total billed charges,"6,981.20",percent of total billed charges,"6,981.20",percent of total billed charges,"6,981.20",percent of total billed charges,"6,981.20",percent of total billed charges,"6,981.20",percent of total billed charges,"6,981.20",percent of total billed charges,"7,175.12",percent of total billed charges,"7,175.12",percent of total billed charges,"7,756.89",percent of total billed charges,"7,756.89",percent of total billed charges,,,"6,981.20",percent of total billed charges ,,,"7,756.89",percent of total billed charges ,"8,144.73",percent of total billed charges ,"8,144.73",percent of total billed charges ,"7,562.97",percent of total billed charges ,"7,562.97",percent of total billed charges ,"7,756.89",percent of total billed charges ,"7,756.89",percent of total billed charges ,"6,787.28",percent of total billed charges ,"6,787.28",percent of total billed charges ,"5,817.67",percent of total billed charges ,"5,817.67",percent of total billed charges ,"5,817.67",percent of total billed charges ,"5,817.67",percent of total billed charges ,,,,,"5,158.33",percent of total billed charges ,,,,,"4,900.41",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,,,"2,714.91",percent of total billed charges,
OPTISON INTRAVENOUS SUSPENSION,Q9956,CDM,,,,both,,,763.93,763.93,213.9,763.93,763.93,percent of total billed charges,763.93,percent of total billed charges,763.93,percent of total billed charges,763.93,percent of total billed charges,763.93,percent of total billed charges,763.93,percent of total billed charges,763.93,percent of total billed charges,763.93,percent of total billed charges,550.03,percent of total billed charges,550.03,percent of total billed charges,550.03,percent of total billed charges,550.03,percent of total billed charges,550.03,percent of total billed charges,550.03,percent of total billed charges,565.31,percent of total billed charges,565.31,percent of total billed charges,611.14,percent of total billed charges,611.14,percent of total billed charges,,,550.03,percent of total billed charges ,,,611.14,percent of total billed charges ,641.7,percent of total billed charges ,641.7,percent of total billed charges ,595.87,percent of total billed charges ,595.87,percent of total billed charges ,611.14,percent of total billed charges ,611.14,percent of total billed charges ,534.75,percent of total billed charges ,534.75,percent of total billed charges ,458.36,percent of total billed charges ,458.36,percent of total billed charges ,458.36,percent of total billed charges ,458.36,percent of total billed charges ,,,,,406.41,percent of total billed charges ,,,,,386.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,,,213.9,percent of total billed charges,
"SOD CHLORIDE, BACTERIOSTATIC 0.9% 10mL",LOCAL,LOCAL,,,,both,,,11.25,11.25,3.15,11.25,11.25,percent of total billed charges,11.25,percent of total billed charges,11.25,percent of total billed charges,11.25,percent of total billed charges,11.25,percent of total billed charges,11.25,percent of total billed charges,11.25,percent of total billed charges,11.25,percent of total billed charges,8.1,percent of total billed charges,8.1,percent of total billed charges,8.1,percent of total billed charges,8.1,percent of total billed charges,8.1,percent of total billed charges,8.1,percent of total billed charges,8.33,percent of total billed charges,8.33,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,,,8.1,percent of total billed charges ,,,9,percent of total billed charges ,9.45,percent of total billed charges ,9.45,percent of total billed charges ,8.78,percent of total billed charges ,8.78,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,7.88,percent of total billed charges ,7.88,percent of total billed charges ,6.75,percent of total billed charges ,6.75,percent of total billed charges ,6.75,percent of total billed charges ,6.75,percent of total billed charges ,,,,,5.99,percent of total billed charges ,,,,,5.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,,,3.15,percent of total billed charges,
"CALCIUM GLUCONATE/NACL 1,000MG/50mL IVPB",J0613,CDM,,,,both,,,145.63,145.63,40.78,145.63,145.63,percent of total billed charges,145.63,percent of total billed charges,145.63,percent of total billed charges,145.63,percent of total billed charges,145.63,percent of total billed charges,145.63,percent of total billed charges,145.63,percent of total billed charges,145.63,percent of total billed charges,104.85,percent of total billed charges,104.85,percent of total billed charges,104.85,percent of total billed charges,104.85,percent of total billed charges,104.85,percent of total billed charges,104.85,percent of total billed charges,107.77,percent of total billed charges,107.77,percent of total billed charges,116.5,percent of total billed charges,116.5,percent of total billed charges,,,104.85,percent of total billed charges ,,,116.5,percent of total billed charges ,122.33,percent of total billed charges ,122.33,percent of total billed charges ,113.59,percent of total billed charges ,113.59,percent of total billed charges ,116.5,percent of total billed charges ,116.5,percent of total billed charges ,101.94,percent of total billed charges ,101.94,percent of total billed charges ,87.38,percent of total billed charges ,87.38,percent of total billed charges ,87.38,percent of total billed charges ,87.38,percent of total billed charges ,,,,,77.48,percent of total billed charges ,,,,,73.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,,,40.78,percent of total billed charges,
DANTROLENE SOD(RYANODEX) 250MG/20mL Vial,LOCAL,LOCAL,,,,both,,,"15,272.91","15,272.91","4,276.41","15,272.91","15,272.91",percent of total billed charges,"15,272.91",percent of total billed charges,"15,272.91",percent of total billed charges,"15,272.91",percent of total billed charges,"15,272.91",percent of total billed charges,"15,272.91",percent of total billed charges,"15,272.91",percent of total billed charges,"15,272.91",percent of total billed charges,"10,996.50",percent of total billed charges,"10,996.50",percent of total billed charges,"10,996.50",percent of total billed charges,"10,996.50",percent of total billed charges,"10,996.50",percent of total billed charges,"10,996.50",percent of total billed charges,"11,301.95",percent of total billed charges,"11,301.95",percent of total billed charges,"12,218.33",percent of total billed charges,"12,218.33",percent of total billed charges,,,"10,996.50",percent of total billed charges ,,,"12,218.33",percent of total billed charges ,"12,829.24",percent of total billed charges ,"12,829.24",percent of total billed charges ,"11,912.87",percent of total billed charges ,"11,912.87",percent of total billed charges ,"12,218.33",percent of total billed charges ,"12,218.33",percent of total billed charges ,"10,691.04",percent of total billed charges ,"10,691.04",percent of total billed charges ,"9,163.75",percent of total billed charges ,"9,163.75",percent of total billed charges ,"9,163.75",percent of total billed charges ,"9,163.75",percent of total billed charges ,,,,,"8,125.19",percent of total billed charges ,,,,,"7,718.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,,,"4,276.41",percent of total billed charges,
DOBUTamine HCL/DEX-5% 250MG/250ML,J1250,CDM,,,,both,,,98.06,98.06,27.46,98.06,98.06,percent of total billed charges,98.06,percent of total billed charges,98.06,percent of total billed charges,98.06,percent of total billed charges,98.06,percent of total billed charges,98.06,percent of total billed charges,98.06,percent of total billed charges,98.06,percent of total billed charges,70.6,percent of total billed charges,70.6,percent of total billed charges,70.6,percent of total billed charges,70.6,percent of total billed charges,70.6,percent of total billed charges,70.6,percent of total billed charges,72.56,percent of total billed charges,72.56,percent of total billed charges,78.45,percent of total billed charges,78.45,percent of total billed charges,,,70.6,percent of total billed charges ,,,78.45,percent of total billed charges ,82.37,percent of total billed charges ,82.37,percent of total billed charges ,76.49,percent of total billed charges ,76.49,percent of total billed charges ,78.45,percent of total billed charges ,78.45,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,58.84,percent of total billed charges ,58.84,percent of total billed charges ,58.84,percent of total billed charges ,58.84,percent of total billed charges ,,,,,52.17,percent of total billed charges ,,,,,49.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,,,27.46,percent of total billed charges,
ceFAZolin 2GM FTV,J0690,CDM,,,,both,,,76.56,76.56,21.44,76.56,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,76.56,percent of total billed charges,55.12,percent of total billed charges,55.12,percent of total billed charges,55.12,percent of total billed charges,55.12,percent of total billed charges,55.12,percent of total billed charges,55.12,percent of total billed charges,56.65,percent of total billed charges,56.65,percent of total billed charges,61.25,percent of total billed charges,61.25,percent of total billed charges,,,55.12,percent of total billed charges ,,,61.25,percent of total billed charges ,64.31,percent of total billed charges ,64.31,percent of total billed charges ,59.72,percent of total billed charges ,59.72,percent of total billed charges ,61.25,percent of total billed charges ,61.25,percent of total billed charges ,53.59,percent of total billed charges ,53.59,percent of total billed charges ,45.94,percent of total billed charges ,45.94,percent of total billed charges ,45.94,percent of total billed charges ,45.94,percent of total billed charges ,,,,,40.73,percent of total billed charges ,,,,,38.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,,,21.44,percent of total billed charges,
VEDOLIZUMAB (ENTYVIO) 300MG FTV,J3380,CDM,,,,both,,,"42,812.92","42,812.92","11,987.62","42,812.92","42,812.92",percent of total billed charges,"42,812.92",percent of total billed charges,"42,812.92",percent of total billed charges,"42,812.92",percent of total billed charges,"42,812.92",percent of total billed charges,"42,812.92",percent of total billed charges,"42,812.92",percent of total billed charges,"42,812.92",percent of total billed charges,"30,825.30",percent of total billed charges,"30,825.30",percent of total billed charges,"30,825.30",percent of total billed charges,"30,825.30",percent of total billed charges,"30,825.30",percent of total billed charges,"30,825.30",percent of total billed charges,"31,681.56",percent of total billed charges,"31,681.56",percent of total billed charges,"34,250.34",percent of total billed charges,"34,250.34",percent of total billed charges,,,"30,825.30",percent of total billed charges ,,,"34,250.34",percent of total billed charges ,"35,962.85",percent of total billed charges ,"35,962.85",percent of total billed charges ,"33,394.08",percent of total billed charges ,"33,394.08",percent of total billed charges ,"34,250.34",percent of total billed charges ,"34,250.34",percent of total billed charges ,"29,969.04",percent of total billed charges ,"29,969.04",percent of total billed charges ,"25,687.75",percent of total billed charges ,"25,687.75",percent of total billed charges ,"25,687.75",percent of total billed charges ,"25,687.75",percent of total billed charges ,,,,,"22,776.47",percent of total billed charges ,,,,,"21,637.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,,,"11,987.62",percent of total billed charges,
FLUTIC/UMECLI/VILAN(TRELEGY) 200/62.5/25,LOCAL,LOCAL,,,,both,,,554.93,554.93,155.38,554.93,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,554.93,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,399.55,percent of total billed charges,410.65,percent of total billed charges,410.65,percent of total billed charges,443.94,percent of total billed charges,443.94,percent of total billed charges,,,399.55,percent of total billed charges ,,,443.94,percent of total billed charges ,466.14,percent of total billed charges ,466.14,percent of total billed charges ,432.85,percent of total billed charges ,432.85,percent of total billed charges ,443.94,percent of total billed charges ,443.94,percent of total billed charges ,388.45,percent of total billed charges ,388.45,percent of total billed charges ,332.96,percent of total billed charges ,332.96,percent of total billed charges ,332.96,percent of total billed charges ,332.96,percent of total billed charges ,,,,,295.22,percent of total billed charges ,,,,,280.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,,,155.38,percent of total billed charges,
OLANZapine 10MG INJ,S0166,CDM,,,,both,,,270.99,270.99,75.88,270.99,270.99,percent of total billed charges,270.99,percent of total billed charges,270.99,percent of total billed charges,270.99,percent of total billed charges,270.99,percent of total billed charges,270.99,percent of total billed charges,270.99,percent of total billed charges,270.99,percent of total billed charges,195.11,percent of total billed charges,195.11,percent of total billed charges,195.11,percent of total billed charges,195.11,percent of total billed charges,195.11,percent of total billed charges,195.11,percent of total billed charges,200.53,percent of total billed charges,200.53,percent of total billed charges,216.79,percent of total billed charges,216.79,percent of total billed charges,,,195.11,percent of total billed charges ,,,216.79,percent of total billed charges ,227.63,percent of total billed charges ,227.63,percent of total billed charges ,211.37,percent of total billed charges ,211.37,percent of total billed charges ,216.79,percent of total billed charges ,216.79,percent of total billed charges ,189.69,percent of total billed charges ,189.69,percent of total billed charges ,162.59,percent of total billed charges ,162.59,percent of total billed charges ,162.59,percent of total billed charges ,162.59,percent of total billed charges ,,,,,144.17,percent of total billed charges ,,,,,136.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,
LIDOCAINE HCL PF 2% INJ: 10mL AMPULE,J2001,CDM,,,,both,,,35.39,35.39,9.91,35.39,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,25.48,percent of total billed charges,25.48,percent of total billed charges,25.48,percent of total billed charges,25.48,percent of total billed charges,25.48,percent of total billed charges,25.48,percent of total billed charges,26.19,percent of total billed charges,26.19,percent of total billed charges,28.31,percent of total billed charges,28.31,percent of total billed charges,,,25.48,percent of total billed charges ,,,28.31,percent of total billed charges ,29.73,percent of total billed charges ,29.73,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,28.31,percent of total billed charges ,28.31,percent of total billed charges ,24.77,percent of total billed charges ,24.77,percent of total billed charges ,21.23,percent of total billed charges ,21.23,percent of total billed charges ,21.23,percent of total billed charges ,21.23,percent of total billed charges ,,,,,18.83,percent of total billed charges ,,,,,17.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,,,9.91,percent of total billed charges,
cefTRIAXone 2GM (ROCEPHIN): FTV,J0696,CDM,,,,both,,,43.47,43.47,12.17,43.47,43.47,percent of total billed charges,43.47,percent of total billed charges,43.47,percent of total billed charges,43.47,percent of total billed charges,43.47,percent of total billed charges,43.47,percent of total billed charges,43.47,percent of total billed charges,43.47,percent of total billed charges,31.3,percent of total billed charges,31.3,percent of total billed charges,31.3,percent of total billed charges,31.3,percent of total billed charges,31.3,percent of total billed charges,31.3,percent of total billed charges,32.17,percent of total billed charges,32.17,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,,,31.3,percent of total billed charges ,,,34.78,percent of total billed charges ,36.51,percent of total billed charges ,36.51,percent of total billed charges ,33.91,percent of total billed charges ,33.91,percent of total billed charges ,34.78,percent of total billed charges ,34.78,percent of total billed charges ,30.43,percent of total billed charges ,30.43,percent of total billed charges ,26.08,percent of total billed charges ,26.08,percent of total billed charges ,26.08,percent of total billed charges ,26.08,percent of total billed charges ,,,,,23.13,percent of total billed charges ,,,,,21.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,,,12.17,percent of total billed charges,
CEFTAZIDIME/AVIBACTAM 2GM/0.5GM: FTV,J0714,CDM,,,,both,,,"2,550.09","2,550.09",714.03,"2,550.09","2,550.09",percent of total billed charges,"2,550.09",percent of total billed charges,"2,550.09",percent of total billed charges,"2,550.09",percent of total billed charges,"2,550.09",percent of total billed charges,"2,550.09",percent of total billed charges,"2,550.09",percent of total billed charges,"2,550.09",percent of total billed charges,"1,836.06",percent of total billed charges,"1,836.06",percent of total billed charges,"1,836.06",percent of total billed charges,"1,836.06",percent of total billed charges,"1,836.06",percent of total billed charges,"1,836.06",percent of total billed charges,"1,887.07",percent of total billed charges,"1,887.07",percent of total billed charges,"2,040.07",percent of total billed charges,"2,040.07",percent of total billed charges,,,"1,836.06",percent of total billed charges ,,,"2,040.07",percent of total billed charges ,"2,142.08",percent of total billed charges ,"2,142.08",percent of total billed charges ,"1,989.07",percent of total billed charges ,"1,989.07",percent of total billed charges ,"2,040.07",percent of total billed charges ,"2,040.07",percent of total billed charges ,"1,785.06",percent of total billed charges ,"1,785.06",percent of total billed charges ,"1,530.05",percent of total billed charges ,"1,530.05",percent of total billed charges ,"1,530.05",percent of total billed charges ,"1,530.05",percent of total billed charges ,,,,,"1,356.65",percent of total billed charges ,,,,,"1,288.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,,,714.03,percent of total billed charges,
MORphine SULF 10MG/0.5ML O/S: 0.5mL SYR,LOCAL,LOCAL,,,,both,,,14.6,14.6,4.09,14.6,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.51,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.68,percent of total billed charges,11.68,percent of total billed charges,,,10.51,percent of total billed charges ,,,11.68,percent of total billed charges ,12.26,percent of total billed charges ,12.26,percent of total billed charges ,11.39,percent of total billed charges ,11.39,percent of total billed charges ,11.68,percent of total billed charges ,11.68,percent of total billed charges ,10.22,percent of total billed charges ,10.22,percent of total billed charges ,8.76,percent of total billed charges ,8.76,percent of total billed charges ,8.76,percent of total billed charges ,8.76,percent of total billed charges ,,,,,7.77,percent of total billed charges ,,,,,7.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,,,4.09,percent of total billed charges,
fentaNYL CIT AMP 50mcg/1mL: 2mL AMP,J3010,CDM,,,,both,,,17.25,17.25,4.83,17.25,17.25,percent of total billed charges,17.25,percent of total billed charges,17.25,percent of total billed charges,17.25,percent of total billed charges,17.25,percent of total billed charges,17.25,percent of total billed charges,17.25,percent of total billed charges,17.25,percent of total billed charges,12.42,percent of total billed charges,12.42,percent of total billed charges,12.42,percent of total billed charges,12.42,percent of total billed charges,12.42,percent of total billed charges,12.42,percent of total billed charges,12.77,percent of total billed charges,12.77,percent of total billed charges,13.8,percent of total billed charges,13.8,percent of total billed charges,,,12.42,percent of total billed charges ,,,13.8,percent of total billed charges ,14.49,percent of total billed charges ,14.49,percent of total billed charges ,13.46,percent of total billed charges ,13.46,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,12.08,percent of total billed charges ,12.08,percent of total billed charges ,10.35,percent of total billed charges ,10.35,percent of total billed charges ,10.35,percent of total billed charges ,10.35,percent of total billed charges ,,,,,9.18,percent of total billed charges ,,,,,8.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,,,4.83,percent of total billed charges,
ALVIMOPAN (ENTEREG) CAPSULE 12MG,LOCAL,LOCAL,,,,both,,,326.21,326.21,91.34,326.21,326.21,percent of total billed charges,326.21,percent of total billed charges,326.21,percent of total billed charges,326.21,percent of total billed charges,326.21,percent of total billed charges,326.21,percent of total billed charges,326.21,percent of total billed charges,326.21,percent of total billed charges,234.87,percent of total billed charges,234.87,percent of total billed charges,234.87,percent of total billed charges,234.87,percent of total billed charges,234.87,percent of total billed charges,234.87,percent of total billed charges,241.4,percent of total billed charges,241.4,percent of total billed charges,260.97,percent of total billed charges,260.97,percent of total billed charges,,,234.87,percent of total billed charges ,,,260.97,percent of total billed charges ,274.02,percent of total billed charges ,274.02,percent of total billed charges ,254.44,percent of total billed charges ,254.44,percent of total billed charges ,260.97,percent of total billed charges ,260.97,percent of total billed charges ,228.35,percent of total billed charges ,228.35,percent of total billed charges ,195.73,percent of total billed charges ,195.73,percent of total billed charges ,195.73,percent of total billed charges ,195.73,percent of total billed charges ,,,,,173.54,percent of total billed charges ,,,,,164.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,,,91.34,percent of total billed charges,
SOD ZIRC CYCLOSI (LOKELMA) PWD 10GM:PACK,LOCAL,LOCAL,,,,both,,,76.73,76.73,21.48,76.73,76.73,percent of total billed charges,76.73,percent of total billed charges,76.73,percent of total billed charges,76.73,percent of total billed charges,76.73,percent of total billed charges,76.73,percent of total billed charges,76.73,percent of total billed charges,76.73,percent of total billed charges,55.25,percent of total billed charges,55.25,percent of total billed charges,55.25,percent of total billed charges,55.25,percent of total billed charges,55.25,percent of total billed charges,55.25,percent of total billed charges,56.78,percent of total billed charges,56.78,percent of total billed charges,61.38,percent of total billed charges,61.38,percent of total billed charges,,,55.25,percent of total billed charges ,,,61.38,percent of total billed charges ,64.45,percent of total billed charges ,64.45,percent of total billed charges ,59.85,percent of total billed charges ,59.85,percent of total billed charges ,61.38,percent of total billed charges ,61.38,percent of total billed charges ,53.71,percent of total billed charges ,53.71,percent of total billed charges ,46.04,percent of total billed charges ,46.04,percent of total billed charges ,46.04,percent of total billed charges ,46.04,percent of total billed charges ,,,,,40.82,percent of total billed charges ,,,,,38.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,,,21.48,percent of total billed charges,
OMALIZUMAB (XOLAIR) 150MG SDV,J2357,CDM,,,,both,,,"11,001.36","11,001.36","3,080.38","11,001.36","11,001.36",percent of total billed charges,"11,001.36",percent of total billed charges,"11,001.36",percent of total billed charges,"11,001.36",percent of total billed charges,"11,001.36",percent of total billed charges,"11,001.36",percent of total billed charges,"11,001.36",percent of total billed charges,"11,001.36",percent of total billed charges,"7,920.98",percent of total billed charges,"7,920.98",percent of total billed charges,"7,920.98",percent of total billed charges,"7,920.98",percent of total billed charges,"7,920.98",percent of total billed charges,"7,920.98",percent of total billed charges,"8,141.01",percent of total billed charges,"8,141.01",percent of total billed charges,"8,801.09",percent of total billed charges,"8,801.09",percent of total billed charges,,,"7,920.98",percent of total billed charges ,,,"8,801.09",percent of total billed charges ,"9,241.14",percent of total billed charges ,"9,241.14",percent of total billed charges ,"8,581.06",percent of total billed charges ,"8,581.06",percent of total billed charges ,"8,801.09",percent of total billed charges ,"8,801.09",percent of total billed charges ,"7,700.95",percent of total billed charges ,"7,700.95",percent of total billed charges ,"6,600.82",percent of total billed charges ,"6,600.82",percent of total billed charges ,"6,600.82",percent of total billed charges ,"6,600.82",percent of total billed charges ,,,,,"5,852.72",percent of total billed charges ,,,,,"5,560.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,,,"3,080.38",percent of total billed charges,
SODIUM BICARB 4.2% (2.5mEQ/5mL)FTV (PED),LOCAL,LOCAL,,,,both,,,68.05,68.05,19.05,68.05,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,68.05,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,50.36,percent of total billed charges,50.36,percent of total billed charges,54.44,percent of total billed charges,54.44,percent of total billed charges,,,49,percent of total billed charges ,,,54.44,percent of total billed charges ,57.16,percent of total billed charges ,57.16,percent of total billed charges ,53.08,percent of total billed charges ,53.08,percent of total billed charges ,54.44,percent of total billed charges ,54.44,percent of total billed charges ,47.64,percent of total billed charges ,47.64,percent of total billed charges ,40.83,percent of total billed charges ,40.83,percent of total billed charges ,40.83,percent of total billed charges ,40.83,percent of total billed charges ,,,,,36.2,percent of total billed charges ,,,,,34.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,,,19.05,percent of total billed charges,
SUCCINYLcholine 200mg/10mL SYR,J0330,CDM,,,,both,,,487.99,487.99,136.64,487.99,487.99,percent of total billed charges,487.99,percent of total billed charges,487.99,percent of total billed charges,487.99,percent of total billed charges,487.99,percent of total billed charges,487.99,percent of total billed charges,487.99,percent of total billed charges,487.99,percent of total billed charges,351.35,percent of total billed charges,351.35,percent of total billed charges,351.35,percent of total billed charges,351.35,percent of total billed charges,351.35,percent of total billed charges,351.35,percent of total billed charges,361.11,percent of total billed charges,361.11,percent of total billed charges,390.39,percent of total billed charges,390.39,percent of total billed charges,,,351.35,percent of total billed charges ,,,390.39,percent of total billed charges ,409.91,percent of total billed charges ,409.91,percent of total billed charges ,380.63,percent of total billed charges ,380.63,percent of total billed charges ,390.39,percent of total billed charges ,390.39,percent of total billed charges ,341.59,percent of total billed charges ,341.59,percent of total billed charges ,292.79,percent of total billed charges ,292.79,percent of total billed charges ,292.79,percent of total billed charges ,292.79,percent of total billed charges ,,,,,259.61,percent of total billed charges ,,,,,246.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,,,136.64,percent of total billed charges,
ceFAZolin FTV: 10GM FOR COMPOUNDING,J0690,CDM,,,,both,,,86.26,86.26,24.15,86.26,86.26,percent of total billed charges,86.26,percent of total billed charges,86.26,percent of total billed charges,86.26,percent of total billed charges,86.26,percent of total billed charges,86.26,percent of total billed charges,86.26,percent of total billed charges,86.26,percent of total billed charges,62.11,percent of total billed charges,62.11,percent of total billed charges,62.11,percent of total billed charges,62.11,percent of total billed charges,62.11,percent of total billed charges,62.11,percent of total billed charges,63.83,percent of total billed charges,63.83,percent of total billed charges,69.01,percent of total billed charges,69.01,percent of total billed charges,,,62.11,percent of total billed charges ,,,69.01,percent of total billed charges ,72.46,percent of total billed charges ,72.46,percent of total billed charges ,67.28,percent of total billed charges ,67.28,percent of total billed charges ,69.01,percent of total billed charges ,69.01,percent of total billed charges ,60.38,percent of total billed charges ,60.38,percent of total billed charges ,51.76,percent of total billed charges ,51.76,percent of total billed charges ,51.76,percent of total billed charges ,51.76,percent of total billed charges ,,,,,45.89,percent of total billed charges ,,,,,43.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,,,24.15,percent of total billed charges,
PROPARACAINE HCL OPHTH SOLN 0.5%: 15mL,LOCAL,LOCAL,,,,both,,,140.88,140.88,39.45,140.88,140.88,percent of total billed charges,140.88,percent of total billed charges,140.88,percent of total billed charges,140.88,percent of total billed charges,140.88,percent of total billed charges,140.88,percent of total billed charges,140.88,percent of total billed charges,140.88,percent of total billed charges,101.43,percent of total billed charges,101.43,percent of total billed charges,101.43,percent of total billed charges,101.43,percent of total billed charges,101.43,percent of total billed charges,101.43,percent of total billed charges,104.25,percent of total billed charges,104.25,percent of total billed charges,112.7,percent of total billed charges,112.7,percent of total billed charges,,,101.43,percent of total billed charges ,,,112.7,percent of total billed charges ,118.34,percent of total billed charges ,118.34,percent of total billed charges ,109.89,percent of total billed charges ,109.89,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,98.62,percent of total billed charges ,98.62,percent of total billed charges ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,84.53,percent of total billed charges ,,,,,74.95,percent of total billed charges ,,,,,71.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,,,39.45,percent of total billed charges,
CALCIUM GLUCONATE 2000MG/100mL IVPB,J0613,CDM,,,,both,,,251.2,251.2,70.34,251.2,251.2,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,251.2,percent of total billed charges,180.86,percent of total billed charges,180.86,percent of total billed charges,180.86,percent of total billed charges,180.86,percent of total billed charges,180.86,percent of total billed charges,180.86,percent of total billed charges,185.89,percent of total billed charges,185.89,percent of total billed charges,200.96,percent of total billed charges,200.96,percent of total billed charges,,,180.86,percent of total billed charges ,,,200.96,percent of total billed charges ,211.01,percent of total billed charges ,211.01,percent of total billed charges ,195.94,percent of total billed charges ,195.94,percent of total billed charges ,200.96,percent of total billed charges ,200.96,percent of total billed charges ,175.84,percent of total billed charges ,175.84,percent of total billed charges ,150.72,percent of total billed charges ,150.72,percent of total billed charges ,150.72,percent of total billed charges ,150.72,percent of total billed charges ,,,,,133.64,percent of total billed charges ,,,,,126.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,,,70.34,percent of total billed charges,
BETADINE OPHTH SOLUTION 5%:30mL,LOCAL,LOCAL,,,,both,,,119.08,119.08,33.34,119.08,119.08,percent of total billed charges,119.08,percent of total billed charges,119.08,percent of total billed charges,119.08,percent of total billed charges,119.08,percent of total billed charges,119.08,percent of total billed charges,119.08,percent of total billed charges,119.08,percent of total billed charges,85.74,percent of total billed charges,85.74,percent of total billed charges,85.74,percent of total billed charges,85.74,percent of total billed charges,85.74,percent of total billed charges,85.74,percent of total billed charges,88.12,percent of total billed charges,88.12,percent of total billed charges,95.26,percent of total billed charges,95.26,percent of total billed charges,,,85.74,percent of total billed charges ,,,95.26,percent of total billed charges ,100.03,percent of total billed charges ,100.03,percent of total billed charges ,92.88,percent of total billed charges ,92.88,percent of total billed charges ,95.26,percent of total billed charges ,95.26,percent of total billed charges ,83.36,percent of total billed charges ,83.36,percent of total billed charges ,71.45,percent of total billed charges ,71.45,percent of total billed charges ,71.45,percent of total billed charges ,71.45,percent of total billed charges ,,,,,63.35,percent of total billed charges ,,,,,60.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,,,33.34,percent of total billed charges,
FERRIC CARBOXYMALTOSE INJ: 750MG/15mL,J1439,CDM,,,,both,,,"6,483.88","6,483.88","1,815.49","6,483.88","6,483.88",percent of total billed charges,"6,483.88",percent of total billed charges,"6,483.88",percent of total billed charges,"6,483.88",percent of total billed charges,"6,483.88",percent of total billed charges,"6,483.88",percent of total billed charges,"6,483.88",percent of total billed charges,"6,483.88",percent of total billed charges,"4,668.39",percent of total billed charges,"4,668.39",percent of total billed charges,"4,668.39",percent of total billed charges,"4,668.39",percent of total billed charges,"4,668.39",percent of total billed charges,"4,668.39",percent of total billed charges,"4,798.07",percent of total billed charges,"4,798.07",percent of total billed charges,"5,187.10",percent of total billed charges,"5,187.10",percent of total billed charges,,,"4,668.39",percent of total billed charges ,,,"5,187.10",percent of total billed charges ,"5,446.46",percent of total billed charges ,"5,446.46",percent of total billed charges ,"5,057.43",percent of total billed charges ,"5,057.43",percent of total billed charges ,"5,187.10",percent of total billed charges ,"5,187.10",percent of total billed charges ,"4,538.72",percent of total billed charges ,"4,538.72",percent of total billed charges ,"3,890.33",percent of total billed charges ,"3,890.33",percent of total billed charges ,"3,890.33",percent of total billed charges ,"3,890.33",percent of total billed charges ,,,,,"3,449.42",percent of total billed charges ,,,,,"3,276.95",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,,,"1,815.49",percent of total billed charges,
MINOCYCLINE (MINOCIN) HCL 100MG SDV,J2265,CDM,,,,both,,,"1,615.82","1,615.82",452.43,"1,615.82","1,615.82",percent of total billed charges,"1,615.82",percent of total billed charges,"1,615.82",percent of total billed charges,"1,615.82",percent of total billed charges,"1,615.82",percent of total billed charges,"1,615.82",percent of total billed charges,"1,615.82",percent of total billed charges,"1,615.82",percent of total billed charges,"1,163.39",percent of total billed charges,"1,163.39",percent of total billed charges,"1,163.39",percent of total billed charges,"1,163.39",percent of total billed charges,"1,163.39",percent of total billed charges,"1,163.39",percent of total billed charges,"1,195.71",percent of total billed charges,"1,195.71",percent of total billed charges,"1,292.66",percent of total billed charges,"1,292.66",percent of total billed charges,,,"1,163.39",percent of total billed charges ,,,"1,292.66",percent of total billed charges ,"1,357.29",percent of total billed charges ,"1,357.29",percent of total billed charges ,"1,260.34",percent of total billed charges ,"1,260.34",percent of total billed charges ,"1,292.66",percent of total billed charges ,"1,292.66",percent of total billed charges ,"1,131.07",percent of total billed charges ,"1,131.07",percent of total billed charges ,969.49,percent of total billed charges ,969.49,percent of total billed charges ,969.49,percent of total billed charges ,969.49,percent of total billed charges ,,,,,859.62,percent of total billed charges ,,,,,816.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,,,452.43,percent of total billed charges,
TACROLIMUS ORAL 0.5MG/mL SYR: COMPOUND,J7507,CDM,,,,both,,,2.58,2.58,0.72,2.58,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,2.06,percent of total billed charges,2.06,percent of total billed charges,,,1.86,percent of total billed charges ,,,2.06,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,2.06,percent of total billed charges ,2.06,percent of total billed charges ,1.81,percent of total billed charges ,1.81,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,1.55,percent of total billed charges ,,,,,1.37,percent of total billed charges ,,,,,1.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,,,0.72,percent of total billed charges,
fentaNYL CIT 50MCG/ML SDV: 50ML,J3010,CDM,,,,both,,,494.12,494.12,138.35,494.12,494.12,percent of total billed charges,494.12,percent of total billed charges,494.12,percent of total billed charges,494.12,percent of total billed charges,494.12,percent of total billed charges,494.12,percent of total billed charges,494.12,percent of total billed charges,494.12,percent of total billed charges,355.77,percent of total billed charges,355.77,percent of total billed charges,355.77,percent of total billed charges,355.77,percent of total billed charges,355.77,percent of total billed charges,355.77,percent of total billed charges,365.65,percent of total billed charges,365.65,percent of total billed charges,395.3,percent of total billed charges,395.3,percent of total billed charges,,,355.77,percent of total billed charges ,,,395.3,percent of total billed charges ,415.06,percent of total billed charges ,415.06,percent of total billed charges ,385.41,percent of total billed charges ,385.41,percent of total billed charges ,395.3,percent of total billed charges ,395.3,percent of total billed charges ,345.88,percent of total billed charges ,345.88,percent of total billed charges ,296.47,percent of total billed charges ,296.47,percent of total billed charges ,296.47,percent of total billed charges ,296.47,percent of total billed charges ,,,,,262.87,percent of total billed charges ,,,,,249.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,,,138.35,percent of total billed charges,
SULFAMETHOX/TRIM 400MG-80MG PO TAB,LOCAL,LOCAL,,,,both,,,1.38,1.38,0.39,1.38,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,1.38,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,,,0.99,percent of total billed charges ,,,1.1,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,0.97,percent of total billed charges ,0.97,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,,,,,0.73,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,
ERYTHROMYCIN OPHT OINT 0.5%: 1GM (UD),LOCAL,LOCAL,,,,both,,,27.47,27.47,7.69,27.47,27.47,percent of total billed charges,27.47,percent of total billed charges,27.47,percent of total billed charges,27.47,percent of total billed charges,27.47,percent of total billed charges,27.47,percent of total billed charges,27.47,percent of total billed charges,27.47,percent of total billed charges,19.78,percent of total billed charges,19.78,percent of total billed charges,19.78,percent of total billed charges,19.78,percent of total billed charges,19.78,percent of total billed charges,19.78,percent of total billed charges,20.33,percent of total billed charges,20.33,percent of total billed charges,21.98,percent of total billed charges,21.98,percent of total billed charges,,,19.78,percent of total billed charges ,,,21.98,percent of total billed charges ,23.07,percent of total billed charges ,23.07,percent of total billed charges ,21.43,percent of total billed charges ,21.43,percent of total billed charges ,21.98,percent of total billed charges ,21.98,percent of total billed charges ,19.23,percent of total billed charges ,19.23,percent of total billed charges ,16.48,percent of total billed charges ,16.48,percent of total billed charges ,16.48,percent of total billed charges ,16.48,percent of total billed charges ,,,,,14.61,percent of total billed charges ,,,,,13.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,,,7.69,percent of total billed charges,
MIDAZOLAM-NACL 50MG-0.9% IV PREMIX 50mL,J2250,CDM,,,,both,,,183.32,183.32,51.33,183.32,183.32,percent of total billed charges,183.32,percent of total billed charges,183.32,percent of total billed charges,183.32,percent of total billed charges,183.32,percent of total billed charges,183.32,percent of total billed charges,183.32,percent of total billed charges,183.32,percent of total billed charges,131.99,percent of total billed charges,131.99,percent of total billed charges,131.99,percent of total billed charges,131.99,percent of total billed charges,131.99,percent of total billed charges,131.99,percent of total billed charges,135.66,percent of total billed charges,135.66,percent of total billed charges,146.66,percent of total billed charges,146.66,percent of total billed charges,,,131.99,percent of total billed charges ,,,146.66,percent of total billed charges ,153.99,percent of total billed charges ,153.99,percent of total billed charges ,142.99,percent of total billed charges ,142.99,percent of total billed charges ,146.66,percent of total billed charges ,146.66,percent of total billed charges ,128.32,percent of total billed charges ,128.32,percent of total billed charges ,109.99,percent of total billed charges ,109.99,percent of total billed charges ,109.99,percent of total billed charges ,109.99,percent of total billed charges ,,,,,97.53,percent of total billed charges ,,,,,92.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,,,51.33,percent of total billed charges,
PROTHROMBIN COMPLEX CONC (KCENTRA) 500IU,J7168,CDM,,,,both,,,"6,992.05","6,992.05","1,957.77","6,992.05","6,992.05",percent of total billed charges,"6,992.05",percent of total billed charges,"6,992.05",percent of total billed charges,"6,992.05",percent of total billed charges,"6,992.05",percent of total billed charges,"6,992.05",percent of total billed charges,"6,992.05",percent of total billed charges,"6,992.05",percent of total billed charges,"5,034.28",percent of total billed charges,"5,034.28",percent of total billed charges,"5,034.28",percent of total billed charges,"5,034.28",percent of total billed charges,"5,034.28",percent of total billed charges,"5,034.28",percent of total billed charges,"5,174.12",percent of total billed charges,"5,174.12",percent of total billed charges,"5,593.64",percent of total billed charges,"5,593.64",percent of total billed charges,,,"5,034.28",percent of total billed charges ,,,"5,593.64",percent of total billed charges ,"5,873.32",percent of total billed charges ,"5,873.32",percent of total billed charges ,"5,453.80",percent of total billed charges ,"5,453.80",percent of total billed charges ,"5,593.64",percent of total billed charges ,"5,593.64",percent of total billed charges ,"4,894.44",percent of total billed charges ,"4,894.44",percent of total billed charges ,"4,195.23",percent of total billed charges ,"4,195.23",percent of total billed charges ,"4,195.23",percent of total billed charges ,"4,195.23",percent of total billed charges ,,,,,"3,719.77",percent of total billed charges ,,,,,"3,533.78",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,,,"1,957.77",percent of total billed charges,
PROTHROMBIN COMPLEX CONC(KCENTRA) 1000IU,J7168,CDM,,,,both,,,"13,984.04","13,984.04","3,915.53","13,984.04","13,984.04",percent of total billed charges,"13,984.04",percent of total billed charges,"13,984.04",percent of total billed charges,"13,984.04",percent of total billed charges,"13,984.04",percent of total billed charges,"13,984.04",percent of total billed charges,"13,984.04",percent of total billed charges,"13,984.04",percent of total billed charges,"10,068.51",percent of total billed charges,"10,068.51",percent of total billed charges,"10,068.51",percent of total billed charges,"10,068.51",percent of total billed charges,"10,068.51",percent of total billed charges,"10,068.51",percent of total billed charges,"10,348.19",percent of total billed charges,"10,348.19",percent of total billed charges,"11,187.23",percent of total billed charges,"11,187.23",percent of total billed charges,,,"10,068.51",percent of total billed charges ,,,"11,187.23",percent of total billed charges ,"11,746.59",percent of total billed charges ,"11,746.59",percent of total billed charges ,"10,907.55",percent of total billed charges ,"10,907.55",percent of total billed charges ,"11,187.23",percent of total billed charges ,"11,187.23",percent of total billed charges ,"9,788.83",percent of total billed charges ,"9,788.83",percent of total billed charges ,"8,390.42",percent of total billed charges ,"8,390.42",percent of total billed charges ,"8,390.42",percent of total billed charges ,"8,390.42",percent of total billed charges ,,,,,"7,439.51",percent of total billed charges ,,,,,"7,067.53",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,,,"3,915.53",percent of total billed charges,
IMMUNE GLOBULIN 10% (PRIVIGEN) 5GM,J1459,CDM,,,,both,,,"3,182.26","3,182.26",891.03,"3,182.26","3,182.26",percent of total billed charges,"3,182.26",percent of total billed charges,"3,182.26",percent of total billed charges,"3,182.26",percent of total billed charges,"3,182.26",percent of total billed charges,"3,182.26",percent of total billed charges,"3,182.26",percent of total billed charges,"3,182.26",percent of total billed charges,"2,291.23",percent of total billed charges,"2,291.23",percent of total billed charges,"2,291.23",percent of total billed charges,"2,291.23",percent of total billed charges,"2,291.23",percent of total billed charges,"2,291.23",percent of total billed charges,"2,354.87",percent of total billed charges,"2,354.87",percent of total billed charges,"2,545.81",percent of total billed charges,"2,545.81",percent of total billed charges,,,"2,291.23",percent of total billed charges ,,,"2,545.81",percent of total billed charges ,"2,673.10",percent of total billed charges ,"2,673.10",percent of total billed charges ,"2,482.16",percent of total billed charges ,"2,482.16",percent of total billed charges ,"2,545.81",percent of total billed charges ,"2,545.81",percent of total billed charges ,"2,227.58",percent of total billed charges ,"2,227.58",percent of total billed charges ,"1,909.36",percent of total billed charges ,"1,909.36",percent of total billed charges ,"1,909.36",percent of total billed charges ,"1,909.36",percent of total billed charges ,,,,,"1,692.96",percent of total billed charges ,,,,,"1,608.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,,,891.03,percent of total billed charges,
IMMUNE GLOBULIN 10% (PRIVIGEN) 10GM SDV,J1459,CDM,,,,both,,,"6,364.51","6,364.51","1,782.06","6,364.51","6,364.51",percent of total billed charges,"6,364.51",percent of total billed charges,"6,364.51",percent of total billed charges,"6,364.51",percent of total billed charges,"6,364.51",percent of total billed charges,"6,364.51",percent of total billed charges,"6,364.51",percent of total billed charges,"6,364.51",percent of total billed charges,"4,582.45",percent of total billed charges,"4,582.45",percent of total billed charges,"4,582.45",percent of total billed charges,"4,582.45",percent of total billed charges,"4,582.45",percent of total billed charges,"4,582.45",percent of total billed charges,"4,709.74",percent of total billed charges,"4,709.74",percent of total billed charges,"5,091.61",percent of total billed charges,"5,091.61",percent of total billed charges,,,"4,582.45",percent of total billed charges ,,,"5,091.61",percent of total billed charges ,"5,346.19",percent of total billed charges ,"5,346.19",percent of total billed charges ,"4,964.32",percent of total billed charges ,"4,964.32",percent of total billed charges ,"5,091.61",percent of total billed charges ,"5,091.61",percent of total billed charges ,"4,455.16",percent of total billed charges ,"4,455.16",percent of total billed charges ,"3,818.71",percent of total billed charges ,"3,818.71",percent of total billed charges ,"3,818.71",percent of total billed charges ,"3,818.71",percent of total billed charges ,,,,,"3,385.92",percent of total billed charges ,,,,,"3,216.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,,,"1,782.06",percent of total billed charges,
IMMUNE GLOBULIN 10% (PRIVIGEN) 20GM SDV,J1459,CDM,,,,both,,,"12,729.02","12,729.02","3,564.13","12,729.02","12,729.02",percent of total billed charges,"12,729.02",percent of total billed charges,"12,729.02",percent of total billed charges,"12,729.02",percent of total billed charges,"12,729.02",percent of total billed charges,"12,729.02",percent of total billed charges,"12,729.02",percent of total billed charges,"12,729.02",percent of total billed charges,"9,164.89",percent of total billed charges,"9,164.89",percent of total billed charges,"9,164.89",percent of total billed charges,"9,164.89",percent of total billed charges,"9,164.89",percent of total billed charges,"9,164.89",percent of total billed charges,"9,419.47",percent of total billed charges,"9,419.47",percent of total billed charges,"10,183.22",percent of total billed charges,"10,183.22",percent of total billed charges,,,"9,164.89",percent of total billed charges ,,,"10,183.22",percent of total billed charges ,"10,692.38",percent of total billed charges ,"10,692.38",percent of total billed charges ,"9,928.64",percent of total billed charges ,"9,928.64",percent of total billed charges ,"10,183.22",percent of total billed charges ,"10,183.22",percent of total billed charges ,"8,910.31",percent of total billed charges ,"8,910.31",percent of total billed charges ,"7,637.41",percent of total billed charges ,"7,637.41",percent of total billed charges ,"7,637.41",percent of total billed charges ,"7,637.41",percent of total billed charges ,,,,,"6,771.84",percent of total billed charges ,,,,,"6,433.25",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,,,"3,564.13",percent of total billed charges,
BETAXOLOL HCL O/S 0.5%: 5mL,LOCAL,LOCAL,,,,both,,,168.35,168.35,47.14,168.35,168.35,percent of total billed charges,168.35,percent of total billed charges,168.35,percent of total billed charges,168.35,percent of total billed charges,168.35,percent of total billed charges,168.35,percent of total billed charges,168.35,percent of total billed charges,168.35,percent of total billed charges,121.21,percent of total billed charges,121.21,percent of total billed charges,121.21,percent of total billed charges,121.21,percent of total billed charges,121.21,percent of total billed charges,121.21,percent of total billed charges,124.58,percent of total billed charges,124.58,percent of total billed charges,134.68,percent of total billed charges,134.68,percent of total billed charges,,,121.21,percent of total billed charges ,,,134.68,percent of total billed charges ,141.41,percent of total billed charges ,141.41,percent of total billed charges ,131.31,percent of total billed charges ,131.31,percent of total billed charges ,134.68,percent of total billed charges ,134.68,percent of total billed charges ,117.85,percent of total billed charges ,117.85,percent of total billed charges ,101.01,percent of total billed charges ,101.01,percent of total billed charges ,101.01,percent of total billed charges ,101.01,percent of total billed charges ,,,,,89.56,percent of total billed charges ,,,,,85.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,,,47.14,percent of total billed charges,
METRONIDAZOLE TOPICAL GEL 0.75%: 45GM,LOCAL,LOCAL,,,,both,,,131.34,131.34,36.78,131.34,131.34,percent of total billed charges,131.34,percent of total billed charges,131.34,percent of total billed charges,131.34,percent of total billed charges,131.34,percent of total billed charges,131.34,percent of total billed charges,131.34,percent of total billed charges,131.34,percent of total billed charges,94.56,percent of total billed charges,94.56,percent of total billed charges,94.56,percent of total billed charges,94.56,percent of total billed charges,94.56,percent of total billed charges,94.56,percent of total billed charges,97.19,percent of total billed charges,97.19,percent of total billed charges,105.07,percent of total billed charges,105.07,percent of total billed charges,,,94.56,percent of total billed charges ,,,105.07,percent of total billed charges ,110.33,percent of total billed charges ,110.33,percent of total billed charges ,102.45,percent of total billed charges ,102.45,percent of total billed charges ,105.07,percent of total billed charges ,105.07,percent of total billed charges ,91.94,percent of total billed charges ,91.94,percent of total billed charges ,78.8,percent of total billed charges ,78.8,percent of total billed charges ,78.8,percent of total billed charges ,78.8,percent of total billed charges ,,,,,69.87,percent of total billed charges ,,,,,66.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,,,36.78,percent of total billed charges,
EPOETIN ALFA-EPBX (RETACRIT) INJ 40000U,Q5105,CDM,,,,both,,,"2,096.22","2,096.22",586.94,"2,096.22","2,096.22",percent of total billed charges,"2,096.22",percent of total billed charges,"2,096.22",percent of total billed charges,"2,096.22",percent of total billed charges,"2,096.22",percent of total billed charges,"2,096.22",percent of total billed charges,"2,096.22",percent of total billed charges,"2,096.22",percent of total billed charges,"1,509.28",percent of total billed charges,"1,509.28",percent of total billed charges,"1,509.28",percent of total billed charges,"1,509.28",percent of total billed charges,"1,509.28",percent of total billed charges,"1,509.28",percent of total billed charges,"1,551.20",percent of total billed charges,"1,551.20",percent of total billed charges,"1,676.98",percent of total billed charges,"1,676.98",percent of total billed charges,,,"1,509.28",percent of total billed charges ,,,"1,676.98",percent of total billed charges ,"1,760.82",percent of total billed charges ,"1,760.82",percent of total billed charges ,"1,635.05",percent of total billed charges ,"1,635.05",percent of total billed charges ,"1,676.98",percent of total billed charges ,"1,676.98",percent of total billed charges ,"1,467.35",percent of total billed charges ,"1,467.35",percent of total billed charges ,"1,257.73",percent of total billed charges ,"1,257.73",percent of total billed charges ,"1,257.73",percent of total billed charges ,"1,257.73",percent of total billed charges ,,,,,"1,115.19",percent of total billed charges ,,,,,"1,059.43",percent of total billed charges ,,,,,,,,,,,,,,,,,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,,,586.94,percent of total billed charges,
EPOETIN ALFA-EPBX (RETACRIT) INJ 10000U,Q5105,CDM,,,,both,,,863.32,863.32,241.73,863.32,863.32,percent of total billed charges,863.32,percent of total billed charges,863.32,percent of total billed charges,863.32,percent of total billed charges,863.32,percent of total billed charges,863.32,percent of total billed charges,863.32,percent of total billed charges,863.32,percent of total billed charges,621.59,percent of total billed charges,621.59,percent of total billed charges,621.59,percent of total billed charges,621.59,percent of total billed charges,621.59,percent of total billed charges,621.59,percent of total billed charges,638.86,percent of total billed charges,638.86,percent of total billed charges,690.66,percent of total billed charges,690.66,percent of total billed charges,,,621.59,percent of total billed charges ,,,690.66,percent of total billed charges ,725.19,percent of total billed charges ,725.19,percent of total billed charges ,673.39,percent of total billed charges ,673.39,percent of total billed charges ,690.66,percent of total billed charges ,690.66,percent of total billed charges ,604.32,percent of total billed charges ,604.32,percent of total billed charges ,517.99,percent of total billed charges ,517.99,percent of total billed charges ,517.99,percent of total billed charges ,517.99,percent of total billed charges ,,,,,459.29,percent of total billed charges ,,,,,436.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,,,241.73,percent of total billed charges,
EPOETIN ALFA-EPBX (RETACRIT) INJ 4000U,Q5105,CDM,,,,both,,,489.24,489.24,136.99,489.24,489.24,percent of total billed charges,489.24,percent of total billed charges,489.24,percent of total billed charges,489.24,percent of total billed charges,489.24,percent of total billed charges,489.24,percent of total billed charges,489.24,percent of total billed charges,489.24,percent of total billed charges,352.25,percent of total billed charges,352.25,percent of total billed charges,352.25,percent of total billed charges,352.25,percent of total billed charges,352.25,percent of total billed charges,352.25,percent of total billed charges,362.04,percent of total billed charges,362.04,percent of total billed charges,391.39,percent of total billed charges,391.39,percent of total billed charges,,,352.25,percent of total billed charges ,,,391.39,percent of total billed charges ,410.96,percent of total billed charges ,410.96,percent of total billed charges ,381.61,percent of total billed charges ,381.61,percent of total billed charges ,391.39,percent of total billed charges ,391.39,percent of total billed charges ,342.47,percent of total billed charges ,342.47,percent of total billed charges ,293.54,percent of total billed charges ,293.54,percent of total billed charges ,293.54,percent of total billed charges ,293.54,percent of total billed charges ,,,,,260.28,percent of total billed charges ,,,,,247.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,,,136.99,percent of total billed charges,
PENTAMIDINE ISE INH SOLN 300MG SDV,J2545,CDM,,,,both,,,596.83,596.83,167.11,596.83,596.83,percent of total billed charges,596.83,percent of total billed charges,596.83,percent of total billed charges,596.83,percent of total billed charges,596.83,percent of total billed charges,596.83,percent of total billed charges,596.83,percent of total billed charges,596.83,percent of total billed charges,429.72,percent of total billed charges,429.72,percent of total billed charges,429.72,percent of total billed charges,429.72,percent of total billed charges,429.72,percent of total billed charges,429.72,percent of total billed charges,441.65,percent of total billed charges,441.65,percent of total billed charges,477.46,percent of total billed charges,477.46,percent of total billed charges,,,429.72,percent of total billed charges ,,,477.46,percent of total billed charges ,501.34,percent of total billed charges ,501.34,percent of total billed charges ,465.53,percent of total billed charges ,465.53,percent of total billed charges ,477.46,percent of total billed charges ,477.46,percent of total billed charges ,417.78,percent of total billed charges ,417.78,percent of total billed charges ,358.1,percent of total billed charges ,358.1,percent of total billed charges ,358.1,percent of total billed charges ,358.1,percent of total billed charges ,,,,,317.51,percent of total billed charges ,,,,,301.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,,,167.11,percent of total billed charges,
riTUXimab (RITUXAN) 100MG SDV,J9312,CDM,,,,both,,,"8,437.79","8,437.79","2,362.58","8,437.79","8,437.79",percent of total billed charges,"8,437.79",percent of total billed charges,"8,437.79",percent of total billed charges,"8,437.79",percent of total billed charges,"8,437.79",percent of total billed charges,"8,437.79",percent of total billed charges,"8,437.79",percent of total billed charges,"8,437.79",percent of total billed charges,"6,075.21",percent of total billed charges,"6,075.21",percent of total billed charges,"6,075.21",percent of total billed charges,"6,075.21",percent of total billed charges,"6,075.21",percent of total billed charges,"6,075.21",percent of total billed charges,"6,243.96",percent of total billed charges,"6,243.96",percent of total billed charges,"6,750.23",percent of total billed charges,"6,750.23",percent of total billed charges,,,"6,075.21",percent of total billed charges ,,,"6,750.23",percent of total billed charges ,"7,087.74",percent of total billed charges ,"7,087.74",percent of total billed charges ,"6,581.48",percent of total billed charges ,"6,581.48",percent of total billed charges ,"6,750.23",percent of total billed charges ,"6,750.23",percent of total billed charges ,"5,906.45",percent of total billed charges ,"5,906.45",percent of total billed charges ,"5,062.67",percent of total billed charges ,"5,062.67",percent of total billed charges ,"5,062.67",percent of total billed charges ,"5,062.67",percent of total billed charges ,,,,,"4,488.90",percent of total billed charges ,,,,,"4,264.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,,,"2,362.58",percent of total billed charges,
**INSULIN THERAPY(HUMALOG) 100UNIT.ML:10,S5551,CDM,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
**INSULIN (LANTUS) 100UNITS/ML 10ML TCU,J1815,CDM,,,,both,,,248,248,69.44,248,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,178.56,percent of total billed charges,183.52,percent of total billed charges,183.52,percent of total billed charges,198.4,percent of total billed charges,198.4,percent of total billed charges,,,178.56,percent of total billed charges ,,,198.4,percent of total billed charges ,208.32,percent of total billed charges ,208.32,percent of total billed charges ,193.44,percent of total billed charges ,193.44,percent of total billed charges ,198.4,percent of total billed charges ,198.4,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,,,,,131.94,percent of total billed charges ,,,,,125.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,,,69.44,percent of total billed charges,
NITROGLYCERIN OINT 2% TRANSERM:1 GM UD,LOCAL,LOCAL,,,,both,,,8.38,8.38,2.35,8.38,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,6.03,percent of total billed charges,6.03,percent of total billed charges,6.03,percent of total billed charges,6.03,percent of total billed charges,6.03,percent of total billed charges,6.03,percent of total billed charges,6.2,percent of total billed charges,6.2,percent of total billed charges,6.7,percent of total billed charges,6.7,percent of total billed charges,,,6.03,percent of total billed charges ,,,6.7,percent of total billed charges ,7.04,percent of total billed charges ,7.04,percent of total billed charges ,6.54,percent of total billed charges ,6.54,percent of total billed charges ,6.7,percent of total billed charges ,6.7,percent of total billed charges ,5.87,percent of total billed charges ,5.87,percent of total billed charges ,5.03,percent of total billed charges ,5.03,percent of total billed charges ,5.03,percent of total billed charges ,5.03,percent of total billed charges ,,,,,4.46,percent of total billed charges ,,,,,4.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,,,2.35,percent of total billed charges,
RT ALBUTEROL 2.5MG/3ML NEB,LOCAL,LOCAL,,,,both,,,0.98,0.98,0.27,0.98,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,,,0.71,percent of total billed charges ,,,0.78,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,,,,,0.52,percent of total billed charges ,,,,,0.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
RT ALBUTEROL 1.25MG/3ML NEB,LOCAL,LOCAL,,,,both,,,2.8,2.8,0.78,2.8,2.8,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.02,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.24,percent of total billed charges,2.24,percent of total billed charges,,,2.02,percent of total billed charges ,,,2.24,percent of total billed charges ,2.35,percent of total billed charges ,2.35,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,2.24,percent of total billed charges ,2.24,percent of total billed charges ,1.96,percent of total billed charges ,1.96,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,,,,,1.49,percent of total billed charges ,,,,,1.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,
RT IPRATROPIUM (ATROVENT) 0.5MG/2.5ML,LOCAL,LOCAL,,,,both,,,0.76,0.76,0.21,0.76,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,,,0.55,percent of total billed charges ,,,0.61,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,,,,,0.4,percent of total billed charges ,,,,,0.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,
RT LEVABUTEROL (XOPENEX) 0.63MG/3 ML,LOCAL,LOCAL,,,,both,,,6.12,6.12,1.71,6.12,6.12,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,6.12,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,4.53,percent of total billed charges,4.53,percent of total billed charges,4.9,percent of total billed charges,4.9,percent of total billed charges,,,4.41,percent of total billed charges ,,,4.9,percent of total billed charges ,5.14,percent of total billed charges ,5.14,percent of total billed charges ,4.77,percent of total billed charges ,4.77,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.28,percent of total billed charges ,4.28,percent of total billed charges ,3.67,percent of total billed charges ,3.67,percent of total billed charges ,3.67,percent of total billed charges ,3.67,percent of total billed charges ,,,,,3.26,percent of total billed charges ,,,,,3.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,,,1.71,percent of total billed charges,
RT LEVALBUTEROL (XOPENEX) 1.25MG/3 ML,LOCAL,LOCAL,,,,both,,,5.23,5.23,1.46,5.23,5.23,percent of total billed charges,5.23,percent of total billed charges,5.23,percent of total billed charges,5.23,percent of total billed charges,5.23,percent of total billed charges,5.23,percent of total billed charges,5.23,percent of total billed charges,5.23,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,,,3.77,percent of total billed charges ,,,4.18,percent of total billed charges ,4.39,percent of total billed charges ,4.39,percent of total billed charges ,4.08,percent of total billed charges ,4.08,percent of total billed charges ,4.18,percent of total billed charges ,4.18,percent of total billed charges ,3.66,percent of total billed charges ,3.66,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,,,,,2.78,percent of total billed charges ,,,,,2.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,,,1.46,percent of total billed charges,
RT RACEMIC EPINEPHRine 2.25% 0.5ML NEB,LOCAL,LOCAL,,,,both,,,4.79,4.79,1.34,4.79,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,3.83,percent of total billed charges,3.83,percent of total billed charges,,,3.45,percent of total billed charges ,,,3.83,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.83,percent of total billed charges ,3.83,percent of total billed charges ,3.35,percent of total billed charges ,3.35,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,,,,,2.55,percent of total billed charges ,,,,,2.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,
RT RACEPINEPHRINE 2.25% 0.5ML NEB,LOCAL,LOCAL,,,,both,,,4.79,4.79,1.34,4.79,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,3.83,percent of total billed charges,3.83,percent of total billed charges,,,3.45,percent of total billed charges ,,,3.83,percent of total billed charges ,4.02,percent of total billed charges ,4.02,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.83,percent of total billed charges ,3.83,percent of total billed charges ,3.35,percent of total billed charges ,3.35,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,,,,,2.55,percent of total billed charges ,,,,,2.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,
RT BUDESONIDE (PULMICORT) 0.5MG/2ML,LOCAL,LOCAL,,,,both,,,12.62,12.62,3.53,12.62,12.62,percent of total billed charges,12.62,percent of total billed charges,12.62,percent of total billed charges,12.62,percent of total billed charges,12.62,percent of total billed charges,12.62,percent of total billed charges,12.62,percent of total billed charges,12.62,percent of total billed charges,9.09,percent of total billed charges,9.09,percent of total billed charges,9.09,percent of total billed charges,9.09,percent of total billed charges,9.09,percent of total billed charges,9.09,percent of total billed charges,9.34,percent of total billed charges,9.34,percent of total billed charges,10.1,percent of total billed charges,10.1,percent of total billed charges,,,9.09,percent of total billed charges ,,,10.1,percent of total billed charges ,10.6,percent of total billed charges ,10.6,percent of total billed charges ,9.84,percent of total billed charges ,9.84,percent of total billed charges ,10.1,percent of total billed charges ,10.1,percent of total billed charges ,8.83,percent of total billed charges ,8.83,percent of total billed charges ,7.57,percent of total billed charges ,7.57,percent of total billed charges ,7.57,percent of total billed charges ,7.57,percent of total billed charges ,,,,,6.71,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,
RT BUDESONIDE (PUMLICORT) 0.25MG/2ML,LOCAL,LOCAL,,,,both,,,12.13,12.13,3.4,12.13,12.13,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,8.73,percent of total billed charges,8.73,percent of total billed charges,8.73,percent of total billed charges,8.73,percent of total billed charges,8.73,percent of total billed charges,8.73,percent of total billed charges,8.98,percent of total billed charges,8.98,percent of total billed charges,9.7,percent of total billed charges,9.7,percent of total billed charges,,,8.73,percent of total billed charges ,,,9.7,percent of total billed charges ,10.19,percent of total billed charges ,10.19,percent of total billed charges ,9.46,percent of total billed charges ,9.46,percent of total billed charges ,9.7,percent of total billed charges ,9.7,percent of total billed charges ,8.49,percent of total billed charges ,8.49,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,7.28,percent of total billed charges ,,,,,6.45,percent of total billed charges ,,,,,6.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,,,3.4,percent of total billed charges,
VALPROATE: (DEPACON) 500MG/5ML INJ,LOCAL,LOCAL,,,,both,,,304.62,304.62,85.29,304.62,304.62,percent of total billed charges,304.62,percent of total billed charges,304.62,percent of total billed charges,304.62,percent of total billed charges,304.62,percent of total billed charges,304.62,percent of total billed charges,304.62,percent of total billed charges,304.62,percent of total billed charges,219.33,percent of total billed charges,219.33,percent of total billed charges,219.33,percent of total billed charges,219.33,percent of total billed charges,219.33,percent of total billed charges,219.33,percent of total billed charges,225.42,percent of total billed charges,225.42,percent of total billed charges,243.7,percent of total billed charges,243.7,percent of total billed charges,,,219.33,percent of total billed charges ,,,243.7,percent of total billed charges ,255.88,percent of total billed charges ,255.88,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,243.7,percent of total billed charges ,243.7,percent of total billed charges ,213.23,percent of total billed charges ,213.23,percent of total billed charges ,182.77,percent of total billed charges ,182.77,percent of total billed charges ,182.77,percent of total billed charges ,182.77,percent of total billed charges ,,,,,162.06,percent of total billed charges ,,,,,153.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,,,85.29,percent of total billed charges,
ENOXAPARIN (LOVENOX) 100 MG/ML SYRINGE,J1650,CDM,,,,both,,,156.87,156.87,43.92,156.87,156.87,percent of total billed charges,156.87,percent of total billed charges,156.87,percent of total billed charges,156.87,percent of total billed charges,156.87,percent of total billed charges,156.87,percent of total billed charges,156.87,percent of total billed charges,156.87,percent of total billed charges,112.95,percent of total billed charges,112.95,percent of total billed charges,112.95,percent of total billed charges,112.95,percent of total billed charges,112.95,percent of total billed charges,112.95,percent of total billed charges,116.08,percent of total billed charges,116.08,percent of total billed charges,125.5,percent of total billed charges,125.5,percent of total billed charges,,,112.95,percent of total billed charges ,,,125.5,percent of total billed charges ,131.77,percent of total billed charges ,131.77,percent of total billed charges ,122.36,percent of total billed charges ,122.36,percent of total billed charges ,125.5,percent of total billed charges ,125.5,percent of total billed charges ,109.81,percent of total billed charges ,109.81,percent of total billed charges ,94.12,percent of total billed charges ,94.12,percent of total billed charges ,94.12,percent of total billed charges ,94.12,percent of total billed charges ,,,,,83.45,percent of total billed charges ,,,,,79.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,,,43.92,percent of total billed charges,
**PHENYTOIN (DILANTIN)100MG CAP(200MGDOS,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**INSULIN DROP (REGULAR) 1 UNIT/ML PREMI,LOCAL,LOCAL,,,,both,,,115,115,32.2,115,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,115,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,85.1,percent of total billed charges,85.1,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,,,82.8,percent of total billed charges ,,,92,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,89.7,percent of total billed charges ,89.7,percent of total billed charges ,92,percent of total billed charges ,92,percent of total billed charges ,80.5,percent of total billed charges ,80.5,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,69,percent of total billed charges ,,,,,61.18,percent of total billed charges ,,,,,58.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,,,32.2,percent of total billed charges,
TRACE ELEMENTS: 5ML VIAL,LOCAL,LOCAL,,,,both,,,99.67,99.67,27.91,99.67,99.67,percent of total billed charges,99.67,percent of total billed charges,99.67,percent of total billed charges,99.67,percent of total billed charges,99.67,percent of total billed charges,99.67,percent of total billed charges,99.67,percent of total billed charges,99.67,percent of total billed charges,71.76,percent of total billed charges,71.76,percent of total billed charges,71.76,percent of total billed charges,71.76,percent of total billed charges,71.76,percent of total billed charges,71.76,percent of total billed charges,73.76,percent of total billed charges,73.76,percent of total billed charges,79.74,percent of total billed charges,79.74,percent of total billed charges,,,71.76,percent of total billed charges ,,,79.74,percent of total billed charges ,83.72,percent of total billed charges ,83.72,percent of total billed charges ,77.74,percent of total billed charges ,77.74,percent of total billed charges ,79.74,percent of total billed charges ,79.74,percent of total billed charges ,69.77,percent of total billed charges ,69.77,percent of total billed charges ,59.8,percent of total billed charges ,59.8,percent of total billed charges ,59.8,percent of total billed charges ,59.8,percent of total billed charges ,,,,,53.02,percent of total billed charges ,,,,,50.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,,,27.91,percent of total billed charges,
**AMPICILLIN  (POLYCILLIN) 250MG CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
BICITRA (SODIUM CITRATE) ORAL SOL: 30ML,LOCAL,LOCAL,,,,both,,,7.03,7.03,1.97,7.03,7.03,percent of total billed charges,7.03,percent of total billed charges,7.03,percent of total billed charges,7.03,percent of total billed charges,7.03,percent of total billed charges,7.03,percent of total billed charges,7.03,percent of total billed charges,7.03,percent of total billed charges,5.06,percent of total billed charges,5.06,percent of total billed charges,5.06,percent of total billed charges,5.06,percent of total billed charges,5.06,percent of total billed charges,5.06,percent of total billed charges,5.2,percent of total billed charges,5.2,percent of total billed charges,5.62,percent of total billed charges,5.62,percent of total billed charges,,,5.06,percent of total billed charges ,,,5.62,percent of total billed charges ,5.91,percent of total billed charges ,5.91,percent of total billed charges ,5.48,percent of total billed charges ,5.48,percent of total billed charges ,5.62,percent of total billed charges ,5.62,percent of total billed charges ,4.92,percent of total billed charges ,4.92,percent of total billed charges ,4.22,percent of total billed charges ,4.22,percent of total billed charges ,4.22,percent of total billed charges ,4.22,percent of total billed charges ,,,,,3.74,percent of total billed charges ,,,,,3.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,,,1.97,percent of total billed charges,
PENCICLOVIR (DENAVIR) 10MG/GM: 1.5G TUBE,LOCAL,LOCAL,,,,both,,,"1,604.37","1,604.37",449.22,"1,604.37","1,604.37",percent of total billed charges,"1,604.37",percent of total billed charges,"1,604.37",percent of total billed charges,"1,604.37",percent of total billed charges,"1,604.37",percent of total billed charges,"1,604.37",percent of total billed charges,"1,604.37",percent of total billed charges,"1,604.37",percent of total billed charges,"1,155.15",percent of total billed charges,"1,155.15",percent of total billed charges,"1,155.15",percent of total billed charges,"1,155.15",percent of total billed charges,"1,155.15",percent of total billed charges,"1,155.15",percent of total billed charges,"1,187.23",percent of total billed charges,"1,187.23",percent of total billed charges,"1,283.50",percent of total billed charges,"1,283.50",percent of total billed charges,,,"1,155.15",percent of total billed charges ,,,"1,283.50",percent of total billed charges ,"1,347.67",percent of total billed charges ,"1,347.67",percent of total billed charges ,"1,251.41",percent of total billed charges ,"1,251.41",percent of total billed charges ,"1,283.50",percent of total billed charges ,"1,283.50",percent of total billed charges ,"1,123.06",percent of total billed charges ,"1,123.06",percent of total billed charges ,962.62,percent of total billed charges ,962.62,percent of total billed charges ,962.62,percent of total billed charges ,962.62,percent of total billed charges ,,,,,853.52,percent of total billed charges ,,,,,810.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,,,449.22,percent of total billed charges,
**NACL  IV 0.9% : 1000 ML,LOCAL,LOCAL,,,,both,,,46,46,12.88,46,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,36.8,percent of total billed charges,36.8,percent of total billed charges,,,33.12,percent of total billed charges ,,,36.8,percent of total billed charges ,38.64,percent of total billed charges ,38.64,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,36.8,percent of total billed charges ,36.8,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,,,,,24.47,percent of total billed charges ,,,,,23.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,
THIAMINE (VITAMIN B-1) 100MG TAB,LOCAL,LOCAL,,,,both,,,0.55,0.55,0.15,0.55,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,,,0.4,percent of total billed charges ,,,0.44,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.33,percent of total billed charges ,0.33,percent of total billed charges ,0.33,percent of total billed charges ,0.33,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
**AMIODarone IV KIT:,LOCAL,LOCAL,,,,both,,,104,104,29.12,104,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,74.88,percent of total billed charges,76.96,percent of total billed charges,76.96,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,,,74.88,percent of total billed charges ,,,83.2,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,81.12,percent of total billed charges ,81.12,percent of total billed charges ,83.2,percent of total billed charges ,83.2,percent of total billed charges ,72.8,percent of total billed charges ,72.8,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,,,,,55.33,percent of total billed charges ,,,,,52.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,,,29.12,percent of total billed charges,
**ASPIRIN (CHILDRENS) CHEW TAB:81MG 4 TA,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
OXACILLIN: (PROSTAPHLIN) 1 GM VIAL,J2700,CDM,,,,both,,,72.48,72.48,20.29,72.48,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,53.64,percent of total billed charges,53.64,percent of total billed charges,57.98,percent of total billed charges,57.98,percent of total billed charges,,,52.19,percent of total billed charges ,,,57.98,percent of total billed charges ,60.88,percent of total billed charges ,60.88,percent of total billed charges ,56.53,percent of total billed charges ,56.53,percent of total billed charges ,57.98,percent of total billed charges ,57.98,percent of total billed charges ,50.74,percent of total billed charges ,50.74,percent of total billed charges ,43.49,percent of total billed charges ,43.49,percent of total billed charges ,43.49,percent of total billed charges ,43.49,percent of total billed charges ,,,,,38.56,percent of total billed charges ,,,,,36.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,
OXACILLIN: (PROSTAPHLIN) 2 GM,J2700,CDM,,,,both,,,121.13,121.13,33.92,121.13,121.13,percent of total billed charges,121.13,percent of total billed charges,121.13,percent of total billed charges,121.13,percent of total billed charges,121.13,percent of total billed charges,121.13,percent of total billed charges,121.13,percent of total billed charges,121.13,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,89.64,percent of total billed charges,89.64,percent of total billed charges,96.9,percent of total billed charges,96.9,percent of total billed charges,,,87.21,percent of total billed charges ,,,96.9,percent of total billed charges ,101.75,percent of total billed charges ,101.75,percent of total billed charges ,94.48,percent of total billed charges ,94.48,percent of total billed charges ,96.9,percent of total billed charges ,96.9,percent of total billed charges ,84.79,percent of total billed charges ,84.79,percent of total billed charges ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,72.68,percent of total billed charges ,,,,,64.44,percent of total billed charges ,,,,,61.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,,,33.92,percent of total billed charges,
VECURONIUM  10MG/10ML VIAL,LOCAL,LOCAL,,,,both,,,51.01,51.01,14.28,51.01,51.01,percent of total billed charges,51.01,percent of total billed charges,51.01,percent of total billed charges,51.01,percent of total billed charges,51.01,percent of total billed charges,51.01,percent of total billed charges,51.01,percent of total billed charges,51.01,percent of total billed charges,36.73,percent of total billed charges,36.73,percent of total billed charges,36.73,percent of total billed charges,36.73,percent of total billed charges,36.73,percent of total billed charges,36.73,percent of total billed charges,37.75,percent of total billed charges,37.75,percent of total billed charges,40.81,percent of total billed charges,40.81,percent of total billed charges,,,36.73,percent of total billed charges ,,,40.81,percent of total billed charges ,42.85,percent of total billed charges ,42.85,percent of total billed charges ,39.79,percent of total billed charges ,39.79,percent of total billed charges ,40.81,percent of total billed charges ,40.81,percent of total billed charges ,35.71,percent of total billed charges ,35.71,percent of total billed charges ,30.61,percent of total billed charges ,30.61,percent of total billed charges ,30.61,percent of total billed charges ,30.61,percent of total billed charges ,,,,,27.14,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
lamoTRIgine (LaMICtal) 25 MG TAB,LOCAL,LOCAL,,,,both,,,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
RT MORphine 20MG/2.5ML NEBULE,LOCAL,LOCAL,,,,both,,,6.17,6.17,1.73,6.17,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,6.17,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.57,percent of total billed charges,4.57,percent of total billed charges,4.94,percent of total billed charges,4.94,percent of total billed charges,,,4.44,percent of total billed charges ,,,4.94,percent of total billed charges ,5.18,percent of total billed charges ,5.18,percent of total billed charges ,4.81,percent of total billed charges ,4.81,percent of total billed charges ,4.94,percent of total billed charges ,4.94,percent of total billed charges ,4.32,percent of total billed charges ,4.32,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,,,,,3.28,percent of total billed charges ,,,,,3.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,,,1.73,percent of total billed charges,
RAPE KIT FOR MED DISPENSE,LOCAL,LOCAL,,,,both,,,774,774,216.72,774,774,percent of total billed charges,774,percent of total billed charges,774,percent of total billed charges,774,percent of total billed charges,774,percent of total billed charges,774,percent of total billed charges,774,percent of total billed charges,774,percent of total billed charges,557.28,percent of total billed charges,557.28,percent of total billed charges,557.28,percent of total billed charges,557.28,percent of total billed charges,557.28,percent of total billed charges,557.28,percent of total billed charges,572.76,percent of total billed charges,572.76,percent of total billed charges,619.2,percent of total billed charges,619.2,percent of total billed charges,,,557.28,percent of total billed charges ,,,619.2,percent of total billed charges ,650.16,percent of total billed charges ,650.16,percent of total billed charges ,603.72,percent of total billed charges ,603.72,percent of total billed charges ,619.2,percent of total billed charges ,619.2,percent of total billed charges ,541.8,percent of total billed charges ,541.8,percent of total billed charges ,464.4,percent of total billed charges ,464.4,percent of total billed charges ,464.4,percent of total billed charges ,464.4,percent of total billed charges ,,,,,411.77,percent of total billed charges ,,,,,391.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,,,216.72,percent of total billed charges,
**PREDNISOLONE (PRELONE) SYRUP 15MG/5ML,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**AZITHROMYCIN 500MG/250ML IVPB VIALMATE,J0456,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
DOXYCYCLINE 100MG/100ML IVPB (MINIBAG+),LOCAL,LOCAL,,,,both,,,230.31,230.31,64.49,230.31,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,230.31,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,165.82,percent of total billed charges,170.43,percent of total billed charges,170.43,percent of total billed charges,184.25,percent of total billed charges,184.25,percent of total billed charges,,,165.82,percent of total billed charges ,,,184.25,percent of total billed charges ,193.46,percent of total billed charges ,193.46,percent of total billed charges ,179.64,percent of total billed charges ,179.64,percent of total billed charges ,184.25,percent of total billed charges ,184.25,percent of total billed charges ,161.22,percent of total billed charges ,161.22,percent of total billed charges ,138.19,percent of total billed charges ,138.19,percent of total billed charges ,138.19,percent of total billed charges ,138.19,percent of total billed charges ,,,,,122.52,percent of total billed charges ,,,,,116.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,,,64.49,percent of total billed charges,
CEFUROXIME (ZINACEF) 750MG/100ML IVPB,J0697,CDM,,,,both,,,25.27,25.27,7.08,25.27,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.7,percent of total billed charges,18.7,percent of total billed charges,20.22,percent of total billed charges,20.22,percent of total billed charges,,,18.19,percent of total billed charges ,,,20.22,percent of total billed charges ,21.23,percent of total billed charges ,21.23,percent of total billed charges ,19.71,percent of total billed charges ,19.71,percent of total billed charges ,20.22,percent of total billed charges ,20.22,percent of total billed charges ,17.69,percent of total billed charges ,17.69,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,,,,,13.44,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,
VANCOMYCIN COMPOUNDED IVPB,J3370,CDM,,,,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
ACYCLOVIR: 500MG IN NS 100 ML,J0133,CDM,,,,both,,,47.28,47.28,13.24,47.28,47.28,percent of total billed charges,47.28,percent of total billed charges,47.28,percent of total billed charges,47.28,percent of total billed charges,47.28,percent of total billed charges,47.28,percent of total billed charges,47.28,percent of total billed charges,47.28,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,34.99,percent of total billed charges,34.99,percent of total billed charges,37.82,percent of total billed charges,37.82,percent of total billed charges,,,34.04,percent of total billed charges ,,,37.82,percent of total billed charges ,39.72,percent of total billed charges ,39.72,percent of total billed charges ,36.88,percent of total billed charges ,36.88,percent of total billed charges ,37.82,percent of total billed charges ,37.82,percent of total billed charges ,33.1,percent of total billed charges ,33.1,percent of total billed charges ,28.37,percent of total billed charges ,28.37,percent of total billed charges ,28.37,percent of total billed charges ,28.37,percent of total billed charges ,,,,,25.15,percent of total billed charges ,,,,,23.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,,,13.24,percent of total billed charges,
AMPICILLIN/SULBACTAM 3GM/100ML A/V IVPB,J0295,CDM,,,,both,,,34.41,34.41,9.63,34.41,34.41,percent of total billed charges,34.41,percent of total billed charges,34.41,percent of total billed charges,34.41,percent of total billed charges,34.41,percent of total billed charges,34.41,percent of total billed charges,34.41,percent of total billed charges,34.41,percent of total billed charges,24.78,percent of total billed charges,24.78,percent of total billed charges,24.78,percent of total billed charges,24.78,percent of total billed charges,24.78,percent of total billed charges,24.78,percent of total billed charges,25.46,percent of total billed charges,25.46,percent of total billed charges,27.53,percent of total billed charges,27.53,percent of total billed charges,,,24.78,percent of total billed charges ,,,27.53,percent of total billed charges ,28.9,percent of total billed charges ,28.9,percent of total billed charges ,26.84,percent of total billed charges ,26.84,percent of total billed charges ,27.53,percent of total billed charges ,27.53,percent of total billed charges ,24.09,percent of total billed charges ,24.09,percent of total billed charges ,20.65,percent of total billed charges ,20.65,percent of total billed charges ,20.65,percent of total billed charges ,20.65,percent of total billed charges ,,,,,18.31,percent of total billed charges ,,,,,17.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,,,9.63,percent of total billed charges,
AMPICILLIN/SULBACTAM 1.5GM/100ML IVPB,J0295,CDM,,,,both,,,25.27,25.27,7.08,25.27,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,25.27,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.19,percent of total billed charges,18.7,percent of total billed charges,18.7,percent of total billed charges,20.22,percent of total billed charges,20.22,percent of total billed charges,,,18.19,percent of total billed charges ,,,20.22,percent of total billed charges ,21.23,percent of total billed charges ,21.23,percent of total billed charges ,19.71,percent of total billed charges ,19.71,percent of total billed charges ,20.22,percent of total billed charges ,20.22,percent of total billed charges ,17.69,percent of total billed charges ,17.69,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,,,,,13.44,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,,,7.08,percent of total billed charges,
**TIMENTIN 3.1GM/100ML NS:IV,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
SEPTRA 800/160 D5W 250ML IVPB,LOCAL,LOCAL,,,,both,,,112.69,112.69,31.55,112.69,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,83.39,percent of total billed charges,83.39,percent of total billed charges,90.15,percent of total billed charges,90.15,percent of total billed charges,,,81.14,percent of total billed charges ,,,90.15,percent of total billed charges ,94.66,percent of total billed charges ,94.66,percent of total billed charges ,87.9,percent of total billed charges ,87.9,percent of total billed charges ,90.15,percent of total billed charges ,90.15,percent of total billed charges ,78.88,percent of total billed charges ,78.88,percent of total billed charges ,67.61,percent of total billed charges ,67.61,percent of total billed charges ,67.61,percent of total billed charges ,67.61,percent of total billed charges ,,,,,59.95,percent of total billed charges ,,,,,56.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,
cefTRIAXone (ROCEPHIN) 2GM/100ML A/V,J0696,CDM,,,,both,,,84.43,84.43,23.64,84.43,84.43,percent of total billed charges,84.43,percent of total billed charges,84.43,percent of total billed charges,84.43,percent of total billed charges,84.43,percent of total billed charges,84.43,percent of total billed charges,84.43,percent of total billed charges,84.43,percent of total billed charges,60.79,percent of total billed charges,60.79,percent of total billed charges,60.79,percent of total billed charges,60.79,percent of total billed charges,60.79,percent of total billed charges,60.79,percent of total billed charges,62.48,percent of total billed charges,62.48,percent of total billed charges,67.54,percent of total billed charges,67.54,percent of total billed charges,,,60.79,percent of total billed charges ,,,67.54,percent of total billed charges ,70.92,percent of total billed charges ,70.92,percent of total billed charges ,65.86,percent of total billed charges ,65.86,percent of total billed charges ,67.54,percent of total billed charges ,67.54,percent of total billed charges ,59.1,percent of total billed charges ,59.1,percent of total billed charges ,50.66,percent of total billed charges ,50.66,percent of total billed charges ,50.66,percent of total billed charges ,50.66,percent of total billed charges ,,,,,44.92,percent of total billed charges ,,,,,42.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,,,23.64,percent of total billed charges,
cefTRIAXone (ROCEPHIN) 1GM/100ML A/V,J0696,CDM,,,,both,,,39.36,39.36,11.02,39.36,39.36,percent of total billed charges,39.36,percent of total billed charges,39.36,percent of total billed charges,39.36,percent of total billed charges,39.36,percent of total billed charges,39.36,percent of total billed charges,39.36,percent of total billed charges,39.36,percent of total billed charges,28.34,percent of total billed charges,28.34,percent of total billed charges,28.34,percent of total billed charges,28.34,percent of total billed charges,28.34,percent of total billed charges,28.34,percent of total billed charges,29.13,percent of total billed charges,29.13,percent of total billed charges,31.49,percent of total billed charges,31.49,percent of total billed charges,,,28.34,percent of total billed charges ,,,31.49,percent of total billed charges ,33.06,percent of total billed charges ,33.06,percent of total billed charges ,30.7,percent of total billed charges ,30.7,percent of total billed charges ,31.49,percent of total billed charges ,31.49,percent of total billed charges ,27.55,percent of total billed charges ,27.55,percent of total billed charges ,23.62,percent of total billed charges ,23.62,percent of total billed charges ,23.62,percent of total billed charges ,23.62,percent of total billed charges ,,,,,20.94,percent of total billed charges ,,,,,19.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,,,11.02,percent of total billed charges,
cefTRIAXone 250MG FOR IM,LOCAL,LOCAL,,,,both,,,9.98,9.98,2.79,9.98,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,9.98,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.19,percent of total billed charges,7.39,percent of total billed charges,7.39,percent of total billed charges,7.98,percent of total billed charges,7.98,percent of total billed charges,,,7.19,percent of total billed charges ,,,7.98,percent of total billed charges ,8.38,percent of total billed charges ,8.38,percent of total billed charges ,7.78,percent of total billed charges ,7.78,percent of total billed charges ,7.98,percent of total billed charges ,7.98,percent of total billed charges ,6.99,percent of total billed charges ,6.99,percent of total billed charges ,5.99,percent of total billed charges ,5.99,percent of total billed charges ,5.99,percent of total billed charges ,5.99,percent of total billed charges ,,,,,5.31,percent of total billed charges ,,,,,5.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,,,2.79,percent of total billed charges,
IMIPENEM/CILASTATIN 500MG IN 100ML IVPB,J0743,CDM,,,,both,,,181.7,181.7,50.88,181.7,181.7,percent of total billed charges,181.7,percent of total billed charges,181.7,percent of total billed charges,181.7,percent of total billed charges,181.7,percent of total billed charges,181.7,percent of total billed charges,181.7,percent of total billed charges,181.7,percent of total billed charges,130.82,percent of total billed charges,130.82,percent of total billed charges,130.82,percent of total billed charges,130.82,percent of total billed charges,130.82,percent of total billed charges,130.82,percent of total billed charges,134.46,percent of total billed charges,134.46,percent of total billed charges,145.36,percent of total billed charges,145.36,percent of total billed charges,,,130.82,percent of total billed charges ,,,145.36,percent of total billed charges ,152.63,percent of total billed charges ,152.63,percent of total billed charges ,141.73,percent of total billed charges ,141.73,percent of total billed charges ,145.36,percent of total billed charges ,145.36,percent of total billed charges ,127.19,percent of total billed charges ,127.19,percent of total billed charges ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,109.02,percent of total billed charges ,,,,,96.66,percent of total billed charges ,,,,,91.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,,,50.88,percent of total billed charges,
**DIPYRIDAMOLE 5MG/ML NACL 0.9%:40 ML,J1245,CDM,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
cefOXitin 2GM/100ML IVPB  MINIBAG+,J0694,CDM,,,,both,,,108.69,108.69,30.43,108.69,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,108.69,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,78.26,percent of total billed charges,80.43,percent of total billed charges,80.43,percent of total billed charges,86.95,percent of total billed charges,86.95,percent of total billed charges,,,78.26,percent of total billed charges ,,,86.95,percent of total billed charges ,91.3,percent of total billed charges ,91.3,percent of total billed charges ,84.78,percent of total billed charges ,84.78,percent of total billed charges ,86.95,percent of total billed charges ,86.95,percent of total billed charges ,76.08,percent of total billed charges ,76.08,percent of total billed charges ,65.21,percent of total billed charges ,65.21,percent of total billed charges ,65.21,percent of total billed charges ,65.21,percent of total billed charges ,,,,,57.82,percent of total billed charges ,,,,,54.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,,,30.43,percent of total billed charges,
cefOXitin 1GM/100ML IVPB (MB+),J0694,CDM,,,,both,,,40.93,40.93,11.46,40.93,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,40.93,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,29.47,percent of total billed charges,30.29,percent of total billed charges,30.29,percent of total billed charges,32.74,percent of total billed charges,32.74,percent of total billed charges,,,29.47,percent of total billed charges ,,,32.74,percent of total billed charges ,34.38,percent of total billed charges ,34.38,percent of total billed charges ,31.93,percent of total billed charges ,31.93,percent of total billed charges ,32.74,percent of total billed charges ,32.74,percent of total billed charges ,28.65,percent of total billed charges ,28.65,percent of total billed charges ,24.56,percent of total billed charges ,24.56,percent of total billed charges ,24.56,percent of total billed charges ,24.56,percent of total billed charges ,,,,,21.77,percent of total billed charges ,,,,,20.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,
CEFEPIME 1GM/100ML  IVPB (MB+),J0692,CDM,,,,both,,,28.8,28.8,8.06,28.8,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,20.74,percent of total billed charges,20.74,percent of total billed charges,20.74,percent of total billed charges,20.74,percent of total billed charges,20.74,percent of total billed charges,20.74,percent of total billed charges,21.31,percent of total billed charges,21.31,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,,,20.74,percent of total billed charges ,,,23.04,percent of total billed charges ,24.19,percent of total billed charges ,24.19,percent of total billed charges ,22.46,percent of total billed charges ,22.46,percent of total billed charges ,23.04,percent of total billed charges ,23.04,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,17.28,percent of total billed charges ,17.28,percent of total billed charges ,17.28,percent of total billed charges ,17.28,percent of total billed charges ,,,,,15.32,percent of total billed charges ,,,,,14.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,,,8.06,percent of total billed charges,
**MAG SULFATE 25GM/250ML NS:IV,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
MOUTH WASH  (DIPHENHY./MAALOX/LIDO ):4OZ,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**KANTREX IRRIGATION 1000ML,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
ceFAZolin 2GM IN 50ML IVPB,J0690,CDM,,,,both,,,160.86,160.86,45.04,160.86,160.86,percent of total billed charges,160.86,percent of total billed charges,160.86,percent of total billed charges,160.86,percent of total billed charges,160.86,percent of total billed charges,160.86,percent of total billed charges,160.86,percent of total billed charges,160.86,percent of total billed charges,115.82,percent of total billed charges,115.82,percent of total billed charges,115.82,percent of total billed charges,115.82,percent of total billed charges,115.82,percent of total billed charges,115.82,percent of total billed charges,119.04,percent of total billed charges,119.04,percent of total billed charges,128.69,percent of total billed charges,128.69,percent of total billed charges,,,115.82,percent of total billed charges ,,,128.69,percent of total billed charges ,135.12,percent of total billed charges ,135.12,percent of total billed charges ,125.47,percent of total billed charges ,125.47,percent of total billed charges ,128.69,percent of total billed charges ,128.69,percent of total billed charges ,112.6,percent of total billed charges ,112.6,percent of total billed charges ,96.52,percent of total billed charges ,96.52,percent of total billed charges ,96.52,percent of total billed charges ,96.52,percent of total billed charges ,,,,,85.58,percent of total billed charges ,,,,,81.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,,,45.04,percent of total billed charges,
CEFOTAXIME 1GM/100 ML IVPB A/V,J0698,CDM,,,,both,,,71.61,71.61,20.05,71.61,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,71.61,percent of total billed charges,51.56,percent of total billed charges,51.56,percent of total billed charges,51.56,percent of total billed charges,51.56,percent of total billed charges,51.56,percent of total billed charges,51.56,percent of total billed charges,52.99,percent of total billed charges,52.99,percent of total billed charges,57.29,percent of total billed charges,57.29,percent of total billed charges,,,51.56,percent of total billed charges ,,,57.29,percent of total billed charges ,60.15,percent of total billed charges ,60.15,percent of total billed charges ,55.86,percent of total billed charges ,55.86,percent of total billed charges ,57.29,percent of total billed charges ,57.29,percent of total billed charges ,50.13,percent of total billed charges ,50.13,percent of total billed charges ,42.97,percent of total billed charges ,42.97,percent of total billed charges ,42.97,percent of total billed charges ,42.97,percent of total billed charges ,,,,,38.1,percent of total billed charges ,,,,,36.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,,,20.05,percent of total billed charges,
CLINDAMYCIN 600MG/100ML IVPB A/V,LOCAL,LOCAL,,,,both,,,80.14,80.14,22.44,80.14,80.14,percent of total billed charges,80.14,percent of total billed charges,80.14,percent of total billed charges,80.14,percent of total billed charges,80.14,percent of total billed charges,80.14,percent of total billed charges,80.14,percent of total billed charges,80.14,percent of total billed charges,57.7,percent of total billed charges,57.7,percent of total billed charges,57.7,percent of total billed charges,57.7,percent of total billed charges,57.7,percent of total billed charges,57.7,percent of total billed charges,59.3,percent of total billed charges,59.3,percent of total billed charges,64.11,percent of total billed charges,64.11,percent of total billed charges,,,57.7,percent of total billed charges ,,,64.11,percent of total billed charges ,67.32,percent of total billed charges ,67.32,percent of total billed charges ,62.51,percent of total billed charges ,62.51,percent of total billed charges ,64.11,percent of total billed charges ,64.11,percent of total billed charges ,56.1,percent of total billed charges ,56.1,percent of total billed charges ,48.08,percent of total billed charges ,48.08,percent of total billed charges ,48.08,percent of total billed charges ,48.08,percent of total billed charges ,,,,,42.63,percent of total billed charges ,,,,,40.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,,,22.44,percent of total billed charges,
CLINDAMYCIN 900MG IVPB,LOCAL,LOCAL,,,,both,,,86.77,86.77,24.3,86.77,86.77,percent of total billed charges,86.77,percent of total billed charges,86.77,percent of total billed charges,86.77,percent of total billed charges,86.77,percent of total billed charges,86.77,percent of total billed charges,86.77,percent of total billed charges,86.77,percent of total billed charges,62.47,percent of total billed charges,62.47,percent of total billed charges,62.47,percent of total billed charges,62.47,percent of total billed charges,62.47,percent of total billed charges,62.47,percent of total billed charges,64.21,percent of total billed charges,64.21,percent of total billed charges,69.42,percent of total billed charges,69.42,percent of total billed charges,,,62.47,percent of total billed charges ,,,69.42,percent of total billed charges ,72.89,percent of total billed charges ,72.89,percent of total billed charges ,67.68,percent of total billed charges ,67.68,percent of total billed charges ,69.42,percent of total billed charges ,69.42,percent of total billed charges ,60.74,percent of total billed charges ,60.74,percent of total billed charges ,52.06,percent of total billed charges ,52.06,percent of total billed charges ,52.06,percent of total billed charges ,52.06,percent of total billed charges ,,,,,46.16,percent of total billed charges ,,,,,43.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,
**AMIODarone 150MG/100ML IVPB,J0282,CDM,,,,both,,,344,344,96.32,344,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,254.56,percent of total billed charges,254.56,percent of total billed charges,275.2,percent of total billed charges,275.2,percent of total billed charges,,,247.68,percent of total billed charges ,,,275.2,percent of total billed charges ,288.96,percent of total billed charges ,288.96,percent of total billed charges ,268.32,percent of total billed charges ,268.32,percent of total billed charges ,275.2,percent of total billed charges ,275.2,percent of total billed charges ,240.8,percent of total billed charges ,240.8,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,,,,,183.01,percent of total billed charges ,,,,,173.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,
ERYTHROMYCIN 500MG/100ML NS MINIBAG,J1364,CDM,,,,both,,,243,243,68.04,243,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,243,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,174.96,percent of total billed charges,179.82,percent of total billed charges,179.82,percent of total billed charges,194.4,percent of total billed charges,194.4,percent of total billed charges,,,174.96,percent of total billed charges ,,,194.4,percent of total billed charges ,204.12,percent of total billed charges ,204.12,percent of total billed charges ,189.54,percent of total billed charges ,189.54,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,170.1,percent of total billed charges ,170.1,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,145.8,percent of total billed charges ,,,,,129.28,percent of total billed charges ,,,,,122.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,,,68.04,percent of total billed charges,
**ERYTHROMYCIN 1GM/250ML IVPB,J1364,CDM,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**DOBUTAMINE 250MG/250ML D5W: IV,J1250,CDM,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**AMPICILLIN 500MG/50 ML IVPB,J0290,CDM,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
**AMPICILLIN 1GM/100ML IVPB A/V,J0290,CDM,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**AMINOPHYLLINE 1GM/1000 D5LR: IV,J0280,CDM,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
ceFAZolin 1GM/100 ML IVPB A/V,J0690,CDM,,,,both,,,20.28,20.28,5.68,20.28,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,14.6,percent of total billed charges,15.01,percent of total billed charges,15.01,percent of total billed charges,16.22,percent of total billed charges,16.22,percent of total billed charges,,,14.6,percent of total billed charges ,,,16.22,percent of total billed charges ,17.04,percent of total billed charges ,17.04,percent of total billed charges ,15.82,percent of total billed charges ,15.82,percent of total billed charges ,16.22,percent of total billed charges ,16.22,percent of total billed charges ,14.2,percent of total billed charges ,14.2,percent of total billed charges ,12.17,percent of total billed charges ,12.17,percent of total billed charges ,12.17,percent of total billed charges ,12.17,percent of total billed charges ,,,,,10.79,percent of total billed charges ,,,,,10.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,,,5.68,percent of total billed charges,
dilTIAZem (CARDIZEM) 125MG/100ML NS,LOCAL,LOCAL,,,,both,,,112.69,112.69,31.55,112.69,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,112.69,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,81.14,percent of total billed charges,83.39,percent of total billed charges,83.39,percent of total billed charges,90.15,percent of total billed charges,90.15,percent of total billed charges,,,81.14,percent of total billed charges ,,,90.15,percent of total billed charges ,94.66,percent of total billed charges ,94.66,percent of total billed charges ,87.9,percent of total billed charges ,87.9,percent of total billed charges ,90.15,percent of total billed charges ,90.15,percent of total billed charges ,78.88,percent of total billed charges ,78.88,percent of total billed charges ,67.61,percent of total billed charges ,67.61,percent of total billed charges ,67.61,percent of total billed charges ,67.61,percent of total billed charges ,,,,,59.95,percent of total billed charges ,,,,,56.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,,,31.55,percent of total billed charges,
AMPICILLIN 2GM/100ML IVPB A/V,J0290,CDM,,,,both,,,37.51,37.51,10.5,37.51,37.51,percent of total billed charges,37.51,percent of total billed charges,37.51,percent of total billed charges,37.51,percent of total billed charges,37.51,percent of total billed charges,37.51,percent of total billed charges,37.51,percent of total billed charges,37.51,percent of total billed charges,27.01,percent of total billed charges,27.01,percent of total billed charges,27.01,percent of total billed charges,27.01,percent of total billed charges,27.01,percent of total billed charges,27.01,percent of total billed charges,27.76,percent of total billed charges,27.76,percent of total billed charges,30.01,percent of total billed charges,30.01,percent of total billed charges,,,27.01,percent of total billed charges ,,,30.01,percent of total billed charges ,31.51,percent of total billed charges ,31.51,percent of total billed charges ,29.26,percent of total billed charges ,29.26,percent of total billed charges ,30.01,percent of total billed charges ,30.01,percent of total billed charges ,26.26,percent of total billed charges ,26.26,percent of total billed charges ,22.51,percent of total billed charges ,22.51,percent of total billed charges ,22.51,percent of total billed charges ,22.51,percent of total billed charges ,,,,,19.96,percent of total billed charges ,,,,,18.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,,,10.5,percent of total billed charges,
**AMPICILLIN 125MG/50ML IVPB,J0290,CDM,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
AMPICILLIN 250MG/50ML IVPB,J0290,CDM,,,,both,,,32.55,32.55,9.11,32.55,32.55,percent of total billed charges,32.55,percent of total billed charges,32.55,percent of total billed charges,32.55,percent of total billed charges,32.55,percent of total billed charges,32.55,percent of total billed charges,32.55,percent of total billed charges,32.55,percent of total billed charges,23.44,percent of total billed charges,23.44,percent of total billed charges,23.44,percent of total billed charges,23.44,percent of total billed charges,23.44,percent of total billed charges,23.44,percent of total billed charges,24.09,percent of total billed charges,24.09,percent of total billed charges,26.04,percent of total billed charges,26.04,percent of total billed charges,,,23.44,percent of total billed charges ,,,26.04,percent of total billed charges ,27.34,percent of total billed charges ,27.34,percent of total billed charges ,25.39,percent of total billed charges ,25.39,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,22.79,percent of total billed charges ,22.79,percent of total billed charges ,19.53,percent of total billed charges ,19.53,percent of total billed charges ,19.53,percent of total billed charges ,19.53,percent of total billed charges ,,,,,17.32,percent of total billed charges ,,,,,16.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,,,9.11,percent of total billed charges,
**ESTRADIOL (CLIMARA) PATCH 0.075MG,LOCAL,LOCAL,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**FOLIC AC 2.5MG/B12 1MG/B6 25MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**HYDROMORPHONE (DILAUDID) 1 MG/ML INJ,J1170,CDM,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
**E-TRIAMINIC COUGH & SORE THROAT: 4OZ B,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**E-ACETAMINOPHEN 500 MG CAPLETS: 50'S,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
"**ACYCLOVIR (ZOVIRAX) 200MG/5ML, 60ML",LOCAL,LOCAL,,,,both,,,251,251,70.28,251,251,percent of total billed charges,251,percent of total billed charges,251,percent of total billed charges,251,percent of total billed charges,251,percent of total billed charges,251,percent of total billed charges,251,percent of total billed charges,251,percent of total billed charges,180.72,percent of total billed charges,180.72,percent of total billed charges,180.72,percent of total billed charges,180.72,percent of total billed charges,180.72,percent of total billed charges,180.72,percent of total billed charges,185.74,percent of total billed charges,185.74,percent of total billed charges,200.8,percent of total billed charges,200.8,percent of total billed charges,,,180.72,percent of total billed charges ,,,200.8,percent of total billed charges ,210.84,percent of total billed charges ,210.84,percent of total billed charges ,195.78,percent of total billed charges ,195.78,percent of total billed charges ,200.8,percent of total billed charges ,200.8,percent of total billed charges ,175.7,percent of total billed charges ,175.7,percent of total billed charges ,150.6,percent of total billed charges ,150.6,percent of total billed charges ,150.6,percent of total billed charges ,150.6,percent of total billed charges ,,,,,133.53,percent of total billed charges ,,,,,126.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,,,70.28,percent of total billed charges,
**ACLOVATE(ALCLOMETASONE) 0.05% CREAM: 4,LOCAL,LOCAL,,,,both,,,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
ATROPINE INJECTION 0.4 MG/ML VIAL,J0461,CDM,,,,both,,,61.93,61.93,17.34,61.93,61.93,percent of total billed charges,61.93,percent of total billed charges,61.93,percent of total billed charges,61.93,percent of total billed charges,61.93,percent of total billed charges,61.93,percent of total billed charges,61.93,percent of total billed charges,61.93,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,44.59,percent of total billed charges,45.83,percent of total billed charges,45.83,percent of total billed charges,49.54,percent of total billed charges,49.54,percent of total billed charges,,,44.59,percent of total billed charges ,,,49.54,percent of total billed charges ,52.02,percent of total billed charges ,52.02,percent of total billed charges ,48.31,percent of total billed charges ,48.31,percent of total billed charges ,49.54,percent of total billed charges ,49.54,percent of total billed charges ,43.35,percent of total billed charges ,43.35,percent of total billed charges ,37.16,percent of total billed charges ,37.16,percent of total billed charges ,37.16,percent of total billed charges ,37.16,percent of total billed charges ,,,,,32.95,percent of total billed charges ,,,,,31.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,,,17.34,percent of total billed charges,
BETAMETHASONE (DIPROLENE) CR 0.05% 45GM,LOCAL,LOCAL,,,,both,,,265.39,265.39,74.31,265.39,265.39,percent of total billed charges,265.39,percent of total billed charges,265.39,percent of total billed charges,265.39,percent of total billed charges,265.39,percent of total billed charges,265.39,percent of total billed charges,265.39,percent of total billed charges,265.39,percent of total billed charges,191.08,percent of total billed charges,191.08,percent of total billed charges,191.08,percent of total billed charges,191.08,percent of total billed charges,191.08,percent of total billed charges,191.08,percent of total billed charges,196.39,percent of total billed charges,196.39,percent of total billed charges,212.31,percent of total billed charges,212.31,percent of total billed charges,,,191.08,percent of total billed charges ,,,212.31,percent of total billed charges ,222.93,percent of total billed charges ,222.93,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,212.31,percent of total billed charges ,212.31,percent of total billed charges ,185.77,percent of total billed charges ,185.77,percent of total billed charges ,159.23,percent of total billed charges ,159.23,percent of total billed charges ,159.23,percent of total billed charges ,159.23,percent of total billed charges ,,,,,141.19,percent of total billed charges ,,,,,134.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,,,74.31,percent of total billed charges,
**E-PEPTO BISMOL TABLETS: 24'S,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
CARISOPRODOL (SOMA) 350MG TAB,LOCAL,LOCAL,,,,both,,,0.74,0.74,0.21,0.74,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,,,0.53,percent of total billed charges ,,,0.59,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,,,0.21,percent of total billed charges,
**E-CHILDREN CHEWABL MULTI-VITAMIN: 100,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
CHLORPROMAZINE (THORAZINE) 50MG TAB,LOCAL,LOCAL,,,,both,,,13.37,13.37,3.74,13.37,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,13.37,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.63,percent of total billed charges,9.89,percent of total billed charges,9.89,percent of total billed charges,10.7,percent of total billed charges,10.7,percent of total billed charges,,,9.63,percent of total billed charges ,,,10.7,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,10.43,percent of total billed charges ,10.43,percent of total billed charges ,10.7,percent of total billed charges ,10.7,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,8.02,percent of total billed charges ,8.02,percent of total billed charges ,8.02,percent of total billed charges ,8.02,percent of total billed charges ,,,,,7.11,percent of total billed charges ,,,,,6.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,,,3.74,percent of total billed charges,
**DALTEPARIN SOD.(FRAGMIN) 2500 IU: SYRI,J1645,CDM,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
**E-IBUP200PSE 30(ADVIL COLD AND SINUS,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
fentaNYL 250 MCG/5mL :5ML AMP,J3010,CDM,,,,both,,,69.62,69.62,19.49,69.62,69.62,percent of total billed charges,69.62,percent of total billed charges,69.62,percent of total billed charges,69.62,percent of total billed charges,69.62,percent of total billed charges,69.62,percent of total billed charges,69.62,percent of total billed charges,69.62,percent of total billed charges,50.13,percent of total billed charges,50.13,percent of total billed charges,50.13,percent of total billed charges,50.13,percent of total billed charges,50.13,percent of total billed charges,50.13,percent of total billed charges,51.52,percent of total billed charges,51.52,percent of total billed charges,55.7,percent of total billed charges,55.7,percent of total billed charges,,,50.13,percent of total billed charges ,,,55.7,percent of total billed charges ,58.48,percent of total billed charges ,58.48,percent of total billed charges ,54.3,percent of total billed charges ,54.3,percent of total billed charges ,55.7,percent of total billed charges ,55.7,percent of total billed charges ,48.73,percent of total billed charges ,48.73,percent of total billed charges ,41.77,percent of total billed charges ,41.77,percent of total billed charges ,41.77,percent of total billed charges ,41.77,percent of total billed charges ,,,,,37.04,percent of total billed charges ,,,,,35.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,,,19.49,percent of total billed charges,
**E-IBUPROFEN 200 MG TAB:BOTTLE OF 100,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
INSULIN REGULAR (HumuLIN R),J1815,CDM,,,,both,,,14.95,14.95,4.19,14.95,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,10.76,percent of total billed charges,11.06,percent of total billed charges,11.06,percent of total billed charges,11.96,percent of total billed charges,11.96,percent of total billed charges,,,10.76,percent of total billed charges ,,,11.96,percent of total billed charges ,12.56,percent of total billed charges ,12.56,percent of total billed charges ,11.66,percent of total billed charges ,11.66,percent of total billed charges ,11.96,percent of total billed charges ,11.96,percent of total billed charges ,10.47,percent of total billed charges ,10.47,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,8.97,percent of total billed charges ,,,,,7.95,percent of total billed charges ,,,,,7.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,,,4.19,percent of total billed charges,
**ITRACONAZOLE (SPORANOX) 100MG: CAP,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
LIDOCAINE VISCOUS 2% 15ML,LOCAL,LOCAL,,,,both,,,3.69,3.69,1.03,3.69,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,,,2.66,percent of total billed charges ,,,2.95,percent of total billed charges ,3.1,percent of total billed charges ,3.1,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.95,percent of total billed charges ,2.95,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,,,,,1.96,percent of total billed charges ,,,,,1.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,
**LORACARBEF(LORABID) 200MG/5ML: 100 ML,LOCAL,LOCAL,,,,both,,,161,161,45.08,161,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,161,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,115.92,percent of total billed charges,119.14,percent of total billed charges,119.14,percent of total billed charges,128.8,percent of total billed charges,128.8,percent of total billed charges,,,115.92,percent of total billed charges ,,,128.8,percent of total billed charges ,135.24,percent of total billed charges ,135.24,percent of total billed charges ,125.58,percent of total billed charges ,125.58,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,112.7,percent of total billed charges ,112.7,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,,,,,85.65,percent of total billed charges ,,,,,81.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,,,45.08,percent of total billed charges,
METOCLOPRAMIDE (REGLAN) 10MG/10ML O/S,LOCAL,LOCAL,,,,both,,,7.6,7.6,2.13,7.6,7.6,percent of total billed charges,7.6,percent of total billed charges,7.6,percent of total billed charges,7.6,percent of total billed charges,7.6,percent of total billed charges,7.6,percent of total billed charges,7.6,percent of total billed charges,7.6,percent of total billed charges,5.47,percent of total billed charges,5.47,percent of total billed charges,5.47,percent of total billed charges,5.47,percent of total billed charges,5.47,percent of total billed charges,5.47,percent of total billed charges,5.62,percent of total billed charges,5.62,percent of total billed charges,6.08,percent of total billed charges,6.08,percent of total billed charges,,,5.47,percent of total billed charges ,,,6.08,percent of total billed charges ,6.38,percent of total billed charges ,6.38,percent of total billed charges ,5.93,percent of total billed charges ,5.93,percent of total billed charges ,6.08,percent of total billed charges ,6.08,percent of total billed charges ,5.32,percent of total billed charges ,5.32,percent of total billed charges ,4.56,percent of total billed charges ,4.56,percent of total billed charges ,4.56,percent of total billed charges ,4.56,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,3.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,,,2.13,percent of total billed charges,
MOMETASONE(ELOCON)LOTION: 30ML,LOCAL,LOCAL,,,,both,,,109.68,109.68,30.71,109.68,109.68,percent of total billed charges,109.68,percent of total billed charges,109.68,percent of total billed charges,109.68,percent of total billed charges,109.68,percent of total billed charges,109.68,percent of total billed charges,109.68,percent of total billed charges,109.68,percent of total billed charges,78.97,percent of total billed charges,78.97,percent of total billed charges,78.97,percent of total billed charges,78.97,percent of total billed charges,78.97,percent of total billed charges,78.97,percent of total billed charges,81.16,percent of total billed charges,81.16,percent of total billed charges,87.74,percent of total billed charges,87.74,percent of total billed charges,,,78.97,percent of total billed charges ,,,87.74,percent of total billed charges ,92.13,percent of total billed charges ,92.13,percent of total billed charges ,85.55,percent of total billed charges ,85.55,percent of total billed charges ,87.74,percent of total billed charges ,87.74,percent of total billed charges ,76.78,percent of total billed charges ,76.78,percent of total billed charges ,65.81,percent of total billed charges ,65.81,percent of total billed charges ,65.81,percent of total billed charges ,65.81,percent of total billed charges ,,,,,58.35,percent of total billed charges ,,,,,55.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,,,30.71,percent of total billed charges,
MONTELUKAST (SINGULAIR) 5MG TAB,LOCAL,LOCAL,,,,both,,,1.49,1.49,0.42,1.49,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,,,1.07,percent of total billed charges ,,,1.19,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,,,,,0.79,percent of total billed charges ,,,,,0.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,
**MORPHINE SULFATE SUPP (RMS-20),LOCAL,LOCAL,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
**E-MULTIPLE VIT WITH MINERAL ADULT:,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**MULTIVITAMIN(SUNNY MAID) TAB: #100,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**NAPROXEN SOD 550MG TAB: ANAPROX,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**NEOM.POLYMIX/HC (CORTISPORIN) CR:7.5GM,LOCAL,LOCAL,,,,both,,,100,100,28,100,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,,,72,percent of total billed charges ,,,80,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,80,percent of total billed charges ,80,percent of total billed charges ,70,percent of total billed charges ,70,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,,,,,53.2,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,
OLOPATADINE 1% (PATANOL) OPHTH SOLN,LOCAL,LOCAL,,,,both,,,56.32,56.32,15.77,56.32,56.32,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,56.32,percent of total billed charges,40.55,percent of total billed charges,40.55,percent of total billed charges,40.55,percent of total billed charges,40.55,percent of total billed charges,40.55,percent of total billed charges,40.55,percent of total billed charges,41.68,percent of total billed charges,41.68,percent of total billed charges,45.06,percent of total billed charges,45.06,percent of total billed charges,,,40.55,percent of total billed charges ,,,45.06,percent of total billed charges ,47.31,percent of total billed charges ,47.31,percent of total billed charges ,43.93,percent of total billed charges ,43.93,percent of total billed charges ,45.06,percent of total billed charges ,45.06,percent of total billed charges ,39.42,percent of total billed charges ,39.42,percent of total billed charges ,33.79,percent of total billed charges ,33.79,percent of total billed charges ,33.79,percent of total billed charges ,33.79,percent of total billed charges ,,,,,29.96,percent of total billed charges ,,,,,28.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,,,15.77,percent of total billed charges,
PRAZOSIN (MINIPRESS) 2 MG CAP,LOCAL,LOCAL,,,,both,,,5.54,5.54,1.55,5.54,5.54,percent of total billed charges,5.54,percent of total billed charges,5.54,percent of total billed charges,5.54,percent of total billed charges,5.54,percent of total billed charges,5.54,percent of total billed charges,5.54,percent of total billed charges,5.54,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,,,3.99,percent of total billed charges ,,,4.43,percent of total billed charges ,4.65,percent of total billed charges ,4.65,percent of total billed charges ,4.32,percent of total billed charges ,4.32,percent of total billed charges ,4.43,percent of total billed charges ,4.43,percent of total billed charges ,3.88,percent of total billed charges ,3.88,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,3.32,percent of total billed charges ,,,,,2.95,percent of total billed charges ,,,,,2.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,,,1.55,percent of total billed charges,
PROMETHAZINE (PHENERGAN) 12.5MG SUPP,LOCAL,LOCAL,,,,both,,,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
PSEUDOEPHEDRINE (SUDAFED) 60MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**PSEUDOEPHED(SUDAFED) SYRUP: 4 OZ,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
pyRIDostigmine (MESTINON) LA 180MG TAB,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
RALOXIFENE (EVISTA) 60MG TAB,LOCAL,LOCAL,,,,both,,,7.8,7.8,2.18,7.8,7.8,percent of total billed charges,7.8,percent of total billed charges,7.8,percent of total billed charges,7.8,percent of total billed charges,7.8,percent of total billed charges,7.8,percent of total billed charges,7.8,percent of total billed charges,7.8,percent of total billed charges,5.62,percent of total billed charges,5.62,percent of total billed charges,5.62,percent of total billed charges,5.62,percent of total billed charges,5.62,percent of total billed charges,5.62,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,6.24,percent of total billed charges,6.24,percent of total billed charges,,,5.62,percent of total billed charges ,,,6.24,percent of total billed charges ,6.55,percent of total billed charges ,6.55,percent of total billed charges ,6.08,percent of total billed charges ,6.08,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,,,,,4.15,percent of total billed charges ,,,,,3.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,,,2.18,percent of total billed charges,
**raNITIdine (ZANTAC)150 MG CAPSULE,LOCAL,LOCAL,,,,both,,,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
**SENNA (SENOKOT) SYRUP: 240 ML,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
SERTRALINE (ZOLOFT) 100MG TAB,LOCAL,LOCAL,,,,both,,,1.52,1.52,0.43,1.52,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.09,percent of total billed charges ,,,1.22,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
TOBRAMYCIN/DEXAMETHASONE OPTH OINT,LOCAL,LOCAL,,,,both,,,448.62,448.62,125.61,448.62,448.62,percent of total billed charges,448.62,percent of total billed charges,448.62,percent of total billed charges,448.62,percent of total billed charges,448.62,percent of total billed charges,448.62,percent of total billed charges,448.62,percent of total billed charges,448.62,percent of total billed charges,323.01,percent of total billed charges,323.01,percent of total billed charges,323.01,percent of total billed charges,323.01,percent of total billed charges,323.01,percent of total billed charges,323.01,percent of total billed charges,331.98,percent of total billed charges,331.98,percent of total billed charges,358.9,percent of total billed charges,358.9,percent of total billed charges,,,323.01,percent of total billed charges ,,,358.9,percent of total billed charges ,376.84,percent of total billed charges ,376.84,percent of total billed charges ,349.92,percent of total billed charges ,349.92,percent of total billed charges ,358.9,percent of total billed charges ,358.9,percent of total billed charges ,314.03,percent of total billed charges ,314.03,percent of total billed charges ,269.17,percent of total billed charges ,269.17,percent of total billed charges ,269.17,percent of total billed charges ,269.17,percent of total billed charges ,,,,,238.67,percent of total billed charges ,,,,,226.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,
TRIAMCINOLONE CREAM 0.1% 80 GM,LOCAL,LOCAL,,,,both,,,47.48,47.48,13.29,47.48,47.48,percent of total billed charges,47.48,percent of total billed charges,47.48,percent of total billed charges,47.48,percent of total billed charges,47.48,percent of total billed charges,47.48,percent of total billed charges,47.48,percent of total billed charges,47.48,percent of total billed charges,34.19,percent of total billed charges,34.19,percent of total billed charges,34.19,percent of total billed charges,34.19,percent of total billed charges,34.19,percent of total billed charges,34.19,percent of total billed charges,35.14,percent of total billed charges,35.14,percent of total billed charges,37.98,percent of total billed charges,37.98,percent of total billed charges,,,34.19,percent of total billed charges ,,,37.98,percent of total billed charges ,39.88,percent of total billed charges ,39.88,percent of total billed charges ,37.03,percent of total billed charges ,37.03,percent of total billed charges ,37.98,percent of total billed charges ,37.98,percent of total billed charges ,33.24,percent of total billed charges ,33.24,percent of total billed charges ,28.49,percent of total billed charges ,28.49,percent of total billed charges ,28.49,percent of total billed charges ,28.49,percent of total billed charges ,,,,,25.26,percent of total billed charges ,,,,,24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,,,13.29,percent of total billed charges,
**TRIAMCINOLONE CREAM 0.1% 80MG,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**TRIMETHOBENZAMIDE (TIGAN) 250MG: CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
VITAMIN D  400 UNIT CAP,LOCAL,LOCAL,,,,both,,,0.89,0.89,0.25,0.89,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,,,0.64,percent of total billed charges ,,,0.71,percent of total billed charges ,0.75,percent of total billed charges ,0.75,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,,,,,0.47,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
CEFOTAXIME: (CLAFORAN) 1 GM ADVANT,J0698,CDM,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
FERRIC GLUCONATE: 62.5MG/5ML INJ,J2916,CDM,,,,both,,,305.4,305.4,85.51,305.4,305.4,percent of total billed charges,305.4,percent of total billed charges,305.4,percent of total billed charges,305.4,percent of total billed charges,305.4,percent of total billed charges,305.4,percent of total billed charges,305.4,percent of total billed charges,305.4,percent of total billed charges,219.89,percent of total billed charges,219.89,percent of total billed charges,219.89,percent of total billed charges,219.89,percent of total billed charges,219.89,percent of total billed charges,219.89,percent of total billed charges,226,percent of total billed charges,226,percent of total billed charges,244.32,percent of total billed charges,244.32,percent of total billed charges,,,219.89,percent of total billed charges ,,,244.32,percent of total billed charges ,256.54,percent of total billed charges ,256.54,percent of total billed charges ,238.21,percent of total billed charges ,238.21,percent of total billed charges ,244.32,percent of total billed charges ,244.32,percent of total billed charges ,213.78,percent of total billed charges ,213.78,percent of total billed charges ,183.24,percent of total billed charges ,183.24,percent of total billed charges ,183.24,percent of total billed charges ,183.24,percent of total billed charges ,,,,,162.47,percent of total billed charges ,,,,,154.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,,,85.51,percent of total billed charges,
TERBUTALINE (BRETHINE) 1MG/ML INJ,J3105,CDM,,,,both,,,20.62,20.62,5.77,20.62,20.62,percent of total billed charges,20.62,percent of total billed charges,20.62,percent of total billed charges,20.62,percent of total billed charges,20.62,percent of total billed charges,20.62,percent of total billed charges,20.62,percent of total billed charges,20.62,percent of total billed charges,14.85,percent of total billed charges,14.85,percent of total billed charges,14.85,percent of total billed charges,14.85,percent of total billed charges,14.85,percent of total billed charges,14.85,percent of total billed charges,15.26,percent of total billed charges,15.26,percent of total billed charges,16.5,percent of total billed charges,16.5,percent of total billed charges,,,14.85,percent of total billed charges ,,,16.5,percent of total billed charges ,17.32,percent of total billed charges ,17.32,percent of total billed charges ,16.08,percent of total billed charges ,16.08,percent of total billed charges ,16.5,percent of total billed charges ,16.5,percent of total billed charges ,14.43,percent of total billed charges ,14.43,percent of total billed charges ,12.37,percent of total billed charges ,12.37,percent of total billed charges ,12.37,percent of total billed charges ,12.37,percent of total billed charges ,,,,,10.97,percent of total billed charges ,,,,,10.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,,,5.77,percent of total billed charges,
**BLOOD GLUCOSE MONITORING,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**ERYTHROMYCIN(ERYTHROCIN) 500 MG TAB:,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
PHENYTOIN (DILANTIN) INJ 100MG/ 2ML,J1165,CDM,,,,both,,,19.4,19.4,5.43,19.4,19.4,percent of total billed charges,19.4,percent of total billed charges,19.4,percent of total billed charges,19.4,percent of total billed charges,19.4,percent of total billed charges,19.4,percent of total billed charges,19.4,percent of total billed charges,19.4,percent of total billed charges,13.97,percent of total billed charges,13.97,percent of total billed charges,13.97,percent of total billed charges,13.97,percent of total billed charges,13.97,percent of total billed charges,13.97,percent of total billed charges,14.36,percent of total billed charges,14.36,percent of total billed charges,15.52,percent of total billed charges,15.52,percent of total billed charges,,,13.97,percent of total billed charges ,,,15.52,percent of total billed charges ,16.3,percent of total billed charges ,16.3,percent of total billed charges ,15.13,percent of total billed charges ,15.13,percent of total billed charges ,15.52,percent of total billed charges ,15.52,percent of total billed charges ,13.58,percent of total billed charges ,13.58,percent of total billed charges ,11.64,percent of total billed charges ,11.64,percent of total billed charges ,11.64,percent of total billed charges ,11.64,percent of total billed charges ,,,,,10.32,percent of total billed charges ,,,,,9.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,,,5.43,percent of total billed charges,
**PROMETHAZINE SYRUP 6.25 MG/5ML U/D,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**LABETOLOL (TRANDATE) 100 MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
INSULIN DRIP 100 UNITS/100ML:COMPOUNDED,J1815,CDM,,,,both,,,69.17,69.17,19.37,69.17,69.17,percent of total billed charges,69.17,percent of total billed charges,69.17,percent of total billed charges,69.17,percent of total billed charges,69.17,percent of total billed charges,69.17,percent of total billed charges,69.17,percent of total billed charges,69.17,percent of total billed charges,49.8,percent of total billed charges,49.8,percent of total billed charges,49.8,percent of total billed charges,49.8,percent of total billed charges,49.8,percent of total billed charges,49.8,percent of total billed charges,51.19,percent of total billed charges,51.19,percent of total billed charges,55.34,percent of total billed charges,55.34,percent of total billed charges,,,49.8,percent of total billed charges ,,,55.34,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,53.95,percent of total billed charges ,53.95,percent of total billed charges ,55.34,percent of total billed charges ,55.34,percent of total billed charges ,48.42,percent of total billed charges ,48.42,percent of total billed charges ,41.5,percent of total billed charges ,41.5,percent of total billed charges ,41.5,percent of total billed charges ,41.5,percent of total billed charges ,,,,,36.8,percent of total billed charges ,,,,,34.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,,,19.37,percent of total billed charges,
AMOXICILLIN 250 MG/5ML: 5ML UNIT DOSE,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**AMOX/CLAV (AUGMENTIN) 400MG/5ML 5ML UD,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
AZITHROMYCIN 200MG/5ML: 5ML UD,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**CLARITHROMYCIN (BIAXIN SUSP) 250 MG/5M,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
SODIUM PHOSPHATE INJ : 20MEQ/5ML,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**MUPRIOCIN (BACTROBAN) 2% CREAM 30 GM,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
CALCIUM POLYCARB (FIBERCON) 625MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**ADENOSINE 90MG/30ML VIAL: ADENOSCAN,J0151,CDM,,,,both,,,698,698,195.44,698,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,516.52,percent of total billed charges,516.52,percent of total billed charges,558.4,percent of total billed charges,558.4,percent of total billed charges,,,502.56,percent of total billed charges ,,,558.4,percent of total billed charges ,586.32,percent of total billed charges ,586.32,percent of total billed charges ,544.44,percent of total billed charges ,544.44,percent of total billed charges ,558.4,percent of total billed charges ,558.4,percent of total billed charges ,488.6,percent of total billed charges ,488.6,percent of total billed charges ,418.8,percent of total billed charges ,418.8,percent of total billed charges ,418.8,percent of total billed charges ,418.8,percent of total billed charges ,,,,,371.34,percent of total billed charges ,,,,,352.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,
FLUCONAZOLE 400MG IVPB: 200mL NS,J1450,CDM,,,,both,,,83.2,83.2,23.3,83.2,83.2,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,83.2,percent of total billed charges,59.9,percent of total billed charges,59.9,percent of total billed charges,59.9,percent of total billed charges,59.9,percent of total billed charges,59.9,percent of total billed charges,59.9,percent of total billed charges,61.57,percent of total billed charges,61.57,percent of total billed charges,66.56,percent of total billed charges,66.56,percent of total billed charges,,,59.9,percent of total billed charges ,,,66.56,percent of total billed charges ,69.89,percent of total billed charges ,69.89,percent of total billed charges ,64.9,percent of total billed charges ,64.9,percent of total billed charges ,66.56,percent of total billed charges ,66.56,percent of total billed charges ,58.24,percent of total billed charges ,58.24,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,,,,,44.26,percent of total billed charges ,,,,,42.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,,,23.3,percent of total billed charges,
**ALUMINUM HYDROXIDE GEL 600MG/5ML: 12OZ,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
OMEGA-3 ACID (SEA-OMEGA) 1000MG CAP,LOCAL,LOCAL,,,,both,,,0.95,0.95,0.27,0.95,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,,,0.68,percent of total billed charges ,,,0.76,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
**ATENOLOL 50MG/CHLORTHALIDONE 25 MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
SALMETEROL (SEREVENT)  50MCG INHALER,LOCAL,LOCAL,,,,both,,,982.85,982.85,275.2,982.85,982.85,percent of total billed charges,982.85,percent of total billed charges,982.85,percent of total billed charges,982.85,percent of total billed charges,982.85,percent of total billed charges,982.85,percent of total billed charges,982.85,percent of total billed charges,982.85,percent of total billed charges,707.65,percent of total billed charges,707.65,percent of total billed charges,707.65,percent of total billed charges,707.65,percent of total billed charges,707.65,percent of total billed charges,707.65,percent of total billed charges,727.31,percent of total billed charges,727.31,percent of total billed charges,786.28,percent of total billed charges,786.28,percent of total billed charges,,,707.65,percent of total billed charges ,,,786.28,percent of total billed charges ,825.59,percent of total billed charges ,825.59,percent of total billed charges ,766.62,percent of total billed charges ,766.62,percent of total billed charges ,786.28,percent of total billed charges ,786.28,percent of total billed charges ,688,percent of total billed charges ,688,percent of total billed charges ,589.71,percent of total billed charges ,589.71,percent of total billed charges ,589.71,percent of total billed charges ,589.71,percent of total billed charges ,,,,,522.88,percent of total billed charges ,,,,,496.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,,,275.2,percent of total billed charges,
SIMVASTATIN (ZOCOR) 20MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
WARFARIN (COUMADIN) 3 MG TAB,LOCAL,LOCAL,,,,both,,,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
**WARFARIN (COUMADIN) 6 MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**WARFARIN (COUMADIN) 7.5 MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LISINOPRIL (ZESTRIL) 10 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**ALCOHOL (DEHYDRATED ABSOLUTE) 1ML: AMP,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**TRIMETHOPRIM/SULFA 40/200MG/5ML:120ML,LOCAL,LOCAL,,,,both,,,34,34,9.52,34,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,25.16,percent of total billed charges,25.16,percent of total billed charges,27.2,percent of total billed charges,27.2,percent of total billed charges,,,24.48,percent of total billed charges ,,,27.2,percent of total billed charges ,28.56,percent of total billed charges ,28.56,percent of total billed charges ,26.52,percent of total billed charges ,26.52,percent of total billed charges ,27.2,percent of total billed charges ,27.2,percent of total billed charges ,23.8,percent of total billed charges ,23.8,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,,,,,18.09,percent of total billed charges ,,,,,17.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,
amLODIPine (NORVASC) 10 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ATORVASTATIN (LIPITOR) 20 MG TAB,LOCAL,LOCAL,,,,both,,,0.86,0.86,0.24,0.86,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,,,0.62,percent of total billed charges ,,,0.69,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,,,,,0.46,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,,,0.24,percent of total billed charges,
**PENTAZOCAINE 50MG/NALOXONE 0.5MG: T,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
BUTALBITAL/ACETAMINOPHEN/CAFFEINE TAB,LOCAL,LOCAL,,,,both,,,5.81,5.81,1.63,5.81,5.81,percent of total billed charges,5.81,percent of total billed charges,5.81,percent of total billed charges,5.81,percent of total billed charges,5.81,percent of total billed charges,5.81,percent of total billed charges,5.81,percent of total billed charges,5.81,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.3,percent of total billed charges,4.3,percent of total billed charges,4.65,percent of total billed charges,4.65,percent of total billed charges,,,4.18,percent of total billed charges ,,,4.65,percent of total billed charges ,4.88,percent of total billed charges ,4.88,percent of total billed charges ,4.53,percent of total billed charges ,4.53,percent of total billed charges ,4.65,percent of total billed charges ,4.65,percent of total billed charges ,4.07,percent of total billed charges ,4.07,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,3.49,percent of total billed charges ,,,,,3.09,percent of total billed charges ,,,,,2.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,,,1.63,percent of total billed charges,
**STANFORDS SUSPENSION:   360 ML BOTT,LOCAL,LOCAL,,,,both,,,64,64,17.92,64,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,46.08,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,51.2,percent of total billed charges,51.2,percent of total billed charges,,,46.08,percent of total billed charges ,,,51.2,percent of total billed charges ,53.76,percent of total billed charges ,53.76,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,51.2,percent of total billed charges ,51.2,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,,,,,34.05,percent of total billed charges ,,,,,32.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,,,17.92,percent of total billed charges,
HETASTARCH 6% IN 0.9 NSS:  500ML BAG,LOCAL,LOCAL,,,,both,,,141.22,141.22,39.54,141.22,141.22,percent of total billed charges,141.22,percent of total billed charges,141.22,percent of total billed charges,141.22,percent of total billed charges,141.22,percent of total billed charges,141.22,percent of total billed charges,141.22,percent of total billed charges,141.22,percent of total billed charges,101.68,percent of total billed charges,101.68,percent of total billed charges,101.68,percent of total billed charges,101.68,percent of total billed charges,101.68,percent of total billed charges,101.68,percent of total billed charges,104.5,percent of total billed charges,104.5,percent of total billed charges,112.98,percent of total billed charges,112.98,percent of total billed charges,,,101.68,percent of total billed charges ,,,112.98,percent of total billed charges ,118.62,percent of total billed charges ,118.62,percent of total billed charges ,110.15,percent of total billed charges ,110.15,percent of total billed charges ,112.98,percent of total billed charges ,112.98,percent of total billed charges ,98.85,percent of total billed charges ,98.85,percent of total billed charges ,84.73,percent of total billed charges ,84.73,percent of total billed charges ,84.73,percent of total billed charges ,84.73,percent of total billed charges ,,,,,75.13,percent of total billed charges ,,,,,71.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,,,39.54,percent of total billed charges,
PHENYLEPHRINE OPTH SOLN 10%  5 ML,LOCAL,LOCAL,,,,both,,,155.34,155.34,43.5,155.34,155.34,percent of total billed charges,155.34,percent of total billed charges,155.34,percent of total billed charges,155.34,percent of total billed charges,155.34,percent of total billed charges,155.34,percent of total billed charges,155.34,percent of total billed charges,155.34,percent of total billed charges,111.84,percent of total billed charges,111.84,percent of total billed charges,111.84,percent of total billed charges,111.84,percent of total billed charges,111.84,percent of total billed charges,111.84,percent of total billed charges,114.95,percent of total billed charges,114.95,percent of total billed charges,124.27,percent of total billed charges,124.27,percent of total billed charges,,,111.84,percent of total billed charges ,,,124.27,percent of total billed charges ,130.49,percent of total billed charges ,130.49,percent of total billed charges ,121.17,percent of total billed charges ,121.17,percent of total billed charges ,124.27,percent of total billed charges ,124.27,percent of total billed charges ,108.74,percent of total billed charges ,108.74,percent of total billed charges ,93.2,percent of total billed charges ,93.2,percent of total billed charges ,93.2,percent of total billed charges ,93.2,percent of total billed charges ,,,,,82.64,percent of total billed charges ,,,,,78.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,,,43.5,percent of total billed charges,
**DEXTROSE 50%  500 ML INJ,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
SOD HYPOCHLORITE (DAKINS) 0.125% SOLN,LOCAL,LOCAL,,,,both,,,71.31,71.31,19.97,71.31,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,71.31,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,57.05,percent of total billed charges,57.05,percent of total billed charges,,,51.34,percent of total billed charges ,,,57.05,percent of total billed charges ,59.9,percent of total billed charges ,59.9,percent of total billed charges ,55.62,percent of total billed charges ,55.62,percent of total billed charges ,57.05,percent of total billed charges ,57.05,percent of total billed charges ,49.92,percent of total billed charges ,49.92,percent of total billed charges ,42.79,percent of total billed charges ,42.79,percent of total billed charges ,42.79,percent of total billed charges ,42.79,percent of total billed charges ,,,,,37.94,percent of total billed charges ,,,,,36.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,,,19.97,percent of total billed charges,
**SORBSAN (ALGINATE) DRESSING 2X2: 10 PA,LOCAL,LOCAL,,,,both,,,68,68,19.04,68,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,,,48.96,percent of total billed charges ,,,54.4,percent of total billed charges ,57.12,percent of total billed charges ,57.12,percent of total billed charges ,53.04,percent of total billed charges ,53.04,percent of total billed charges ,54.4,percent of total billed charges ,54.4,percent of total billed charges ,47.6,percent of total billed charges ,47.6,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,,,,,36.18,percent of total billed charges ,,,,,34.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,
**MINERAL OIL:  6 OZ BOTTLE,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**E IBUPROFEN 200 MG TABS: 500CT,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**E-CALCIUM 600 MG VIT D 400 UNIT: 150 E,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**KANAMYCIN 1GM/ NACL IRRGATION 500ML',LOCAL,LOCAL,,,,both,,,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
**BUPROPRION (WELLBUTRIN) 75MG TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**PERINDOPRIL 8 MG: TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
AZTREONAM (AZACTAM) 1 GM IVPB,J0457,CDM,,,,both,,,318.68,318.68,89.23,318.68,318.68,percent of total billed charges,318.68,percent of total billed charges,318.68,percent of total billed charges,318.68,percent of total billed charges,318.68,percent of total billed charges,318.68,percent of total billed charges,318.68,percent of total billed charges,318.68,percent of total billed charges,229.45,percent of total billed charges,229.45,percent of total billed charges,229.45,percent of total billed charges,229.45,percent of total billed charges,229.45,percent of total billed charges,229.45,percent of total billed charges,235.82,percent of total billed charges,235.82,percent of total billed charges,254.94,percent of total billed charges,254.94,percent of total billed charges,,,229.45,percent of total billed charges ,,,254.94,percent of total billed charges ,267.69,percent of total billed charges ,267.69,percent of total billed charges ,248.57,percent of total billed charges ,248.57,percent of total billed charges ,254.94,percent of total billed charges ,254.94,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,191.21,percent of total billed charges ,191.21,percent of total billed charges ,191.21,percent of total billed charges ,191.21,percent of total billed charges ,,,,,169.54,percent of total billed charges ,,,,,161.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,,,89.23,percent of total billed charges,
AMOX-CLAV K SUSP 400 MG-57/5ML: 50 ML,LOCAL,LOCAL,,,,both,,,46.02,46.02,12.89,46.02,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,46.02,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,33.13,percent of total billed charges,34.05,percent of total billed charges,34.05,percent of total billed charges,36.82,percent of total billed charges,36.82,percent of total billed charges,,,33.13,percent of total billed charges ,,,36.82,percent of total billed charges ,38.66,percent of total billed charges ,38.66,percent of total billed charges ,35.9,percent of total billed charges ,35.9,percent of total billed charges ,36.82,percent of total billed charges ,36.82,percent of total billed charges ,32.21,percent of total billed charges ,32.21,percent of total billed charges ,27.61,percent of total billed charges ,27.61,percent of total billed charges ,27.61,percent of total billed charges ,27.61,percent of total billed charges ,,,,,24.48,percent of total billed charges ,,,,,23.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,,,12.89,percent of total billed charges,
AUGMENTIN SUSP 400 MG/5ML: 5 ML DOSE,LOCAL,LOCAL,,,,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
MOMETASONE (NASONEX) NASAL SPRAY,LOCAL,LOCAL,,,,both,,,178.01,178.01,49.84,178.01,178.01,percent of total billed charges,178.01,percent of total billed charges,178.01,percent of total billed charges,178.01,percent of total billed charges,178.01,percent of total billed charges,178.01,percent of total billed charges,178.01,percent of total billed charges,178.01,percent of total billed charges,128.17,percent of total billed charges,128.17,percent of total billed charges,128.17,percent of total billed charges,128.17,percent of total billed charges,128.17,percent of total billed charges,128.17,percent of total billed charges,131.73,percent of total billed charges,131.73,percent of total billed charges,142.41,percent of total billed charges,142.41,percent of total billed charges,,,128.17,percent of total billed charges ,,,142.41,percent of total billed charges ,149.53,percent of total billed charges ,149.53,percent of total billed charges ,138.85,percent of total billed charges ,138.85,percent of total billed charges ,142.41,percent of total billed charges ,142.41,percent of total billed charges ,124.61,percent of total billed charges ,124.61,percent of total billed charges ,106.81,percent of total billed charges ,106.81,percent of total billed charges ,106.81,percent of total billed charges ,106.81,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
LUBRICANT OPHTH OINT,LOCAL,LOCAL,,,,both,,,88.65,88.65,24.82,88.65,88.65,percent of total billed charges,88.65,percent of total billed charges,88.65,percent of total billed charges,88.65,percent of total billed charges,88.65,percent of total billed charges,88.65,percent of total billed charges,88.65,percent of total billed charges,88.65,percent of total billed charges,63.83,percent of total billed charges,63.83,percent of total billed charges,63.83,percent of total billed charges,63.83,percent of total billed charges,63.83,percent of total billed charges,63.83,percent of total billed charges,65.6,percent of total billed charges,65.6,percent of total billed charges,70.92,percent of total billed charges,70.92,percent of total billed charges,,,63.83,percent of total billed charges ,,,70.92,percent of total billed charges ,74.47,percent of total billed charges ,74.47,percent of total billed charges ,69.15,percent of total billed charges ,69.15,percent of total billed charges ,70.92,percent of total billed charges ,70.92,percent of total billed charges ,62.06,percent of total billed charges ,62.06,percent of total billed charges ,53.19,percent of total billed charges ,53.19,percent of total billed charges ,53.19,percent of total billed charges ,53.19,percent of total billed charges ,,,,,47.16,percent of total billed charges ,,,,,44.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,,,24.82,percent of total billed charges,
**GUAIFENESIN SUGAR FREE 100MG/5ML: 120,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**methylprednisoLONE(DEPOMEDROL)80MG: 5,J1040,CDM,,,,both,,,165.35,165.35,46.3,165.35,165.35,percent of total billed charges,165.35,percent of total billed charges,165.35,percent of total billed charges,165.35,percent of total billed charges,165.35,percent of total billed charges,165.35,percent of total billed charges,165.35,percent of total billed charges,165.35,percent of total billed charges,119.05,percent of total billed charges,119.05,percent of total billed charges,119.05,percent of total billed charges,119.05,percent of total billed charges,119.05,percent of total billed charges,119.05,percent of total billed charges,122.36,percent of total billed charges,122.36,percent of total billed charges,132.28,percent of total billed charges,132.28,percent of total billed charges,,,119.05,percent of total billed charges ,,,132.28,percent of total billed charges ,138.89,percent of total billed charges ,138.89,percent of total billed charges ,128.97,percent of total billed charges ,128.97,percent of total billed charges ,132.28,percent of total billed charges ,132.28,percent of total billed charges ,115.75,percent of total billed charges ,115.75,percent of total billed charges ,99.21,percent of total billed charges ,99.21,percent of total billed charges ,99.21,percent of total billed charges ,99.21,percent of total billed charges ,,,,,87.97,percent of total billed charges ,,,,,83.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,,,46.3,percent of total billed charges,
**MIRALAX (POLYETHYLENE GLYCOL: 255 GM,LOCAL,LOCAL,,,,both,,,60,60,16.8,60,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,44.4,percent of total billed charges,44.4,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,,,43.2,percent of total billed charges ,,,48,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,,,,,31.92,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,
**LIDOCAINE 2% EPINEPHRINE SDV: 20 ML,J2000,CDM,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
BISOPROLOL 5MG/HCTZ 6.25 MG (ZIAC 5) TAB,LOCAL,LOCAL,,,,both,,,1.6,1.6,0.45,1.6,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,,,1.15,percent of total billed charges ,,,1.28,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,,,,,0.85,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
HYDROCODONE APAP 10/500 (LORTAB 10/500),LOCAL,LOCAL,,,,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
ERTAPENEM: (INVANZ) 1 GM INJ VIAL,J1335,CDM,,,,both,,,406.5,406.5,113.82,406.5,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,300.81,percent of total billed charges,300.81,percent of total billed charges,325.2,percent of total billed charges,325.2,percent of total billed charges,,,292.68,percent of total billed charges ,,,325.2,percent of total billed charges ,341.46,percent of total billed charges ,341.46,percent of total billed charges ,317.07,percent of total billed charges ,317.07,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,284.55,percent of total billed charges ,284.55,percent of total billed charges ,243.9,percent of total billed charges ,243.9,percent of total billed charges ,243.9,percent of total billed charges ,243.9,percent of total billed charges ,,,,,216.26,percent of total billed charges ,,,,,205.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,
**LOSARTAN (COZAAR) 50 MG TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
ERTAPENEM 1GM/50ML  IVPB,J1335,CDM,,,,both,,,406.5,406.5,113.82,406.5,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,406.5,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,292.68,percent of total billed charges,300.81,percent of total billed charges,300.81,percent of total billed charges,325.2,percent of total billed charges,325.2,percent of total billed charges,,,292.68,percent of total billed charges ,,,325.2,percent of total billed charges ,341.46,percent of total billed charges ,341.46,percent of total billed charges ,317.07,percent of total billed charges ,317.07,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,284.55,percent of total billed charges ,284.55,percent of total billed charges ,243.9,percent of total billed charges ,243.9,percent of total billed charges ,243.9,percent of total billed charges ,243.9,percent of total billed charges ,,,,,216.26,percent of total billed charges ,,,,,205.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,,,113.82,percent of total billed charges,
"BACITRACIN 50,000 UNIT VIAL",LOCAL,LOCAL,,,,both,,,47.36,47.36,13.26,47.36,47.36,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,47.36,percent of total billed charges,34.1,percent of total billed charges,34.1,percent of total billed charges,34.1,percent of total billed charges,34.1,percent of total billed charges,34.1,percent of total billed charges,34.1,percent of total billed charges,35.05,percent of total billed charges,35.05,percent of total billed charges,37.89,percent of total billed charges,37.89,percent of total billed charges,,,34.1,percent of total billed charges ,,,37.89,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,36.94,percent of total billed charges ,36.94,percent of total billed charges ,37.89,percent of total billed charges ,37.89,percent of total billed charges ,33.15,percent of total billed charges ,33.15,percent of total billed charges ,28.42,percent of total billed charges ,28.42,percent of total billed charges ,28.42,percent of total billed charges ,28.42,percent of total billed charges ,,,,,25.2,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,,,13.26,percent of total billed charges,
**HIDDEN*(FORTAZ) 0.1 GM DOSE :VIAL,LOCAL,LOCAL,,,,both,1,each,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**BEXTRA (VALDECOXIB) 10MG TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
RAMIPRIL (ALTACE) 5 MG CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
QUINAPRIL (ACCUPRIL) 20 MG TAB,LOCAL,LOCAL,,,,both,,,3.75,3.75,1.05,3.75,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,3.75,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.7,percent of total billed charges,2.78,percent of total billed charges,2.78,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,,,2.7,percent of total billed charges ,,,3,percent of total billed charges ,3.15,percent of total billed charges ,3.15,percent of total billed charges ,2.93,percent of total billed charges ,2.93,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,2.63,percent of total billed charges ,2.63,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,2.25,percent of total billed charges ,,,,,2,percent of total billed charges ,,,,,1.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,,,1.05,percent of total billed charges,
**METHYLPREDNISOLON(DEPOMEDROL)40MG/ML:5,J1030,CDM,,,,both,,,63,63,17.64,63,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,46.62,percent of total billed charges,46.62,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,,,45.36,percent of total billed charges ,,,50.4,percent of total billed charges ,52.92,percent of total billed charges ,52.92,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,44.1,percent of total billed charges ,44.1,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,,,,,33.52,percent of total billed charges ,,,,,31.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,
**NORTRIPTYLINE 50 MG : CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ENOXAPARIN (LOVENOX) 40MG SYRINGE,J1650,CDM,,,,both,,,61.77,61.77,17.3,61.77,61.77,percent of total billed charges,61.77,percent of total billed charges,61.77,percent of total billed charges,61.77,percent of total billed charges,61.77,percent of total billed charges,61.77,percent of total billed charges,61.77,percent of total billed charges,61.77,percent of total billed charges,44.47,percent of total billed charges,44.47,percent of total billed charges,44.47,percent of total billed charges,44.47,percent of total billed charges,44.47,percent of total billed charges,44.47,percent of total billed charges,45.71,percent of total billed charges,45.71,percent of total billed charges,49.42,percent of total billed charges,49.42,percent of total billed charges,,,44.47,percent of total billed charges ,,,49.42,percent of total billed charges ,51.89,percent of total billed charges ,51.89,percent of total billed charges ,48.18,percent of total billed charges ,48.18,percent of total billed charges ,49.42,percent of total billed charges ,49.42,percent of total billed charges ,43.24,percent of total billed charges ,43.24,percent of total billed charges ,37.06,percent of total billed charges ,37.06,percent of total billed charges ,37.06,percent of total billed charges ,37.06,percent of total billed charges ,,,,,32.86,percent of total billed charges ,,,,,31.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,,,17.3,percent of total billed charges,
**E-ADVIL  200 MG TAB: BOTTLE OF 225,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**CILOXAN (CIPROFLOX) OPTH SOLN:0.3% 0.5,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
OCUFEN (FLURBIPROFEN)OPTH SOL.0.3%:0.2ML,LOCAL,LOCAL,,,,both,,,105.83,105.83,29.63,105.83,105.83,percent of total billed charges,105.83,percent of total billed charges,105.83,percent of total billed charges,105.83,percent of total billed charges,105.83,percent of total billed charges,105.83,percent of total billed charges,105.83,percent of total billed charges,105.83,percent of total billed charges,76.2,percent of total billed charges,76.2,percent of total billed charges,76.2,percent of total billed charges,76.2,percent of total billed charges,76.2,percent of total billed charges,76.2,percent of total billed charges,78.31,percent of total billed charges,78.31,percent of total billed charges,84.66,percent of total billed charges,84.66,percent of total billed charges,,,76.2,percent of total billed charges ,,,84.66,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,82.55,percent of total billed charges ,82.55,percent of total billed charges ,84.66,percent of total billed charges ,84.66,percent of total billed charges ,74.08,percent of total billed charges ,74.08,percent of total billed charges ,63.5,percent of total billed charges ,63.5,percent of total billed charges ,63.5,percent of total billed charges ,63.5,percent of total billed charges ,,,,,56.3,percent of total billed charges ,,,,,53.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,,,29.63,percent of total billed charges,
**TETRACAINE 0.5% OPTH SOL: 0.5ML,LOCAL,LOCAL,,,,both,,,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
**PHENYLEPHRINE(NEO-SYNEPHRINE)VISCOP:1,LOCAL,LOCAL,,,,both,,,36,36,10.08,36,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,,,25.92,percent of total billed charges ,,,28.8,percent of total billed charges ,30.24,percent of total billed charges ,30.24,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,,,,,19.15,percent of total billed charges ,,,,,18.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,
MEROPENEM: (MERREM) 1GM VIAL,J2185,CDM,,,,both,,,98.51,98.51,27.58,98.51,98.51,percent of total billed charges,98.51,percent of total billed charges,98.51,percent of total billed charges,98.51,percent of total billed charges,98.51,percent of total billed charges,98.51,percent of total billed charges,98.51,percent of total billed charges,98.51,percent of total billed charges,70.93,percent of total billed charges,70.93,percent of total billed charges,70.93,percent of total billed charges,70.93,percent of total billed charges,70.93,percent of total billed charges,70.93,percent of total billed charges,72.9,percent of total billed charges,72.9,percent of total billed charges,78.81,percent of total billed charges,78.81,percent of total billed charges,,,70.93,percent of total billed charges ,,,78.81,percent of total billed charges ,82.75,percent of total billed charges ,82.75,percent of total billed charges ,76.84,percent of total billed charges ,76.84,percent of total billed charges ,78.81,percent of total billed charges ,78.81,percent of total billed charges ,68.96,percent of total billed charges ,68.96,percent of total billed charges ,59.11,percent of total billed charges ,59.11,percent of total billed charges ,59.11,percent of total billed charges ,59.11,percent of total billed charges ,,,,,52.41,percent of total billed charges ,,,,,49.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,,,27.58,percent of total billed charges,
DR. DERANIAN'S PRE-OP DROPS,LOCAL,LOCAL,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
Metoprolol SUCC (TOPROL XL) 100MG TAB,LOCAL,LOCAL,,,,both,,,2.25,2.25,0.63,2.25,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,,,1.62,percent of total billed charges ,,,1.8,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,,,,,1.2,percent of total billed charges ,,,,,1.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,
MAGIC MOUTHWASH,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**AMITRIPTYLINE 150 MG TAB: ELAVIL,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**COLCHICINE INJECT 1MG: 2 ML AMP,J0760,CDM,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**E-ASPIRIN 81 MG E.C. : BOTTLE OF 120,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**GUAIFENESIN DEXTROMETHORPHAN SUGAR FR,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
MORphine PF 1MG/ML 2 ML: ASTRAMORPH,J2274,CDM,,,,both,,,307.51,307.51,86.1,307.51,307.51,percent of total billed charges,307.51,percent of total billed charges,307.51,percent of total billed charges,307.51,percent of total billed charges,307.51,percent of total billed charges,307.51,percent of total billed charges,307.51,percent of total billed charges,307.51,percent of total billed charges,221.41,percent of total billed charges,221.41,percent of total billed charges,221.41,percent of total billed charges,221.41,percent of total billed charges,221.41,percent of total billed charges,221.41,percent of total billed charges,227.56,percent of total billed charges,227.56,percent of total billed charges,246.01,percent of total billed charges,246.01,percent of total billed charges,,,221.41,percent of total billed charges ,,,246.01,percent of total billed charges ,258.31,percent of total billed charges ,258.31,percent of total billed charges ,239.86,percent of total billed charges ,239.86,percent of total billed charges ,246.01,percent of total billed charges ,246.01,percent of total billed charges ,215.26,percent of total billed charges ,215.26,percent of total billed charges ,184.51,percent of total billed charges ,184.51,percent of total billed charges ,184.51,percent of total billed charges ,184.51,percent of total billed charges ,,,,,163.6,percent of total billed charges ,,,,,155.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,,,86.1,percent of total billed charges,
cefTAZidime 1 GM VIAL,J0713,CDM,,,,both,,,46.33,46.33,12.97,46.33,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,34.28,percent of total billed charges,34.28,percent of total billed charges,37.06,percent of total billed charges,37.06,percent of total billed charges,,,33.36,percent of total billed charges ,,,37.06,percent of total billed charges ,38.92,percent of total billed charges ,38.92,percent of total billed charges ,36.14,percent of total billed charges ,36.14,percent of total billed charges ,37.06,percent of total billed charges ,37.06,percent of total billed charges ,32.43,percent of total billed charges ,32.43,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,,,,,24.65,percent of total billed charges ,,,,,23.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,
**CYCLOSPORINE 50 MG/ML: 5 ML AMP,J7516,CDM,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
**MYCOPHENOLATE (CELLCEPT) 500MG: 20ML V,LOCAL,LOCAL,,,,both,,,698,698,195.44,698,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,698,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,502.56,percent of total billed charges,516.52,percent of total billed charges,516.52,percent of total billed charges,558.4,percent of total billed charges,558.4,percent of total billed charges,,,502.56,percent of total billed charges ,,,558.4,percent of total billed charges ,586.32,percent of total billed charges ,586.32,percent of total billed charges ,544.44,percent of total billed charges ,544.44,percent of total billed charges ,558.4,percent of total billed charges ,558.4,percent of total billed charges ,488.6,percent of total billed charges ,488.6,percent of total billed charges ,418.8,percent of total billed charges ,418.8,percent of total billed charges ,418.8,percent of total billed charges ,418.8,percent of total billed charges ,,,,,371.34,percent of total billed charges ,,,,,352.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,,,195.44,percent of total billed charges,
**PILOCARPINE 4% GEL (PILOPINE HS) : 4,LOCAL,LOCAL,,,,both,,,143,143,40.04,143,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,143,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,102.96,percent of total billed charges,105.82,percent of total billed charges,105.82,percent of total billed charges,114.4,percent of total billed charges,114.4,percent of total billed charges,,,102.96,percent of total billed charges ,,,114.4,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,111.54,percent of total billed charges ,111.54,percent of total billed charges ,114.4,percent of total billed charges ,114.4,percent of total billed charges ,100.1,percent of total billed charges ,100.1,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,,,,,76.08,percent of total billed charges ,,,,,72.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,,,40.04,percent of total billed charges,
ESMOLOL 100 MG/10ML,LOCAL,LOCAL,,,,both,,,38.33,38.33,10.73,38.33,38.33,percent of total billed charges,38.33,percent of total billed charges,38.33,percent of total billed charges,38.33,percent of total billed charges,38.33,percent of total billed charges,38.33,percent of total billed charges,38.33,percent of total billed charges,38.33,percent of total billed charges,27.6,percent of total billed charges,27.6,percent of total billed charges,27.6,percent of total billed charges,27.6,percent of total billed charges,27.6,percent of total billed charges,27.6,percent of total billed charges,28.36,percent of total billed charges,28.36,percent of total billed charges,30.66,percent of total billed charges,30.66,percent of total billed charges,,,27.6,percent of total billed charges ,,,30.66,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,29.9,percent of total billed charges ,29.9,percent of total billed charges ,30.66,percent of total billed charges ,30.66,percent of total billed charges ,26.83,percent of total billed charges ,26.83,percent of total billed charges ,23,percent of total billed charges ,23,percent of total billed charges ,23,percent of total billed charges ,23,percent of total billed charges ,,,,,20.39,percent of total billed charges ,,,,,19.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,,,10.73,percent of total billed charges,
FENOFIBRATE (TRICOR) 145 MG TAB,LOCAL,LOCAL,,,,both,,,0.77,0.77,0.22,0.77,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.77,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.57,percent of total billed charges,0.57,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,,,0.55,percent of total billed charges ,,,0.62,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
GALANTAMINE (RAZADYNE)  4 MG: TAB,LOCAL,LOCAL,,,,both,,,8.19,8.19,2.29,8.19,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,5.9,percent of total billed charges,5.9,percent of total billed charges,5.9,percent of total billed charges,5.9,percent of total billed charges,5.9,percent of total billed charges,5.9,percent of total billed charges,6.06,percent of total billed charges,6.06,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,,,5.9,percent of total billed charges ,,,6.55,percent of total billed charges ,6.88,percent of total billed charges ,6.88,percent of total billed charges ,6.39,percent of total billed charges ,6.39,percent of total billed charges ,6.55,percent of total billed charges ,6.55,percent of total billed charges ,5.73,percent of total billed charges ,5.73,percent of total billed charges ,4.91,percent of total billed charges ,4.91,percent of total billed charges ,4.91,percent of total billed charges ,4.91,percent of total billed charges ,,,,,4.36,percent of total billed charges ,,,,,4.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,,,2.29,percent of total billed charges,
**ROFECOXIB (VIOXX) 50MG: TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**RISEDRONATE 35 MG: ACTONEL,LOCAL,LOCAL,,,,both,,,53,53,14.84,53,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,39.22,percent of total billed charges,39.22,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,,,38.16,percent of total billed charges ,,,42.4,percent of total billed charges ,44.52,percent of total billed charges ,44.52,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,42.4,percent of total billed charges ,42.4,percent of total billed charges ,37.1,percent of total billed charges ,37.1,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,,,,,28.2,percent of total billed charges ,,,,,26.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,
MANNITOL 20% IV SOLN: 500 ML,J2150,CDM,,,,both,,,199.64,199.64,55.9,199.64,199.64,percent of total billed charges,199.64,percent of total billed charges,199.64,percent of total billed charges,199.64,percent of total billed charges,199.64,percent of total billed charges,199.64,percent of total billed charges,199.64,percent of total billed charges,199.64,percent of total billed charges,143.74,percent of total billed charges,143.74,percent of total billed charges,143.74,percent of total billed charges,143.74,percent of total billed charges,143.74,percent of total billed charges,143.74,percent of total billed charges,147.73,percent of total billed charges,147.73,percent of total billed charges,159.71,percent of total billed charges,159.71,percent of total billed charges,,,143.74,percent of total billed charges ,,,159.71,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,155.72,percent of total billed charges ,155.72,percent of total billed charges ,159.71,percent of total billed charges ,159.71,percent of total billed charges ,139.75,percent of total billed charges ,139.75,percent of total billed charges ,119.78,percent of total billed charges ,119.78,percent of total billed charges ,119.78,percent of total billed charges ,119.78,percent of total billed charges ,,,,,106.21,percent of total billed charges ,,,,,100.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,,,55.9,percent of total billed charges,
ACYCLOVIR (ZOVIRAX) OINT 5% 30 GM,LOCAL,LOCAL,,,,both,,,197.27,197.27,55.24,197.27,197.27,percent of total billed charges,197.27,percent of total billed charges,197.27,percent of total billed charges,197.27,percent of total billed charges,197.27,percent of total billed charges,197.27,percent of total billed charges,197.27,percent of total billed charges,197.27,percent of total billed charges,142.03,percent of total billed charges,142.03,percent of total billed charges,142.03,percent of total billed charges,142.03,percent of total billed charges,142.03,percent of total billed charges,142.03,percent of total billed charges,145.98,percent of total billed charges,145.98,percent of total billed charges,157.82,percent of total billed charges,157.82,percent of total billed charges,,,142.03,percent of total billed charges ,,,157.82,percent of total billed charges ,165.71,percent of total billed charges ,165.71,percent of total billed charges ,153.87,percent of total billed charges ,153.87,percent of total billed charges ,157.82,percent of total billed charges ,157.82,percent of total billed charges ,138.09,percent of total billed charges ,138.09,percent of total billed charges ,118.36,percent of total billed charges ,118.36,percent of total billed charges ,118.36,percent of total billed charges ,118.36,percent of total billed charges ,,,,,104.95,percent of total billed charges ,,,,,99.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,,,55.24,percent of total billed charges,
NIACIN SR (NIASPAN) 500MG TAB,LOCAL,LOCAL,,,,both,,,2.39,2.39,0.67,2.39,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,1.77,percent of total billed charges,1.77,percent of total billed charges,1.91,percent of total billed charges,1.91,percent of total billed charges,,,1.72,percent of total billed charges ,,,1.91,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.91,percent of total billed charges ,1.91,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
MANNITOL INJECT 25% : 50 ML,J2150,CDM,,,,both,,,26.66,26.66,7.46,26.66,26.66,percent of total billed charges,26.66,percent of total billed charges,26.66,percent of total billed charges,26.66,percent of total billed charges,26.66,percent of total billed charges,26.66,percent of total billed charges,26.66,percent of total billed charges,26.66,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,19.73,percent of total billed charges,19.73,percent of total billed charges,21.33,percent of total billed charges,21.33,percent of total billed charges,,,19.2,percent of total billed charges ,,,21.33,percent of total billed charges ,22.39,percent of total billed charges ,22.39,percent of total billed charges ,20.79,percent of total billed charges ,20.79,percent of total billed charges ,21.33,percent of total billed charges ,21.33,percent of total billed charges ,18.66,percent of total billed charges ,18.66,percent of total billed charges ,16,percent of total billed charges ,16,percent of total billed charges ,16,percent of total billed charges ,16,percent of total billed charges ,,,,,14.18,percent of total billed charges ,,,,,13.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,,,7.46,percent of total billed charges,
**HYDROCODONE 7.5MG APAP 500MG/15ML: 120,LOCAL,LOCAL,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
MORphine PCA  1MG/ML PROTOCOL ADULT,J2270,CDM,,,,both,,,131,131,36.68,131,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,96.94,percent of total billed charges,96.94,percent of total billed charges,104.8,percent of total billed charges,104.8,percent of total billed charges,,,94.32,percent of total billed charges ,,,104.8,percent of total billed charges ,110.04,percent of total billed charges ,110.04,percent of total billed charges ,102.18,percent of total billed charges ,102.18,percent of total billed charges ,104.8,percent of total billed charges ,104.8,percent of total billed charges ,91.7,percent of total billed charges ,91.7,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,,,,,69.69,percent of total billed charges ,,,,,66.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,
**MEPERIDINE PCA 10MG/ML ADULT PROTOCOL.,J2175,CDM,,,,both,,,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
**DONNATAL ELIXIR 10ML,LOCAL,LOCAL,,,,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**INDOMETHACIN(INDOCIN) CAP: 50MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
PARoxetine CR (PAXIL CR)  12.5 MG TAB,LOCAL,LOCAL,,,,both,,,20.2,20.2,5.66,20.2,20.2,percent of total billed charges,20.2,percent of total billed charges,20.2,percent of total billed charges,20.2,percent of total billed charges,20.2,percent of total billed charges,20.2,percent of total billed charges,20.2,percent of total billed charges,20.2,percent of total billed charges,14.54,percent of total billed charges,14.54,percent of total billed charges,14.54,percent of total billed charges,14.54,percent of total billed charges,14.54,percent of total billed charges,14.54,percent of total billed charges,14.95,percent of total billed charges,14.95,percent of total billed charges,16.16,percent of total billed charges,16.16,percent of total billed charges,,,14.54,percent of total billed charges ,,,16.16,percent of total billed charges ,16.97,percent of total billed charges ,16.97,percent of total billed charges ,15.76,percent of total billed charges ,15.76,percent of total billed charges ,16.16,percent of total billed charges ,16.16,percent of total billed charges ,14.14,percent of total billed charges ,14.14,percent of total billed charges ,12.12,percent of total billed charges ,12.12,percent of total billed charges ,12.12,percent of total billed charges ,12.12,percent of total billed charges ,,,,,10.75,percent of total billed charges ,,,,,10.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,,,5.66,percent of total billed charges,
**ESTROGEN/METHYLTESTOSTERONE 0.625/1.,LOCAL,LOCAL,,,,both,,,650,650,182,650,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,650,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,481,percent of total billed charges,481,percent of total billed charges,520,percent of total billed charges,520,percent of total billed charges,,,468,percent of total billed charges ,,,520,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,507,percent of total billed charges ,507,percent of total billed charges ,520,percent of total billed charges ,520,percent of total billed charges ,455,percent of total billed charges ,455,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,390,percent of total billed charges ,,,,,345.8,percent of total billed charges ,,,,,328.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,,,182,percent of total billed charges,
**PROTONIX (PANTOPRAZOLE) 20MG: TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
PERINDOPRIL (ACEON) 4 MG TAB,LOCAL,LOCAL,,,,both,,,0.99,0.99,0.28,0.99,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.99,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,,,0.71,percent of total billed charges ,,,0.79,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
**PSYLLIUM (METAMUCIL) SF POWDER: 48 DO,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
**CALCIUM CARBONATE (TUMS) 500MG: 3 ROLL,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**ACETAMINOPHEN TAB 325 MG: CARD OF,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**ACETAMINOPHEN 500 MG CAPLETS: CARD OF,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**MULTIVITAMIN TABLET: CARD OF 30,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**MULTIVITIMIN WITH MINERAL TABLET: CD,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
QUINAPRIL (ACCUPRIL) 40 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**BIMATOPROST (LUMIGAN) 0.03% OPHTH SO,LOCAL,LOCAL,,,,both,,,342,342,95.76,342,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,342,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,246.24,percent of total billed charges,253.08,percent of total billed charges,253.08,percent of total billed charges,273.6,percent of total billed charges,273.6,percent of total billed charges,,,246.24,percent of total billed charges ,,,273.6,percent of total billed charges ,287.28,percent of total billed charges ,287.28,percent of total billed charges ,266.76,percent of total billed charges ,266.76,percent of total billed charges ,273.6,percent of total billed charges ,273.6,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,205.2,percent of total billed charges ,,,,,181.94,percent of total billed charges ,,,,,172.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,,,95.76,percent of total billed charges,
**CHOLESTYRAMINE (QUESTRAN LIGHT): 268,LOCAL,LOCAL,,,,both,,,141,141,39.48,141,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,141,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,101.52,percent of total billed charges,104.34,percent of total billed charges,104.34,percent of total billed charges,112.8,percent of total billed charges,112.8,percent of total billed charges,,,101.52,percent of total billed charges ,,,112.8,percent of total billed charges ,118.44,percent of total billed charges ,118.44,percent of total billed charges ,109.98,percent of total billed charges ,109.98,percent of total billed charges ,112.8,percent of total billed charges ,112.8,percent of total billed charges ,98.7,percent of total billed charges ,98.7,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,84.6,percent of total billed charges ,,,,,75.01,percent of total billed charges ,,,,,71.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,,,39.48,percent of total billed charges,
**ASPIRIN EC (ECOTRIN) 325 MG TAB:CARD,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**PROPRANOLOL (INDERAL) 60MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
PIOGLITAZONE (ACTOS) 30 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**ASPIRIN BUFFERED 325 MG TABS: CD 30,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**SEREVENT (SALMETEROL)DISCUS 50MCG 60DO,LOCAL,LOCAL,,,,both,,,334,334,93.52,334,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,247.16,percent of total billed charges,247.16,percent of total billed charges,267.2,percent of total billed charges,267.2,percent of total billed charges,,,240.48,percent of total billed charges ,,,267.2,percent of total billed charges ,280.56,percent of total billed charges ,280.56,percent of total billed charges ,260.52,percent of total billed charges ,260.52,percent of total billed charges ,267.2,percent of total billed charges ,267.2,percent of total billed charges ,233.8,percent of total billed charges ,233.8,percent of total billed charges ,200.4,percent of total billed charges ,200.4,percent of total billed charges ,200.4,percent of total billed charges ,200.4,percent of total billed charges ,,,,,177.69,percent of total billed charges ,,,,,168.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,
**LISINOPRIL(ZESTRIL) 30MG : TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DOCUSATE 100 MG CAP: CARD OF 31,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**CHLORASEPTIC LOZENGES: BOX OF 18,LOCAL,LOCAL,,,,both,,,42.3,42.3,11.84,42.3,42.3,percent of total billed charges,42.3,percent of total billed charges,42.3,percent of total billed charges,42.3,percent of total billed charges,42.3,percent of total billed charges,42.3,percent of total billed charges,42.3,percent of total billed charges,42.3,percent of total billed charges,30.46,percent of total billed charges,30.46,percent of total billed charges,30.46,percent of total billed charges,30.46,percent of total billed charges,30.46,percent of total billed charges,30.46,percent of total billed charges,31.3,percent of total billed charges,31.3,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,,,30.46,percent of total billed charges ,,,33.84,percent of total billed charges ,35.53,percent of total billed charges ,35.53,percent of total billed charges ,32.99,percent of total billed charges ,32.99,percent of total billed charges ,33.84,percent of total billed charges ,33.84,percent of total billed charges ,29.61,percent of total billed charges ,29.61,percent of total billed charges ,25.38,percent of total billed charges ,25.38,percent of total billed charges ,25.38,percent of total billed charges ,25.38,percent of total billed charges ,,,,,22.5,percent of total billed charges ,,,,,21.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,,,11.84,percent of total billed charges,
**MEGESTROL(MEGACE TABLET) 20 MG:,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**REFRESH PLUS SINGLE USE: BOX OF 30,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
METOCLOPRAMIDE (REGLAN) 5 MG: TAB,LOCAL,LOCAL,,,,both,,,3.68,3.68,1.03,3.68,3.68,percent of total billed charges,3.68,percent of total billed charges,3.68,percent of total billed charges,3.68,percent of total billed charges,3.68,percent of total billed charges,3.68,percent of total billed charges,3.68,percent of total billed charges,3.68,percent of total billed charges,2.65,percent of total billed charges,2.65,percent of total billed charges,2.65,percent of total billed charges,2.65,percent of total billed charges,2.65,percent of total billed charges,2.65,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.94,percent of total billed charges,2.94,percent of total billed charges,,,2.65,percent of total billed charges ,,,2.94,percent of total billed charges ,3.09,percent of total billed charges ,3.09,percent of total billed charges ,2.87,percent of total billed charges ,2.87,percent of total billed charges ,2.94,percent of total billed charges ,2.94,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,,,,,1.96,percent of total billed charges ,,,,,1.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,
**ASPIRIN EC 81 MG TAB:  CARD OF 30,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**ACETAMINOPHEN 500 MG CAPLETS: CARD OF,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**ROFECOXIB (VIOXX) 12.5MG: TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
methylPHENIDATE (RITALIN) 10MG TAB,LOCAL,LOCAL,,,,both,,,6.58,6.58,1.84,6.58,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.74,percent of total billed charges,4.87,percent of total billed charges,4.87,percent of total billed charges,5.26,percent of total billed charges,5.26,percent of total billed charges,,,4.74,percent of total billed charges ,,,5.26,percent of total billed charges ,5.53,percent of total billed charges ,5.53,percent of total billed charges ,5.13,percent of total billed charges ,5.13,percent of total billed charges ,5.26,percent of total billed charges ,5.26,percent of total billed charges ,4.61,percent of total billed charges ,4.61,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,,,,,3.5,percent of total billed charges ,,,,,3.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,,,1.84,percent of total billed charges,
**E-MYLANTA GEL (GENERIC):12OZ,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**PHENYTOIN SUSPENSION 125MG/5ML: 240 ML,LOCAL,LOCAL,,,,both,,,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
**ASPIRIN CHILD 81 MG CHEWABLE: CARD OF,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
LISINOPRIL(ZESTRIL) 2.5 MG TAB,LOCAL,LOCAL,,,,both,,,2.3,2.3,0.64,2.3,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,,,1.66,percent of total billed charges ,,,1.84,percent of total billed charges ,1.93,percent of total billed charges ,1.93,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,,,,,1.22,percent of total billed charges ,,,,,1.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,
ZOLPIDEM (AMBIEN) 5 MG TAB,LOCAL,LOCAL,,,,both,,,1.52,1.52,0.43,1.52,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.09,percent of total billed charges ,,,1.22,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
**VIACTIVE CHEWABLE CALCIUM: BOX OF 60,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**ADVAIR (FLUTICASON/SALMETER)100/50:60D,LOCAL,LOCAL,,,,both,,,378,378,105.84,378,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,279.72,percent of total billed charges,279.72,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,,,272.16,percent of total billed charges ,,,302.4,percent of total billed charges ,317.52,percent of total billed charges ,317.52,percent of total billed charges ,294.84,percent of total billed charges ,294.84,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,,,,,201.1,percent of total billed charges ,,,,,191.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,
FLUTICASON/SALMETEROL (ADVAIR) 100/50,LOCAL,LOCAL,,,,both,,,395.41,395.41,110.71,395.41,395.41,percent of total billed charges,395.41,percent of total billed charges,395.41,percent of total billed charges,395.41,percent of total billed charges,395.41,percent of total billed charges,395.41,percent of total billed charges,395.41,percent of total billed charges,395.41,percent of total billed charges,284.7,percent of total billed charges,284.7,percent of total billed charges,284.7,percent of total billed charges,284.7,percent of total billed charges,284.7,percent of total billed charges,284.7,percent of total billed charges,292.6,percent of total billed charges,292.6,percent of total billed charges,316.33,percent of total billed charges,316.33,percent of total billed charges,,,284.7,percent of total billed charges ,,,316.33,percent of total billed charges ,332.14,percent of total billed charges ,332.14,percent of total billed charges ,308.42,percent of total billed charges ,308.42,percent of total billed charges ,316.33,percent of total billed charges ,316.33,percent of total billed charges ,276.79,percent of total billed charges ,276.79,percent of total billed charges ,237.25,percent of total billed charges ,237.25,percent of total billed charges ,237.25,percent of total billed charges ,237.25,percent of total billed charges ,,,,,210.36,percent of total billed charges ,,,,,199.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,,,110.71,percent of total billed charges,
amLODIPine (NORVASC) 2.5 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
BAZA ANTIFUNGAL CREAM: 5 OZ,LOCAL,LOCAL,,,,both,,,99.45,99.45,27.85,99.45,99.45,percent of total billed charges,99.45,percent of total billed charges,99.45,percent of total billed charges,99.45,percent of total billed charges,99.45,percent of total billed charges,99.45,percent of total billed charges,99.45,percent of total billed charges,99.45,percent of total billed charges,71.6,percent of total billed charges,71.6,percent of total billed charges,71.6,percent of total billed charges,71.6,percent of total billed charges,71.6,percent of total billed charges,71.6,percent of total billed charges,73.59,percent of total billed charges,73.59,percent of total billed charges,79.56,percent of total billed charges,79.56,percent of total billed charges,,,71.6,percent of total billed charges ,,,79.56,percent of total billed charges ,83.54,percent of total billed charges ,83.54,percent of total billed charges ,77.57,percent of total billed charges ,77.57,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,69.62,percent of total billed charges ,69.62,percent of total billed charges ,59.67,percent of total billed charges ,59.67,percent of total billed charges ,59.67,percent of total billed charges ,59.67,percent of total billed charges ,,,,,52.91,percent of total billed charges ,,,,,50.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,,,27.85,percent of total billed charges,
FLUTICASON/SALMETEROL (ADVAIR) 250/50,LOCAL,LOCAL,,,,both,,,329.2,329.2,92.18,329.2,329.2,percent of total billed charges,329.2,percent of total billed charges,329.2,percent of total billed charges,329.2,percent of total billed charges,329.2,percent of total billed charges,329.2,percent of total billed charges,329.2,percent of total billed charges,329.2,percent of total billed charges,237.02,percent of total billed charges,237.02,percent of total billed charges,237.02,percent of total billed charges,237.02,percent of total billed charges,237.02,percent of total billed charges,237.02,percent of total billed charges,243.61,percent of total billed charges,243.61,percent of total billed charges,263.36,percent of total billed charges,263.36,percent of total billed charges,,,237.02,percent of total billed charges ,,,263.36,percent of total billed charges ,276.53,percent of total billed charges ,276.53,percent of total billed charges ,256.78,percent of total billed charges ,256.78,percent of total billed charges ,263.36,percent of total billed charges ,263.36,percent of total billed charges ,230.44,percent of total billed charges ,230.44,percent of total billed charges ,197.52,percent of total billed charges ,197.52,percent of total billed charges ,197.52,percent of total billed charges ,197.52,percent of total billed charges ,,,,,175.13,percent of total billed charges ,,,,,166.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,,,92.18,percent of total billed charges,
**PERI-COLACE SYRUP: 16OZ,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**FLOVENT 44 MCG (FLUTICASON) INH.:120DO,LOCAL,LOCAL,,,,both,,,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
FLUTICASONE (FLOVENT) 110MCG INHALER,LOCAL,LOCAL,,,,both,,,470.37,470.37,131.7,470.37,470.37,percent of total billed charges,470.37,percent of total billed charges,470.37,percent of total billed charges,470.37,percent of total billed charges,470.37,percent of total billed charges,470.37,percent of total billed charges,470.37,percent of total billed charges,470.37,percent of total billed charges,338.67,percent of total billed charges,338.67,percent of total billed charges,338.67,percent of total billed charges,338.67,percent of total billed charges,338.67,percent of total billed charges,338.67,percent of total billed charges,348.07,percent of total billed charges,348.07,percent of total billed charges,376.3,percent of total billed charges,376.3,percent of total billed charges,,,338.67,percent of total billed charges ,,,376.3,percent of total billed charges ,395.11,percent of total billed charges ,395.11,percent of total billed charges ,366.89,percent of total billed charges ,366.89,percent of total billed charges ,376.3,percent of total billed charges ,376.3,percent of total billed charges ,329.26,percent of total billed charges ,329.26,percent of total billed charges ,282.22,percent of total billed charges ,282.22,percent of total billed charges ,282.22,percent of total billed charges ,282.22,percent of total billed charges ,,,,,250.24,percent of total billed charges ,,,,,237.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,,,131.7,percent of total billed charges,
FLUTICASONE (FLOVENT) 220MCG INHALER,LOCAL,LOCAL,,,,both,,,710.79,710.79,199.02,710.79,710.79,percent of total billed charges,710.79,percent of total billed charges,710.79,percent of total billed charges,710.79,percent of total billed charges,710.79,percent of total billed charges,710.79,percent of total billed charges,710.79,percent of total billed charges,710.79,percent of total billed charges,511.77,percent of total billed charges,511.77,percent of total billed charges,511.77,percent of total billed charges,511.77,percent of total billed charges,511.77,percent of total billed charges,511.77,percent of total billed charges,525.98,percent of total billed charges,525.98,percent of total billed charges,568.63,percent of total billed charges,568.63,percent of total billed charges,,,511.77,percent of total billed charges ,,,568.63,percent of total billed charges ,597.06,percent of total billed charges ,597.06,percent of total billed charges ,554.42,percent of total billed charges ,554.42,percent of total billed charges ,568.63,percent of total billed charges ,568.63,percent of total billed charges ,497.55,percent of total billed charges ,497.55,percent of total billed charges ,426.47,percent of total billed charges ,426.47,percent of total billed charges ,426.47,percent of total billed charges ,426.47,percent of total billed charges ,,,,,378.14,percent of total billed charges ,,,,,359.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,,,199.02,percent of total billed charges,
CARBOXYMETHYLCELL (CELLUVISC) :BOX30,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
RIVASTIGMINE (EXELON) 3MG CAP,LOCAL,LOCAL,,,,both,,,2.43,2.43,0.68,2.43,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,,,1.75,percent of total billed charges ,,,1.94,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,,,,,1.29,percent of total billed charges ,,,,,1.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,
CITALOPRAM (CeleXA) 40 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
risperiDONE (RisperDAL) 0.5MG TAB,LOCAL,LOCAL,,,,both,,,0.67,0.67,0.19,0.67,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.48,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.48,percent of total billed charges ,,,0.54,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
**BRIMONIDINE (ALPHAGAN P) 0.15% O/S,LOCAL,LOCAL,,,,both,,,124,124,34.72,124,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,91.76,percent of total billed charges,91.76,percent of total billed charges,99.2,percent of total billed charges,99.2,percent of total billed charges,,,89.28,percent of total billed charges ,,,99.2,percent of total billed charges ,104.16,percent of total billed charges ,104.16,percent of total billed charges ,96.72,percent of total billed charges ,96.72,percent of total billed charges ,99.2,percent of total billed charges ,99.2,percent of total billed charges ,86.8,percent of total billed charges ,86.8,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,,,,,65.97,percent of total billed charges ,,,,,62.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,
PARoxetine (PAXIL) 10MG TAB,LOCAL,LOCAL,,,,both,,,1.69,1.69,0.47,1.69,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.69,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.25,percent of total billed charges,1.25,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,,,1.22,percent of total billed charges ,,,1.35,percent of total billed charges ,1.42,percent of total billed charges ,1.42,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,,,,,0.9,percent of total billed charges ,,,,,0.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,
**PLENDIL (FELODIPINE) 10 MG: TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**EMEDASTINE(EMADINE)0.05% OPTH.SOLN:5,LOCAL,LOCAL,,,,both,,,181,181,50.68,181,181,percent of total billed charges,181,percent of total billed charges,181,percent of total billed charges,181,percent of total billed charges,181,percent of total billed charges,181,percent of total billed charges,181,percent of total billed charges,181,percent of total billed charges,130.32,percent of total billed charges,130.32,percent of total billed charges,130.32,percent of total billed charges,130.32,percent of total billed charges,130.32,percent of total billed charges,130.32,percent of total billed charges,133.94,percent of total billed charges,133.94,percent of total billed charges,144.8,percent of total billed charges,144.8,percent of total billed charges,,,130.32,percent of total billed charges ,,,144.8,percent of total billed charges ,152.04,percent of total billed charges ,152.04,percent of total billed charges ,141.18,percent of total billed charges ,141.18,percent of total billed charges ,144.8,percent of total billed charges ,144.8,percent of total billed charges ,126.7,percent of total billed charges ,126.7,percent of total billed charges ,108.6,percent of total billed charges ,108.6,percent of total billed charges ,108.6,percent of total billed charges ,108.6,percent of total billed charges ,,,,,96.29,percent of total billed charges ,,,,,91.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,,,50.68,percent of total billed charges,
**(PAXIL (PAROXETINE) C.R. 25 MG  TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
GALANTAMINE (RAZADYNE) 12 MG TAB,LOCAL,LOCAL,,,,both,,,2.83,2.83,0.79,2.83,2.83,percent of total billed charges,2.83,percent of total billed charges,2.83,percent of total billed charges,2.83,percent of total billed charges,2.83,percent of total billed charges,2.83,percent of total billed charges,2.83,percent of total billed charges,2.83,percent of total billed charges,2.04,percent of total billed charges,2.04,percent of total billed charges,2.04,percent of total billed charges,2.04,percent of total billed charges,2.04,percent of total billed charges,2.04,percent of total billed charges,2.09,percent of total billed charges,2.09,percent of total billed charges,2.26,percent of total billed charges,2.26,percent of total billed charges,,,2.04,percent of total billed charges ,,,2.26,percent of total billed charges ,2.38,percent of total billed charges ,2.38,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,1.98,percent of total billed charges ,1.98,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,,,,,1.51,percent of total billed charges ,,,,,1.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,,,0.79,percent of total billed charges,
glipiZIDE (GLUCOTROL) 10MG TAB,LOCAL,LOCAL,,,,both,,,2.07,2.07,0.58,2.07,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,2.07,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.53,percent of total billed charges,1.53,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,,,1.49,percent of total billed charges ,,,1.66,percent of total billed charges ,1.74,percent of total billed charges ,1.74,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,,,,,1.1,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,,,0.58,percent of total billed charges,
**DOCUSATE LIQUID 50 MG/5ML: 16 OZ,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**LACTULOSE 10GM/15ML : 240 ML,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
MONTELUKAST (SINGULAIR) 4 MG TAB,LOCAL,LOCAL,,,,both,,,1.35,1.35,0.38,1.35,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,,,0.97,percent of total billed charges ,,,1.08,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
T-GEL SHAMPOO  8.5 OZ,LOCAL,LOCAL,,,,both,,,92,92,25.76,92,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,68.08,percent of total billed charges,68.08,percent of total billed charges,73.6,percent of total billed charges,73.6,percent of total billed charges,,,66.24,percent of total billed charges ,,,73.6,percent of total billed charges ,77.28,percent of total billed charges ,77.28,percent of total billed charges ,71.76,percent of total billed charges ,71.76,percent of total billed charges ,73.6,percent of total billed charges ,73.6,percent of total billed charges ,64.4,percent of total billed charges ,64.4,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,,,,,48.94,percent of total billed charges ,,,,,46.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,
**E-ACETAMINOPHEN 500MG:BOX OF 150 U/D.,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
hydrALAZINE (APRESOLINE) 50MG TAB,LOCAL,LOCAL,,,,both,,,0.58,0.58,0.16,0.58,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.46,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,
MICONAZOLE CREAM 2% 30 GM:TUBE,LOCAL,LOCAL,,,,both,,,36.85,36.85,10.32,36.85,36.85,percent of total billed charges,36.85,percent of total billed charges,36.85,percent of total billed charges,36.85,percent of total billed charges,36.85,percent of total billed charges,36.85,percent of total billed charges,36.85,percent of total billed charges,36.85,percent of total billed charges,26.53,percent of total billed charges,26.53,percent of total billed charges,26.53,percent of total billed charges,26.53,percent of total billed charges,26.53,percent of total billed charges,26.53,percent of total billed charges,27.27,percent of total billed charges,27.27,percent of total billed charges,29.48,percent of total billed charges,29.48,percent of total billed charges,,,26.53,percent of total billed charges ,,,29.48,percent of total billed charges ,30.95,percent of total billed charges ,30.95,percent of total billed charges ,28.74,percent of total billed charges ,28.74,percent of total billed charges ,29.48,percent of total billed charges ,29.48,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,22.11,percent of total billed charges ,22.11,percent of total billed charges ,22.11,percent of total billed charges ,22.11,percent of total billed charges ,,,,,19.6,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,,,10.32,percent of total billed charges,
VISINE  OPTH SOLN 15 ML,LOCAL,LOCAL,,,,both,,,14.38,14.38,4.03,14.38,14.38,percent of total billed charges,14.38,percent of total billed charges,14.38,percent of total billed charges,14.38,percent of total billed charges,14.38,percent of total billed charges,14.38,percent of total billed charges,14.38,percent of total billed charges,14.38,percent of total billed charges,10.35,percent of total billed charges,10.35,percent of total billed charges,10.35,percent of total billed charges,10.35,percent of total billed charges,10.35,percent of total billed charges,10.35,percent of total billed charges,10.64,percent of total billed charges,10.64,percent of total billed charges,11.5,percent of total billed charges,11.5,percent of total billed charges,,,10.35,percent of total billed charges ,,,11.5,percent of total billed charges ,12.08,percent of total billed charges ,12.08,percent of total billed charges ,11.22,percent of total billed charges ,11.22,percent of total billed charges ,11.5,percent of total billed charges ,11.5,percent of total billed charges ,10.07,percent of total billed charges ,10.07,percent of total billed charges ,8.63,percent of total billed charges ,8.63,percent of total billed charges ,8.63,percent of total billed charges ,8.63,percent of total billed charges ,,,,,7.65,percent of total billed charges ,,,,,7.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,
**E-TRIAMINIC COLD&ALLERGY SOFTCHEWS:,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**E-ASCORBIC ACID 500 MG TABS: BOTTLE 10,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CALCIUM 500MG VIT D 200 MG: CARD 30,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**CALCIUM 500MG VIT D 200 MG: CARD 60,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CALCIUM CARBONATE 500 MG TAB:  CARD 30,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**CALCIUM CARBONATE 500 MG TAB:  CARD 60,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
TOBRAMYCIN/DEXAMETHASONE OPHTH 2.5ML,LOCAL,LOCAL,,,,both,,,288.93,288.93,80.9,288.93,288.93,percent of total billed charges,288.93,percent of total billed charges,288.93,percent of total billed charges,288.93,percent of total billed charges,288.93,percent of total billed charges,288.93,percent of total billed charges,288.93,percent of total billed charges,288.93,percent of total billed charges,208.03,percent of total billed charges,208.03,percent of total billed charges,208.03,percent of total billed charges,208.03,percent of total billed charges,208.03,percent of total billed charges,208.03,percent of total billed charges,213.81,percent of total billed charges,213.81,percent of total billed charges,231.14,percent of total billed charges,231.14,percent of total billed charges,,,208.03,percent of total billed charges ,,,231.14,percent of total billed charges ,242.7,percent of total billed charges ,242.7,percent of total billed charges ,225.37,percent of total billed charges ,225.37,percent of total billed charges ,231.14,percent of total billed charges ,231.14,percent of total billed charges ,202.25,percent of total billed charges ,202.25,percent of total billed charges ,173.36,percent of total billed charges ,173.36,percent of total billed charges ,173.36,percent of total billed charges ,173.36,percent of total billed charges ,,,,,153.71,percent of total billed charges ,,,,,146.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,,,80.9,percent of total billed charges,
CYCLOPENTOLATE2%(CYCLOGYL2%OPHSOL):5ML,LOCAL,LOCAL,,,,both,,,266.87,266.87,74.72,266.87,266.87,percent of total billed charges,266.87,percent of total billed charges,266.87,percent of total billed charges,266.87,percent of total billed charges,266.87,percent of total billed charges,266.87,percent of total billed charges,266.87,percent of total billed charges,266.87,percent of total billed charges,192.15,percent of total billed charges,192.15,percent of total billed charges,192.15,percent of total billed charges,192.15,percent of total billed charges,192.15,percent of total billed charges,192.15,percent of total billed charges,197.48,percent of total billed charges,197.48,percent of total billed charges,213.5,percent of total billed charges,213.5,percent of total billed charges,,,192.15,percent of total billed charges ,,,213.5,percent of total billed charges ,224.17,percent of total billed charges ,224.17,percent of total billed charges ,208.16,percent of total billed charges ,208.16,percent of total billed charges ,213.5,percent of total billed charges ,213.5,percent of total billed charges ,186.81,percent of total billed charges ,186.81,percent of total billed charges ,160.12,percent of total billed charges ,160.12,percent of total billed charges ,160.12,percent of total billed charges ,160.12,percent of total billed charges ,,,,,141.97,percent of total billed charges ,,,,,134.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,,,74.72,percent of total billed charges,
**VANCOMYCIN 20 MG DOSE (BSS ADDITION),LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**AMIODARONE(CORDARONE) 200 MG: TAB  (SN,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**ALBUTEROL(VENTOLIN)INH: 17 GM     (SNF,LOCAL,LOCAL,,,,both,,,107,107,29.96,107,107,percent of total billed charges,107,percent of total billed charges,107,percent of total billed charges,107,percent of total billed charges,107,percent of total billed charges,107,percent of total billed charges,107,percent of total billed charges,107,percent of total billed charges,77.04,percent of total billed charges,77.04,percent of total billed charges,77.04,percent of total billed charges,77.04,percent of total billed charges,77.04,percent of total billed charges,77.04,percent of total billed charges,79.18,percent of total billed charges,79.18,percent of total billed charges,85.6,percent of total billed charges,85.6,percent of total billed charges,,,77.04,percent of total billed charges ,,,85.6,percent of total billed charges ,89.88,percent of total billed charges ,89.88,percent of total billed charges ,83.46,percent of total billed charges ,83.46,percent of total billed charges ,85.6,percent of total billed charges ,85.6,percent of total billed charges ,74.9,percent of total billed charges ,74.9,percent of total billed charges ,64.2,percent of total billed charges ,64.2,percent of total billed charges ,64.2,percent of total billed charges ,64.2,percent of total billed charges ,,,,,56.92,percent of total billed charges ,,,,,54.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,,,29.96,percent of total billed charges,
CLOTRIMAZOLE/BETAMETHASONE CREAM,LOCAL,LOCAL,,,,both,,,102.1,102.1,28.59,102.1,102.1,percent of total billed charges,102.1,percent of total billed charges,102.1,percent of total billed charges,102.1,percent of total billed charges,102.1,percent of total billed charges,102.1,percent of total billed charges,102.1,percent of total billed charges,102.1,percent of total billed charges,73.51,percent of total billed charges,73.51,percent of total billed charges,73.51,percent of total billed charges,73.51,percent of total billed charges,73.51,percent of total billed charges,73.51,percent of total billed charges,75.55,percent of total billed charges,75.55,percent of total billed charges,81.68,percent of total billed charges,81.68,percent of total billed charges,,,73.51,percent of total billed charges ,,,81.68,percent of total billed charges ,85.76,percent of total billed charges ,85.76,percent of total billed charges ,79.64,percent of total billed charges ,79.64,percent of total billed charges ,81.68,percent of total billed charges ,81.68,percent of total billed charges ,71.47,percent of total billed charges ,71.47,percent of total billed charges ,61.26,percent of total billed charges ,61.26,percent of total billed charges ,61.26,percent of total billed charges ,61.26,percent of total billed charges ,,,,,54.32,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,,,28.59,percent of total billed charges,
**FLUOXETINE (PROZAC) 20MG: CAP (SNF),LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**ISOSORBIDE MONONITRATE :30 MG TAB  (SN,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ISOSORBIDE MONONITRATE :60 MG TAB  (SN,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**LISINOPRIL(ZESTRIL) 30 MG: TAB    (SNF,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PROTONIX (PANTOPRAZOLE) 40MG: TAB  (SN,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**TERAZOSIN(HYTRIN) CAP: 2MG  (SNF),LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ROFECOXIB(VIOXX) TAB: 12.5MG       (SN,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**ROFECOXIB(VIOXX) TAB: 25MG         (SN,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ESCITALOPRAM (LEXAPRO) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
**RIFABUTIN (MYCOBUTIN) 150MG CAP,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
**KONDREMUL SUSPENSION: 12OZ,LOCAL,LOCAL,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
ORAJEL,LOCAL,LOCAL,,,,both,,,54.83,54.83,15.35,54.83,54.83,percent of total billed charges,54.83,percent of total billed charges,54.83,percent of total billed charges,54.83,percent of total billed charges,54.83,percent of total billed charges,54.83,percent of total billed charges,54.83,percent of total billed charges,54.83,percent of total billed charges,39.48,percent of total billed charges,39.48,percent of total billed charges,39.48,percent of total billed charges,39.48,percent of total billed charges,39.48,percent of total billed charges,39.48,percent of total billed charges,40.57,percent of total billed charges,40.57,percent of total billed charges,43.86,percent of total billed charges,43.86,percent of total billed charges,,,39.48,percent of total billed charges ,,,43.86,percent of total billed charges ,46.06,percent of total billed charges ,46.06,percent of total billed charges ,42.77,percent of total billed charges ,42.77,percent of total billed charges ,43.86,percent of total billed charges ,43.86,percent of total billed charges ,38.38,percent of total billed charges ,38.38,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,,,,,29.17,percent of total billed charges ,,,,,27.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,,,15.35,percent of total billed charges,
**TEMPLATE B,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**TEMPLATE C,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**PERMAX (PERGOLIDE) 0.25MG: TAB,LOCAL,LOCAL,,,,both,,,568,568,159.04,568,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,568,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,408.96,percent of total billed charges,420.32,percent of total billed charges,420.32,percent of total billed charges,454.4,percent of total billed charges,454.4,percent of total billed charges,,,408.96,percent of total billed charges ,,,454.4,percent of total billed charges ,477.12,percent of total billed charges ,477.12,percent of total billed charges ,443.04,percent of total billed charges ,443.04,percent of total billed charges ,454.4,percent of total billed charges ,454.4,percent of total billed charges ,397.6,percent of total billed charges ,397.6,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,340.8,percent of total billed charges ,,,,,302.18,percent of total billed charges ,,,,,287.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,,,159.04,percent of total billed charges,
**TEMPLATE D,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
FOLIC ACID 400 MCG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
FOLIC ACID EXTRA TABLETS,LOCAL,LOCAL,,,,both,,,0.54,0.54,0.15,0.54,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,,,0.39,percent of total billed charges ,,,0.43,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
**TEMPLATE E,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**HYDROCORTISONE CREAM 1%: 454 GM,LOCAL,LOCAL,,,,both,,,79,79,22.12,79,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,63.2,percent of total billed charges,63.2,percent of total billed charges,,,56.88,percent of total billed charges ,,,63.2,percent of total billed charges ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,,,,,42.03,percent of total billed charges ,,,,,39.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,
**NYSTATIN/TRIAMCINOLONE(MYCOLOG)CR: 60,LOCAL,LOCAL,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
KETOCONAZOLE (NIZORAL) 2% SHAMPOO,LOCAL,LOCAL,,,,both,,,56.48,56.48,15.81,56.48,56.48,percent of total billed charges,56.48,percent of total billed charges,56.48,percent of total billed charges,56.48,percent of total billed charges,56.48,percent of total billed charges,56.48,percent of total billed charges,56.48,percent of total billed charges,56.48,percent of total billed charges,40.67,percent of total billed charges,40.67,percent of total billed charges,40.67,percent of total billed charges,40.67,percent of total billed charges,40.67,percent of total billed charges,40.67,percent of total billed charges,41.8,percent of total billed charges,41.8,percent of total billed charges,45.18,percent of total billed charges,45.18,percent of total billed charges,,,40.67,percent of total billed charges ,,,45.18,percent of total billed charges ,47.44,percent of total billed charges ,47.44,percent of total billed charges ,44.05,percent of total billed charges ,44.05,percent of total billed charges ,45.18,percent of total billed charges ,45.18,percent of total billed charges ,39.54,percent of total billed charges ,39.54,percent of total billed charges ,33.89,percent of total billed charges ,33.89,percent of total billed charges ,33.89,percent of total billed charges ,33.89,percent of total billed charges ,,,,,30.05,percent of total billed charges ,,,,,28.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,,,15.81,percent of total billed charges,
BETAMETHASONE CR 0.1% (VALISONE) 45GM,LOCAL,LOCAL,,,,both,,,120.41,120.41,33.71,120.41,120.41,percent of total billed charges,120.41,percent of total billed charges,120.41,percent of total billed charges,120.41,percent of total billed charges,120.41,percent of total billed charges,120.41,percent of total billed charges,120.41,percent of total billed charges,120.41,percent of total billed charges,86.7,percent of total billed charges,86.7,percent of total billed charges,86.7,percent of total billed charges,86.7,percent of total billed charges,86.7,percent of total billed charges,86.7,percent of total billed charges,89.1,percent of total billed charges,89.1,percent of total billed charges,96.33,percent of total billed charges,96.33,percent of total billed charges,,,86.7,percent of total billed charges ,,,96.33,percent of total billed charges ,101.14,percent of total billed charges ,101.14,percent of total billed charges ,93.92,percent of total billed charges ,93.92,percent of total billed charges ,96.33,percent of total billed charges ,96.33,percent of total billed charges ,84.29,percent of total billed charges ,84.29,percent of total billed charges ,72.25,percent of total billed charges ,72.25,percent of total billed charges ,72.25,percent of total billed charges ,72.25,percent of total billed charges ,,,,,64.06,percent of total billed charges ,,,,,60.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,,,33.71,percent of total billed charges,
**LOSARTAN (COZAAR) 100MG,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**E-TRIAMINIC COLD&COUGH   SOFTCHEWS:,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
BUDESONIDE (RHINOCORT AQ) NASAL SPRAY,LOCAL,LOCAL,,,,both,,,52.12,52.12,14.59,52.12,52.12,percent of total billed charges,52.12,percent of total billed charges,52.12,percent of total billed charges,52.12,percent of total billed charges,52.12,percent of total billed charges,52.12,percent of total billed charges,52.12,percent of total billed charges,52.12,percent of total billed charges,37.53,percent of total billed charges,37.53,percent of total billed charges,37.53,percent of total billed charges,37.53,percent of total billed charges,37.53,percent of total billed charges,37.53,percent of total billed charges,38.57,percent of total billed charges,38.57,percent of total billed charges,41.7,percent of total billed charges,41.7,percent of total billed charges,,,37.53,percent of total billed charges ,,,41.7,percent of total billed charges ,43.78,percent of total billed charges ,43.78,percent of total billed charges ,40.65,percent of total billed charges ,40.65,percent of total billed charges ,41.7,percent of total billed charges ,41.7,percent of total billed charges ,36.48,percent of total billed charges ,36.48,percent of total billed charges ,31.27,percent of total billed charges ,31.27,percent of total billed charges ,31.27,percent of total billed charges ,31.27,percent of total billed charges ,,,,,27.73,percent of total billed charges ,,,,,26.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,,,14.59,percent of total billed charges,
GRANULEX SPRAY: 120 GM,LOCAL,LOCAL,,,,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
**MINERAL OIL: 16 OZ BOTTLE,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**DIAPER RASH OINT (DESITIN) TUBE,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**PSYLLIUM POWDER 48 DOSE: 19 OZ,LOCAL,LOCAL,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
clonazePAM (KlonoPIN) 1 MG  TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**PREDNISOLONE (ORAPRED) SYRUP 15MG/5ML:,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**ZYRETEC (CETIRIZINE) 5MG/5ML: 60 ML,LOCAL,LOCAL,,,,both,,,55,55,15.4,55,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,,,39.6,percent of total billed charges ,,,44,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,42.9,percent of total billed charges ,42.9,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,38.5,percent of total billed charges ,38.5,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,,,,,29.26,percent of total billed charges ,,,,,27.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,
CEFOTAXIME 2GM:CLAFORAN ADDVANTAGE,J0698,CDM,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
**DR JACKSONS DECUB COMPOUND: 30GM,LOCAL,LOCAL,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
**INSULIN NEEDLES: NOVOFINE-30: CTN OF 1,LOCAL,LOCAL,,,,both,,,76,76,21.28,76,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,56.24,percent of total billed charges,56.24,percent of total billed charges,60.8,percent of total billed charges,60.8,percent of total billed charges,,,54.72,percent of total billed charges ,,,60.8,percent of total billed charges ,63.84,percent of total billed charges ,63.84,percent of total billed charges ,59.28,percent of total billed charges ,59.28,percent of total billed charges ,60.8,percent of total billed charges ,60.8,percent of total billed charges ,53.2,percent of total billed charges ,53.2,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,38.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,
CEFPROZIL (CEFZIL) 500MG TAB,LOCAL,LOCAL,,,,both,,,3.06,3.06,0.86,3.06,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,3.06,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.26,percent of total billed charges,2.26,percent of total billed charges,2.45,percent of total billed charges,2.45,percent of total billed charges,,,2.2,percent of total billed charges ,,,2.45,percent of total billed charges ,2.57,percent of total billed charges ,2.57,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.45,percent of total billed charges ,2.45,percent of total billed charges ,2.14,percent of total billed charges ,2.14,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,,,,,1.63,percent of total billed charges ,,,,,1.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,,,0.86,percent of total billed charges,
HEMORRHOIDAL (PREP H) SUPPOSITORY,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
QUEtiapine (SEROQUEL) 25MG TAB,LOCAL,LOCAL,,,,both,,,0.69,0.69,0.19,0.69,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.69,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,,,0.5,percent of total billed charges ,,,0.55,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,0.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
**HID**(SALMETEROL) INHALER:120 DOSE,LOCAL,LOCAL,,,,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
**NIMOTOP (NIMOPIDINE) CAPS: 30 MG,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
PROPOFOL 10MG/ML  100ML,J2704,CDM,,,,both,,,131.51,131.51,36.82,131.51,131.51,percent of total billed charges,131.51,percent of total billed charges,131.51,percent of total billed charges,131.51,percent of total billed charges,131.51,percent of total billed charges,131.51,percent of total billed charges,131.51,percent of total billed charges,131.51,percent of total billed charges,94.69,percent of total billed charges,94.69,percent of total billed charges,94.69,percent of total billed charges,94.69,percent of total billed charges,94.69,percent of total billed charges,94.69,percent of total billed charges,97.32,percent of total billed charges,97.32,percent of total billed charges,105.21,percent of total billed charges,105.21,percent of total billed charges,,,94.69,percent of total billed charges ,,,105.21,percent of total billed charges ,110.47,percent of total billed charges ,110.47,percent of total billed charges ,102.58,percent of total billed charges ,102.58,percent of total billed charges ,105.21,percent of total billed charges ,105.21,percent of total billed charges ,92.06,percent of total billed charges ,92.06,percent of total billed charges ,78.91,percent of total billed charges ,78.91,percent of total billed charges ,78.91,percent of total billed charges ,78.91,percent of total billed charges ,,,,,69.96,percent of total billed charges ,,,,,66.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,,,36.82,percent of total billed charges,
**THEOPHYLLINE 125 MG EXTEND RELEASE: C,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**FERROUS SULFATE 300 MG TABS: CARD OF,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**ADVAIR (FLUTICASON/SALMETER)250/50:60D,LOCAL,LOCAL,,,,both,,,413,413,115.64,413,413,percent of total billed charges,413,percent of total billed charges,413,percent of total billed charges,413,percent of total billed charges,413,percent of total billed charges,413,percent of total billed charges,413,percent of total billed charges,413,percent of total billed charges,297.36,percent of total billed charges,297.36,percent of total billed charges,297.36,percent of total billed charges,297.36,percent of total billed charges,297.36,percent of total billed charges,297.36,percent of total billed charges,305.62,percent of total billed charges,305.62,percent of total billed charges,330.4,percent of total billed charges,330.4,percent of total billed charges,,,297.36,percent of total billed charges ,,,330.4,percent of total billed charges ,346.92,percent of total billed charges ,346.92,percent of total billed charges ,322.14,percent of total billed charges ,322.14,percent of total billed charges ,330.4,percent of total billed charges ,330.4,percent of total billed charges ,289.1,percent of total billed charges ,289.1,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,,,,,219.72,percent of total billed charges ,,,,,208.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,,,115.64,percent of total billed charges,
**PAXIL (PAROXETINE) C.R. 37.5 MG TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
"**POLYMIXIN B INJECTION 500,000 UNIT VIA",LOCAL,LOCAL,,,,both,,,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
**PEPTO BISMOL TABLETS: PACKAGE OF,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**INTERFERON ALPHA -2A (ROFERON A)3MMU I,LOCAL,LOCAL,,,,both,,,"1,204.00","1,204.00",337.12,"1,204.00","1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,890.96,percent of total billed charges,890.96,percent of total billed charges,963.2,percent of total billed charges,963.2,percent of total billed charges,,,866.88,percent of total billed charges ,,,963.2,percent of total billed charges ,"1,011.36",percent of total billed charges ,"1,011.36",percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,963.2,percent of total billed charges ,963.2,percent of total billed charges ,842.8,percent of total billed charges ,842.8,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,,,,,640.53,percent of total billed charges ,,,,,608.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,
**METHADONE TABLETS 10 MG,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**TRIAMCINOLONE CREAM 0.5%: 15 GM,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
BRIMONIDINE (ALPHAGAN P) 0.15% OPHTH SOL,LOCAL,LOCAL,,,,both,,,397.58,397.58,111.32,397.58,397.58,percent of total billed charges,397.58,percent of total billed charges,397.58,percent of total billed charges,397.58,percent of total billed charges,397.58,percent of total billed charges,397.58,percent of total billed charges,397.58,percent of total billed charges,397.58,percent of total billed charges,286.26,percent of total billed charges,286.26,percent of total billed charges,286.26,percent of total billed charges,286.26,percent of total billed charges,286.26,percent of total billed charges,286.26,percent of total billed charges,294.21,percent of total billed charges,294.21,percent of total billed charges,318.06,percent of total billed charges,318.06,percent of total billed charges,,,286.26,percent of total billed charges ,,,318.06,percent of total billed charges ,333.97,percent of total billed charges ,333.97,percent of total billed charges ,310.11,percent of total billed charges ,310.11,percent of total billed charges ,318.06,percent of total billed charges ,318.06,percent of total billed charges ,278.31,percent of total billed charges ,278.31,percent of total billed charges ,238.55,percent of total billed charges ,238.55,percent of total billed charges ,238.55,percent of total billed charges ,238.55,percent of total billed charges ,,,,,211.51,percent of total billed charges ,,,,,200.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,,,111.32,percent of total billed charges,
DIGOXIN IMMUNE FAB (DIGIFAB) 40MG VIAL,J1162,CDM,,,,both,,,"19,748.01","19,748.01","5,529.44","19,748.01","19,748.01",percent of total billed charges,"19,748.01",percent of total billed charges,"19,748.01",percent of total billed charges,"19,748.01",percent of total billed charges,"19,748.01",percent of total billed charges,"19,748.01",percent of total billed charges,"19,748.01",percent of total billed charges,"19,748.01",percent of total billed charges,"14,218.57",percent of total billed charges,"14,218.57",percent of total billed charges,"14,218.57",percent of total billed charges,"14,218.57",percent of total billed charges,"14,218.57",percent of total billed charges,"14,218.57",percent of total billed charges,"14,613.53",percent of total billed charges,"14,613.53",percent of total billed charges,"15,798.41",percent of total billed charges,"15,798.41",percent of total billed charges,,,"14,218.57",percent of total billed charges ,,,"15,798.41",percent of total billed charges ,"16,588.33",percent of total billed charges ,"16,588.33",percent of total billed charges ,"15,403.45",percent of total billed charges ,"15,403.45",percent of total billed charges ,"15,798.41",percent of total billed charges ,"15,798.41",percent of total billed charges ,"13,823.61",percent of total billed charges ,"13,823.61",percent of total billed charges ,"11,848.81",percent of total billed charges ,"11,848.81",percent of total billed charges ,"11,848.81",percent of total billed charges ,"11,848.81",percent of total billed charges ,,,,,"10,505.94",percent of total billed charges ,,,,,"9,980.64",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,,,"5,529.44",percent of total billed charges,
**MORPHINE ORAL SOLN 20MG/ML: 120 ML S,LOCAL,LOCAL,,,,both,,,175,175,49,175,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,129.5,percent of total billed charges,129.5,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,,,126,percent of total billed charges ,,,140,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,136.5,percent of total billed charges ,136.5,percent of total billed charges ,140,percent of total billed charges ,140,percent of total billed charges ,122.5,percent of total billed charges ,122.5,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,,,,,93.1,percent of total billed charges ,,,,,88.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,
**EUCERIN CREAM: 120 GM,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**FLUTICASONE (CUTIVATE) CREAM 0.05%: 15,LOCAL,LOCAL,,,,both,,,68,68,19.04,68,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,48.96,percent of total billed charges,50.32,percent of total billed charges,50.32,percent of total billed charges,54.4,percent of total billed charges,54.4,percent of total billed charges,,,48.96,percent of total billed charges ,,,54.4,percent of total billed charges ,57.12,percent of total billed charges ,57.12,percent of total billed charges ,53.04,percent of total billed charges ,53.04,percent of total billed charges ,54.4,percent of total billed charges ,54.4,percent of total billed charges ,47.6,percent of total billed charges ,47.6,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,,,,,36.18,percent of total billed charges ,,,,,34.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,,,19.04,percent of total billed charges,
**PROGESTERONE INJECT 50MG/ML:10 ML VIAL,J2675,CDM,,,,both,,,285.6,285.6,79.97,285.6,285.6,percent of total billed charges,285.6,percent of total billed charges,285.6,percent of total billed charges,285.6,percent of total billed charges,285.6,percent of total billed charges,285.6,percent of total billed charges,285.6,percent of total billed charges,285.6,percent of total billed charges,205.63,percent of total billed charges,205.63,percent of total billed charges,205.63,percent of total billed charges,205.63,percent of total billed charges,205.63,percent of total billed charges,205.63,percent of total billed charges,211.34,percent of total billed charges,211.34,percent of total billed charges,228.48,percent of total billed charges,228.48,percent of total billed charges,,,205.63,percent of total billed charges ,,,228.48,percent of total billed charges ,239.9,percent of total billed charges ,239.9,percent of total billed charges ,222.77,percent of total billed charges ,222.77,percent of total billed charges ,228.48,percent of total billed charges ,228.48,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,,,,,151.94,percent of total billed charges ,,,,,144.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,,,79.97,percent of total billed charges,
**CLOZARIL 100 MG: TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
DISOPRYAMIDE (NORPACE) 100MG: CAP,LOCAL,LOCAL,,,,both,,,5.8,5.8,1.62,5.8,5.8,percent of total billed charges,5.8,percent of total billed charges,5.8,percent of total billed charges,5.8,percent of total billed charges,5.8,percent of total billed charges,5.8,percent of total billed charges,5.8,percent of total billed charges,5.8,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.18,percent of total billed charges,4.29,percent of total billed charges,4.29,percent of total billed charges,4.64,percent of total billed charges,4.64,percent of total billed charges,,,4.18,percent of total billed charges ,,,4.64,percent of total billed charges ,4.87,percent of total billed charges ,4.87,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,4.64,percent of total billed charges ,4.64,percent of total billed charges ,4.06,percent of total billed charges ,4.06,percent of total billed charges ,3.48,percent of total billed charges ,3.48,percent of total billed charges ,3.48,percent of total billed charges ,3.48,percent of total billed charges ,,,,,3.09,percent of total billed charges ,,,,,2.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,
VALSARTAN (DIOVAN) 160MG TAB,LOCAL,LOCAL,,,,both,,,3.69,3.69,1.03,3.69,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,3.69,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,2.73,percent of total billed charges,2.73,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,,,2.66,percent of total billed charges ,,,2.95,percent of total billed charges ,3.1,percent of total billed charges ,3.1,percent of total billed charges ,2.88,percent of total billed charges ,2.88,percent of total billed charges ,2.95,percent of total billed charges ,2.95,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,,,,,1.96,percent of total billed charges ,,,,,1.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,,,1.03,percent of total billed charges,
**TRIPLE PASTE (FOR DIAPER RASH) 60GM:,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**LACTAID,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
dilTIAZem (CARDIZEM): 125MG/25ML VIAL,LOCAL,LOCAL,,,,both,,,77.09,77.09,21.59,77.09,77.09,percent of total billed charges,77.09,percent of total billed charges,77.09,percent of total billed charges,77.09,percent of total billed charges,77.09,percent of total billed charges,77.09,percent of total billed charges,77.09,percent of total billed charges,77.09,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,57.05,percent of total billed charges,57.05,percent of total billed charges,61.67,percent of total billed charges,61.67,percent of total billed charges,,,55.5,percent of total billed charges ,,,61.67,percent of total billed charges ,64.76,percent of total billed charges ,64.76,percent of total billed charges ,60.13,percent of total billed charges ,60.13,percent of total billed charges ,61.67,percent of total billed charges ,61.67,percent of total billed charges ,53.96,percent of total billed charges ,53.96,percent of total billed charges ,46.25,percent of total billed charges ,46.25,percent of total billed charges ,46.25,percent of total billed charges ,46.25,percent of total billed charges ,,,,,41.01,percent of total billed charges ,,,,,38.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,,,21.59,percent of total billed charges,
**EFFEXOR XR (VENLAXAFIN) 150MG : CAP,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**LACTULOSE 10 GM/15ML: 480 ML,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
OMEPRAZOLE (PRILOSEC) 20MG CAP,LOCAL,LOCAL,,,,both,,,0.68,0.68,0.19,0.68,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.68,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,,,0.49,percent of total billed charges ,,,0.54,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,,,,,0.36,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,,,0.19,percent of total billed charges,
0.9% NACL 1000ML + KCL 20 MEQ,LOCAL,LOCAL,,,,both,,,98.23,98.23,27.5,98.23,98.23,percent of total billed charges,98.23,percent of total billed charges,98.23,percent of total billed charges,98.23,percent of total billed charges,98.23,percent of total billed charges,98.23,percent of total billed charges,98.23,percent of total billed charges,98.23,percent of total billed charges,70.73,percent of total billed charges,70.73,percent of total billed charges,70.73,percent of total billed charges,70.73,percent of total billed charges,70.73,percent of total billed charges,70.73,percent of total billed charges,72.69,percent of total billed charges,72.69,percent of total billed charges,78.58,percent of total billed charges,78.58,percent of total billed charges,,,70.73,percent of total billed charges ,,,78.58,percent of total billed charges ,82.51,percent of total billed charges ,82.51,percent of total billed charges ,76.62,percent of total billed charges ,76.62,percent of total billed charges ,78.58,percent of total billed charges ,78.58,percent of total billed charges ,68.76,percent of total billed charges ,68.76,percent of total billed charges ,58.94,percent of total billed charges ,58.94,percent of total billed charges ,58.94,percent of total billed charges ,58.94,percent of total billed charges ,,,,,52.26,percent of total billed charges ,,,,,49.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,,,27.5,percent of total billed charges,
**RABIES VACCINE (RABAVERT) 2.5 IU/ML,90675,CDM,,,,both,,,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
**WARFARIN (COUMADIN) DAILY ORDER BY MD,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
BETAMETHASONE DIPROPIONATE CR 0.05%:15GM,LOCAL,LOCAL,,,,both,,,116.43,116.43,32.6,116.43,116.43,percent of total billed charges,116.43,percent of total billed charges,116.43,percent of total billed charges,116.43,percent of total billed charges,116.43,percent of total billed charges,116.43,percent of total billed charges,116.43,percent of total billed charges,116.43,percent of total billed charges,83.83,percent of total billed charges,83.83,percent of total billed charges,83.83,percent of total billed charges,83.83,percent of total billed charges,83.83,percent of total billed charges,83.83,percent of total billed charges,86.16,percent of total billed charges,86.16,percent of total billed charges,93.14,percent of total billed charges,93.14,percent of total billed charges,,,83.83,percent of total billed charges ,,,93.14,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,90.82,percent of total billed charges ,90.82,percent of total billed charges ,93.14,percent of total billed charges ,93.14,percent of total billed charges ,81.5,percent of total billed charges ,81.5,percent of total billed charges ,69.86,percent of total billed charges ,69.86,percent of total billed charges ,69.86,percent of total billed charges ,69.86,percent of total billed charges ,,,,,61.94,percent of total billed charges ,,,,,58.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,,,32.6,percent of total billed charges,
**E-CHILDREN POLY VITAMIN DROPS: 50 ML,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**HYDROCODONE 7.5MG APAP500MG/15ML U.,LOCAL,LOCAL,,,,both,,,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
**FLUVASTATIN (LESCOL XL) 80 MG  TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**INTERFERON BETA 1B (BETA SERON) 0.3MG(,J1830,CDM,,,,both,,,391,391,109.48,391,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,289.34,percent of total billed charges,289.34,percent of total billed charges,312.8,percent of total billed charges,312.8,percent of total billed charges,,,281.52,percent of total billed charges ,,,312.8,percent of total billed charges ,328.44,percent of total billed charges ,328.44,percent of total billed charges ,304.98,percent of total billed charges ,304.98,percent of total billed charges ,312.8,percent of total billed charges ,312.8,percent of total billed charges ,273.7,percent of total billed charges ,273.7,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,,,,,208.01,percent of total billed charges ,,,,,197.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,
WARFARIN (COUMADIN) 4 MG  TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**LITHIUM (LITHOBID) 300MG TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**E-PHAZYME (SIMETHICONE 180MG) : PK OF,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**CARBENICILLIN (GEOCILLIN) 382MG: TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
ACETIC ACID IRRIGATION SOLN 0.25%: LITER,LOCAL,LOCAL,,,,both,,,34.26,34.26,9.59,34.26,34.26,percent of total billed charges,34.26,percent of total billed charges,34.26,percent of total billed charges,34.26,percent of total billed charges,34.26,percent of total billed charges,34.26,percent of total billed charges,34.26,percent of total billed charges,34.26,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,24.67,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,27.41,percent of total billed charges,27.41,percent of total billed charges,,,24.67,percent of total billed charges ,,,27.41,percent of total billed charges ,28.78,percent of total billed charges ,28.78,percent of total billed charges ,26.72,percent of total billed charges ,26.72,percent of total billed charges ,27.41,percent of total billed charges ,27.41,percent of total billed charges ,23.98,percent of total billed charges ,23.98,percent of total billed charges ,20.56,percent of total billed charges ,20.56,percent of total billed charges ,20.56,percent of total billed charges ,20.56,percent of total billed charges ,,,,,18.23,percent of total billed charges ,,,,,17.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,,,9.59,percent of total billed charges,
ETOMIDATE 2 MG/ML 20 ML VIAL,LOCAL,LOCAL,,,,both,,,66.36,66.36,18.58,66.36,66.36,percent of total billed charges,66.36,percent of total billed charges,66.36,percent of total billed charges,66.36,percent of total billed charges,66.36,percent of total billed charges,66.36,percent of total billed charges,66.36,percent of total billed charges,66.36,percent of total billed charges,47.78,percent of total billed charges,47.78,percent of total billed charges,47.78,percent of total billed charges,47.78,percent of total billed charges,47.78,percent of total billed charges,47.78,percent of total billed charges,49.11,percent of total billed charges,49.11,percent of total billed charges,53.09,percent of total billed charges,53.09,percent of total billed charges,,,47.78,percent of total billed charges ,,,53.09,percent of total billed charges ,55.74,percent of total billed charges ,55.74,percent of total billed charges ,51.76,percent of total billed charges ,51.76,percent of total billed charges ,53.09,percent of total billed charges ,53.09,percent of total billed charges ,46.45,percent of total billed charges ,46.45,percent of total billed charges ,39.82,percent of total billed charges ,39.82,percent of total billed charges ,39.82,percent of total billed charges ,39.82,percent of total billed charges ,,,,,35.3,percent of total billed charges ,,,,,33.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,,,18.58,percent of total billed charges,
EZETIMIBE (ZETIA) 10MG TAB,LOCAL,LOCAL,,,,both,,,24.73,24.73,6.92,24.73,24.73,percent of total billed charges,24.73,percent of total billed charges,24.73,percent of total billed charges,24.73,percent of total billed charges,24.73,percent of total billed charges,24.73,percent of total billed charges,24.73,percent of total billed charges,24.73,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,17.81,percent of total billed charges,18.3,percent of total billed charges,18.3,percent of total billed charges,19.78,percent of total billed charges,19.78,percent of total billed charges,,,17.81,percent of total billed charges ,,,19.78,percent of total billed charges ,20.77,percent of total billed charges ,20.77,percent of total billed charges ,19.29,percent of total billed charges ,19.29,percent of total billed charges ,19.78,percent of total billed charges ,19.78,percent of total billed charges ,17.31,percent of total billed charges ,17.31,percent of total billed charges ,14.84,percent of total billed charges ,14.84,percent of total billed charges ,14.84,percent of total billed charges ,14.84,percent of total billed charges ,,,,,13.16,percent of total billed charges ,,,,,12.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,,,6.92,percent of total billed charges,
**E-GUAIFENESIN (ROBITUSSIN)P.E.SYRUP:4O,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
CEFEPIME 2 GM/100ML IVPB (MB+),J0692,CDM,,,,both,,,80.47,80.47,22.53,80.47,80.47,percent of total billed charges,80.47,percent of total billed charges,80.47,percent of total billed charges,80.47,percent of total billed charges,80.47,percent of total billed charges,80.47,percent of total billed charges,80.47,percent of total billed charges,80.47,percent of total billed charges,57.94,percent of total billed charges,57.94,percent of total billed charges,57.94,percent of total billed charges,57.94,percent of total billed charges,57.94,percent of total billed charges,57.94,percent of total billed charges,59.55,percent of total billed charges,59.55,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,,,57.94,percent of total billed charges ,,,64.38,percent of total billed charges ,67.59,percent of total billed charges ,67.59,percent of total billed charges ,62.77,percent of total billed charges ,62.77,percent of total billed charges ,64.38,percent of total billed charges ,64.38,percent of total billed charges ,56.33,percent of total billed charges ,56.33,percent of total billed charges ,48.28,percent of total billed charges ,48.28,percent of total billed charges ,48.28,percent of total billed charges ,48.28,percent of total billed charges ,,,,,42.81,percent of total billed charges ,,,,,40.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,,,22.53,percent of total billed charges,
**E-CITRACAL WITH D TABLETS: BOTTLE OF 1,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**ETODOLAC (LODINE) 300 MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
POTASSIUM CHLORIDE 20MEQ PACKET,LOCAL,LOCAL,,,,both,,,24.5,24.5,6.86,24.5,24.5,percent of total billed charges,24.5,percent of total billed charges,24.5,percent of total billed charges,24.5,percent of total billed charges,24.5,percent of total billed charges,24.5,percent of total billed charges,24.5,percent of total billed charges,24.5,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,17.64,percent of total billed charges,18.13,percent of total billed charges,18.13,percent of total billed charges,19.6,percent of total billed charges,19.6,percent of total billed charges,,,17.64,percent of total billed charges ,,,19.6,percent of total billed charges ,20.58,percent of total billed charges ,20.58,percent of total billed charges ,19.11,percent of total billed charges ,19.11,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,17.15,percent of total billed charges ,17.15,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,,,,,13.03,percent of total billed charges ,,,,,12.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,
**VALSARTAN 160 HYDROCHLORTHIAZIDE 25:T,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
OSELTAMIVIR (TAMIFLU) 75 MG CAPS,LOCAL,LOCAL,,,,both,,,38.81,38.81,10.87,38.81,38.81,percent of total billed charges,38.81,percent of total billed charges,38.81,percent of total billed charges,38.81,percent of total billed charges,38.81,percent of total billed charges,38.81,percent of total billed charges,38.81,percent of total billed charges,38.81,percent of total billed charges,27.94,percent of total billed charges,27.94,percent of total billed charges,27.94,percent of total billed charges,27.94,percent of total billed charges,27.94,percent of total billed charges,27.94,percent of total billed charges,28.72,percent of total billed charges,28.72,percent of total billed charges,31.05,percent of total billed charges,31.05,percent of total billed charges,,,27.94,percent of total billed charges ,,,31.05,percent of total billed charges ,32.6,percent of total billed charges ,32.6,percent of total billed charges ,30.27,percent of total billed charges ,30.27,percent of total billed charges ,31.05,percent of total billed charges ,31.05,percent of total billed charges ,27.17,percent of total billed charges ,27.17,percent of total billed charges ,23.29,percent of total billed charges ,23.29,percent of total billed charges ,23.29,percent of total billed charges ,23.29,percent of total billed charges ,,,,,20.65,percent of total billed charges ,,,,,19.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,,,10.87,percent of total billed charges,
**LANSOPRAZOLE (PREVACID) SOLUTAB 30M,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
CALCIUM CARB 600MG W/VIT D 200 UNITS TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
RIVASTIGMINE (EXELON) 4.5 MG CAP,LOCAL,LOCAL,,,,both,,,2.43,2.43,0.68,2.43,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.75,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,,,1.75,percent of total billed charges ,,,1.94,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.7,percent of total billed charges ,1.7,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,,,,,1.29,percent of total billed charges ,,,,,1.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,,,0.68,percent of total billed charges,
**BENZTROPINE (COGENTIN) 2 MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**COLESEVELAN HCL (WELCHOL) 625 MG TA,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
RABIES IMMUNE GLOBULIN (HYPER RAB): 10ML,90375,CDM,,,,both,,,"21,004.00","21,004.00","5,881.12","21,004.00","21,004.00",percent of total billed charges,"21,004.00",percent of total billed charges,"21,004.00",percent of total billed charges,"21,004.00",percent of total billed charges,"21,004.00",percent of total billed charges,"21,004.00",percent of total billed charges,"21,004.00",percent of total billed charges,"21,004.00",percent of total billed charges,"15,122.88",percent of total billed charges,"15,122.88",percent of total billed charges,"15,122.88",percent of total billed charges,"15,122.88",percent of total billed charges,"15,122.88",percent of total billed charges,"15,122.88",percent of total billed charges,"15,542.96",percent of total billed charges,"15,542.96",percent of total billed charges,"16,803.20",percent of total billed charges,"16,803.20",percent of total billed charges,,,"15,122.88",percent of total billed charges ,,,"16,803.20",percent of total billed charges ,"17,643.36",percent of total billed charges ,"17,643.36",percent of total billed charges ,"16,383.12",percent of total billed charges ,"16,383.12",percent of total billed charges ,"16,803.20",percent of total billed charges ,"16,803.20",percent of total billed charges ,"14,702.80",percent of total billed charges ,"14,702.80",percent of total billed charges ,"12,602.40",percent of total billed charges ,"12,602.40",percent of total billed charges ,"12,602.40",percent of total billed charges ,"12,602.40",percent of total billed charges ,,,,,"11,174.13",percent of total billed charges ,,,,,"10,615.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,,,"5,881.12",percent of total billed charges,
RABIES VACCINE (RABAVERT) 2.5 IU,90675,CDM,,,,both,,,"1,465.88","1,465.88",410.45,"1,465.88","1,465.88",percent of total billed charges,"1,465.88",percent of total billed charges,"1,465.88",percent of total billed charges,"1,465.88",percent of total billed charges,"1,465.88",percent of total billed charges,"1,465.88",percent of total billed charges,"1,465.88",percent of total billed charges,"1,465.88",percent of total billed charges,"1,055.43",percent of total billed charges,"1,055.43",percent of total billed charges,"1,055.43",percent of total billed charges,"1,055.43",percent of total billed charges,"1,055.43",percent of total billed charges,"1,055.43",percent of total billed charges,"1,084.75",percent of total billed charges,"1,084.75",percent of total billed charges,"1,172.70",percent of total billed charges,"1,172.70",percent of total billed charges,,,"1,055.43",percent of total billed charges ,,,"1,172.70",percent of total billed charges ,"1,231.34",percent of total billed charges ,"1,231.34",percent of total billed charges ,"1,143.39",percent of total billed charges ,"1,143.39",percent of total billed charges ,"1,172.70",percent of total billed charges ,"1,172.70",percent of total billed charges ,"1,026.12",percent of total billed charges ,"1,026.12",percent of total billed charges ,879.53,percent of total billed charges ,879.53,percent of total billed charges ,879.53,percent of total billed charges ,879.53,percent of total billed charges ,,,,,779.85,percent of total billed charges ,,,,,740.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,,,410.45,percent of total billed charges,
ZIMMER PREP(NYSTAT.TETRA.DEXAM.DIPHEN):,LOCAL,LOCAL,,,,both,,,122.1,122.1,34.19,122.1,122.1,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,87.91,percent of total billed charges,87.91,percent of total billed charges,87.91,percent of total billed charges,87.91,percent of total billed charges,87.91,percent of total billed charges,87.91,percent of total billed charges,90.35,percent of total billed charges,90.35,percent of total billed charges,97.68,percent of total billed charges,97.68,percent of total billed charges,,,87.91,percent of total billed charges ,,,97.68,percent of total billed charges ,102.56,percent of total billed charges ,102.56,percent of total billed charges ,95.24,percent of total billed charges ,95.24,percent of total billed charges ,97.68,percent of total billed charges ,97.68,percent of total billed charges ,85.47,percent of total billed charges ,85.47,percent of total billed charges ,73.26,percent of total billed charges ,73.26,percent of total billed charges ,73.26,percent of total billed charges ,73.26,percent of total billed charges ,,,,,64.96,percent of total billed charges ,,,,,61.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,,,34.19,percent of total billed charges,
AMMONIA LACTATE LOTION (LAC-HYDRIN) 12%,LOCAL,LOCAL,,,,both,,,64.51,64.51,18.06,64.51,64.51,percent of total billed charges,64.51,percent of total billed charges,64.51,percent of total billed charges,64.51,percent of total billed charges,64.51,percent of total billed charges,64.51,percent of total billed charges,64.51,percent of total billed charges,64.51,percent of total billed charges,46.45,percent of total billed charges,46.45,percent of total billed charges,46.45,percent of total billed charges,46.45,percent of total billed charges,46.45,percent of total billed charges,46.45,percent of total billed charges,47.74,percent of total billed charges,47.74,percent of total billed charges,51.61,percent of total billed charges,51.61,percent of total billed charges,,,46.45,percent of total billed charges ,,,51.61,percent of total billed charges ,54.19,percent of total billed charges ,54.19,percent of total billed charges ,50.32,percent of total billed charges ,50.32,percent of total billed charges ,51.61,percent of total billed charges ,51.61,percent of total billed charges ,45.16,percent of total billed charges ,45.16,percent of total billed charges ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,38.71,percent of total billed charges ,,,,,34.32,percent of total billed charges ,,,,,32.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,,,18.06,percent of total billed charges,
**ATENOLOL 100MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DUODERM THICK 4 X 4 (5PER BOX): EACH,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**AQUACEL HYDROFIBER DRESSING (2X45CM):,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
**STOMAHESIVE POWDER: 1OZ,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**OXYCODONE (OXYCONTIN) 40MG: TAB,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
**ADVAIR (FLUTICASON/SALMETER)500/50:60D,LOCAL,LOCAL,,,,both,,,656,656,183.68,656,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,656,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,472.32,percent of total billed charges,485.44,percent of total billed charges,485.44,percent of total billed charges,524.8,percent of total billed charges,524.8,percent of total billed charges,,,472.32,percent of total billed charges ,,,524.8,percent of total billed charges ,551.04,percent of total billed charges ,551.04,percent of total billed charges ,511.68,percent of total billed charges ,511.68,percent of total billed charges ,524.8,percent of total billed charges ,524.8,percent of total billed charges ,459.2,percent of total billed charges ,459.2,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,393.6,percent of total billed charges ,,,,,348.99,percent of total billed charges ,,,,,331.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,,,183.68,percent of total billed charges,
FLUTICASON/SALMETEROL INHALER 500/50,LOCAL,LOCAL,,,,both,,,433.6,433.6,121.41,433.6,433.6,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,312.19,percent of total billed charges,312.19,percent of total billed charges,312.19,percent of total billed charges,312.19,percent of total billed charges,312.19,percent of total billed charges,312.19,percent of total billed charges,320.86,percent of total billed charges,320.86,percent of total billed charges,346.88,percent of total billed charges,346.88,percent of total billed charges,,,312.19,percent of total billed charges ,,,346.88,percent of total billed charges ,364.22,percent of total billed charges ,364.22,percent of total billed charges ,338.21,percent of total billed charges ,338.21,percent of total billed charges ,346.88,percent of total billed charges ,346.88,percent of total billed charges ,303.52,percent of total billed charges ,303.52,percent of total billed charges ,260.16,percent of total billed charges ,260.16,percent of total billed charges ,260.16,percent of total billed charges ,260.16,percent of total billed charges ,,,,,230.68,percent of total billed charges ,,,,,219.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,,,121.41,percent of total billed charges,
SEVELAMAR HCL (RENAGEL) 800 MG TAB,LOCAL,LOCAL,,,,both,,,14.1,14.1,3.95,14.1,14.1,percent of total billed charges,14.1,percent of total billed charges,14.1,percent of total billed charges,14.1,percent of total billed charges,14.1,percent of total billed charges,14.1,percent of total billed charges,14.1,percent of total billed charges,14.1,percent of total billed charges,10.15,percent of total billed charges,10.15,percent of total billed charges,10.15,percent of total billed charges,10.15,percent of total billed charges,10.15,percent of total billed charges,10.15,percent of total billed charges,10.43,percent of total billed charges,10.43,percent of total billed charges,11.28,percent of total billed charges,11.28,percent of total billed charges,,,10.15,percent of total billed charges ,,,11.28,percent of total billed charges ,11.84,percent of total billed charges ,11.84,percent of total billed charges ,11,percent of total billed charges ,11,percent of total billed charges ,11.28,percent of total billed charges ,11.28,percent of total billed charges ,9.87,percent of total billed charges ,9.87,percent of total billed charges ,8.46,percent of total billed charges ,8.46,percent of total billed charges ,8.46,percent of total billed charges ,8.46,percent of total billed charges ,,,,,7.5,percent of total billed charges ,,,,,7.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,,,3.95,percent of total billed charges,
**ESOMEPRAZOLE MAG. (NEXIUM) 40MG: CAP,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
PENICILLIN PROCAIN (BICILLIN CR) 1.2 MU,J0558,CDM,,,,both,,,721.18,721.18,201.93,721.18,721.18,percent of total billed charges,721.18,percent of total billed charges,721.18,percent of total billed charges,721.18,percent of total billed charges,721.18,percent of total billed charges,721.18,percent of total billed charges,721.18,percent of total billed charges,721.18,percent of total billed charges,519.25,percent of total billed charges,519.25,percent of total billed charges,519.25,percent of total billed charges,519.25,percent of total billed charges,519.25,percent of total billed charges,519.25,percent of total billed charges,533.67,percent of total billed charges,533.67,percent of total billed charges,576.94,percent of total billed charges,576.94,percent of total billed charges,,,519.25,percent of total billed charges ,,,576.94,percent of total billed charges ,605.79,percent of total billed charges ,605.79,percent of total billed charges ,562.52,percent of total billed charges ,562.52,percent of total billed charges ,576.94,percent of total billed charges ,576.94,percent of total billed charges ,504.83,percent of total billed charges ,504.83,percent of total billed charges ,432.71,percent of total billed charges ,432.71,percent of total billed charges ,432.71,percent of total billed charges ,432.71,percent of total billed charges ,,,,,383.67,percent of total billed charges ,,,,,364.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,,,201.93,percent of total billed charges,
PENICILLIN G BENZ 1.2MU (BIC-LA) IM,J0561,CDM,,,,both,,,"1,157.87","1,157.87",324.2,"1,157.87","1,157.87",percent of total billed charges,"1,157.87",percent of total billed charges,"1,157.87",percent of total billed charges,"1,157.87",percent of total billed charges,"1,157.87",percent of total billed charges,"1,157.87",percent of total billed charges,"1,157.87",percent of total billed charges,"1,157.87",percent of total billed charges,833.67,percent of total billed charges,833.67,percent of total billed charges,833.67,percent of total billed charges,833.67,percent of total billed charges,833.67,percent of total billed charges,833.67,percent of total billed charges,856.82,percent of total billed charges,856.82,percent of total billed charges,926.3,percent of total billed charges,926.3,percent of total billed charges,,,833.67,percent of total billed charges ,,,926.3,percent of total billed charges ,972.61,percent of total billed charges ,972.61,percent of total billed charges ,903.14,percent of total billed charges ,903.14,percent of total billed charges ,926.3,percent of total billed charges ,926.3,percent of total billed charges ,810.51,percent of total billed charges ,810.51,percent of total billed charges ,694.72,percent of total billed charges ,694.72,percent of total billed charges ,694.72,percent of total billed charges ,694.72,percent of total billed charges ,,,,,615.99,percent of total billed charges ,,,,,585.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,,,324.2,percent of total billed charges,
**BAG BALM: 10 OZ,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
CARVedilol (COREG) 25 MG  TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
RT IPRATROPIUM/ALBUTEROL 0.5/3MG NEB,LOCAL,LOCAL,,,,both,,,1.2,1.2,0.34,1.2,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,,,0.86,percent of total billed charges ,,,0.96,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,0.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
**DICYCLOMINE (BENTYL) 20MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
PERPHENAZINE/AMITRIPTYLINE 2/25: TAB,LOCAL,LOCAL,,,,both,,,4.73,4.73,1.32,4.73,4.73,percent of total billed charges,4.73,percent of total billed charges,4.73,percent of total billed charges,4.73,percent of total billed charges,4.73,percent of total billed charges,4.73,percent of total billed charges,4.73,percent of total billed charges,4.73,percent of total billed charges,3.41,percent of total billed charges,3.41,percent of total billed charges,3.41,percent of total billed charges,3.41,percent of total billed charges,3.41,percent of total billed charges,3.41,percent of total billed charges,3.5,percent of total billed charges,3.5,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,,,3.41,percent of total billed charges ,,,3.78,percent of total billed charges ,3.97,percent of total billed charges ,3.97,percent of total billed charges ,3.69,percent of total billed charges ,3.69,percent of total billed charges ,3.78,percent of total billed charges ,3.78,percent of total billed charges ,3.31,percent of total billed charges ,3.31,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,,,,,2.52,percent of total billed charges ,,,,,2.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,,,1.32,percent of total billed charges,
FELODIPINE (PLENDIL)  2.5 MG TABLET,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.025 MG TAB,LOCAL,LOCAL,,,,both,,,1.6,1.6,0.45,1.6,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,,,1.15,percent of total billed charges ,,,1.28,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.12,percent of total billed charges ,1.12,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,,,,,0.85,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,,,0.45,percent of total billed charges,
TACROLIMUS (PROGRAF) 1 MG CAP,J7507,CDM,,,,both,,,26.98,26.98,7.55,26.98,26.98,percent of total billed charges,26.98,percent of total billed charges,26.98,percent of total billed charges,26.98,percent of total billed charges,26.98,percent of total billed charges,26.98,percent of total billed charges,26.98,percent of total billed charges,26.98,percent of total billed charges,19.43,percent of total billed charges,19.43,percent of total billed charges,19.43,percent of total billed charges,19.43,percent of total billed charges,19.43,percent of total billed charges,19.43,percent of total billed charges,19.97,percent of total billed charges,19.97,percent of total billed charges,21.58,percent of total billed charges,21.58,percent of total billed charges,,,19.43,percent of total billed charges ,,,21.58,percent of total billed charges ,22.66,percent of total billed charges ,22.66,percent of total billed charges ,21.04,percent of total billed charges ,21.04,percent of total billed charges ,21.58,percent of total billed charges ,21.58,percent of total billed charges ,18.89,percent of total billed charges ,18.89,percent of total billed charges ,16.19,percent of total billed charges ,16.19,percent of total billed charges ,16.19,percent of total billed charges ,16.19,percent of total billed charges ,,,,,14.35,percent of total billed charges ,,,,,13.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,,,7.55,percent of total billed charges,
**TRILEPTAL (OXCARBAZEPINE) 300 MG: TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**GEN TEAL LUBRICANT EYE DROPS: 15 ML,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
D5W IN 0.225% NACL W/KCL 10MEQ 1000ML,LOCAL,LOCAL,,,,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
D5/0.225% NACL + KCL 20 MEQ,LOCAL,LOCAL,,,,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
**D 5% / 1/4 NS + 30 meq KCL:LITER,LOCAL,LOCAL,,,,both,,,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
**D 5% / 1/4 NS + 40 meq KCL:LITER,LOCAL,LOCAL,,,,both,,,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
DEXTROSE 5% 1000ML +KCL 20 MEQ,LOCAL,LOCAL,,,,both,,,100.15,100.15,28.04,100.15,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,74.11,percent of total billed charges,74.11,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,,,72.11,percent of total billed charges ,,,80.12,percent of total billed charges ,84.13,percent of total billed charges ,84.13,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,80.12,percent of total billed charges ,80.12,percent of total billed charges ,70.11,percent of total billed charges ,70.11,percent of total billed charges ,60.09,percent of total billed charges ,60.09,percent of total billed charges ,60.09,percent of total billed charges ,60.09,percent of total billed charges ,,,,,53.28,percent of total billed charges ,,,,,50.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,
**D5W WITH 30 MEQ KCL : 1000 ML,LOCAL,LOCAL,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
DEXTROSE 5% 1000 ML + KCL 40 MEQ,LOCAL,LOCAL,,,,both,,,100.15,100.15,28.04,100.15,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,100.15,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,72.11,percent of total billed charges,74.11,percent of total billed charges,74.11,percent of total billed charges,80.12,percent of total billed charges,80.12,percent of total billed charges,,,72.11,percent of total billed charges ,,,80.12,percent of total billed charges ,84.13,percent of total billed charges ,84.13,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,80.12,percent of total billed charges ,80.12,percent of total billed charges ,70.11,percent of total billed charges ,70.11,percent of total billed charges ,60.09,percent of total billed charges ,60.09,percent of total billed charges ,60.09,percent of total billed charges ,60.09,percent of total billed charges ,,,,,53.28,percent of total billed charges ,,,,,50.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,,,28.04,percent of total billed charges,
AMOXICLLIN/CLAVULANATE 200MG/5ML SUSP,LOCAL,LOCAL,,,,both,,,27.82,27.82,7.79,27.82,27.82,percent of total billed charges,27.82,percent of total billed charges,27.82,percent of total billed charges,27.82,percent of total billed charges,27.82,percent of total billed charges,27.82,percent of total billed charges,27.82,percent of total billed charges,27.82,percent of total billed charges,20.03,percent of total billed charges,20.03,percent of total billed charges,20.03,percent of total billed charges,20.03,percent of total billed charges,20.03,percent of total billed charges,20.03,percent of total billed charges,20.59,percent of total billed charges,20.59,percent of total billed charges,22.26,percent of total billed charges,22.26,percent of total billed charges,,,20.03,percent of total billed charges ,,,22.26,percent of total billed charges ,23.37,percent of total billed charges ,23.37,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,22.26,percent of total billed charges ,22.26,percent of total billed charges ,19.47,percent of total billed charges ,19.47,percent of total billed charges ,16.69,percent of total billed charges ,16.69,percent of total billed charges ,16.69,percent of total billed charges ,16.69,percent of total billed charges ,,,,,14.8,percent of total billed charges ,,,,,14.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,,,7.79,percent of total billed charges,
TRIAMCINOLONE (KENALOG) CR 0.1% 30 GM,LOCAL,LOCAL,,,,both,,,47.2,47.2,13.22,47.2,47.2,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,33.98,percent of total billed charges,33.98,percent of total billed charges,33.98,percent of total billed charges,33.98,percent of total billed charges,33.98,percent of total billed charges,33.98,percent of total billed charges,34.93,percent of total billed charges,34.93,percent of total billed charges,37.76,percent of total billed charges,37.76,percent of total billed charges,,,33.98,percent of total billed charges ,,,37.76,percent of total billed charges ,39.65,percent of total billed charges ,39.65,percent of total billed charges ,36.82,percent of total billed charges ,36.82,percent of total billed charges ,37.76,percent of total billed charges ,37.76,percent of total billed charges ,33.04,percent of total billed charges ,33.04,percent of total billed charges ,28.32,percent of total billed charges ,28.32,percent of total billed charges ,28.32,percent of total billed charges ,28.32,percent of total billed charges ,,,,,25.11,percent of total billed charges ,,,,,23.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,,,13.22,percent of total billed charges,
**TICAR/CLAVULAN(TIMENTIN) 3:1 GM: VIAL,LOCAL,LOCAL,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
**ICY HOT PATCH:  BOX OF 5,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
LISINOPRIL (ZESTRIL) 40MG  TAB,LOCAL,LOCAL,,,,both,,,0.62,0.62,0.17,0.62,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
**DEMECLOCYCLINE (DECLOMYCIN) 300MG T,LOCAL,LOCAL,,,,both,,,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
BECLOMETHASONE (QVAR) 80 MCG INHALER,LOCAL,LOCAL,,,,both,,,485.3,485.3,135.88,485.3,485.3,percent of total billed charges,485.3,percent of total billed charges,485.3,percent of total billed charges,485.3,percent of total billed charges,485.3,percent of total billed charges,485.3,percent of total billed charges,485.3,percent of total billed charges,485.3,percent of total billed charges,349.42,percent of total billed charges,349.42,percent of total billed charges,349.42,percent of total billed charges,349.42,percent of total billed charges,349.42,percent of total billed charges,349.42,percent of total billed charges,359.12,percent of total billed charges,359.12,percent of total billed charges,388.24,percent of total billed charges,388.24,percent of total billed charges,,,349.42,percent of total billed charges ,,,388.24,percent of total billed charges ,407.65,percent of total billed charges ,407.65,percent of total billed charges ,378.53,percent of total billed charges ,378.53,percent of total billed charges ,388.24,percent of total billed charges ,388.24,percent of total billed charges ,339.71,percent of total billed charges ,339.71,percent of total billed charges ,291.18,percent of total billed charges ,291.18,percent of total billed charges ,291.18,percent of total billed charges ,291.18,percent of total billed charges ,,,,,258.18,percent of total billed charges ,,,,,245.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,,,135.88,percent of total billed charges,
CEFDINIR (OMNICEF) 125MG/5ML 60 ML SUSP,LOCAL,LOCAL,,,,both,,,86.63,86.63,24.26,86.63,86.63,percent of total billed charges,86.63,percent of total billed charges,86.63,percent of total billed charges,86.63,percent of total billed charges,86.63,percent of total billed charges,86.63,percent of total billed charges,86.63,percent of total billed charges,86.63,percent of total billed charges,62.37,percent of total billed charges,62.37,percent of total billed charges,62.37,percent of total billed charges,62.37,percent of total billed charges,62.37,percent of total billed charges,62.37,percent of total billed charges,64.11,percent of total billed charges,64.11,percent of total billed charges,69.3,percent of total billed charges,69.3,percent of total billed charges,,,62.37,percent of total billed charges ,,,69.3,percent of total billed charges ,72.77,percent of total billed charges ,72.77,percent of total billed charges ,67.57,percent of total billed charges ,67.57,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,60.64,percent of total billed charges ,60.64,percent of total billed charges ,51.98,percent of total billed charges ,51.98,percent of total billed charges ,51.98,percent of total billed charges ,51.98,percent of total billed charges ,,,,,46.09,percent of total billed charges ,,,,,43.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,,,24.26,percent of total billed charges,
PANCURONIUM INJECTION 2MG/ML: 5 ML VIAL,LOCAL,LOCAL,,,,both,,,38,38,10.64,38,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,30.4,percent of total billed charges,30.4,percent of total billed charges,,,27.36,percent of total billed charges ,,,30.4,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,29.64,percent of total billed charges ,29.64,percent of total billed charges ,30.4,percent of total billed charges ,30.4,percent of total billed charges ,26.6,percent of total billed charges ,26.6,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,19.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,
miSOPROStol (CYTOTEC) 200 MCG TAB,LOCAL,LOCAL,,,,both,,,6.05,6.05,1.69,6.05,6.05,percent of total billed charges,6.05,percent of total billed charges,6.05,percent of total billed charges,6.05,percent of total billed charges,6.05,percent of total billed charges,6.05,percent of total billed charges,6.05,percent of total billed charges,6.05,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,4.48,percent of total billed charges,4.48,percent of total billed charges,4.84,percent of total billed charges,4.84,percent of total billed charges,,,4.36,percent of total billed charges ,,,4.84,percent of total billed charges ,5.08,percent of total billed charges ,5.08,percent of total billed charges ,4.72,percent of total billed charges ,4.72,percent of total billed charges ,4.84,percent of total billed charges ,4.84,percent of total billed charges ,4.24,percent of total billed charges ,4.24,percent of total billed charges ,3.63,percent of total billed charges ,3.63,percent of total billed charges ,3.63,percent of total billed charges ,3.63,percent of total billed charges ,,,,,3.22,percent of total billed charges ,,,,,3.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,,,1.69,percent of total billed charges,
**TRIFLUROPERAZINE (STELAZINE) 2MG: T,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**ACETYL-N-CYSTEIN 10% OPTH SOLN:COMPOUN,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**BEXTRA (VALDECOXIB) 20MG: TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**IMIPRAMINE (TOFRANIL) 50MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
GLIMEPIRIDE (AMARYL) 4MG TAB,LOCAL,LOCAL,,,,both,,,1.67,1.67,0.47,1.67,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,,,1.2,percent of total billed charges ,,,1.34,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.34,percent of total billed charges ,1.34,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,0.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,,,0.47,percent of total billed charges,
AMINOCAPROIC ACID 5GM / 20ML INJ,LOCAL,LOCAL,,,,both,,,86.8,86.8,24.3,86.8,86.8,percent of total billed charges,86.8,percent of total billed charges,86.8,percent of total billed charges,86.8,percent of total billed charges,86.8,percent of total billed charges,86.8,percent of total billed charges,86.8,percent of total billed charges,86.8,percent of total billed charges,62.5,percent of total billed charges,62.5,percent of total billed charges,62.5,percent of total billed charges,62.5,percent of total billed charges,62.5,percent of total billed charges,62.5,percent of total billed charges,64.23,percent of total billed charges,64.23,percent of total billed charges,69.44,percent of total billed charges,69.44,percent of total billed charges,,,62.5,percent of total billed charges ,,,69.44,percent of total billed charges ,72.91,percent of total billed charges ,72.91,percent of total billed charges ,67.7,percent of total billed charges ,67.7,percent of total billed charges ,69.44,percent of total billed charges ,69.44,percent of total billed charges ,60.76,percent of total billed charges ,60.76,percent of total billed charges ,52.08,percent of total billed charges ,52.08,percent of total billed charges ,52.08,percent of total billed charges ,52.08,percent of total billed charges ,,,,,46.18,percent of total billed charges ,,,,,43.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,,,24.3,percent of total billed charges,
**FORADIL (FORMOTEROL)AEROLIZER: 60 DO,LOCAL,LOCAL,,,,both,,,89,89,24.92,89,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,89,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,64.08,percent of total billed charges,65.86,percent of total billed charges,65.86,percent of total billed charges,71.2,percent of total billed charges,71.2,percent of total billed charges,,,64.08,percent of total billed charges ,,,71.2,percent of total billed charges ,74.76,percent of total billed charges ,74.76,percent of total billed charges ,69.42,percent of total billed charges ,69.42,percent of total billed charges ,71.2,percent of total billed charges ,71.2,percent of total billed charges ,62.3,percent of total billed charges ,62.3,percent of total billed charges ,53.4,percent of total billed charges ,53.4,percent of total billed charges ,53.4,percent of total billed charges ,53.4,percent of total billed charges ,,,,,47.35,percent of total billed charges ,,,,,44.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,,,24.92,percent of total billed charges,
FORMOTEROL (FORADIL) INHALER,LOCAL,LOCAL,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**TASMAR (TOLCAPONE) 100MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
OXAPROZIN (DAYPRO) 600 MG TAB,LOCAL,LOCAL,,,,both,,,5.67,5.67,1.59,5.67,5.67,percent of total billed charges,5.67,percent of total billed charges,5.67,percent of total billed charges,5.67,percent of total billed charges,5.67,percent of total billed charges,5.67,percent of total billed charges,5.67,percent of total billed charges,5.67,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,4.2,percent of total billed charges,4.2,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,,,4.08,percent of total billed charges ,,,4.54,percent of total billed charges ,4.76,percent of total billed charges ,4.76,percent of total billed charges ,4.42,percent of total billed charges ,4.42,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,3.97,percent of total billed charges ,3.97,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,3.4,percent of total billed charges ,,,,,3.02,percent of total billed charges ,,,,,2.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,,,1.59,percent of total billed charges,
**GEODON (ZIPRASIDONE) 40MG: CAP,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
MUPIROCIN (BACTROBAN) 2% CREAM 15GM,LOCAL,LOCAL,,,,both,,,423.77,423.77,118.66,423.77,423.77,percent of total billed charges,423.77,percent of total billed charges,423.77,percent of total billed charges,423.77,percent of total billed charges,423.77,percent of total billed charges,423.77,percent of total billed charges,423.77,percent of total billed charges,423.77,percent of total billed charges,305.11,percent of total billed charges,305.11,percent of total billed charges,305.11,percent of total billed charges,305.11,percent of total billed charges,305.11,percent of total billed charges,305.11,percent of total billed charges,313.59,percent of total billed charges,313.59,percent of total billed charges,339.02,percent of total billed charges,339.02,percent of total billed charges,,,305.11,percent of total billed charges ,,,339.02,percent of total billed charges ,355.97,percent of total billed charges ,355.97,percent of total billed charges ,330.54,percent of total billed charges ,330.54,percent of total billed charges ,339.02,percent of total billed charges ,339.02,percent of total billed charges ,296.64,percent of total billed charges ,296.64,percent of total billed charges ,254.26,percent of total billed charges ,254.26,percent of total billed charges ,254.26,percent of total billed charges ,254.26,percent of total billed charges ,,,,,225.45,percent of total billed charges ,,,,,214.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,,,118.66,percent of total billed charges,
COUGH DROPS,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
SODIUM CHLORIDE-POTASSIUM CL 467MG-15MG,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
PRAMIPEXOLE (MIRAPEX) 0.5MG TAB,LOCAL,LOCAL,,,,both,,,0.73,0.73,0.2,0.73,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.53,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,,,0.53,percent of total billed charges ,,,0.58,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.57,percent of total billed charges ,0.57,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,0.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,,,0.2,percent of total billed charges,
VIREAD (TENOFOVIR) 300MG: TAB,LOCAL,LOCAL,,,,both,,,11.62,11.62,3.25,11.62,11.62,percent of total billed charges,11.62,percent of total billed charges,11.62,percent of total billed charges,11.62,percent of total billed charges,11.62,percent of total billed charges,11.62,percent of total billed charges,11.62,percent of total billed charges,11.62,percent of total billed charges,8.37,percent of total billed charges,8.37,percent of total billed charges,8.37,percent of total billed charges,8.37,percent of total billed charges,8.37,percent of total billed charges,8.37,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,9.3,percent of total billed charges,9.3,percent of total billed charges,,,8.37,percent of total billed charges ,,,9.3,percent of total billed charges ,9.76,percent of total billed charges ,9.76,percent of total billed charges ,9.06,percent of total billed charges ,9.06,percent of total billed charges ,9.3,percent of total billed charges ,9.3,percent of total billed charges ,8.13,percent of total billed charges ,8.13,percent of total billed charges ,6.97,percent of total billed charges ,6.97,percent of total billed charges ,6.97,percent of total billed charges ,6.97,percent of total billed charges ,,,,,6.18,percent of total billed charges ,,,,,5.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,,,3.25,percent of total billed charges,
**CRIXIVAN (INDINAVIR) 400 MG: CAP,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**D-AMINE SR (PSE 120MG CHLORPHENIR.8MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DUODERM DRESS. 4X4 ADHESIVE(BOX 5)SNF:,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
ALCLOMETASONE (ACLOVATE) 0.05% CR:15GM,LOCAL,LOCAL,,,,both,,,70.28,70.28,19.68,70.28,70.28,percent of total billed charges,70.28,percent of total billed charges,70.28,percent of total billed charges,70.28,percent of total billed charges,70.28,percent of total billed charges,70.28,percent of total billed charges,70.28,percent of total billed charges,70.28,percent of total billed charges,50.6,percent of total billed charges,50.6,percent of total billed charges,50.6,percent of total billed charges,50.6,percent of total billed charges,50.6,percent of total billed charges,50.6,percent of total billed charges,52.01,percent of total billed charges,52.01,percent of total billed charges,56.22,percent of total billed charges,56.22,percent of total billed charges,,,50.6,percent of total billed charges ,,,56.22,percent of total billed charges ,59.04,percent of total billed charges ,59.04,percent of total billed charges ,54.82,percent of total billed charges ,54.82,percent of total billed charges ,56.22,percent of total billed charges ,56.22,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,42.17,percent of total billed charges ,42.17,percent of total billed charges ,42.17,percent of total billed charges ,42.17,percent of total billed charges ,,,,,37.39,percent of total billed charges ,,,,,35.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,
HYDROCORTISONE 0.5 % CREAM: 30 GM,LOCAL,LOCAL,,,,both,,,31.87,31.87,8.92,31.87,31.87,percent of total billed charges,31.87,percent of total billed charges,31.87,percent of total billed charges,31.87,percent of total billed charges,31.87,percent of total billed charges,31.87,percent of total billed charges,31.87,percent of total billed charges,31.87,percent of total billed charges,22.95,percent of total billed charges,22.95,percent of total billed charges,22.95,percent of total billed charges,22.95,percent of total billed charges,22.95,percent of total billed charges,22.95,percent of total billed charges,23.58,percent of total billed charges,23.58,percent of total billed charges,25.5,percent of total billed charges,25.5,percent of total billed charges,,,22.95,percent of total billed charges ,,,25.5,percent of total billed charges ,26.77,percent of total billed charges ,26.77,percent of total billed charges ,24.86,percent of total billed charges ,24.86,percent of total billed charges ,25.5,percent of total billed charges ,25.5,percent of total billed charges ,22.31,percent of total billed charges ,22.31,percent of total billed charges ,19.12,percent of total billed charges ,19.12,percent of total billed charges ,19.12,percent of total billed charges ,19.12,percent of total billed charges ,,,,,16.95,percent of total billed charges ,,,,,16.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,,,8.92,percent of total billed charges,
**CLARINEX (DESLORATADINE) 5MG: TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**ORTHO EVRA PATCH,LOCAL,LOCAL,,,,both,,,297,297,83.16,297,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,297,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,213.84,percent of total billed charges,219.78,percent of total billed charges,219.78,percent of total billed charges,237.6,percent of total billed charges,237.6,percent of total billed charges,,,213.84,percent of total billed charges ,,,237.6,percent of total billed charges ,249.48,percent of total billed charges ,249.48,percent of total billed charges ,231.66,percent of total billed charges ,231.66,percent of total billed charges ,237.6,percent of total billed charges ,237.6,percent of total billed charges ,207.9,percent of total billed charges ,207.9,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,178.2,percent of total billed charges ,,,,,158,percent of total billed charges ,,,,,150.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,,,83.16,percent of total billed charges,
TOPIRAMATE (TOPAMAX) 25 MG TAB,LOCAL,LOCAL,,,,both,,,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
**predniSONE 5 MG/5ML SYRUP,J7506,CDM,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
METHYLDOPA (ALDOMET) 500 MG TAB,LOCAL,LOCAL,,,,both,,,1.06,1.06,0.3,1.06,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,,,0.76,percent of total billed charges ,,,0.85,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
**ACYCLOVIR (ZOVIRAX) 800 MG: CAP,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**CHLORPROPAMIDE (DIABINESE) 100MG: T,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**TRIMETHOBENZAMIDE (TIGAN) 300MG: C,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**DUODERM DRESS.2.5X2.5 ADHES(BOX 5)SNF:,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
MINOCYCLINE (MINOCIN) 100MG CAP,LOCAL,LOCAL,,,,both,,,3.64,3.64,1.02,3.64,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,3.64,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,2.91,percent of total billed charges,2.91,percent of total billed charges,,,2.62,percent of total billed charges ,,,2.91,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,2.84,percent of total billed charges ,2.84,percent of total billed charges ,2.91,percent of total billed charges ,2.91,percent of total billed charges ,2.55,percent of total billed charges ,2.55,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,,,,,1.94,percent of total billed charges ,,,,,1.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,,,1.02,percent of total billed charges,
**CALDESENE (ZINC OXIDE) POWDER: 2.5 OZ,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
ACETAMINOPHEN (TYLENOL ARTHRITIS)CAPS:EA,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**CHLORPHENIRAMINE 12 MG CAP:,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ZALEPLON (SONATA) 5 MG :CAPS,LOCAL,LOCAL,,,,both,,,2.3,2.3,0.64,2.3,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,2.3,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.66,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.84,percent of total billed charges,1.84,percent of total billed charges,,,1.66,percent of total billed charges ,,,1.84,percent of total billed charges ,1.93,percent of total billed charges ,1.93,percent of total billed charges ,1.79,percent of total billed charges ,1.79,percent of total billed charges ,1.84,percent of total billed charges ,1.84,percent of total billed charges ,1.61,percent of total billed charges ,1.61,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,,,,,1.22,percent of total billed charges ,,,,,1.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,,,0.64,percent of total billed charges,
CARTEOLOL (OCUPRESS)1% OPTH SOLN: 5 ML,LOCAL,LOCAL,,,,both,,,60.74,60.74,17.01,60.74,60.74,percent of total billed charges,60.74,percent of total billed charges,60.74,percent of total billed charges,60.74,percent of total billed charges,60.74,percent of total billed charges,60.74,percent of total billed charges,60.74,percent of total billed charges,60.74,percent of total billed charges,43.73,percent of total billed charges,43.73,percent of total billed charges,43.73,percent of total billed charges,43.73,percent of total billed charges,43.73,percent of total billed charges,43.73,percent of total billed charges,44.95,percent of total billed charges,44.95,percent of total billed charges,48.59,percent of total billed charges,48.59,percent of total billed charges,,,43.73,percent of total billed charges ,,,48.59,percent of total billed charges ,51.02,percent of total billed charges ,51.02,percent of total billed charges ,47.38,percent of total billed charges ,47.38,percent of total billed charges ,48.59,percent of total billed charges ,48.59,percent of total billed charges ,42.52,percent of total billed charges ,42.52,percent of total billed charges ,36.44,percent of total billed charges ,36.44,percent of total billed charges ,36.44,percent of total billed charges ,36.44,percent of total billed charges ,,,,,32.31,percent of total billed charges ,,,,,30.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,,,17.01,percent of total billed charges,
**RT- LEVALBUTEROL (XOPENEX) 1.25MG/3ML,J7612,CDM,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
"LIDOCAINE 1% W/EPI 1:100,000, 20ML",J2001,CDM,,,,both,,,47.81,47.81,13.39,47.81,47.81,percent of total billed charges,47.81,percent of total billed charges,47.81,percent of total billed charges,47.81,percent of total billed charges,47.81,percent of total billed charges,47.81,percent of total billed charges,47.81,percent of total billed charges,47.81,percent of total billed charges,34.42,percent of total billed charges,34.42,percent of total billed charges,34.42,percent of total billed charges,34.42,percent of total billed charges,34.42,percent of total billed charges,34.42,percent of total billed charges,35.38,percent of total billed charges,35.38,percent of total billed charges,38.25,percent of total billed charges,38.25,percent of total billed charges,,,34.42,percent of total billed charges ,,,38.25,percent of total billed charges ,40.16,percent of total billed charges ,40.16,percent of total billed charges ,37.29,percent of total billed charges ,37.29,percent of total billed charges ,38.25,percent of total billed charges ,38.25,percent of total billed charges ,33.47,percent of total billed charges ,33.47,percent of total billed charges ,28.69,percent of total billed charges ,28.69,percent of total billed charges ,28.69,percent of total billed charges ,28.69,percent of total billed charges ,,,,,25.43,percent of total billed charges ,,,,,24.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,
traZODone  (DESYREL) 100MG TAB,LOCAL,LOCAL,,,,both,,,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
**ZYPREXA (OLANZAPINE) 7.5 MG : TAB,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**TRICOR (FENOFIBRATE) 54 MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ANAGRELIDE (AGRYLIN) 0.5MG CAP,LOCAL,LOCAL,,,,both,,,2.54,2.54,0.71,2.54,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,,,1.83,percent of total billed charges ,,,2.03,percent of total billed charges ,2.13,percent of total billed charges ,2.13,percent of total billed charges ,1.98,percent of total billed charges ,1.98,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,,,,,1.35,percent of total billed charges ,,,,,1.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,
**E-DR SCHOLL BLISTER TX CUSHION,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**ROSIGLITAZONE (AVANDIA) 8 MG TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**PSYLLIUM POWDER (METAMUCIL ORANGE:48DO,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
MULTIPLE VITAMIN (NEPHRO-VITE) TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**GARLIC CAPSULES 500MG:,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DELETED***ELIDEL   CREAM 1%: 15 GM,LOCAL,LOCAL,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
CALCIUM CARBONATE 600 MG: TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
VANCOMYCIN 1 GM VIAL,J3370,CDM,,,,both,,,47.82,47.82,13.39,47.82,47.82,percent of total billed charges,47.82,percent of total billed charges,47.82,percent of total billed charges,47.82,percent of total billed charges,47.82,percent of total billed charges,47.82,percent of total billed charges,47.82,percent of total billed charges,47.82,percent of total billed charges,34.43,percent of total billed charges,34.43,percent of total billed charges,34.43,percent of total billed charges,34.43,percent of total billed charges,34.43,percent of total billed charges,34.43,percent of total billed charges,35.39,percent of total billed charges,35.39,percent of total billed charges,38.26,percent of total billed charges,38.26,percent of total billed charges,,,34.43,percent of total billed charges ,,,38.26,percent of total billed charges ,40.17,percent of total billed charges ,40.17,percent of total billed charges ,37.3,percent of total billed charges ,37.3,percent of total billed charges ,38.26,percent of total billed charges ,38.26,percent of total billed charges ,33.47,percent of total billed charges ,33.47,percent of total billed charges ,28.69,percent of total billed charges ,28.69,percent of total billed charges ,28.69,percent of total billed charges ,28.69,percent of total billed charges ,,,,,25.44,percent of total billed charges ,,,,,24.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,,,13.39,percent of total billed charges,
SODIUM CHLORIDE 0.9% 250ML A/V IVPB,LOCAL,LOCAL,,,,both,,,40.32,40.32,11.29,40.32,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,29.03,percent of total billed charges,29.03,percent of total billed charges,29.03,percent of total billed charges,29.03,percent of total billed charges,29.03,percent of total billed charges,29.03,percent of total billed charges,29.84,percent of total billed charges,29.84,percent of total billed charges,32.26,percent of total billed charges,32.26,percent of total billed charges,,,29.03,percent of total billed charges ,,,32.26,percent of total billed charges ,33.87,percent of total billed charges ,33.87,percent of total billed charges ,31.45,percent of total billed charges ,31.45,percent of total billed charges ,32.26,percent of total billed charges ,32.26,percent of total billed charges ,28.22,percent of total billed charges ,28.22,percent of total billed charges ,24.19,percent of total billed charges ,24.19,percent of total billed charges ,24.19,percent of total billed charges ,24.19,percent of total billed charges ,,,,,21.45,percent of total billed charges ,,,,,20.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,,,11.29,percent of total billed charges,
VANCOMYCIN 1GM IN 250ML 0.9% NACL (VM),J3370,CDM,,,,both,,,45.17,45.17,12.65,45.17,45.17,percent of total billed charges,45.17,percent of total billed charges,45.17,percent of total billed charges,45.17,percent of total billed charges,45.17,percent of total billed charges,45.17,percent of total billed charges,45.17,percent of total billed charges,45.17,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,32.52,percent of total billed charges,33.43,percent of total billed charges,33.43,percent of total billed charges,36.14,percent of total billed charges,36.14,percent of total billed charges,,,32.52,percent of total billed charges ,,,36.14,percent of total billed charges ,37.94,percent of total billed charges ,37.94,percent of total billed charges ,35.23,percent of total billed charges ,35.23,percent of total billed charges ,36.14,percent of total billed charges ,36.14,percent of total billed charges ,31.62,percent of total billed charges ,31.62,percent of total billed charges ,27.1,percent of total billed charges ,27.1,percent of total billed charges ,27.1,percent of total billed charges ,27.1,percent of total billed charges ,,,,,24.03,percent of total billed charges ,,,,,22.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,,,12.65,percent of total billed charges,
sulfaSALAzine E.C. (AZULFIDINE) 500MG,LOCAL,LOCAL,,,,both,,,0.8,0.8,0.22,0.8,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.64,percent of total billed charges,0.64,percent of total billed charges,,,0.58,percent of total billed charges ,,,0.64,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.56,percent of total billed charges ,0.56,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,,,,,0.43,percent of total billed charges ,,,,,0.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
rOPINIRole  (REQUIP) 1 MG TAB,LOCAL,LOCAL,,,,both,,,1.71,1.71,0.48,1.71,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.23,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.37,percent of total billed charges,1.37,percent of total billed charges,,,1.23,percent of total billed charges ,,,1.37,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,
**ACETAMINOPHEN/CODEINE(12 MG/5ML):4OZ S,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
MELOXICAM (MOBIC) 7.5 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**TRANDOLAPRIL (MAVIK) 4MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
BICALUTAMIDE (CASODEX) 50MG TAB,LOCAL,LOCAL,,,,both,,,1.19,1.19,0.33,1.19,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,,,0.86,percent of total billed charges ,,,0.95,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,0.71,percent of total billed charges ,,,,,0.63,percent of total billed charges ,,,,,0.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,,,0.33,percent of total billed charges,
**INSULIN HUMAN ULTRALENTE 100UNIT/ML:VI,J1815,CDM,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
**CARBIDOPA (LODOSYN) 25MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**GERITOL COMPLETE LIQUID: 12OZ,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**ADENOSINE 60MG/20ML VIAL: ADENOSCAN,J0152,CDM,,,,both,,,465,465,130.2,465,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,344.1,percent of total billed charges,344.1,percent of total billed charges,372,percent of total billed charges,372,percent of total billed charges,,,334.8,percent of total billed charges ,,,372,percent of total billed charges ,390.6,percent of total billed charges ,390.6,percent of total billed charges ,362.7,percent of total billed charges ,362.7,percent of total billed charges ,372,percent of total billed charges ,372,percent of total billed charges ,325.5,percent of total billed charges ,325.5,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,,,,,247.38,percent of total billed charges ,,,,,235.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,
**IRESSA (GEFITINIB) 250MG: TAB,J8565,CDM,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**SELENIUM 200 MCG: CAPS,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**SAL PALMETTO EXTRACT S,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
MIDODRINE (PROAMATINE) 5MG TAB,LOCAL,LOCAL,,,,both,,,3.15,3.15,0.88,3.15,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,3.15,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.27,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.52,percent of total billed charges,2.52,percent of total billed charges,,,2.27,percent of total billed charges ,,,2.52,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.21,percent of total billed charges ,2.21,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,,,,,1.68,percent of total billed charges ,,,,,1.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,,,0.88,percent of total billed charges,
**ESTRADIOL TRANSDERM (ESCLIM) 0.0375MG:,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
SODIUM CHLORIDE 0.45% 500ML IVPB,LOCAL,LOCAL,,,,both,,,59.64,59.64,16.7,59.64,59.64,percent of total billed charges,59.64,percent of total billed charges,59.64,percent of total billed charges,59.64,percent of total billed charges,59.64,percent of total billed charges,59.64,percent of total billed charges,59.64,percent of total billed charges,59.64,percent of total billed charges,42.94,percent of total billed charges,42.94,percent of total billed charges,42.94,percent of total billed charges,42.94,percent of total billed charges,42.94,percent of total billed charges,42.94,percent of total billed charges,44.13,percent of total billed charges,44.13,percent of total billed charges,47.71,percent of total billed charges,47.71,percent of total billed charges,,,42.94,percent of total billed charges ,,,47.71,percent of total billed charges ,50.1,percent of total billed charges ,50.1,percent of total billed charges ,46.52,percent of total billed charges ,46.52,percent of total billed charges ,47.71,percent of total billed charges ,47.71,percent of total billed charges ,41.75,percent of total billed charges ,41.75,percent of total billed charges ,35.78,percent of total billed charges ,35.78,percent of total billed charges ,35.78,percent of total billed charges ,35.78,percent of total billed charges ,,,,,31.73,percent of total billed charges ,,,,,30.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,,,16.7,percent of total billed charges,
PIPRACIL/TAZOBACTAM (ZOSYN) 2.25IVPB MB+,J2543,CDM,,,,both,,,44.85,44.85,12.56,44.85,44.85,percent of total billed charges,44.85,percent of total billed charges,44.85,percent of total billed charges,44.85,percent of total billed charges,44.85,percent of total billed charges,44.85,percent of total billed charges,44.85,percent of total billed charges,44.85,percent of total billed charges,32.29,percent of total billed charges,32.29,percent of total billed charges,32.29,percent of total billed charges,32.29,percent of total billed charges,32.29,percent of total billed charges,32.29,percent of total billed charges,33.19,percent of total billed charges,33.19,percent of total billed charges,35.88,percent of total billed charges,35.88,percent of total billed charges,,,32.29,percent of total billed charges ,,,35.88,percent of total billed charges ,37.67,percent of total billed charges ,37.67,percent of total billed charges ,34.98,percent of total billed charges ,34.98,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,31.4,percent of total billed charges ,31.4,percent of total billed charges ,26.91,percent of total billed charges ,26.91,percent of total billed charges ,26.91,percent of total billed charges ,26.91,percent of total billed charges ,,,,,23.86,percent of total billed charges ,,,,,22.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,
LACTINEX (LACTOBACILUS) PACKETS,LOCAL,LOCAL,,,,both,,,6.31,6.31,1.77,6.31,6.31,percent of total billed charges,6.31,percent of total billed charges,6.31,percent of total billed charges,6.31,percent of total billed charges,6.31,percent of total billed charges,6.31,percent of total billed charges,6.31,percent of total billed charges,6.31,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.54,percent of total billed charges,4.67,percent of total billed charges,4.67,percent of total billed charges,5.05,percent of total billed charges,5.05,percent of total billed charges,,,4.54,percent of total billed charges ,,,5.05,percent of total billed charges ,5.3,percent of total billed charges ,5.3,percent of total billed charges ,4.92,percent of total billed charges ,4.92,percent of total billed charges ,5.05,percent of total billed charges ,5.05,percent of total billed charges ,4.42,percent of total billed charges ,4.42,percent of total billed charges ,3.79,percent of total billed charges ,3.79,percent of total billed charges ,3.79,percent of total billed charges ,3.79,percent of total billed charges ,,,,,3.36,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,,,1.77,percent of total billed charges,
LACTASE ENZYME (LACTAID) CAP,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**HYDROCODONE 7.5MG APAP 750MG(VICODIN E,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
FLUCONAZOLE (DIFLUCAN) 40MG/ML SUSP,LOCAL,LOCAL,,,,both,,,104.04,104.04,29.13,104.04,104.04,percent of total billed charges,104.04,percent of total billed charges,104.04,percent of total billed charges,104.04,percent of total billed charges,104.04,percent of total billed charges,104.04,percent of total billed charges,104.04,percent of total billed charges,104.04,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,74.91,percent of total billed charges,76.99,percent of total billed charges,76.99,percent of total billed charges,83.23,percent of total billed charges,83.23,percent of total billed charges,,,74.91,percent of total billed charges ,,,83.23,percent of total billed charges ,87.39,percent of total billed charges ,87.39,percent of total billed charges ,81.15,percent of total billed charges ,81.15,percent of total billed charges ,83.23,percent of total billed charges ,83.23,percent of total billed charges ,72.83,percent of total billed charges ,72.83,percent of total billed charges ,62.42,percent of total billed charges ,62.42,percent of total billed charges ,62.42,percent of total billed charges ,62.42,percent of total billed charges ,,,,,55.35,percent of total billed charges ,,,,,52.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,,,29.13,percent of total billed charges,
**E-WITCH HAZEL: 16 OZ,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**ANTACID LIQ (ALUM. MAG.SIMETHICONE):12,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
METHadone TABLETS 10 MG,LOCAL,LOCAL,,,,both,,,3.87,3.87,1.08,3.87,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,2.79,percent of total billed charges,2.79,percent of total billed charges,2.79,percent of total billed charges,2.79,percent of total billed charges,2.79,percent of total billed charges,2.79,percent of total billed charges,2.86,percent of total billed charges,2.86,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,,,2.79,percent of total billed charges ,,,3.1,percent of total billed charges ,3.25,percent of total billed charges ,3.25,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,3.1,percent of total billed charges ,3.1,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,,,,,2.06,percent of total billed charges ,,,,,1.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,,,1.08,percent of total billed charges,
PERMETHRIN 5% CREME RINSE 60GM,LOCAL,LOCAL,,,,both,,,141.75,141.75,39.69,141.75,141.75,percent of total billed charges,141.75,percent of total billed charges,141.75,percent of total billed charges,141.75,percent of total billed charges,141.75,percent of total billed charges,141.75,percent of total billed charges,141.75,percent of total billed charges,141.75,percent of total billed charges,102.06,percent of total billed charges,102.06,percent of total billed charges,102.06,percent of total billed charges,102.06,percent of total billed charges,102.06,percent of total billed charges,102.06,percent of total billed charges,104.9,percent of total billed charges,104.9,percent of total billed charges,113.4,percent of total billed charges,113.4,percent of total billed charges,,,102.06,percent of total billed charges ,,,113.4,percent of total billed charges ,119.07,percent of total billed charges ,119.07,percent of total billed charges ,110.57,percent of total billed charges ,110.57,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,99.23,percent of total billed charges ,99.23,percent of total billed charges ,85.05,percent of total billed charges ,85.05,percent of total billed charges ,85.05,percent of total billed charges ,85.05,percent of total billed charges ,,,,,75.41,percent of total billed charges ,,,,,71.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,,,39.69,percent of total billed charges,
**PIROXICAM (FELDENE) 20 MG: CAP,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
GALANTAMINE (RAZADYNE) 8MG TAB,LOCAL,LOCAL,,,,both,,,4.63,4.63,1.3,4.63,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,4.63,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.33,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,,,3.33,percent of total billed charges ,,,3.7,percent of total billed charges ,3.89,percent of total billed charges ,3.89,percent of total billed charges ,3.61,percent of total billed charges ,3.61,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.24,percent of total billed charges ,3.24,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,2.78,percent of total billed charges ,,,,,2.46,percent of total billed charges ,,,,,2.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,
INSULIN NPH (HUMAN) 100 UNIT/ML :  DOSE,J1815,CDM,,,,both,,,12.6,12.6,3.53,12.6,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,12.6,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.07,percent of total billed charges,9.32,percent of total billed charges,9.32,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,,,9.07,percent of total billed charges ,,,10.08,percent of total billed charges ,10.58,percent of total billed charges ,10.58,percent of total billed charges ,9.83,percent of total billed charges ,9.83,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,8.82,percent of total billed charges ,8.82,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,,,,,6.7,percent of total billed charges ,,,,,6.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,,,3.53,percent of total billed charges,
**INSULIN LENTE 100 UNIT/ML : DOSE,J1815,CDM,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**INSULIN 70/30 100 UNIT/ML:DOSE,J1815,CDM,,,,both,,,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
**INSULIN (HUMAN) 50/50 100 UNIT/ML: DOS,J1815,CDM,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
INSULIN LISPRO (HumaLOG),J1815,CDM,,,,both,,,41.87,41.87,11.72,41.87,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,41.87,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.15,percent of total billed charges,30.98,percent of total billed charges,30.98,percent of total billed charges,33.5,percent of total billed charges,33.5,percent of total billed charges,,,30.15,percent of total billed charges ,,,33.5,percent of total billed charges ,35.17,percent of total billed charges ,35.17,percent of total billed charges ,32.66,percent of total billed charges ,32.66,percent of total billed charges ,33.5,percent of total billed charges ,33.5,percent of total billed charges ,29.31,percent of total billed charges ,29.31,percent of total billed charges ,25.12,percent of total billed charges ,25.12,percent of total billed charges ,25.12,percent of total billed charges ,25.12,percent of total billed charges ,,,,,22.27,percent of total billed charges ,,,,,21.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,,,11.72,percent of total billed charges,
**INSULIN HUMALOG 75/25 MIX 100U/ML;DOSE,J1815,CDM,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
INSULIN GLARGINE (LANTUS) PER DOSE,J1815,CDM,,,,both,,,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
DIVALPROEX ER (DEPAKOTE ER) 500MG TAB,LOCAL,LOCAL,,,,both,,,5.64,5.64,1.58,5.64,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.17,percent of total billed charges,4.17,percent of total billed charges,4.51,percent of total billed charges,4.51,percent of total billed charges,,,4.06,percent of total billed charges ,,,4.51,percent of total billed charges ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,4.4,percent of total billed charges ,4.4,percent of total billed charges ,4.51,percent of total billed charges ,4.51,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,,,,,3,percent of total billed charges ,,,,,2.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,
**MAGNESIUM OH/ALUMINUM OH 12OZ FOR T,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
methylPREDNISolone 1GM/NS 100 ML IVPB,J2930,CDM,,,,both,,,400.86,400.86,112.24,400.86,400.86,percent of total billed charges,400.86,percent of total billed charges,400.86,percent of total billed charges,400.86,percent of total billed charges,400.86,percent of total billed charges,400.86,percent of total billed charges,400.86,percent of total billed charges,400.86,percent of total billed charges,288.62,percent of total billed charges,288.62,percent of total billed charges,288.62,percent of total billed charges,288.62,percent of total billed charges,288.62,percent of total billed charges,288.62,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,320.69,percent of total billed charges,320.69,percent of total billed charges,,,288.62,percent of total billed charges ,,,320.69,percent of total billed charges ,336.72,percent of total billed charges ,336.72,percent of total billed charges ,312.67,percent of total billed charges ,312.67,percent of total billed charges ,320.69,percent of total billed charges ,320.69,percent of total billed charges ,280.6,percent of total billed charges ,280.6,percent of total billed charges ,240.52,percent of total billed charges ,240.52,percent of total billed charges ,240.52,percent of total billed charges ,240.52,percent of total billed charges ,,,,,213.26,percent of total billed charges ,,,,,202.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,,,112.24,percent of total billed charges,
**TANNATE 12 S(CARBENT/CHLORPH.)SUPS:120,LOCAL,LOCAL,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
RT-SOD CHLOR 0.9% 3 ML: UNIT DOSE,LOCAL,LOCAL,,,,both,,,0.83,0.83,0.23,0.83,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.6,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.66,percent of total billed charges,0.66,percent of total billed charges,,,0.6,percent of total billed charges ,,,0.66,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.65,percent of total billed charges ,0.65,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,,,,,0.44,percent of total billed charges ,,,,,0.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,,,0.23,percent of total billed charges,
TRAVOPROST 0.004% (TRAVATAN) OPHTH SOLN,LOCAL,LOCAL,,,,both,,,457.83,457.83,128.19,457.83,457.83,percent of total billed charges,457.83,percent of total billed charges,457.83,percent of total billed charges,457.83,percent of total billed charges,457.83,percent of total billed charges,457.83,percent of total billed charges,457.83,percent of total billed charges,457.83,percent of total billed charges,329.64,percent of total billed charges,329.64,percent of total billed charges,329.64,percent of total billed charges,329.64,percent of total billed charges,329.64,percent of total billed charges,329.64,percent of total billed charges,338.79,percent of total billed charges,338.79,percent of total billed charges,366.26,percent of total billed charges,366.26,percent of total billed charges,,,329.64,percent of total billed charges ,,,366.26,percent of total billed charges ,384.58,percent of total billed charges ,384.58,percent of total billed charges ,357.11,percent of total billed charges ,357.11,percent of total billed charges ,366.26,percent of total billed charges ,366.26,percent of total billed charges ,320.48,percent of total billed charges ,320.48,percent of total billed charges ,274.7,percent of total billed charges ,274.7,percent of total billed charges ,274.7,percent of total billed charges ,274.7,percent of total billed charges ,,,,,243.57,percent of total billed charges ,,,,,231.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,,,128.19,percent of total billed charges,
**ENLON (EDROPHONIUM CL) 10MG/ML:10 ML V,LOCAL,LOCAL,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
**PROCHLORPERAZINE 5MG/ML: 10 ML MDV-S,LOCAL,LOCAL,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
SUCRALFATE  (CARAFATE) 1GM/10 ML UD,LOCAL,LOCAL,,,,both,,,27.85,27.85,7.8,27.85,27.85,percent of total billed charges,27.85,percent of total billed charges,27.85,percent of total billed charges,27.85,percent of total billed charges,27.85,percent of total billed charges,27.85,percent of total billed charges,27.85,percent of total billed charges,27.85,percent of total billed charges,20.05,percent of total billed charges,20.05,percent of total billed charges,20.05,percent of total billed charges,20.05,percent of total billed charges,20.05,percent of total billed charges,20.05,percent of total billed charges,20.61,percent of total billed charges,20.61,percent of total billed charges,22.28,percent of total billed charges,22.28,percent of total billed charges,,,20.05,percent of total billed charges ,,,22.28,percent of total billed charges ,23.39,percent of total billed charges ,23.39,percent of total billed charges ,21.72,percent of total billed charges ,21.72,percent of total billed charges ,22.28,percent of total billed charges ,22.28,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,16.71,percent of total billed charges ,16.71,percent of total billed charges ,16.71,percent of total billed charges ,16.71,percent of total billed charges ,,,,,14.82,percent of total billed charges ,,,,,14.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,,,7.8,percent of total billed charges,
**IVY BLOCK LOTION (BENTOQUATAM 5%,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
**IVY-DRY CREAM 30 GM (ZINC ACETATE 2%),LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
"**FOLTX ( B12, FOLIC ACID, B6) TAB:",LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PCA ASSESSMENT,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**PHENOBARBITAL 100 MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
METAXALONE (SKELAXIN) 800 MG TAB,LOCAL,LOCAL,,,,both,,,14.84,14.84,4.16,14.84,14.84,percent of total billed charges,14.84,percent of total billed charges,14.84,percent of total billed charges,14.84,percent of total billed charges,14.84,percent of total billed charges,14.84,percent of total billed charges,14.84,percent of total billed charges,14.84,percent of total billed charges,10.68,percent of total billed charges,10.68,percent of total billed charges,10.68,percent of total billed charges,10.68,percent of total billed charges,10.68,percent of total billed charges,10.68,percent of total billed charges,10.98,percent of total billed charges,10.98,percent of total billed charges,11.87,percent of total billed charges,11.87,percent of total billed charges,,,10.68,percent of total billed charges ,,,11.87,percent of total billed charges ,12.47,percent of total billed charges ,12.47,percent of total billed charges ,11.58,percent of total billed charges ,11.58,percent of total billed charges ,11.87,percent of total billed charges ,11.87,percent of total billed charges ,10.39,percent of total billed charges ,10.39,percent of total billed charges ,8.9,percent of total billed charges ,8.9,percent of total billed charges ,8.9,percent of total billed charges ,8.9,percent of total billed charges ,,,,,7.89,percent of total billed charges ,,,,,7.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,,,4.16,percent of total billed charges,
**CLORAZEPATE (TRANXENE)  7.5 MG: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LIDOCAINE 5% (LIDODERM) PATCH,LOCAL,LOCAL,,,,both,,,5.64,5.64,1.58,5.64,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,5.64,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.06,percent of total billed charges,4.17,percent of total billed charges,4.17,percent of total billed charges,4.51,percent of total billed charges,4.51,percent of total billed charges,,,4.06,percent of total billed charges ,,,4.51,percent of total billed charges ,4.74,percent of total billed charges ,4.74,percent of total billed charges ,4.4,percent of total billed charges ,4.4,percent of total billed charges ,4.51,percent of total billed charges ,4.51,percent of total billed charges ,3.95,percent of total billed charges ,3.95,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,3.38,percent of total billed charges ,,,,,3,percent of total billed charges ,,,,,2.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,,,1.58,percent of total billed charges,
**MULTIVITAMIN (PEDIATRIC DROPS): 50ML,LOCAL,LOCAL,,,,both,,,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
**CYANIDE ANTIDOTE KIT,LOCAL,LOCAL,,,,both,,,511,511,143.08,511,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,511,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,367.92,percent of total billed charges,378.14,percent of total billed charges,378.14,percent of total billed charges,408.8,percent of total billed charges,408.8,percent of total billed charges,,,367.92,percent of total billed charges ,,,408.8,percent of total billed charges ,429.24,percent of total billed charges ,429.24,percent of total billed charges ,398.58,percent of total billed charges ,398.58,percent of total billed charges ,408.8,percent of total billed charges ,408.8,percent of total billed charges ,357.7,percent of total billed charges ,357.7,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,306.6,percent of total billed charges ,,,,,271.85,percent of total billed charges ,,,,,258.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,,,143.08,percent of total billed charges,
DILTIAZEM (CARDIZEM) 100MG/100ML IV(AV),LOCAL,LOCAL,,,,both,,,216.67,216.67,60.67,216.67,216.67,percent of total billed charges,216.67,percent of total billed charges,216.67,percent of total billed charges,216.67,percent of total billed charges,216.67,percent of total billed charges,216.67,percent of total billed charges,216.67,percent of total billed charges,216.67,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,160.34,percent of total billed charges,160.34,percent of total billed charges,173.34,percent of total billed charges,173.34,percent of total billed charges,,,156,percent of total billed charges ,,,173.34,percent of total billed charges ,182,percent of total billed charges ,182,percent of total billed charges ,169,percent of total billed charges ,169,percent of total billed charges ,173.34,percent of total billed charges ,173.34,percent of total billed charges ,151.67,percent of total billed charges ,151.67,percent of total billed charges ,130,percent of total billed charges ,130,percent of total billed charges ,130,percent of total billed charges ,130,percent of total billed charges ,,,,,115.27,percent of total billed charges ,,,,,109.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,,,60.67,percent of total billed charges,
dilTIAZem 100MG (CARDIZEM DRIP) A/V VIAL,LOCAL,LOCAL,,,,both,,,163.5,163.5,45.78,163.5,163.5,percent of total billed charges,163.5,percent of total billed charges,163.5,percent of total billed charges,163.5,percent of total billed charges,163.5,percent of total billed charges,163.5,percent of total billed charges,163.5,percent of total billed charges,163.5,percent of total billed charges,117.72,percent of total billed charges,117.72,percent of total billed charges,117.72,percent of total billed charges,117.72,percent of total billed charges,117.72,percent of total billed charges,117.72,percent of total billed charges,120.99,percent of total billed charges,120.99,percent of total billed charges,130.8,percent of total billed charges,130.8,percent of total billed charges,,,117.72,percent of total billed charges ,,,130.8,percent of total billed charges ,137.34,percent of total billed charges ,137.34,percent of total billed charges ,127.53,percent of total billed charges ,127.53,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,114.45,percent of total billed charges ,114.45,percent of total billed charges ,98.1,percent of total billed charges ,98.1,percent of total billed charges ,98.1,percent of total billed charges ,98.1,percent of total billed charges ,,,,,86.98,percent of total billed charges ,,,,,82.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,,,45.78,percent of total billed charges,
**DILTIAZEM SR (CARDIZEM SR) 90MG CAPSUL,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
PNEUMOCOCCAL VACCINE 0.5ML  DOSE,90732,CDM,,,,both,,,651.95,651.95,182.55,651.95,651.95,percent of total billed charges,651.95,percent of total billed charges,651.95,percent of total billed charges,651.95,percent of total billed charges,651.95,percent of total billed charges,651.95,percent of total billed charges,651.95,percent of total billed charges,651.95,percent of total billed charges,469.4,percent of total billed charges,469.4,percent of total billed charges,469.4,percent of total billed charges,469.4,percent of total billed charges,469.4,percent of total billed charges,469.4,percent of total billed charges,482.44,percent of total billed charges,482.44,percent of total billed charges,521.56,percent of total billed charges,521.56,percent of total billed charges,,,469.4,percent of total billed charges ,,,521.56,percent of total billed charges ,547.64,percent of total billed charges ,547.64,percent of total billed charges ,508.52,percent of total billed charges ,508.52,percent of total billed charges ,521.56,percent of total billed charges ,521.56,percent of total billed charges ,456.37,percent of total billed charges ,456.37,percent of total billed charges ,391.17,percent of total billed charges ,391.17,percent of total billed charges ,391.17,percent of total billed charges ,391.17,percent of total billed charges ,,,,,346.84,percent of total billed charges ,,,,,329.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,,,182.55,percent of total billed charges,
**BIMATOPROST (LUMIGAN) 0.03% OPHTH,LOCAL,LOCAL,,,,both,,,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
**FLUCONAZOLE (DIFLUCAN) 10MG/ML SUSP:35,LOCAL,LOCAL,,,,both,,,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
dilTIAZem 100MG / 100ML A/V DRIP,LOCAL,LOCAL,,,,both,,,145.71,145.71,40.8,145.71,145.71,percent of total billed charges,145.71,percent of total billed charges,145.71,percent of total billed charges,145.71,percent of total billed charges,145.71,percent of total billed charges,145.71,percent of total billed charges,145.71,percent of total billed charges,145.71,percent of total billed charges,104.91,percent of total billed charges,104.91,percent of total billed charges,104.91,percent of total billed charges,104.91,percent of total billed charges,104.91,percent of total billed charges,104.91,percent of total billed charges,107.83,percent of total billed charges,107.83,percent of total billed charges,116.57,percent of total billed charges,116.57,percent of total billed charges,,,104.91,percent of total billed charges ,,,116.57,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,113.65,percent of total billed charges ,113.65,percent of total billed charges ,116.57,percent of total billed charges ,116.57,percent of total billed charges ,102,percent of total billed charges ,102,percent of total billed charges ,87.43,percent of total billed charges ,87.43,percent of total billed charges ,87.43,percent of total billed charges ,87.43,percent of total billed charges ,,,,,77.52,percent of total billed charges ,,,,,73.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,,,40.8,percent of total billed charges,
**REGRANEX (BECAPLERMIN) GEL: 15GM,LOCAL,LOCAL,,,,both,,,"1,678.00","1,678.00",469.84,"1,678.00","1,678.00",percent of total billed charges,"1,678.00",percent of total billed charges,"1,678.00",percent of total billed charges,"1,678.00",percent of total billed charges,"1,678.00",percent of total billed charges,"1,678.00",percent of total billed charges,"1,678.00",percent of total billed charges,"1,678.00",percent of total billed charges,"1,208.16",percent of total billed charges,"1,208.16",percent of total billed charges,"1,208.16",percent of total billed charges,"1,208.16",percent of total billed charges,"1,208.16",percent of total billed charges,"1,208.16",percent of total billed charges,"1,241.72",percent of total billed charges,"1,241.72",percent of total billed charges,"1,342.40",percent of total billed charges,"1,342.40",percent of total billed charges,,,"1,208.16",percent of total billed charges ,,,"1,342.40",percent of total billed charges ,"1,409.52",percent of total billed charges ,"1,409.52",percent of total billed charges ,"1,308.84",percent of total billed charges ,"1,308.84",percent of total billed charges ,"1,342.40",percent of total billed charges ,"1,342.40",percent of total billed charges ,"1,174.60",percent of total billed charges ,"1,174.60",percent of total billed charges ,"1,006.80",percent of total billed charges ,"1,006.80",percent of total billed charges ,"1,006.80",percent of total billed charges ,"1,006.80",percent of total billed charges ,,,,,892.7,percent of total billed charges ,,,,,848.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,,,469.84,percent of total billed charges,
CASTOR OIL: 120 ML,LOCAL,LOCAL,,,,both,,,10.75,10.75,3.01,10.75,10.75,percent of total billed charges,10.75,percent of total billed charges,10.75,percent of total billed charges,10.75,percent of total billed charges,10.75,percent of total billed charges,10.75,percent of total billed charges,10.75,percent of total billed charges,10.75,percent of total billed charges,7.74,percent of total billed charges,7.74,percent of total billed charges,7.74,percent of total billed charges,7.74,percent of total billed charges,7.74,percent of total billed charges,7.74,percent of total billed charges,7.96,percent of total billed charges,7.96,percent of total billed charges,8.6,percent of total billed charges,8.6,percent of total billed charges,,,7.74,percent of total billed charges ,,,8.6,percent of total billed charges ,9.03,percent of total billed charges ,9.03,percent of total billed charges ,8.39,percent of total billed charges ,8.39,percent of total billed charges ,8.6,percent of total billed charges ,8.6,percent of total billed charges ,7.53,percent of total billed charges ,7.53,percent of total billed charges ,6.45,percent of total billed charges ,6.45,percent of total billed charges ,6.45,percent of total billed charges ,6.45,percent of total billed charges ,,,,,5.72,percent of total billed charges ,,,,,5.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,,,3.01,percent of total billed charges,
cefTAZidime 1GM /100 ML NS IVPB A/V,J0713,CDM,,,,both,,,46.38,46.38,12.99,46.38,46.38,percent of total billed charges,46.38,percent of total billed charges,46.38,percent of total billed charges,46.38,percent of total billed charges,46.38,percent of total billed charges,46.38,percent of total billed charges,46.38,percent of total billed charges,46.38,percent of total billed charges,33.39,percent of total billed charges,33.39,percent of total billed charges,33.39,percent of total billed charges,33.39,percent of total billed charges,33.39,percent of total billed charges,33.39,percent of total billed charges,34.32,percent of total billed charges,34.32,percent of total billed charges,37.1,percent of total billed charges,37.1,percent of total billed charges,,,33.39,percent of total billed charges ,,,37.1,percent of total billed charges ,38.96,percent of total billed charges ,38.96,percent of total billed charges ,36.18,percent of total billed charges ,36.18,percent of total billed charges ,37.1,percent of total billed charges ,37.1,percent of total billed charges ,32.47,percent of total billed charges ,32.47,percent of total billed charges ,27.83,percent of total billed charges ,27.83,percent of total billed charges ,27.83,percent of total billed charges ,27.83,percent of total billed charges ,,,,,24.67,percent of total billed charges ,,,,,23.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,,,12.99,percent of total billed charges,
D5/0.9% NACL W/KCL 20MEQ 1000ML,LOCAL,LOCAL,,,,both,,,108.82,108.82,30.47,108.82,108.82,percent of total billed charges,108.82,percent of total billed charges,108.82,percent of total billed charges,108.82,percent of total billed charges,108.82,percent of total billed charges,108.82,percent of total billed charges,108.82,percent of total billed charges,108.82,percent of total billed charges,78.35,percent of total billed charges,78.35,percent of total billed charges,78.35,percent of total billed charges,78.35,percent of total billed charges,78.35,percent of total billed charges,78.35,percent of total billed charges,80.53,percent of total billed charges,80.53,percent of total billed charges,87.06,percent of total billed charges,87.06,percent of total billed charges,,,78.35,percent of total billed charges ,,,87.06,percent of total billed charges ,91.41,percent of total billed charges ,91.41,percent of total billed charges ,84.88,percent of total billed charges ,84.88,percent of total billed charges ,87.06,percent of total billed charges ,87.06,percent of total billed charges ,76.17,percent of total billed charges ,76.17,percent of total billed charges ,65.29,percent of total billed charges ,65.29,percent of total billed charges ,65.29,percent of total billed charges ,65.29,percent of total billed charges ,,,,,57.89,percent of total billed charges ,,,,,55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,,,30.47,percent of total billed charges,
**VANCOMYCIN FORTIFIED OPTH DROPS: 10,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**METHYLCELLULOSE POWDER (CITRUCEL)16,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**LEXAPRO (ESCITALOPRAM) 1 MG/ML ORAL SO,LOCAL,LOCAL,,,,both,,,371,371,103.88,371,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,274.54,percent of total billed charges,274.54,percent of total billed charges,296.8,percent of total billed charges,296.8,percent of total billed charges,,,267.12,percent of total billed charges ,,,296.8,percent of total billed charges ,311.64,percent of total billed charges ,311.64,percent of total billed charges ,289.38,percent of total billed charges ,289.38,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,259.7,percent of total billed charges ,259.7,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,,,,,197.37,percent of total billed charges ,,,,,187.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,
**REMINYL (GALANTAMINE) 4MG/ML SOLN: 100,LOCAL,LOCAL,,,,both,,,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
**ZIDOVUDINE (RETROVIR) 300MG : TAB,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
CLOTRIMAZOLE (MYCELEX) 10 MG TROCHE: T,LOCAL,LOCAL,,,,both,,,1.95,1.95,0.55,1.95,1.95,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,1.95,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.4,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.56,percent of total billed charges,1.56,percent of total billed charges,,,1.4,percent of total billed charges ,,,1.56,percent of total billed charges ,1.64,percent of total billed charges ,1.64,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,1.17,percent of total billed charges ,,,,,1.04,percent of total billed charges ,,,,,0.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,
**DIFLUNISAL (DOLOBID) 500 MG : TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
GLUCOSAMINE 500 MG TAB,LOCAL,LOCAL,,,,both,,,0.97,0.97,0.27,0.97,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.7,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,,,0.7,percent of total billed charges ,,,0.78,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.68,percent of total billed charges ,0.68,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,0.58,percent of total billed charges ,,,,,0.52,percent of total billed charges ,,,,,0.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
**E-ONE-A-DAY WEIGHT SMART VITAMIN:1 X 1,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**ADDERAL XR 20MG (AMPHET/DEXTROAMPHET):,LOCAL,LOCAL,,,,both,,,965,965,270.2,965,965,percent of total billed charges,965,percent of total billed charges,965,percent of total billed charges,965,percent of total billed charges,965,percent of total billed charges,965,percent of total billed charges,965,percent of total billed charges,965,percent of total billed charges,694.8,percent of total billed charges,694.8,percent of total billed charges,694.8,percent of total billed charges,694.8,percent of total billed charges,694.8,percent of total billed charges,694.8,percent of total billed charges,714.1,percent of total billed charges,714.1,percent of total billed charges,772,percent of total billed charges,772,percent of total billed charges,,,694.8,percent of total billed charges ,,,772,percent of total billed charges ,810.6,percent of total billed charges ,810.6,percent of total billed charges ,752.7,percent of total billed charges ,752.7,percent of total billed charges ,772,percent of total billed charges ,772,percent of total billed charges ,675.5,percent of total billed charges ,675.5,percent of total billed charges ,579,percent of total billed charges ,579,percent of total billed charges ,579,percent of total billed charges ,579,percent of total billed charges ,,,,,513.38,percent of total billed charges ,,,,,487.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,,,270.2,percent of total billed charges,
**ISOPROTERENOL (ISUPREL) 1:5000: 5ML AM,LOCAL,LOCAL,,,,both,,,162,162,45.36,162,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,119.88,percent of total billed charges,119.88,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,,,116.64,percent of total billed charges ,,,129.6,percent of total billed charges ,136.08,percent of total billed charges ,136.08,percent of total billed charges ,126.36,percent of total billed charges ,126.36,percent of total billed charges ,129.6,percent of total billed charges ,129.6,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,,,,,86.18,percent of total billed charges ,,,,,81.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,
TRIFLURIDINE (VIROPTIC 1%) OPTH SOLN,LOCAL,LOCAL,,,,both,,,427.15,427.15,119.6,427.15,427.15,percent of total billed charges,427.15,percent of total billed charges,427.15,percent of total billed charges,427.15,percent of total billed charges,427.15,percent of total billed charges,427.15,percent of total billed charges,427.15,percent of total billed charges,427.15,percent of total billed charges,307.55,percent of total billed charges,307.55,percent of total billed charges,307.55,percent of total billed charges,307.55,percent of total billed charges,307.55,percent of total billed charges,307.55,percent of total billed charges,316.09,percent of total billed charges,316.09,percent of total billed charges,341.72,percent of total billed charges,341.72,percent of total billed charges,,,307.55,percent of total billed charges ,,,341.72,percent of total billed charges ,358.81,percent of total billed charges ,358.81,percent of total billed charges ,333.18,percent of total billed charges ,333.18,percent of total billed charges ,341.72,percent of total billed charges ,341.72,percent of total billed charges ,299.01,percent of total billed charges ,299.01,percent of total billed charges ,256.29,percent of total billed charges ,256.29,percent of total billed charges ,256.29,percent of total billed charges ,256.29,percent of total billed charges ,,,,,227.24,percent of total billed charges ,,,,,215.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,,,119.6,percent of total billed charges,
DIVALPROEX  ER (DEPAKOTE ER) 250MG TAB,LOCAL,LOCAL,,,,both,,,3.1,3.1,0.87,3.1,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,3.1,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.23,percent of total billed charges,2.29,percent of total billed charges,2.29,percent of total billed charges,2.48,percent of total billed charges,2.48,percent of total billed charges,,,2.23,percent of total billed charges ,,,2.48,percent of total billed charges ,2.6,percent of total billed charges ,2.6,percent of total billed charges ,2.42,percent of total billed charges ,2.42,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,,,,,1.65,percent of total billed charges ,,,,,1.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,
OXcarbazepine (TRILEPTAL) 150 MG TAB,LOCAL,LOCAL,,,,both,,,1.96,1.96,0.55,1.96,1.96,percent of total billed charges,1.96,percent of total billed charges,1.96,percent of total billed charges,1.96,percent of total billed charges,1.96,percent of total billed charges,1.96,percent of total billed charges,1.96,percent of total billed charges,1.96,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,1.57,percent of total billed charges,1.57,percent of total billed charges,,,1.41,percent of total billed charges ,,,1.57,percent of total billed charges ,1.65,percent of total billed charges ,1.65,percent of total billed charges ,1.53,percent of total billed charges ,1.53,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,,,,,1.04,percent of total billed charges ,,,,,0.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,
prednisoLONE (ORAPRED) 15MG/5ML,LOCAL,LOCAL,,,,both,,,2.51,2.51,0.7,2.51,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.86,percent of total billed charges,1.86,percent of total billed charges,2.01,percent of total billed charges,2.01,percent of total billed charges,,,1.81,percent of total billed charges ,,,2.01,percent of total billed charges ,2.11,percent of total billed charges ,2.11,percent of total billed charges ,1.96,percent of total billed charges ,1.96,percent of total billed charges ,2.01,percent of total billed charges ,2.01,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,,,,,1.34,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,,,0.7,percent of total billed charges,
**GUAIFENESIN DM SUGAR FREE: 120 ML,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**METHYLPHENIDATE CD (METADATE CD) 10MG:,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**TOBRAMYCIN 1.2 GM DRY POWDER: EACH,LOCAL,LOCAL,,,,both,,,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
KINEVAC (SINCALIDE)5 MCG VIAL:  EACH,LOCAL,LOCAL,,,,both,,,712.66,712.66,199.54,712.66,712.66,percent of total billed charges,712.66,percent of total billed charges,712.66,percent of total billed charges,712.66,percent of total billed charges,712.66,percent of total billed charges,712.66,percent of total billed charges,712.66,percent of total billed charges,712.66,percent of total billed charges,513.12,percent of total billed charges,513.12,percent of total billed charges,513.12,percent of total billed charges,513.12,percent of total billed charges,513.12,percent of total billed charges,513.12,percent of total billed charges,527.37,percent of total billed charges,527.37,percent of total billed charges,570.13,percent of total billed charges,570.13,percent of total billed charges,,,513.12,percent of total billed charges ,,,570.13,percent of total billed charges ,598.63,percent of total billed charges ,598.63,percent of total billed charges ,555.87,percent of total billed charges ,555.87,percent of total billed charges ,570.13,percent of total billed charges ,570.13,percent of total billed charges ,498.86,percent of total billed charges ,498.86,percent of total billed charges ,427.6,percent of total billed charges ,427.6,percent of total billed charges ,427.6,percent of total billed charges ,427.6,percent of total billed charges ,,,,,379.14,percent of total billed charges ,,,,,360.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,,,199.54,percent of total billed charges,
POTASSIUM CHLORIDE ER 15 MEQ TAB,LOCAL,LOCAL,,,,both,,,3.28,3.28,0.92,3.28,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,,,2.36,percent of total billed charges ,,,2.62,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,,,,,1.74,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,
**THEOPHYLLINE E.R. 100 MG: TABLET,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
FORTEO PEN 750MCG/3ML,J3110,CDM,,,,both,,,"5,077.00","5,077.00","1,421.56","5,077.00","5,077.00",percent of total billed charges,"5,077.00",percent of total billed charges,"5,077.00",percent of total billed charges,"5,077.00",percent of total billed charges,"5,077.00",percent of total billed charges,"5,077.00",percent of total billed charges,"5,077.00",percent of total billed charges,"5,077.00",percent of total billed charges,"3,655.44",percent of total billed charges,"3,655.44",percent of total billed charges,"3,655.44",percent of total billed charges,"3,655.44",percent of total billed charges,"3,655.44",percent of total billed charges,"3,655.44",percent of total billed charges,"3,756.98",percent of total billed charges,"3,756.98",percent of total billed charges,"4,061.60",percent of total billed charges,"4,061.60",percent of total billed charges,,,"3,655.44",percent of total billed charges ,,,"4,061.60",percent of total billed charges ,"4,264.68",percent of total billed charges ,"4,264.68",percent of total billed charges ,"3,960.06",percent of total billed charges ,"3,960.06",percent of total billed charges ,"4,061.60",percent of total billed charges ,"4,061.60",percent of total billed charges ,"3,553.90",percent of total billed charges ,"3,553.90",percent of total billed charges ,"3,046.20",percent of total billed charges ,"3,046.20",percent of total billed charges ,"3,046.20",percent of total billed charges ,"3,046.20",percent of total billed charges ,,,,,"2,700.96",percent of total billed charges ,,,,,"2,565.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,,,"1,421.56",percent of total billed charges,
POLYETHYLENE GLYCOL (MIRALAX) 17GM PKT,LOCAL,LOCAL,,,,both,,,4.4,4.4,1.23,4.4,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,4.4,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.17,percent of total billed charges,3.26,percent of total billed charges,3.26,percent of total billed charges,3.52,percent of total billed charges,3.52,percent of total billed charges,,,3.17,percent of total billed charges ,,,3.52,percent of total billed charges ,3.7,percent of total billed charges ,3.7,percent of total billed charges ,3.43,percent of total billed charges ,3.43,percent of total billed charges ,3.52,percent of total billed charges ,3.52,percent of total billed charges ,3.08,percent of total billed charges ,3.08,percent of total billed charges ,2.64,percent of total billed charges ,2.64,percent of total billed charges ,2.64,percent of total billed charges ,2.64,percent of total billed charges ,,,,,2.34,percent of total billed charges ,,,,,2.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,,,1.23,percent of total billed charges,
guaiFENesin/DM SYRUP 200-20MG: 10mL UD,LOCAL,LOCAL,,,,both,,,7.35,7.35,2.06,7.35,7.35,percent of total billed charges,7.35,percent of total billed charges,7.35,percent of total billed charges,7.35,percent of total billed charges,7.35,percent of total billed charges,7.35,percent of total billed charges,7.35,percent of total billed charges,7.35,percent of total billed charges,5.29,percent of total billed charges,5.29,percent of total billed charges,5.29,percent of total billed charges,5.29,percent of total billed charges,5.29,percent of total billed charges,5.29,percent of total billed charges,5.44,percent of total billed charges,5.44,percent of total billed charges,5.88,percent of total billed charges,5.88,percent of total billed charges,,,5.29,percent of total billed charges ,,,5.88,percent of total billed charges ,6.17,percent of total billed charges ,6.17,percent of total billed charges ,5.73,percent of total billed charges ,5.73,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.15,percent of total billed charges ,5.15,percent of total billed charges ,4.41,percent of total billed charges ,4.41,percent of total billed charges ,4.41,percent of total billed charges ,4.41,percent of total billed charges ,,,,,3.91,percent of total billed charges ,,,,,3.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,,,2.06,percent of total billed charges,
guaiFENesin 200MG W/COD 20MG SOLN 10mL,LOCAL,LOCAL,,,,both,,,5.78,5.78,1.62,5.78,5.78,percent of total billed charges,5.78,percent of total billed charges,5.78,percent of total billed charges,5.78,percent of total billed charges,5.78,percent of total billed charges,5.78,percent of total billed charges,5.78,percent of total billed charges,5.78,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.16,percent of total billed charges,4.28,percent of total billed charges,4.28,percent of total billed charges,4.62,percent of total billed charges,4.62,percent of total billed charges,,,4.16,percent of total billed charges ,,,4.62,percent of total billed charges ,4.86,percent of total billed charges ,4.86,percent of total billed charges ,4.51,percent of total billed charges ,4.51,percent of total billed charges ,4.62,percent of total billed charges ,4.62,percent of total billed charges ,4.05,percent of total billed charges ,4.05,percent of total billed charges ,3.47,percent of total billed charges ,3.47,percent of total billed charges ,3.47,percent of total billed charges ,3.47,percent of total billed charges ,,,,,3.07,percent of total billed charges ,,,,,2.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,,,1.62,percent of total billed charges,
**ROPINirole (REQUIP) 3MG TAB,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**SORIATANE (ACITRETIN) 10MG: CAP,LOCAL,LOCAL,,,,both,,,"1,112.00","1,112.00",311.36,"1,112.00","1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,"1,112.00",percent of total billed charges,800.64,percent of total billed charges,800.64,percent of total billed charges,800.64,percent of total billed charges,800.64,percent of total billed charges,800.64,percent of total billed charges,800.64,percent of total billed charges,822.88,percent of total billed charges,822.88,percent of total billed charges,889.6,percent of total billed charges,889.6,percent of total billed charges,,,800.64,percent of total billed charges ,,,889.6,percent of total billed charges ,934.08,percent of total billed charges ,934.08,percent of total billed charges ,867.36,percent of total billed charges ,867.36,percent of total billed charges ,889.6,percent of total billed charges ,889.6,percent of total billed charges ,778.4,percent of total billed charges ,778.4,percent of total billed charges ,667.2,percent of total billed charges ,667.2,percent of total billed charges ,667.2,percent of total billed charges ,667.2,percent of total billed charges ,,,,,591.58,percent of total billed charges ,,,,,562,percent of total billed charges ,,,,,,,,,,,,,,,,,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,,,311.36,percent of total billed charges,
CALCIUM CITRATE (CITRACAL) 950MG TAB,LOCAL,LOCAL,,,,both,,,0.9,0.9,0.25,0.9,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.65,percent of total billed charges,0.67,percent of total billed charges,0.67,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,,,0.65,percent of total billed charges ,,,0.72,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,0.54,percent of total billed charges ,,,,,0.48,percent of total billed charges ,,,,,0.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,,,0.25,percent of total billed charges,
**VANCOMYCIN 500MG IN 100ML NS IVPB M,J3370,CDM,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
GABAPENTIN (NEURONTIN) 600MG TAB,LOCAL,LOCAL,,,,both,,,1.12,1.12,0.31,1.12,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.83,percent of total billed charges,0.83,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,,,0.81,percent of total billed charges ,,,0.9,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.87,percent of total billed charges ,0.87,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,0.67,percent of total billed charges ,,,,,0.6,percent of total billed charges ,,,,,0.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
**ROBITUSSIN PE 4 OZ,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**TRIAMTERINE 50MG HCTZ 25MG: CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
METHYLENE BLUE INJ 10MG/ML (1%): 10 ML V,LOCAL,LOCAL,,,,both,,,706.92,706.92,197.94,706.92,706.92,percent of total billed charges,706.92,percent of total billed charges,706.92,percent of total billed charges,706.92,percent of total billed charges,706.92,percent of total billed charges,706.92,percent of total billed charges,706.92,percent of total billed charges,706.92,percent of total billed charges,508.98,percent of total billed charges,508.98,percent of total billed charges,508.98,percent of total billed charges,508.98,percent of total billed charges,508.98,percent of total billed charges,508.98,percent of total billed charges,523.12,percent of total billed charges,523.12,percent of total billed charges,565.54,percent of total billed charges,565.54,percent of total billed charges,,,508.98,percent of total billed charges ,,,565.54,percent of total billed charges ,593.81,percent of total billed charges ,593.81,percent of total billed charges ,551.4,percent of total billed charges ,551.4,percent of total billed charges ,565.54,percent of total billed charges ,565.54,percent of total billed charges ,494.84,percent of total billed charges ,494.84,percent of total billed charges ,424.15,percent of total billed charges ,424.15,percent of total billed charges ,424.15,percent of total billed charges ,424.15,percent of total billed charges ,,,,,376.08,percent of total billed charges ,,,,,357.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,,,197.94,percent of total billed charges,
**VOLTAREN (DICLOFENAC) 75MG TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**DROTRECOGIN ALGA (XIGRIX) 5 MG: VIAL,LOCAL,LOCAL,,,,both,,,642,642,179.76,642,642,percent of total billed charges,642,percent of total billed charges,642,percent of total billed charges,642,percent of total billed charges,642,percent of total billed charges,642,percent of total billed charges,642,percent of total billed charges,642,percent of total billed charges,462.24,percent of total billed charges,462.24,percent of total billed charges,462.24,percent of total billed charges,462.24,percent of total billed charges,462.24,percent of total billed charges,462.24,percent of total billed charges,475.08,percent of total billed charges,475.08,percent of total billed charges,513.6,percent of total billed charges,513.6,percent of total billed charges,,,462.24,percent of total billed charges ,,,513.6,percent of total billed charges ,539.28,percent of total billed charges ,539.28,percent of total billed charges ,500.76,percent of total billed charges ,500.76,percent of total billed charges ,513.6,percent of total billed charges ,513.6,percent of total billed charges ,449.4,percent of total billed charges ,449.4,percent of total billed charges ,385.2,percent of total billed charges ,385.2,percent of total billed charges ,385.2,percent of total billed charges ,385.2,percent of total billed charges ,,,,,341.54,percent of total billed charges ,,,,,324.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,,,179.76,percent of total billed charges,
BENAZepril (LOTENSIN) 20MG TAB,LOCAL,LOCAL,,,,both,,,2.25,2.25,0.63,2.25,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,,,1.62,percent of total billed charges ,,,1.8,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,,,,,1.2,percent of total billed charges ,,,,,1.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,
**METOCLOPRAMINE (REGLAN)SOLN5MG/5ML 480,LOCAL,LOCAL,,,,both,,,53,53,14.84,53,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,39.22,percent of total billed charges,39.22,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,,,38.16,percent of total billed charges ,,,42.4,percent of total billed charges ,44.52,percent of total billed charges ,44.52,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,42.4,percent of total billed charges ,42.4,percent of total billed charges ,37.1,percent of total billed charges ,37.1,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,,,,,28.2,percent of total billed charges ,,,,,26.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,
NATEGLINIDE (STARLIX) 60MG TAB,LOCAL,LOCAL,,,,both,,,4.66,4.66,1.3,4.66,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,,,3.36,percent of total billed charges ,,,3.73,percent of total billed charges ,3.91,percent of total billed charges ,3.91,percent of total billed charges ,3.63,percent of total billed charges ,3.63,percent of total billed charges ,3.73,percent of total billed charges ,3.73,percent of total billed charges ,3.26,percent of total billed charges ,3.26,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,,,,,2.48,percent of total billed charges ,,,,,2.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,
**SORBSAN TOPICAL WOUND DRESSING,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**PETROLATUM JELLY (VASELINE) : 1OZ TUBE,LOCAL,LOCAL,,,,both,,,23.12,23.12,6.47,23.12,23.12,percent of total billed charges,23.12,percent of total billed charges,23.12,percent of total billed charges,23.12,percent of total billed charges,23.12,percent of total billed charges,23.12,percent of total billed charges,23.12,percent of total billed charges,23.12,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,16.65,percent of total billed charges,17.11,percent of total billed charges,17.11,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,,,16.65,percent of total billed charges ,,,18.5,percent of total billed charges ,19.42,percent of total billed charges ,19.42,percent of total billed charges ,18.03,percent of total billed charges ,18.03,percent of total billed charges ,18.5,percent of total billed charges ,18.5,percent of total billed charges ,16.18,percent of total billed charges ,16.18,percent of total billed charges ,13.87,percent of total billed charges ,13.87,percent of total billed charges ,13.87,percent of total billed charges ,13.87,percent of total billed charges ,,,,,12.3,percent of total billed charges ,,,,,11.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,,,6.47,percent of total billed charges,
BUPivacaine 0.25% W EPI 30ML VIAL,LOCAL,LOCAL,,,,both,,,35.18,35.18,9.85,35.18,35.18,percent of total billed charges,35.18,percent of total billed charges,35.18,percent of total billed charges,35.18,percent of total billed charges,35.18,percent of total billed charges,35.18,percent of total billed charges,35.18,percent of total billed charges,35.18,percent of total billed charges,25.33,percent of total billed charges,25.33,percent of total billed charges,25.33,percent of total billed charges,25.33,percent of total billed charges,25.33,percent of total billed charges,25.33,percent of total billed charges,26.03,percent of total billed charges,26.03,percent of total billed charges,28.14,percent of total billed charges,28.14,percent of total billed charges,,,25.33,percent of total billed charges ,,,28.14,percent of total billed charges ,29.55,percent of total billed charges ,29.55,percent of total billed charges ,27.44,percent of total billed charges ,27.44,percent of total billed charges ,28.14,percent of total billed charges ,28.14,percent of total billed charges ,24.63,percent of total billed charges ,24.63,percent of total billed charges ,21.11,percent of total billed charges ,21.11,percent of total billed charges ,21.11,percent of total billed charges ,21.11,percent of total billed charges ,,,,,18.72,percent of total billed charges ,,,,,17.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,,,9.85,percent of total billed charges,
**E-VITAPLEX PLUS TABLETS / BOTTLE OF 1,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
CALCITONIN (FORTICAL) NASAL SPRAY,LOCAL,LOCAL,,,,both,,,70.27,70.27,19.68,70.27,70.27,percent of total billed charges,70.27,percent of total billed charges,70.27,percent of total billed charges,70.27,percent of total billed charges,70.27,percent of total billed charges,70.27,percent of total billed charges,70.27,percent of total billed charges,70.27,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,50.59,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,56.22,percent of total billed charges,56.22,percent of total billed charges,,,50.59,percent of total billed charges ,,,56.22,percent of total billed charges ,59.03,percent of total billed charges ,59.03,percent of total billed charges ,54.81,percent of total billed charges ,54.81,percent of total billed charges ,56.22,percent of total billed charges ,56.22,percent of total billed charges ,49.19,percent of total billed charges ,49.19,percent of total billed charges ,42.16,percent of total billed charges ,42.16,percent of total billed charges ,42.16,percent of total billed charges ,42.16,percent of total billed charges ,,,,,37.38,percent of total billed charges ,,,,,35.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,,,19.68,percent of total billed charges,
**NACL 0.9% W 10MEQ KCL 50ML,LOCAL,LOCAL,,,,both,,,175,175,49,175,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,175,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,129.5,percent of total billed charges,129.5,percent of total billed charges,140,percent of total billed charges,140,percent of total billed charges,,,126,percent of total billed charges ,,,140,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,136.5,percent of total billed charges ,136.5,percent of total billed charges ,140,percent of total billed charges ,140,percent of total billed charges ,122.5,percent of total billed charges ,122.5,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,,,,,93.1,percent of total billed charges ,,,,,88.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,,,49,percent of total billed charges,
**PIROXICAM (FELDENE) 10 MG: CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PSYLLIUM POWDER SF 30 DOSE 6.1OZ,LOCAL,LOCAL,,,,both,,,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
PIMECROLIMUS (ELIDEL) CREAM 1%: 30 GM,LOCAL,LOCAL,,,,both,,,431.37,431.37,120.78,431.37,431.37,percent of total billed charges,431.37,percent of total billed charges,431.37,percent of total billed charges,431.37,percent of total billed charges,431.37,percent of total billed charges,431.37,percent of total billed charges,431.37,percent of total billed charges,431.37,percent of total billed charges,310.59,percent of total billed charges,310.59,percent of total billed charges,310.59,percent of total billed charges,310.59,percent of total billed charges,310.59,percent of total billed charges,310.59,percent of total billed charges,319.21,percent of total billed charges,319.21,percent of total billed charges,345.1,percent of total billed charges,345.1,percent of total billed charges,,,310.59,percent of total billed charges ,,,345.1,percent of total billed charges ,362.35,percent of total billed charges ,362.35,percent of total billed charges ,336.47,percent of total billed charges ,336.47,percent of total billed charges ,345.1,percent of total billed charges ,345.1,percent of total billed charges ,301.96,percent of total billed charges ,301.96,percent of total billed charges ,258.82,percent of total billed charges ,258.82,percent of total billed charges ,258.82,percent of total billed charges ,258.82,percent of total billed charges ,,,,,229.49,percent of total billed charges ,,,,,218.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,,,120.78,percent of total billed charges,
**AMINO ACID 3.5% W/MAINT LYTES/5%D,LOCAL,LOCAL,,,,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
"PANCRELIPASE (6,000U-LIPASE) TAB",LOCAL,LOCAL,,,,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SUCROSE PAINFUL PROCEDURES (PEDS),LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
ZIPRASIDONE (GEODON) 20MG CAP,LOCAL,LOCAL,,,,both,,,13.28,13.28,3.72,13.28,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.83,percent of total billed charges,9.83,percent of total billed charges,10.62,percent of total billed charges,10.62,percent of total billed charges,,,9.56,percent of total billed charges ,,,10.62,percent of total billed charges ,11.16,percent of total billed charges ,11.16,percent of total billed charges ,10.36,percent of total billed charges ,10.36,percent of total billed charges ,10.62,percent of total billed charges ,10.62,percent of total billed charges ,9.3,percent of total billed charges ,9.3,percent of total billed charges ,7.97,percent of total billed charges ,7.97,percent of total billed charges ,7.97,percent of total billed charges ,7.97,percent of total billed charges ,,,,,7.06,percent of total billed charges ,,,,,6.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,,,3.72,percent of total billed charges,
HURRICAINE SPR (BENZOCAINE 20%):60ML,LOCAL,LOCAL,,,,both,,,163.76,163.76,45.85,163.76,163.76,percent of total billed charges,163.76,percent of total billed charges,163.76,percent of total billed charges,163.76,percent of total billed charges,163.76,percent of total billed charges,163.76,percent of total billed charges,163.76,percent of total billed charges,163.76,percent of total billed charges,117.91,percent of total billed charges,117.91,percent of total billed charges,117.91,percent of total billed charges,117.91,percent of total billed charges,117.91,percent of total billed charges,117.91,percent of total billed charges,121.18,percent of total billed charges,121.18,percent of total billed charges,131.01,percent of total billed charges,131.01,percent of total billed charges,,,117.91,percent of total billed charges ,,,131.01,percent of total billed charges ,137.56,percent of total billed charges ,137.56,percent of total billed charges ,127.73,percent of total billed charges ,127.73,percent of total billed charges ,131.01,percent of total billed charges ,131.01,percent of total billed charges ,114.63,percent of total billed charges ,114.63,percent of total billed charges ,98.26,percent of total billed charges ,98.26,percent of total billed charges ,98.26,percent of total billed charges ,98.26,percent of total billed charges ,,,,,87.12,percent of total billed charges ,,,,,82.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,,,45.85,percent of total billed charges,
**NS09% W/40MEQ KCL 1000ML,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
levETIRAcetam (KEPPRA) 500MG TAB,LOCAL,LOCAL,,,,both,,,0.78,0.78,0.22,0.78,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.58,percent of total billed charges,0.58,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,,,0.56,percent of total billed charges ,,,0.62,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.61,percent of total billed charges ,0.61,percent of total billed charges ,0.62,percent of total billed charges ,0.62,percent of total billed charges ,0.55,percent of total billed charges ,0.55,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,,,,,0.41,percent of total billed charges ,,,,,0.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,,,0.22,percent of total billed charges,
**HYDROCORTISONE TP GEL 10% 60GM,LOCAL,LOCAL,,,,both,,,152,152,42.56,152,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,112.48,percent of total billed charges,112.48,percent of total billed charges,121.6,percent of total billed charges,121.6,percent of total billed charges,,,109.44,percent of total billed charges ,,,121.6,percent of total billed charges ,127.68,percent of total billed charges ,127.68,percent of total billed charges ,118.56,percent of total billed charges ,118.56,percent of total billed charges ,121.6,percent of total billed charges ,121.6,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,,,,,80.86,percent of total billed charges ,,,,,76.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,
**NESIRITIDE: (NATRECOR) 1.5MG VIAL,J2325,CDM,,,,both,,,"7,145.00","7,145.00","2,000.60","7,145.00","7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,287.30",percent of total billed charges,"5,287.30",percent of total billed charges,"5,716.00",percent of total billed charges,"5,716.00",percent of total billed charges,,,"5,144.40",percent of total billed charges ,,,"5,716.00",percent of total billed charges ,"6,001.80",percent of total billed charges ,"6,001.80",percent of total billed charges ,"5,573.10",percent of total billed charges ,"5,573.10",percent of total billed charges ,"5,716.00",percent of total billed charges ,"5,716.00",percent of total billed charges ,"5,001.50",percent of total billed charges ,"5,001.50",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,,,,,"3,801.14",percent of total billed charges ,,,,,"3,611.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,
**THEO-24 (THEOPHYLLINE) 300MG CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**E-FAMOTIDINE (PEPCID) 10MG 60'S,LOCAL,LOCAL,,,,both,,,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
**CARBETAPEN/CHLORPH (TUSSI-12) TAB,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**INSULIN HUMALOG 75/25 100U/ML;PEN,J1815,CDM,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
**RIBOFLAVIN (VIT B2)50MG    TAB,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
URSODIOL (ACTIGALL) 300MG CAP,LOCAL,LOCAL,,,,both,,,24.51,24.51,6.86,24.51,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,24.51,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,17.65,percent of total billed charges,18.14,percent of total billed charges,18.14,percent of total billed charges,19.61,percent of total billed charges,19.61,percent of total billed charges,,,17.65,percent of total billed charges ,,,19.61,percent of total billed charges ,20.59,percent of total billed charges ,20.59,percent of total billed charges ,19.12,percent of total billed charges ,19.12,percent of total billed charges ,19.61,percent of total billed charges ,19.61,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,14.71,percent of total billed charges ,14.71,percent of total billed charges ,14.71,percent of total billed charges ,14.71,percent of total billed charges ,,,,,13.04,percent of total billed charges ,,,,,12.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,,,6.86,percent of total billed charges,
MAGNESIUM OXIDE (MAG-OX) 250 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
AZELASTINE (OPTIVAR) 0.05% OPHTH SOLN,LOCAL,LOCAL,,,,both,,,72.37,72.37,20.26,72.37,72.37,percent of total billed charges,72.37,percent of total billed charges,72.37,percent of total billed charges,72.37,percent of total billed charges,72.37,percent of total billed charges,72.37,percent of total billed charges,72.37,percent of total billed charges,72.37,percent of total billed charges,52.11,percent of total billed charges,52.11,percent of total billed charges,52.11,percent of total billed charges,52.11,percent of total billed charges,52.11,percent of total billed charges,52.11,percent of total billed charges,53.55,percent of total billed charges,53.55,percent of total billed charges,57.9,percent of total billed charges,57.9,percent of total billed charges,,,52.11,percent of total billed charges ,,,57.9,percent of total billed charges ,60.79,percent of total billed charges ,60.79,percent of total billed charges ,56.45,percent of total billed charges ,56.45,percent of total billed charges ,57.9,percent of total billed charges ,57.9,percent of total billed charges ,50.66,percent of total billed charges ,50.66,percent of total billed charges ,43.42,percent of total billed charges ,43.42,percent of total billed charges ,43.42,percent of total billed charges ,43.42,percent of total billed charges ,,,,,38.5,percent of total billed charges ,,,,,36.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,,,20.26,percent of total billed charges,
NALOXONE(NARCAN) INJ 2MG/2ML  SYRINGE,J2310,CDM,,,,both,,,284.74,284.74,79.73,284.74,284.74,percent of total billed charges,284.74,percent of total billed charges,284.74,percent of total billed charges,284.74,percent of total billed charges,284.74,percent of total billed charges,284.74,percent of total billed charges,284.74,percent of total billed charges,284.74,percent of total billed charges,205.01,percent of total billed charges,205.01,percent of total billed charges,205.01,percent of total billed charges,205.01,percent of total billed charges,205.01,percent of total billed charges,205.01,percent of total billed charges,210.71,percent of total billed charges,210.71,percent of total billed charges,227.79,percent of total billed charges,227.79,percent of total billed charges,,,205.01,percent of total billed charges ,,,227.79,percent of total billed charges ,239.18,percent of total billed charges ,239.18,percent of total billed charges ,222.1,percent of total billed charges ,222.1,percent of total billed charges ,227.79,percent of total billed charges ,227.79,percent of total billed charges ,199.32,percent of total billed charges ,199.32,percent of total billed charges ,170.84,percent of total billed charges ,170.84,percent of total billed charges ,170.84,percent of total billed charges ,170.84,percent of total billed charges ,,,,,151.48,percent of total billed charges ,,,,,143.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,,,79.73,percent of total billed charges,
**VISTAVITAMIN (WELLNESS PLUS FORM),LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
DAPTOmycin (CUBICIN): 500MG VIAL,J0878,CDM,,,,both,,,247.26,247.26,69.23,247.26,247.26,percent of total billed charges,247.26,percent of total billed charges,247.26,percent of total billed charges,247.26,percent of total billed charges,247.26,percent of total billed charges,247.26,percent of total billed charges,247.26,percent of total billed charges,247.26,percent of total billed charges,178.03,percent of total billed charges,178.03,percent of total billed charges,178.03,percent of total billed charges,178.03,percent of total billed charges,178.03,percent of total billed charges,178.03,percent of total billed charges,182.97,percent of total billed charges,182.97,percent of total billed charges,197.81,percent of total billed charges,197.81,percent of total billed charges,,,178.03,percent of total billed charges ,,,197.81,percent of total billed charges ,207.7,percent of total billed charges ,207.7,percent of total billed charges ,192.86,percent of total billed charges ,192.86,percent of total billed charges ,197.81,percent of total billed charges ,197.81,percent of total billed charges ,173.08,percent of total billed charges ,173.08,percent of total billed charges ,148.36,percent of total billed charges ,148.36,percent of total billed charges ,148.36,percent of total billed charges ,148.36,percent of total billed charges ,,,,,131.54,percent of total billed charges ,,,,,124.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,,,69.23,percent of total billed charges,
GATIFLOXACIN (ZYMAXID) OPTH SOLN 0.5%,LOCAL,LOCAL,,,,both,,,193.52,193.52,54.19,193.52,193.52,percent of total billed charges,193.52,percent of total billed charges,193.52,percent of total billed charges,193.52,percent of total billed charges,193.52,percent of total billed charges,193.52,percent of total billed charges,193.52,percent of total billed charges,193.52,percent of total billed charges,139.33,percent of total billed charges,139.33,percent of total billed charges,139.33,percent of total billed charges,139.33,percent of total billed charges,139.33,percent of total billed charges,139.33,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,154.82,percent of total billed charges,154.82,percent of total billed charges,,,139.33,percent of total billed charges ,,,154.82,percent of total billed charges ,162.56,percent of total billed charges ,162.56,percent of total billed charges ,150.95,percent of total billed charges ,150.95,percent of total billed charges ,154.82,percent of total billed charges ,154.82,percent of total billed charges ,135.46,percent of total billed charges ,135.46,percent of total billed charges ,116.11,percent of total billed charges ,116.11,percent of total billed charges ,116.11,percent of total billed charges ,116.11,percent of total billed charges ,,,,,102.95,percent of total billed charges ,,,,,97.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,,,54.19,percent of total billed charges,
MEMANTINE 10MG (NAMENDA) TABLETS,LOCAL,LOCAL,,,,both,,,1.52,1.52,0.43,1.52,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.52,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.09,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,,,1.09,percent of total billed charges ,,,1.22,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.22,percent of total billed charges ,1.22,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,,,,,0.81,percent of total billed charges ,,,,,0.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
**IBUPROFEN (MOTRIN) 100 MG/5ML: 120ML,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
SULFAMETHOX 400MG/TRIMPRIM 80MG-10ML U/D,LOCAL,LOCAL,,,,both,,,9.85,9.85,2.76,9.85,9.85,percent of total billed charges,9.85,percent of total billed charges,9.85,percent of total billed charges,9.85,percent of total billed charges,9.85,percent of total billed charges,9.85,percent of total billed charges,9.85,percent of total billed charges,9.85,percent of total billed charges,7.09,percent of total billed charges,7.09,percent of total billed charges,7.09,percent of total billed charges,7.09,percent of total billed charges,7.09,percent of total billed charges,7.09,percent of total billed charges,7.29,percent of total billed charges,7.29,percent of total billed charges,7.88,percent of total billed charges,7.88,percent of total billed charges,,,7.09,percent of total billed charges ,,,7.88,percent of total billed charges ,8.27,percent of total billed charges ,8.27,percent of total billed charges ,7.68,percent of total billed charges ,7.68,percent of total billed charges ,7.88,percent of total billed charges ,7.88,percent of total billed charges ,6.9,percent of total billed charges ,6.9,percent of total billed charges ,5.91,percent of total billed charges ,5.91,percent of total billed charges ,5.91,percent of total billed charges ,5.91,percent of total billed charges ,,,,,5.24,percent of total billed charges ,,,,,4.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,,,2.76,percent of total billed charges,
ROSUVASTATIN (CRESTOR) 20MG TAB,LOCAL,LOCAL,,,,both,,,5.38,5.38,1.51,5.38,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,4.3,percent of total billed charges,4.3,percent of total billed charges,,,3.87,percent of total billed charges ,,,4.3,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.3,percent of total billed charges ,4.3,percent of total billed charges ,3.77,percent of total billed charges ,3.77,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,,,,,2.86,percent of total billed charges ,,,,,2.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,
LOPROX (CICLOPIROX OLAMINE)30GM CR,LOCAL,LOCAL,,,,both,,,126.93,126.93,35.54,126.93,126.93,percent of total billed charges,126.93,percent of total billed charges,126.93,percent of total billed charges,126.93,percent of total billed charges,126.93,percent of total billed charges,126.93,percent of total billed charges,126.93,percent of total billed charges,126.93,percent of total billed charges,91.39,percent of total billed charges,91.39,percent of total billed charges,91.39,percent of total billed charges,91.39,percent of total billed charges,91.39,percent of total billed charges,91.39,percent of total billed charges,93.93,percent of total billed charges,93.93,percent of total billed charges,101.54,percent of total billed charges,101.54,percent of total billed charges,,,91.39,percent of total billed charges ,,,101.54,percent of total billed charges ,106.62,percent of total billed charges ,106.62,percent of total billed charges ,99.01,percent of total billed charges ,99.01,percent of total billed charges ,101.54,percent of total billed charges ,101.54,percent of total billed charges ,88.85,percent of total billed charges ,88.85,percent of total billed charges ,76.16,percent of total billed charges ,76.16,percent of total billed charges ,76.16,percent of total billed charges ,76.16,percent of total billed charges ,,,,,67.53,percent of total billed charges ,,,,,64.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,,,35.54,percent of total billed charges,
Metoprolol TART (LOPRESSOR) 25 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
HYDROcodone/acetaminophen 5/325 TAB,LOCAL,LOCAL,,,,both,,,2.93,2.93,0.82,2.93,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.93,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.11,percent of total billed charges,2.17,percent of total billed charges,2.17,percent of total billed charges,2.34,percent of total billed charges,2.34,percent of total billed charges,,,2.11,percent of total billed charges ,,,2.34,percent of total billed charges ,2.46,percent of total billed charges ,2.46,percent of total billed charges ,2.29,percent of total billed charges ,2.29,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.05,percent of total billed charges ,2.05,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,,,,,1.56,percent of total billed charges ,,,,,1.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,,,0.82,percent of total billed charges,
***INSULIN (NovoLOG) 70/30 MIX: PER DOSE,J1815,CDM,,,,both,,,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
**TEGASEROD (ZELNORM) 2MG TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**MIRAPEX (PRAMIPEXOLE) 0.125MG TAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**HIBICLENS (CHLORHEXIDINE) 4% 8 OZ,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
"**STALEVO(CARIDOPA.LEVODOPA,ENTACAPONE)1",LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**ACETIC ACID OTIC (DOMEBORO):CHARGE EA,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
**STALEVO(CARBI/LEVODOPA/ENTACAPONE),LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**STALEVO(CARBI/LEVODOPA/ENTACAPONE)1,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**PAPAIN/UREA CR 30GM: ACCUZYME,LOCAL,LOCAL,,,,both,,,136,136,38.08,136,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,100.64,percent of total billed charges,100.64,percent of total billed charges,108.8,percent of total billed charges,108.8,percent of total billed charges,,,97.92,percent of total billed charges ,,,108.8,percent of total billed charges ,114.24,percent of total billed charges ,114.24,percent of total billed charges ,106.08,percent of total billed charges ,106.08,percent of total billed charges ,108.8,percent of total billed charges ,108.8,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,,,,,72.35,percent of total billed charges ,,,,,68.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,
LABETALOL (NORMODYNE) 100MG TAB,LOCAL,LOCAL,,,,both,,,1.3,1.3,0.36,1.3,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,,,0.94,percent of total billed charges ,,,1.04,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,0.91,percent of total billed charges ,0.91,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,,,,,0.69,percent of total billed charges ,,,,,0.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
**EXEMESTANE 25MG TAB: AROMASIN,LOCAL,LOCAL,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
**ALENDRONATE (FOSAMAX) 35MG TAB,LOCAL,LOCAL,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
**SPIRIVA  (TIOTROPIUM)  INHALER: #30,LOCAL,LOCAL,,,,both,,,95,95,26.6,95,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,95,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,68.4,percent of total billed charges,70.3,percent of total billed charges,70.3,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,,,68.4,percent of total billed charges ,,,76,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,74.1,percent of total billed charges ,74.1,percent of total billed charges ,76,percent of total billed charges ,76,percent of total billed charges ,66.5,percent of total billed charges ,66.5,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,57,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,48.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,,,26.6,percent of total billed charges,
**SLOW FE (FERROUS S04 160MG) 50 MG IRO,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**QUINUPRISTIN/DALFOPRISTIN: 500MG INJ,J2770,CDM,,,,both,,,"1,736.00","1,736.00",486.08,"1,736.00","1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,736.00",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,249.92",percent of total billed charges,"1,284.64",percent of total billed charges,"1,284.64",percent of total billed charges,"1,388.80",percent of total billed charges,"1,388.80",percent of total billed charges,,,"1,249.92",percent of total billed charges ,,,"1,388.80",percent of total billed charges ,"1,458.24",percent of total billed charges ,"1,458.24",percent of total billed charges ,"1,354.08",percent of total billed charges ,"1,354.08",percent of total billed charges ,"1,388.80",percent of total billed charges ,"1,388.80",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,"1,041.60",percent of total billed charges ,,,,,923.55,percent of total billed charges ,,,,,877.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,,,486.08,percent of total billed charges,
**AMOX/CLAVULAN 1000MG: AUGMENTIN XR,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**ESKALITH(LITHIUM) 450MG   TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
LOVASTATIN (MEVACOR) 20MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**MEGESTROL ORAL SUSP 40MG/ML: 240ML S,LOCAL,LOCAL,,,,both,,,352,352,98.56,352,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,260.48,percent of total billed charges,260.48,percent of total billed charges,281.6,percent of total billed charges,281.6,percent of total billed charges,,,253.44,percent of total billed charges ,,,281.6,percent of total billed charges ,295.68,percent of total billed charges ,295.68,percent of total billed charges ,274.56,percent of total billed charges ,274.56,percent of total billed charges ,281.6,percent of total billed charges ,281.6,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,,,,,187.26,percent of total billed charges ,,,,,177.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,
HEPATITIS A (HAVRIX) 720ELU 0.5ML SDV,90632,CDM,,,,both,,,243.79,243.79,68.26,243.79,243.79,percent of total billed charges,243.79,percent of total billed charges,243.79,percent of total billed charges,243.79,percent of total billed charges,243.79,percent of total billed charges,243.79,percent of total billed charges,243.79,percent of total billed charges,243.79,percent of total billed charges,175.53,percent of total billed charges,175.53,percent of total billed charges,175.53,percent of total billed charges,175.53,percent of total billed charges,175.53,percent of total billed charges,175.53,percent of total billed charges,180.4,percent of total billed charges,180.4,percent of total billed charges,195.03,percent of total billed charges,195.03,percent of total billed charges,,,175.53,percent of total billed charges ,,,195.03,percent of total billed charges ,204.78,percent of total billed charges ,204.78,percent of total billed charges ,190.16,percent of total billed charges ,190.16,percent of total billed charges ,195.03,percent of total billed charges ,195.03,percent of total billed charges ,170.65,percent of total billed charges ,170.65,percent of total billed charges ,146.27,percent of total billed charges ,146.27,percent of total billed charges ,146.27,percent of total billed charges ,146.27,percent of total billed charges ,,,,,129.7,percent of total billed charges ,,,,,123.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,,,68.26,percent of total billed charges,
TIOTROPIUM (SPIRIVA)  INHALER,LOCAL,LOCAL,,,,both,,,162.4,162.4,45.47,162.4,162.4,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,162.4,percent of total billed charges,116.93,percent of total billed charges,116.93,percent of total billed charges,116.93,percent of total billed charges,116.93,percent of total billed charges,116.93,percent of total billed charges,116.93,percent of total billed charges,120.18,percent of total billed charges,120.18,percent of total billed charges,129.92,percent of total billed charges,129.92,percent of total billed charges,,,116.93,percent of total billed charges ,,,129.92,percent of total billed charges ,136.42,percent of total billed charges ,136.42,percent of total billed charges ,126.67,percent of total billed charges ,126.67,percent of total billed charges ,129.92,percent of total billed charges ,129.92,percent of total billed charges ,113.68,percent of total billed charges ,113.68,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,97.44,percent of total billed charges ,,,,,86.4,percent of total billed charges ,,,,,82.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,,,45.47,percent of total billed charges,
CLINDAMYCIN (CLEOCIN) TOP SOLN 1% 60ML,LOCAL,LOCAL,,,,both,,,596.31,596.31,166.97,596.31,596.31,percent of total billed charges,596.31,percent of total billed charges,596.31,percent of total billed charges,596.31,percent of total billed charges,596.31,percent of total billed charges,596.31,percent of total billed charges,596.31,percent of total billed charges,596.31,percent of total billed charges,429.34,percent of total billed charges,429.34,percent of total billed charges,429.34,percent of total billed charges,429.34,percent of total billed charges,429.34,percent of total billed charges,429.34,percent of total billed charges,441.27,percent of total billed charges,441.27,percent of total billed charges,477.05,percent of total billed charges,477.05,percent of total billed charges,,,429.34,percent of total billed charges ,,,477.05,percent of total billed charges ,500.9,percent of total billed charges ,500.9,percent of total billed charges ,465.12,percent of total billed charges ,465.12,percent of total billed charges ,477.05,percent of total billed charges ,477.05,percent of total billed charges ,417.42,percent of total billed charges ,417.42,percent of total billed charges ,357.79,percent of total billed charges ,357.79,percent of total billed charges ,357.79,percent of total billed charges ,357.79,percent of total billed charges ,,,,,317.24,percent of total billed charges ,,,,,301.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,,,166.97,percent of total billed charges,
**THALIDOMIDE 50 MG CAP,LOCAL,LOCAL,,,,both,,,"7,289.00","7,289.00","2,040.92","7,289.00","7,289.00",percent of total billed charges,"7,289.00",percent of total billed charges,"7,289.00",percent of total billed charges,"7,289.00",percent of total billed charges,"7,289.00",percent of total billed charges,"7,289.00",percent of total billed charges,"7,289.00",percent of total billed charges,"7,289.00",percent of total billed charges,"5,248.08",percent of total billed charges,"5,248.08",percent of total billed charges,"5,248.08",percent of total billed charges,"5,248.08",percent of total billed charges,"5,248.08",percent of total billed charges,"5,248.08",percent of total billed charges,"5,393.86",percent of total billed charges,"5,393.86",percent of total billed charges,"5,831.20",percent of total billed charges,"5,831.20",percent of total billed charges,,,"5,248.08",percent of total billed charges ,,,"5,831.20",percent of total billed charges ,"6,122.76",percent of total billed charges ,"6,122.76",percent of total billed charges ,"5,685.42",percent of total billed charges ,"5,685.42",percent of total billed charges ,"5,831.20",percent of total billed charges ,"5,831.20",percent of total billed charges ,"5,102.30",percent of total billed charges ,"5,102.30",percent of total billed charges ,"4,373.40",percent of total billed charges ,"4,373.40",percent of total billed charges ,"4,373.40",percent of total billed charges ,"4,373.40",percent of total billed charges ,,,,,"3,877.75",percent of total billed charges ,,,,,"3,683.86",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,,,"2,040.92",percent of total billed charges,
**INSULIN REGULAR **500 UNITS/ML** DOSE,LOCAL,LOCAL,,,,both,,,"2,315.00","2,315.00",648.2,"2,315.00","2,315.00",percent of total billed charges,"2,315.00",percent of total billed charges,"2,315.00",percent of total billed charges,"2,315.00",percent of total billed charges,"2,315.00",percent of total billed charges,"2,315.00",percent of total billed charges,"2,315.00",percent of total billed charges,"2,315.00",percent of total billed charges,"1,666.80",percent of total billed charges,"1,666.80",percent of total billed charges,"1,666.80",percent of total billed charges,"1,666.80",percent of total billed charges,"1,666.80",percent of total billed charges,"1,666.80",percent of total billed charges,"1,713.10",percent of total billed charges,"1,713.10",percent of total billed charges,"1,852.00",percent of total billed charges,"1,852.00",percent of total billed charges,,,"1,666.80",percent of total billed charges ,,,"1,852.00",percent of total billed charges ,"1,944.60",percent of total billed charges ,"1,944.60",percent of total billed charges ,"1,805.70",percent of total billed charges ,"1,805.70",percent of total billed charges ,"1,852.00",percent of total billed charges ,"1,852.00",percent of total billed charges ,"1,620.50",percent of total billed charges ,"1,620.50",percent of total billed charges ,"1,389.00",percent of total billed charges ,"1,389.00",percent of total billed charges ,"1,389.00",percent of total billed charges ,"1,389.00",percent of total billed charges ,,,,,"1,231.58",percent of total billed charges ,,,,,"1,170.00",percent of total billed charges ,,,,,,,,,,,,,,,,,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,,,648.2,percent of total billed charges,
**INSULIN (HUMAN) R U500 20 ML   VIAL,LOCAL,LOCAL,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
HYDROcodone/ACETAMINOPHEN 10/325 TAB,LOCAL,LOCAL,,,,both,,,3.78,3.78,1.06,3.78,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,3.78,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,2.8,percent of total billed charges,2.8,percent of total billed charges,3.02,percent of total billed charges,3.02,percent of total billed charges,,,2.72,percent of total billed charges ,,,3.02,percent of total billed charges ,3.18,percent of total billed charges ,3.18,percent of total billed charges ,2.95,percent of total billed charges ,2.95,percent of total billed charges ,3.02,percent of total billed charges ,3.02,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,,,,,2.01,percent of total billed charges ,,,,,1.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,,,1.06,percent of total billed charges,
hydroCHLOROthiazide 12.5 MG CAPS,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
TROPICAMIDE 1% OPTH SOLN 15mL,LOCAL,LOCAL,,,,both,,,55.58,55.58,15.56,55.58,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,55.58,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,40.02,percent of total billed charges,41.13,percent of total billed charges,41.13,percent of total billed charges,44.46,percent of total billed charges,44.46,percent of total billed charges,,,40.02,percent of total billed charges ,,,44.46,percent of total billed charges ,46.69,percent of total billed charges ,46.69,percent of total billed charges ,43.35,percent of total billed charges ,43.35,percent of total billed charges ,44.46,percent of total billed charges ,44.46,percent of total billed charges ,38.91,percent of total billed charges ,38.91,percent of total billed charges ,33.35,percent of total billed charges ,33.35,percent of total billed charges ,33.35,percent of total billed charges ,33.35,percent of total billed charges ,,,,,29.57,percent of total billed charges ,,,,,28.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,,,15.56,percent of total billed charges,
**ICY HOT RUB CREAM 3OZ,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**ARTHRITIS PAIN CR 3 OZ,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**REMERON (MIRTAZAPINE) 15MG SOLTAB,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**E-ASPERCREME (TROLAMINE SAL) 10% 3OZ,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**E-ARTHRICARE ODORFREE 1.5OZ,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
LIDOCAINE 1% (XYLOCAINE INJ):50ML,J2001,CDM,,,,both,,,29.27,29.27,8.2,29.27,29.27,percent of total billed charges,29.27,percent of total billed charges,29.27,percent of total billed charges,29.27,percent of total billed charges,29.27,percent of total billed charges,29.27,percent of total billed charges,29.27,percent of total billed charges,29.27,percent of total billed charges,21.07,percent of total billed charges,21.07,percent of total billed charges,21.07,percent of total billed charges,21.07,percent of total billed charges,21.07,percent of total billed charges,21.07,percent of total billed charges,21.66,percent of total billed charges,21.66,percent of total billed charges,23.42,percent of total billed charges,23.42,percent of total billed charges,,,21.07,percent of total billed charges ,,,23.42,percent of total billed charges ,24.59,percent of total billed charges ,24.59,percent of total billed charges ,22.83,percent of total billed charges ,22.83,percent of total billed charges ,23.42,percent of total billed charges ,23.42,percent of total billed charges ,20.49,percent of total billed charges ,20.49,percent of total billed charges ,17.56,percent of total billed charges ,17.56,percent of total billed charges ,17.56,percent of total billed charges ,17.56,percent of total billed charges ,,,,,15.57,percent of total billed charges ,,,,,14.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,,,8.2,percent of total billed charges,
HYDROCORTISONE CREAM 1% 28 GM,LOCAL,LOCAL,,,,both,,,18.95,18.95,5.31,18.95,18.95,percent of total billed charges,18.95,percent of total billed charges,18.95,percent of total billed charges,18.95,percent of total billed charges,18.95,percent of total billed charges,18.95,percent of total billed charges,18.95,percent of total billed charges,18.95,percent of total billed charges,13.64,percent of total billed charges,13.64,percent of total billed charges,13.64,percent of total billed charges,13.64,percent of total billed charges,13.64,percent of total billed charges,13.64,percent of total billed charges,14.02,percent of total billed charges,14.02,percent of total billed charges,15.16,percent of total billed charges,15.16,percent of total billed charges,,,13.64,percent of total billed charges ,,,15.16,percent of total billed charges ,15.92,percent of total billed charges ,15.92,percent of total billed charges ,14.78,percent of total billed charges ,14.78,percent of total billed charges ,15.16,percent of total billed charges ,15.16,percent of total billed charges ,13.27,percent of total billed charges ,13.27,percent of total billed charges ,11.37,percent of total billed charges ,11.37,percent of total billed charges ,11.37,percent of total billed charges ,11.37,percent of total billed charges ,,,,,10.08,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,,,5.31,percent of total billed charges,
DICLOFENAC (VOLTAREN) 0.1% OPTH SOLN 5ML,LOCAL,LOCAL,,,,both,,,65.63,65.63,18.38,65.63,65.63,percent of total billed charges,65.63,percent of total billed charges,65.63,percent of total billed charges,65.63,percent of total billed charges,65.63,percent of total billed charges,65.63,percent of total billed charges,65.63,percent of total billed charges,65.63,percent of total billed charges,47.25,percent of total billed charges,47.25,percent of total billed charges,47.25,percent of total billed charges,47.25,percent of total billed charges,47.25,percent of total billed charges,47.25,percent of total billed charges,48.57,percent of total billed charges,48.57,percent of total billed charges,52.5,percent of total billed charges,52.5,percent of total billed charges,,,47.25,percent of total billed charges ,,,52.5,percent of total billed charges ,55.13,percent of total billed charges ,55.13,percent of total billed charges ,51.19,percent of total billed charges ,51.19,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45.94,percent of total billed charges ,45.94,percent of total billed charges ,39.38,percent of total billed charges ,39.38,percent of total billed charges ,39.38,percent of total billed charges ,39.38,percent of total billed charges ,,,,,34.92,percent of total billed charges ,,,,,33.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,,,18.38,percent of total billed charges,
RIFAMPIN(RIFADIN) CAP: 150MG,LOCAL,LOCAL,,,,both,,,3.24,3.24,0.91,3.24,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,3.24,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.59,percent of total billed charges,2.59,percent of total billed charges,,,2.33,percent of total billed charges ,,,2.59,percent of total billed charges ,2.72,percent of total billed charges ,2.72,percent of total billed charges ,2.53,percent of total billed charges ,2.53,percent of total billed charges ,2.59,percent of total billed charges ,2.59,percent of total billed charges ,2.27,percent of total billed charges ,2.27,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,,,,,1.72,percent of total billed charges ,,,,,1.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,,,0.91,percent of total billed charges,
**INSULIN NEEDLES: INS PEN 31G: #100,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**GABITRIL (TIAGABINE) 4MG TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**MEBENDAZOLE 100MG CHEW TAB (VERMO,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**VITAMIN/MINERALSUPPL(I CAP TAB),LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
CLINDAMYCIN 300MG IVPB,LOCAL,LOCAL,,,,both,,,52.77,52.77,14.78,52.77,52.77,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,52.77,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,39.05,percent of total billed charges,39.05,percent of total billed charges,42.22,percent of total billed charges,42.22,percent of total billed charges,,,37.99,percent of total billed charges ,,,42.22,percent of total billed charges ,44.33,percent of total billed charges ,44.33,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,42.22,percent of total billed charges ,42.22,percent of total billed charges ,36.94,percent of total billed charges ,36.94,percent of total billed charges ,31.66,percent of total billed charges ,31.66,percent of total billed charges ,31.66,percent of total billed charges ,31.66,percent of total billed charges ,,,,,28.07,percent of total billed charges ,,,,,26.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,,,14.78,percent of total billed charges,
MOXIFLOXACIN (VIGAMOX) OPHTH SOLN 0.5%,LOCAL,LOCAL,,,,both,,,58.85,58.85,16.48,58.85,58.85,percent of total billed charges,58.85,percent of total billed charges,58.85,percent of total billed charges,58.85,percent of total billed charges,58.85,percent of total billed charges,58.85,percent of total billed charges,58.85,percent of total billed charges,58.85,percent of total billed charges,42.37,percent of total billed charges,42.37,percent of total billed charges,42.37,percent of total billed charges,42.37,percent of total billed charges,42.37,percent of total billed charges,42.37,percent of total billed charges,43.55,percent of total billed charges,43.55,percent of total billed charges,47.08,percent of total billed charges,47.08,percent of total billed charges,,,42.37,percent of total billed charges ,,,47.08,percent of total billed charges ,49.43,percent of total billed charges ,49.43,percent of total billed charges ,45.9,percent of total billed charges ,45.9,percent of total billed charges ,47.08,percent of total billed charges ,47.08,percent of total billed charges ,41.2,percent of total billed charges ,41.2,percent of total billed charges ,35.31,percent of total billed charges ,35.31,percent of total billed charges ,35.31,percent of total billed charges ,35.31,percent of total billed charges ,,,,,31.31,percent of total billed charges ,,,,,29.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,,,16.48,percent of total billed charges,
CARVedilol (COREG) 3.125MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
LEVOBUNOLOL 0.5% (BETAGAN) OPHTH SOLN,LOCAL,LOCAL,,,,both,,,39.26,39.26,10.99,39.26,39.26,percent of total billed charges,39.26,percent of total billed charges,39.26,percent of total billed charges,39.26,percent of total billed charges,39.26,percent of total billed charges,39.26,percent of total billed charges,39.26,percent of total billed charges,39.26,percent of total billed charges,28.27,percent of total billed charges,28.27,percent of total billed charges,28.27,percent of total billed charges,28.27,percent of total billed charges,28.27,percent of total billed charges,28.27,percent of total billed charges,29.05,percent of total billed charges,29.05,percent of total billed charges,31.41,percent of total billed charges,31.41,percent of total billed charges,,,28.27,percent of total billed charges ,,,31.41,percent of total billed charges ,32.98,percent of total billed charges ,32.98,percent of total billed charges ,30.62,percent of total billed charges ,30.62,percent of total billed charges ,31.41,percent of total billed charges ,31.41,percent of total billed charges ,27.48,percent of total billed charges ,27.48,percent of total billed charges ,23.56,percent of total billed charges ,23.56,percent of total billed charges ,23.56,percent of total billed charges ,23.56,percent of total billed charges ,,,,,20.89,percent of total billed charges ,,,,,19.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,,,10.99,percent of total billed charges,
KETOROLAC 0.5% OPTH SUSP 5 ML,LOCAL,LOCAL,,,,both,,,46.35,46.35,12.98,46.35,46.35,percent of total billed charges,46.35,percent of total billed charges,46.35,percent of total billed charges,46.35,percent of total billed charges,46.35,percent of total billed charges,46.35,percent of total billed charges,46.35,percent of total billed charges,46.35,percent of total billed charges,33.37,percent of total billed charges,33.37,percent of total billed charges,33.37,percent of total billed charges,33.37,percent of total billed charges,33.37,percent of total billed charges,33.37,percent of total billed charges,34.3,percent of total billed charges,34.3,percent of total billed charges,37.08,percent of total billed charges,37.08,percent of total billed charges,,,33.37,percent of total billed charges ,,,37.08,percent of total billed charges ,38.93,percent of total billed charges ,38.93,percent of total billed charges ,36.15,percent of total billed charges ,36.15,percent of total billed charges ,37.08,percent of total billed charges ,37.08,percent of total billed charges ,32.45,percent of total billed charges ,32.45,percent of total billed charges ,27.81,percent of total billed charges ,27.81,percent of total billed charges ,27.81,percent of total billed charges ,27.81,percent of total billed charges ,,,,,24.66,percent of total billed charges ,,,,,23.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,,,12.98,percent of total billed charges,
levoFLOXacin 750MG/150ML  IVPB,J1956,CDM,,,,both,,,37.42,37.42,10.48,37.42,37.42,percent of total billed charges,37.42,percent of total billed charges,37.42,percent of total billed charges,37.42,percent of total billed charges,37.42,percent of total billed charges,37.42,percent of total billed charges,37.42,percent of total billed charges,37.42,percent of total billed charges,26.94,percent of total billed charges,26.94,percent of total billed charges,26.94,percent of total billed charges,26.94,percent of total billed charges,26.94,percent of total billed charges,26.94,percent of total billed charges,27.69,percent of total billed charges,27.69,percent of total billed charges,29.94,percent of total billed charges,29.94,percent of total billed charges,,,26.94,percent of total billed charges ,,,29.94,percent of total billed charges ,31.43,percent of total billed charges ,31.43,percent of total billed charges ,29.19,percent of total billed charges ,29.19,percent of total billed charges ,29.94,percent of total billed charges ,29.94,percent of total billed charges ,26.19,percent of total billed charges ,26.19,percent of total billed charges ,22.45,percent of total billed charges ,22.45,percent of total billed charges ,22.45,percent of total billed charges ,22.45,percent of total billed charges ,,,,,19.91,percent of total billed charges ,,,,,18.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,,,10.48,percent of total billed charges,
LEVOTHYROXINE (SYNTHROID) 0.137 MG TAB,LOCAL,LOCAL,,,,both,,,1.32,1.32,0.37,1.32,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,,,0.95,percent of total billed charges ,,,1.06,percent of total billed charges ,1.11,percent of total billed charges ,1.11,percent of total billed charges ,1.03,percent of total billed charges ,1.03,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,0.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,
AMPICILLIN 2GM: VIAL,J0290,CDM,,,,both,,,43.96,43.96,12.31,43.96,43.96,percent of total billed charges,43.96,percent of total billed charges,43.96,percent of total billed charges,43.96,percent of total billed charges,43.96,percent of total billed charges,43.96,percent of total billed charges,43.96,percent of total billed charges,43.96,percent of total billed charges,31.65,percent of total billed charges,31.65,percent of total billed charges,31.65,percent of total billed charges,31.65,percent of total billed charges,31.65,percent of total billed charges,31.65,percent of total billed charges,32.53,percent of total billed charges,32.53,percent of total billed charges,35.17,percent of total billed charges,35.17,percent of total billed charges,,,31.65,percent of total billed charges ,,,35.17,percent of total billed charges ,36.93,percent of total billed charges ,36.93,percent of total billed charges ,34.29,percent of total billed charges ,34.29,percent of total billed charges ,35.17,percent of total billed charges ,35.17,percent of total billed charges ,30.77,percent of total billed charges ,30.77,percent of total billed charges ,26.38,percent of total billed charges ,26.38,percent of total billed charges ,26.38,percent of total billed charges ,26.38,percent of total billed charges ,,,,,23.39,percent of total billed charges ,,,,,22.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,,,12.31,percent of total billed charges,
**MEDROXYPROGESTERONE 150 INJ,J1055,CDM,,,,both,,,431,431,120.68,431,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,431,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,310.32,percent of total billed charges,318.94,percent of total billed charges,318.94,percent of total billed charges,344.8,percent of total billed charges,344.8,percent of total billed charges,,,310.32,percent of total billed charges ,,,344.8,percent of total billed charges ,362.04,percent of total billed charges ,362.04,percent of total billed charges ,336.18,percent of total billed charges ,336.18,percent of total billed charges ,344.8,percent of total billed charges ,344.8,percent of total billed charges ,301.7,percent of total billed charges ,301.7,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,258.6,percent of total billed charges ,,,,,229.29,percent of total billed charges ,,,,,217.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,,,120.68,percent of total billed charges,
**ROWASA (MESALAMINE) ENEMA 60ML,LOCAL,LOCAL,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**ALENDRONATE LIQUID,LOCAL,LOCAL,,,,both,,,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
**SILDENAFIL 50MG: VIAGRA,LOCAL,LOCAL,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
OSELTAMIVIR (TAMIFLU) 6 MG/ML ORAL SUSP,LOCAL,LOCAL,,,,both,,,463.6,463.6,129.81,463.6,463.6,percent of total billed charges,463.6,percent of total billed charges,463.6,percent of total billed charges,463.6,percent of total billed charges,463.6,percent of total billed charges,463.6,percent of total billed charges,463.6,percent of total billed charges,463.6,percent of total billed charges,333.79,percent of total billed charges,333.79,percent of total billed charges,333.79,percent of total billed charges,333.79,percent of total billed charges,333.79,percent of total billed charges,333.79,percent of total billed charges,343.06,percent of total billed charges,343.06,percent of total billed charges,370.88,percent of total billed charges,370.88,percent of total billed charges,,,333.79,percent of total billed charges ,,,370.88,percent of total billed charges ,389.42,percent of total billed charges ,389.42,percent of total billed charges ,361.61,percent of total billed charges ,361.61,percent of total billed charges ,370.88,percent of total billed charges ,370.88,percent of total billed charges ,324.52,percent of total billed charges ,324.52,percent of total billed charges ,278.16,percent of total billed charges ,278.16,percent of total billed charges ,278.16,percent of total billed charges ,278.16,percent of total billed charges ,,,,,246.64,percent of total billed charges ,,,,,234.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,,,129.81,percent of total billed charges,
**RIMANTIDINE (FLUMADINE) SYRUP 8 OZ,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**E-TYLENOL SINUS M/S CAPLET: 48,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**LUGOL'S SOLN (IODINE STRONG) 500ML,LOCAL,LOCAL,,,,both,,,225,225,63,225,225,percent of total billed charges,225,percent of total billed charges,225,percent of total billed charges,225,percent of total billed charges,225,percent of total billed charges,225,percent of total billed charges,225,percent of total billed charges,225,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,166.5,percent of total billed charges,166.5,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,,,162,percent of total billed charges ,,,180,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,175.5,percent of total billed charges ,175.5,percent of total billed charges ,180,percent of total billed charges ,180,percent of total billed charges ,157.5,percent of total billed charges ,157.5,percent of total billed charges ,135,percent of total billed charges ,135,percent of total billed charges ,135,percent of total billed charges ,135,percent of total billed charges ,,,,,119.7,percent of total billed charges ,,,,,113.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,,,63,percent of total billed charges,
DULoxetine (CYMBALTA) 30MG CAP,LOCAL,LOCAL,,,,both,,,3.99,3.99,1.12,3.99,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,3.99,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.87,percent of total billed charges,2.95,percent of total billed charges,2.95,percent of total billed charges,3.19,percent of total billed charges,3.19,percent of total billed charges,,,2.87,percent of total billed charges ,,,3.19,percent of total billed charges ,3.35,percent of total billed charges ,3.35,percent of total billed charges ,3.11,percent of total billed charges ,3.11,percent of total billed charges ,3.19,percent of total billed charges ,3.19,percent of total billed charges ,2.79,percent of total billed charges ,2.79,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,2.39,percent of total billed charges ,,,,,2.12,percent of total billed charges ,,,,,2.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,,,1.12,percent of total billed charges,
PIPRACILLIN/TAZOBACTAM 4.5 GM IVPB MB+,J2543,CDM,,,,both,,,77.7,77.7,21.76,77.7,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,57.5,percent of total billed charges,57.5,percent of total billed charges,62.16,percent of total billed charges,62.16,percent of total billed charges,,,55.94,percent of total billed charges ,,,62.16,percent of total billed charges ,65.27,percent of total billed charges ,65.27,percent of total billed charges ,60.61,percent of total billed charges ,60.61,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,54.39,percent of total billed charges ,54.39,percent of total billed charges ,46.62,percent of total billed charges ,46.62,percent of total billed charges ,46.62,percent of total billed charges ,46.62,percent of total billed charges ,,,,,41.34,percent of total billed charges ,,,,,39.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,
**MENTHOL/CAMPHOR LOTION (SARNA),LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
MEXILETINE (MEXITIL) 150MG CAP,LOCAL,LOCAL,,,,both,,,17.8,17.8,4.98,17.8,17.8,percent of total billed charges,17.8,percent of total billed charges,17.8,percent of total billed charges,17.8,percent of total billed charges,17.8,percent of total billed charges,17.8,percent of total billed charges,17.8,percent of total billed charges,17.8,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,12.82,percent of total billed charges,13.17,percent of total billed charges,13.17,percent of total billed charges,14.24,percent of total billed charges,14.24,percent of total billed charges,,,12.82,percent of total billed charges ,,,14.24,percent of total billed charges ,14.95,percent of total billed charges ,14.95,percent of total billed charges ,13.88,percent of total billed charges ,13.88,percent of total billed charges ,14.24,percent of total billed charges ,14.24,percent of total billed charges ,12.46,percent of total billed charges ,12.46,percent of total billed charges ,10.68,percent of total billed charges ,10.68,percent of total billed charges ,10.68,percent of total billed charges ,10.68,percent of total billed charges ,,,,,9.47,percent of total billed charges ,,,,,9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,,,4.98,percent of total billed charges,
**E-TAVIST/ALLER/SIN/HEAD: 24 TAB,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
EDROPHONIUM 10MG/ML 15ML VIAL (TENSILON),LOCAL,LOCAL,,,,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**E-EXCEDRIN GEL TAB :50,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
NF droNABinol (MARINOL) 5MG CAP,LOCAL,LOCAL,,,,both,,,41.78,41.78,11.7,41.78,41.78,percent of total billed charges,41.78,percent of total billed charges,41.78,percent of total billed charges,41.78,percent of total billed charges,41.78,percent of total billed charges,41.78,percent of total billed charges,41.78,percent of total billed charges,41.78,percent of total billed charges,30.08,percent of total billed charges,30.08,percent of total billed charges,30.08,percent of total billed charges,30.08,percent of total billed charges,30.08,percent of total billed charges,30.08,percent of total billed charges,30.92,percent of total billed charges,30.92,percent of total billed charges,33.42,percent of total billed charges,33.42,percent of total billed charges,,,30.08,percent of total billed charges ,,,33.42,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,32.59,percent of total billed charges ,32.59,percent of total billed charges ,33.42,percent of total billed charges ,33.42,percent of total billed charges ,29.25,percent of total billed charges ,29.25,percent of total billed charges ,25.07,percent of total billed charges ,25.07,percent of total billed charges ,25.07,percent of total billed charges ,25.07,percent of total billed charges ,,,,,22.23,percent of total billed charges ,,,,,21.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,,,11.7,percent of total billed charges,
**HIDDEN NOT TO BE USED UROMAG,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**MYLANTA GEL CAPS: 50,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
ROPIvacaine (NAROPIN) 0.2% 40MG/20ML INJ,J2795,CDM,,,,both,,,137.6,137.6,38.53,137.6,137.6,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,137.6,percent of total billed charges,99.07,percent of total billed charges,99.07,percent of total billed charges,99.07,percent of total billed charges,99.07,percent of total billed charges,99.07,percent of total billed charges,99.07,percent of total billed charges,101.82,percent of total billed charges,101.82,percent of total billed charges,110.08,percent of total billed charges,110.08,percent of total billed charges,,,99.07,percent of total billed charges ,,,110.08,percent of total billed charges ,115.58,percent of total billed charges ,115.58,percent of total billed charges ,107.33,percent of total billed charges ,107.33,percent of total billed charges ,110.08,percent of total billed charges ,110.08,percent of total billed charges ,96.32,percent of total billed charges ,96.32,percent of total billed charges ,82.56,percent of total billed charges ,82.56,percent of total billed charges ,82.56,percent of total billed charges ,82.56,percent of total billed charges ,,,,,73.2,percent of total billed charges ,,,,,69.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,,,38.53,percent of total billed charges,
pyRIDostigmine (REGONAL) INJ 10MG/5ML,LOCAL,LOCAL,,,,both,,,295,295,82.6,295,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,295,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,212.4,percent of total billed charges,218.3,percent of total billed charges,218.3,percent of total billed charges,236,percent of total billed charges,236,percent of total billed charges,,,212.4,percent of total billed charges ,,,236,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,230.1,percent of total billed charges ,230.1,percent of total billed charges ,236,percent of total billed charges ,236,percent of total billed charges ,206.5,percent of total billed charges ,206.5,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,177,percent of total billed charges ,,,,,156.94,percent of total billed charges ,,,,,149.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,,,82.6,percent of total billed charges,
DANTROLENE (DANTRIUM) 25MG CAP,LOCAL,LOCAL,,,,both,,,4.43,4.43,1.24,4.43,4.43,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,3.19,percent of total billed charges,3.19,percent of total billed charges,3.19,percent of total billed charges,3.19,percent of total billed charges,3.19,percent of total billed charges,3.19,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,,,3.19,percent of total billed charges ,,,3.54,percent of total billed charges ,3.72,percent of total billed charges ,3.72,percent of total billed charges ,3.46,percent of total billed charges ,3.46,percent of total billed charges ,3.54,percent of total billed charges ,3.54,percent of total billed charges ,3.1,percent of total billed charges ,3.1,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,,,,,2.36,percent of total billed charges ,,,,,2.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,,,1.24,percent of total billed charges,
**PENICILLIN G POT 20MMU IV,LOCAL,LOCAL,,,,both,,,391,391,109.48,391,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,391,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,281.52,percent of total billed charges,289.34,percent of total billed charges,289.34,percent of total billed charges,312.8,percent of total billed charges,312.8,percent of total billed charges,,,281.52,percent of total billed charges ,,,312.8,percent of total billed charges ,328.44,percent of total billed charges ,328.44,percent of total billed charges ,304.98,percent of total billed charges ,304.98,percent of total billed charges ,312.8,percent of total billed charges ,312.8,percent of total billed charges ,273.7,percent of total billed charges ,273.7,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,234.6,percent of total billed charges ,,,,,208.01,percent of total billed charges ,,,,,197.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,,,109.48,percent of total billed charges,
**SPIRONOLACTONE 50 MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ONDANSETRON (ZOFRAN) ODT 8MG TAB,J8597,CDM,,,,both,,,2.62,2.62,0.73,2.62,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.89,percent of total billed charges,1.94,percent of total billed charges,1.94,percent of total billed charges,2.1,percent of total billed charges,2.1,percent of total billed charges,,,1.89,percent of total billed charges ,,,2.1,percent of total billed charges ,2.2,percent of total billed charges ,2.2,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,,,,,1.39,percent of total billed charges ,,,,,1.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,
COLESTIPOL (COLESTID) 1GM : TAB,LOCAL,LOCAL,,,,both,,,4.77,4.77,1.34,4.77,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,4.77,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.43,percent of total billed charges,3.53,percent of total billed charges,3.53,percent of total billed charges,3.82,percent of total billed charges,3.82,percent of total billed charges,,,3.43,percent of total billed charges ,,,3.82,percent of total billed charges ,4.01,percent of total billed charges ,4.01,percent of total billed charges ,3.72,percent of total billed charges ,3.72,percent of total billed charges ,3.82,percent of total billed charges ,3.82,percent of total billed charges ,3.34,percent of total billed charges ,3.34,percent of total billed charges ,2.86,percent of total billed charges ,2.86,percent of total billed charges ,2.86,percent of total billed charges ,2.86,percent of total billed charges ,,,,,2.54,percent of total billed charges ,,,,,2.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,,,1.34,percent of total billed charges,
NACL 0.9% 1000ML + KCL 40MEQ,LOCAL,LOCAL,,,,both,,,129.72,129.72,36.32,129.72,129.72,percent of total billed charges,129.72,percent of total billed charges,129.72,percent of total billed charges,129.72,percent of total billed charges,129.72,percent of total billed charges,129.72,percent of total billed charges,129.72,percent of total billed charges,129.72,percent of total billed charges,93.4,percent of total billed charges,93.4,percent of total billed charges,93.4,percent of total billed charges,93.4,percent of total billed charges,93.4,percent of total billed charges,93.4,percent of total billed charges,95.99,percent of total billed charges,95.99,percent of total billed charges,103.78,percent of total billed charges,103.78,percent of total billed charges,,,93.4,percent of total billed charges ,,,103.78,percent of total billed charges ,108.96,percent of total billed charges ,108.96,percent of total billed charges ,101.18,percent of total billed charges ,101.18,percent of total billed charges ,103.78,percent of total billed charges ,103.78,percent of total billed charges ,90.8,percent of total billed charges ,90.8,percent of total billed charges ,77.83,percent of total billed charges ,77.83,percent of total billed charges ,77.83,percent of total billed charges ,77.83,percent of total billed charges ,,,,,69.01,percent of total billed charges ,,,,,65.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,,,36.32,percent of total billed charges,
**PAPAVERINE 30MG/ML 10ML VIAL,J2440,CDM,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
HYDROCORTISONE (CORTEF) 20 MG TAB:,LOCAL,LOCAL,,,,both,,,5.1,5.1,1.43,5.1,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,,,3.67,percent of total billed charges ,,,4.08,percent of total billed charges ,4.28,percent of total billed charges ,4.28,percent of total billed charges ,3.98,percent of total billed charges ,3.98,percent of total billed charges ,4.08,percent of total billed charges ,4.08,percent of total billed charges ,3.57,percent of total billed charges ,3.57,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,,,,,2.71,percent of total billed charges ,,,,,2.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,
dilTIAZem (CARDIZEM) 60 MG TAB,LOCAL,LOCAL,,,,both,,,0.54,0.54,0.15,0.54,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.54,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.39,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.43,percent of total billed charges,0.43,percent of total billed charges,,,0.39,percent of total billed charges ,,,0.43,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,0.32,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
**PERPHENAZINE/AMITRIPTYLINE 4/25: TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ESMOLOL: (BREVIBLOC) 2500MG IN 250ML NS,J3490,CDM,,,,both,,,831.64,831.64,232.86,831.64,831.64,percent of total billed charges,831.64,percent of total billed charges,831.64,percent of total billed charges,831.64,percent of total billed charges,831.64,percent of total billed charges,831.64,percent of total billed charges,831.64,percent of total billed charges,831.64,percent of total billed charges,598.78,percent of total billed charges,598.78,percent of total billed charges,598.78,percent of total billed charges,598.78,percent of total billed charges,598.78,percent of total billed charges,598.78,percent of total billed charges,615.41,percent of total billed charges,615.41,percent of total billed charges,665.31,percent of total billed charges,665.31,percent of total billed charges,,,598.78,percent of total billed charges ,,,665.31,percent of total billed charges ,698.58,percent of total billed charges ,698.58,percent of total billed charges ,648.68,percent of total billed charges ,648.68,percent of total billed charges ,665.31,percent of total billed charges ,665.31,percent of total billed charges ,582.15,percent of total billed charges ,582.15,percent of total billed charges ,498.98,percent of total billed charges ,498.98,percent of total billed charges ,498.98,percent of total billed charges ,498.98,percent of total billed charges ,,,,,442.43,percent of total billed charges ,,,,,420.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,,,232.86,percent of total billed charges,
TROSPIUM CL (SANCTURA) 20 MG TAB,LOCAL,LOCAL,,,,both,,,1.35,1.35,0.38,1.35,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1.08,percent of total billed charges,1.08,percent of total billed charges,,,0.97,percent of total billed charges ,,,1.08,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,0.81,percent of total billed charges ,,,,,0.72,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,,,0.38,percent of total billed charges,
**BENICAR (OLMESARTAN)/HCT 40/12.5MG T,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**E-ACETAMINOPHEN (GEN) 325MG 1000'S,LOCAL,LOCAL,,,,both,,,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
**ZIDOVUDINE (RETROVIR) SYRUP 10MG/ML,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**ZIDOVUDINE 10MG/ML 20ML VIAL (RETROVIR,J3485,CDM,,,,both,,,61,61,17.08,61,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,61,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,43.92,percent of total billed charges,45.14,percent of total billed charges,45.14,percent of total billed charges,48.8,percent of total billed charges,48.8,percent of total billed charges,,,43.92,percent of total billed charges ,,,48.8,percent of total billed charges ,51.24,percent of total billed charges ,51.24,percent of total billed charges ,47.58,percent of total billed charges ,47.58,percent of total billed charges ,48.8,percent of total billed charges ,48.8,percent of total billed charges ,42.7,percent of total billed charges ,42.7,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,36.6,percent of total billed charges ,,,,,32.45,percent of total billed charges ,,,,,30.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,,,17.08,percent of total billed charges,
**FERROUS SULFATE INFANT DROPS 50 ML,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
CASPOFUNGIN: (CANCIDAS) 50MG IVPB,J0637,CDM,,,,both,,,630.65,630.65,176.58,630.65,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,466.68,percent of total billed charges,466.68,percent of total billed charges,504.52,percent of total billed charges,504.52,percent of total billed charges,,,454.07,percent of total billed charges ,,,504.52,percent of total billed charges ,529.75,percent of total billed charges ,529.75,percent of total billed charges ,491.91,percent of total billed charges ,491.91,percent of total billed charges ,504.52,percent of total billed charges ,504.52,percent of total billed charges ,441.46,percent of total billed charges ,441.46,percent of total billed charges ,378.39,percent of total billed charges ,378.39,percent of total billed charges ,378.39,percent of total billed charges ,378.39,percent of total billed charges ,,,,,335.51,percent of total billed charges ,,,,,318.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,
CASPOFUNGIN ACETATE (CANCIDAS) 50MG:VIAL,J0637,CDM,,,,both,,,630.65,630.65,176.58,630.65,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,630.65,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,454.07,percent of total billed charges,466.68,percent of total billed charges,466.68,percent of total billed charges,504.52,percent of total billed charges,504.52,percent of total billed charges,,,454.07,percent of total billed charges ,,,504.52,percent of total billed charges ,529.75,percent of total billed charges ,529.75,percent of total billed charges ,491.91,percent of total billed charges ,491.91,percent of total billed charges ,504.52,percent of total billed charges ,504.52,percent of total billed charges ,441.46,percent of total billed charges ,441.46,percent of total billed charges ,378.39,percent of total billed charges ,378.39,percent of total billed charges ,378.39,percent of total billed charges ,378.39,percent of total billed charges ,,,,,335.51,percent of total billed charges ,,,,,318.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,,,176.58,percent of total billed charges,
NACL 0.9% 10 ML VIAL,LOCAL,LOCAL,,,,both,,,8.01,8.01,2.24,8.01,8.01,percent of total billed charges,8.01,percent of total billed charges,8.01,percent of total billed charges,8.01,percent of total billed charges,8.01,percent of total billed charges,8.01,percent of total billed charges,8.01,percent of total billed charges,8.01,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.77,percent of total billed charges,5.93,percent of total billed charges,5.93,percent of total billed charges,6.41,percent of total billed charges,6.41,percent of total billed charges,,,5.77,percent of total billed charges ,,,6.41,percent of total billed charges ,6.73,percent of total billed charges ,6.73,percent of total billed charges ,6.25,percent of total billed charges ,6.25,percent of total billed charges ,6.41,percent of total billed charges ,6.41,percent of total billed charges ,5.61,percent of total billed charges ,5.61,percent of total billed charges ,4.81,percent of total billed charges ,4.81,percent of total billed charges ,4.81,percent of total billed charges ,4.81,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DAPSONE 100MG TABLET,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PEMOLINE 37.5MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**ESTRACE (ESTRADIOL VAGINAL CREAM) 0.01,LOCAL,LOCAL,,,,both,,,292,292,81.76,292,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,292,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,210.24,percent of total billed charges,216.08,percent of total billed charges,216.08,percent of total billed charges,233.6,percent of total billed charges,233.6,percent of total billed charges,,,210.24,percent of total billed charges ,,,233.6,percent of total billed charges ,245.28,percent of total billed charges ,245.28,percent of total billed charges ,227.76,percent of total billed charges ,227.76,percent of total billed charges ,233.6,percent of total billed charges ,233.6,percent of total billed charges ,204.4,percent of total billed charges ,204.4,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,,,,,155.34,percent of total billed charges ,,,,,147.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,,,81.76,percent of total billed charges,
OLMESARTAN  (BENICAR)  40MG TABLET,LOCAL,LOCAL,,,,both,,,1.41,1.41,0.39,1.41,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,1.04,percent of total billed charges,1.04,percent of total billed charges,1.13,percent of total billed charges,1.13,percent of total billed charges,,,1.02,percent of total billed charges ,,,1.13,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.13,percent of total billed charges ,1.13,percent of total billed charges ,0.99,percent of total billed charges ,0.99,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,,,,,0.75,percent of total billed charges ,,,,,0.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,,,0.39,percent of total billed charges,
**LEVOCARNITINE (CARNITOR) INJ 1 GM/5ML,J1955,CDM,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**RAMIPRIL 1.25 MG CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**D10 (10% DEXTROSE) 1/4 NACL: 500 ML,LOCAL,LOCAL,,,,both,,,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
**CYANOCOBALAMINE (VIT B-12) 100 MCG T,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
AMIOdarone 900MG IN D5W 500ML DRIP,J0282,CDM,,,,both,,,371,371,103.88,371,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,371,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,267.12,percent of total billed charges,274.54,percent of total billed charges,274.54,percent of total billed charges,296.8,percent of total billed charges,296.8,percent of total billed charges,,,267.12,percent of total billed charges ,,,296.8,percent of total billed charges ,311.64,percent of total billed charges ,311.64,percent of total billed charges ,289.38,percent of total billed charges ,289.38,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,259.7,percent of total billed charges ,259.7,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,,,,,197.37,percent of total billed charges ,,,,,187.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,,,103.88,percent of total billed charges,
**IRON/FOLIC ACID/VIT C TAB (FERO-FOLIC),LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**DAPIPAZOLE (REV-EYES) 0.5% SOLN,LOCAL,LOCAL,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
**oxyCODONE ORAL SOLN 5 MG/5ML 5ML DO,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
NITROGLYCERIN: 50MG/250 ML PREMIX BOTTLE,LOCAL,LOCAL,,,,both,,,175.36,175.36,49.1,175.36,175.36,percent of total billed charges,175.36,percent of total billed charges,175.36,percent of total billed charges,175.36,percent of total billed charges,175.36,percent of total billed charges,175.36,percent of total billed charges,175.36,percent of total billed charges,175.36,percent of total billed charges,126.26,percent of total billed charges,126.26,percent of total billed charges,126.26,percent of total billed charges,126.26,percent of total billed charges,126.26,percent of total billed charges,126.26,percent of total billed charges,129.77,percent of total billed charges,129.77,percent of total billed charges,140.29,percent of total billed charges,140.29,percent of total billed charges,,,126.26,percent of total billed charges ,,,140.29,percent of total billed charges ,147.3,percent of total billed charges ,147.3,percent of total billed charges ,136.78,percent of total billed charges ,136.78,percent of total billed charges ,140.29,percent of total billed charges ,140.29,percent of total billed charges ,122.75,percent of total billed charges ,122.75,percent of total billed charges ,105.22,percent of total billed charges ,105.22,percent of total billed charges ,105.22,percent of total billed charges ,105.22,percent of total billed charges ,,,,,93.29,percent of total billed charges ,,,,,88.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,,,49.1,percent of total billed charges,
**ROSIGLITAZONE/METFORMIN 5/500 (AVANDAM,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**ATENOLOL 100MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**TRIPLE DYE APPLICATOR SOLN: PER APPLIC,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**MENINGOCOCCAL VACCINE (MENOMUNE),90733,CDM,,,,both,,,487.02,487.02,136.37,487.02,487.02,percent of total billed charges,487.02,percent of total billed charges,487.02,percent of total billed charges,487.02,percent of total billed charges,487.02,percent of total billed charges,487.02,percent of total billed charges,487.02,percent of total billed charges,487.02,percent of total billed charges,350.65,percent of total billed charges,350.65,percent of total billed charges,350.65,percent of total billed charges,350.65,percent of total billed charges,350.65,percent of total billed charges,350.65,percent of total billed charges,360.39,percent of total billed charges,360.39,percent of total billed charges,389.62,percent of total billed charges,389.62,percent of total billed charges,,,350.65,percent of total billed charges ,,,389.62,percent of total billed charges ,409.1,percent of total billed charges ,409.1,percent of total billed charges ,379.88,percent of total billed charges ,379.88,percent of total billed charges ,389.62,percent of total billed charges ,389.62,percent of total billed charges ,340.91,percent of total billed charges ,340.91,percent of total billed charges ,292.21,percent of total billed charges ,292.21,percent of total billed charges ,292.21,percent of total billed charges ,292.21,percent of total billed charges ,,,,,259.09,percent of total billed charges ,,,,,246.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,,,136.37,percent of total billed charges,
**BUDESONIDE (PULMICORT) RESPULS 0.5MG/2,J7626,CDM,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**E-NAPROXEN SOD 220 MG 50'S (NAPROSYN),LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
TIGECYCLINE INJ 50MG IVPB,J3243,CDM,,,,both,,,317.4,317.4,88.87,317.4,317.4,percent of total billed charges,317.4,percent of total billed charges,317.4,percent of total billed charges,317.4,percent of total billed charges,317.4,percent of total billed charges,317.4,percent of total billed charges,317.4,percent of total billed charges,317.4,percent of total billed charges,228.53,percent of total billed charges,228.53,percent of total billed charges,228.53,percent of total billed charges,228.53,percent of total billed charges,228.53,percent of total billed charges,228.53,percent of total billed charges,234.88,percent of total billed charges,234.88,percent of total billed charges,253.92,percent of total billed charges,253.92,percent of total billed charges,,,228.53,percent of total billed charges ,,,253.92,percent of total billed charges ,266.62,percent of total billed charges ,266.62,percent of total billed charges ,247.57,percent of total billed charges ,247.57,percent of total billed charges ,253.92,percent of total billed charges ,253.92,percent of total billed charges ,222.18,percent of total billed charges ,222.18,percent of total billed charges ,190.44,percent of total billed charges ,190.44,percent of total billed charges ,190.44,percent of total billed charges ,190.44,percent of total billed charges ,,,,,168.86,percent of total billed charges ,,,,,160.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,,,88.87,percent of total billed charges,
**PENTAMIDINE 300MG VIAL (PENTAM),J2545,CDM,,,,both,,,151,151,42.28,151,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,111.74,percent of total billed charges,111.74,percent of total billed charges,120.8,percent of total billed charges,120.8,percent of total billed charges,,,108.72,percent of total billed charges ,,,120.8,percent of total billed charges ,126.84,percent of total billed charges ,126.84,percent of total billed charges ,117.78,percent of total billed charges ,117.78,percent of total billed charges ,120.8,percent of total billed charges ,120.8,percent of total billed charges ,105.7,percent of total billed charges ,105.7,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,,,,,80.33,percent of total billed charges ,,,,,76.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,
BECLOMETHASONE (Q-VAR) 40MCG INHALER,LOCAL,LOCAL,,,,both,,,494.7,494.7,138.52,494.7,494.7,percent of total billed charges,494.7,percent of total billed charges,494.7,percent of total billed charges,494.7,percent of total billed charges,494.7,percent of total billed charges,494.7,percent of total billed charges,494.7,percent of total billed charges,494.7,percent of total billed charges,356.18,percent of total billed charges,356.18,percent of total billed charges,356.18,percent of total billed charges,356.18,percent of total billed charges,356.18,percent of total billed charges,356.18,percent of total billed charges,366.08,percent of total billed charges,366.08,percent of total billed charges,395.76,percent of total billed charges,395.76,percent of total billed charges,,,356.18,percent of total billed charges ,,,395.76,percent of total billed charges ,415.55,percent of total billed charges ,415.55,percent of total billed charges ,385.87,percent of total billed charges ,385.87,percent of total billed charges ,395.76,percent of total billed charges ,395.76,percent of total billed charges ,346.29,percent of total billed charges ,346.29,percent of total billed charges ,296.82,percent of total billed charges ,296.82,percent of total billed charges ,296.82,percent of total billed charges ,296.82,percent of total billed charges ,,,,,263.18,percent of total billed charges ,,,,,250.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,,,138.52,percent of total billed charges,
SIMVASTATIN (ZOCOR) 10MG TAB,LOCAL,LOCAL,,,,both,,,0.62,0.62,0.17,0.62,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
rOPINIRole (REQUIP) 0.25 MG TAB,LOCAL,LOCAL,,,,both,,,2.4,2.4,0.67,2.4,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.73,percent of total billed charges,1.78,percent of total billed charges,1.78,percent of total billed charges,1.92,percent of total billed charges,1.92,percent of total billed charges,,,1.73,percent of total billed charges ,,,1.92,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.92,percent of total billed charges ,1.92,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,1.44,percent of total billed charges ,,,,,1.28,percent of total billed charges ,,,,,1.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
CILOSTAZOL (PLETAL) 100 MG TAB,LOCAL,LOCAL,,,,both,,,3.4,3.4,0.95,3.4,3.4,percent of total billed charges,3.4,percent of total billed charges,3.4,percent of total billed charges,3.4,percent of total billed charges,3.4,percent of total billed charges,3.4,percent of total billed charges,3.4,percent of total billed charges,3.4,percent of total billed charges,2.45,percent of total billed charges,2.45,percent of total billed charges,2.45,percent of total billed charges,2.45,percent of total billed charges,2.45,percent of total billed charges,2.45,percent of total billed charges,2.52,percent of total billed charges,2.52,percent of total billed charges,2.72,percent of total billed charges,2.72,percent of total billed charges,,,2.45,percent of total billed charges ,,,2.72,percent of total billed charges ,2.86,percent of total billed charges ,2.86,percent of total billed charges ,2.65,percent of total billed charges ,2.65,percent of total billed charges ,2.72,percent of total billed charges ,2.72,percent of total billed charges ,2.38,percent of total billed charges ,2.38,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,,,,,1.81,percent of total billed charges ,,,,,1.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,
ESCITALOPRAM (LEXAPRO) 20MG TAB,LOCAL,LOCAL,,,,both,,,1.05,1.05,0.29,1.05,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,,,0.76,percent of total billed charges ,,,0.84,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,
CIPROFLOXACIN (CILOXAN) OPHTH OINT 3.5GM,LOCAL,LOCAL,,,,both,,,607.66,607.66,170.14,607.66,607.66,percent of total billed charges,607.66,percent of total billed charges,607.66,percent of total billed charges,607.66,percent of total billed charges,607.66,percent of total billed charges,607.66,percent of total billed charges,607.66,percent of total billed charges,607.66,percent of total billed charges,437.52,percent of total billed charges,437.52,percent of total billed charges,437.52,percent of total billed charges,437.52,percent of total billed charges,437.52,percent of total billed charges,437.52,percent of total billed charges,449.67,percent of total billed charges,449.67,percent of total billed charges,486.13,percent of total billed charges,486.13,percent of total billed charges,,,437.52,percent of total billed charges ,,,486.13,percent of total billed charges ,510.43,percent of total billed charges ,510.43,percent of total billed charges ,473.97,percent of total billed charges ,473.97,percent of total billed charges ,486.13,percent of total billed charges ,486.13,percent of total billed charges ,425.36,percent of total billed charges ,425.36,percent of total billed charges ,364.6,percent of total billed charges ,364.6,percent of total billed charges ,364.6,percent of total billed charges ,364.6,percent of total billed charges ,,,,,323.28,percent of total billed charges ,,,,,307.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,,,170.14,percent of total billed charges,
**E-LORATADINE (CLARITIN) 10MG 30'S BOX,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
NEO-SYNEPHRINE (PHENYLEPH) 2.5% OPH 5ML,LOCAL,LOCAL,,,,both,,,339.11,339.11,94.95,339.11,339.11,percent of total billed charges,339.11,percent of total billed charges,339.11,percent of total billed charges,339.11,percent of total billed charges,339.11,percent of total billed charges,339.11,percent of total billed charges,339.11,percent of total billed charges,339.11,percent of total billed charges,244.16,percent of total billed charges,244.16,percent of total billed charges,244.16,percent of total billed charges,244.16,percent of total billed charges,244.16,percent of total billed charges,244.16,percent of total billed charges,250.94,percent of total billed charges,250.94,percent of total billed charges,271.29,percent of total billed charges,271.29,percent of total billed charges,,,244.16,percent of total billed charges ,,,271.29,percent of total billed charges ,284.85,percent of total billed charges ,284.85,percent of total billed charges ,264.51,percent of total billed charges ,264.51,percent of total billed charges ,271.29,percent of total billed charges ,271.29,percent of total billed charges ,237.38,percent of total billed charges ,237.38,percent of total billed charges ,203.47,percent of total billed charges ,203.47,percent of total billed charges ,203.47,percent of total billed charges ,203.47,percent of total billed charges ,,,,,180.41,percent of total billed charges ,,,,,171.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,,,94.95,percent of total billed charges,
KETAMINE 50MG/1mL: 10mL FTV,LOCAL,LOCAL,,,,both,,,88.28,88.28,24.72,88.28,88.28,percent of total billed charges,88.28,percent of total billed charges,88.28,percent of total billed charges,88.28,percent of total billed charges,88.28,percent of total billed charges,88.28,percent of total billed charges,88.28,percent of total billed charges,88.28,percent of total billed charges,63.56,percent of total billed charges,63.56,percent of total billed charges,63.56,percent of total billed charges,63.56,percent of total billed charges,63.56,percent of total billed charges,63.56,percent of total billed charges,65.33,percent of total billed charges,65.33,percent of total billed charges,70.62,percent of total billed charges,70.62,percent of total billed charges,,,63.56,percent of total billed charges ,,,70.62,percent of total billed charges ,74.16,percent of total billed charges ,74.16,percent of total billed charges ,68.86,percent of total billed charges ,68.86,percent of total billed charges ,70.62,percent of total billed charges ,70.62,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,52.97,percent of total billed charges ,52.97,percent of total billed charges ,52.97,percent of total billed charges ,52.97,percent of total billed charges ,,,,,46.96,percent of total billed charges ,,,,,44.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,,,24.72,percent of total billed charges,
**VALCYTE (VALGANCYCLOVIR) 450 MG TABL,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
OCTREOTIDE (SandoSTATIN) 200 MCG/ML 5ML,J2354,CDM,,,,both,,,238.92,238.92,66.9,238.92,238.92,percent of total billed charges,238.92,percent of total billed charges,238.92,percent of total billed charges,238.92,percent of total billed charges,238.92,percent of total billed charges,238.92,percent of total billed charges,238.92,percent of total billed charges,238.92,percent of total billed charges,172.02,percent of total billed charges,172.02,percent of total billed charges,172.02,percent of total billed charges,172.02,percent of total billed charges,172.02,percent of total billed charges,172.02,percent of total billed charges,176.8,percent of total billed charges,176.8,percent of total billed charges,191.14,percent of total billed charges,191.14,percent of total billed charges,,,172.02,percent of total billed charges ,,,191.14,percent of total billed charges ,200.69,percent of total billed charges ,200.69,percent of total billed charges ,186.36,percent of total billed charges ,186.36,percent of total billed charges ,191.14,percent of total billed charges ,191.14,percent of total billed charges ,167.24,percent of total billed charges ,167.24,percent of total billed charges ,143.35,percent of total billed charges ,143.35,percent of total billed charges ,143.35,percent of total billed charges ,143.35,percent of total billed charges ,,,,,127.11,percent of total billed charges ,,,,,120.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,,,66.9,percent of total billed charges,
**VYTORIN 10/20 TABLET,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
LIDOCAINE/PRILOCAINE (EMLA) CREAM 30 GM,LOCAL,LOCAL,,,,both,,,160.15,160.15,44.84,160.15,160.15,percent of total billed charges,160.15,percent of total billed charges,160.15,percent of total billed charges,160.15,percent of total billed charges,160.15,percent of total billed charges,160.15,percent of total billed charges,160.15,percent of total billed charges,160.15,percent of total billed charges,115.31,percent of total billed charges,115.31,percent of total billed charges,115.31,percent of total billed charges,115.31,percent of total billed charges,115.31,percent of total billed charges,115.31,percent of total billed charges,118.51,percent of total billed charges,118.51,percent of total billed charges,128.12,percent of total billed charges,128.12,percent of total billed charges,,,115.31,percent of total billed charges ,,,128.12,percent of total billed charges ,134.53,percent of total billed charges ,134.53,percent of total billed charges ,124.92,percent of total billed charges ,124.92,percent of total billed charges ,128.12,percent of total billed charges ,128.12,percent of total billed charges ,112.11,percent of total billed charges ,112.11,percent of total billed charges ,96.09,percent of total billed charges ,96.09,percent of total billed charges ,96.09,percent of total billed charges ,96.09,percent of total billed charges ,,,,,85.2,percent of total billed charges ,,,,,80.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,,,44.84,percent of total billed charges,
**NICOTINE POLACRILEX (NICORETTE) 4 MG,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
ETOMIDATE (AMIDATE) 2 MG/ML  10 ML,LOCAL,LOCAL,,,,both,,,31.89,31.89,8.93,31.89,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,31.89,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,22.96,percent of total billed charges,23.6,percent of total billed charges,23.6,percent of total billed charges,25.51,percent of total billed charges,25.51,percent of total billed charges,,,22.96,percent of total billed charges ,,,25.51,percent of total billed charges ,26.79,percent of total billed charges ,26.79,percent of total billed charges ,24.87,percent of total billed charges ,24.87,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,22.32,percent of total billed charges ,22.32,percent of total billed charges ,19.13,percent of total billed charges ,19.13,percent of total billed charges ,19.13,percent of total billed charges ,19.13,percent of total billed charges ,,,,,16.97,percent of total billed charges ,,,,,16.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,,,8.93,percent of total billed charges,
**PINDOLOL 5MG TAB (VISKEN),LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**E-ACETAMINOPHEN 500MG CAPLET 100CT,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
CEPHALEXIN (KEFLEX) 250MG/5ML SUSP:100mL,LOCAL,LOCAL,,,,both,,,133.7,133.7,37.44,133.7,133.7,percent of total billed charges,133.7,percent of total billed charges,133.7,percent of total billed charges,133.7,percent of total billed charges,133.7,percent of total billed charges,133.7,percent of total billed charges,133.7,percent of total billed charges,133.7,percent of total billed charges,96.26,percent of total billed charges,96.26,percent of total billed charges,96.26,percent of total billed charges,96.26,percent of total billed charges,96.26,percent of total billed charges,96.26,percent of total billed charges,98.94,percent of total billed charges,98.94,percent of total billed charges,106.96,percent of total billed charges,106.96,percent of total billed charges,,,96.26,percent of total billed charges ,,,106.96,percent of total billed charges ,112.31,percent of total billed charges ,112.31,percent of total billed charges ,104.29,percent of total billed charges ,104.29,percent of total billed charges ,106.96,percent of total billed charges ,106.96,percent of total billed charges ,93.59,percent of total billed charges ,93.59,percent of total billed charges ,80.22,percent of total billed charges ,80.22,percent of total billed charges ,80.22,percent of total billed charges ,80.22,percent of total billed charges ,,,,,71.13,percent of total billed charges ,,,,,67.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,,,37.44,percent of total billed charges,
**E-SINUTAB SINUS ALLERGY CAPLET,LOCAL,LOCAL,,,,both,,,31,31,8.68,31,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,31,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.32,percent of total billed charges,22.94,percent of total billed charges,22.94,percent of total billed charges,24.8,percent of total billed charges,24.8,percent of total billed charges,,,22.32,percent of total billed charges ,,,24.8,percent of total billed charges ,26.04,percent of total billed charges ,26.04,percent of total billed charges ,24.18,percent of total billed charges ,24.18,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,21.7,percent of total billed charges ,21.7,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,18.6,percent of total billed charges ,,,,,16.49,percent of total billed charges ,,,,,15.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,,,8.68,percent of total billed charges,
NEPAFENAC{NEVANAC} OPTH SUSP 0.1%  3ML,LOCAL,LOCAL,,,,both,,,734.84,734.84,205.76,734.84,734.84,percent of total billed charges,734.84,percent of total billed charges,734.84,percent of total billed charges,734.84,percent of total billed charges,734.84,percent of total billed charges,734.84,percent of total billed charges,734.84,percent of total billed charges,734.84,percent of total billed charges,529.08,percent of total billed charges,529.08,percent of total billed charges,529.08,percent of total billed charges,529.08,percent of total billed charges,529.08,percent of total billed charges,529.08,percent of total billed charges,543.78,percent of total billed charges,543.78,percent of total billed charges,587.87,percent of total billed charges,587.87,percent of total billed charges,,,529.08,percent of total billed charges ,,,587.87,percent of total billed charges ,617.27,percent of total billed charges ,617.27,percent of total billed charges ,573.18,percent of total billed charges ,573.18,percent of total billed charges ,587.87,percent of total billed charges ,587.87,percent of total billed charges ,514.39,percent of total billed charges ,514.39,percent of total billed charges ,440.9,percent of total billed charges ,440.9,percent of total billed charges ,440.9,percent of total billed charges ,440.9,percent of total billed charges ,,,,,390.93,percent of total billed charges ,,,,,371.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,,,205.76,percent of total billed charges,
**LEVOFLOXACIN [LEVAQUIN] TAB:  750 MG,LOCAL,LOCAL,,,,both,,,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
**SODIUM CHLORIDE 0.9%: 1000ML + KCL 10M,LOCAL,LOCAL,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
**NACL 0.9% WITH KCL 30MEQ: LITER,LOCAL,LOCAL,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
**D5/NS (D5W 0.9%NACL) W/10 MEQ KCL 1000,LOCAL,LOCAL,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
**D5W/0.9%NS W/30MEQ KCL 1000ML,LOCAL,LOCAL,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
**DEXTROSE 5% IN 0.9% NACL: + KCL 40MEQ,LOCAL,LOCAL,,,,both,,,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
OCTREOTIDE (SandoSTATIN) 500MCG/ML,J2354,CDM,,,,both,,,511.66,511.66,143.26,511.66,511.66,percent of total billed charges,511.66,percent of total billed charges,511.66,percent of total billed charges,511.66,percent of total billed charges,511.66,percent of total billed charges,511.66,percent of total billed charges,511.66,percent of total billed charges,511.66,percent of total billed charges,368.4,percent of total billed charges,368.4,percent of total billed charges,368.4,percent of total billed charges,368.4,percent of total billed charges,368.4,percent of total billed charges,368.4,percent of total billed charges,378.63,percent of total billed charges,378.63,percent of total billed charges,409.33,percent of total billed charges,409.33,percent of total billed charges,,,368.4,percent of total billed charges ,,,409.33,percent of total billed charges ,429.79,percent of total billed charges ,429.79,percent of total billed charges ,399.09,percent of total billed charges ,399.09,percent of total billed charges ,409.33,percent of total billed charges ,409.33,percent of total billed charges ,358.16,percent of total billed charges ,358.16,percent of total billed charges ,307,percent of total billed charges ,307,percent of total billed charges ,307,percent of total billed charges ,307,percent of total billed charges ,,,,,272.2,percent of total billed charges ,,,,,258.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,,,143.26,percent of total billed charges,
**CEFOTETAN (CEFOTAN) 2 GM: VIAL,LOCAL,LOCAL,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
LR 1000 ML: + 0.4 MG NALOXONE,LOCAL,LOCAL,,,,both,,,198.92,198.92,55.7,198.92,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,159.14,percent of total billed charges,159.14,percent of total billed charges,,,143.22,percent of total billed charges ,,,159.14,percent of total billed charges ,167.09,percent of total billed charges ,167.09,percent of total billed charges ,155.16,percent of total billed charges ,155.16,percent of total billed charges ,159.14,percent of total billed charges ,159.14,percent of total billed charges ,139.24,percent of total billed charges ,139.24,percent of total billed charges ,119.35,percent of total billed charges ,119.35,percent of total billed charges ,119.35,percent of total billed charges ,119.35,percent of total billed charges ,,,,,105.83,percent of total billed charges ,,,,,100.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,
DEXTROSE 5% IN 0.45% NACL: +0.4MG NARCAN,LOCAL,LOCAL,,,,both,,,198.92,198.92,55.7,198.92,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,198.92,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,143.22,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,159.14,percent of total billed charges,159.14,percent of total billed charges,,,143.22,percent of total billed charges ,,,159.14,percent of total billed charges ,167.09,percent of total billed charges ,167.09,percent of total billed charges ,155.16,percent of total billed charges ,155.16,percent of total billed charges ,159.14,percent of total billed charges ,159.14,percent of total billed charges ,139.24,percent of total billed charges ,139.24,percent of total billed charges ,119.35,percent of total billed charges ,119.35,percent of total billed charges ,119.35,percent of total billed charges ,119.35,percent of total billed charges ,,,,,105.83,percent of total billed charges ,,,,,100.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,,,55.7,percent of total billed charges,
ONDANSETRON (ZOFRAN) 4MG TAB,LOCAL,LOCAL,,,,both,,,1.22,1.22,0.34,1.22,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,0.9,percent of total billed charges,0.9,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,,,0.88,percent of total billed charges ,,,0.98,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,0.95,percent of total billed charges ,0.95,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,0.73,percent of total billed charges ,,,,,0.65,percent of total billed charges ,,,,,0.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
**METHYLPHENIDATE (RITALIN) 20 MG TABL,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
DARIFENACIN (ENABLEX) 7.5 MG TAB,LOCAL,LOCAL,,,,both,,,1.05,1.05,0.29,1.05,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.84,percent of total billed charges,0.84,percent of total billed charges,,,0.76,percent of total billed charges ,,,0.84,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,0.63,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,,,0.29,percent of total billed charges,
MORphine IR CONC (ROXANOL) 20MG/ML U.D.,LOCAL,LOCAL,,,,both,,,3.54,3.54,0.99,3.54,3.54,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,3.54,percent of total billed charges,2.55,percent of total billed charges,2.55,percent of total billed charges,2.55,percent of total billed charges,2.55,percent of total billed charges,2.55,percent of total billed charges,2.55,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,2.83,percent of total billed charges,2.83,percent of total billed charges,,,2.55,percent of total billed charges ,,,2.83,percent of total billed charges ,2.97,percent of total billed charges ,2.97,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.83,percent of total billed charges ,2.83,percent of total billed charges ,2.48,percent of total billed charges ,2.48,percent of total billed charges ,2.12,percent of total billed charges ,2.12,percent of total billed charges ,2.12,percent of total billed charges ,2.12,percent of total billed charges ,,,,,1.88,percent of total billed charges ,,,,,1.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,,,0.99,percent of total billed charges,
**NATRECOR DRIP [NESIRITIDE],J2325,CDM,,,,both,,,"7,145.00","7,145.00","2,000.60","7,145.00","7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,287.30",percent of total billed charges,"5,287.30",percent of total billed charges,"5,716.00",percent of total billed charges,"5,716.00",percent of total billed charges,,,"5,144.40",percent of total billed charges ,,,"5,716.00",percent of total billed charges ,"6,001.80",percent of total billed charges ,"6,001.80",percent of total billed charges ,"5,573.10",percent of total billed charges ,"5,573.10",percent of total billed charges ,"5,716.00",percent of total billed charges ,"5,716.00",percent of total billed charges ,"5,001.50",percent of total billed charges ,"5,001.50",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,,,,,"3,801.14",percent of total billed charges ,,,,,"3,611.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,
**ZOSYN 3.375 GM IVPB: PREDEFINED,J2543,CDM,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
ARIPiprazole (ABILIFY) 10 MG TAB,LOCAL,LOCAL,,,,both,,,16.06,16.06,4.5,16.06,16.06,percent of total billed charges,16.06,percent of total billed charges,16.06,percent of total billed charges,16.06,percent of total billed charges,16.06,percent of total billed charges,16.06,percent of total billed charges,16.06,percent of total billed charges,16.06,percent of total billed charges,11.56,percent of total billed charges,11.56,percent of total billed charges,11.56,percent of total billed charges,11.56,percent of total billed charges,11.56,percent of total billed charges,11.56,percent of total billed charges,11.88,percent of total billed charges,11.88,percent of total billed charges,12.85,percent of total billed charges,12.85,percent of total billed charges,,,11.56,percent of total billed charges ,,,12.85,percent of total billed charges ,13.49,percent of total billed charges ,13.49,percent of total billed charges ,12.53,percent of total billed charges ,12.53,percent of total billed charges ,12.85,percent of total billed charges ,12.85,percent of total billed charges ,11.24,percent of total billed charges ,11.24,percent of total billed charges ,9.64,percent of total billed charges ,9.64,percent of total billed charges ,9.64,percent of total billed charges ,9.64,percent of total billed charges ,,,,,8.54,percent of total billed charges ,,,,,8.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,,,4.5,percent of total billed charges,
**RIVASTIGMINE (EXELON) 6 MG CAPSULE,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**DULOXETINE (CYMBALTA) 60 MG CAP,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
fentaNYL (DURAGESIC) 12 MCG/HR PATCH,LOCAL,LOCAL,,,,both,,,36.08,36.08,10.1,36.08,36.08,percent of total billed charges,36.08,percent of total billed charges,36.08,percent of total billed charges,36.08,percent of total billed charges,36.08,percent of total billed charges,36.08,percent of total billed charges,36.08,percent of total billed charges,36.08,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,25.98,percent of total billed charges,26.7,percent of total billed charges,26.7,percent of total billed charges,28.86,percent of total billed charges,28.86,percent of total billed charges,,,25.98,percent of total billed charges ,,,28.86,percent of total billed charges ,30.31,percent of total billed charges ,30.31,percent of total billed charges ,28.14,percent of total billed charges ,28.14,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,25.26,percent of total billed charges ,25.26,percent of total billed charges ,21.65,percent of total billed charges ,21.65,percent of total billed charges ,21.65,percent of total billed charges ,21.65,percent of total billed charges ,,,,,19.19,percent of total billed charges ,,,,,18.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,,,10.1,percent of total billed charges,
MEGESTROL (MEGACE) SUSP 400MG/10ML UD,LOCAL,LOCAL,,,,both,,,12.02,12.02,3.37,12.02,12.02,percent of total billed charges,12.02,percent of total billed charges,12.02,percent of total billed charges,12.02,percent of total billed charges,12.02,percent of total billed charges,12.02,percent of total billed charges,12.02,percent of total billed charges,12.02,percent of total billed charges,8.65,percent of total billed charges,8.65,percent of total billed charges,8.65,percent of total billed charges,8.65,percent of total billed charges,8.65,percent of total billed charges,8.65,percent of total billed charges,8.89,percent of total billed charges,8.89,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,,,8.65,percent of total billed charges ,,,9.62,percent of total billed charges ,10.1,percent of total billed charges ,10.1,percent of total billed charges ,9.38,percent of total billed charges ,9.38,percent of total billed charges ,9.62,percent of total billed charges ,9.62,percent of total billed charges ,8.41,percent of total billed charges ,8.41,percent of total billed charges ,7.21,percent of total billed charges ,7.21,percent of total billed charges ,7.21,percent of total billed charges ,7.21,percent of total billed charges ,,,,,6.39,percent of total billed charges ,,,,,6.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,,,3.37,percent of total billed charges,
KETOROLAC (TORADOL) 15 MG INJECTION,J1885,CDM,,,,both,,,11.4,11.4,3.19,11.4,11.4,percent of total billed charges,11.4,percent of total billed charges,11.4,percent of total billed charges,11.4,percent of total billed charges,11.4,percent of total billed charges,11.4,percent of total billed charges,11.4,percent of total billed charges,11.4,percent of total billed charges,8.21,percent of total billed charges,8.21,percent of total billed charges,8.21,percent of total billed charges,8.21,percent of total billed charges,8.21,percent of total billed charges,8.21,percent of total billed charges,8.44,percent of total billed charges,8.44,percent of total billed charges,9.12,percent of total billed charges,9.12,percent of total billed charges,,,8.21,percent of total billed charges ,,,9.12,percent of total billed charges ,9.58,percent of total billed charges ,9.58,percent of total billed charges ,8.89,percent of total billed charges ,8.89,percent of total billed charges ,9.12,percent of total billed charges ,9.12,percent of total billed charges ,7.98,percent of total billed charges ,7.98,percent of total billed charges ,6.84,percent of total billed charges ,6.84,percent of total billed charges ,6.84,percent of total billed charges ,6.84,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,5.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,,,3.19,percent of total billed charges,
**PRAMIPEXOLE (MIRAPEX) 0.25 MG TABLET,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
"NYSTATIN 500,000 UNITS/5ML UNIT DOSE",LOCAL,LOCAL,,,,both,,,3.36,3.36,0.94,3.36,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.42,percent of total billed charges,2.49,percent of total billed charges,2.49,percent of total billed charges,2.69,percent of total billed charges,2.69,percent of total billed charges,,,2.42,percent of total billed charges ,,,2.69,percent of total billed charges ,2.82,percent of total billed charges ,2.82,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.69,percent of total billed charges ,2.69,percent of total billed charges ,2.35,percent of total billed charges ,2.35,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,2.02,percent of total billed charges ,,,,,1.79,percent of total billed charges ,,,,,1.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,,,0.94,percent of total billed charges,
FERROUS SULFATE LIQUID 325MG/5ML,LOCAL,LOCAL,,,,both,,,7.54,7.54,2.11,7.54,7.54,percent of total billed charges,7.54,percent of total billed charges,7.54,percent of total billed charges,7.54,percent of total billed charges,7.54,percent of total billed charges,7.54,percent of total billed charges,7.54,percent of total billed charges,7.54,percent of total billed charges,5.43,percent of total billed charges,5.43,percent of total billed charges,5.43,percent of total billed charges,5.43,percent of total billed charges,5.43,percent of total billed charges,5.43,percent of total billed charges,5.58,percent of total billed charges,5.58,percent of total billed charges,6.03,percent of total billed charges,6.03,percent of total billed charges,,,5.43,percent of total billed charges ,,,6.03,percent of total billed charges ,6.33,percent of total billed charges ,6.33,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,6.03,percent of total billed charges ,6.03,percent of total billed charges ,5.28,percent of total billed charges ,5.28,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,,,,,4.01,percent of total billed charges ,,,,,3.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,,,2.11,percent of total billed charges,
LACTULOSE (CEPHULAC) 20 GM/30 ML UD,LOCAL,LOCAL,,,,both,,,2.54,2.54,0.71,2.54,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,2.54,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,2.03,percent of total billed charges,2.03,percent of total billed charges,,,1.83,percent of total billed charges ,,,2.03,percent of total billed charges ,2.13,percent of total billed charges ,2.13,percent of total billed charges ,1.98,percent of total billed charges ,1.98,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,1.78,percent of total billed charges ,1.78,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,,,,,1.35,percent of total billed charges ,,,,,1.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,,,0.71,percent of total billed charges,
**LEUCOVORIN 5 MG TABLET,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
**OXYBUTYNIN (DITROPAN) X.L 10MG: TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**E-NICOTINE (NICODERM) 14 MG PATCH #14,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
**PROPOXYPHENE HCL (DARVON) 65 MG CAPSU,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**INTERFERON ALPHA -2B (INTRON A}18MMU I,LOCAL,LOCAL,,,,both,,,"1,204.00","1,204.00",337.12,"1,204.00","1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,"1,204.00",percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,866.88,percent of total billed charges,890.96,percent of total billed charges,890.96,percent of total billed charges,963.2,percent of total billed charges,963.2,percent of total billed charges,,,866.88,percent of total billed charges ,,,963.2,percent of total billed charges ,"1,011.36",percent of total billed charges ,"1,011.36",percent of total billed charges ,939.12,percent of total billed charges ,939.12,percent of total billed charges ,963.2,percent of total billed charges ,963.2,percent of total billed charges ,842.8,percent of total billed charges ,842.8,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,722.4,percent of total billed charges ,,,,,640.53,percent of total billed charges ,,,,,608.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,,,337.12,percent of total billed charges,
risperiDONE (RisperDAL) 0.25 MG TABLET,LOCAL,LOCAL,,,,both,,,0.61,0.61,0.17,0.61,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.61,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.49,percent of total billed charges,0.49,percent of total billed charges,,,0.44,percent of total billed charges ,,,0.49,percent of total billed charges ,0.51,percent of total billed charges ,0.51,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
AMIKACIN: 500 MG/2 ML VIAL,J0278,CDM,,,,both,,,52.76,52.76,14.77,52.76,52.76,percent of total billed charges,52.76,percent of total billed charges,52.76,percent of total billed charges,52.76,percent of total billed charges,52.76,percent of total billed charges,52.76,percent of total billed charges,52.76,percent of total billed charges,52.76,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,37.99,percent of total billed charges,39.04,percent of total billed charges,39.04,percent of total billed charges,42.21,percent of total billed charges,42.21,percent of total billed charges,,,37.99,percent of total billed charges ,,,42.21,percent of total billed charges ,44.32,percent of total billed charges ,44.32,percent of total billed charges ,41.15,percent of total billed charges ,41.15,percent of total billed charges ,42.21,percent of total billed charges ,42.21,percent of total billed charges ,36.93,percent of total billed charges ,36.93,percent of total billed charges ,31.66,percent of total billed charges ,31.66,percent of total billed charges ,31.66,percent of total billed charges ,31.66,percent of total billed charges ,,,,,28.07,percent of total billed charges ,,,,,26.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,,,14.77,percent of total billed charges,
**AMIKACIN 500MG IVPB :PREDEFINED,J0278,CDM,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
cloNIDine (CATAPRES) 0.2 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
cloNIDine (CATAPRES) 0.3 MG TAB,LOCAL,LOCAL,,,,both,,,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
DOCUSATE NA (COLACE) 100MG/10ML  UD LIQ.,LOCAL,LOCAL,,,,both,,,1.83,1.83,0.51,1.83,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.83,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.32,percent of total billed charges,1.35,percent of total billed charges,1.35,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,,,1.32,percent of total billed charges ,,,1.46,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.46,percent of total billed charges ,1.46,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,,,,,0.97,percent of total billed charges ,,,,,0.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,
**BACTERIOSTATIC WATER FOR INJ. 30 ML,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**QUINIDINE GLUCONATE SUST REL 324MG T,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**E-ACETAMINOPHEN 650MG ARTHRITIS   150C,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**E-NAPROXEN SOD 220 MG 150{ALEVE},LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**TRICOR (FENOFIBRATE) 48 MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
ATROPINE INJECTION 1MG/1ML,J0461,CDM,,,,both,,,79.59,79.59,22.29,79.59,79.59,percent of total billed charges,79.59,percent of total billed charges,79.59,percent of total billed charges,79.59,percent of total billed charges,79.59,percent of total billed charges,79.59,percent of total billed charges,79.59,percent of total billed charges,79.59,percent of total billed charges,57.3,percent of total billed charges,57.3,percent of total billed charges,57.3,percent of total billed charges,57.3,percent of total billed charges,57.3,percent of total billed charges,57.3,percent of total billed charges,58.9,percent of total billed charges,58.9,percent of total billed charges,63.67,percent of total billed charges,63.67,percent of total billed charges,,,57.3,percent of total billed charges ,,,63.67,percent of total billed charges ,66.86,percent of total billed charges ,66.86,percent of total billed charges ,62.08,percent of total billed charges ,62.08,percent of total billed charges ,63.67,percent of total billed charges ,63.67,percent of total billed charges ,55.71,percent of total billed charges ,55.71,percent of total billed charges ,47.75,percent of total billed charges ,47.75,percent of total billed charges ,47.75,percent of total billed charges ,47.75,percent of total billed charges ,,,,,42.34,percent of total billed charges ,,,,,40.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,,,22.29,percent of total billed charges,
**THYMOGLOBULIN 25 MG,LOCAL,LOCAL,,,,both,,,888,888,248.64,888,888,percent of total billed charges,888,percent of total billed charges,888,percent of total billed charges,888,percent of total billed charges,888,percent of total billed charges,888,percent of total billed charges,888,percent of total billed charges,888,percent of total billed charges,639.36,percent of total billed charges,639.36,percent of total billed charges,639.36,percent of total billed charges,639.36,percent of total billed charges,639.36,percent of total billed charges,639.36,percent of total billed charges,657.12,percent of total billed charges,657.12,percent of total billed charges,710.4,percent of total billed charges,710.4,percent of total billed charges,,,639.36,percent of total billed charges ,,,710.4,percent of total billed charges ,745.92,percent of total billed charges ,745.92,percent of total billed charges ,692.64,percent of total billed charges ,692.64,percent of total billed charges ,710.4,percent of total billed charges ,710.4,percent of total billed charges ,621.6,percent of total billed charges ,621.6,percent of total billed charges ,532.8,percent of total billed charges ,532.8,percent of total billed charges ,532.8,percent of total billed charges ,532.8,percent of total billed charges ,,,,,472.42,percent of total billed charges ,,,,,448.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,,,248.64,percent of total billed charges,
VALPROIC ACID (DEPAKENE) 250MG/5ML UD,LOCAL,LOCAL,,,,both,,,1.7,1.7,0.48,1.7,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.7,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.22,percent of total billed charges,1.26,percent of total billed charges,1.26,percent of total billed charges,1.36,percent of total billed charges,1.36,percent of total billed charges,,,1.22,percent of total billed charges ,,,1.36,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.33,percent of total billed charges ,1.33,percent of total billed charges ,1.36,percent of total billed charges ,1.36,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,,,,,0.9,percent of total billed charges ,,,,,0.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,,,0.48,percent of total billed charges,
**PHENOBARBITAL ELIX 60MG/15ML UD,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
PHENYTOIN (DILANTIN) SUSP 100MG/4ML UD,LOCAL,LOCAL,,,,both,,,17.97,17.97,5.03,17.97,17.97,percent of total billed charges,17.97,percent of total billed charges,17.97,percent of total billed charges,17.97,percent of total billed charges,17.97,percent of total billed charges,17.97,percent of total billed charges,17.97,percent of total billed charges,17.97,percent of total billed charges,12.94,percent of total billed charges,12.94,percent of total billed charges,12.94,percent of total billed charges,12.94,percent of total billed charges,12.94,percent of total billed charges,12.94,percent of total billed charges,13.3,percent of total billed charges,13.3,percent of total billed charges,14.38,percent of total billed charges,14.38,percent of total billed charges,,,12.94,percent of total billed charges ,,,14.38,percent of total billed charges ,15.09,percent of total billed charges ,15.09,percent of total billed charges ,14.02,percent of total billed charges ,14.02,percent of total billed charges ,14.38,percent of total billed charges ,14.38,percent of total billed charges ,12.58,percent of total billed charges ,12.58,percent of total billed charges ,10.78,percent of total billed charges ,10.78,percent of total billed charges ,10.78,percent of total billed charges ,10.78,percent of total billed charges ,,,,,9.56,percent of total billed charges ,,,,,9.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,,,5.03,percent of total billed charges,
EPINASTINE (ELESTAT) 0.05% OPHTH SOLN,LOCAL,LOCAL,,,,both,,,96.95,96.95,27.15,96.95,96.95,percent of total billed charges,96.95,percent of total billed charges,96.95,percent of total billed charges,96.95,percent of total billed charges,96.95,percent of total billed charges,96.95,percent of total billed charges,96.95,percent of total billed charges,96.95,percent of total billed charges,69.8,percent of total billed charges,69.8,percent of total billed charges,69.8,percent of total billed charges,69.8,percent of total billed charges,69.8,percent of total billed charges,69.8,percent of total billed charges,71.74,percent of total billed charges,71.74,percent of total billed charges,77.56,percent of total billed charges,77.56,percent of total billed charges,,,69.8,percent of total billed charges ,,,77.56,percent of total billed charges ,81.44,percent of total billed charges ,81.44,percent of total billed charges ,75.62,percent of total billed charges ,75.62,percent of total billed charges ,77.56,percent of total billed charges ,77.56,percent of total billed charges ,67.87,percent of total billed charges ,67.87,percent of total billed charges ,58.17,percent of total billed charges ,58.17,percent of total billed charges ,58.17,percent of total billed charges ,58.17,percent of total billed charges ,,,,,51.58,percent of total billed charges ,,,,,49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,,,27.15,percent of total billed charges,
PREGABALIN (LYRICA) 25MG TAB,LOCAL,LOCAL,,,,both,,,42.52,42.52,11.91,42.52,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,42.52,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,30.61,percent of total billed charges,31.46,percent of total billed charges,31.46,percent of total billed charges,34.02,percent of total billed charges,34.02,percent of total billed charges,,,30.61,percent of total billed charges ,,,34.02,percent of total billed charges ,35.72,percent of total billed charges ,35.72,percent of total billed charges ,33.17,percent of total billed charges ,33.17,percent of total billed charges ,34.02,percent of total billed charges ,34.02,percent of total billed charges ,29.76,percent of total billed charges ,29.76,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,25.51,percent of total billed charges ,,,,,22.62,percent of total billed charges ,,,,,21.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,,,11.91,percent of total billed charges,
**EPLERENONE {INSPRA} 50 MG TABLET,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**CINACALCET HCL (SENSIPAR) 30 MG TABL,LOCAL,LOCAL,,,,both,,,30,30,8.4,30,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,30,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,22.2,percent of total billed charges,22.2,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,,,21.6,percent of total billed charges ,,,24,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,23.4,percent of total billed charges ,23.4,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,18,percent of total billed charges ,,,,,15.96,percent of total billed charges ,,,,,15.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,,,8.4,percent of total billed charges,
**LORAZEPAM 2 MG TAB: ATIVAN,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**E-TROLAMINE SALICILATE (ASPERCREME) 10,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
TOLTERODINE LA (DETROL LA) 2MG,LOCAL,LOCAL,,,,both,,,18.22,18.22,5.1,18.22,18.22,percent of total billed charges,18.22,percent of total billed charges,18.22,percent of total billed charges,18.22,percent of total billed charges,18.22,percent of total billed charges,18.22,percent of total billed charges,18.22,percent of total billed charges,18.22,percent of total billed charges,13.12,percent of total billed charges,13.12,percent of total billed charges,13.12,percent of total billed charges,13.12,percent of total billed charges,13.12,percent of total billed charges,13.12,percent of total billed charges,13.48,percent of total billed charges,13.48,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,,,13.12,percent of total billed charges ,,,14.58,percent of total billed charges ,15.3,percent of total billed charges ,15.3,percent of total billed charges ,14.21,percent of total billed charges ,14.21,percent of total billed charges ,14.58,percent of total billed charges ,14.58,percent of total billed charges ,12.75,percent of total billed charges ,12.75,percent of total billed charges ,10.93,percent of total billed charges ,10.93,percent of total billed charges ,10.93,percent of total billed charges ,10.93,percent of total billed charges ,,,,,9.69,percent of total billed charges ,,,,,9.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,
**CENTRUM SILVER,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**MAGNESIUM SULFATE 50% (500MG/ML): 50,J3475,CDM,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**GALANTAMINE ER 24 MG: RAZADYNE ER,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**ARIPIPRAZOLE 5 MG TABLET: ABILIFY,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
MAGNESIUM SULFATE (50%) 1 GM/2ML INJ,J3475,CDM,,,,both,,,16.39,16.39,4.59,16.39,16.39,percent of total billed charges,16.39,percent of total billed charges,16.39,percent of total billed charges,16.39,percent of total billed charges,16.39,percent of total billed charges,16.39,percent of total billed charges,16.39,percent of total billed charges,16.39,percent of total billed charges,11.8,percent of total billed charges,11.8,percent of total billed charges,11.8,percent of total billed charges,11.8,percent of total billed charges,11.8,percent of total billed charges,11.8,percent of total billed charges,12.13,percent of total billed charges,12.13,percent of total billed charges,13.11,percent of total billed charges,13.11,percent of total billed charges,,,11.8,percent of total billed charges ,,,13.11,percent of total billed charges ,13.77,percent of total billed charges ,13.77,percent of total billed charges ,12.78,percent of total billed charges ,12.78,percent of total billed charges ,13.11,percent of total billed charges ,13.11,percent of total billed charges ,11.47,percent of total billed charges ,11.47,percent of total billed charges ,9.83,percent of total billed charges ,9.83,percent of total billed charges ,9.83,percent of total billed charges ,9.83,percent of total billed charges ,,,,,8.72,percent of total billed charges ,,,,,8.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,,,4.59,percent of total billed charges,
**GALANTAMINE ER (RAZADYNE ER) 8MG CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
DUTASTERIDE 0.5 MG (AVODART) CAPSULE,LOCAL,LOCAL,,,,both,,,2.61,2.61,0.73,2.61,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.88,percent of total billed charges,1.93,percent of total billed charges,1.93,percent of total billed charges,2.09,percent of total billed charges,2.09,percent of total billed charges,,,1.88,percent of total billed charges ,,,2.09,percent of total billed charges ,2.19,percent of total billed charges ,2.19,percent of total billed charges ,2.04,percent of total billed charges ,2.04,percent of total billed charges ,2.09,percent of total billed charges ,2.09,percent of total billed charges ,1.83,percent of total billed charges ,1.83,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,1.57,percent of total billed charges ,,,,,1.39,percent of total billed charges ,,,,,1.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,,,0.73,percent of total billed charges,
LITHIUM CARBONATE 150 MG CAP,LOCAL,LOCAL,,,,both,,,0.51,0.51,0.14,0.51,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,,,0.37,percent of total billed charges ,,,0.41,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**TELITHROMYCIN 400 MG: KETEK,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**LOW-OGESTREL,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**SORAFENIB (NEXAVAR) 200 MG,LOCAL,LOCAL,,,,both,,,92,92,25.76,92,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,68.08,percent of total billed charges,68.08,percent of total billed charges,73.6,percent of total billed charges,73.6,percent of total billed charges,,,66.24,percent of total billed charges ,,,73.6,percent of total billed charges ,77.28,percent of total billed charges ,77.28,percent of total billed charges ,71.76,percent of total billed charges ,71.76,percent of total billed charges ,73.6,percent of total billed charges ,73.6,percent of total billed charges ,64.4,percent of total billed charges ,64.4,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,,,,,48.94,percent of total billed charges ,,,,,46.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,
EPLERENONE (INSPRA) 25 MG TABLET,LOCAL,LOCAL,,,,both,,,9.11,9.11,2.55,9.11,9.11,percent of total billed charges,9.11,percent of total billed charges,9.11,percent of total billed charges,9.11,percent of total billed charges,9.11,percent of total billed charges,9.11,percent of total billed charges,9.11,percent of total billed charges,9.11,percent of total billed charges,6.56,percent of total billed charges,6.56,percent of total billed charges,6.56,percent of total billed charges,6.56,percent of total billed charges,6.56,percent of total billed charges,6.56,percent of total billed charges,6.74,percent of total billed charges,6.74,percent of total billed charges,7.29,percent of total billed charges,7.29,percent of total billed charges,,,6.56,percent of total billed charges ,,,7.29,percent of total billed charges ,7.65,percent of total billed charges ,7.65,percent of total billed charges ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,7.29,percent of total billed charges ,7.29,percent of total billed charges ,6.38,percent of total billed charges ,6.38,percent of total billed charges ,5.47,percent of total billed charges ,5.47,percent of total billed charges ,5.47,percent of total billed charges ,5.47,percent of total billed charges ,,,,,4.85,percent of total billed charges ,,,,,4.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,,,2.55,percent of total billed charges,
ESZOPICLONE (LUNESTA) 2 MG TABLET,LOCAL,LOCAL,,,,both,,,5.51,5.51,1.54,5.51,5.51,percent of total billed charges,5.51,percent of total billed charges,5.51,percent of total billed charges,5.51,percent of total billed charges,5.51,percent of total billed charges,5.51,percent of total billed charges,5.51,percent of total billed charges,5.51,percent of total billed charges,3.97,percent of total billed charges,3.97,percent of total billed charges,3.97,percent of total billed charges,3.97,percent of total billed charges,3.97,percent of total billed charges,3.97,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,4.41,percent of total billed charges,4.41,percent of total billed charges,,,3.97,percent of total billed charges ,,,4.41,percent of total billed charges ,4.63,percent of total billed charges ,4.63,percent of total billed charges ,4.3,percent of total billed charges ,4.3,percent of total billed charges ,4.41,percent of total billed charges ,4.41,percent of total billed charges ,3.86,percent of total billed charges ,3.86,percent of total billed charges ,3.31,percent of total billed charges ,3.31,percent of total billed charges ,3.31,percent of total billed charges ,3.31,percent of total billed charges ,,,,,2.93,percent of total billed charges ,,,,,2.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,,,1.54,percent of total billed charges,
**AMOXETINE HCL 80 MG: STRATTERA,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
ALFUZOSIN (UROXATRAL) 10 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
ERYTHROMYCIN TAB DR 333 MG,LOCAL,LOCAL,,,,both,,,28.31,28.31,7.93,28.31,28.31,percent of total billed charges,28.31,percent of total billed charges,28.31,percent of total billed charges,28.31,percent of total billed charges,28.31,percent of total billed charges,28.31,percent of total billed charges,28.31,percent of total billed charges,28.31,percent of total billed charges,20.38,percent of total billed charges,20.38,percent of total billed charges,20.38,percent of total billed charges,20.38,percent of total billed charges,20.38,percent of total billed charges,20.38,percent of total billed charges,20.95,percent of total billed charges,20.95,percent of total billed charges,22.65,percent of total billed charges,22.65,percent of total billed charges,,,20.38,percent of total billed charges ,,,22.65,percent of total billed charges ,23.78,percent of total billed charges ,23.78,percent of total billed charges ,22.08,percent of total billed charges ,22.08,percent of total billed charges ,22.65,percent of total billed charges ,22.65,percent of total billed charges ,19.82,percent of total billed charges ,19.82,percent of total billed charges ,16.99,percent of total billed charges ,16.99,percent of total billed charges ,16.99,percent of total billed charges ,16.99,percent of total billed charges ,,,,,15.06,percent of total billed charges ,,,,,14.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,,,7.93,percent of total billed charges,
**TESTOSTERONE CYPIONATE 200MG/ML,LOCAL,LOCAL,,,,both,,,70,70,19.6,70,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,70,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,51.8,percent of total billed charges,51.8,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,,,50.4,percent of total billed charges ,,,56,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,49,percent of total billed charges ,49,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,,,,,37.24,percent of total billed charges ,,,,,35.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,,,19.6,percent of total billed charges,
**TESTOSTERONE ENANTHATE 200MG/ML,LOCAL,LOCAL,,,,both,,,183,183,51.24,183,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,135.42,percent of total billed charges,135.42,percent of total billed charges,146.4,percent of total billed charges,146.4,percent of total billed charges,,,131.76,percent of total billed charges ,,,146.4,percent of total billed charges ,153.72,percent of total billed charges ,153.72,percent of total billed charges ,142.74,percent of total billed charges ,142.74,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,128.1,percent of total billed charges ,128.1,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,,,,,97.36,percent of total billed charges ,,,,,92.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,
**SUPPORT SOCKS,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
**CEFACLOR 500MG CAPSULE:  CECLOR,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
PREGABALIN (LYRICA) 75MG TAB,LOCAL,LOCAL,,,,both,,,46.72,46.72,13.08,46.72,46.72,percent of total billed charges,46.72,percent of total billed charges,46.72,percent of total billed charges,46.72,percent of total billed charges,46.72,percent of total billed charges,46.72,percent of total billed charges,46.72,percent of total billed charges,46.72,percent of total billed charges,33.64,percent of total billed charges,33.64,percent of total billed charges,33.64,percent of total billed charges,33.64,percent of total billed charges,33.64,percent of total billed charges,33.64,percent of total billed charges,34.57,percent of total billed charges,34.57,percent of total billed charges,37.38,percent of total billed charges,37.38,percent of total billed charges,,,33.64,percent of total billed charges ,,,37.38,percent of total billed charges ,39.24,percent of total billed charges ,39.24,percent of total billed charges ,36.44,percent of total billed charges ,36.44,percent of total billed charges ,37.38,percent of total billed charges ,37.38,percent of total billed charges ,32.7,percent of total billed charges ,32.7,percent of total billed charges ,28.03,percent of total billed charges ,28.03,percent of total billed charges ,28.03,percent of total billed charges ,28.03,percent of total billed charges ,,,,,24.86,percent of total billed charges ,,,,,23.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,,,13.08,percent of total billed charges,
AMITRIPTYLLINE (ELAVIL) 100 MG TAB,LOCAL,LOCAL,,,,both,,,3.28,3.28,0.92,3.28,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,3.28,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.36,percent of total billed charges,2.43,percent of total billed charges,2.43,percent of total billed charges,2.62,percent of total billed charges,2.62,percent of total billed charges,,,2.36,percent of total billed charges ,,,2.62,percent of total billed charges ,2.76,percent of total billed charges ,2.76,percent of total billed charges ,2.56,percent of total billed charges ,2.56,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.3,percent of total billed charges ,2.3,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,1.97,percent of total billed charges ,,,,,1.74,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,,,0.92,percent of total billed charges,
TETANUS/DIPHTHERIA/PERTUSSIS (T-DAP),90715,CDM,,,,both,,,472.47,472.47,132.29,472.47,472.47,percent of total billed charges,472.47,percent of total billed charges,472.47,percent of total billed charges,472.47,percent of total billed charges,472.47,percent of total billed charges,472.47,percent of total billed charges,472.47,percent of total billed charges,472.47,percent of total billed charges,340.18,percent of total billed charges,340.18,percent of total billed charges,340.18,percent of total billed charges,340.18,percent of total billed charges,340.18,percent of total billed charges,340.18,percent of total billed charges,349.63,percent of total billed charges,349.63,percent of total billed charges,377.98,percent of total billed charges,377.98,percent of total billed charges,,,340.18,percent of total billed charges ,,,377.98,percent of total billed charges ,396.87,percent of total billed charges ,396.87,percent of total billed charges ,368.53,percent of total billed charges ,368.53,percent of total billed charges ,377.98,percent of total billed charges ,377.98,percent of total billed charges ,330.73,percent of total billed charges ,330.73,percent of total billed charges ,283.48,percent of total billed charges ,283.48,percent of total billed charges ,283.48,percent of total billed charges ,283.48,percent of total billed charges ,,,,,251.35,percent of total billed charges ,,,,,238.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,,,132.29,percent of total billed charges,
"VITAMIN A (AQUASOL A) 10,000 UNIT CAP",LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
"**VITAMIN A INJECTION 50,000 UNITS/ML",LOCAL,LOCAL,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
oxyBUTYnin (OXYTROL) 3.9MG PATCH,LOCAL,LOCAL,,,,both,,,156.19,156.19,43.73,156.19,156.19,percent of total billed charges,156.19,percent of total billed charges,156.19,percent of total billed charges,156.19,percent of total billed charges,156.19,percent of total billed charges,156.19,percent of total billed charges,156.19,percent of total billed charges,156.19,percent of total billed charges,112.46,percent of total billed charges,112.46,percent of total billed charges,112.46,percent of total billed charges,112.46,percent of total billed charges,112.46,percent of total billed charges,112.46,percent of total billed charges,115.58,percent of total billed charges,115.58,percent of total billed charges,124.95,percent of total billed charges,124.95,percent of total billed charges,,,112.46,percent of total billed charges ,,,124.95,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,121.83,percent of total billed charges ,121.83,percent of total billed charges ,124.95,percent of total billed charges ,124.95,percent of total billed charges ,109.33,percent of total billed charges ,109.33,percent of total billed charges ,93.71,percent of total billed charges ,93.71,percent of total billed charges ,93.71,percent of total billed charges ,93.71,percent of total billed charges ,,,,,83.09,percent of total billed charges ,,,,,78.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,,,43.73,percent of total billed charges,
**DESLORATADINE(CLARINEX) 0.5 MG/ML 120,LOCAL,LOCAL,,,,both,,,570,570,159.6,570,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,570,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,410.4,percent of total billed charges,421.8,percent of total billed charges,421.8,percent of total billed charges,456,percent of total billed charges,456,percent of total billed charges,,,410.4,percent of total billed charges ,,,456,percent of total billed charges ,478.8,percent of total billed charges ,478.8,percent of total billed charges ,444.6,percent of total billed charges ,444.6,percent of total billed charges ,456,percent of total billed charges ,456,percent of total billed charges ,399,percent of total billed charges ,399,percent of total billed charges ,342,percent of total billed charges ,342,percent of total billed charges ,342,percent of total billed charges ,342,percent of total billed charges ,,,,,303.24,percent of total billed charges ,,,,,288.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,,,159.6,percent of total billed charges,
**NESIRITIDE BOLUS:  NATRECOR,J2325,CDM,,,,both,,,"7,145.00","7,145.00","2,000.60","7,145.00","7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"7,145.00",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,144.40",percent of total billed charges,"5,287.30",percent of total billed charges,"5,287.30",percent of total billed charges,"5,716.00",percent of total billed charges,"5,716.00",percent of total billed charges,,,"5,144.40",percent of total billed charges ,,,"5,716.00",percent of total billed charges ,"6,001.80",percent of total billed charges ,"6,001.80",percent of total billed charges ,"5,573.10",percent of total billed charges ,"5,573.10",percent of total billed charges ,"5,716.00",percent of total billed charges ,"5,716.00",percent of total billed charges ,"5,001.50",percent of total billed charges ,"5,001.50",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,"4,287.00",percent of total billed charges ,,,,,"3,801.14",percent of total billed charges ,,,,,"3,611.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,,,"2,000.60",percent of total billed charges,
**TRANYLCYPROMINE 10MG TAB: PARNATE,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
TELMISARTAN (MICARDIS) 80MG TAB,LOCAL,LOCAL,,,,both,,,1.2,1.2,0.34,1.2,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,1.2,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.86,percent of total billed charges,0.89,percent of total billed charges,0.89,percent of total billed charges,0.96,percent of total billed charges,0.96,percent of total billed charges,,,0.86,percent of total billed charges ,,,0.96,percent of total billed charges ,1.01,percent of total billed charges ,1.01,percent of total billed charges ,0.94,percent of total billed charges ,0.94,percent of total billed charges ,0.96,percent of total billed charges ,0.96,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,0.72,percent of total billed charges ,,,,,0.64,percent of total billed charges ,,,,,0.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,,,0.34,percent of total billed charges,
**CASTOR OIL 16 OZ,LOCAL,LOCAL,,,,both,,,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
IBUTILIDE (CORVERT) 1MG/10ML  10ML VIAL,J1742,CDM,,,,both,,,97.49,97.49,27.3,97.49,97.49,percent of total billed charges,97.49,percent of total billed charges,97.49,percent of total billed charges,97.49,percent of total billed charges,97.49,percent of total billed charges,97.49,percent of total billed charges,97.49,percent of total billed charges,97.49,percent of total billed charges,70.19,percent of total billed charges,70.19,percent of total billed charges,70.19,percent of total billed charges,70.19,percent of total billed charges,70.19,percent of total billed charges,70.19,percent of total billed charges,72.14,percent of total billed charges,72.14,percent of total billed charges,77.99,percent of total billed charges,77.99,percent of total billed charges,,,70.19,percent of total billed charges ,,,77.99,percent of total billed charges ,81.89,percent of total billed charges ,81.89,percent of total billed charges ,76.04,percent of total billed charges ,76.04,percent of total billed charges ,77.99,percent of total billed charges ,77.99,percent of total billed charges ,68.24,percent of total billed charges ,68.24,percent of total billed charges ,58.49,percent of total billed charges ,58.49,percent of total billed charges ,58.49,percent of total billed charges ,58.49,percent of total billed charges ,,,,,51.86,percent of total billed charges ,,,,,49.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,,,27.3,percent of total billed charges,
levoFLOXacin (QUIXIN) 0.5% OPHTH SOLN,LOCAL,LOCAL,,,,both,,,235.5,235.5,65.94,235.5,235.5,percent of total billed charges,235.5,percent of total billed charges,235.5,percent of total billed charges,235.5,percent of total billed charges,235.5,percent of total billed charges,235.5,percent of total billed charges,235.5,percent of total billed charges,235.5,percent of total billed charges,169.56,percent of total billed charges,169.56,percent of total billed charges,169.56,percent of total billed charges,169.56,percent of total billed charges,169.56,percent of total billed charges,169.56,percent of total billed charges,174.27,percent of total billed charges,174.27,percent of total billed charges,188.4,percent of total billed charges,188.4,percent of total billed charges,,,169.56,percent of total billed charges ,,,188.4,percent of total billed charges ,197.82,percent of total billed charges ,197.82,percent of total billed charges ,183.69,percent of total billed charges ,183.69,percent of total billed charges ,188.4,percent of total billed charges ,188.4,percent of total billed charges ,164.85,percent of total billed charges ,164.85,percent of total billed charges ,141.3,percent of total billed charges ,141.3,percent of total billed charges ,141.3,percent of total billed charges ,141.3,percent of total billed charges ,,,,,125.29,percent of total billed charges ,,,,,119.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,,,65.94,percent of total billed charges,
**ALENDRONATE/CHOLECALCIFEROL: FOSAMAX,LOCAL,LOCAL,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
PEGFILGRASTIM 6 MG: NEULASTA,J2506,CDM,,,,both,,,"20,545.95","20,545.95","5,752.87","20,545.95","20,545.95",percent of total billed charges,"20,545.95",percent of total billed charges,"20,545.95",percent of total billed charges,"20,545.95",percent of total billed charges,"20,545.95",percent of total billed charges,"20,545.95",percent of total billed charges,"20,545.95",percent of total billed charges,"20,545.95",percent of total billed charges,"14,793.08",percent of total billed charges,"14,793.08",percent of total billed charges,"14,793.08",percent of total billed charges,"14,793.08",percent of total billed charges,"14,793.08",percent of total billed charges,"14,793.08",percent of total billed charges,"15,204.00",percent of total billed charges,"15,204.00",percent of total billed charges,"16,436.76",percent of total billed charges,"16,436.76",percent of total billed charges,,,"14,793.08",percent of total billed charges ,,,"16,436.76",percent of total billed charges ,"17,258.60",percent of total billed charges ,"17,258.60",percent of total billed charges ,"16,025.84",percent of total billed charges ,"16,025.84",percent of total billed charges ,"16,436.76",percent of total billed charges ,"16,436.76",percent of total billed charges ,"14,382.17",percent of total billed charges ,"14,382.17",percent of total billed charges ,"12,327.57",percent of total billed charges ,"12,327.57",percent of total billed charges ,"12,327.57",percent of total billed charges ,"12,327.57",percent of total billed charges ,,,,,"10,930.45",percent of total billed charges ,,,,,"10,383.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,,,"5,752.87",percent of total billed charges,
inFLIXimab IVPB,J1745,CDM,,,,both,,,"7,616.17","7,616.17","2,132.53","7,616.17","7,616.17",percent of total billed charges,"7,616.17",percent of total billed charges,"7,616.17",percent of total billed charges,"7,616.17",percent of total billed charges,"7,616.17",percent of total billed charges,"7,616.17",percent of total billed charges,"7,616.17",percent of total billed charges,"7,616.17",percent of total billed charges,"5,483.64",percent of total billed charges,"5,483.64",percent of total billed charges,"5,483.64",percent of total billed charges,"5,483.64",percent of total billed charges,"5,483.64",percent of total billed charges,"5,483.64",percent of total billed charges,"5,635.97",percent of total billed charges,"5,635.97",percent of total billed charges,"6,092.94",percent of total billed charges,"6,092.94",percent of total billed charges,,,"5,483.64",percent of total billed charges ,,,"6,092.94",percent of total billed charges ,"6,397.58",percent of total billed charges ,"6,397.58",percent of total billed charges ,"5,940.61",percent of total billed charges ,"5,940.61",percent of total billed charges ,"6,092.94",percent of total billed charges ,"6,092.94",percent of total billed charges ,"5,331.32",percent of total billed charges ,"5,331.32",percent of total billed charges ,"4,569.70",percent of total billed charges ,"4,569.70",percent of total billed charges ,"4,569.70",percent of total billed charges ,"4,569.70",percent of total billed charges ,,,,,"4,051.80",percent of total billed charges ,,,,,"3,849.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,,,"2,132.53",percent of total billed charges,
MEMANTINE (NAMENDA) 5MG TAB,LOCAL,LOCAL,,,,both,,,1.55,1.55,0.43,1.55,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.12,percent of total billed charges,1.15,percent of total billed charges,1.15,percent of total billed charges,1.24,percent of total billed charges,1.24,percent of total billed charges,,,1.12,percent of total billed charges ,,,1.24,percent of total billed charges ,1.3,percent of total billed charges ,1.3,percent of total billed charges ,1.21,percent of total billed charges ,1.21,percent of total billed charges ,1.24,percent of total billed charges ,1.24,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,0.93,percent of total billed charges ,,,,,0.82,percent of total billed charges ,,,,,0.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,,,0.43,percent of total billed charges,
ACYCLOVIR 800 MG TAB,LOCAL,LOCAL,,,,both,,,2.2,2.2,0.62,2.2,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,2.2,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,1.63,percent of total billed charges,1.63,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,,,1.58,percent of total billed charges ,,,1.76,percent of total billed charges ,1.85,percent of total billed charges ,1.85,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,1.32,percent of total billed charges ,,,,,1.17,percent of total billed charges ,,,,,1.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,,,0.62,percent of total billed charges,
ROSUVASTATIN (CRESTOR) 10 MG TAB,LOCAL,LOCAL,,,,both,,,5.38,5.38,1.51,5.38,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,5.38,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.87,percent of total billed charges,3.98,percent of total billed charges,3.98,percent of total billed charges,4.3,percent of total billed charges,4.3,percent of total billed charges,,,3.87,percent of total billed charges ,,,4.3,percent of total billed charges ,4.52,percent of total billed charges ,4.52,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.3,percent of total billed charges ,4.3,percent of total billed charges ,3.77,percent of total billed charges ,3.77,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,3.23,percent of total billed charges ,,,,,2.86,percent of total billed charges ,,,,,2.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,,,1.51,percent of total billed charges,
**INFUSE OVER 90 MINUTES,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**GANANTAMINE 16 MG: RAZADYNE ER 16MG,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**INTERFERON BETA 1-A 22 MCG: REBIF 22M,LOCAL,LOCAL,,,,both,,,"4,666.00","4,666.00","1,306.48","4,666.00","4,666.00",percent of total billed charges,"4,666.00",percent of total billed charges,"4,666.00",percent of total billed charges,"4,666.00",percent of total billed charges,"4,666.00",percent of total billed charges,"4,666.00",percent of total billed charges,"4,666.00",percent of total billed charges,"4,666.00",percent of total billed charges,"3,359.52",percent of total billed charges,"3,359.52",percent of total billed charges,"3,359.52",percent of total billed charges,"3,359.52",percent of total billed charges,"3,359.52",percent of total billed charges,"3,359.52",percent of total billed charges,"3,452.84",percent of total billed charges,"3,452.84",percent of total billed charges,"3,732.80",percent of total billed charges,"3,732.80",percent of total billed charges,,,"3,359.52",percent of total billed charges ,,,"3,732.80",percent of total billed charges ,"3,919.44",percent of total billed charges ,"3,919.44",percent of total billed charges ,"3,639.48",percent of total billed charges ,"3,639.48",percent of total billed charges ,"3,732.80",percent of total billed charges ,"3,732.80",percent of total billed charges ,"3,266.20",percent of total billed charges ,"3,266.20",percent of total billed charges ,"2,799.60",percent of total billed charges ,"2,799.60",percent of total billed charges ,"2,799.60",percent of total billed charges ,"2,799.60",percent of total billed charges ,,,,,"2,482.31",percent of total billed charges ,,,,,"2,358.20",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,,,"1,306.48",percent of total billed charges,
**INTERFERON BETA 1-A 44MCG: REBIF 44 M,LOCAL,LOCAL,,,,both,,,"5,479.00","5,479.00","1,534.12","5,479.00","5,479.00",percent of total billed charges,"5,479.00",percent of total billed charges,"5,479.00",percent of total billed charges,"5,479.00",percent of total billed charges,"5,479.00",percent of total billed charges,"5,479.00",percent of total billed charges,"5,479.00",percent of total billed charges,"5,479.00",percent of total billed charges,"3,944.88",percent of total billed charges,"3,944.88",percent of total billed charges,"3,944.88",percent of total billed charges,"3,944.88",percent of total billed charges,"3,944.88",percent of total billed charges,"3,944.88",percent of total billed charges,"4,054.46",percent of total billed charges,"4,054.46",percent of total billed charges,"4,383.20",percent of total billed charges,"4,383.20",percent of total billed charges,,,"3,944.88",percent of total billed charges ,,,"4,383.20",percent of total billed charges ,"4,602.36",percent of total billed charges ,"4,602.36",percent of total billed charges ,"4,273.62",percent of total billed charges ,"4,273.62",percent of total billed charges ,"4,383.20",percent of total billed charges ,"4,383.20",percent of total billed charges ,"3,835.30",percent of total billed charges ,"3,835.30",percent of total billed charges ,"3,287.40",percent of total billed charges ,"3,287.40",percent of total billed charges ,"3,287.40",percent of total billed charges ,"3,287.40",percent of total billed charges ,,,,,"2,914.83",percent of total billed charges ,,,,,"2,769.09",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,,,"1,534.12",percent of total billed charges,
**ARIPIPRAZOLE 2 MG TABLET: ABILIFY,LOCAL,LOCAL,,,,both,,,895,895,250.6,895,895,percent of total billed charges,895,percent of total billed charges,895,percent of total billed charges,895,percent of total billed charges,895,percent of total billed charges,895,percent of total billed charges,895,percent of total billed charges,895,percent of total billed charges,644.4,percent of total billed charges,644.4,percent of total billed charges,644.4,percent of total billed charges,644.4,percent of total billed charges,644.4,percent of total billed charges,644.4,percent of total billed charges,662.3,percent of total billed charges,662.3,percent of total billed charges,716,percent of total billed charges,716,percent of total billed charges,,,644.4,percent of total billed charges ,,,716,percent of total billed charges ,751.8,percent of total billed charges ,751.8,percent of total billed charges ,698.1,percent of total billed charges ,698.1,percent of total billed charges ,716,percent of total billed charges ,716,percent of total billed charges ,626.5,percent of total billed charges ,626.5,percent of total billed charges ,537,percent of total billed charges ,537,percent of total billed charges ,537,percent of total billed charges ,537,percent of total billed charges ,,,,,476.14,percent of total billed charges ,,,,,452.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,,,250.6,percent of total billed charges,
**DEFERASIROX (EXJADE) 500MG,LOCAL,LOCAL,,,,both,,,98,98,27.44,98,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,78.4,percent of total billed charges,78.4,percent of total billed charges,,,70.56,percent of total billed charges ,,,78.4,percent of total billed charges ,82.32,percent of total billed charges ,82.32,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,68.6,percent of total billed charges ,68.6,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,,,,,52.14,percent of total billed charges ,,,,,49.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,
IMIPRAMINE (TOFRANIL) 50MG TAB,LOCAL,LOCAL,,,,both,,,0.63,0.63,0.18,0.63,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.63,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.53,percent of total billed charges ,0.53,percent of total billed charges ,0.49,percent of total billed charges ,0.49,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,0.38,percent of total billed charges ,,,,,0.34,percent of total billed charges ,,,,,0.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,,,0.18,percent of total billed charges,
INDIGO CARMINE,LOCAL,LOCAL,,,,both,,,262.82,262.82,73.59,262.82,262.82,percent of total billed charges,262.82,percent of total billed charges,262.82,percent of total billed charges,262.82,percent of total billed charges,262.82,percent of total billed charges,262.82,percent of total billed charges,262.82,percent of total billed charges,262.82,percent of total billed charges,189.23,percent of total billed charges,189.23,percent of total billed charges,189.23,percent of total billed charges,189.23,percent of total billed charges,189.23,percent of total billed charges,189.23,percent of total billed charges,194.49,percent of total billed charges,194.49,percent of total billed charges,210.26,percent of total billed charges,210.26,percent of total billed charges,,,189.23,percent of total billed charges ,,,210.26,percent of total billed charges ,220.77,percent of total billed charges ,220.77,percent of total billed charges ,205,percent of total billed charges ,205,percent of total billed charges ,210.26,percent of total billed charges ,210.26,percent of total billed charges ,183.97,percent of total billed charges ,183.97,percent of total billed charges ,157.69,percent of total billed charges ,157.69,percent of total billed charges ,157.69,percent of total billed charges ,157.69,percent of total billed charges ,,,,,139.82,percent of total billed charges ,,,,,132.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,,,73.59,percent of total billed charges,
**AZTREONAM 1GM IN 0.9% NACL 100 ML,LOCAL,LOCAL,,,,both,,,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
FUROSEMIDE (LASIX) 40MG/5ML ORAL SOLN,LOCAL,LOCAL,,,,both,,,0.51,0.51,0.14,0.51,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.51,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.38,percent of total billed charges,0.38,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,,,0.37,percent of total billed charges ,,,0.41,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.36,percent of total billed charges ,0.36,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,0.31,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
IRON SUCROSE: (VENOFER): 100MG IVPB,J1756,CDM,,,,both,,,388.93,388.93,108.9,388.93,388.93,percent of total billed charges,388.93,percent of total billed charges,388.93,percent of total billed charges,388.93,percent of total billed charges,388.93,percent of total billed charges,388.93,percent of total billed charges,388.93,percent of total billed charges,388.93,percent of total billed charges,280.03,percent of total billed charges,280.03,percent of total billed charges,280.03,percent of total billed charges,280.03,percent of total billed charges,280.03,percent of total billed charges,280.03,percent of total billed charges,287.81,percent of total billed charges,287.81,percent of total billed charges,311.14,percent of total billed charges,311.14,percent of total billed charges,,,280.03,percent of total billed charges ,,,311.14,percent of total billed charges ,326.7,percent of total billed charges ,326.7,percent of total billed charges ,303.37,percent of total billed charges ,303.37,percent of total billed charges ,311.14,percent of total billed charges ,311.14,percent of total billed charges ,272.25,percent of total billed charges ,272.25,percent of total billed charges ,233.36,percent of total billed charges ,233.36,percent of total billed charges ,233.36,percent of total billed charges ,233.36,percent of total billed charges ,,,,,206.91,percent of total billed charges ,,,,,196.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,,,108.9,percent of total billed charges,
APREPITANT (EMEND) 80MG,J8501,CDM,,,,both,,,266.82,266.82,74.71,266.82,266.82,percent of total billed charges,266.82,percent of total billed charges,266.82,percent of total billed charges,266.82,percent of total billed charges,266.82,percent of total billed charges,266.82,percent of total billed charges,266.82,percent of total billed charges,266.82,percent of total billed charges,192.11,percent of total billed charges,192.11,percent of total billed charges,192.11,percent of total billed charges,192.11,percent of total billed charges,192.11,percent of total billed charges,192.11,percent of total billed charges,197.45,percent of total billed charges,197.45,percent of total billed charges,213.46,percent of total billed charges,213.46,percent of total billed charges,,,192.11,percent of total billed charges ,,,213.46,percent of total billed charges ,224.13,percent of total billed charges ,224.13,percent of total billed charges ,208.12,percent of total billed charges ,208.12,percent of total billed charges ,213.46,percent of total billed charges ,213.46,percent of total billed charges ,186.77,percent of total billed charges ,186.77,percent of total billed charges ,160.09,percent of total billed charges ,160.09,percent of total billed charges ,160.09,percent of total billed charges ,160.09,percent of total billed charges ,,,,,141.95,percent of total billed charges ,,,,,134.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,,,74.71,percent of total billed charges,
STRONG IODINE (LUGOL'S SOLN) 8ML,LOCAL,LOCAL,,,,both,,,28.15,28.15,7.88,28.15,28.15,percent of total billed charges,28.15,percent of total billed charges,28.15,percent of total billed charges,28.15,percent of total billed charges,28.15,percent of total billed charges,28.15,percent of total billed charges,28.15,percent of total billed charges,28.15,percent of total billed charges,20.27,percent of total billed charges,20.27,percent of total billed charges,20.27,percent of total billed charges,20.27,percent of total billed charges,20.27,percent of total billed charges,20.27,percent of total billed charges,20.83,percent of total billed charges,20.83,percent of total billed charges,22.52,percent of total billed charges,22.52,percent of total billed charges,,,20.27,percent of total billed charges ,,,22.52,percent of total billed charges ,23.65,percent of total billed charges ,23.65,percent of total billed charges ,21.96,percent of total billed charges ,21.96,percent of total billed charges ,22.52,percent of total billed charges ,22.52,percent of total billed charges ,19.71,percent of total billed charges ,19.71,percent of total billed charges ,16.89,percent of total billed charges ,16.89,percent of total billed charges ,16.89,percent of total billed charges ,16.89,percent of total billed charges ,,,,,14.98,percent of total billed charges ,,,,,14.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,,,7.88,percent of total billed charges,
**CYPROHEPTADINE (PERITACTIN)  4MG/5ML:,LOCAL,LOCAL,,,,both,,,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
AZITHROMYCIN 500MG IVPB VIALMATE,J0456,CDM,,,,both,,,49.68,49.68,13.91,49.68,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,35.77,percent of total billed charges,35.77,percent of total billed charges,35.77,percent of total billed charges,35.77,percent of total billed charges,35.77,percent of total billed charges,35.77,percent of total billed charges,36.76,percent of total billed charges,36.76,percent of total billed charges,39.74,percent of total billed charges,39.74,percent of total billed charges,,,35.77,percent of total billed charges ,,,39.74,percent of total billed charges ,41.73,percent of total billed charges ,41.73,percent of total billed charges ,38.75,percent of total billed charges ,38.75,percent of total billed charges ,39.74,percent of total billed charges ,39.74,percent of total billed charges ,34.78,percent of total billed charges ,34.78,percent of total billed charges ,29.81,percent of total billed charges ,29.81,percent of total billed charges ,29.81,percent of total billed charges ,29.81,percent of total billed charges ,,,,,26.43,percent of total billed charges ,,,,,25.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,,,13.91,percent of total billed charges,
**E-GUAIFENESIN TABLETS 200MG,LOCAL,LOCAL,,,,both,,,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
TOBRA/DEX(TOBRADEX)OPHTH OINT: SURG CHRG,LOCAL,LOCAL,,,,both,,,448.6,448.6,125.61,448.6,448.6,percent of total billed charges,448.6,percent of total billed charges,448.6,percent of total billed charges,448.6,percent of total billed charges,448.6,percent of total billed charges,448.6,percent of total billed charges,448.6,percent of total billed charges,448.6,percent of total billed charges,322.99,percent of total billed charges,322.99,percent of total billed charges,322.99,percent of total billed charges,322.99,percent of total billed charges,322.99,percent of total billed charges,322.99,percent of total billed charges,331.96,percent of total billed charges,331.96,percent of total billed charges,358.88,percent of total billed charges,358.88,percent of total billed charges,,,322.99,percent of total billed charges ,,,358.88,percent of total billed charges ,376.82,percent of total billed charges ,376.82,percent of total billed charges ,349.91,percent of total billed charges ,349.91,percent of total billed charges ,358.88,percent of total billed charges ,358.88,percent of total billed charges ,314.02,percent of total billed charges ,314.02,percent of total billed charges ,269.16,percent of total billed charges ,269.16,percent of total billed charges ,269.16,percent of total billed charges ,269.16,percent of total billed charges ,,,,,238.66,percent of total billed charges ,,,,,226.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,,,125.61,percent of total billed charges,
**SIMETHICONE 180MG:  PHAZYME 36CT,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
MAGNESIUM SULFATE 20GM IN D5W 500ML,LOCAL,LOCAL,,,,both,,,87.7,87.7,24.56,87.7,87.7,percent of total billed charges,87.7,percent of total billed charges,87.7,percent of total billed charges,87.7,percent of total billed charges,87.7,percent of total billed charges,87.7,percent of total billed charges,87.7,percent of total billed charges,87.7,percent of total billed charges,63.14,percent of total billed charges,63.14,percent of total billed charges,63.14,percent of total billed charges,63.14,percent of total billed charges,63.14,percent of total billed charges,63.14,percent of total billed charges,64.9,percent of total billed charges,64.9,percent of total billed charges,70.16,percent of total billed charges,70.16,percent of total billed charges,,,63.14,percent of total billed charges ,,,70.16,percent of total billed charges ,73.67,percent of total billed charges ,73.67,percent of total billed charges ,68.41,percent of total billed charges ,68.41,percent of total billed charges ,70.16,percent of total billed charges ,70.16,percent of total billed charges ,61.39,percent of total billed charges ,61.39,percent of total billed charges ,52.62,percent of total billed charges ,52.62,percent of total billed charges ,52.62,percent of total billed charges ,52.62,percent of total billed charges ,,,,,46.66,percent of total billed charges ,,,,,44.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,,,24.56,percent of total billed charges,
**AMPICILLIN 1GM IVPB IN NS 100ML MB+,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**AMPICILLIN 2GM IVPB IN NS 100ML MB+,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
MEROPENEM 1GM IN 0.9% SOD CHLOR 100ML,J2185,CDM,,,,both,,,152.85,152.85,42.8,152.85,152.85,percent of total billed charges,152.85,percent of total billed charges,152.85,percent of total billed charges,152.85,percent of total billed charges,152.85,percent of total billed charges,152.85,percent of total billed charges,152.85,percent of total billed charges,152.85,percent of total billed charges,110.05,percent of total billed charges,110.05,percent of total billed charges,110.05,percent of total billed charges,110.05,percent of total billed charges,110.05,percent of total billed charges,110.05,percent of total billed charges,113.11,percent of total billed charges,113.11,percent of total billed charges,122.28,percent of total billed charges,122.28,percent of total billed charges,,,110.05,percent of total billed charges ,,,122.28,percent of total billed charges ,128.39,percent of total billed charges ,128.39,percent of total billed charges ,119.22,percent of total billed charges ,119.22,percent of total billed charges ,122.28,percent of total billed charges ,122.28,percent of total billed charges ,107,percent of total billed charges ,107,percent of total billed charges ,91.71,percent of total billed charges ,91.71,percent of total billed charges ,91.71,percent of total billed charges ,91.71,percent of total billed charges ,,,,,81.32,percent of total billed charges ,,,,,77.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,,,42.8,percent of total billed charges,
BRIMONIDINE (ALPHAGAN) OPHTH SOL. 0.2%,LOCAL,LOCAL,,,,both,,,48.54,48.54,13.59,48.54,48.54,percent of total billed charges,48.54,percent of total billed charges,48.54,percent of total billed charges,48.54,percent of total billed charges,48.54,percent of total billed charges,48.54,percent of total billed charges,48.54,percent of total billed charges,48.54,percent of total billed charges,34.95,percent of total billed charges,34.95,percent of total billed charges,34.95,percent of total billed charges,34.95,percent of total billed charges,34.95,percent of total billed charges,34.95,percent of total billed charges,35.92,percent of total billed charges,35.92,percent of total billed charges,38.83,percent of total billed charges,38.83,percent of total billed charges,,,34.95,percent of total billed charges ,,,38.83,percent of total billed charges ,40.77,percent of total billed charges ,40.77,percent of total billed charges ,37.86,percent of total billed charges ,37.86,percent of total billed charges ,38.83,percent of total billed charges ,38.83,percent of total billed charges ,33.98,percent of total billed charges ,33.98,percent of total billed charges ,29.12,percent of total billed charges ,29.12,percent of total billed charges ,29.12,percent of total billed charges ,29.12,percent of total billed charges ,,,,,25.82,percent of total billed charges ,,,,,24.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,,,13.59,percent of total billed charges,
**RAMELTEON 8MG TAB: ROZEREM,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**IMMUNE GLOBULIN 10 GM:GAMMAGARD LIQ,J1567,CDM,,,,both,,,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
**LR 1000ML W/PITOCIN 10 UNITS DRIP,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
FOSINOPRIL (MONOPRIL) 20MG TAB,LOCAL,LOCAL,,,,both,,,0.55,0.55,0.15,0.55,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.55,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,,,0.4,percent of total billed charges ,,,0.44,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.33,percent of total billed charges ,0.33,percent of total billed charges ,0.33,percent of total billed charges ,0.33,percent of total billed charges ,,,,,0.29,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,,,0.15,percent of total billed charges,
**FOSINOPRIL (MONOPRIL) 40MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
glipiZIDE ER 2.5MG TAB,LOCAL,LOCAL,,,,both,,,0.56,0.56,0.16,0.56,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.56,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,0.41,percent of total billed charges,0.41,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,,,0.4,percent of total billed charges ,,,0.45,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.44,percent of total billed charges ,0.44,percent of total billed charges ,0.45,percent of total billed charges ,0.45,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,0.34,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,0.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,,,0.16,percent of total billed charges,
LEVALBUTEROL (XOPENEX HFA) INHALER,LOCAL,LOCAL,,,,both,,,143.17,143.17,40.09,143.17,143.17,percent of total billed charges,143.17,percent of total billed charges,143.17,percent of total billed charges,143.17,percent of total billed charges,143.17,percent of total billed charges,143.17,percent of total billed charges,143.17,percent of total billed charges,143.17,percent of total billed charges,103.08,percent of total billed charges,103.08,percent of total billed charges,103.08,percent of total billed charges,103.08,percent of total billed charges,103.08,percent of total billed charges,103.08,percent of total billed charges,105.95,percent of total billed charges,105.95,percent of total billed charges,114.54,percent of total billed charges,114.54,percent of total billed charges,,,103.08,percent of total billed charges ,,,114.54,percent of total billed charges ,120.26,percent of total billed charges ,120.26,percent of total billed charges ,111.67,percent of total billed charges ,111.67,percent of total billed charges ,114.54,percent of total billed charges ,114.54,percent of total billed charges ,100.22,percent of total billed charges ,100.22,percent of total billed charges ,85.9,percent of total billed charges ,85.9,percent of total billed charges ,85.9,percent of total billed charges ,85.9,percent of total billed charges ,,,,,76.17,percent of total billed charges ,,,,,72.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,,,40.09,percent of total billed charges,
RANOLAZINE (RANEXA) 500MG TAB,LOCAL,LOCAL,,,,both,,,1.81,1.81,0.51,1.81,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.81,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.34,percent of total billed charges,1.34,percent of total billed charges,1.45,percent of total billed charges,1.45,percent of total billed charges,,,1.3,percent of total billed charges ,,,1.45,percent of total billed charges ,1.52,percent of total billed charges ,1.52,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.45,percent of total billed charges ,1.45,percent of total billed charges ,1.27,percent of total billed charges ,1.27,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,1.09,percent of total billed charges ,,,,,0.96,percent of total billed charges ,,,,,0.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,,,0.51,percent of total billed charges,
CETIRIZINE (ZyrTEC) 10MG CHEWABLE TABS,LOCAL,LOCAL,,,,both,,,0.62,0.62,0.17,0.62,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.62,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.45,percent of total billed charges,0.46,percent of total billed charges,0.46,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,,,0.45,percent of total billed charges ,,,0.5,percent of total billed charges ,0.52,percent of total billed charges ,0.52,percent of total billed charges ,0.48,percent of total billed charges ,0.48,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.43,percent of total billed charges ,0.43,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,0.37,percent of total billed charges ,,,,,0.33,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
ACETAMINOPHEN/DIPHENHYDRAMINE 500/25,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**QUETIAPINE 200MG TABLET: SEROQUEL,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**OLANZAPINE 10MG VIAL: ZYPREXA 10MG IM,LOCAL,LOCAL,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**MELATONIN 3 MG TAB,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**QUETIAPINE 300MG TABLET: SEROQUEL,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
COLESEVELAM (WELCHOL) 625MG TAB,LOCAL,LOCAL,,,,both,,,9.56,9.56,2.68,9.56,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,9.56,percent of total billed charges,6.88,percent of total billed charges,6.88,percent of total billed charges,6.88,percent of total billed charges,6.88,percent of total billed charges,6.88,percent of total billed charges,6.88,percent of total billed charges,7.07,percent of total billed charges,7.07,percent of total billed charges,7.65,percent of total billed charges,7.65,percent of total billed charges,,,6.88,percent of total billed charges ,,,7.65,percent of total billed charges ,8.03,percent of total billed charges ,8.03,percent of total billed charges ,7.46,percent of total billed charges ,7.46,percent of total billed charges ,7.65,percent of total billed charges ,7.65,percent of total billed charges ,6.69,percent of total billed charges ,6.69,percent of total billed charges ,5.74,percent of total billed charges ,5.74,percent of total billed charges ,5.74,percent of total billed charges ,5.74,percent of total billed charges ,,,,,5.09,percent of total billed charges ,,,,,4.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,,,2.68,percent of total billed charges,
**LAMOTRIGINE 200MG TAB: LAMICTAL,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**POLYETHYLENE GLYCOL 115 GM: MIRALAX,LOCAL,LOCAL,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
CHLORTHALIDONE (HYGROTON) 25MG TAB,LOCAL,LOCAL,,,,both,,,6.52,6.52,1.83,6.52,6.52,percent of total billed charges,6.52,percent of total billed charges,6.52,percent of total billed charges,6.52,percent of total billed charges,6.52,percent of total billed charges,6.52,percent of total billed charges,6.52,percent of total billed charges,6.52,percent of total billed charges,4.69,percent of total billed charges,4.69,percent of total billed charges,4.69,percent of total billed charges,4.69,percent of total billed charges,4.69,percent of total billed charges,4.69,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,5.22,percent of total billed charges,5.22,percent of total billed charges,,,4.69,percent of total billed charges ,,,5.22,percent of total billed charges ,5.48,percent of total billed charges ,5.48,percent of total billed charges ,5.09,percent of total billed charges ,5.09,percent of total billed charges ,5.22,percent of total billed charges ,5.22,percent of total billed charges ,4.56,percent of total billed charges ,4.56,percent of total billed charges ,3.91,percent of total billed charges ,3.91,percent of total billed charges ,3.91,percent of total billed charges ,3.91,percent of total billed charges ,,,,,3.47,percent of total billed charges ,,,,,3.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,,,1.83,percent of total billed charges,
**QUINAPRIL (ACCUPRIL) 5MG TAB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**DOCOSANOL 10%: ABREVA,LOCAL,LOCAL,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**DENTURE ADHESIVE PASTE,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
SOLIFENACIN (VESICARE) 5MG TAB,LOCAL,LOCAL,,,,both,,,41.33,41.33,11.57,41.33,41.33,percent of total billed charges,41.33,percent of total billed charges,41.33,percent of total billed charges,41.33,percent of total billed charges,41.33,percent of total billed charges,41.33,percent of total billed charges,41.33,percent of total billed charges,41.33,percent of total billed charges,29.76,percent of total billed charges,29.76,percent of total billed charges,29.76,percent of total billed charges,29.76,percent of total billed charges,29.76,percent of total billed charges,29.76,percent of total billed charges,30.58,percent of total billed charges,30.58,percent of total billed charges,33.06,percent of total billed charges,33.06,percent of total billed charges,,,29.76,percent of total billed charges ,,,33.06,percent of total billed charges ,34.72,percent of total billed charges ,34.72,percent of total billed charges ,32.24,percent of total billed charges ,32.24,percent of total billed charges ,33.06,percent of total billed charges ,33.06,percent of total billed charges ,28.93,percent of total billed charges ,28.93,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,24.8,percent of total billed charges ,,,,,21.99,percent of total billed charges ,,,,,20.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,,,11.57,percent of total billed charges,
RT ATROPINE 0.4MG IN 2.5ML NS NEB,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
MOMETASONE (ASMANEX) 220 MCG INHALER,LOCAL,LOCAL,,,,both,,,478.33,478.33,133.93,478.33,478.33,percent of total billed charges,478.33,percent of total billed charges,478.33,percent of total billed charges,478.33,percent of total billed charges,478.33,percent of total billed charges,478.33,percent of total billed charges,478.33,percent of total billed charges,478.33,percent of total billed charges,344.4,percent of total billed charges,344.4,percent of total billed charges,344.4,percent of total billed charges,344.4,percent of total billed charges,344.4,percent of total billed charges,344.4,percent of total billed charges,353.96,percent of total billed charges,353.96,percent of total billed charges,382.66,percent of total billed charges,382.66,percent of total billed charges,,,344.4,percent of total billed charges ,,,382.66,percent of total billed charges ,401.8,percent of total billed charges ,401.8,percent of total billed charges ,373.1,percent of total billed charges ,373.1,percent of total billed charges ,382.66,percent of total billed charges ,382.66,percent of total billed charges ,334.83,percent of total billed charges ,334.83,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,,,,,254.47,percent of total billed charges ,,,,,241.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,,,133.93,percent of total billed charges,
**ZICAM INTENSE SINUS RELIEF,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**AMLODIPINE/BENAZEPRIL 5/20: LOTREL,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
WARFARIN (COUMADIN) 6 MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
0.9% NACL 25 ML IVPB,LOCAL,LOCAL,,,,both,,,19.37,19.37,5.42,19.37,19.37,percent of total billed charges,19.37,percent of total billed charges,19.37,percent of total billed charges,19.37,percent of total billed charges,19.37,percent of total billed charges,19.37,percent of total billed charges,19.37,percent of total billed charges,19.37,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,13.95,percent of total billed charges,14.33,percent of total billed charges,14.33,percent of total billed charges,15.5,percent of total billed charges,15.5,percent of total billed charges,,,13.95,percent of total billed charges ,,,15.5,percent of total billed charges ,16.27,percent of total billed charges ,16.27,percent of total billed charges ,15.11,percent of total billed charges ,15.11,percent of total billed charges ,15.5,percent of total billed charges ,15.5,percent of total billed charges ,13.56,percent of total billed charges ,13.56,percent of total billed charges ,11.62,percent of total billed charges ,11.62,percent of total billed charges ,11.62,percent of total billed charges ,11.62,percent of total billed charges ,,,,,10.3,percent of total billed charges ,,,,,9.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,,,5.42,percent of total billed charges,
LETROZOLE (FEMARA) 2.5MG TAB,LOCAL,LOCAL,,,,both,,,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
PYRIDOXINE 100MG/ML INJECTION: VIT B6,LOCAL,LOCAL,,,,both,,,84.65,84.65,23.7,84.65,84.65,percent of total billed charges,84.65,percent of total billed charges,84.65,percent of total billed charges,84.65,percent of total billed charges,84.65,percent of total billed charges,84.65,percent of total billed charges,84.65,percent of total billed charges,84.65,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,60.95,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,67.72,percent of total billed charges,67.72,percent of total billed charges,,,60.95,percent of total billed charges ,,,67.72,percent of total billed charges ,71.11,percent of total billed charges ,71.11,percent of total billed charges ,66.03,percent of total billed charges ,66.03,percent of total billed charges ,67.72,percent of total billed charges ,67.72,percent of total billed charges ,59.26,percent of total billed charges ,59.26,percent of total billed charges ,50.79,percent of total billed charges ,50.79,percent of total billed charges ,50.79,percent of total billed charges ,50.79,percent of total billed charges ,,,,,45.03,percent of total billed charges ,,,,,42.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,,,23.7,percent of total billed charges,
**IMMUNE GLOBULIN 1GM: GAMMAR-PIV,J1567,CDM,,,,both,,,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
**INSULIN LISPRO MIX 50/50: PER DOSE,LOCAL,LOCAL,,,,both,,,1,1,0.28,1,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,1,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.72,percent of total billed charges,0.74,percent of total billed charges,0.74,percent of total billed charges,0.8,percent of total billed charges,0.8,percent of total billed charges,,,0.72,percent of total billed charges ,,,0.8,percent of total billed charges ,0.84,percent of total billed charges ,0.84,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.8,percent of total billed charges ,0.8,percent of total billed charges ,0.7,percent of total billed charges ,0.7,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,0.6,percent of total billed charges ,,,,,0.53,percent of total billed charges ,,,,,0.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,,,0.28,percent of total billed charges,
MAGNESIUM SULFATE 2GM IN 50ML IVPB,J3475,CDM,,,,both,,,58.13,58.13,16.28,58.13,58.13,percent of total billed charges,58.13,percent of total billed charges,58.13,percent of total billed charges,58.13,percent of total billed charges,58.13,percent of total billed charges,58.13,percent of total billed charges,58.13,percent of total billed charges,58.13,percent of total billed charges,41.85,percent of total billed charges,41.85,percent of total billed charges,41.85,percent of total billed charges,41.85,percent of total billed charges,41.85,percent of total billed charges,41.85,percent of total billed charges,43.02,percent of total billed charges,43.02,percent of total billed charges,46.5,percent of total billed charges,46.5,percent of total billed charges,,,41.85,percent of total billed charges ,,,46.5,percent of total billed charges ,48.83,percent of total billed charges ,48.83,percent of total billed charges ,45.34,percent of total billed charges ,45.34,percent of total billed charges ,46.5,percent of total billed charges ,46.5,percent of total billed charges ,40.69,percent of total billed charges ,40.69,percent of total billed charges ,34.88,percent of total billed charges ,34.88,percent of total billed charges ,34.88,percent of total billed charges ,34.88,percent of total billed charges ,,,,,30.93,percent of total billed charges ,,,,,29.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,,,16.28,percent of total billed charges,
MAGNESIUM SULFATE 1GM IN D5W 100ML IVPB,J3475,CDM,,,,both,,,25.35,25.35,7.1,25.35,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,25.35,percent of total billed charges,18.25,percent of total billed charges,18.25,percent of total billed charges,18.25,percent of total billed charges,18.25,percent of total billed charges,18.25,percent of total billed charges,18.25,percent of total billed charges,18.76,percent of total billed charges,18.76,percent of total billed charges,20.28,percent of total billed charges,20.28,percent of total billed charges,,,18.25,percent of total billed charges ,,,20.28,percent of total billed charges ,21.29,percent of total billed charges ,21.29,percent of total billed charges ,19.77,percent of total billed charges ,19.77,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,17.75,percent of total billed charges ,17.75,percent of total billed charges ,15.21,percent of total billed charges ,15.21,percent of total billed charges ,15.21,percent of total billed charges ,15.21,percent of total billed charges ,,,,,13.49,percent of total billed charges ,,,,,12.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,,,7.1,percent of total billed charges,
**ZOLPIDEM CR 12.5MG: AMBIEN,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
EXENATIDE (BYETTA) 10MCG/DOSE INJ,J3490,CDM,,,,both,,,"1,398.40","1,398.40",391.55,"1,398.40","1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,"1,398.40",percent of total billed charges,"1,006.85",percent of total billed charges,"1,006.85",percent of total billed charges,"1,006.85",percent of total billed charges,"1,006.85",percent of total billed charges,"1,006.85",percent of total billed charges,"1,006.85",percent of total billed charges,"1,034.82",percent of total billed charges,"1,034.82",percent of total billed charges,"1,118.72",percent of total billed charges,"1,118.72",percent of total billed charges,,,"1,006.85",percent of total billed charges ,,,"1,118.72",percent of total billed charges ,"1,174.66",percent of total billed charges ,"1,174.66",percent of total billed charges ,"1,090.75",percent of total billed charges ,"1,090.75",percent of total billed charges ,"1,118.72",percent of total billed charges ,"1,118.72",percent of total billed charges ,978.88,percent of total billed charges ,978.88,percent of total billed charges ,839.04,percent of total billed charges ,839.04,percent of total billed charges ,839.04,percent of total billed charges ,839.04,percent of total billed charges ,,,,,743.95,percent of total billed charges ,,,,,706.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,,,391.55,percent of total billed charges,
**CITALOPRAM (CELEXA) 10 MG TAB,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**MODAFINIL 100MG: PROVIGIL,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**HYDROcodone/CH0LORPHENIRAMINE SUSP,LOCAL,LOCAL,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
**ISRADIPINE CR 5MG: DYNACIRC CR,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
PREGABALIN (LYRICA) 50MG CAP,LOCAL,LOCAL,,,,both,,,6.23,6.23,1.74,6.23,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,,,4.49,percent of total billed charges ,,,4.98,percent of total billed charges ,5.23,percent of total billed charges ,5.23,percent of total billed charges ,4.86,percent of total billed charges ,4.86,percent of total billed charges ,4.98,percent of total billed charges ,4.98,percent of total billed charges ,4.36,percent of total billed charges ,4.36,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,,,,,3.31,percent of total billed charges ,,,,,3.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,
ALISKIREN (TEKTURNA) 150MG TAB,LOCAL,LOCAL,,,,both,,,18.44,18.44,5.16,18.44,18.44,percent of total billed charges,18.44,percent of total billed charges,18.44,percent of total billed charges,18.44,percent of total billed charges,18.44,percent of total billed charges,18.44,percent of total billed charges,18.44,percent of total billed charges,18.44,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.28,percent of total billed charges,13.65,percent of total billed charges,13.65,percent of total billed charges,14.75,percent of total billed charges,14.75,percent of total billed charges,,,13.28,percent of total billed charges ,,,14.75,percent of total billed charges ,15.49,percent of total billed charges ,15.49,percent of total billed charges ,14.38,percent of total billed charges ,14.38,percent of total billed charges ,14.75,percent of total billed charges ,14.75,percent of total billed charges ,12.91,percent of total billed charges ,12.91,percent of total billed charges ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,11.06,percent of total billed charges ,,,,,9.81,percent of total billed charges ,,,,,9.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,,,5.16,percent of total billed charges,
PREGABALIN (LYRICA) 150MG CAP,LOCAL,LOCAL,,,,both,,,6.23,6.23,1.74,6.23,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,6.23,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,4.61,percent of total billed charges,4.61,percent of total billed charges,4.98,percent of total billed charges,4.98,percent of total billed charges,,,4.49,percent of total billed charges ,,,4.98,percent of total billed charges ,5.23,percent of total billed charges ,5.23,percent of total billed charges ,4.86,percent of total billed charges ,4.86,percent of total billed charges ,4.98,percent of total billed charges ,4.98,percent of total billed charges ,4.36,percent of total billed charges ,4.36,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,,,,,3.31,percent of total billed charges ,,,,,3.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,,,1.74,percent of total billed charges,
MODAFINIL (PROVIGIL) 200MG TAB,LOCAL,LOCAL,,,,both,,,10.31,10.31,2.89,10.31,10.31,percent of total billed charges,10.31,percent of total billed charges,10.31,percent of total billed charges,10.31,percent of total billed charges,10.31,percent of total billed charges,10.31,percent of total billed charges,10.31,percent of total billed charges,10.31,percent of total billed charges,7.42,percent of total billed charges,7.42,percent of total billed charges,7.42,percent of total billed charges,7.42,percent of total billed charges,7.42,percent of total billed charges,7.42,percent of total billed charges,7.63,percent of total billed charges,7.63,percent of total billed charges,8.25,percent of total billed charges,8.25,percent of total billed charges,,,7.42,percent of total billed charges ,,,8.25,percent of total billed charges ,8.66,percent of total billed charges ,8.66,percent of total billed charges ,8.04,percent of total billed charges ,8.04,percent of total billed charges ,8.25,percent of total billed charges ,8.25,percent of total billed charges ,7.22,percent of total billed charges ,7.22,percent of total billed charges ,6.19,percent of total billed charges ,6.19,percent of total billed charges ,6.19,percent of total billed charges ,6.19,percent of total billed charges ,,,,,5.48,percent of total billed charges ,,,,,5.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,,,2.89,percent of total billed charges,
**ONDANSETRON 4MG/2ML SYRINGE:ZOFRAN,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**ERGOCALCIFEROL DROPS:CALCIFEROL,LOCAL,LOCAL,,,,both,,,178,178,49.84,178,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,131.72,percent of total billed charges,131.72,percent of total billed charges,142.4,percent of total billed charges,142.4,percent of total billed charges,,,128.16,percent of total billed charges ,,,142.4,percent of total billed charges ,149.52,percent of total billed charges ,149.52,percent of total billed charges ,138.84,percent of total billed charges ,138.84,percent of total billed charges ,142.4,percent of total billed charges ,142.4,percent of total billed charges ,124.6,percent of total billed charges ,124.6,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
SODIUM CHLORIDE 0.9% 100ML MINIBAG+,LOCAL,LOCAL,,,,both,,,48.21,48.21,13.5,48.21,48.21,percent of total billed charges,48.21,percent of total billed charges,48.21,percent of total billed charges,48.21,percent of total billed charges,48.21,percent of total billed charges,48.21,percent of total billed charges,48.21,percent of total billed charges,48.21,percent of total billed charges,34.71,percent of total billed charges,34.71,percent of total billed charges,34.71,percent of total billed charges,34.71,percent of total billed charges,34.71,percent of total billed charges,34.71,percent of total billed charges,35.68,percent of total billed charges,35.68,percent of total billed charges,38.57,percent of total billed charges,38.57,percent of total billed charges,,,34.71,percent of total billed charges ,,,38.57,percent of total billed charges ,40.5,percent of total billed charges ,40.5,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,38.57,percent of total billed charges ,38.57,percent of total billed charges ,33.75,percent of total billed charges ,33.75,percent of total billed charges ,28.93,percent of total billed charges ,28.93,percent of total billed charges ,28.93,percent of total billed charges ,28.93,percent of total billed charges ,,,,,25.65,percent of total billed charges ,,,,,24.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,,,13.5,percent of total billed charges,
PIPERACILLIN/TAZOBACTAM 3.375GM IVPB MB+,J2543,CDM,,,,both,,,58.19,58.19,16.29,58.19,58.19,percent of total billed charges,58.19,percent of total billed charges,58.19,percent of total billed charges,58.19,percent of total billed charges,58.19,percent of total billed charges,58.19,percent of total billed charges,58.19,percent of total billed charges,58.19,percent of total billed charges,41.9,percent of total billed charges,41.9,percent of total billed charges,41.9,percent of total billed charges,41.9,percent of total billed charges,41.9,percent of total billed charges,41.9,percent of total billed charges,43.06,percent of total billed charges,43.06,percent of total billed charges,46.55,percent of total billed charges,46.55,percent of total billed charges,,,41.9,percent of total billed charges ,,,46.55,percent of total billed charges ,48.88,percent of total billed charges ,48.88,percent of total billed charges ,45.39,percent of total billed charges ,45.39,percent of total billed charges ,46.55,percent of total billed charges ,46.55,percent of total billed charges ,40.73,percent of total billed charges ,40.73,percent of total billed charges ,34.91,percent of total billed charges ,34.91,percent of total billed charges ,34.91,percent of total billed charges ,34.91,percent of total billed charges ,,,,,30.96,percent of total billed charges ,,,,,29.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,,,16.29,percent of total billed charges,
cefOXitin (MEFOXIN) 1GM/100ML IVPB MB+,J0694,CDM,,,,both,,,40.92,40.92,11.46,40.92,40.92,percent of total billed charges,40.92,percent of total billed charges,40.92,percent of total billed charges,40.92,percent of total billed charges,40.92,percent of total billed charges,40.92,percent of total billed charges,40.92,percent of total billed charges,40.92,percent of total billed charges,29.46,percent of total billed charges,29.46,percent of total billed charges,29.46,percent of total billed charges,29.46,percent of total billed charges,29.46,percent of total billed charges,29.46,percent of total billed charges,30.28,percent of total billed charges,30.28,percent of total billed charges,32.74,percent of total billed charges,32.74,percent of total billed charges,,,29.46,percent of total billed charges ,,,32.74,percent of total billed charges ,34.37,percent of total billed charges ,34.37,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,32.74,percent of total billed charges ,32.74,percent of total billed charges ,28.64,percent of total billed charges ,28.64,percent of total billed charges ,24.55,percent of total billed charges ,24.55,percent of total billed charges ,24.55,percent of total billed charges ,24.55,percent of total billed charges ,,,,,21.77,percent of total billed charges ,,,,,20.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,,,11.46,percent of total billed charges,
AMPICILLIN 2GM/100ML IVPB MINIBAG+,J0290,CDM,,,,both,,,37.7,37.7,10.56,37.7,37.7,percent of total billed charges,37.7,percent of total billed charges,37.7,percent of total billed charges,37.7,percent of total billed charges,37.7,percent of total billed charges,37.7,percent of total billed charges,37.7,percent of total billed charges,37.7,percent of total billed charges,27.14,percent of total billed charges,27.14,percent of total billed charges,27.14,percent of total billed charges,27.14,percent of total billed charges,27.14,percent of total billed charges,27.14,percent of total billed charges,27.9,percent of total billed charges,27.9,percent of total billed charges,30.16,percent of total billed charges,30.16,percent of total billed charges,,,27.14,percent of total billed charges ,,,30.16,percent of total billed charges ,31.67,percent of total billed charges ,31.67,percent of total billed charges ,29.41,percent of total billed charges ,29.41,percent of total billed charges ,30.16,percent of total billed charges ,30.16,percent of total billed charges ,26.39,percent of total billed charges ,26.39,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,,,,,20.06,percent of total billed charges ,,,,,19.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,,,10.56,percent of total billed charges,
**AMPICILLIN 1GM/100ML IVPB MINIBAG+,J0290,CDM,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
PIPERACILLIN/TAZOBACTAM 2.25GM/100ML ADV,J2543,CDM,,,,both,,,91.93,91.93,25.74,91.93,91.93,percent of total billed charges,91.93,percent of total billed charges,91.93,percent of total billed charges,91.93,percent of total billed charges,91.93,percent of total billed charges,91.93,percent of total billed charges,91.93,percent of total billed charges,91.93,percent of total billed charges,66.19,percent of total billed charges,66.19,percent of total billed charges,66.19,percent of total billed charges,66.19,percent of total billed charges,66.19,percent of total billed charges,66.19,percent of total billed charges,68.03,percent of total billed charges,68.03,percent of total billed charges,73.54,percent of total billed charges,73.54,percent of total billed charges,,,66.19,percent of total billed charges ,,,73.54,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,71.71,percent of total billed charges ,71.71,percent of total billed charges ,73.54,percent of total billed charges ,73.54,percent of total billed charges ,64.35,percent of total billed charges ,64.35,percent of total billed charges ,55.16,percent of total billed charges ,55.16,percent of total billed charges ,55.16,percent of total billed charges ,55.16,percent of total billed charges ,,,,,48.91,percent of total billed charges ,,,,,46.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,,,25.74,percent of total billed charges,
**CEFOXITIN (MEFOXIN) 2GM/100ML IVPB MB+,J0694,CDM,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
INSULIN GLULISINE (APIDRA) 100 UNITS/ML,LOCAL,LOCAL,,,,both,,,293.31,293.31,82.13,293.31,293.31,percent of total billed charges,293.31,percent of total billed charges,293.31,percent of total billed charges,293.31,percent of total billed charges,293.31,percent of total billed charges,293.31,percent of total billed charges,293.31,percent of total billed charges,293.31,percent of total billed charges,211.18,percent of total billed charges,211.18,percent of total billed charges,211.18,percent of total billed charges,211.18,percent of total billed charges,211.18,percent of total billed charges,211.18,percent of total billed charges,217.05,percent of total billed charges,217.05,percent of total billed charges,234.65,percent of total billed charges,234.65,percent of total billed charges,,,211.18,percent of total billed charges ,,,234.65,percent of total billed charges ,246.38,percent of total billed charges ,246.38,percent of total billed charges ,228.78,percent of total billed charges ,228.78,percent of total billed charges ,234.65,percent of total billed charges ,234.65,percent of total billed charges ,205.32,percent of total billed charges ,205.32,percent of total billed charges ,175.99,percent of total billed charges ,175.99,percent of total billed charges ,175.99,percent of total billed charges ,175.99,percent of total billed charges ,,,,,156.04,percent of total billed charges ,,,,,148.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,,,82.13,percent of total billed charges,
**ESZOPICLONE 3 MG: LUNESTA,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
OXACILLIN 1GM/100ML IVPB MB+,J2700,CDM,,,,both,,,72.48,72.48,20.29,72.48,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,72.48,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,52.19,percent of total billed charges,53.64,percent of total billed charges,53.64,percent of total billed charges,57.98,percent of total billed charges,57.98,percent of total billed charges,,,52.19,percent of total billed charges ,,,57.98,percent of total billed charges ,60.88,percent of total billed charges ,60.88,percent of total billed charges ,56.53,percent of total billed charges ,56.53,percent of total billed charges ,57.98,percent of total billed charges ,57.98,percent of total billed charges ,50.74,percent of total billed charges ,50.74,percent of total billed charges ,43.49,percent of total billed charges ,43.49,percent of total billed charges ,43.49,percent of total billed charges ,43.49,percent of total billed charges ,,,,,38.56,percent of total billed charges ,,,,,36.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,,,20.29,percent of total billed charges,
OXACILLIN 2GM/100 ML IVPB MB+,J2700,CDM,,,,both,,,140.69,140.69,39.39,140.69,140.69,percent of total billed charges,140.69,percent of total billed charges,140.69,percent of total billed charges,140.69,percent of total billed charges,140.69,percent of total billed charges,140.69,percent of total billed charges,140.69,percent of total billed charges,140.69,percent of total billed charges,101.3,percent of total billed charges,101.3,percent of total billed charges,101.3,percent of total billed charges,101.3,percent of total billed charges,101.3,percent of total billed charges,101.3,percent of total billed charges,104.11,percent of total billed charges,104.11,percent of total billed charges,112.55,percent of total billed charges,112.55,percent of total billed charges,,,101.3,percent of total billed charges ,,,112.55,percent of total billed charges ,118.18,percent of total billed charges ,118.18,percent of total billed charges ,109.74,percent of total billed charges ,109.74,percent of total billed charges ,112.55,percent of total billed charges ,112.55,percent of total billed charges ,98.48,percent of total billed charges ,98.48,percent of total billed charges ,84.41,percent of total billed charges ,84.41,percent of total billed charges ,84.41,percent of total billed charges ,84.41,percent of total billed charges ,,,,,74.85,percent of total billed charges ,,,,,71.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,,,39.39,percent of total billed charges,
BALSALAZIDE (COLAZAL) 750MG CAP,LOCAL,LOCAL,,,,both,,,3.12,3.12,0.87,3.12,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,3.12,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.31,percent of total billed charges,2.31,percent of total billed charges,2.5,percent of total billed charges,2.5,percent of total billed charges,,,2.25,percent of total billed charges ,,,2.5,percent of total billed charges ,2.62,percent of total billed charges ,2.62,percent of total billed charges ,2.43,percent of total billed charges ,2.43,percent of total billed charges ,2.5,percent of total billed charges ,2.5,percent of total billed charges ,2.18,percent of total billed charges ,2.18,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,1.87,percent of total billed charges ,,,,,1.66,percent of total billed charges ,,,,,1.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,,,0.87,percent of total billed charges,
ALBUMIN 5% (12.5GM/250 ML) IVPB,P9045,CDM,,,,both,,,378,378,105.84,378,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,378,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,272.16,percent of total billed charges,279.72,percent of total billed charges,279.72,percent of total billed charges,302.4,percent of total billed charges,302.4,percent of total billed charges,,,272.16,percent of total billed charges ,,,302.4,percent of total billed charges ,317.52,percent of total billed charges ,317.52,percent of total billed charges ,294.84,percent of total billed charges ,294.84,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,,,,,201.1,percent of total billed charges ,,,,,191.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,,,105.84,percent of total billed charges,
**POTASSIUM CHLORIDE 40MEQ,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
ALISKIREN 150MG TAB: TEKTURNA,LOCAL,LOCAL,,,,both,,,22.28,22.28,6.24,22.28,22.28,percent of total billed charges,22.28,percent of total billed charges,22.28,percent of total billed charges,22.28,percent of total billed charges,22.28,percent of total billed charges,22.28,percent of total billed charges,22.28,percent of total billed charges,22.28,percent of total billed charges,16.04,percent of total billed charges,16.04,percent of total billed charges,16.04,percent of total billed charges,16.04,percent of total billed charges,16.04,percent of total billed charges,16.04,percent of total billed charges,16.49,percent of total billed charges,16.49,percent of total billed charges,17.82,percent of total billed charges,17.82,percent of total billed charges,,,16.04,percent of total billed charges ,,,17.82,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,17.82,percent of total billed charges ,17.82,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,13.37,percent of total billed charges ,13.37,percent of total billed charges ,13.37,percent of total billed charges ,13.37,percent of total billed charges ,,,,,11.85,percent of total billed charges ,,,,,11.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,,,6.24,percent of total billed charges,
**LEUPROLIDE 7.5MG INJ.: LUPRON DEPOT,LOCAL,LOCAL,,,,both,,,"1,603.00","1,603.00",448.84,"1,603.00","1,603.00",percent of total billed charges,"1,603.00",percent of total billed charges,"1,603.00",percent of total billed charges,"1,603.00",percent of total billed charges,"1,603.00",percent of total billed charges,"1,603.00",percent of total billed charges,"1,603.00",percent of total billed charges,"1,603.00",percent of total billed charges,"1,154.16",percent of total billed charges,"1,154.16",percent of total billed charges,"1,154.16",percent of total billed charges,"1,154.16",percent of total billed charges,"1,154.16",percent of total billed charges,"1,154.16",percent of total billed charges,"1,186.22",percent of total billed charges,"1,186.22",percent of total billed charges,"1,282.40",percent of total billed charges,"1,282.40",percent of total billed charges,,,"1,154.16",percent of total billed charges ,,,"1,282.40",percent of total billed charges ,"1,346.52",percent of total billed charges ,"1,346.52",percent of total billed charges ,"1,250.34",percent of total billed charges ,"1,250.34",percent of total billed charges ,"1,282.40",percent of total billed charges ,"1,282.40",percent of total billed charges ,"1,122.10",percent of total billed charges ,"1,122.10",percent of total billed charges ,961.8,percent of total billed charges ,961.8,percent of total billed charges ,961.8,percent of total billed charges ,961.8,percent of total billed charges ,,,,,852.8,percent of total billed charges ,,,,,810.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,,,448.84,percent of total billed charges,
**PENTAZOCINE INJ 30MG/1ML: TALWIN,LOCAL,LOCAL,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
TIMOLOL (TIMOPTIC) 0.25% OPHTH SOLN,LOCAL,LOCAL,,,,both,,,28.2,28.2,7.9,28.2,28.2,percent of total billed charges,28.2,percent of total billed charges,28.2,percent of total billed charges,28.2,percent of total billed charges,28.2,percent of total billed charges,28.2,percent of total billed charges,28.2,percent of total billed charges,28.2,percent of total billed charges,20.3,percent of total billed charges,20.3,percent of total billed charges,20.3,percent of total billed charges,20.3,percent of total billed charges,20.3,percent of total billed charges,20.3,percent of total billed charges,20.87,percent of total billed charges,20.87,percent of total billed charges,22.56,percent of total billed charges,22.56,percent of total billed charges,,,20.3,percent of total billed charges ,,,22.56,percent of total billed charges ,23.69,percent of total billed charges ,23.69,percent of total billed charges ,22,percent of total billed charges ,22,percent of total billed charges ,22.56,percent of total billed charges ,22.56,percent of total billed charges ,19.74,percent of total billed charges ,19.74,percent of total billed charges ,16.92,percent of total billed charges ,16.92,percent of total billed charges ,16.92,percent of total billed charges ,16.92,percent of total billed charges ,,,,,15,percent of total billed charges ,,,,,14.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,,,7.9,percent of total billed charges,
**TETRACYCLINE (SUMYCIN) 250MG CAPSULE,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
D5W IN 0.9% NACL + KCL 40MEQ,LOCAL,LOCAL,,,,both,,,104.22,104.22,29.18,104.22,104.22,percent of total billed charges,104.22,percent of total billed charges,104.22,percent of total billed charges,104.22,percent of total billed charges,104.22,percent of total billed charges,104.22,percent of total billed charges,104.22,percent of total billed charges,104.22,percent of total billed charges,75.04,percent of total billed charges,75.04,percent of total billed charges,75.04,percent of total billed charges,75.04,percent of total billed charges,75.04,percent of total billed charges,75.04,percent of total billed charges,77.12,percent of total billed charges,77.12,percent of total billed charges,83.38,percent of total billed charges,83.38,percent of total billed charges,,,75.04,percent of total billed charges ,,,83.38,percent of total billed charges ,87.54,percent of total billed charges ,87.54,percent of total billed charges ,81.29,percent of total billed charges ,81.29,percent of total billed charges ,83.38,percent of total billed charges ,83.38,percent of total billed charges ,72.95,percent of total billed charges ,72.95,percent of total billed charges ,62.53,percent of total billed charges ,62.53,percent of total billed charges ,62.53,percent of total billed charges ,62.53,percent of total billed charges ,,,,,55.45,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,,,29.18,percent of total billed charges,
DESMOPRESSIN (DDAVP) 0.1MG TAB,LOCAL,LOCAL,,,,both,,,6.69,6.69,1.87,6.69,6.69,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,6.69,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.82,percent of total billed charges,4.95,percent of total billed charges,4.95,percent of total billed charges,5.35,percent of total billed charges,5.35,percent of total billed charges,,,4.82,percent of total billed charges ,,,5.35,percent of total billed charges ,5.62,percent of total billed charges ,5.62,percent of total billed charges ,5.22,percent of total billed charges ,5.22,percent of total billed charges ,5.35,percent of total billed charges ,5.35,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.01,percent of total billed charges ,4.01,percent of total billed charges ,4.01,percent of total billed charges ,4.01,percent of total billed charges ,,,,,3.56,percent of total billed charges ,,,,,3.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,,,1.87,percent of total billed charges,
**NAPHAZOLINE 0.1% 15ML,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
VARENICLINE (CHANTIX) 0.5MG TAB,LOCAL,LOCAL,,,,both,,,24.2,24.2,6.78,24.2,24.2,percent of total billed charges,24.2,percent of total billed charges,24.2,percent of total billed charges,24.2,percent of total billed charges,24.2,percent of total billed charges,24.2,percent of total billed charges,24.2,percent of total billed charges,24.2,percent of total billed charges,17.42,percent of total billed charges,17.42,percent of total billed charges,17.42,percent of total billed charges,17.42,percent of total billed charges,17.42,percent of total billed charges,17.42,percent of total billed charges,17.91,percent of total billed charges,17.91,percent of total billed charges,19.36,percent of total billed charges,19.36,percent of total billed charges,,,17.42,percent of total billed charges ,,,19.36,percent of total billed charges ,20.33,percent of total billed charges ,20.33,percent of total billed charges ,18.88,percent of total billed charges ,18.88,percent of total billed charges ,19.36,percent of total billed charges ,19.36,percent of total billed charges ,16.94,percent of total billed charges ,16.94,percent of total billed charges ,14.52,percent of total billed charges ,14.52,percent of total billed charges ,14.52,percent of total billed charges ,14.52,percent of total billed charges ,,,,,12.87,percent of total billed charges ,,,,,12.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,,,6.78,percent of total billed charges,
**VARENICLINE (CHANTIX) 1MG TAB,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
DESIpramine (NORPRAMIN) 50MG TAB,LOCAL,LOCAL,,,,both,,,5.61,5.61,1.57,5.61,5.61,percent of total billed charges,5.61,percent of total billed charges,5.61,percent of total billed charges,5.61,percent of total billed charges,5.61,percent of total billed charges,5.61,percent of total billed charges,5.61,percent of total billed charges,5.61,percent of total billed charges,4.04,percent of total billed charges,4.04,percent of total billed charges,4.04,percent of total billed charges,4.04,percent of total billed charges,4.04,percent of total billed charges,4.04,percent of total billed charges,4.15,percent of total billed charges,4.15,percent of total billed charges,4.49,percent of total billed charges,4.49,percent of total billed charges,,,4.04,percent of total billed charges ,,,4.49,percent of total billed charges ,4.71,percent of total billed charges ,4.71,percent of total billed charges ,4.38,percent of total billed charges ,4.38,percent of total billed charges ,4.49,percent of total billed charges ,4.49,percent of total billed charges ,3.93,percent of total billed charges ,3.93,percent of total billed charges ,3.37,percent of total billed charges ,3.37,percent of total billed charges ,3.37,percent of total billed charges ,3.37,percent of total billed charges ,,,,,2.98,percent of total billed charges ,,,,,2.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,,,1.57,percent of total billed charges,
**FENOFIBRATE 200MG CAP: LOFIBRA,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
metOLazone (ZAROXOLYN) 5MG TAB,LOCAL,LOCAL,,,,both,,,8.87,8.87,2.48,8.87,8.87,percent of total billed charges,8.87,percent of total billed charges,8.87,percent of total billed charges,8.87,percent of total billed charges,8.87,percent of total billed charges,8.87,percent of total billed charges,8.87,percent of total billed charges,8.87,percent of total billed charges,6.39,percent of total billed charges,6.39,percent of total billed charges,6.39,percent of total billed charges,6.39,percent of total billed charges,6.39,percent of total billed charges,6.39,percent of total billed charges,6.56,percent of total billed charges,6.56,percent of total billed charges,7.1,percent of total billed charges,7.1,percent of total billed charges,,,6.39,percent of total billed charges ,,,7.1,percent of total billed charges ,7.45,percent of total billed charges ,7.45,percent of total billed charges ,6.92,percent of total billed charges ,6.92,percent of total billed charges ,7.1,percent of total billed charges ,7.1,percent of total billed charges ,6.21,percent of total billed charges ,6.21,percent of total billed charges ,5.32,percent of total billed charges ,5.32,percent of total billed charges ,5.32,percent of total billed charges ,5.32,percent of total billed charges ,,,,,4.72,percent of total billed charges ,,,,,4.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,
ESOMEPRAZOLE SOD 40 MG IV (NEXIUM IV),LOCAL,LOCAL,,,,both,,,39.18,39.18,10.97,39.18,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.99,percent of total billed charges,28.99,percent of total billed charges,31.34,percent of total billed charges,31.34,percent of total billed charges,,,28.21,percent of total billed charges ,,,31.34,percent of total billed charges ,32.91,percent of total billed charges ,32.91,percent of total billed charges ,30.56,percent of total billed charges ,30.56,percent of total billed charges ,31.34,percent of total billed charges ,31.34,percent of total billed charges ,27.43,percent of total billed charges ,27.43,percent of total billed charges ,23.51,percent of total billed charges ,23.51,percent of total billed charges ,23.51,percent of total billed charges ,23.51,percent of total billed charges ,,,,,20.84,percent of total billed charges ,,,,,19.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,
CARVedilol CR (COREG CR) 20 MG CAPSULE,LOCAL,LOCAL,,,,both,,,15.51,15.51,4.34,15.51,15.51,percent of total billed charges,15.51,percent of total billed charges,15.51,percent of total billed charges,15.51,percent of total billed charges,15.51,percent of total billed charges,15.51,percent of total billed charges,15.51,percent of total billed charges,15.51,percent of total billed charges,11.17,percent of total billed charges,11.17,percent of total billed charges,11.17,percent of total billed charges,11.17,percent of total billed charges,11.17,percent of total billed charges,11.17,percent of total billed charges,11.48,percent of total billed charges,11.48,percent of total billed charges,12.41,percent of total billed charges,12.41,percent of total billed charges,,,11.17,percent of total billed charges ,,,12.41,percent of total billed charges ,13.03,percent of total billed charges ,13.03,percent of total billed charges ,12.1,percent of total billed charges ,12.1,percent of total billed charges ,12.41,percent of total billed charges ,12.41,percent of total billed charges ,10.86,percent of total billed charges ,10.86,percent of total billed charges ,9.31,percent of total billed charges ,9.31,percent of total billed charges ,9.31,percent of total billed charges ,9.31,percent of total billed charges ,,,,,8.25,percent of total billed charges ,,,,,7.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,,,4.34,percent of total billed charges,
**HYDRoxyzine 50 MG,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**VALSARTAN (DIOVAN) 320MG: TAB,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
SERTRALINE (ZOLOFT) 25MG TAB,LOCAL,LOCAL,,,,both,,,1.31,1.31,0.37,1.31,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.94,percent of total billed charges,0.97,percent of total billed charges,0.97,percent of total billed charges,1.05,percent of total billed charges,1.05,percent of total billed charges,,,0.94,percent of total billed charges ,,,1.05,percent of total billed charges ,1.1,percent of total billed charges ,1.1,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,1.05,percent of total billed charges ,1.05,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,0.79,percent of total billed charges ,,,,,0.7,percent of total billed charges ,,,,,0.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,,,0.37,percent of total billed charges,
ESOMEPRAZOLE (NexIUM) 40MG IV PUSH,LOCAL,LOCAL,,,,both,,,39.18,39.18,10.97,39.18,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,39.18,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.21,percent of total billed charges,28.99,percent of total billed charges,28.99,percent of total billed charges,31.34,percent of total billed charges,31.34,percent of total billed charges,,,28.21,percent of total billed charges ,,,31.34,percent of total billed charges ,32.91,percent of total billed charges ,32.91,percent of total billed charges ,30.56,percent of total billed charges ,30.56,percent of total billed charges ,31.34,percent of total billed charges ,31.34,percent of total billed charges ,27.43,percent of total billed charges ,27.43,percent of total billed charges ,23.51,percent of total billed charges ,23.51,percent of total billed charges ,23.51,percent of total billed charges ,23.51,percent of total billed charges ,,,,,20.84,percent of total billed charges ,,,,,19.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,,,10.97,percent of total billed charges,
**OXYTOCIN 20UNITS IN D5W 1000ML,LOCAL,LOCAL,,,,both,,,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
TACROLIMUS (PROGRAF) 0.5MG CAP,J7507,CDM,,,,both,,,3.39,3.39,0.95,3.39,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,3.39,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.44,percent of total billed charges,2.51,percent of total billed charges,2.51,percent of total billed charges,2.71,percent of total billed charges,2.71,percent of total billed charges,,,2.44,percent of total billed charges ,,,2.71,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.64,percent of total billed charges ,2.64,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.37,percent of total billed charges ,2.37,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,2.03,percent of total billed charges ,,,,,1.8,percent of total billed charges ,,,,,1.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,,,0.95,percent of total billed charges,
MYCOPHENOLATE (CELLCEPT) 500MG TAB,LOCAL,LOCAL,,,,both,,,8.82,8.82,2.47,8.82,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,8.82,percent of total billed charges,6.35,percent of total billed charges,6.35,percent of total billed charges,6.35,percent of total billed charges,6.35,percent of total billed charges,6.35,percent of total billed charges,6.35,percent of total billed charges,6.53,percent of total billed charges,6.53,percent of total billed charges,7.06,percent of total billed charges,7.06,percent of total billed charges,,,6.35,percent of total billed charges ,,,7.06,percent of total billed charges ,7.41,percent of total billed charges ,7.41,percent of total billed charges ,6.88,percent of total billed charges ,6.88,percent of total billed charges ,7.06,percent of total billed charges ,7.06,percent of total billed charges ,6.17,percent of total billed charges ,6.17,percent of total billed charges ,5.29,percent of total billed charges ,5.29,percent of total billed charges ,5.29,percent of total billed charges ,5.29,percent of total billed charges ,,,,,4.69,percent of total billed charges ,,,,,4.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,,,2.47,percent of total billed charges,
ZIPRASIDONE (GEODON) 40MG CAP,LOCAL,LOCAL,,,,both,,,8.89,8.89,2.49,8.89,8.89,percent of total billed charges,8.89,percent of total billed charges,8.89,percent of total billed charges,8.89,percent of total billed charges,8.89,percent of total billed charges,8.89,percent of total billed charges,8.89,percent of total billed charges,8.89,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,6.58,percent of total billed charges,6.58,percent of total billed charges,7.11,percent of total billed charges,7.11,percent of total billed charges,,,6.4,percent of total billed charges ,,,7.11,percent of total billed charges ,7.47,percent of total billed charges ,7.47,percent of total billed charges ,6.93,percent of total billed charges ,6.93,percent of total billed charges ,7.11,percent of total billed charges ,7.11,percent of total billed charges ,6.22,percent of total billed charges ,6.22,percent of total billed charges ,5.33,percent of total billed charges ,5.33,percent of total billed charges ,5.33,percent of total billed charges ,5.33,percent of total billed charges ,,,,,4.73,percent of total billed charges ,,,,,4.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,,,2.49,percent of total billed charges,
**TRAMADOL (ULTRAM ER) 100 MG: TABLET,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
**FOSFOMYCIN GRANULES: MONUROL,LOCAL,LOCAL,,,,both,,,92,92,25.76,92,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,92,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,66.24,percent of total billed charges,68.08,percent of total billed charges,68.08,percent of total billed charges,73.6,percent of total billed charges,73.6,percent of total billed charges,,,66.24,percent of total billed charges ,,,73.6,percent of total billed charges ,77.28,percent of total billed charges ,77.28,percent of total billed charges ,71.76,percent of total billed charges ,71.76,percent of total billed charges ,73.6,percent of total billed charges ,73.6,percent of total billed charges ,64.4,percent of total billed charges ,64.4,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,,,,,48.94,percent of total billed charges ,,,,,46.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,,,25.76,percent of total billed charges,
**ZONISAMIDE 100MG CAP: ZONEGRAN,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**E- MILK OF MAGNESIA 12 OZ BOTTLE,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**oxyCODONE LIQ 5MG/5ML UD: ROXICODONE,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**INFLUENZA VACCINE 2007-2008: FLUARIX,90656,CDM,,,,both,,,50,50,14,50,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,50,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,,,36,percent of total billed charges ,,,40,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,35,percent of total billed charges ,35,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,30,percent of total billed charges ,,,,,26.6,percent of total billed charges ,,,,,25.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,,,14,percent of total billed charges,
POTASSIUM CHLORIDE 20MEQ/100ML IVPB,J3480,CDM,,,,both,,,67.95,67.95,19.03,67.95,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,50.28,percent of total billed charges,50.28,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,,,48.92,percent of total billed charges ,,,54.36,percent of total billed charges ,57.08,percent of total billed charges ,57.08,percent of total billed charges ,53,percent of total billed charges ,53,percent of total billed charges ,54.36,percent of total billed charges ,54.36,percent of total billed charges ,47.57,percent of total billed charges ,47.57,percent of total billed charges ,40.77,percent of total billed charges ,40.77,percent of total billed charges ,40.77,percent of total billed charges ,40.77,percent of total billed charges ,,,,,36.15,percent of total billed charges ,,,,,34.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,
POTASSIUM CHLORIDE 40MEQ/500ML IVPB,J3480,CDM,,,,both,,,53.48,53.48,14.97,53.48,53.48,percent of total billed charges,53.48,percent of total billed charges,53.48,percent of total billed charges,53.48,percent of total billed charges,53.48,percent of total billed charges,53.48,percent of total billed charges,53.48,percent of total billed charges,53.48,percent of total billed charges,38.51,percent of total billed charges,38.51,percent of total billed charges,38.51,percent of total billed charges,38.51,percent of total billed charges,38.51,percent of total billed charges,38.51,percent of total billed charges,39.58,percent of total billed charges,39.58,percent of total billed charges,42.78,percent of total billed charges,42.78,percent of total billed charges,,,38.51,percent of total billed charges ,,,42.78,percent of total billed charges ,44.92,percent of total billed charges ,44.92,percent of total billed charges ,41.71,percent of total billed charges ,41.71,percent of total billed charges ,42.78,percent of total billed charges ,42.78,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,32.09,percent of total billed charges ,32.09,percent of total billed charges ,32.09,percent of total billed charges ,32.09,percent of total billed charges ,,,,,28.45,percent of total billed charges ,,,,,27.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,,,14.97,percent of total billed charges,
ZOLEDRONIC ACID (RECLAST) 5MG/100ML IVPB,J3489,CDM,,,,both,,,452.59,452.59,126.73,452.59,452.59,percent of total billed charges,452.59,percent of total billed charges,452.59,percent of total billed charges,452.59,percent of total billed charges,452.59,percent of total billed charges,452.59,percent of total billed charges,452.59,percent of total billed charges,452.59,percent of total billed charges,325.86,percent of total billed charges,325.86,percent of total billed charges,325.86,percent of total billed charges,325.86,percent of total billed charges,325.86,percent of total billed charges,325.86,percent of total billed charges,334.92,percent of total billed charges,334.92,percent of total billed charges,362.07,percent of total billed charges,362.07,percent of total billed charges,,,325.86,percent of total billed charges ,,,362.07,percent of total billed charges ,380.18,percent of total billed charges ,380.18,percent of total billed charges ,353.02,percent of total billed charges ,353.02,percent of total billed charges ,362.07,percent of total billed charges ,362.07,percent of total billed charges ,316.81,percent of total billed charges ,316.81,percent of total billed charges ,271.55,percent of total billed charges ,271.55,percent of total billed charges ,271.55,percent of total billed charges ,271.55,percent of total billed charges ,,,,,240.78,percent of total billed charges ,,,,,228.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,,,126.73,percent of total billed charges,
sitaGLIPtin (JANUVIA) 100MG TAB,LOCAL,LOCAL,,,,both,,,47.67,47.67,13.35,47.67,47.67,percent of total billed charges,47.67,percent of total billed charges,47.67,percent of total billed charges,47.67,percent of total billed charges,47.67,percent of total billed charges,47.67,percent of total billed charges,47.67,percent of total billed charges,47.67,percent of total billed charges,34.32,percent of total billed charges,34.32,percent of total billed charges,34.32,percent of total billed charges,34.32,percent of total billed charges,34.32,percent of total billed charges,34.32,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,38.14,percent of total billed charges,38.14,percent of total billed charges,,,34.32,percent of total billed charges ,,,38.14,percent of total billed charges ,40.04,percent of total billed charges ,40.04,percent of total billed charges ,37.18,percent of total billed charges ,37.18,percent of total billed charges ,38.14,percent of total billed charges ,38.14,percent of total billed charges ,33.37,percent of total billed charges ,33.37,percent of total billed charges ,28.6,percent of total billed charges ,28.6,percent of total billed charges ,28.6,percent of total billed charges ,28.6,percent of total billed charges ,,,,,25.36,percent of total billed charges ,,,,,24.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,,,13.35,percent of total billed charges,
ALISKIREN (TEKTURNA) 300MG TAB,LOCAL,LOCAL,,,,both,,,28.1,28.1,7.87,28.1,28.1,percent of total billed charges,28.1,percent of total billed charges,28.1,percent of total billed charges,28.1,percent of total billed charges,28.1,percent of total billed charges,28.1,percent of total billed charges,28.1,percent of total billed charges,28.1,percent of total billed charges,20.23,percent of total billed charges,20.23,percent of total billed charges,20.23,percent of total billed charges,20.23,percent of total billed charges,20.23,percent of total billed charges,20.23,percent of total billed charges,20.79,percent of total billed charges,20.79,percent of total billed charges,22.48,percent of total billed charges,22.48,percent of total billed charges,,,20.23,percent of total billed charges ,,,22.48,percent of total billed charges ,23.6,percent of total billed charges ,23.6,percent of total billed charges ,21.92,percent of total billed charges ,21.92,percent of total billed charges ,22.48,percent of total billed charges ,22.48,percent of total billed charges ,19.67,percent of total billed charges ,19.67,percent of total billed charges ,16.86,percent of total billed charges ,16.86,percent of total billed charges ,16.86,percent of total billed charges ,16.86,percent of total billed charges ,,,,,14.95,percent of total billed charges ,,,,,14.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,,,7.87,percent of total billed charges,
**E-TYLENOL MELTAWAY 80MG 30CT,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
BUDESONIDE (ENTOCORT) 3MG CAP,LOCAL,LOCAL,,,,both,,,44.04,44.04,12.33,44.04,44.04,percent of total billed charges,44.04,percent of total billed charges,44.04,percent of total billed charges,44.04,percent of total billed charges,44.04,percent of total billed charges,44.04,percent of total billed charges,44.04,percent of total billed charges,44.04,percent of total billed charges,31.71,percent of total billed charges,31.71,percent of total billed charges,31.71,percent of total billed charges,31.71,percent of total billed charges,31.71,percent of total billed charges,31.71,percent of total billed charges,32.59,percent of total billed charges,32.59,percent of total billed charges,35.23,percent of total billed charges,35.23,percent of total billed charges,,,31.71,percent of total billed charges ,,,35.23,percent of total billed charges ,36.99,percent of total billed charges ,36.99,percent of total billed charges ,34.35,percent of total billed charges ,34.35,percent of total billed charges ,35.23,percent of total billed charges ,35.23,percent of total billed charges ,30.83,percent of total billed charges ,30.83,percent of total billed charges ,26.42,percent of total billed charges ,26.42,percent of total billed charges ,26.42,percent of total billed charges ,26.42,percent of total billed charges ,,,,,23.43,percent of total billed charges ,,,,,22.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,,,12.33,percent of total billed charges,
DAPTOmycin (CUBICIN): 500MG/100ML IVPB,J0878,CDM,,,,both,,,433.55,433.55,121.39,433.55,433.55,percent of total billed charges,433.55,percent of total billed charges,433.55,percent of total billed charges,433.55,percent of total billed charges,433.55,percent of total billed charges,433.55,percent of total billed charges,433.55,percent of total billed charges,433.55,percent of total billed charges,312.16,percent of total billed charges,312.16,percent of total billed charges,312.16,percent of total billed charges,312.16,percent of total billed charges,312.16,percent of total billed charges,312.16,percent of total billed charges,320.83,percent of total billed charges,320.83,percent of total billed charges,346.84,percent of total billed charges,346.84,percent of total billed charges,,,312.16,percent of total billed charges ,,,346.84,percent of total billed charges ,364.18,percent of total billed charges ,364.18,percent of total billed charges ,338.17,percent of total billed charges ,338.17,percent of total billed charges ,346.84,percent of total billed charges ,346.84,percent of total billed charges ,303.49,percent of total billed charges ,303.49,percent of total billed charges ,260.13,percent of total billed charges ,260.13,percent of total billed charges ,260.13,percent of total billed charges ,260.13,percent of total billed charges ,,,,,230.65,percent of total billed charges ,,,,,219.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,,,121.39,percent of total billed charges,
HYDROcodone 7.5MG/ IBUPROFEN 200MG TAB,LOCAL,LOCAL,,,,both,,,1.49,1.49,0.42,1.49,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.49,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.07,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.19,percent of total billed charges,1.19,percent of total billed charges,,,1.07,percent of total billed charges ,,,1.19,percent of total billed charges ,1.25,percent of total billed charges ,1.25,percent of total billed charges ,1.16,percent of total billed charges ,1.16,percent of total billed charges ,1.19,percent of total billed charges ,1.19,percent of total billed charges ,1.04,percent of total billed charges ,1.04,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,,,,,0.79,percent of total billed charges ,,,,,0.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,,,0.42,percent of total billed charges,
KETOPROFEN (ORUDIS) 50 MG CAP,LOCAL,LOCAL,,,,both,,,3,3,0.84,3,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,3,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.16,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,2.4,percent of total billed charges,2.4,percent of total billed charges,,,2.16,percent of total billed charges ,,,2.4,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.34,percent of total billed charges ,2.34,percent of total billed charges ,2.4,percent of total billed charges ,2.4,percent of total billed charges ,2.1,percent of total billed charges ,2.1,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,,,,,1.6,percent of total billed charges ,,,,,1.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,,,0.84,percent of total billed charges,
**HYDROCODONE 7.5MG APAP 500MG,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**OCUSOFT PADS 30CT,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
DEXTROSE 5% 100ML IVPB,LOCAL,LOCAL,,,,both,,,18.89,18.89,5.29,18.89,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,13.98,percent of total billed charges,13.98,percent of total billed charges,15.11,percent of total billed charges,15.11,percent of total billed charges,,,13.6,percent of total billed charges ,,,15.11,percent of total billed charges ,15.87,percent of total billed charges ,15.87,percent of total billed charges ,14.73,percent of total billed charges ,14.73,percent of total billed charges ,15.11,percent of total billed charges ,15.11,percent of total billed charges ,13.22,percent of total billed charges ,13.22,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,11.33,percent of total billed charges ,,,,,10.05,percent of total billed charges ,,,,,9.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,,,5.29,percent of total billed charges,
**MOXIFLOXACIN 400MG TAB: AVELOX,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
**ADDERALL XR 30MG CAPSULE,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**CLOMIPRAMINE 50MG CAPSULE,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
chlorproPAMIDE (DIABINESE) 100MG TABLET,LOCAL,LOCAL,,,,both,,,3.32,3.32,0.93,3.32,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,3.32,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.46,percent of total billed charges,2.46,percent of total billed charges,2.66,percent of total billed charges,2.66,percent of total billed charges,,,2.39,percent of total billed charges ,,,2.66,percent of total billed charges ,2.79,percent of total billed charges ,2.79,percent of total billed charges ,2.59,percent of total billed charges ,2.59,percent of total billed charges ,2.66,percent of total billed charges ,2.66,percent of total billed charges ,2.32,percent of total billed charges ,2.32,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,1.99,percent of total billed charges ,,,,,1.77,percent of total billed charges ,,,,,1.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,,,0.93,percent of total billed charges,
**TOLNAFTATE 1% SPRAY 133GM,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
ERTAPENEM 1GM : (INVanz),J1335,CDM,,,,both,,,320.55,320.55,89.75,320.55,320.55,percent of total billed charges,320.55,percent of total billed charges,320.55,percent of total billed charges,320.55,percent of total billed charges,320.55,percent of total billed charges,320.55,percent of total billed charges,320.55,percent of total billed charges,320.55,percent of total billed charges,230.8,percent of total billed charges,230.8,percent of total billed charges,230.8,percent of total billed charges,230.8,percent of total billed charges,230.8,percent of total billed charges,230.8,percent of total billed charges,237.21,percent of total billed charges,237.21,percent of total billed charges,256.44,percent of total billed charges,256.44,percent of total billed charges,,,230.8,percent of total billed charges ,,,256.44,percent of total billed charges ,269.26,percent of total billed charges ,269.26,percent of total billed charges ,250.03,percent of total billed charges ,250.03,percent of total billed charges ,256.44,percent of total billed charges ,256.44,percent of total billed charges ,224.39,percent of total billed charges ,224.39,percent of total billed charges ,192.33,percent of total billed charges ,192.33,percent of total billed charges ,192.33,percent of total billed charges ,192.33,percent of total billed charges ,,,,,170.53,percent of total billed charges ,,,,,162.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,,,89.75,percent of total billed charges,
GENTAMICIN: 100MG/100ML IVPB (PRE-MIXED),J1580,CDM,,,,both,,,28.48,28.48,7.97,28.48,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,28.48,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,20.51,percent of total billed charges,21.08,percent of total billed charges,21.08,percent of total billed charges,22.78,percent of total billed charges,22.78,percent of total billed charges,,,20.51,percent of total billed charges ,,,22.78,percent of total billed charges ,23.92,percent of total billed charges ,23.92,percent of total billed charges ,22.21,percent of total billed charges ,22.21,percent of total billed charges ,22.78,percent of total billed charges ,22.78,percent of total billed charges ,19.94,percent of total billed charges ,19.94,percent of total billed charges ,17.09,percent of total billed charges ,17.09,percent of total billed charges ,17.09,percent of total billed charges ,17.09,percent of total billed charges ,,,,,15.15,percent of total billed charges ,,,,,14.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,,,7.97,percent of total billed charges,
**HEPARIN 1000UNITS IN NS 500ML: 2UNITS/,LOCAL,LOCAL,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
HEPARIN 2000UNITS IN NS 1000ML,LOCAL,LOCAL,,,,both,,,59.83,59.83,16.75,59.83,59.83,percent of total billed charges,59.83,percent of total billed charges,59.83,percent of total billed charges,59.83,percent of total billed charges,59.83,percent of total billed charges,59.83,percent of total billed charges,59.83,percent of total billed charges,59.83,percent of total billed charges,43.08,percent of total billed charges,43.08,percent of total billed charges,43.08,percent of total billed charges,43.08,percent of total billed charges,43.08,percent of total billed charges,43.08,percent of total billed charges,44.27,percent of total billed charges,44.27,percent of total billed charges,47.86,percent of total billed charges,47.86,percent of total billed charges,,,43.08,percent of total billed charges ,,,47.86,percent of total billed charges ,50.26,percent of total billed charges ,50.26,percent of total billed charges ,46.67,percent of total billed charges ,46.67,percent of total billed charges ,47.86,percent of total billed charges ,47.86,percent of total billed charges ,41.88,percent of total billed charges ,41.88,percent of total billed charges ,35.9,percent of total billed charges ,35.9,percent of total billed charges ,35.9,percent of total billed charges ,35.9,percent of total billed charges ,,,,,31.83,percent of total billed charges ,,,,,30.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,,,16.75,percent of total billed charges,
**CETAPHIL DAILY FACIAL CLEANSER,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
RT NACL 3% HYPERTONIC SALINE,LOCAL,LOCAL,,,,both,,,5.7,5.7,1.6,5.7,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,5.7,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.1,percent of total billed charges,4.22,percent of total billed charges,4.22,percent of total billed charges,4.56,percent of total billed charges,4.56,percent of total billed charges,,,4.1,percent of total billed charges ,,,4.56,percent of total billed charges ,4.79,percent of total billed charges ,4.79,percent of total billed charges ,4.45,percent of total billed charges ,4.45,percent of total billed charges ,4.56,percent of total billed charges ,4.56,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,3.42,percent of total billed charges ,3.42,percent of total billed charges ,3.42,percent of total billed charges ,3.42,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,2.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,,,1.6,percent of total billed charges,
**PROGESTERONE 100MG CAP (PROMETRIU,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
GENTAMICIN 80MG IVPB,J1580,CDM,,,,both,,,26.23,26.23,7.34,26.23,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,26.23,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,18.89,percent of total billed charges,19.41,percent of total billed charges,19.41,percent of total billed charges,20.98,percent of total billed charges,20.98,percent of total billed charges,,,18.89,percent of total billed charges ,,,20.98,percent of total billed charges ,22.03,percent of total billed charges ,22.03,percent of total billed charges ,20.46,percent of total billed charges ,20.46,percent of total billed charges ,20.98,percent of total billed charges ,20.98,percent of total billed charges ,18.36,percent of total billed charges ,18.36,percent of total billed charges ,15.74,percent of total billed charges ,15.74,percent of total billed charges ,15.74,percent of total billed charges ,15.74,percent of total billed charges ,,,,,13.95,percent of total billed charges ,,,,,13.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,,,7.34,percent of total billed charges,
**IMMUNE GLOBULIN 5GM IN 100ML: OCTAGAM,J1568,CDM,,,,both,,,195,195,54.6,195,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,144.3,percent of total billed charges,144.3,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,,,140.4,percent of total billed charges ,,,156,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,152.1,percent of total billed charges ,152.1,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,136.5,percent of total billed charges ,136.5,percent of total billed charges ,117,percent of total billed charges ,117,percent of total billed charges ,117,percent of total billed charges ,117,percent of total billed charges ,,,,,103.74,percent of total billed charges ,,,,,98.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,
**IMMUNE GLOBULIN 10GM IN 200ML: OCTAG,J1568,CDM,,,,both,,,195,195,54.6,195,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,195,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,140.4,percent of total billed charges,144.3,percent of total billed charges,144.3,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,,,140.4,percent of total billed charges ,,,156,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,152.1,percent of total billed charges ,152.1,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,136.5,percent of total billed charges ,136.5,percent of total billed charges ,117,percent of total billed charges ,117,percent of total billed charges ,117,percent of total billed charges ,117,percent of total billed charges ,,,,,103.74,percent of total billed charges ,,,,,98.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,,,54.6,percent of total billed charges,
BUDESONIDE/FORMOTEROL 160/4.5 INHALER,LOCAL,LOCAL,,,,both,,,472.29,472.29,132.24,472.29,472.29,percent of total billed charges,472.29,percent of total billed charges,472.29,percent of total billed charges,472.29,percent of total billed charges,472.29,percent of total billed charges,472.29,percent of total billed charges,472.29,percent of total billed charges,472.29,percent of total billed charges,340.05,percent of total billed charges,340.05,percent of total billed charges,340.05,percent of total billed charges,340.05,percent of total billed charges,340.05,percent of total billed charges,340.05,percent of total billed charges,349.49,percent of total billed charges,349.49,percent of total billed charges,377.83,percent of total billed charges,377.83,percent of total billed charges,,,340.05,percent of total billed charges ,,,377.83,percent of total billed charges ,396.72,percent of total billed charges ,396.72,percent of total billed charges ,368.39,percent of total billed charges ,368.39,percent of total billed charges ,377.83,percent of total billed charges ,377.83,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,283.37,percent of total billed charges ,283.37,percent of total billed charges ,283.37,percent of total billed charges ,283.37,percent of total billed charges ,,,,,251.26,percent of total billed charges ,,,,,238.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,,,132.24,percent of total billed charges,
**AMOXICILLIN/CLAV 400MG CHEWABLE TABLE,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**DIGOXIN 0.125MG/2.5ML LIQUID UNIT DOSE,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**DIGOXIN 0.25MG/5ML LIQUID UNIT DOSE,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**E LOPERAMIDE 2MG CAPS 12 CT,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
EXANATIDE 5MCG,LOCAL,LOCAL,,,,both,,,"1,547.00","1,547.00",433.16,"1,547.00","1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,547.00",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,113.84",percent of total billed charges,"1,144.78",percent of total billed charges,"1,144.78",percent of total billed charges,"1,237.60",percent of total billed charges,"1,237.60",percent of total billed charges,,,"1,113.84",percent of total billed charges ,,,"1,237.60",percent of total billed charges ,"1,299.48",percent of total billed charges ,"1,299.48",percent of total billed charges ,"1,206.66",percent of total billed charges ,"1,206.66",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,237.60",percent of total billed charges ,"1,082.90",percent of total billed charges ,"1,082.90",percent of total billed charges ,928.2,percent of total billed charges ,928.2,percent of total billed charges ,928.2,percent of total billed charges ,928.2,percent of total billed charges ,,,,,823,percent of total billed charges ,,,,,781.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,,,433.16,percent of total billed charges,
DIHYDROERGOTAMINE (DHE-45) 1MG/1ML INJ,J1110,CDM,,,,both,,,571.61,571.61,160.05,571.61,571.61,percent of total billed charges,571.61,percent of total billed charges,571.61,percent of total billed charges,571.61,percent of total billed charges,571.61,percent of total billed charges,571.61,percent of total billed charges,571.61,percent of total billed charges,571.61,percent of total billed charges,411.56,percent of total billed charges,411.56,percent of total billed charges,411.56,percent of total billed charges,411.56,percent of total billed charges,411.56,percent of total billed charges,411.56,percent of total billed charges,422.99,percent of total billed charges,422.99,percent of total billed charges,457.29,percent of total billed charges,457.29,percent of total billed charges,,,411.56,percent of total billed charges ,,,457.29,percent of total billed charges ,480.15,percent of total billed charges ,480.15,percent of total billed charges ,445.86,percent of total billed charges ,445.86,percent of total billed charges ,457.29,percent of total billed charges ,457.29,percent of total billed charges ,400.13,percent of total billed charges ,400.13,percent of total billed charges ,342.97,percent of total billed charges ,342.97,percent of total billed charges ,342.97,percent of total billed charges ,342.97,percent of total billed charges ,,,,,304.1,percent of total billed charges ,,,,,288.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,,,160.05,percent of total billed charges,
**SITAGLIPTIN 100MG TABLET: JANUVIA,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
BUDESONIDE/FORMOTEROL 80/4.5 INHALER,LOCAL,LOCAL,,,,both,,,461.21,461.21,129.14,461.21,461.21,percent of total billed charges,461.21,percent of total billed charges,461.21,percent of total billed charges,461.21,percent of total billed charges,461.21,percent of total billed charges,461.21,percent of total billed charges,461.21,percent of total billed charges,461.21,percent of total billed charges,332.07,percent of total billed charges,332.07,percent of total billed charges,332.07,percent of total billed charges,332.07,percent of total billed charges,332.07,percent of total billed charges,332.07,percent of total billed charges,341.3,percent of total billed charges,341.3,percent of total billed charges,368.97,percent of total billed charges,368.97,percent of total billed charges,,,332.07,percent of total billed charges ,,,368.97,percent of total billed charges ,387.42,percent of total billed charges ,387.42,percent of total billed charges ,359.74,percent of total billed charges ,359.74,percent of total billed charges ,368.97,percent of total billed charges ,368.97,percent of total billed charges ,322.85,percent of total billed charges ,322.85,percent of total billed charges ,276.73,percent of total billed charges ,276.73,percent of total billed charges ,276.73,percent of total billed charges ,276.73,percent of total billed charges ,,,,,245.36,percent of total billed charges ,,,,,233.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,,,129.14,percent of total billed charges,
"DETEMIR (LEVEMIR) 300UNITS/3ML, PEN",LOCAL,LOCAL,,,,both,,,161.32,161.32,45.17,161.32,161.32,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,116.15,percent of total billed charges,116.15,percent of total billed charges,116.15,percent of total billed charges,116.15,percent of total billed charges,116.15,percent of total billed charges,116.15,percent of total billed charges,119.38,percent of total billed charges,119.38,percent of total billed charges,129.06,percent of total billed charges,129.06,percent of total billed charges,,,116.15,percent of total billed charges ,,,129.06,percent of total billed charges ,135.51,percent of total billed charges ,135.51,percent of total billed charges ,125.83,percent of total billed charges ,125.83,percent of total billed charges ,129.06,percent of total billed charges ,129.06,percent of total billed charges ,112.92,percent of total billed charges ,112.92,percent of total billed charges ,96.79,percent of total billed charges ,96.79,percent of total billed charges ,96.79,percent of total billed charges ,96.79,percent of total billed charges ,,,,,85.82,percent of total billed charges ,,,,,81.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,,,45.17,percent of total billed charges,
**NATALIZUMAB 300MG/15ML: TYSABRI,LOCAL,LOCAL,,,,both,,,"5,223.00","5,223.00","1,462.44","5,223.00","5,223.00",percent of total billed charges,"5,223.00",percent of total billed charges,"5,223.00",percent of total billed charges,"5,223.00",percent of total billed charges,"5,223.00",percent of total billed charges,"5,223.00",percent of total billed charges,"5,223.00",percent of total billed charges,"5,223.00",percent of total billed charges,"3,760.56",percent of total billed charges,"3,760.56",percent of total billed charges,"3,760.56",percent of total billed charges,"3,760.56",percent of total billed charges,"3,760.56",percent of total billed charges,"3,760.56",percent of total billed charges,"3,865.02",percent of total billed charges,"3,865.02",percent of total billed charges,"4,178.40",percent of total billed charges,"4,178.40",percent of total billed charges,,,"3,760.56",percent of total billed charges ,,,"4,178.40",percent of total billed charges ,"4,387.32",percent of total billed charges ,"4,387.32",percent of total billed charges ,"4,073.94",percent of total billed charges ,"4,073.94",percent of total billed charges ,"4,178.40",percent of total billed charges ,"4,178.40",percent of total billed charges ,"3,656.10",percent of total billed charges ,"3,656.10",percent of total billed charges ,"3,133.80",percent of total billed charges ,"3,133.80",percent of total billed charges ,"3,133.80",percent of total billed charges ,"3,133.80",percent of total billed charges ,,,,,"2,778.64",percent of total billed charges ,,,,,"2,639.70",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,,,"1,462.44",percent of total billed charges,
TRIAZOLAM (HALCION) 0.125MG TAB,LOCAL,LOCAL,,,,both,,,12.36,12.36,3.46,12.36,12.36,percent of total billed charges,12.36,percent of total billed charges,12.36,percent of total billed charges,12.36,percent of total billed charges,12.36,percent of total billed charges,12.36,percent of total billed charges,12.36,percent of total billed charges,12.36,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,8.9,percent of total billed charges,9.15,percent of total billed charges,9.15,percent of total billed charges,9.89,percent of total billed charges,9.89,percent of total billed charges,,,8.9,percent of total billed charges ,,,9.89,percent of total billed charges ,10.38,percent of total billed charges ,10.38,percent of total billed charges ,9.64,percent of total billed charges ,9.64,percent of total billed charges ,9.89,percent of total billed charges ,9.89,percent of total billed charges ,8.65,percent of total billed charges ,8.65,percent of total billed charges ,7.42,percent of total billed charges ,7.42,percent of total billed charges ,7.42,percent of total billed charges ,7.42,percent of total billed charges ,,,,,6.58,percent of total billed charges ,,,,,6.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,,,3.46,percent of total billed charges,
guaiFENesin (ROBITUSSIN) 200MG/10ML UD,LOCAL,LOCAL,,,,both,,,8.15,8.15,2.28,8.15,8.15,percent of total billed charges,8.15,percent of total billed charges,8.15,percent of total billed charges,8.15,percent of total billed charges,8.15,percent of total billed charges,8.15,percent of total billed charges,8.15,percent of total billed charges,8.15,percent of total billed charges,5.87,percent of total billed charges,5.87,percent of total billed charges,5.87,percent of total billed charges,5.87,percent of total billed charges,5.87,percent of total billed charges,5.87,percent of total billed charges,6.03,percent of total billed charges,6.03,percent of total billed charges,6.52,percent of total billed charges,6.52,percent of total billed charges,,,5.87,percent of total billed charges ,,,6.52,percent of total billed charges ,6.85,percent of total billed charges ,6.85,percent of total billed charges ,6.36,percent of total billed charges ,6.36,percent of total billed charges ,6.52,percent of total billed charges ,6.52,percent of total billed charges ,5.71,percent of total billed charges ,5.71,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,4.89,percent of total billed charges ,,,,,4.34,percent of total billed charges ,,,,,4.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,,,2.28,percent of total billed charges,
**E MOTRIN IB 500CT BOTTLE,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
CEFDINIR (OMNICEF) 300MG CAP,LOCAL,LOCAL,,,,both,,,2.38,2.38,0.67,2.38,2.38,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,2.38,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.71,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.9,percent of total billed charges,1.9,percent of total billed charges,,,1.71,percent of total billed charges ,,,1.9,percent of total billed charges ,2,percent of total billed charges ,2,percent of total billed charges ,1.86,percent of total billed charges ,1.86,percent of total billed charges ,1.9,percent of total billed charges ,1.9,percent of total billed charges ,1.67,percent of total billed charges ,1.67,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,1.43,percent of total billed charges ,,,,,1.27,percent of total billed charges ,,,,,1.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,,,0.67,percent of total billed charges,
DULoxetine (CYMBALTA)  60MG CAP,LOCAL,LOCAL,,,,both,,,3.62,3.62,1.01,3.62,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,3.62,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.61,percent of total billed charges,2.68,percent of total billed charges,2.68,percent of total billed charges,2.9,percent of total billed charges,2.9,percent of total billed charges,,,2.61,percent of total billed charges ,,,2.9,percent of total billed charges ,3.04,percent of total billed charges ,3.04,percent of total billed charges ,2.82,percent of total billed charges ,2.82,percent of total billed charges ,2.9,percent of total billed charges ,2.9,percent of total billed charges ,2.53,percent of total billed charges ,2.53,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,2.17,percent of total billed charges ,,,,,1.93,percent of total billed charges ,,,,,1.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,,,1.01,percent of total billed charges,
**RITUXIMAB 500MG/50ML:RITUXAN,J9310,CDM,,,,both,,,"23,273.00","23,273.00","6,516.44","23,273.00","23,273.00",percent of total billed charges,"23,273.00",percent of total billed charges,"23,273.00",percent of total billed charges,"23,273.00",percent of total billed charges,"23,273.00",percent of total billed charges,"23,273.00",percent of total billed charges,"23,273.00",percent of total billed charges,"23,273.00",percent of total billed charges,"16,756.56",percent of total billed charges,"16,756.56",percent of total billed charges,"16,756.56",percent of total billed charges,"16,756.56",percent of total billed charges,"16,756.56",percent of total billed charges,"16,756.56",percent of total billed charges,"17,222.02",percent of total billed charges,"17,222.02",percent of total billed charges,"18,618.40",percent of total billed charges,"18,618.40",percent of total billed charges,,,"16,756.56",percent of total billed charges ,,,"18,618.40",percent of total billed charges ,"19,549.32",percent of total billed charges ,"19,549.32",percent of total billed charges ,"18,152.94",percent of total billed charges ,"18,152.94",percent of total billed charges ,"18,618.40",percent of total billed charges ,"18,618.40",percent of total billed charges ,"16,291.10",percent of total billed charges ,"16,291.10",percent of total billed charges ,"13,963.80",percent of total billed charges ,"13,963.80",percent of total billed charges ,"13,963.80",percent of total billed charges ,"13,963.80",percent of total billed charges ,,,,,"12,381.24",percent of total billed charges ,,,,,"11,762.17",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,,,"6,516.44",percent of total billed charges,
**MORphine 15MG/ML VIAL (PARAMEDIC),LOCAL,LOCAL,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
DOXYCYCLINE (VIBRAMYCIN) 50MG CAP,LOCAL,LOCAL,,,,both,,,1.64,1.64,0.46,1.64,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.64,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.18,percent of total billed charges,1.21,percent of total billed charges,1.21,percent of total billed charges,1.31,percent of total billed charges,1.31,percent of total billed charges,,,1.18,percent of total billed charges ,,,1.31,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.28,percent of total billed charges ,1.28,percent of total billed charges ,1.31,percent of total billed charges ,1.31,percent of total billed charges ,1.15,percent of total billed charges ,1.15,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,0.98,percent of total billed charges ,,,,,0.87,percent of total billed charges ,,,,,0.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,,,0.46,percent of total billed charges,
**SILDENAFIL 25MG TAB: VIAGRA,LOCAL,LOCAL,,,,both,,,36,36,10.08,36,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,,,25.92,percent of total billed charges ,,,28.8,percent of total billed charges ,30.24,percent of total billed charges ,30.24,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,,,,,19.15,percent of total billed charges ,,,,,18.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,
ACETYLCYSTEINE 200MG/ML INJ (30ML),J0132,CDM,,,,both,,,383.05,383.05,107.25,383.05,383.05,percent of total billed charges,383.05,percent of total billed charges,383.05,percent of total billed charges,383.05,percent of total billed charges,383.05,percent of total billed charges,383.05,percent of total billed charges,383.05,percent of total billed charges,383.05,percent of total billed charges,275.8,percent of total billed charges,275.8,percent of total billed charges,275.8,percent of total billed charges,275.8,percent of total billed charges,275.8,percent of total billed charges,275.8,percent of total billed charges,283.46,percent of total billed charges,283.46,percent of total billed charges,306.44,percent of total billed charges,306.44,percent of total billed charges,,,275.8,percent of total billed charges ,,,306.44,percent of total billed charges ,321.76,percent of total billed charges ,321.76,percent of total billed charges ,298.78,percent of total billed charges ,298.78,percent of total billed charges ,306.44,percent of total billed charges ,306.44,percent of total billed charges ,268.14,percent of total billed charges ,268.14,percent of total billed charges ,229.83,percent of total billed charges ,229.83,percent of total billed charges ,229.83,percent of total billed charges ,229.83,percent of total billed charges ,,,,,203.78,percent of total billed charges ,,,,,193.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,,,107.25,percent of total billed charges,
OLMESARTAN  (BENICAR) 20MG TAB,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
HYDROcodone/ACETAMINOPHEN 7.5/325MG,LOCAL,LOCAL,,,,both,,,5.09,5.09,1.43,5.09,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,5.09,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.66,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,4.07,percent of total billed charges,4.07,percent of total billed charges,,,3.66,percent of total billed charges ,,,4.07,percent of total billed charges ,4.28,percent of total billed charges ,4.28,percent of total billed charges ,3.97,percent of total billed charges ,3.97,percent of total billed charges ,4.07,percent of total billed charges ,4.07,percent of total billed charges ,3.56,percent of total billed charges ,3.56,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,3.05,percent of total billed charges ,,,,,2.71,percent of total billed charges ,,,,,2.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,
**ZIDOVUDINE SYRUP 50MG/5ML,LOCAL,LOCAL,,,,both,,,114,114,31.92,114,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,114,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,82.08,percent of total billed charges,84.36,percent of total billed charges,84.36,percent of total billed charges,91.2,percent of total billed charges,91.2,percent of total billed charges,,,82.08,percent of total billed charges ,,,91.2,percent of total billed charges ,95.76,percent of total billed charges ,95.76,percent of total billed charges ,88.92,percent of total billed charges ,88.92,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,68.4,percent of total billed charges ,,,,,60.65,percent of total billed charges ,,,,,57.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,,,31.92,percent of total billed charges,
**NICOTINE PATCH REMOVAL,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
LIDOCAINE (XYLOCAINE) 1% 10ML VIAL,J2001,CDM,,,,both,,,28.75,28.75,8.05,28.75,28.75,percent of total billed charges,28.75,percent of total billed charges,28.75,percent of total billed charges,28.75,percent of total billed charges,28.75,percent of total billed charges,28.75,percent of total billed charges,28.75,percent of total billed charges,28.75,percent of total billed charges,20.7,percent of total billed charges,20.7,percent of total billed charges,20.7,percent of total billed charges,20.7,percent of total billed charges,20.7,percent of total billed charges,20.7,percent of total billed charges,21.28,percent of total billed charges,21.28,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,,,20.7,percent of total billed charges ,,,23,percent of total billed charges ,24.15,percent of total billed charges ,24.15,percent of total billed charges ,22.43,percent of total billed charges ,22.43,percent of total billed charges ,23,percent of total billed charges ,23,percent of total billed charges ,20.13,percent of total billed charges ,20.13,percent of total billed charges ,17.25,percent of total billed charges ,17.25,percent of total billed charges ,17.25,percent of total billed charges ,17.25,percent of total billed charges ,,,,,15.3,percent of total billed charges ,,,,,14.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,,,8.05,percent of total billed charges,
LABETALOL 20MG/4ML INJ,LOCAL,LOCAL,,,,both,,,103.5,103.5,28.98,103.5,103.5,percent of total billed charges,103.5,percent of total billed charges,103.5,percent of total billed charges,103.5,percent of total billed charges,103.5,percent of total billed charges,103.5,percent of total billed charges,103.5,percent of total billed charges,103.5,percent of total billed charges,74.52,percent of total billed charges,74.52,percent of total billed charges,74.52,percent of total billed charges,74.52,percent of total billed charges,74.52,percent of total billed charges,74.52,percent of total billed charges,76.59,percent of total billed charges,76.59,percent of total billed charges,82.8,percent of total billed charges,82.8,percent of total billed charges,,,74.52,percent of total billed charges ,,,82.8,percent of total billed charges ,86.94,percent of total billed charges ,86.94,percent of total billed charges ,80.73,percent of total billed charges ,80.73,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,72.45,percent of total billed charges ,72.45,percent of total billed charges ,62.1,percent of total billed charges ,62.1,percent of total billed charges ,62.1,percent of total billed charges ,62.1,percent of total billed charges ,,,,,55.06,percent of total billed charges ,,,,,52.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,,,28.98,percent of total billed charges,
CEFOTAXIME 2GM/100ML IVPB (MINIBAG+),J0698,CDM,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
**PIPERONYL BUTOXIDE/PYRETHRINS 118ML,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
VANCOMYCIN 250MG/5ML ORAL SOLUTION,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
VANCOMYCIN 125MG/2.5ML ORAL SOLUTION,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
BROMFENAC (XIBRON) OPHTH SOL 0.09%,LOCAL,LOCAL,,,,both,,,567.75,567.75,158.97,567.75,567.75,percent of total billed charges,567.75,percent of total billed charges,567.75,percent of total billed charges,567.75,percent of total billed charges,567.75,percent of total billed charges,567.75,percent of total billed charges,567.75,percent of total billed charges,567.75,percent of total billed charges,408.78,percent of total billed charges,408.78,percent of total billed charges,408.78,percent of total billed charges,408.78,percent of total billed charges,408.78,percent of total billed charges,408.78,percent of total billed charges,420.14,percent of total billed charges,420.14,percent of total billed charges,454.2,percent of total billed charges,454.2,percent of total billed charges,,,408.78,percent of total billed charges ,,,454.2,percent of total billed charges ,476.91,percent of total billed charges ,476.91,percent of total billed charges ,442.85,percent of total billed charges ,442.85,percent of total billed charges ,454.2,percent of total billed charges ,454.2,percent of total billed charges ,397.43,percent of total billed charges ,397.43,percent of total billed charges ,340.65,percent of total billed charges ,340.65,percent of total billed charges ,340.65,percent of total billed charges ,340.65,percent of total billed charges ,,,,,302.04,percent of total billed charges ,,,,,286.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,,,158.97,percent of total billed charges,
TOBRAMYCIN 80MG/100ML IVPB: PRE-MIXED,J3260,CDM,,,,both,,,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
**TOBRAMYCIN 80MG ADDVANTAGE,J3260,CDM,,,,both,,,27,27,7.56,27,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,27,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.44,percent of total billed charges,19.98,percent of total billed charges,19.98,percent of total billed charges,21.6,percent of total billed charges,21.6,percent of total billed charges,,,19.44,percent of total billed charges ,,,21.6,percent of total billed charges ,22.68,percent of total billed charges ,22.68,percent of total billed charges ,21.06,percent of total billed charges ,21.06,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,18.9,percent of total billed charges ,18.9,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,16.2,percent of total billed charges ,,,,,14.36,percent of total billed charges ,,,,,13.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,,,7.56,percent of total billed charges,
riMANTAdine (FLUMADINE) 100MG TABLET,LOCAL,LOCAL,,,,both,,,6.48,6.48,1.81,6.48,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,4.67,percent of total billed charges,4.67,percent of total billed charges,4.67,percent of total billed charges,4.67,percent of total billed charges,4.67,percent of total billed charges,4.67,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,,,4.67,percent of total billed charges ,,,5.18,percent of total billed charges ,5.44,percent of total billed charges ,5.44,percent of total billed charges ,5.05,percent of total billed charges ,5.05,percent of total billed charges ,5.18,percent of total billed charges ,5.18,percent of total billed charges ,4.54,percent of total billed charges ,4.54,percent of total billed charges ,3.89,percent of total billed charges ,3.89,percent of total billed charges ,3.89,percent of total billed charges ,3.89,percent of total billed charges ,,,,,3.45,percent of total billed charges ,,,,,3.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,,,1.81,percent of total billed charges,
cefTAZidime 1GM/NS 100ML MINIBAG+,J0713,CDM,,,,both,,,46.33,46.33,12.97,46.33,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,46.33,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,33.36,percent of total billed charges,34.28,percent of total billed charges,34.28,percent of total billed charges,37.06,percent of total billed charges,37.06,percent of total billed charges,,,33.36,percent of total billed charges ,,,37.06,percent of total billed charges ,38.92,percent of total billed charges ,38.92,percent of total billed charges ,36.14,percent of total billed charges ,36.14,percent of total billed charges ,37.06,percent of total billed charges ,37.06,percent of total billed charges ,32.43,percent of total billed charges ,32.43,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,27.8,percent of total billed charges ,,,,,24.65,percent of total billed charges ,,,,,23.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,,,12.97,percent of total billed charges,
VANCOMYCIN 500MG/10ML ORAL SOLUTION,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
SILDENAFIL (REVATIO) 20MG TAB,LOCAL,LOCAL,,,,both,,,2.77,2.77,0.78,2.77,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,2.77,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,1.99,percent of total billed charges,2.05,percent of total billed charges,2.05,percent of total billed charges,2.22,percent of total billed charges,2.22,percent of total billed charges,,,1.99,percent of total billed charges ,,,2.22,percent of total billed charges ,2.33,percent of total billed charges ,2.33,percent of total billed charges ,2.16,percent of total billed charges ,2.16,percent of total billed charges ,2.22,percent of total billed charges ,2.22,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,1.66,percent of total billed charges ,,,,,1.47,percent of total billed charges ,,,,,1.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,,,0.78,percent of total billed charges,
**RANITIDINE: 150MG/6ML INJ,J2780,CDM,,,,both,,,222.89,222.89,62.41,222.89,222.89,percent of total billed charges,222.89,percent of total billed charges,222.89,percent of total billed charges,222.89,percent of total billed charges,222.89,percent of total billed charges,222.89,percent of total billed charges,222.89,percent of total billed charges,222.89,percent of total billed charges,160.48,percent of total billed charges,160.48,percent of total billed charges,160.48,percent of total billed charges,160.48,percent of total billed charges,160.48,percent of total billed charges,160.48,percent of total billed charges,164.94,percent of total billed charges,164.94,percent of total billed charges,178.31,percent of total billed charges,178.31,percent of total billed charges,,,160.48,percent of total billed charges ,,,178.31,percent of total billed charges ,187.23,percent of total billed charges ,187.23,percent of total billed charges ,173.85,percent of total billed charges ,173.85,percent of total billed charges ,178.31,percent of total billed charges ,178.31,percent of total billed charges ,156.02,percent of total billed charges ,156.02,percent of total billed charges ,133.73,percent of total billed charges ,133.73,percent of total billed charges ,133.73,percent of total billed charges ,133.73,percent of total billed charges ,,,,,118.58,percent of total billed charges ,,,,,112.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,,,62.41,percent of total billed charges,
**E-EXCEDRIN MIGRAINE,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**OLANZAPINE/FLUOXETINE 3MG-25MG,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
**DOXAZOSIN 1MG TAB,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**METOPROLOL SUCCINATE 200MG TAB: TOPROL,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
DEMECLOCYCLINE (DECLOMYCIN) 150MG TAB,LOCAL,LOCAL,,,,both,,,11.07,11.07,3.1,11.07,11.07,percent of total billed charges,11.07,percent of total billed charges,11.07,percent of total billed charges,11.07,percent of total billed charges,11.07,percent of total billed charges,11.07,percent of total billed charges,11.07,percent of total billed charges,11.07,percent of total billed charges,7.97,percent of total billed charges,7.97,percent of total billed charges,7.97,percent of total billed charges,7.97,percent of total billed charges,7.97,percent of total billed charges,7.97,percent of total billed charges,8.19,percent of total billed charges,8.19,percent of total billed charges,8.86,percent of total billed charges,8.86,percent of total billed charges,,,7.97,percent of total billed charges ,,,8.86,percent of total billed charges ,9.3,percent of total billed charges ,9.3,percent of total billed charges ,8.63,percent of total billed charges ,8.63,percent of total billed charges ,8.86,percent of total billed charges ,8.86,percent of total billed charges ,7.75,percent of total billed charges ,7.75,percent of total billed charges ,6.64,percent of total billed charges ,6.64,percent of total billed charges ,6.64,percent of total billed charges ,6.64,percent of total billed charges ,,,,,5.89,percent of total billed charges ,,,,,5.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,,,3.1,percent of total billed charges,
RIVASTIGMINE (EXELON) 4.6 MG PATCH,LOCAL,LOCAL,,,,both,,,20.5,20.5,5.74,20.5,20.5,percent of total billed charges,20.5,percent of total billed charges,20.5,percent of total billed charges,20.5,percent of total billed charges,20.5,percent of total billed charges,20.5,percent of total billed charges,20.5,percent of total billed charges,20.5,percent of total billed charges,14.76,percent of total billed charges,14.76,percent of total billed charges,14.76,percent of total billed charges,14.76,percent of total billed charges,14.76,percent of total billed charges,14.76,percent of total billed charges,15.17,percent of total billed charges,15.17,percent of total billed charges,16.4,percent of total billed charges,16.4,percent of total billed charges,,,14.76,percent of total billed charges ,,,16.4,percent of total billed charges ,17.22,percent of total billed charges ,17.22,percent of total billed charges ,15.99,percent of total billed charges ,15.99,percent of total billed charges ,16.4,percent of total billed charges ,16.4,percent of total billed charges ,14.35,percent of total billed charges ,14.35,percent of total billed charges ,12.3,percent of total billed charges ,12.3,percent of total billed charges ,12.3,percent of total billed charges ,12.3,percent of total billed charges ,,,,,10.91,percent of total billed charges ,,,,,10.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,,,5.74,percent of total billed charges,
**INFLUENZA VACCINE 2010-2011: FLUZONE,90656,CDM,,,,both,,,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
HYDROmorphone (DILAUDID) 4MG TAB,LOCAL,LOCAL,,,,both,,,2.15,2.15,0.6,2.15,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,2.15,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.55,percent of total billed charges,1.59,percent of total billed charges,1.59,percent of total billed charges,1.72,percent of total billed charges,1.72,percent of total billed charges,,,1.55,percent of total billed charges ,,,1.72,percent of total billed charges ,1.81,percent of total billed charges ,1.81,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.72,percent of total billed charges ,1.72,percent of total billed charges ,1.51,percent of total billed charges ,1.51,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,1.29,percent of total billed charges ,,,,,1.14,percent of total billed charges ,,,,,1.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,,,0.6,percent of total billed charges,
ARIPiprazole (ABILIFY) 2 MG TAB,J0401,CDM,,,,both,,,18.23,18.23,5.1,18.23,18.23,percent of total billed charges,18.23,percent of total billed charges,18.23,percent of total billed charges,18.23,percent of total billed charges,18.23,percent of total billed charges,18.23,percent of total billed charges,18.23,percent of total billed charges,18.23,percent of total billed charges,13.13,percent of total billed charges,13.13,percent of total billed charges,13.13,percent of total billed charges,13.13,percent of total billed charges,13.13,percent of total billed charges,13.13,percent of total billed charges,13.49,percent of total billed charges,13.49,percent of total billed charges,14.58,percent of total billed charges,14.58,percent of total billed charges,,,13.13,percent of total billed charges ,,,14.58,percent of total billed charges ,15.31,percent of total billed charges ,15.31,percent of total billed charges ,14.22,percent of total billed charges ,14.22,percent of total billed charges ,14.58,percent of total billed charges ,14.58,percent of total billed charges ,12.76,percent of total billed charges ,12.76,percent of total billed charges ,10.94,percent of total billed charges ,10.94,percent of total billed charges ,10.94,percent of total billed charges ,10.94,percent of total billed charges ,,,,,9.7,percent of total billed charges ,,,,,9.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,,,5.1,percent of total billed charges,
FLUOCINOLONE (LIDEX) 0.01% SOLUTION,LOCAL,LOCAL,,,,both,,,230.42,230.42,64.52,230.42,230.42,percent of total billed charges,230.42,percent of total billed charges,230.42,percent of total billed charges,230.42,percent of total billed charges,230.42,percent of total billed charges,230.42,percent of total billed charges,230.42,percent of total billed charges,230.42,percent of total billed charges,165.9,percent of total billed charges,165.9,percent of total billed charges,165.9,percent of total billed charges,165.9,percent of total billed charges,165.9,percent of total billed charges,165.9,percent of total billed charges,170.51,percent of total billed charges,170.51,percent of total billed charges,184.34,percent of total billed charges,184.34,percent of total billed charges,,,165.9,percent of total billed charges ,,,184.34,percent of total billed charges ,193.55,percent of total billed charges ,193.55,percent of total billed charges ,179.73,percent of total billed charges ,179.73,percent of total billed charges ,184.34,percent of total billed charges ,184.34,percent of total billed charges ,161.29,percent of total billed charges ,161.29,percent of total billed charges ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,138.25,percent of total billed charges ,,,,,122.58,percent of total billed charges ,,,,,116.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,,,64.52,percent of total billed charges,
**D5W 500ML GLASS,LOCAL,LOCAL,,,,both,,,102,102,28.56,102,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,102,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,73.44,percent of total billed charges,75.48,percent of total billed charges,75.48,percent of total billed charges,81.6,percent of total billed charges,81.6,percent of total billed charges,,,73.44,percent of total billed charges ,,,81.6,percent of total billed charges ,85.68,percent of total billed charges ,85.68,percent of total billed charges ,79.56,percent of total billed charges ,79.56,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,61.2,percent of total billed charges ,,,,,54.26,percent of total billed charges ,,,,,51.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,,,28.56,percent of total billed charges,
**HOLD BISPHOSPHONATE WHILE HOSPITALIZED,LOCAL,LOCAL,,,,both,,,2,2,0.56,2,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,2,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.44,percent of total billed charges,1.48,percent of total billed charges,1.48,percent of total billed charges,1.6,percent of total billed charges,1.6,percent of total billed charges,,,1.44,percent of total billed charges ,,,1.6,percent of total billed charges ,1.68,percent of total billed charges ,1.68,percent of total billed charges ,1.56,percent of total billed charges ,1.56,percent of total billed charges ,1.6,percent of total billed charges ,1.6,percent of total billed charges ,1.4,percent of total billed charges ,1.4,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,1.2,percent of total billed charges ,,,,,1.06,percent of total billed charges ,,,,,1.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,,,0.56,percent of total billed charges,
VANCOMYCIN 500MG/100ML IVPB A/V,J3370,CDM,,,,both,,,55,55,15.4,55,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,55,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,39.6,percent of total billed charges,40.7,percent of total billed charges,40.7,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,,,39.6,percent of total billed charges ,,,44,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,42.9,percent of total billed charges ,42.9,percent of total billed charges ,44,percent of total billed charges ,44,percent of total billed charges ,38.5,percent of total billed charges ,38.5,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,33,percent of total billed charges ,,,,,29.26,percent of total billed charges ,,,,,27.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,,,15.4,percent of total billed charges,
NAFCILLIN 2GM/100ML IVPB MB+,LOCAL,LOCAL,,,,both,,,115.83,115.83,32.43,115.83,115.83,percent of total billed charges,115.83,percent of total billed charges,115.83,percent of total billed charges,115.83,percent of total billed charges,115.83,percent of total billed charges,115.83,percent of total billed charges,115.83,percent of total billed charges,115.83,percent of total billed charges,83.4,percent of total billed charges,83.4,percent of total billed charges,83.4,percent of total billed charges,83.4,percent of total billed charges,83.4,percent of total billed charges,83.4,percent of total billed charges,85.71,percent of total billed charges,85.71,percent of total billed charges,92.66,percent of total billed charges,92.66,percent of total billed charges,,,83.4,percent of total billed charges ,,,92.66,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,90.35,percent of total billed charges ,90.35,percent of total billed charges ,92.66,percent of total billed charges ,92.66,percent of total billed charges ,81.08,percent of total billed charges ,81.08,percent of total billed charges ,69.5,percent of total billed charges ,69.5,percent of total billed charges ,69.5,percent of total billed charges ,69.5,percent of total billed charges ,,,,,61.62,percent of total billed charges ,,,,,58.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,,,32.43,percent of total billed charges,
ZONISAMIDE (ZONEGRAN) 100MG CAP,LOCAL,LOCAL,,,,both,,,0.59,0.59,0.17,0.59,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.59,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.42,percent of total billed charges,0.44,percent of total billed charges,0.44,percent of total billed charges,0.47,percent of total billed charges,0.47,percent of total billed charges,,,0.42,percent of total billed charges ,,,0.47,percent of total billed charges ,0.5,percent of total billed charges ,0.5,percent of total billed charges ,0.46,percent of total billed charges ,0.46,percent of total billed charges ,0.47,percent of total billed charges ,0.47,percent of total billed charges ,0.41,percent of total billed charges ,0.41,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,,,,,0.31,percent of total billed charges ,,,,,0.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,,,0.17,percent of total billed charges,
rifAXIMin (XIFAXAN) 200MG TABLET,LOCAL,LOCAL,,,,both,,,43,43,12.04,43,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,43,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,30.96,percent of total billed charges,31.82,percent of total billed charges,31.82,percent of total billed charges,34.4,percent of total billed charges,34.4,percent of total billed charges,,,30.96,percent of total billed charges ,,,34.4,percent of total billed charges ,36.12,percent of total billed charges ,36.12,percent of total billed charges ,33.54,percent of total billed charges ,33.54,percent of total billed charges ,34.4,percent of total billed charges ,34.4,percent of total billed charges ,30.1,percent of total billed charges ,30.1,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,25.8,percent of total billed charges ,,,,,22.88,percent of total billed charges ,,,,,21.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,,,12.04,percent of total billed charges,
RIVASTIGMINE (EXELON) 9.5MG PATCH,LOCAL,LOCAL,,,,both,,,19.48,19.48,5.45,19.48,19.48,percent of total billed charges,19.48,percent of total billed charges,19.48,percent of total billed charges,19.48,percent of total billed charges,19.48,percent of total billed charges,19.48,percent of total billed charges,19.48,percent of total billed charges,19.48,percent of total billed charges,14.03,percent of total billed charges,14.03,percent of total billed charges,14.03,percent of total billed charges,14.03,percent of total billed charges,14.03,percent of total billed charges,14.03,percent of total billed charges,14.42,percent of total billed charges,14.42,percent of total billed charges,15.58,percent of total billed charges,15.58,percent of total billed charges,,,14.03,percent of total billed charges ,,,15.58,percent of total billed charges ,16.36,percent of total billed charges ,16.36,percent of total billed charges ,15.19,percent of total billed charges ,15.19,percent of total billed charges ,15.58,percent of total billed charges ,15.58,percent of total billed charges ,13.64,percent of total billed charges ,13.64,percent of total billed charges ,11.69,percent of total billed charges ,11.69,percent of total billed charges ,11.69,percent of total billed charges ,11.69,percent of total billed charges ,,,,,10.36,percent of total billed charges ,,,,,9.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,,,5.45,percent of total billed charges,
LORazepam 2MG/ML ORAL CONC U.D. SYR,LOCAL,LOCAL,,,,both,,,47.62,47.62,13.33,47.62,47.62,percent of total billed charges,47.62,percent of total billed charges,47.62,percent of total billed charges,47.62,percent of total billed charges,47.62,percent of total billed charges,47.62,percent of total billed charges,47.62,percent of total billed charges,47.62,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,34.29,percent of total billed charges,35.24,percent of total billed charges,35.24,percent of total billed charges,38.1,percent of total billed charges,38.1,percent of total billed charges,,,34.29,percent of total billed charges ,,,38.1,percent of total billed charges ,40,percent of total billed charges ,40,percent of total billed charges ,37.14,percent of total billed charges ,37.14,percent of total billed charges ,38.1,percent of total billed charges ,38.1,percent of total billed charges ,33.33,percent of total billed charges ,33.33,percent of total billed charges ,28.57,percent of total billed charges ,28.57,percent of total billed charges ,28.57,percent of total billed charges ,28.57,percent of total billed charges ,,,,,25.33,percent of total billed charges ,,,,,24.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,,,13.33,percent of total billed charges,
DULOXETINE (CYMBALTA) 20MG,LOCAL,LOCAL,,,,both,,,4.68,4.68,1.31,4.68,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,4.68,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.37,percent of total billed charges,3.46,percent of total billed charges,3.46,percent of total billed charges,3.74,percent of total billed charges,3.74,percent of total billed charges,,,3.37,percent of total billed charges ,,,3.74,percent of total billed charges ,3.93,percent of total billed charges ,3.93,percent of total billed charges ,3.65,percent of total billed charges ,3.65,percent of total billed charges ,3.74,percent of total billed charges ,3.74,percent of total billed charges ,3.28,percent of total billed charges ,3.28,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,2.81,percent of total billed charges ,,,,,2.49,percent of total billed charges ,,,,,2.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,,,1.31,percent of total billed charges,
**CINACALCET (SENSIPAR) 60MG,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
PILOCARPINE (SALAGEN) 5MG TAB,LOCAL,LOCAL,,,,both,,,3.23,3.23,0.9,3.23,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,3.23,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.33,percent of total billed charges,2.39,percent of total billed charges,2.39,percent of total billed charges,2.58,percent of total billed charges,2.58,percent of total billed charges,,,2.33,percent of total billed charges ,,,2.58,percent of total billed charges ,2.71,percent of total billed charges ,2.71,percent of total billed charges ,2.52,percent of total billed charges ,2.52,percent of total billed charges ,2.58,percent of total billed charges ,2.58,percent of total billed charges ,2.26,percent of total billed charges ,2.26,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,1.94,percent of total billed charges ,,,,,1.72,percent of total billed charges ,,,,,1.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,,,0.9,percent of total billed charges,
**KETOCONAZOLE (NIZORAL) 200MG,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
REGADENOSON (LEXISCAN) 0.4MG/5ML SYR,J2785,CDM,,,,both,,,587.21,587.21,164.42,587.21,587.21,percent of total billed charges,587.21,percent of total billed charges,587.21,percent of total billed charges,587.21,percent of total billed charges,587.21,percent of total billed charges,587.21,percent of total billed charges,587.21,percent of total billed charges,587.21,percent of total billed charges,422.79,percent of total billed charges,422.79,percent of total billed charges,422.79,percent of total billed charges,422.79,percent of total billed charges,422.79,percent of total billed charges,422.79,percent of total billed charges,434.54,percent of total billed charges,434.54,percent of total billed charges,469.77,percent of total billed charges,469.77,percent of total billed charges,,,422.79,percent of total billed charges ,,,469.77,percent of total billed charges ,493.26,percent of total billed charges ,493.26,percent of total billed charges ,458.02,percent of total billed charges ,458.02,percent of total billed charges ,469.77,percent of total billed charges ,469.77,percent of total billed charges ,411.05,percent of total billed charges ,411.05,percent of total billed charges ,352.33,percent of total billed charges ,352.33,percent of total billed charges ,352.33,percent of total billed charges ,352.33,percent of total billed charges ,,,,,312.4,percent of total billed charges ,,,,,296.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,,,164.42,percent of total billed charges,
TROSPIUM ER (SANCTURA XR) 60MG TAB,LOCAL,LOCAL,,,,both,,,15.78,15.78,4.42,15.78,15.78,percent of total billed charges,15.78,percent of total billed charges,15.78,percent of total billed charges,15.78,percent of total billed charges,15.78,percent of total billed charges,15.78,percent of total billed charges,15.78,percent of total billed charges,15.78,percent of total billed charges,11.36,percent of total billed charges,11.36,percent of total billed charges,11.36,percent of total billed charges,11.36,percent of total billed charges,11.36,percent of total billed charges,11.36,percent of total billed charges,11.68,percent of total billed charges,11.68,percent of total billed charges,12.62,percent of total billed charges,12.62,percent of total billed charges,,,11.36,percent of total billed charges ,,,12.62,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,12.31,percent of total billed charges ,12.31,percent of total billed charges ,12.62,percent of total billed charges ,12.62,percent of total billed charges ,11.05,percent of total billed charges ,11.05,percent of total billed charges ,9.47,percent of total billed charges ,9.47,percent of total billed charges ,9.47,percent of total billed charges ,9.47,percent of total billed charges ,,,,,8.39,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,,,4.42,percent of total billed charges,
**BETAMETHASONE (VALISONE) 0.05% LOTI30,LOCAL,LOCAL,,,,both,,,136,136,38.08,136,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,100.64,percent of total billed charges,100.64,percent of total billed charges,108.8,percent of total billed charges,108.8,percent of total billed charges,,,97.92,percent of total billed charges ,,,108.8,percent of total billed charges ,114.24,percent of total billed charges ,114.24,percent of total billed charges ,106.08,percent of total billed charges ,106.08,percent of total billed charges ,108.8,percent of total billed charges ,108.8,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,,,,,72.35,percent of total billed charges ,,,,,68.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,
**HALOPERIDOL ORAL CONC 2MG/ML UD SYR,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
MESALAMINE (PENTASA) 500MG CAPSULE,LOCAL,LOCAL,,,,both,,,19.53,19.53,5.47,19.53,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,19.53,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,14.06,percent of total billed charges,14.45,percent of total billed charges,14.45,percent of total billed charges,15.62,percent of total billed charges,15.62,percent of total billed charges,,,14.06,percent of total billed charges ,,,15.62,percent of total billed charges ,16.41,percent of total billed charges ,16.41,percent of total billed charges ,15.23,percent of total billed charges ,15.23,percent of total billed charges ,15.62,percent of total billed charges ,15.62,percent of total billed charges ,13.67,percent of total billed charges ,13.67,percent of total billed charges ,11.72,percent of total billed charges ,11.72,percent of total billed charges ,11.72,percent of total billed charges ,11.72,percent of total billed charges ,,,,,10.39,percent of total billed charges ,,,,,9.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,,,5.47,percent of total billed charges,
**ZINC 1MG/ML 10ML VIAL,LOCAL,LOCAL,,,,both,,,16,16,4.48,16,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,11.84,percent of total billed charges,11.84,percent of total billed charges,12.8,percent of total billed charges,12.8,percent of total billed charges,,,11.52,percent of total billed charges ,,,12.8,percent of total billed charges ,13.44,percent of total billed charges ,13.44,percent of total billed charges ,12.48,percent of total billed charges ,12.48,percent of total billed charges ,12.8,percent of total billed charges ,12.8,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,,,,,8.51,percent of total billed charges ,,,,,8.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,,,4.48,percent of total billed charges,
**AMINO ACID 5% IN DEXTROSE 15% 1000ML,LOCAL,LOCAL,,,,both,,,100,100,28,100,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,,,72,percent of total billed charges ,,,80,percent of total billed charges ,84,percent of total billed charges ,84,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,80,percent of total billed charges ,80,percent of total billed charges ,70,percent of total billed charges ,70,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,,,,,53.2,percent of total billed charges ,,,,,50.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,,,28,percent of total billed charges,
**LOXAPINE (LOXITANE) 25MG CAP,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**GRANISETRON 0.1MG VIAL,LOCAL,LOCAL,,,,both,,,24,24,6.72,24,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,24,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.28,percent of total billed charges,17.76,percent of total billed charges,17.76,percent of total billed charges,19.2,percent of total billed charges,19.2,percent of total billed charges,,,17.28,percent of total billed charges ,,,19.2,percent of total billed charges ,20.16,percent of total billed charges ,20.16,percent of total billed charges ,18.72,percent of total billed charges ,18.72,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,,,,,12.77,percent of total billed charges ,,,,,12.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,,,6.72,percent of total billed charges,
HYDROmorphone (DILAUDID) 2MG TABLET,LOCAL,LOCAL,,,,both,,,1.76,1.76,0.49,1.76,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.76,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.27,percent of total billed charges,1.3,percent of total billed charges,1.3,percent of total billed charges,1.41,percent of total billed charges,1.41,percent of total billed charges,,,1.27,percent of total billed charges ,,,1.41,percent of total billed charges ,1.48,percent of total billed charges ,1.48,percent of total billed charges ,1.37,percent of total billed charges ,1.37,percent of total billed charges ,1.41,percent of total billed charges ,1.41,percent of total billed charges ,1.23,percent of total billed charges ,1.23,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,1.06,percent of total billed charges ,,,,,0.94,percent of total billed charges ,,,,,0.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,,,0.49,percent of total billed charges,
HEPARIN FLUSH 50 UNITS/5 ML SYR,J1642,CDM,,,,both,,,5.1,5.1,1.43,5.1,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,5.1,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.67,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,4.08,percent of total billed charges,4.08,percent of total billed charges,,,3.67,percent of total billed charges ,,,4.08,percent of total billed charges ,4.28,percent of total billed charges ,4.28,percent of total billed charges ,3.98,percent of total billed charges ,3.98,percent of total billed charges ,4.08,percent of total billed charges ,4.08,percent of total billed charges ,3.57,percent of total billed charges ,3.57,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,3.06,percent of total billed charges ,,,,,2.71,percent of total billed charges ,,,,,2.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,,,1.43,percent of total billed charges,
HEPARIN FLUSH 500 UNITS/5ML SYR,J1642,CDM,,,,both,,,8.85,8.85,2.48,8.85,8.85,percent of total billed charges,8.85,percent of total billed charges,8.85,percent of total billed charges,8.85,percent of total billed charges,8.85,percent of total billed charges,8.85,percent of total billed charges,8.85,percent of total billed charges,8.85,percent of total billed charges,6.37,percent of total billed charges,6.37,percent of total billed charges,6.37,percent of total billed charges,6.37,percent of total billed charges,6.37,percent of total billed charges,6.37,percent of total billed charges,6.55,percent of total billed charges,6.55,percent of total billed charges,7.08,percent of total billed charges,7.08,percent of total billed charges,,,6.37,percent of total billed charges ,,,7.08,percent of total billed charges ,7.43,percent of total billed charges ,7.43,percent of total billed charges ,6.9,percent of total billed charges ,6.9,percent of total billed charges ,7.08,percent of total billed charges ,7.08,percent of total billed charges ,6.2,percent of total billed charges ,6.2,percent of total billed charges ,5.31,percent of total billed charges ,5.31,percent of total billed charges ,5.31,percent of total billed charges ,5.31,percent of total billed charges ,,,,,4.71,percent of total billed charges ,,,,,4.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,,,2.48,percent of total billed charges,
DAPSONE 25MG TABLET,LOCAL,LOCAL,,,,both,,,5.45,5.45,1.53,5.45,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,5.45,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,3.92,percent of total billed charges,4.03,percent of total billed charges,4.03,percent of total billed charges,4.36,percent of total billed charges,4.36,percent of total billed charges,,,3.92,percent of total billed charges ,,,4.36,percent of total billed charges ,4.58,percent of total billed charges ,4.58,percent of total billed charges ,4.25,percent of total billed charges ,4.25,percent of total billed charges ,4.36,percent of total billed charges ,4.36,percent of total billed charges ,3.82,percent of total billed charges ,3.82,percent of total billed charges ,3.27,percent of total billed charges ,3.27,percent of total billed charges ,3.27,percent of total billed charges ,3.27,percent of total billed charges ,,,,,2.9,percent of total billed charges ,,,,,2.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,,,1.53,percent of total billed charges,
cycloSPORINE 0.05% OPHTH (RESTASIS),LOCAL,LOCAL,,,,both,,,21.73,21.73,6.08,21.73,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,21.73,percent of total billed charges,15.65,percent of total billed charges,15.65,percent of total billed charges,15.65,percent of total billed charges,15.65,percent of total billed charges,15.65,percent of total billed charges,15.65,percent of total billed charges,16.08,percent of total billed charges,16.08,percent of total billed charges,17.38,percent of total billed charges,17.38,percent of total billed charges,,,15.65,percent of total billed charges ,,,17.38,percent of total billed charges ,18.25,percent of total billed charges ,18.25,percent of total billed charges ,16.95,percent of total billed charges ,16.95,percent of total billed charges ,17.38,percent of total billed charges ,17.38,percent of total billed charges ,15.21,percent of total billed charges ,15.21,percent of total billed charges ,13.04,percent of total billed charges ,13.04,percent of total billed charges ,13.04,percent of total billed charges ,13.04,percent of total billed charges ,,,,,11.56,percent of total billed charges ,,,,,10.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,,,6.08,percent of total billed charges,
levETIRAcetam: 500MG FTV,J1953,CDM,,,,both,,,22.22,22.22,6.22,22.22,22.22,percent of total billed charges,22.22,percent of total billed charges,22.22,percent of total billed charges,22.22,percent of total billed charges,22.22,percent of total billed charges,22.22,percent of total billed charges,22.22,percent of total billed charges,22.22,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,16.44,percent of total billed charges,16.44,percent of total billed charges,17.78,percent of total billed charges,17.78,percent of total billed charges,,,16,percent of total billed charges ,,,17.78,percent of total billed charges ,18.66,percent of total billed charges ,18.66,percent of total billed charges ,17.33,percent of total billed charges ,17.33,percent of total billed charges ,17.78,percent of total billed charges ,17.78,percent of total billed charges ,15.55,percent of total billed charges ,15.55,percent of total billed charges ,13.33,percent of total billed charges ,13.33,percent of total billed charges ,13.33,percent of total billed charges ,13.33,percent of total billed charges ,,,,,11.82,percent of total billed charges ,,,,,11.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,,,6.22,percent of total billed charges,
ZOLEDRONIC ACID: (ZOMETA) 4MG/100ML IVPB,J3489,CDM,,,,both,,,369.02,369.02,103.33,369.02,369.02,percent of total billed charges,369.02,percent of total billed charges,369.02,percent of total billed charges,369.02,percent of total billed charges,369.02,percent of total billed charges,369.02,percent of total billed charges,369.02,percent of total billed charges,369.02,percent of total billed charges,265.69,percent of total billed charges,265.69,percent of total billed charges,265.69,percent of total billed charges,265.69,percent of total billed charges,265.69,percent of total billed charges,265.69,percent of total billed charges,273.07,percent of total billed charges,273.07,percent of total billed charges,295.22,percent of total billed charges,295.22,percent of total billed charges,,,265.69,percent of total billed charges ,,,295.22,percent of total billed charges ,309.98,percent of total billed charges ,309.98,percent of total billed charges ,287.84,percent of total billed charges ,287.84,percent of total billed charges ,295.22,percent of total billed charges ,295.22,percent of total billed charges ,258.31,percent of total billed charges ,258.31,percent of total billed charges ,221.41,percent of total billed charges ,221.41,percent of total billed charges ,221.41,percent of total billed charges ,221.41,percent of total billed charges ,,,,,196.32,percent of total billed charges ,,,,,186.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,,,103.33,percent of total billed charges,
**HOMATROPINE 2% OPHTH DROPS 5ML,LOCAL,LOCAL,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
ESTRADIOL (ESTROGEL) 0.06% GEL,LOCAL,LOCAL,,,,both,,,345.71,345.71,96.8,345.71,345.71,percent of total billed charges,345.71,percent of total billed charges,345.71,percent of total billed charges,345.71,percent of total billed charges,345.71,percent of total billed charges,345.71,percent of total billed charges,345.71,percent of total billed charges,345.71,percent of total billed charges,248.91,percent of total billed charges,248.91,percent of total billed charges,248.91,percent of total billed charges,248.91,percent of total billed charges,248.91,percent of total billed charges,248.91,percent of total billed charges,255.83,percent of total billed charges,255.83,percent of total billed charges,276.57,percent of total billed charges,276.57,percent of total billed charges,,,248.91,percent of total billed charges ,,,276.57,percent of total billed charges ,290.4,percent of total billed charges ,290.4,percent of total billed charges ,269.65,percent of total billed charges ,269.65,percent of total billed charges ,276.57,percent of total billed charges ,276.57,percent of total billed charges ,242,percent of total billed charges ,242,percent of total billed charges ,207.43,percent of total billed charges ,207.43,percent of total billed charges ,207.43,percent of total billed charges ,207.43,percent of total billed charges ,,,,,183.92,percent of total billed charges ,,,,,174.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,,,96.8,percent of total billed charges,
QUEtiapine (SEROQUEL XR) 50MG TAB,LOCAL,LOCAL,,,,both,,,1.28,1.28,0.36,1.28,1.28,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,1.28,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.92,percent of total billed charges,0.95,percent of total billed charges,0.95,percent of total billed charges,1.02,percent of total billed charges,1.02,percent of total billed charges,,,0.92,percent of total billed charges ,,,1.02,percent of total billed charges ,1.08,percent of total billed charges ,1.08,percent of total billed charges ,1,percent of total billed charges ,1,percent of total billed charges ,1.02,percent of total billed charges ,1.02,percent of total billed charges ,0.9,percent of total billed charges ,0.9,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,,,,,0.68,percent of total billed charges ,,,,,0.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,,,0.36,percent of total billed charges,
**HEXACHLORPHEN 3% SUSP (PHISOHEX) 4,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
ECONAZOLE (SPECTAZOLE) 1% CREAM 85GM,LOCAL,LOCAL,,,,both,,,87.21,87.21,24.42,87.21,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,87.21,percent of total billed charges,62.79,percent of total billed charges,62.79,percent of total billed charges,62.79,percent of total billed charges,62.79,percent of total billed charges,62.79,percent of total billed charges,62.79,percent of total billed charges,64.54,percent of total billed charges,64.54,percent of total billed charges,69.77,percent of total billed charges,69.77,percent of total billed charges,,,62.79,percent of total billed charges ,,,69.77,percent of total billed charges ,73.26,percent of total billed charges ,73.26,percent of total billed charges ,68.02,percent of total billed charges ,68.02,percent of total billed charges ,69.77,percent of total billed charges ,69.77,percent of total billed charges ,61.05,percent of total billed charges ,61.05,percent of total billed charges ,52.33,percent of total billed charges ,52.33,percent of total billed charges ,52.33,percent of total billed charges ,52.33,percent of total billed charges ,,,,,46.4,percent of total billed charges ,,,,,44.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,,,24.42,percent of total billed charges,
**OMEPRAZOLE (PRILOSEC OTC) 20.6MG TAB,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**ESTRADIOL (VAGIFEM) 25MCG VAGINAL TAB,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**ERYTHROMYCIN (ERYPED) 400MG/5ML ORAL,LOCAL,LOCAL,,,,both,,,515,515,144.2,515,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,381.1,percent of total billed charges,381.1,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,,,370.8,percent of total billed charges ,,,412,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,401.7,percent of total billed charges ,401.7,percent of total billed charges ,412,percent of total billed charges ,412,percent of total billed charges ,360.5,percent of total billed charges ,360.5,percent of total billed charges ,309,percent of total billed charges ,309,percent of total billed charges ,309,percent of total billed charges ,309,percent of total billed charges ,,,,,273.98,percent of total billed charges ,,,,,260.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,
LUBIPROSTONE (AMITIZA) 8MCG CAP,LOCAL,LOCAL,,,,both,,,15.56,15.56,4.36,15.56,15.56,percent of total billed charges,15.56,percent of total billed charges,15.56,percent of total billed charges,15.56,percent of total billed charges,15.56,percent of total billed charges,15.56,percent of total billed charges,15.56,percent of total billed charges,15.56,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,11.51,percent of total billed charges,11.51,percent of total billed charges,12.45,percent of total billed charges,12.45,percent of total billed charges,,,11.2,percent of total billed charges ,,,12.45,percent of total billed charges ,13.07,percent of total billed charges ,13.07,percent of total billed charges ,12.14,percent of total billed charges ,12.14,percent of total billed charges ,12.45,percent of total billed charges ,12.45,percent of total billed charges ,10.89,percent of total billed charges ,10.89,percent of total billed charges ,9.34,percent of total billed charges ,9.34,percent of total billed charges ,9.34,percent of total billed charges ,9.34,percent of total billed charges ,,,,,8.28,percent of total billed charges ,,,,,7.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,,,4.36,percent of total billed charges,
**BACITRACIN OINTMENT 1 LB JAR,LOCAL,LOCAL,,,,both,1,each,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**HEPARIN 50 UNITS/ML / 0.45% NACL 500ML,J1644,CDM,,,,both,,,40,40,11.2,40,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,40,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,,,28.8,percent of total billed charges ,,,32,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,32,percent of total billed charges ,32,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,24,percent of total billed charges ,,,,,21.28,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,,,11.2,percent of total billed charges,
**MIRACLE MOUTHWASH,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
VANCOMYCIN 750MG/250ML IVPB: (VIALMATE),J3370,CDM,,,,both,,,127.1,127.1,35.59,127.1,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,127.1,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,91.51,percent of total billed charges,94.05,percent of total billed charges,94.05,percent of total billed charges,101.68,percent of total billed charges,101.68,percent of total billed charges,,,91.51,percent of total billed charges ,,,101.68,percent of total billed charges ,106.76,percent of total billed charges ,106.76,percent of total billed charges ,99.14,percent of total billed charges ,99.14,percent of total billed charges ,101.68,percent of total billed charges ,101.68,percent of total billed charges ,88.97,percent of total billed charges ,88.97,percent of total billed charges ,76.26,percent of total billed charges ,76.26,percent of total billed charges ,76.26,percent of total billed charges ,76.26,percent of total billed charges ,,,,,67.62,percent of total billed charges ,,,,,64.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,,,35.59,percent of total billed charges,
AZITHROMYCIN (ZITHROMAX) 500MG A/V IVPB,J0456,CDM,,,,both,,,44.84,44.84,12.56,44.84,44.84,percent of total billed charges,44.84,percent of total billed charges,44.84,percent of total billed charges,44.84,percent of total billed charges,44.84,percent of total billed charges,44.84,percent of total billed charges,44.84,percent of total billed charges,44.84,percent of total billed charges,32.28,percent of total billed charges,32.28,percent of total billed charges,32.28,percent of total billed charges,32.28,percent of total billed charges,32.28,percent of total billed charges,32.28,percent of total billed charges,33.18,percent of total billed charges,33.18,percent of total billed charges,35.87,percent of total billed charges,35.87,percent of total billed charges,,,32.28,percent of total billed charges ,,,35.87,percent of total billed charges ,37.67,percent of total billed charges ,37.67,percent of total billed charges ,34.98,percent of total billed charges ,34.98,percent of total billed charges ,35.87,percent of total billed charges ,35.87,percent of total billed charges ,31.39,percent of total billed charges ,31.39,percent of total billed charges ,26.9,percent of total billed charges ,26.9,percent of total billed charges ,26.9,percent of total billed charges ,26.9,percent of total billed charges ,,,,,23.85,percent of total billed charges ,,,,,22.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,,,12.56,percent of total billed charges,
metroNIDAZOLE (METROGEL) 1% GEL,LOCAL,LOCAL,,,,both,,,392.72,392.72,109.96,392.72,392.72,percent of total billed charges,392.72,percent of total billed charges,392.72,percent of total billed charges,392.72,percent of total billed charges,392.72,percent of total billed charges,392.72,percent of total billed charges,392.72,percent of total billed charges,392.72,percent of total billed charges,282.76,percent of total billed charges,282.76,percent of total billed charges,282.76,percent of total billed charges,282.76,percent of total billed charges,282.76,percent of total billed charges,282.76,percent of total billed charges,290.61,percent of total billed charges,290.61,percent of total billed charges,314.18,percent of total billed charges,314.18,percent of total billed charges,,,282.76,percent of total billed charges ,,,314.18,percent of total billed charges ,329.88,percent of total billed charges ,329.88,percent of total billed charges ,306.32,percent of total billed charges ,306.32,percent of total billed charges ,314.18,percent of total billed charges ,314.18,percent of total billed charges ,274.9,percent of total billed charges ,274.9,percent of total billed charges ,235.63,percent of total billed charges ,235.63,percent of total billed charges ,235.63,percent of total billed charges ,235.63,percent of total billed charges ,,,,,208.93,percent of total billed charges ,,,,,198.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,,,109.96,percent of total billed charges,
**TACROLIMUS (PROTOPIC) 0.1% 30GM,LOCAL,LOCAL,,,,both,,,271,271,75.88,271,271,percent of total billed charges,271,percent of total billed charges,271,percent of total billed charges,271,percent of total billed charges,271,percent of total billed charges,271,percent of total billed charges,271,percent of total billed charges,271,percent of total billed charges,195.12,percent of total billed charges,195.12,percent of total billed charges,195.12,percent of total billed charges,195.12,percent of total billed charges,195.12,percent of total billed charges,195.12,percent of total billed charges,200.54,percent of total billed charges,200.54,percent of total billed charges,216.8,percent of total billed charges,216.8,percent of total billed charges,,,195.12,percent of total billed charges ,,,216.8,percent of total billed charges ,227.64,percent of total billed charges ,227.64,percent of total billed charges ,211.38,percent of total billed charges ,211.38,percent of total billed charges ,216.8,percent of total billed charges ,216.8,percent of total billed charges ,189.7,percent of total billed charges ,189.7,percent of total billed charges ,162.6,percent of total billed charges ,162.6,percent of total billed charges ,162.6,percent of total billed charges ,162.6,percent of total billed charges ,,,,,144.17,percent of total billed charges ,,,,,136.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,,,75.88,percent of total billed charges,
BRIMONIDINE/TIMOLOL 0.2-0.5% O/S: 5mL,LOCAL,LOCAL,,,,both,,,396.12,396.12,110.91,396.12,396.12,percent of total billed charges,396.12,percent of total billed charges,396.12,percent of total billed charges,396.12,percent of total billed charges,396.12,percent of total billed charges,396.12,percent of total billed charges,396.12,percent of total billed charges,396.12,percent of total billed charges,285.21,percent of total billed charges,285.21,percent of total billed charges,285.21,percent of total billed charges,285.21,percent of total billed charges,285.21,percent of total billed charges,285.21,percent of total billed charges,293.13,percent of total billed charges,293.13,percent of total billed charges,316.9,percent of total billed charges,316.9,percent of total billed charges,,,285.21,percent of total billed charges ,,,316.9,percent of total billed charges ,332.74,percent of total billed charges ,332.74,percent of total billed charges ,308.97,percent of total billed charges ,308.97,percent of total billed charges ,316.9,percent of total billed charges ,316.9,percent of total billed charges ,277.28,percent of total billed charges ,277.28,percent of total billed charges ,237.67,percent of total billed charges ,237.67,percent of total billed charges ,237.67,percent of total billed charges ,237.67,percent of total billed charges ,,,,,210.74,percent of total billed charges ,,,,,200.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,,,110.91,percent of total billed charges,
QUEtiapine ER (SEROQUEL XR) 150MG TAB,LOCAL,LOCAL,,,,both,,,0.98,0.98,0.27,0.98,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.98,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.71,percent of total billed charges,0.73,percent of total billed charges,0.73,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,,,0.71,percent of total billed charges ,,,0.78,percent of total billed charges ,0.82,percent of total billed charges ,0.82,percent of total billed charges ,0.76,percent of total billed charges ,0.76,percent of total billed charges ,0.78,percent of total billed charges ,0.78,percent of total billed charges ,0.69,percent of total billed charges ,0.69,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,0.59,percent of total billed charges ,,,,,0.52,percent of total billed charges ,,,,,0.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,,,0.27,percent of total billed charges,
AZITHROMYCIN (ZITHROMAX) 500MG ADV,J0456,CDM,,,,both,,,157.37,157.37,44.06,157.37,157.37,percent of total billed charges,157.37,percent of total billed charges,157.37,percent of total billed charges,157.37,percent of total billed charges,157.37,percent of total billed charges,157.37,percent of total billed charges,157.37,percent of total billed charges,157.37,percent of total billed charges,113.31,percent of total billed charges,113.31,percent of total billed charges,113.31,percent of total billed charges,113.31,percent of total billed charges,113.31,percent of total billed charges,113.31,percent of total billed charges,116.45,percent of total billed charges,116.45,percent of total billed charges,125.9,percent of total billed charges,125.9,percent of total billed charges,,,113.31,percent of total billed charges ,,,125.9,percent of total billed charges ,132.19,percent of total billed charges ,132.19,percent of total billed charges ,122.75,percent of total billed charges ,122.75,percent of total billed charges ,125.9,percent of total billed charges ,125.9,percent of total billed charges ,110.16,percent of total billed charges ,110.16,percent of total billed charges ,94.42,percent of total billed charges ,94.42,percent of total billed charges ,94.42,percent of total billed charges ,94.42,percent of total billed charges ,,,,,83.72,percent of total billed charges ,,,,,79.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,,,44.06,percent of total billed charges,
**TOBRAMYCIN (NEBCIN) 80MG/2ML ADV,J3260,CDM,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
"HEPARIN 5,000 UNITS/1 ML VIAL",J1644,CDM,,,,both,,,15.82,15.82,4.43,15.82,15.82,percent of total billed charges,15.82,percent of total billed charges,15.82,percent of total billed charges,15.82,percent of total billed charges,15.82,percent of total billed charges,15.82,percent of total billed charges,15.82,percent of total billed charges,15.82,percent of total billed charges,11.39,percent of total billed charges,11.39,percent of total billed charges,11.39,percent of total billed charges,11.39,percent of total billed charges,11.39,percent of total billed charges,11.39,percent of total billed charges,11.71,percent of total billed charges,11.71,percent of total billed charges,12.66,percent of total billed charges,12.66,percent of total billed charges,,,11.39,percent of total billed charges ,,,12.66,percent of total billed charges ,13.29,percent of total billed charges ,13.29,percent of total billed charges ,12.34,percent of total billed charges ,12.34,percent of total billed charges ,12.66,percent of total billed charges ,12.66,percent of total billed charges ,11.07,percent of total billed charges ,11.07,percent of total billed charges ,9.49,percent of total billed charges ,9.49,percent of total billed charges ,9.49,percent of total billed charges ,9.49,percent of total billed charges ,,,,,8.42,percent of total billed charges ,,,,,8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,,,4.43,percent of total billed charges,
**ACIDOPHILUS (LACTINEX) PACKET,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
PIPER/TAZO (ZOSYN) 4.5 GM/100ML IVPB MB+,J2543,CDM,,,,both,,,77.7,77.7,21.76,77.7,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,77.7,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,55.94,percent of total billed charges,57.5,percent of total billed charges,57.5,percent of total billed charges,62.16,percent of total billed charges,62.16,percent of total billed charges,,,55.94,percent of total billed charges ,,,62.16,percent of total billed charges ,65.27,percent of total billed charges ,65.27,percent of total billed charges ,60.61,percent of total billed charges ,60.61,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,54.39,percent of total billed charges ,54.39,percent of total billed charges ,46.62,percent of total billed charges ,46.62,percent of total billed charges ,46.62,percent of total billed charges ,46.62,percent of total billed charges ,,,,,41.34,percent of total billed charges ,,,,,39.27,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,,,21.76,percent of total billed charges,
ceFAZolin (ANCEF) 500MG VIAL: (IM/IVPB),J0690,CDM,,,,both,,,110.95,110.95,31.07,110.95,110.95,percent of total billed charges,110.95,percent of total billed charges,110.95,percent of total billed charges,110.95,percent of total billed charges,110.95,percent of total billed charges,110.95,percent of total billed charges,110.95,percent of total billed charges,110.95,percent of total billed charges,79.88,percent of total billed charges,79.88,percent of total billed charges,79.88,percent of total billed charges,79.88,percent of total billed charges,79.88,percent of total billed charges,79.88,percent of total billed charges,82.1,percent of total billed charges,82.1,percent of total billed charges,88.76,percent of total billed charges,88.76,percent of total billed charges,,,79.88,percent of total billed charges ,,,88.76,percent of total billed charges ,93.2,percent of total billed charges ,93.2,percent of total billed charges ,86.54,percent of total billed charges ,86.54,percent of total billed charges ,88.76,percent of total billed charges ,88.76,percent of total billed charges ,77.67,percent of total billed charges ,77.67,percent of total billed charges ,66.57,percent of total billed charges ,66.57,percent of total billed charges ,66.57,percent of total billed charges ,66.57,percent of total billed charges ,,,,,59.03,percent of total billed charges ,,,,,56.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,,,31.07,percent of total billed charges,
SODIUM CHLORIDE 0.9% 250ML IVPB (VM),LOCAL,LOCAL,,,,both,,,16.78,16.78,4.7,16.78,16.78,percent of total billed charges,16.78,percent of total billed charges,16.78,percent of total billed charges,16.78,percent of total billed charges,16.78,percent of total billed charges,16.78,percent of total billed charges,16.78,percent of total billed charges,16.78,percent of total billed charges,12.08,percent of total billed charges,12.08,percent of total billed charges,12.08,percent of total billed charges,12.08,percent of total billed charges,12.08,percent of total billed charges,12.08,percent of total billed charges,12.42,percent of total billed charges,12.42,percent of total billed charges,13.42,percent of total billed charges,13.42,percent of total billed charges,,,12.08,percent of total billed charges ,,,13.42,percent of total billed charges ,14.1,percent of total billed charges ,14.1,percent of total billed charges ,13.09,percent of total billed charges ,13.09,percent of total billed charges ,13.42,percent of total billed charges ,13.42,percent of total billed charges ,11.75,percent of total billed charges ,11.75,percent of total billed charges ,10.07,percent of total billed charges ,10.07,percent of total billed charges ,10.07,percent of total billed charges ,10.07,percent of total billed charges ,,,,,8.93,percent of total billed charges ,,,,,8.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,,,4.7,percent of total billed charges,
**THYROTROPIN (THYROGEN) 1.1MG VIAL,LOCAL,LOCAL,,,,both,,,"2,029.00","2,029.00",568.12,"2,029.00","2,029.00",percent of total billed charges,"2,029.00",percent of total billed charges,"2,029.00",percent of total billed charges,"2,029.00",percent of total billed charges,"2,029.00",percent of total billed charges,"2,029.00",percent of total billed charges,"2,029.00",percent of total billed charges,"2,029.00",percent of total billed charges,"1,460.88",percent of total billed charges,"1,460.88",percent of total billed charges,"1,460.88",percent of total billed charges,"1,460.88",percent of total billed charges,"1,460.88",percent of total billed charges,"1,460.88",percent of total billed charges,"1,501.46",percent of total billed charges,"1,501.46",percent of total billed charges,"1,623.20",percent of total billed charges,"1,623.20",percent of total billed charges,,,"1,460.88",percent of total billed charges ,,,"1,623.20",percent of total billed charges ,"1,704.36",percent of total billed charges ,"1,704.36",percent of total billed charges ,"1,582.62",percent of total billed charges ,"1,582.62",percent of total billed charges ,"1,623.20",percent of total billed charges ,"1,623.20",percent of total billed charges ,"1,420.30",percent of total billed charges ,"1,420.30",percent of total billed charges ,"1,217.40",percent of total billed charges ,"1,217.40",percent of total billed charges ,"1,217.40",percent of total billed charges ,"1,217.40",percent of total billed charges ,,,,,"1,079.43",percent of total billed charges ,,,,,"1,025.46",percent of total billed charges ,,,,,,,,,,,,,,,,,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,,,568.12,percent of total billed charges,
ACAMPROSATE (CAMPRAL DR) 333MG TAB,LOCAL,LOCAL,,,,both,,,2.25,2.25,0.63,2.25,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,2.25,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.62,percent of total billed charges,1.67,percent of total billed charges,1.67,percent of total billed charges,1.8,percent of total billed charges,1.8,percent of total billed charges,,,1.62,percent of total billed charges ,,,1.8,percent of total billed charges ,1.89,percent of total billed charges ,1.89,percent of total billed charges ,1.76,percent of total billed charges ,1.76,percent of total billed charges ,1.8,percent of total billed charges ,1.8,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,1.35,percent of total billed charges ,,,,,1.2,percent of total billed charges ,,,,,1.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,,,0.63,percent of total billed charges,
VITAMIN D 1000 UNIT CAP,LOCAL,LOCAL,,,,both,,,1.1,1.1,0.31,1.1,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,,,0.79,percent of total billed charges ,,,0.88,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
**SUNITINIB 50MG CAPSULE,LOCAL,LOCAL,,,,both,,,354,354,99.12,354,354,percent of total billed charges,354,percent of total billed charges,354,percent of total billed charges,354,percent of total billed charges,354,percent of total billed charges,354,percent of total billed charges,354,percent of total billed charges,354,percent of total billed charges,254.88,percent of total billed charges,254.88,percent of total billed charges,254.88,percent of total billed charges,254.88,percent of total billed charges,254.88,percent of total billed charges,254.88,percent of total billed charges,261.96,percent of total billed charges,261.96,percent of total billed charges,283.2,percent of total billed charges,283.2,percent of total billed charges,,,254.88,percent of total billed charges ,,,283.2,percent of total billed charges ,297.36,percent of total billed charges ,297.36,percent of total billed charges ,276.12,percent of total billed charges ,276.12,percent of total billed charges ,283.2,percent of total billed charges ,283.2,percent of total billed charges ,247.8,percent of total billed charges ,247.8,percent of total billed charges ,212.4,percent of total billed charges ,212.4,percent of total billed charges ,212.4,percent of total billed charges ,212.4,percent of total billed charges ,,,,,188.33,percent of total billed charges ,,,,,178.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,,,99.12,percent of total billed charges,
**MESALAMINE (CANASA) 1000MG,LOCAL,LOCAL,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
NULYTELY ORAL SOLUTION 4000 ML,LOCAL,LOCAL,,,,both,,,69.38,69.38,19.43,69.38,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,69.38,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,49.95,percent of total billed charges,51.34,percent of total billed charges,51.34,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,,,49.95,percent of total billed charges ,,,55.5,percent of total billed charges ,58.28,percent of total billed charges ,58.28,percent of total billed charges ,54.12,percent of total billed charges ,54.12,percent of total billed charges ,55.5,percent of total billed charges ,55.5,percent of total billed charges ,48.57,percent of total billed charges ,48.57,percent of total billed charges ,41.63,percent of total billed charges ,41.63,percent of total billed charges ,41.63,percent of total billed charges ,41.63,percent of total billed charges ,,,,,36.91,percent of total billed charges ,,,,,35.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,,,19.43,percent of total billed charges,
AMPICILLIN 250 MG CAP,LOCAL,LOCAL,,,,both,,,1.06,1.06,0.3,1.06,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,1.06,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.76,percent of total billed charges,0.78,percent of total billed charges,0.78,percent of total billed charges,0.85,percent of total billed charges,0.85,percent of total billed charges,,,0.76,percent of total billed charges ,,,0.85,percent of total billed charges ,0.89,percent of total billed charges ,0.89,percent of total billed charges ,0.83,percent of total billed charges ,0.83,percent of total billed charges ,0.85,percent of total billed charges ,0.85,percent of total billed charges ,0.74,percent of total billed charges ,0.74,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,0.64,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,0.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,,,0.3,percent of total billed charges,
RAMIPRIL (ALTACE) 1.25 MG CAP,LOCAL,LOCAL,,,,both,,,4.75,4.75,1.33,4.75,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,4.75,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.42,percent of total billed charges,3.52,percent of total billed charges,3.52,percent of total billed charges,3.8,percent of total billed charges,3.8,percent of total billed charges,,,3.42,percent of total billed charges ,,,3.8,percent of total billed charges ,3.99,percent of total billed charges ,3.99,percent of total billed charges ,3.71,percent of total billed charges ,3.71,percent of total billed charges ,3.8,percent of total billed charges ,3.8,percent of total billed charges ,3.33,percent of total billed charges ,3.33,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,2.85,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,2.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,,,1.33,percent of total billed charges,
CLOPIDOGREL (PLAVIX) 300 MG TAB,LOCAL,LOCAL,,,,both,,,27.38,27.38,7.67,27.38,27.38,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,19.71,percent of total billed charges,19.71,percent of total billed charges,19.71,percent of total billed charges,19.71,percent of total billed charges,19.71,percent of total billed charges,19.71,percent of total billed charges,20.26,percent of total billed charges,20.26,percent of total billed charges,21.9,percent of total billed charges,21.9,percent of total billed charges,,,19.71,percent of total billed charges ,,,21.9,percent of total billed charges ,23,percent of total billed charges ,23,percent of total billed charges ,21.36,percent of total billed charges ,21.36,percent of total billed charges ,21.9,percent of total billed charges ,21.9,percent of total billed charges ,19.17,percent of total billed charges ,19.17,percent of total billed charges ,16.43,percent of total billed charges ,16.43,percent of total billed charges ,16.43,percent of total billed charges ,16.43,percent of total billed charges ,,,,,14.57,percent of total billed charges ,,,,,13.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,,,7.67,percent of total billed charges,
**AMINO ACID 4.25% IN DEXTROSE 10% + ELE,LOCAL,LOCAL,,,,both,,,162,162,45.36,162,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,162,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,116.64,percent of total billed charges,119.88,percent of total billed charges,119.88,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,,,116.64,percent of total billed charges ,,,129.6,percent of total billed charges ,136.08,percent of total billed charges ,136.08,percent of total billed charges ,126.36,percent of total billed charges ,126.36,percent of total billed charges ,129.6,percent of total billed charges ,129.6,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,97.2,percent of total billed charges ,,,,,86.18,percent of total billed charges ,,,,,81.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,,,45.36,percent of total billed charges,
"EPOETIN (PROCRIT) 40,000 UNIT (DIALYSIS)",J0885,CDM,,,,both,,,"4,034.94","4,034.94","1,129.78","4,034.94","4,034.94",percent of total billed charges,"4,034.94",percent of total billed charges,"4,034.94",percent of total billed charges,"4,034.94",percent of total billed charges,"4,034.94",percent of total billed charges,"4,034.94",percent of total billed charges,"4,034.94",percent of total billed charges,"4,034.94",percent of total billed charges,"2,905.16",percent of total billed charges,"2,905.16",percent of total billed charges,"2,905.16",percent of total billed charges,"2,905.16",percent of total billed charges,"2,905.16",percent of total billed charges,"2,905.16",percent of total billed charges,"2,985.86",percent of total billed charges,"2,985.86",percent of total billed charges,"3,227.95",percent of total billed charges,"3,227.95",percent of total billed charges,,,"2,905.16",percent of total billed charges ,,,"3,227.95",percent of total billed charges ,"3,389.35",percent of total billed charges ,"3,389.35",percent of total billed charges ,"3,147.25",percent of total billed charges ,"3,147.25",percent of total billed charges ,"3,227.95",percent of total billed charges ,"3,227.95",percent of total billed charges ,"2,824.46",percent of total billed charges ,"2,824.46",percent of total billed charges ,"2,420.96",percent of total billed charges ,"2,420.96",percent of total billed charges ,"2,420.96",percent of total billed charges ,"2,420.96",percent of total billed charges ,,,,,"2,146.59",percent of total billed charges ,,,,,"2,039.26",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,,,"1,129.78",percent of total billed charges,
EPOETIN (PROCRIT) 3000 UNITS (DIALYSIS),J0885,CDM,,,,both,,,532.54,532.54,149.11,532.54,532.54,percent of total billed charges,532.54,percent of total billed charges,532.54,percent of total billed charges,532.54,percent of total billed charges,532.54,percent of total billed charges,532.54,percent of total billed charges,532.54,percent of total billed charges,532.54,percent of total billed charges,383.43,percent of total billed charges,383.43,percent of total billed charges,383.43,percent of total billed charges,383.43,percent of total billed charges,383.43,percent of total billed charges,383.43,percent of total billed charges,394.08,percent of total billed charges,394.08,percent of total billed charges,426.03,percent of total billed charges,426.03,percent of total billed charges,,,383.43,percent of total billed charges ,,,426.03,percent of total billed charges ,447.33,percent of total billed charges ,447.33,percent of total billed charges ,415.38,percent of total billed charges ,415.38,percent of total billed charges ,426.03,percent of total billed charges ,426.03,percent of total billed charges ,372.78,percent of total billed charges ,372.78,percent of total billed charges ,319.52,percent of total billed charges ,319.52,percent of total billed charges ,319.52,percent of total billed charges ,319.52,percent of total billed charges ,,,,,283.31,percent of total billed charges ,,,,,269.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,,,149.11,percent of total billed charges,
"EPOETIN (PROCRIT) 4,000 UNITS (DIALYSIS)",J0885,CDM,,,,both,,,708.29,708.29,198.32,708.29,708.29,percent of total billed charges,708.29,percent of total billed charges,708.29,percent of total billed charges,708.29,percent of total billed charges,708.29,percent of total billed charges,708.29,percent of total billed charges,708.29,percent of total billed charges,708.29,percent of total billed charges,509.97,percent of total billed charges,509.97,percent of total billed charges,509.97,percent of total billed charges,509.97,percent of total billed charges,509.97,percent of total billed charges,509.97,percent of total billed charges,524.13,percent of total billed charges,524.13,percent of total billed charges,566.63,percent of total billed charges,566.63,percent of total billed charges,,,509.97,percent of total billed charges ,,,566.63,percent of total billed charges ,594.96,percent of total billed charges ,594.96,percent of total billed charges ,552.47,percent of total billed charges ,552.47,percent of total billed charges ,566.63,percent of total billed charges ,566.63,percent of total billed charges ,495.8,percent of total billed charges ,495.8,percent of total billed charges ,424.97,percent of total billed charges ,424.97,percent of total billed charges ,424.97,percent of total billed charges ,424.97,percent of total billed charges ,,,,,376.81,percent of total billed charges ,,,,,357.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,,,198.32,percent of total billed charges,
"EPOTEIN (PROCRIT) 10,000 UNIT (DIALYSIS)",J0885,CDM,,,,both,,,570.27,570.27,159.68,570.27,570.27,percent of total billed charges,570.27,percent of total billed charges,570.27,percent of total billed charges,570.27,percent of total billed charges,570.27,percent of total billed charges,570.27,percent of total billed charges,570.27,percent of total billed charges,570.27,percent of total billed charges,410.59,percent of total billed charges,410.59,percent of total billed charges,410.59,percent of total billed charges,410.59,percent of total billed charges,410.59,percent of total billed charges,410.59,percent of total billed charges,422,percent of total billed charges,422,percent of total billed charges,456.22,percent of total billed charges,456.22,percent of total billed charges,,,410.59,percent of total billed charges ,,,456.22,percent of total billed charges ,479.03,percent of total billed charges ,479.03,percent of total billed charges ,444.81,percent of total billed charges ,444.81,percent of total billed charges ,456.22,percent of total billed charges ,456.22,percent of total billed charges ,399.19,percent of total billed charges ,399.19,percent of total billed charges ,342.16,percent of total billed charges ,342.16,percent of total billed charges ,342.16,percent of total billed charges ,342.16,percent of total billed charges ,,,,,303.38,percent of total billed charges ,,,,,288.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,,,159.68,percent of total billed charges,
FEBUXOSTAT (ULORIC) 40MG TAB,LOCAL,LOCAL,,,,both,,,35.03,35.03,9.81,35.03,35.03,percent of total billed charges,35.03,percent of total billed charges,35.03,percent of total billed charges,35.03,percent of total billed charges,35.03,percent of total billed charges,35.03,percent of total billed charges,35.03,percent of total billed charges,35.03,percent of total billed charges,25.22,percent of total billed charges,25.22,percent of total billed charges,25.22,percent of total billed charges,25.22,percent of total billed charges,25.22,percent of total billed charges,25.22,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,28.02,percent of total billed charges,28.02,percent of total billed charges,,,25.22,percent of total billed charges ,,,28.02,percent of total billed charges ,29.43,percent of total billed charges ,29.43,percent of total billed charges ,27.32,percent of total billed charges ,27.32,percent of total billed charges ,28.02,percent of total billed charges ,28.02,percent of total billed charges ,24.52,percent of total billed charges ,24.52,percent of total billed charges ,21.02,percent of total billed charges ,21.02,percent of total billed charges ,21.02,percent of total billed charges ,21.02,percent of total billed charges ,,,,,18.64,percent of total billed charges ,,,,,17.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,,,9.81,percent of total billed charges,
**E-MECLIZINE 25MG TAB,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**FOSPROPOFOL (LUSEDRA) INJ: 1050MG/30ML,LOCAL,LOCAL,,,,both,,,307,307,85.96,307,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,307,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,221.04,percent of total billed charges,227.18,percent of total billed charges,227.18,percent of total billed charges,245.6,percent of total billed charges,245.6,percent of total billed charges,,,221.04,percent of total billed charges ,,,245.6,percent of total billed charges ,257.88,percent of total billed charges ,257.88,percent of total billed charges ,239.46,percent of total billed charges ,239.46,percent of total billed charges ,245.6,percent of total billed charges ,245.6,percent of total billed charges ,214.9,percent of total billed charges ,214.9,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,184.2,percent of total billed charges ,,,,,163.32,percent of total billed charges ,,,,,155.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,,,85.96,percent of total billed charges,
METHYLNALTREXONE (RELISTOR) 12MG INJ,LOCAL,LOCAL,,,,both,,,871.41,871.41,243.99,871.41,871.41,percent of total billed charges,871.41,percent of total billed charges,871.41,percent of total billed charges,871.41,percent of total billed charges,871.41,percent of total billed charges,871.41,percent of total billed charges,871.41,percent of total billed charges,871.41,percent of total billed charges,627.42,percent of total billed charges,627.42,percent of total billed charges,627.42,percent of total billed charges,627.42,percent of total billed charges,627.42,percent of total billed charges,627.42,percent of total billed charges,644.84,percent of total billed charges,644.84,percent of total billed charges,697.13,percent of total billed charges,697.13,percent of total billed charges,,,627.42,percent of total billed charges ,,,697.13,percent of total billed charges ,731.98,percent of total billed charges ,731.98,percent of total billed charges ,679.7,percent of total billed charges ,679.7,percent of total billed charges ,697.13,percent of total billed charges ,697.13,percent of total billed charges ,609.99,percent of total billed charges ,609.99,percent of total billed charges ,522.85,percent of total billed charges ,522.85,percent of total billed charges ,522.85,percent of total billed charges ,522.85,percent of total billed charges ,,,,,463.59,percent of total billed charges ,,,,,440.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,,,243.99,percent of total billed charges,
MAFENIDE (SULFAMYLON) 5% 1000ML IRRIG,LOCAL,LOCAL,,,,both,,,385,385,107.8,385,385,percent of total billed charges,385,percent of total billed charges,385,percent of total billed charges,385,percent of total billed charges,385,percent of total billed charges,385,percent of total billed charges,385,percent of total billed charges,385,percent of total billed charges,277.2,percent of total billed charges,277.2,percent of total billed charges,277.2,percent of total billed charges,277.2,percent of total billed charges,277.2,percent of total billed charges,277.2,percent of total billed charges,284.9,percent of total billed charges,284.9,percent of total billed charges,308,percent of total billed charges,308,percent of total billed charges,,,277.2,percent of total billed charges ,,,308,percent of total billed charges ,323.4,percent of total billed charges ,323.4,percent of total billed charges ,300.3,percent of total billed charges ,300.3,percent of total billed charges ,308,percent of total billed charges ,308,percent of total billed charges ,269.5,percent of total billed charges ,269.5,percent of total billed charges ,231,percent of total billed charges ,231,percent of total billed charges ,231,percent of total billed charges ,231,percent of total billed charges ,,,,,204.82,percent of total billed charges ,,,,,194.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,,,107.8,percent of total billed charges,
ESOMEPRAZOLE (NexIUM) 20MG CAP,LOCAL,LOCAL,,,,both,,,1.97,1.97,0.55,1.97,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.97,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.42,percent of total billed charges,1.46,percent of total billed charges,1.46,percent of total billed charges,1.58,percent of total billed charges,1.58,percent of total billed charges,,,1.42,percent of total billed charges ,,,1.58,percent of total billed charges ,1.65,percent of total billed charges ,1.65,percent of total billed charges ,1.54,percent of total billed charges ,1.54,percent of total billed charges ,1.58,percent of total billed charges ,1.58,percent of total billed charges ,1.38,percent of total billed charges ,1.38,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,1.18,percent of total billed charges ,,,,,1.05,percent of total billed charges ,,,,,1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,,,0.55,percent of total billed charges,
LACOSAMIDE(VIMPAT) 200MG/20ML INJ,C9254,CDM,,,,both,,,480.41,480.41,134.51,480.41,480.41,percent of total billed charges,480.41,percent of total billed charges,480.41,percent of total billed charges,480.41,percent of total billed charges,480.41,percent of total billed charges,480.41,percent of total billed charges,480.41,percent of total billed charges,480.41,percent of total billed charges,345.9,percent of total billed charges,345.9,percent of total billed charges,345.9,percent of total billed charges,345.9,percent of total billed charges,345.9,percent of total billed charges,345.9,percent of total billed charges,355.5,percent of total billed charges,355.5,percent of total billed charges,384.33,percent of total billed charges,384.33,percent of total billed charges,,,345.9,percent of total billed charges ,,,384.33,percent of total billed charges ,403.54,percent of total billed charges ,403.54,percent of total billed charges ,374.72,percent of total billed charges ,374.72,percent of total billed charges ,384.33,percent of total billed charges ,384.33,percent of total billed charges ,336.29,percent of total billed charges ,336.29,percent of total billed charges ,288.25,percent of total billed charges ,288.25,percent of total billed charges ,288.25,percent of total billed charges ,288.25,percent of total billed charges ,,,,,255.58,percent of total billed charges ,,,,,242.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,,,134.51,percent of total billed charges,
LACOSAMIDE (VIMPAT) 50MG TAB,LOCAL,LOCAL,,,,both,,,42.04,42.04,11.77,42.04,42.04,percent of total billed charges,42.04,percent of total billed charges,42.04,percent of total billed charges,42.04,percent of total billed charges,42.04,percent of total billed charges,42.04,percent of total billed charges,42.04,percent of total billed charges,42.04,percent of total billed charges,30.27,percent of total billed charges,30.27,percent of total billed charges,30.27,percent of total billed charges,30.27,percent of total billed charges,30.27,percent of total billed charges,30.27,percent of total billed charges,31.11,percent of total billed charges,31.11,percent of total billed charges,33.63,percent of total billed charges,33.63,percent of total billed charges,,,30.27,percent of total billed charges ,,,33.63,percent of total billed charges ,35.31,percent of total billed charges ,35.31,percent of total billed charges ,32.79,percent of total billed charges ,32.79,percent of total billed charges ,33.63,percent of total billed charges ,33.63,percent of total billed charges ,29.43,percent of total billed charges ,29.43,percent of total billed charges ,25.22,percent of total billed charges ,25.22,percent of total billed charges ,25.22,percent of total billed charges ,25.22,percent of total billed charges ,,,,,22.37,percent of total billed charges ,,,,,21.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,,,11.77,percent of total billed charges,
CANDESARTAN (ATACAND) 4 MG TAB:,LOCAL,LOCAL,,,,both,,,5.24,5.24,1.47,5.24,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,5.24,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.77,percent of total billed charges,3.88,percent of total billed charges,3.88,percent of total billed charges,4.19,percent of total billed charges,4.19,percent of total billed charges,,,3.77,percent of total billed charges ,,,4.19,percent of total billed charges ,4.4,percent of total billed charges ,4.4,percent of total billed charges ,4.09,percent of total billed charges ,4.09,percent of total billed charges ,4.19,percent of total billed charges ,4.19,percent of total billed charges ,3.67,percent of total billed charges ,3.67,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,3.14,percent of total billed charges ,,,,,2.79,percent of total billed charges ,,,,,2.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,,,1.47,percent of total billed charges,
**MILNACIPRAN (SAVELLA) 12.5MG TAB,LOCAL,LOCAL,,,,both,,,26.46,26.46,7.41,26.46,26.46,percent of total billed charges,26.46,percent of total billed charges,26.46,percent of total billed charges,26.46,percent of total billed charges,26.46,percent of total billed charges,26.46,percent of total billed charges,26.46,percent of total billed charges,26.46,percent of total billed charges,19.05,percent of total billed charges,19.05,percent of total billed charges,19.05,percent of total billed charges,19.05,percent of total billed charges,19.05,percent of total billed charges,19.05,percent of total billed charges,19.58,percent of total billed charges,19.58,percent of total billed charges,21.17,percent of total billed charges,21.17,percent of total billed charges,,,19.05,percent of total billed charges ,,,21.17,percent of total billed charges ,22.23,percent of total billed charges ,22.23,percent of total billed charges ,20.64,percent of total billed charges ,20.64,percent of total billed charges ,21.17,percent of total billed charges ,21.17,percent of total billed charges ,18.52,percent of total billed charges ,18.52,percent of total billed charges ,15.88,percent of total billed charges ,15.88,percent of total billed charges ,15.88,percent of total billed charges ,15.88,percent of total billed charges ,,,,,14.08,percent of total billed charges ,,,,,13.37,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,,,7.41,percent of total billed charges,
CLOBETASOL 0.05% (TEMOVATE) GEL,LOCAL,LOCAL,,,,both,,,51.36,51.36,14.38,51.36,51.36,percent of total billed charges,51.36,percent of total billed charges,51.36,percent of total billed charges,51.36,percent of total billed charges,51.36,percent of total billed charges,51.36,percent of total billed charges,51.36,percent of total billed charges,51.36,percent of total billed charges,36.98,percent of total billed charges,36.98,percent of total billed charges,36.98,percent of total billed charges,36.98,percent of total billed charges,36.98,percent of total billed charges,36.98,percent of total billed charges,38.01,percent of total billed charges,38.01,percent of total billed charges,41.09,percent of total billed charges,41.09,percent of total billed charges,,,36.98,percent of total billed charges ,,,41.09,percent of total billed charges ,43.14,percent of total billed charges ,43.14,percent of total billed charges ,40.06,percent of total billed charges ,40.06,percent of total billed charges ,41.09,percent of total billed charges ,41.09,percent of total billed charges ,35.95,percent of total billed charges ,35.95,percent of total billed charges ,30.82,percent of total billed charges ,30.82,percent of total billed charges ,30.82,percent of total billed charges ,30.82,percent of total billed charges ,,,,,27.32,percent of total billed charges ,,,,,25.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,,,14.38,percent of total billed charges,
CLOBETASOL 0.05% (TEMOVATE) SOLN,LOCAL,LOCAL,,,,both,,,169.99,169.99,47.6,169.99,169.99,percent of total billed charges,169.99,percent of total billed charges,169.99,percent of total billed charges,169.99,percent of total billed charges,169.99,percent of total billed charges,169.99,percent of total billed charges,169.99,percent of total billed charges,169.99,percent of total billed charges,122.39,percent of total billed charges,122.39,percent of total billed charges,122.39,percent of total billed charges,122.39,percent of total billed charges,122.39,percent of total billed charges,122.39,percent of total billed charges,125.79,percent of total billed charges,125.79,percent of total billed charges,135.99,percent of total billed charges,135.99,percent of total billed charges,,,122.39,percent of total billed charges ,,,135.99,percent of total billed charges ,142.79,percent of total billed charges ,142.79,percent of total billed charges ,132.59,percent of total billed charges ,132.59,percent of total billed charges ,135.99,percent of total billed charges ,135.99,percent of total billed charges ,118.99,percent of total billed charges ,118.99,percent of total billed charges ,101.99,percent of total billed charges ,101.99,percent of total billed charges ,101.99,percent of total billed charges ,101.99,percent of total billed charges ,,,,,90.43,percent of total billed charges ,,,,,85.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,,,47.6,percent of total billed charges,
**ESTRADIOL (VAGIFEM) 25MCG VAGINAL TAB,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
DENOSUMAB (PROLIA) 60MG INJ,J0897,CDM,,,,both,,,"11,561.29","11,561.29","3,237.16","11,561.29","11,561.29",percent of total billed charges,"11,561.29",percent of total billed charges,"11,561.29",percent of total billed charges,"11,561.29",percent of total billed charges,"11,561.29",percent of total billed charges,"11,561.29",percent of total billed charges,"11,561.29",percent of total billed charges,"11,561.29",percent of total billed charges,"8,324.13",percent of total billed charges,"8,324.13",percent of total billed charges,"8,324.13",percent of total billed charges,"8,324.13",percent of total billed charges,"8,324.13",percent of total billed charges,"8,324.13",percent of total billed charges,"8,555.35",percent of total billed charges,"8,555.35",percent of total billed charges,"9,249.03",percent of total billed charges,"9,249.03",percent of total billed charges,,,"8,324.13",percent of total billed charges ,,,"9,249.03",percent of total billed charges ,"9,711.48",percent of total billed charges ,"9,711.48",percent of total billed charges ,"9,017.81",percent of total billed charges ,"9,017.81",percent of total billed charges ,"9,249.03",percent of total billed charges ,"9,249.03",percent of total billed charges ,"8,092.90",percent of total billed charges ,"8,092.90",percent of total billed charges ,"6,936.77",percent of total billed charges ,"6,936.77",percent of total billed charges ,"6,936.77",percent of total billed charges ,"6,936.77",percent of total billed charges ,,,,,"6,150.61",percent of total billed charges ,,,,,"5,843.08",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,,,"3,237.16",percent of total billed charges,
MORphine SULFATE 2 MG/ML SYRINGE,J2270,CDM,,,,both,,,40.44,40.44,11.32,40.44,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,40.44,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.12,percent of total billed charges,29.93,percent of total billed charges,29.93,percent of total billed charges,32.35,percent of total billed charges,32.35,percent of total billed charges,,,29.12,percent of total billed charges ,,,32.35,percent of total billed charges ,33.97,percent of total billed charges ,33.97,percent of total billed charges ,31.54,percent of total billed charges ,31.54,percent of total billed charges ,32.35,percent of total billed charges ,32.35,percent of total billed charges ,28.31,percent of total billed charges ,28.31,percent of total billed charges ,24.26,percent of total billed charges ,24.26,percent of total billed charges ,24.26,percent of total billed charges ,24.26,percent of total billed charges ,,,,,21.51,percent of total billed charges ,,,,,20.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,,,11.32,percent of total billed charges,
raNITIdine (ZANTAC) 150MG/10ML UD,LOCAL,LOCAL,,,,both,,,11.64,11.64,3.26,11.64,11.64,percent of total billed charges,11.64,percent of total billed charges,11.64,percent of total billed charges,11.64,percent of total billed charges,11.64,percent of total billed charges,11.64,percent of total billed charges,11.64,percent of total billed charges,11.64,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.38,percent of total billed charges,8.61,percent of total billed charges,8.61,percent of total billed charges,9.31,percent of total billed charges,9.31,percent of total billed charges,,,8.38,percent of total billed charges ,,,9.31,percent of total billed charges ,9.78,percent of total billed charges ,9.78,percent of total billed charges ,9.08,percent of total billed charges ,9.08,percent of total billed charges ,9.31,percent of total billed charges ,9.31,percent of total billed charges ,8.15,percent of total billed charges ,8.15,percent of total billed charges ,6.98,percent of total billed charges ,6.98,percent of total billed charges ,6.98,percent of total billed charges ,6.98,percent of total billed charges ,,,,,6.19,percent of total billed charges ,,,,,5.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,,,3.26,percent of total billed charges,
RABIES IMMUNE GLOBULIN (HYPER RAB) 2ML,90375,CDM,,,,both,,,"2,998.05","2,998.05",839.45,"2,998.05","2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"2,998.05",percent of total billed charges,"2,158.60",percent of total billed charges,"2,158.60",percent of total billed charges,"2,158.60",percent of total billed charges,"2,158.60",percent of total billed charges,"2,158.60",percent of total billed charges,"2,158.60",percent of total billed charges,"2,218.56",percent of total billed charges,"2,218.56",percent of total billed charges,"2,398.44",percent of total billed charges,"2,398.44",percent of total billed charges,,,"2,158.60",percent of total billed charges ,,,"2,398.44",percent of total billed charges ,"2,518.36",percent of total billed charges ,"2,518.36",percent of total billed charges ,"2,338.48",percent of total billed charges ,"2,338.48",percent of total billed charges ,"2,398.44",percent of total billed charges ,"2,398.44",percent of total billed charges ,"2,098.64",percent of total billed charges ,"2,098.64",percent of total billed charges ,"1,798.83",percent of total billed charges ,"1,798.83",percent of total billed charges ,"1,798.83",percent of total billed charges ,"1,798.83",percent of total billed charges ,,,,,"1,594.96",percent of total billed charges ,,,,,"1,515.21",percent of total billed charges ,,,,,,,,,,,,,,,,,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,,,839.45,percent of total billed charges,
**BUMETANIDE (BUMEX) 1MG/4ML INJ,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
PRAZOSIN (MINIPRESS) 1 MG CAP,LOCAL,LOCAL,,,,both,,,5.99,5.99,1.68,5.99,5.99,percent of total billed charges,5.99,percent of total billed charges,5.99,percent of total billed charges,5.99,percent of total billed charges,5.99,percent of total billed charges,5.99,percent of total billed charges,5.99,percent of total billed charges,5.99,percent of total billed charges,4.31,percent of total billed charges,4.31,percent of total billed charges,4.31,percent of total billed charges,4.31,percent of total billed charges,4.31,percent of total billed charges,4.31,percent of total billed charges,4.43,percent of total billed charges,4.43,percent of total billed charges,4.79,percent of total billed charges,4.79,percent of total billed charges,,,4.31,percent of total billed charges ,,,4.79,percent of total billed charges ,5.03,percent of total billed charges ,5.03,percent of total billed charges ,4.67,percent of total billed charges ,4.67,percent of total billed charges ,4.79,percent of total billed charges ,4.79,percent of total billed charges ,4.19,percent of total billed charges ,4.19,percent of total billed charges ,3.59,percent of total billed charges ,3.59,percent of total billed charges ,3.59,percent of total billed charges ,3.59,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
PHENobarbital 100MG TAB,LOCAL,LOCAL,,,,both,,,7.66,7.66,2.14,7.66,7.66,percent of total billed charges,7.66,percent of total billed charges,7.66,percent of total billed charges,7.66,percent of total billed charges,7.66,percent of total billed charges,7.66,percent of total billed charges,7.66,percent of total billed charges,7.66,percent of total billed charges,5.52,percent of total billed charges,5.52,percent of total billed charges,5.52,percent of total billed charges,5.52,percent of total billed charges,5.52,percent of total billed charges,5.52,percent of total billed charges,5.67,percent of total billed charges,5.67,percent of total billed charges,6.13,percent of total billed charges,6.13,percent of total billed charges,,,5.52,percent of total billed charges ,,,6.13,percent of total billed charges ,6.43,percent of total billed charges ,6.43,percent of total billed charges ,5.97,percent of total billed charges ,5.97,percent of total billed charges ,6.13,percent of total billed charges ,6.13,percent of total billed charges ,5.36,percent of total billed charges ,5.36,percent of total billed charges ,4.6,percent of total billed charges ,4.6,percent of total billed charges ,4.6,percent of total billed charges ,4.6,percent of total billed charges ,,,,,4.08,percent of total billed charges ,,,,,3.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,,,2.14,percent of total billed charges,
POTASSIUM CHLORIDE 10MEQ/100ML IVPB,J3480,CDM,,,,both,,,67.95,67.95,19.03,67.95,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,67.95,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,48.92,percent of total billed charges,50.28,percent of total billed charges,50.28,percent of total billed charges,54.36,percent of total billed charges,54.36,percent of total billed charges,,,48.92,percent of total billed charges ,,,54.36,percent of total billed charges ,57.08,percent of total billed charges ,57.08,percent of total billed charges ,53,percent of total billed charges ,53,percent of total billed charges ,54.36,percent of total billed charges ,54.36,percent of total billed charges ,47.57,percent of total billed charges ,47.57,percent of total billed charges ,40.77,percent of total billed charges ,40.77,percent of total billed charges ,40.77,percent of total billed charges ,40.77,percent of total billed charges ,,,,,36.15,percent of total billed charges ,,,,,34.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,,,19.03,percent of total billed charges,
HYDROmorphone (DILAUDID) 1MG/ML SYRINGE,J1170,CDM,,,,both,,,48.29,48.29,13.52,48.29,48.29,percent of total billed charges,48.29,percent of total billed charges,48.29,percent of total billed charges,48.29,percent of total billed charges,48.29,percent of total billed charges,48.29,percent of total billed charges,48.29,percent of total billed charges,48.29,percent of total billed charges,34.77,percent of total billed charges,34.77,percent of total billed charges,34.77,percent of total billed charges,34.77,percent of total billed charges,34.77,percent of total billed charges,34.77,percent of total billed charges,35.73,percent of total billed charges,35.73,percent of total billed charges,38.63,percent of total billed charges,38.63,percent of total billed charges,,,34.77,percent of total billed charges ,,,38.63,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,37.67,percent of total billed charges ,37.67,percent of total billed charges ,38.63,percent of total billed charges ,38.63,percent of total billed charges ,33.8,percent of total billed charges ,33.8,percent of total billed charges ,28.97,percent of total billed charges ,28.97,percent of total billed charges ,28.97,percent of total billed charges ,28.97,percent of total billed charges ,,,,,25.69,percent of total billed charges ,,,,,24.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,,,13.52,percent of total billed charges,
ENTERAL TUBE DECLOG SYSTEM,LOCAL,LOCAL,,,,both,,,46,46,12.88,46,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,36.8,percent of total billed charges,36.8,percent of total billed charges,,,33.12,percent of total billed charges ,,,36.8,percent of total billed charges ,38.64,percent of total billed charges ,38.64,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,36.8,percent of total billed charges ,36.8,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,,,,,24.47,percent of total billed charges ,,,,,23.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,
hydrOXYzine 10MG/5ML SYRUP,LOCAL,LOCAL,,,,both,,,1.1,1.1,0.31,1.1,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,1.1,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.79,percent of total billed charges,0.81,percent of total billed charges,0.81,percent of total billed charges,0.88,percent of total billed charges,0.88,percent of total billed charges,,,0.79,percent of total billed charges ,,,0.88,percent of total billed charges ,0.92,percent of total billed charges ,0.92,percent of total billed charges ,0.86,percent of total billed charges ,0.86,percent of total billed charges ,0.88,percent of total billed charges ,0.88,percent of total billed charges ,0.77,percent of total billed charges ,0.77,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,0.66,percent of total billed charges ,,,,,0.59,percent of total billed charges ,,,,,0.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,,,0.31,percent of total billed charges,
HYDROmorphone (DILAUDID) 4 MG/ML SYRING,J1170,CDM,,,,both,,,65.51,65.51,18.34,65.51,65.51,percent of total billed charges,65.51,percent of total billed charges,65.51,percent of total billed charges,65.51,percent of total billed charges,65.51,percent of total billed charges,65.51,percent of total billed charges,65.51,percent of total billed charges,65.51,percent of total billed charges,47.17,percent of total billed charges,47.17,percent of total billed charges,47.17,percent of total billed charges,47.17,percent of total billed charges,47.17,percent of total billed charges,47.17,percent of total billed charges,48.48,percent of total billed charges,48.48,percent of total billed charges,52.41,percent of total billed charges,52.41,percent of total billed charges,,,47.17,percent of total billed charges ,,,52.41,percent of total billed charges ,55.03,percent of total billed charges ,55.03,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,52.41,percent of total billed charges ,52.41,percent of total billed charges ,45.86,percent of total billed charges ,45.86,percent of total billed charges ,39.31,percent of total billed charges ,39.31,percent of total billed charges ,39.31,percent of total billed charges ,39.31,percent of total billed charges ,,,,,34.85,percent of total billed charges ,,,,,33.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,,,18.34,percent of total billed charges,
GANCICLOVIR (CYTOVENE): 500MG INJ,J1570,CDM,,,,both,,,509.47,509.47,142.65,509.47,509.47,percent of total billed charges,509.47,percent of total billed charges,509.47,percent of total billed charges,509.47,percent of total billed charges,509.47,percent of total billed charges,509.47,percent of total billed charges,509.47,percent of total billed charges,509.47,percent of total billed charges,366.82,percent of total billed charges,366.82,percent of total billed charges,366.82,percent of total billed charges,366.82,percent of total billed charges,366.82,percent of total billed charges,366.82,percent of total billed charges,377.01,percent of total billed charges,377.01,percent of total billed charges,407.58,percent of total billed charges,407.58,percent of total billed charges,,,366.82,percent of total billed charges ,,,407.58,percent of total billed charges ,427.95,percent of total billed charges ,427.95,percent of total billed charges ,397.39,percent of total billed charges ,397.39,percent of total billed charges ,407.58,percent of total billed charges ,407.58,percent of total billed charges ,356.63,percent of total billed charges ,356.63,percent of total billed charges ,305.68,percent of total billed charges ,305.68,percent of total billed charges ,305.68,percent of total billed charges ,305.68,percent of total billed charges ,,,,,271.04,percent of total billed charges ,,,,,257.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,,,142.65,percent of total billed charges,
**INFLUENZA HIGH-DOSE VACCINE (>=65YO),90656,CDM,,,,both,,,65,65,18.2,65,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,48.1,percent of total billed charges,48.1,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,,,46.8,percent of total billed charges ,,,52,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,50.7,percent of total billed charges ,50.7,percent of total billed charges ,52,percent of total billed charges ,52,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,,,,,34.58,percent of total billed charges ,,,,,32.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,
dilTIAZem SR (CARDIZEM SR) 90MG CAP,LOCAL,LOCAL,,,,both,,,12.58,12.58,3.52,12.58,12.58,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,9.06,percent of total billed charges,9.06,percent of total billed charges,9.06,percent of total billed charges,9.06,percent of total billed charges,9.06,percent of total billed charges,9.06,percent of total billed charges,9.31,percent of total billed charges,9.31,percent of total billed charges,10.06,percent of total billed charges,10.06,percent of total billed charges,,,9.06,percent of total billed charges ,,,10.06,percent of total billed charges ,10.57,percent of total billed charges ,10.57,percent of total billed charges ,9.81,percent of total billed charges ,9.81,percent of total billed charges ,10.06,percent of total billed charges ,10.06,percent of total billed charges ,8.81,percent of total billed charges ,8.81,percent of total billed charges ,7.55,percent of total billed charges ,7.55,percent of total billed charges ,7.55,percent of total billed charges ,7.55,percent of total billed charges ,,,,,6.69,percent of total billed charges ,,,,,6.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,,,3.52,percent of total billed charges,
DULoxetine (CYMBALTA) 20MG CAP,LOCAL,LOCAL,,,,both,,,4.66,4.66,1.3,4.66,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,4.66,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.36,percent of total billed charges,3.45,percent of total billed charges,3.45,percent of total billed charges,3.73,percent of total billed charges,3.73,percent of total billed charges,,,3.36,percent of total billed charges ,,,3.73,percent of total billed charges ,3.91,percent of total billed charges ,3.91,percent of total billed charges ,3.63,percent of total billed charges ,3.63,percent of total billed charges ,3.73,percent of total billed charges ,3.73,percent of total billed charges ,3.26,percent of total billed charges ,3.26,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,2.8,percent of total billed charges ,,,,,2.48,percent of total billed charges ,,,,,2.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,,,1.3,percent of total billed charges,
DICLOFENAC (FLECTOR) 1.3% PATCH,LOCAL,LOCAL,,,,both,,,39.59,39.59,11.09,39.59,39.59,percent of total billed charges,39.59,percent of total billed charges,39.59,percent of total billed charges,39.59,percent of total billed charges,39.59,percent of total billed charges,39.59,percent of total billed charges,39.59,percent of total billed charges,39.59,percent of total billed charges,28.5,percent of total billed charges,28.5,percent of total billed charges,28.5,percent of total billed charges,28.5,percent of total billed charges,28.5,percent of total billed charges,28.5,percent of total billed charges,29.3,percent of total billed charges,29.3,percent of total billed charges,31.67,percent of total billed charges,31.67,percent of total billed charges,,,28.5,percent of total billed charges ,,,31.67,percent of total billed charges ,33.26,percent of total billed charges ,33.26,percent of total billed charges ,30.88,percent of total billed charges ,30.88,percent of total billed charges ,31.67,percent of total billed charges ,31.67,percent of total billed charges ,27.71,percent of total billed charges ,27.71,percent of total billed charges ,23.75,percent of total billed charges ,23.75,percent of total billed charges ,23.75,percent of total billed charges ,23.75,percent of total billed charges ,,,,,21.06,percent of total billed charges ,,,,,20.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,,,11.09,percent of total billed charges,
PROVISC,LOCAL,LOCAL,,,,both,,,618,618,173.04,618,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,457.32,percent of total billed charges,457.32,percent of total billed charges,494.4,percent of total billed charges,494.4,percent of total billed charges,,,444.96,percent of total billed charges ,,,494.4,percent of total billed charges ,519.12,percent of total billed charges ,519.12,percent of total billed charges ,482.04,percent of total billed charges ,482.04,percent of total billed charges ,494.4,percent of total billed charges ,494.4,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,,,,,328.78,percent of total billed charges ,,,,,312.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,
AniKavisc,LOCAL,LOCAL,,,,both,,,477,477,133.56,477,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,477,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,343.44,percent of total billed charges,352.98,percent of total billed charges,352.98,percent of total billed charges,381.6,percent of total billed charges,381.6,percent of total billed charges,,,343.44,percent of total billed charges ,,,381.6,percent of total billed charges ,400.68,percent of total billed charges ,400.68,percent of total billed charges ,372.06,percent of total billed charges ,372.06,percent of total billed charges ,381.6,percent of total billed charges ,381.6,percent of total billed charges ,333.9,percent of total billed charges ,333.9,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,286.2,percent of total billed charges ,,,,,253.76,percent of total billed charges ,,,,,241.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,,,133.56,percent of total billed charges,
TRYPAN BLUE,LOCAL,LOCAL,,,,both,,,595,595,166.6,595,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,440.3,percent of total billed charges,440.3,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,,,428.4,percent of total billed charges ,,,476,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,464.1,percent of total billed charges ,464.1,percent of total billed charges ,476,percent of total billed charges ,476,percent of total billed charges ,416.5,percent of total billed charges ,416.5,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,,,,,316.54,percent of total billed charges ,,,,,300.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,
.DAVITA  (VENOFER),J1756,CDM,,,,both,,,14.4,14.4,4.03,14.4,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,10.37,percent of total billed charges,10.37,percent of total billed charges,10.37,percent of total billed charges,10.37,percent of total billed charges,10.37,percent of total billed charges,10.37,percent of total billed charges,10.66,percent of total billed charges,10.66,percent of total billed charges,11.52,percent of total billed charges,11.52,percent of total billed charges,,,10.37,percent of total billed charges ,,,11.52,percent of total billed charges ,12.1,percent of total billed charges ,12.1,percent of total billed charges ,11.23,percent of total billed charges ,11.23,percent of total billed charges ,11.52,percent of total billed charges ,11.52,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,8.64,percent of total billed charges ,8.64,percent of total billed charges ,8.64,percent of total billed charges ,8.64,percent of total billed charges ,,,,,7.66,percent of total billed charges ,,,,,7.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,,,4.03,percent of total billed charges,
.DAVITA  HECTORAL,J1270,CDM,,,,both,,,235.45,235.45,65.93,235.45,235.45,percent of total billed charges,235.45,percent of total billed charges,235.45,percent of total billed charges,235.45,percent of total billed charges,235.45,percent of total billed charges,235.45,percent of total billed charges,235.45,percent of total billed charges,235.45,percent of total billed charges,169.52,percent of total billed charges,169.52,percent of total billed charges,169.52,percent of total billed charges,169.52,percent of total billed charges,169.52,percent of total billed charges,169.52,percent of total billed charges,174.23,percent of total billed charges,174.23,percent of total billed charges,188.36,percent of total billed charges,188.36,percent of total billed charges,,,169.52,percent of total billed charges ,,,188.36,percent of total billed charges ,197.78,percent of total billed charges ,197.78,percent of total billed charges ,183.65,percent of total billed charges ,183.65,percent of total billed charges ,188.36,percent of total billed charges ,188.36,percent of total billed charges ,164.82,percent of total billed charges ,164.82,percent of total billed charges ,141.27,percent of total billed charges ,141.27,percent of total billed charges ,141.27,percent of total billed charges ,141.27,percent of total billed charges ,,,,,125.26,percent of total billed charges ,,,,,119,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,,,65.93,percent of total billed charges,
.DAVITA  EPOGEN,Q4081,CDM,,,,both,,,29.1,29.1,8.15,29.1,29.1,percent of total billed charges,29.1,percent of total billed charges,29.1,percent of total billed charges,29.1,percent of total billed charges,29.1,percent of total billed charges,29.1,percent of total billed charges,29.1,percent of total billed charges,29.1,percent of total billed charges,20.95,percent of total billed charges,20.95,percent of total billed charges,20.95,percent of total billed charges,20.95,percent of total billed charges,20.95,percent of total billed charges,20.95,percent of total billed charges,21.53,percent of total billed charges,21.53,percent of total billed charges,23.28,percent of total billed charges,23.28,percent of total billed charges,,,20.95,percent of total billed charges ,,,23.28,percent of total billed charges ,24.44,percent of total billed charges ,24.44,percent of total billed charges ,22.7,percent of total billed charges ,22.7,percent of total billed charges ,23.28,percent of total billed charges ,23.28,percent of total billed charges ,20.37,percent of total billed charges ,20.37,percent of total billed charges ,17.46,percent of total billed charges ,17.46,percent of total billed charges ,17.46,percent of total billed charges ,17.46,percent of total billed charges ,,,,,15.48,percent of total billed charges ,,,,,14.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,,,8.15,percent of total billed charges,
.DAVITA  ADMIN DRUG,A4657,CDM,,,,both,,,106.55,106.55,29.83,106.55,106.55,percent of total billed charges,106.55,percent of total billed charges,106.55,percent of total billed charges,106.55,percent of total billed charges,106.55,percent of total billed charges,106.55,percent of total billed charges,106.55,percent of total billed charges,106.55,percent of total billed charges,76.72,percent of total billed charges,76.72,percent of total billed charges,76.72,percent of total billed charges,76.72,percent of total billed charges,76.72,percent of total billed charges,76.72,percent of total billed charges,78.85,percent of total billed charges,78.85,percent of total billed charges,85.24,percent of total billed charges,85.24,percent of total billed charges,,,76.72,percent of total billed charges ,,,85.24,percent of total billed charges ,89.5,percent of total billed charges ,89.5,percent of total billed charges ,83.11,percent of total billed charges ,83.11,percent of total billed charges ,85.24,percent of total billed charges ,85.24,percent of total billed charges ,74.59,percent of total billed charges ,74.59,percent of total billed charges ,63.93,percent of total billed charges ,63.93,percent of total billed charges ,63.93,percent of total billed charges ,63.93,percent of total billed charges ,,,,,56.68,percent of total billed charges ,,,,,53.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,,,29.83,percent of total billed charges,
**EXT.MIDDLE & INNER EAR,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**TYMPANOTOMY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**PROCEDURE ON EYE,NOSE",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**LENS SURGERY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**Intra Procedure, Including Box",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**ESOPH, THY, LARY, TRACH, LYM SYSTEM",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**Integrary,Muscle & Nerve",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**SIMPLE LIGATION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**INTEGNTARY,EXT.,ANT TRUNK",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**RADICAL/MODIFIED BREAST,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ELECTRICAL CONVS OF ARRHYTH,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**CLOSED CHEST PROCEDURE,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**PERM TRANSVN PACEMAKER,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ACCESS TO CNTRL VENOUS CIRC.,LOCAL,LOCAL,,,,both,,,"2,793.00","2,793.00",782.04,"2,793.00","2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,066.82",percent of total billed charges,"2,066.82",percent of total billed charges,"2,234.40",percent of total billed charges,"2,234.40",percent of total billed charges,,,"2,010.96",percent of total billed charges ,,,"2,234.40",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,234.40",percent of total billed charges ,"2,234.40",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,,,,,"1,485.88",percent of total billed charges ,,,,,"1,411.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,
**TRANSV INSRT/RPLC/PACING CARDIVTR/DEF,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**CLSD SHOULDER JOINT,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**UPPER ANT.ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**POSTERIOR ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**UPPER GASTRO ENDOSCOPY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**HERNIA REPAIRS, UPPER ABDOMEN",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**LUMBR/VENTRL HERNIA OR WD ADH,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**INTRAPERITIONEL PROCEDURES,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ANTERIOR ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**LOWER INTESTINAL ENDO,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**POSTERIOR ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**HERNIA REPAIRS, LOWER ABDOMEN",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**HERNIA REPAIR,UNSPECIFIED",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**INTRAPERITIONEAL PROCEDURES,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**TUBAL LIGATION/TRANSECTION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**EXTRAPERITION PROCEDURE LOWER ABDOME,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ANORECTAL PROCEDURE,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**TRANSURETHRAL PROCEDURE,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**TRANSURETHRAL RESECTION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**VAGINAL PROCEDURES,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**COLPTOMY, VAGINECTOMY",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**VAGINAL HYSTERECTOMY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**CERVICAL CERCLAGE,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**HYSTEROSCOPY/HYSTEROSALPINGOGRA,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ALL CLOSED HIP PROCEDURES,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ALL OPEN HIP PROCEDURES,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**CLOSED PROCEDURE/UPPER 2/3 FEMUR,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**OPEN PROCEDURE /UPPER 2/3 FEMUR,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**AMPUTATION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**UPPER LEG,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**TOTAL HIP,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**DIAG ARTHROSCOPIC KNEE JT,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**KNEE JOINT ARTHROSCOPY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ARTHROSCOPIC ANKLE &/OR FOOT,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**PROD/NERVE,MUSCLE,TENDONS,FASC",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**BONES OF LOWER LEG,ANKLE,FOOT",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**RADICAL RESECTION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**VEINS OF LOWER LEG NOT SPECIFIED,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**TOTAL KNEE,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**PRONE POSITION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**AXILLA NERVES MUSC TENDONS FASCIAL SHO,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**DX ARTHROSCOPY SHOULDER JT,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**HUMERAL HEAD & NECK, ETC",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**UPPER ARM & ELBOW,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**PROCD,NERVE,MUSCLE,TENDONS,FASC",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"**ALL CLSD PRC,RADIUS URNA,WRIST,HAND",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**HAND OPEN PROC ON RADIAL ULNAR,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**ELBOW REDUCTION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**NON-INVASIVE OR RAD.THERAPY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**VAGINAL DELIVERY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**SPONTANEOUS ABORTION,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
EXT.MIDDLE & INNER EAR,LOCAL,LOCAL,,,,both,,,"1,371.00","1,371.00",383.88,"1,371.00","1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,"1,371.00",percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,987.12,percent of total billed charges,"1,014.54",percent of total billed charges,"1,014.54",percent of total billed charges,"1,096.80",percent of total billed charges,"1,096.80",percent of total billed charges,,,987.12,percent of total billed charges ,,,"1,096.80",percent of total billed charges ,"1,151.64",percent of total billed charges ,"1,151.64",percent of total billed charges ,"1,069.38",percent of total billed charges ,"1,069.38",percent of total billed charges ,"1,096.80",percent of total billed charges ,"1,096.80",percent of total billed charges ,959.7,percent of total billed charges ,959.7,percent of total billed charges ,822.6,percent of total billed charges ,822.6,percent of total billed charges ,822.6,percent of total billed charges ,822.6,percent of total billed charges ,,,,,729.37,percent of total billed charges ,,,,,692.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,,,383.88,percent of total billed charges,
TYMPANOTOMY,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
"PROCEDURE ON EYE,NOSE",LOCAL,LOCAL,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
LENS SURGERY,LOCAL,LOCAL,,,,both,,,"1,941.00","1,941.00",543.48,"1,941.00","1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,436.34",percent of total billed charges,"1,436.34",percent of total billed charges,"1,552.80",percent of total billed charges,"1,552.80",percent of total billed charges,,,"1,397.52",percent of total billed charges ,,,"1,552.80",percent of total billed charges ,"1,630.44",percent of total billed charges ,"1,630.44",percent of total billed charges ,"1,513.98",percent of total billed charges ,"1,513.98",percent of total billed charges ,"1,552.80",percent of total billed charges ,"1,552.80",percent of total billed charges ,"1,358.70",percent of total billed charges ,"1,358.70",percent of total billed charges ,"1,164.60",percent of total billed charges ,"1,164.60",percent of total billed charges ,"1,164.60",percent of total billed charges ,"1,164.60",percent of total billed charges ,,,,,"1,032.61",percent of total billed charges ,,,,,980.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,
"Intra Procedure, Including Box",LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
Procedure in Sitting Position,LOCAL,LOCAL,,,,both,,,"6,560.00","6,560.00","1,836.80","6,560.00","6,560.00",percent of total billed charges,"6,560.00",percent of total billed charges,"6,560.00",percent of total billed charges,"6,560.00",percent of total billed charges,"6,560.00",percent of total billed charges,"6,560.00",percent of total billed charges,"6,560.00",percent of total billed charges,"6,560.00",percent of total billed charges,"4,723.20",percent of total billed charges,"4,723.20",percent of total billed charges,"4,723.20",percent of total billed charges,"4,723.20",percent of total billed charges,"4,723.20",percent of total billed charges,"4,723.20",percent of total billed charges,"4,854.40",percent of total billed charges,"4,854.40",percent of total billed charges,"5,248.00",percent of total billed charges,"5,248.00",percent of total billed charges,,,"4,723.20",percent of total billed charges ,,,"5,248.00",percent of total billed charges ,"5,510.40",percent of total billed charges ,"5,510.40",percent of total billed charges ,"5,116.80",percent of total billed charges ,"5,116.80",percent of total billed charges ,"5,248.00",percent of total billed charges ,"5,248.00",percent of total billed charges ,"4,592.00",percent of total billed charges ,"4,592.00",percent of total billed charges ,"3,936.00",percent of total billed charges ,"3,936.00",percent of total billed charges ,"3,936.00",percent of total billed charges ,"3,936.00",percent of total billed charges ,,,,,"3,489.92",percent of total billed charges ,,,,,"3,315.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,,,"1,836.80",percent of total billed charges,
ANES PROCEDURES FACIAL BONES OR SKULL,LOCAL,LOCAL,,,,both,,,"2,525.00","2,525.00",707,"2,525.00","2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,868.50",percent of total billed charges,"1,868.50",percent of total billed charges,"2,020.00",percent of total billed charges,"2,020.00",percent of total billed charges,,,"1,818.00",percent of total billed charges ,,,"2,020.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"1,969.50",percent of total billed charges ,"1,969.50",percent of total billed charges ,"2,020.00",percent of total billed charges ,"2,020.00",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,,,,,"1,343.30",percent of total billed charges ,,,,,"1,276.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,
INTEG/ NER/ MUSCLE - HEAD OR NECK,LOCAL,LOCAL,,,,both,,,"4,068.00","4,068.00","1,139.04","4,068.00","4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,"4,068.00",percent of total billed charges,"2,928.96",percent of total billed charges,"2,928.96",percent of total billed charges,"2,928.96",percent of total billed charges,"2,928.96",percent of total billed charges,"2,928.96",percent of total billed charges,"2,928.96",percent of total billed charges,"3,010.32",percent of total billed charges,"3,010.32",percent of total billed charges,"3,254.40",percent of total billed charges,"3,254.40",percent of total billed charges,,,"2,928.96",percent of total billed charges ,,,"3,254.40",percent of total billed charges ,"3,417.12",percent of total billed charges ,"3,417.12",percent of total billed charges ,"3,173.04",percent of total billed charges ,"3,173.04",percent of total billed charges ,"3,254.40",percent of total billed charges ,"3,254.40",percent of total billed charges ,"2,847.60",percent of total billed charges ,"2,847.60",percent of total billed charges ,"2,440.80",percent of total billed charges ,"2,440.80",percent of total billed charges ,"2,440.80",percent of total billed charges ,"2,440.80",percent of total billed charges ,,,,,"2,164.18",percent of total billed charges ,,,,,"2,055.97",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,,,"1,139.04",percent of total billed charges,
"ESOPH, THY, LARY, TRACH, LYM SYSEM",LOCAL,LOCAL,,,,both,,,"6,610.00","6,610.00","1,850.80","6,610.00","6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"6,610.00",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,"4,891.40",percent of total billed charges,"4,891.40",percent of total billed charges,"5,288.00",percent of total billed charges,"5,288.00",percent of total billed charges,,,"4,759.20",percent of total billed charges ,,,"5,288.00",percent of total billed charges ,"5,552.40",percent of total billed charges ,"5,552.40",percent of total billed charges ,"5,155.80",percent of total billed charges ,"5,155.80",percent of total billed charges ,"5,288.00",percent of total billed charges ,"5,288.00",percent of total billed charges ,"4,627.00",percent of total billed charges ,"4,627.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,"3,966.00",percent of total billed charges ,,,,,"3,516.52",percent of total billed charges ,,,,,"3,340.69",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,,,"1,850.80",percent of total billed charges,
"Integtary,Muscle, & Nerve",LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
SIMPLE LIGATION,LOCAL,LOCAL,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
"INTEGNTARY, EXTR., ANT TRUNK",LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
RADICAL/MODIFIED BREAST,LOCAL,LOCAL,,,,both,,,"2,525.00","2,525.00",707,"2,525.00","2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,868.50",percent of total billed charges,"1,868.50",percent of total billed charges,"2,020.00",percent of total billed charges,"2,020.00",percent of total billed charges,,,"1,818.00",percent of total billed charges ,,,"2,020.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"1,969.50",percent of total billed charges ,"1,969.50",percent of total billed charges ,"2,020.00",percent of total billed charges ,"2,020.00",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,,,,,"1,343.30",percent of total billed charges ,,,,,"1,276.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,
ELECTRICAL CONVS OF ARRHYTH,LOCAL,LOCAL,,,,both,,,"1,879.00","1,879.00",526.12,"1,879.00","1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,390.46",percent of total billed charges,"1,390.46",percent of total billed charges,"1,503.20",percent of total billed charges,"1,503.20",percent of total billed charges,,,"1,352.88",percent of total billed charges ,,,"1,503.20",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,,,,,999.63,percent of total billed charges ,,,,,949.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,
CLOSED CHEST PROCEDURE,LOCAL,LOCAL,,,,both,,,"3,430.00","3,430.00",960.4,"3,430.00","3,430.00",percent of total billed charges,"3,430.00",percent of total billed charges,"3,430.00",percent of total billed charges,"3,430.00",percent of total billed charges,"3,430.00",percent of total billed charges,"3,430.00",percent of total billed charges,"3,430.00",percent of total billed charges,"3,430.00",percent of total billed charges,"2,469.60",percent of total billed charges,"2,469.60",percent of total billed charges,"2,469.60",percent of total billed charges,"2,469.60",percent of total billed charges,"2,469.60",percent of total billed charges,"2,469.60",percent of total billed charges,"2,538.20",percent of total billed charges,"2,538.20",percent of total billed charges,"2,744.00",percent of total billed charges,"2,744.00",percent of total billed charges,,,"2,469.60",percent of total billed charges ,,,"2,744.00",percent of total billed charges ,"2,881.20",percent of total billed charges ,"2,881.20",percent of total billed charges ,"2,675.40",percent of total billed charges ,"2,675.40",percent of total billed charges ,"2,744.00",percent of total billed charges ,"2,744.00",percent of total billed charges ,"2,401.00",percent of total billed charges ,"2,401.00",percent of total billed charges ,"2,058.00",percent of total billed charges ,"2,058.00",percent of total billed charges ,"2,058.00",percent of total billed charges ,"2,058.00",percent of total billed charges ,,,,,"1,824.76",percent of total billed charges ,,,,,"1,733.52",percent of total billed charges ,,,,,,,,,,,,,,,,,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,,,960.4,percent of total billed charges,
PERM TRANSVN PACEMAKER,LOCAL,LOCAL,,,,both,,,"1,879.00","1,879.00",526.12,"1,879.00","1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,390.46",percent of total billed charges,"1,390.46",percent of total billed charges,"1,503.20",percent of total billed charges,"1,503.20",percent of total billed charges,,,"1,352.88",percent of total billed charges ,,,"1,503.20",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,,,,,999.63,percent of total billed charges ,,,,,949.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,
ACCESS TO CNTRL VENOUS CIRC.,LOCAL,LOCAL,,,,both,,,"1,064.00","1,064.00",297.92,"1,064.00","1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,"1,064.00",percent of total billed charges,766.08,percent of total billed charges,766.08,percent of total billed charges,766.08,percent of total billed charges,766.08,percent of total billed charges,766.08,percent of total billed charges,766.08,percent of total billed charges,787.36,percent of total billed charges,787.36,percent of total billed charges,851.2,percent of total billed charges,851.2,percent of total billed charges,,,766.08,percent of total billed charges ,,,851.2,percent of total billed charges ,893.76,percent of total billed charges ,893.76,percent of total billed charges ,829.92,percent of total billed charges ,829.92,percent of total billed charges ,851.2,percent of total billed charges ,851.2,percent of total billed charges ,744.8,percent of total billed charges ,744.8,percent of total billed charges ,638.4,percent of total billed charges ,638.4,percent of total billed charges ,638.4,percent of total billed charges ,638.4,percent of total billed charges ,,,,,566.05,percent of total billed charges ,,,,,537.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,,,297.92,percent of total billed charges,
TRANSV INSRT/RPLC/PACING CARDIVTR/DEFIB,LOCAL,LOCAL,,,,both,,,"3,533.00","3,533.00",989.24,"3,533.00","3,533.00",percent of total billed charges,"3,533.00",percent of total billed charges,"3,533.00",percent of total billed charges,"3,533.00",percent of total billed charges,"3,533.00",percent of total billed charges,"3,533.00",percent of total billed charges,"3,533.00",percent of total billed charges,"3,533.00",percent of total billed charges,"2,543.76",percent of total billed charges,"2,543.76",percent of total billed charges,"2,543.76",percent of total billed charges,"2,543.76",percent of total billed charges,"2,543.76",percent of total billed charges,"2,543.76",percent of total billed charges,"2,614.42",percent of total billed charges,"2,614.42",percent of total billed charges,"2,826.40",percent of total billed charges,"2,826.40",percent of total billed charges,,,"2,543.76",percent of total billed charges ,,,"2,826.40",percent of total billed charges ,"2,967.72",percent of total billed charges ,"2,967.72",percent of total billed charges ,"2,755.74",percent of total billed charges ,"2,755.74",percent of total billed charges ,"2,826.40",percent of total billed charges ,"2,826.40",percent of total billed charges ,"2,473.10",percent of total billed charges ,"2,473.10",percent of total billed charges ,"2,119.80",percent of total billed charges ,"2,119.80",percent of total billed charges ,"2,119.80",percent of total billed charges ,"2,119.80",percent of total billed charges ,,,,,"1,879.56",percent of total billed charges ,,,,,"1,785.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,,,989.24,percent of total billed charges,
LUMBAR PROCEDURE,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
CLAVICLE OR SCAPULA,LOCAL,LOCAL,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
UPPER ANT.ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,"2,022.00","2,022.00",566.16,"2,022.00","2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,496.28",percent of total billed charges,"1,496.28",percent of total billed charges,"1,617.60",percent of total billed charges,"1,617.60",percent of total billed charges,,,"1,455.84",percent of total billed charges ,,,"1,617.60",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,,,,,"1,075.70",percent of total billed charges ,,,,,"1,021.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,
POSTERIOR ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,"2,525.00","2,525.00",707,"2,525.00","2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,868.50",percent of total billed charges,"1,868.50",percent of total billed charges,"2,020.00",percent of total billed charges,"2,020.00",percent of total billed charges,,,"1,818.00",percent of total billed charges ,,,"2,020.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"1,969.50",percent of total billed charges ,"1,969.50",percent of total billed charges ,"2,020.00",percent of total billed charges ,"2,020.00",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,,,,,"1,343.30",percent of total billed charges ,,,,,"1,276.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,
UPPER GASTRO ENDOSCOPY,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
"HERNIA REPAIRS, UPPER ABDOMEN",LOCAL,LOCAL,,,,both,,,"3,660.00","3,660.00","1,024.80","3,660.00","3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,708.40",percent of total billed charges,"2,708.40",percent of total billed charges,"2,928.00",percent of total billed charges,"2,928.00",percent of total billed charges,,,"2,635.20",percent of total billed charges ,,,"2,928.00",percent of total billed charges ,"3,074.40",percent of total billed charges ,"3,074.40",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,,,,,"1,947.12",percent of total billed charges ,,,,,"1,849.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,
LUMBR/VENTRL HERNIA OR WD ADH,LOCAL,LOCAL,,,,both,,,"1,506.00","1,506.00",421.68,"1,506.00","1,506.00",percent of total billed charges,"1,506.00",percent of total billed charges,"1,506.00",percent of total billed charges,"1,506.00",percent of total billed charges,"1,506.00",percent of total billed charges,"1,506.00",percent of total billed charges,"1,506.00",percent of total billed charges,"1,506.00",percent of total billed charges,"1,084.32",percent of total billed charges,"1,084.32",percent of total billed charges,"1,084.32",percent of total billed charges,"1,084.32",percent of total billed charges,"1,084.32",percent of total billed charges,"1,084.32",percent of total billed charges,"1,114.44",percent of total billed charges,"1,114.44",percent of total billed charges,"1,204.80",percent of total billed charges,"1,204.80",percent of total billed charges,,,"1,084.32",percent of total billed charges ,,,"1,204.80",percent of total billed charges ,"1,265.04",percent of total billed charges ,"1,265.04",percent of total billed charges ,"1,174.68",percent of total billed charges ,"1,174.68",percent of total billed charges ,"1,204.80",percent of total billed charges ,"1,204.80",percent of total billed charges ,"1,054.20",percent of total billed charges ,"1,054.20",percent of total billed charges ,903.6,percent of total billed charges ,903.6,percent of total billed charges ,903.6,percent of total billed charges ,903.6,percent of total billed charges ,,,,,801.19,percent of total billed charges ,,,,,761.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,,,421.68,percent of total billed charges,
INTRAPERITIONEL PROCEDURES,LOCAL,LOCAL,,,,both,,,"4,230.00","4,230.00","1,184.40","4,230.00","4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,130.20",percent of total billed charges,"3,130.20",percent of total billed charges,"3,384.00",percent of total billed charges,"3,384.00",percent of total billed charges,,,"3,045.60",percent of total billed charges ,,,"3,384.00",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,384.00",percent of total billed charges ,"3,384.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,,,,,"2,250.36",percent of total billed charges ,,,,,"2,137.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,
ANTERIOR ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,943,943,264.04,943,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,943,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,678.96,percent of total billed charges,697.82,percent of total billed charges,697.82,percent of total billed charges,754.4,percent of total billed charges,754.4,percent of total billed charges,,,678.96,percent of total billed charges ,,,754.4,percent of total billed charges ,792.12,percent of total billed charges ,792.12,percent of total billed charges ,735.54,percent of total billed charges ,735.54,percent of total billed charges ,754.4,percent of total billed charges ,754.4,percent of total billed charges ,660.1,percent of total billed charges ,660.1,percent of total billed charges ,565.8,percent of total billed charges ,565.8,percent of total billed charges ,565.8,percent of total billed charges ,565.8,percent of total billed charges ,,,,,501.68,percent of total billed charges ,,,,,476.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,,,264.04,percent of total billed charges,
POSTERIOR ABDOMEN WALL,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
"HERNIA REPAIRS, LOWER ABDOMEN",LOCAL,LOCAL,,,,both,,,"3,660.00","3,660.00","1,024.80","3,660.00","3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,708.40",percent of total billed charges,"2,708.40",percent of total billed charges,"2,928.00",percent of total billed charges,"2,928.00",percent of total billed charges,,,"2,635.20",percent of total billed charges ,,,"2,928.00",percent of total billed charges ,"3,074.40",percent of total billed charges ,"3,074.40",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,,,,,"1,947.12",percent of total billed charges ,,,,,"1,849.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,
VENTRAL & INCISIONAL HERNIAS,LOCAL,LOCAL,,,,both,,,"3,660.00","3,660.00","1,024.80","3,660.00","3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,708.40",percent of total billed charges,"2,708.40",percent of total billed charges,"2,928.00",percent of total billed charges,"2,928.00",percent of total billed charges,,,"2,635.20",percent of total billed charges ,,,"2,928.00",percent of total billed charges ,"3,074.40",percent of total billed charges ,"3,074.40",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,,,,,"1,947.12",percent of total billed charges ,,,,,"1,849.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,
"HERNIA REPAIR,UNSPECIFIED",LOCAL,LOCAL,,,,both,,,"3,032.00","3,032.00",848.96,"3,032.00","3,032.00",percent of total billed charges,"3,032.00",percent of total billed charges,"3,032.00",percent of total billed charges,"3,032.00",percent of total billed charges,"3,032.00",percent of total billed charges,"3,032.00",percent of total billed charges,"3,032.00",percent of total billed charges,"3,032.00",percent of total billed charges,"2,183.04",percent of total billed charges,"2,183.04",percent of total billed charges,"2,183.04",percent of total billed charges,"2,183.04",percent of total billed charges,"2,183.04",percent of total billed charges,"2,183.04",percent of total billed charges,"2,243.68",percent of total billed charges,"2,243.68",percent of total billed charges,"2,425.60",percent of total billed charges,"2,425.60",percent of total billed charges,,,"2,183.04",percent of total billed charges ,,,"2,425.60",percent of total billed charges ,"2,546.88",percent of total billed charges ,"2,546.88",percent of total billed charges ,"2,364.96",percent of total billed charges ,"2,364.96",percent of total billed charges ,"2,425.60",percent of total billed charges ,"2,425.60",percent of total billed charges ,"2,122.40",percent of total billed charges ,"2,122.40",percent of total billed charges ,"1,819.20",percent of total billed charges ,"1,819.20",percent of total billed charges ,"1,819.20",percent of total billed charges ,"1,819.20",percent of total billed charges ,,,,,"1,613.02",percent of total billed charges ,,,,,"1,532.37",percent of total billed charges ,,,,,,,,,,,,,,,,,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,,,848.96,percent of total billed charges,
INTRAPERITIONEAL PROCEDURES,LOCAL,LOCAL,,,,both,,,"4,805.00","4,805.00","1,345.40","4,805.00","4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,555.70",percent of total billed charges,"3,555.70",percent of total billed charges,"3,844.00",percent of total billed charges,"3,844.00",percent of total billed charges,,,"3,459.60",percent of total billed charges ,,,"3,844.00",percent of total billed charges ,"4,036.20",percent of total billed charges ,"4,036.20",percent of total billed charges ,"3,747.90",percent of total billed charges ,"3,747.90",percent of total billed charges ,"3,844.00",percent of total billed charges ,"3,844.00",percent of total billed charges ,"3,363.50",percent of total billed charges ,"3,363.50",percent of total billed charges ,"2,883.00",percent of total billed charges ,"2,883.00",percent of total billed charges ,"2,883.00",percent of total billed charges ,"2,883.00",percent of total billed charges ,,,,,"2,556.26",percent of total billed charges ,,,,,"2,428.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,
TUBAL LIGATION/TRANSECTION,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
EXTRAPERITION PROCEDURE LOWER ABDOMEN,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
"CLOSED SPINE MANIP CERV, THOR, LUMB",LOCAL,LOCAL,,,,both,,,"1,879.00","1,879.00",526.12,"1,879.00","1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,390.46",percent of total billed charges,"1,390.46",percent of total billed charges,"1,503.20",percent of total billed charges,"1,503.20",percent of total billed charges,,,"1,352.88",percent of total billed charges ,,,"1,503.20",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,,,,,999.63,percent of total billed charges ,,,,,949.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,
ANORECTAL PROCEDURE,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
TRANSURETHRAL PROCEDURE,LOCAL,LOCAL,,,,both,,,"1,941.00","1,941.00",543.48,"1,941.00","1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,941.00",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,397.52",percent of total billed charges,"1,436.34",percent of total billed charges,"1,436.34",percent of total billed charges,"1,552.80",percent of total billed charges,"1,552.80",percent of total billed charges,,,"1,397.52",percent of total billed charges ,,,"1,552.80",percent of total billed charges ,"1,630.44",percent of total billed charges ,"1,630.44",percent of total billed charges ,"1,513.98",percent of total billed charges ,"1,513.98",percent of total billed charges ,"1,552.80",percent of total billed charges ,"1,552.80",percent of total billed charges ,"1,358.70",percent of total billed charges ,"1,358.70",percent of total billed charges ,"1,164.60",percent of total billed charges ,"1,164.60",percent of total billed charges ,"1,164.60",percent of total billed charges ,"1,164.60",percent of total billed charges ,,,,,"1,032.61",percent of total billed charges ,,,,,980.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,,,543.48,percent of total billed charges,
TRANSURETHRAL RESECTION,LOCAL,LOCAL,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
MALE GENITALIA,LOCAL,LOCAL,,,,both,,,"3,089.00","3,089.00",864.92,"3,089.00","3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,285.86",percent of total billed charges,"2,285.86",percent of total billed charges,"2,471.20",percent of total billed charges,"2,471.20",percent of total billed charges,,,"2,224.08",percent of total billed charges ,,,"2,471.20",percent of total billed charges ,"2,594.76",percent of total billed charges ,"2,594.76",percent of total billed charges ,"2,409.42",percent of total billed charges ,"2,409.42",percent of total billed charges ,"2,471.20",percent of total billed charges ,"2,471.20",percent of total billed charges ,"2,162.30",percent of total billed charges ,"2,162.30",percent of total billed charges ,"1,853.40",percent of total billed charges ,"1,853.40",percent of total billed charges ,"1,853.40",percent of total billed charges ,"1,853.40",percent of total billed charges ,,,,,"1,643.35",percent of total billed charges ,,,,,"1,561.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,
VASECTOMY,LOCAL,LOCAL,,,,both,,,"1,310.00","1,310.00",366.8,"1,310.00","1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,969.4,percent of total billed charges,969.4,percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,,,943.2,percent of total billed charges ,,,"1,048.00",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,048.00",percent of total billed charges ,"1,048.00",percent of total billed charges ,917,percent of total billed charges ,917,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,,,,,696.92,percent of total billed charges ,,,,,662.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,
VAGINAL PROCEDURES,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
"COLPTOMY, VAGINECTOMY",LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
VAGINAL HYSTERECTOMY,LOCAL,LOCAL,,,,both,,,"5,949.00","5,949.00","1,665.72","5,949.00","5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,402.26",percent of total billed charges,"4,402.26",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,,,"4,283.28",percent of total billed charges ,,,"4,759.20",percent of total billed charges ,"4,997.16",percent of total billed charges ,"4,997.16",percent of total billed charges ,"4,640.22",percent of total billed charges ,"4,640.22",percent of total billed charges ,"4,759.20",percent of total billed charges ,"4,759.20",percent of total billed charges ,"4,164.30",percent of total billed charges ,"4,164.30",percent of total billed charges ,"3,569.40",percent of total billed charges ,"3,569.40",percent of total billed charges ,"3,569.40",percent of total billed charges ,"3,569.40",percent of total billed charges ,,,,,"3,164.87",percent of total billed charges ,,,,,"3,006.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,
CERVICAL CERCLAGE,LOCAL,LOCAL,,,,both,,,"2,022.00","2,022.00",566.16,"2,022.00","2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,496.28",percent of total billed charges,"1,496.28",percent of total billed charges,"1,617.60",percent of total billed charges,"1,617.60",percent of total billed charges,,,"1,455.84",percent of total billed charges ,,,"1,617.60",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,,,,,"1,075.70",percent of total billed charges ,,,,,"1,021.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,
HYSTEROSCOPY/HYSTEROSALPINGOGRAPH,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
VULVECTOMY PROCEDURE,LOCAL,LOCAL,,,,both,,,"1,974.00","1,974.00",552.72,"1,974.00","1,974.00",percent of total billed charges,"1,974.00",percent of total billed charges,"1,974.00",percent of total billed charges,"1,974.00",percent of total billed charges,"1,974.00",percent of total billed charges,"1,974.00",percent of total billed charges,"1,974.00",percent of total billed charges,"1,974.00",percent of total billed charges,"1,421.28",percent of total billed charges,"1,421.28",percent of total billed charges,"1,421.28",percent of total billed charges,"1,421.28",percent of total billed charges,"1,421.28",percent of total billed charges,"1,421.28",percent of total billed charges,"1,460.76",percent of total billed charges,"1,460.76",percent of total billed charges,"1,579.20",percent of total billed charges,"1,579.20",percent of total billed charges,,,"1,421.28",percent of total billed charges ,,,"1,579.20",percent of total billed charges ,"1,658.16",percent of total billed charges ,"1,658.16",percent of total billed charges ,"1,539.72",percent of total billed charges ,"1,539.72",percent of total billed charges ,"1,579.20",percent of total billed charges ,"1,579.20",percent of total billed charges ,"1,381.80",percent of total billed charges ,"1,381.80",percent of total billed charges ,"1,184.40",percent of total billed charges ,"1,184.40",percent of total billed charges ,"1,184.40",percent of total billed charges ,"1,184.40",percent of total billed charges ,,,,,"1,050.17",percent of total billed charges ,,,,,997.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,,,552.72,percent of total billed charges,
ALL CLOSED HIP PROCEDURES,LOCAL,LOCAL,,,,both,,,"2,158.00","2,158.00",604.24,"2,158.00","2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,596.92",percent of total billed charges,"1,596.92",percent of total billed charges,"1,726.40",percent of total billed charges,"1,726.40",percent of total billed charges,,,"1,553.76",percent of total billed charges ,,,"1,726.40",percent of total billed charges ,"1,812.72",percent of total billed charges ,"1,812.72",percent of total billed charges ,"1,683.24",percent of total billed charges ,"1,683.24",percent of total billed charges ,"1,726.40",percent of total billed charges ,"1,726.40",percent of total billed charges ,"1,510.60",percent of total billed charges ,"1,510.60",percent of total billed charges ,"1,294.80",percent of total billed charges ,"1,294.80",percent of total billed charges ,"1,294.80",percent of total billed charges ,"1,294.80",percent of total billed charges ,,,,,"1,148.06",percent of total billed charges ,,,,,"1,090.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,
ALL OPEN HIP PROCEDURES,LOCAL,LOCAL,,,,both,,,"4,230.00","4,230.00","1,184.40","4,230.00","4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,130.20",percent of total billed charges,"3,130.20",percent of total billed charges,"3,384.00",percent of total billed charges,"3,384.00",percent of total billed charges,,,"3,045.60",percent of total billed charges ,,,"3,384.00",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,384.00",percent of total billed charges ,"3,384.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,,,,,"2,250.36",percent of total billed charges ,,,,,"2,137.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,
CLOSED PROCEDURE/UPPER 2/3 FEMUR,LOCAL,LOCAL,,,,both,,,"2,022.00","2,022.00",566.16,"2,022.00","2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,496.28",percent of total billed charges,"1,496.28",percent of total billed charges,"1,617.60",percent of total billed charges,"1,617.60",percent of total billed charges,,,"1,455.84",percent of total billed charges ,,,"1,617.60",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,,,,,"1,075.70",percent of total billed charges ,,,,,"1,021.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,
OPEN PROCEDURE /UPPER 2/3 FEMUR,LOCAL,LOCAL,,,,both,,,"3,660.00","3,660.00","1,024.80","3,660.00","3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,708.40",percent of total billed charges,"2,708.40",percent of total billed charges,"2,928.00",percent of total billed charges,"2,928.00",percent of total billed charges,,,"2,635.20",percent of total billed charges ,,,"2,928.00",percent of total billed charges ,"3,074.40",percent of total billed charges ,"3,074.40",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,,,,,"1,947.12",percent of total billed charges ,,,,,"1,849.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,
AMPUTATION,LOCAL,LOCAL,,,,both,,,"5,337.00","5,337.00","1,494.36","5,337.00","5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,949.38",percent of total billed charges,"3,949.38",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,,,"3,842.64",percent of total billed charges ,,,"4,269.60",percent of total billed charges ,"4,483.08",percent of total billed charges ,"4,483.08",percent of total billed charges ,"4,162.86",percent of total billed charges ,"4,162.86",percent of total billed charges ,"4,269.60",percent of total billed charges ,"4,269.60",percent of total billed charges ,"3,735.90",percent of total billed charges ,"3,735.90",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,,,,,"2,839.28",percent of total billed charges ,,,,,"2,697.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,
UPPER LEG,LOCAL,LOCAL,,,,both,,,"2,022.00","2,022.00",566.16,"2,022.00","2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,496.28",percent of total billed charges,"1,496.28",percent of total billed charges,"1,617.60",percent of total billed charges,"1,617.60",percent of total billed charges,,,"1,455.84",percent of total billed charges ,,,"1,617.60",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,,,,,"1,075.70",percent of total billed charges ,,,,,"1,021.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,
TOTAL HIP,LOCAL,LOCAL,,,,both,,,"7,094.00","7,094.00","1,986.32","7,094.00","7,094.00",percent of total billed charges,"7,094.00",percent of total billed charges,"7,094.00",percent of total billed charges,"7,094.00",percent of total billed charges,"7,094.00",percent of total billed charges,"7,094.00",percent of total billed charges,"7,094.00",percent of total billed charges,"7,094.00",percent of total billed charges,"5,107.68",percent of total billed charges,"5,107.68",percent of total billed charges,"5,107.68",percent of total billed charges,"5,107.68",percent of total billed charges,"5,107.68",percent of total billed charges,"5,107.68",percent of total billed charges,"5,249.56",percent of total billed charges,"5,249.56",percent of total billed charges,"5,675.20",percent of total billed charges,"5,675.20",percent of total billed charges,,,"5,107.68",percent of total billed charges ,,,"5,675.20",percent of total billed charges ,"5,958.96",percent of total billed charges ,"5,958.96",percent of total billed charges ,"5,533.32",percent of total billed charges ,"5,533.32",percent of total billed charges ,"5,675.20",percent of total billed charges ,"5,675.20",percent of total billed charges ,"4,965.80",percent of total billed charges ,"4,965.80",percent of total billed charges ,"4,256.40",percent of total billed charges ,"4,256.40",percent of total billed charges ,"4,256.40",percent of total billed charges ,"4,256.40",percent of total billed charges ,,,,,"3,774.01",percent of total billed charges ,,,,,"3,585.31",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,,,"1,986.32",percent of total billed charges,
DIAG ARTHROSCOPIC KNEE JT,LOCAL,LOCAL,,,,both,,,"4,805.00","4,805.00","1,345.40","4,805.00","4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"4,805.00",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,459.60",percent of total billed charges,"3,555.70",percent of total billed charges,"3,555.70",percent of total billed charges,"3,844.00",percent of total billed charges,"3,844.00",percent of total billed charges,,,"3,459.60",percent of total billed charges ,,,"3,844.00",percent of total billed charges ,"4,036.20",percent of total billed charges ,"4,036.20",percent of total billed charges ,"3,747.90",percent of total billed charges ,"3,747.90",percent of total billed charges ,"3,844.00",percent of total billed charges ,"3,844.00",percent of total billed charges ,"3,363.50",percent of total billed charges ,"3,363.50",percent of total billed charges ,"2,883.00",percent of total billed charges ,"2,883.00",percent of total billed charges ,"2,883.00",percent of total billed charges ,"2,883.00",percent of total billed charges ,,,,,"2,556.26",percent of total billed charges ,,,,,"2,428.45",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,,,"1,345.40",percent of total billed charges,
KNEE JOINT ARTHROSCOPY,LOCAL,LOCAL,,,,both,,,"3,660.00","3,660.00","1,024.80","3,660.00","3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,708.40",percent of total billed charges,"2,708.40",percent of total billed charges,"2,928.00",percent of total billed charges,"2,928.00",percent of total billed charges,,,"2,635.20",percent of total billed charges ,,,"2,928.00",percent of total billed charges ,"3,074.40",percent of total billed charges ,"3,074.40",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,,,,,"1,947.12",percent of total billed charges ,,,,,"1,849.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,
ARTHROSCOPIC ANKLE &/OR FOOT,LOCAL,LOCAL,,,,both,,,"5,337.00","5,337.00","1,494.36","5,337.00","5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"5,337.00",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,842.64",percent of total billed charges,"3,949.38",percent of total billed charges,"3,949.38",percent of total billed charges,"4,269.60",percent of total billed charges,"4,269.60",percent of total billed charges,,,"3,842.64",percent of total billed charges ,,,"4,269.60",percent of total billed charges ,"4,483.08",percent of total billed charges ,"4,483.08",percent of total billed charges ,"4,162.86",percent of total billed charges ,"4,162.86",percent of total billed charges ,"4,269.60",percent of total billed charges ,"4,269.60",percent of total billed charges ,"3,735.90",percent of total billed charges ,"3,735.90",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,"3,202.20",percent of total billed charges ,,,,,"2,839.28",percent of total billed charges ,,,,,"2,697.32",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,,,"1,494.36",percent of total billed charges,
"PROD/NERVE,MUSCLE,TENDONS,FASC",LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
"BONES OF LOWER LEG,ANKLE,FOOT",LOCAL,LOCAL,,,,both,,,"4,230.00","4,230.00","1,184.40","4,230.00","4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,130.20",percent of total billed charges,"3,130.20",percent of total billed charges,"3,384.00",percent of total billed charges,"3,384.00",percent of total billed charges,,,"3,045.60",percent of total billed charges ,,,"3,384.00",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,384.00",percent of total billed charges ,"3,384.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,,,,,"2,250.36",percent of total billed charges ,,,,,"2,137.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,
RADICAL RESECTION,LOCAL,LOCAL,,,,both,,,"2,022.00","2,022.00",566.16,"2,022.00","2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,496.28",percent of total billed charges,"1,496.28",percent of total billed charges,"1,617.60",percent of total billed charges,"1,617.60",percent of total billed charges,,,"1,455.84",percent of total billed charges ,,,"1,617.60",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,,,,,"1,075.70",percent of total billed charges ,,,,,"1,021.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,
VEINS OF LOWER LEG NOT SPECIFIED,LOCAL,LOCAL,,,,both,,,"2,793.00","2,793.00",782.04,"2,793.00","2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,793.00",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,010.96",percent of total billed charges,"2,066.82",percent of total billed charges,"2,066.82",percent of total billed charges,"2,234.40",percent of total billed charges,"2,234.40",percent of total billed charges,,,"2,010.96",percent of total billed charges ,,,"2,234.40",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,346.12",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,178.54",percent of total billed charges ,"2,234.40",percent of total billed charges ,"2,234.40",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,955.10",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,"1,675.80",percent of total billed charges ,,,,,"1,485.88",percent of total billed charges ,,,,,"1,411.58",percent of total billed charges ,,,,,,,,,,,,,,,,,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,,,782.04,percent of total billed charges,
TOTAL KNEE,LOCAL,LOCAL,,,,both,,,"7,669.00","7,669.00","2,147.32","7,669.00","7,669.00",percent of total billed charges,"7,669.00",percent of total billed charges,"7,669.00",percent of total billed charges,"7,669.00",percent of total billed charges,"7,669.00",percent of total billed charges,"7,669.00",percent of total billed charges,"7,669.00",percent of total billed charges,"7,669.00",percent of total billed charges,"5,521.68",percent of total billed charges,"5,521.68",percent of total billed charges,"5,521.68",percent of total billed charges,"5,521.68",percent of total billed charges,"5,521.68",percent of total billed charges,"5,521.68",percent of total billed charges,"5,675.06",percent of total billed charges,"5,675.06",percent of total billed charges,"6,135.20",percent of total billed charges,"6,135.20",percent of total billed charges,,,"5,521.68",percent of total billed charges ,,,"6,135.20",percent of total billed charges ,"6,441.96",percent of total billed charges ,"6,441.96",percent of total billed charges ,"5,981.82",percent of total billed charges ,"5,981.82",percent of total billed charges ,"6,135.20",percent of total billed charges ,"6,135.20",percent of total billed charges ,"5,368.30",percent of total billed charges ,"5,368.30",percent of total billed charges ,"4,601.40",percent of total billed charges ,"4,601.40",percent of total billed charges ,"4,601.40",percent of total billed charges ,"4,601.40",percent of total billed charges ,,,,,"4,079.91",percent of total billed charges ,,,,,"3,875.91",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,,,"2,147.32",percent of total billed charges,
**TOTAL HIP,LOCAL,LOCAL,,,,both,,,"7,115.00","7,115.00","1,992.20","7,115.00","7,115.00",percent of total billed charges,"7,115.00",percent of total billed charges,"7,115.00",percent of total billed charges,"7,115.00",percent of total billed charges,"7,115.00",percent of total billed charges,"7,115.00",percent of total billed charges,"7,115.00",percent of total billed charges,"7,115.00",percent of total billed charges,"5,122.80",percent of total billed charges,"5,122.80",percent of total billed charges,"5,122.80",percent of total billed charges,"5,122.80",percent of total billed charges,"5,122.80",percent of total billed charges,"5,122.80",percent of total billed charges,"5,265.10",percent of total billed charges,"5,265.10",percent of total billed charges,"5,692.00",percent of total billed charges,"5,692.00",percent of total billed charges,,,"5,122.80",percent of total billed charges ,,,"5,692.00",percent of total billed charges ,"5,976.60",percent of total billed charges ,"5,976.60",percent of total billed charges ,"5,549.70",percent of total billed charges ,"5,549.70",percent of total billed charges ,"5,692.00",percent of total billed charges ,"5,692.00",percent of total billed charges ,"4,980.50",percent of total billed charges ,"4,980.50",percent of total billed charges ,"4,269.00",percent of total billed charges ,"4,269.00",percent of total billed charges ,"4,269.00",percent of total billed charges ,"4,269.00",percent of total billed charges ,,,,,"3,785.18",percent of total billed charges ,,,,,"3,595.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,,,"1,992.20",percent of total billed charges,
CLOSED PROC KNEE &/OR FORELEG BONES,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
MAJOR NECK VESSAL PROCEDURES,LOCAL,LOCAL,,,,both,,,"2,525.00","2,525.00",707,"2,525.00","2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,868.50",percent of total billed charges,"1,868.50",percent of total billed charges,"2,020.00",percent of total billed charges,"2,020.00",percent of total billed charges,,,"1,818.00",percent of total billed charges ,,,"2,020.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"1,969.50",percent of total billed charges ,"1,969.50",percent of total billed charges ,"2,020.00",percent of total billed charges ,"2,020.00",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,,,,,"1,343.30",percent of total billed charges ,,,,,"1,276.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,
TRANSURETHRAL PROCEDURES,LOCAL,LOCAL,,,,both,,,"1,833.00","1,833.00",513.24,"1,833.00","1,833.00",percent of total billed charges,"1,833.00",percent of total billed charges,"1,833.00",percent of total billed charges,"1,833.00",percent of total billed charges,"1,833.00",percent of total billed charges,"1,833.00",percent of total billed charges,"1,833.00",percent of total billed charges,"1,833.00",percent of total billed charges,"1,319.76",percent of total billed charges,"1,319.76",percent of total billed charges,"1,319.76",percent of total billed charges,"1,319.76",percent of total billed charges,"1,319.76",percent of total billed charges,"1,319.76",percent of total billed charges,"1,356.42",percent of total billed charges,"1,356.42",percent of total billed charges,"1,466.40",percent of total billed charges,"1,466.40",percent of total billed charges,,,"1,319.76",percent of total billed charges ,,,"1,466.40",percent of total billed charges ,"1,539.72",percent of total billed charges ,"1,539.72",percent of total billed charges ,"1,429.74",percent of total billed charges ,"1,429.74",percent of total billed charges ,"1,466.40",percent of total billed charges ,"1,466.40",percent of total billed charges ,"1,283.10",percent of total billed charges ,"1,283.10",percent of total billed charges ,"1,099.80",percent of total billed charges ,"1,099.80",percent of total billed charges ,"1,099.80",percent of total billed charges ,"1,099.80",percent of total billed charges ,,,,,975.16,percent of total billed charges ,,,,,926.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,,,513.24,percent of total billed charges,
DX. THERAPEUTIC NERVE BLOCK/INJ,LOCAL,LOCAL,,,,both,,,"1,310.00","1,310.00",366.8,"1,310.00","1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,969.4,percent of total billed charges,969.4,percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,,,943.2,percent of total billed charges ,,,"1,048.00",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,048.00",percent of total billed charges ,"1,048.00",percent of total billed charges ,917,percent of total billed charges ,917,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,,,,,696.92,percent of total billed charges ,,,,,662.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,
PRONE POSITION,LOCAL,LOCAL,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
"INTUBATION,ENDOTRACHEAL",LOCAL,LOCAL,,,,both,,,"2,809.00","2,809.00",786.52,"2,809.00","2,809.00",percent of total billed charges,"2,809.00",percent of total billed charges,"2,809.00",percent of total billed charges,"2,809.00",percent of total billed charges,"2,809.00",percent of total billed charges,"2,809.00",percent of total billed charges,"2,809.00",percent of total billed charges,"2,809.00",percent of total billed charges,"2,022.48",percent of total billed charges,"2,022.48",percent of total billed charges,"2,022.48",percent of total billed charges,"2,022.48",percent of total billed charges,"2,022.48",percent of total billed charges,"2,022.48",percent of total billed charges,"2,078.66",percent of total billed charges,"2,078.66",percent of total billed charges,"2,247.20",percent of total billed charges,"2,247.20",percent of total billed charges,,,"2,022.48",percent of total billed charges ,,,"2,247.20",percent of total billed charges ,"2,359.56",percent of total billed charges ,"2,359.56",percent of total billed charges ,"2,191.02",percent of total billed charges ,"2,191.02",percent of total billed charges ,"2,247.20",percent of total billed charges ,"2,247.20",percent of total billed charges ,"1,966.30",percent of total billed charges ,"1,966.30",percent of total billed charges ,"1,685.40",percent of total billed charges ,"1,685.40",percent of total billed charges ,"1,685.40",percent of total billed charges ,"1,685.40",percent of total billed charges ,,,,,"1,494.39",percent of total billed charges ,,,,,"1,419.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,,,786.52,percent of total billed charges,
FLUORO GUIDE/CVA DEVICE,LOCAL,LOCAL,,,,both,,,"1,016.00","1,016.00",284.48,"1,016.00","1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,751.84,percent of total billed charges,751.84,percent of total billed charges,812.8,percent of total billed charges,812.8,percent of total billed charges,,,731.52,percent of total billed charges ,,,812.8,percent of total billed charges ,853.44,percent of total billed charges ,853.44,percent of total billed charges ,792.48,percent of total billed charges ,792.48,percent of total billed charges ,812.8,percent of total billed charges ,812.8,percent of total billed charges ,711.2,percent of total billed charges ,711.2,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,,,,,540.51,percent of total billed charges ,,,,,513.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,
FLUORO GUIDE/LOCALIZATION,LOCAL,LOCAL,,,,both,,,"1,016.00","1,016.00",284.48,"1,016.00","1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,751.84,percent of total billed charges,751.84,percent of total billed charges,812.8,percent of total billed charges,812.8,percent of total billed charges,,,731.52,percent of total billed charges ,,,812.8,percent of total billed charges ,853.44,percent of total billed charges ,853.44,percent of total billed charges ,792.48,percent of total billed charges ,792.48,percent of total billed charges ,812.8,percent of total billed charges ,812.8,percent of total billed charges ,711.2,percent of total billed charges ,711.2,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,,,,,540.51,percent of total billed charges ,,,,,513.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,
VENTILATION ASSIST/MGMT,LOCAL,LOCAL,,,,both,,,"3,738.00","3,738.00","1,046.64","3,738.00","3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,766.12",percent of total billed charges,"2,766.12",percent of total billed charges,"2,990.40",percent of total billed charges,"2,990.40",percent of total billed charges,,,"2,691.36",percent of total billed charges ,,,"2,990.40",percent of total billed charges ,"3,139.92",percent of total billed charges ,"3,139.92",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,990.40",percent of total billed charges ,"2,990.40",percent of total billed charges ,"2,616.60",percent of total billed charges ,"2,616.60",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,,,,,"1,988.62",percent of total billed charges ,,,,,"1,889.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,
TOTAL SHOULDER,LOCAL,LOCAL,,,,both,,,"4,230.00","4,230.00","1,184.40","4,230.00","4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"4,230.00",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,045.60",percent of total billed charges,"3,130.20",percent of total billed charges,"3,130.20",percent of total billed charges,"3,384.00",percent of total billed charges,"3,384.00",percent of total billed charges,,,"3,045.60",percent of total billed charges ,,,"3,384.00",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,553.20",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,299.40",percent of total billed charges ,"3,384.00",percent of total billed charges ,"3,384.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,961.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,"2,538.00",percent of total billed charges ,,,,,"2,250.36",percent of total billed charges ,,,,,"2,137.84",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,,,"1,184.40",percent of total billed charges,
AXILLA NERVES MUSC TENDONS FASCIA SHOULD,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
DX ARTHROSCOPY SHOULDER JT,LOCAL,LOCAL,,,,both,,,"5,949.00","5,949.00","1,665.72","5,949.00","5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"5,949.00",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,283.28",percent of total billed charges,"4,402.26",percent of total billed charges,"4,402.26",percent of total billed charges,"4,759.20",percent of total billed charges,"4,759.20",percent of total billed charges,,,"4,283.28",percent of total billed charges ,,,"4,759.20",percent of total billed charges ,"4,997.16",percent of total billed charges ,"4,997.16",percent of total billed charges ,"4,640.22",percent of total billed charges ,"4,640.22",percent of total billed charges ,"4,759.20",percent of total billed charges ,"4,759.20",percent of total billed charges ,"4,164.30",percent of total billed charges ,"4,164.30",percent of total billed charges ,"3,569.40",percent of total billed charges ,"3,569.40",percent of total billed charges ,"3,569.40",percent of total billed charges ,"3,569.40",percent of total billed charges ,,,,,"3,164.87",percent of total billed charges ,,,,,"3,006.62",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,,,"1,665.72",percent of total billed charges,
"HUMERAL HEAD & NECK, ETC",LOCAL,LOCAL,,,,both,,,"3,660.00","3,660.00","1,024.80","3,660.00","3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"3,660.00",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,635.20",percent of total billed charges,"2,708.40",percent of total billed charges,"2,708.40",percent of total billed charges,"2,928.00",percent of total billed charges,"2,928.00",percent of total billed charges,,,"2,635.20",percent of total billed charges ,,,"2,928.00",percent of total billed charges ,"3,074.40",percent of total billed charges ,"3,074.40",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,854.80",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,928.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,562.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,"2,196.00",percent of total billed charges ,,,,,"1,947.12",percent of total billed charges ,,,,,"1,849.76",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,,,"1,024.80",percent of total billed charges,
UPPER ARM & ELBOW,LOCAL,LOCAL,,,,both,,,"2,516.00","2,516.00",704.48,"2,516.00","2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"2,516.00",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,811.52",percent of total billed charges,"1,861.84",percent of total billed charges,"1,861.84",percent of total billed charges,"2,012.80",percent of total billed charges,"2,012.80",percent of total billed charges,,,"1,811.52",percent of total billed charges ,,,"2,012.80",percent of total billed charges ,"2,113.44",percent of total billed charges ,"2,113.44",percent of total billed charges ,"1,962.48",percent of total billed charges ,"1,962.48",percent of total billed charges ,"2,012.80",percent of total billed charges ,"2,012.80",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,761.20",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,"1,509.60",percent of total billed charges ,,,,,"1,338.51",percent of total billed charges ,,,,,"1,271.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,,,704.48,percent of total billed charges,
ALL CLOSED PROC.HUM/ELBOW,LOCAL,LOCAL,,,,both,,,"1,319.00","1,319.00",369.32,"1,319.00","1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,976.06,percent of total billed charges,976.06,percent of total billed charges,"1,055.20",percent of total billed charges,"1,055.20",percent of total billed charges,,,949.68,percent of total billed charges ,,,"1,055.20",percent of total billed charges ,"1,107.96",percent of total billed charges ,"1,107.96",percent of total billed charges ,"1,028.82",percent of total billed charges ,"1,028.82",percent of total billed charges ,"1,055.20",percent of total billed charges ,"1,055.20",percent of total billed charges ,923.3,percent of total billed charges ,923.3,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,,,,,701.71,percent of total billed charges ,,,,,666.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,
"PROCD.NERVE,MUSCLE,TENDONS,FASC",LOCAL,LOCAL,,,,both,,,"1,408.00","1,408.00",394.24,"1,408.00","1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,"1,408.00",percent of total billed charges,"1,013.76",percent of total billed charges,"1,013.76",percent of total billed charges,"1,013.76",percent of total billed charges,"1,013.76",percent of total billed charges,"1,013.76",percent of total billed charges,"1,013.76",percent of total billed charges,"1,041.92",percent of total billed charges,"1,041.92",percent of total billed charges,"1,126.40",percent of total billed charges,"1,126.40",percent of total billed charges,,,"1,013.76",percent of total billed charges ,,,"1,126.40",percent of total billed charges ,"1,182.72",percent of total billed charges ,"1,182.72",percent of total billed charges ,"1,098.24",percent of total billed charges ,"1,098.24",percent of total billed charges ,"1,126.40",percent of total billed charges ,"1,126.40",percent of total billed charges ,985.6,percent of total billed charges ,985.6,percent of total billed charges ,844.8,percent of total billed charges ,844.8,percent of total billed charges ,844.8,percent of total billed charges ,844.8,percent of total billed charges ,,,,,749.06,percent of total billed charges ,,,,,711.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,,,394.24,percent of total billed charges,
"ALL CLSD PRC,RADIUS URNA,WRIST,HAND BONE",LOCAL,LOCAL,,,,both,,,"2,158.00","2,158.00",604.24,"2,158.00","2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"2,158.00",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,553.76",percent of total billed charges,"1,596.92",percent of total billed charges,"1,596.92",percent of total billed charges,"1,726.40",percent of total billed charges,"1,726.40",percent of total billed charges,,,"1,553.76",percent of total billed charges ,,,"1,726.40",percent of total billed charges ,"1,812.72",percent of total billed charges ,"1,812.72",percent of total billed charges ,"1,683.24",percent of total billed charges ,"1,683.24",percent of total billed charges ,"1,726.40",percent of total billed charges ,"1,726.40",percent of total billed charges ,"1,510.60",percent of total billed charges ,"1,510.60",percent of total billed charges ,"1,294.80",percent of total billed charges ,"1,294.80",percent of total billed charges ,"1,294.80",percent of total billed charges ,"1,294.80",percent of total billed charges ,,,,,"1,148.06",percent of total billed charges ,,,,,"1,090.65",percent of total billed charges ,,,,,,,,,,,,,,,,,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,,,604.24,percent of total billed charges,
HUMERAL HEAD & NECK CLSED ETC,LOCAL,LOCAL,,,,both,,,"2,022.00","2,022.00",566.16,"2,022.00","2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,496.28",percent of total billed charges,"1,496.28",percent of total billed charges,"1,617.60",percent of total billed charges,"1,617.60",percent of total billed charges,,,"1,455.84",percent of total billed charges ,,,"1,617.60",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,,,,,"1,075.70",percent of total billed charges ,,,,,"1,021.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,
HAND OPEN PROC ON RADIAL ULNAR BONES,LOCAL,LOCAL,,,,both,,,"5,378.00","5,378.00","1,505.84","5,378.00","5,378.00",percent of total billed charges,"5,378.00",percent of total billed charges,"5,378.00",percent of total billed charges,"5,378.00",percent of total billed charges,"5,378.00",percent of total billed charges,"5,378.00",percent of total billed charges,"5,378.00",percent of total billed charges,"5,378.00",percent of total billed charges,"3,872.16",percent of total billed charges,"3,872.16",percent of total billed charges,"3,872.16",percent of total billed charges,"3,872.16",percent of total billed charges,"3,872.16",percent of total billed charges,"3,872.16",percent of total billed charges,"3,979.72",percent of total billed charges,"3,979.72",percent of total billed charges,"4,302.40",percent of total billed charges,"4,302.40",percent of total billed charges,,,"3,872.16",percent of total billed charges ,,,"4,302.40",percent of total billed charges ,"4,517.52",percent of total billed charges ,"4,517.52",percent of total billed charges ,"4,194.84",percent of total billed charges ,"4,194.84",percent of total billed charges ,"4,302.40",percent of total billed charges ,"4,302.40",percent of total billed charges ,"3,764.60",percent of total billed charges ,"3,764.60",percent of total billed charges ,"3,226.80",percent of total billed charges ,"3,226.80",percent of total billed charges ,"3,226.80",percent of total billed charges ,"3,226.80",percent of total billed charges ,,,,,"2,861.10",percent of total billed charges ,,,,,"2,718.04",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,,,"1,505.84",percent of total billed charges,
ELBOW REDUCTION,LOCAL,LOCAL,,,,both,,,"1,319.00","1,319.00",369.32,"1,319.00","1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,"1,319.00",percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,949.68,percent of total billed charges,976.06,percent of total billed charges,976.06,percent of total billed charges,"1,055.20",percent of total billed charges,"1,055.20",percent of total billed charges,,,949.68,percent of total billed charges ,,,"1,055.20",percent of total billed charges ,"1,107.96",percent of total billed charges ,"1,107.96",percent of total billed charges ,"1,028.82",percent of total billed charges ,"1,028.82",percent of total billed charges ,"1,055.20",percent of total billed charges ,"1,055.20",percent of total billed charges ,923.3,percent of total billed charges ,923.3,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,791.4,percent of total billed charges ,,,,,701.71,percent of total billed charges ,,,,,666.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,,,369.32,percent of total billed charges,
OPEN PROC UPPER ARM & ELBOW,LOCAL,LOCAL,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
NON-INVASIVE OR RAD.THERAPY,LOCAL,LOCAL,,,,both,,,"3,272.00","3,272.00",916.16,"3,272.00","3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,421.28",percent of total billed charges,"2,421.28",percent of total billed charges,"2,617.60",percent of total billed charges,"2,617.60",percent of total billed charges,,,"2,355.84",percent of total billed charges ,,,"2,617.60",percent of total billed charges ,"2,748.48",percent of total billed charges ,"2,748.48",percent of total billed charges ,"2,552.16",percent of total billed charges ,"2,552.16",percent of total billed charges ,"2,617.60",percent of total billed charges ,"2,617.60",percent of total billed charges ,"2,290.40",percent of total billed charges ,"2,290.40",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,,,,,"1,740.70",percent of total billed charges ,,,,,"1,653.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,
DX ELBOW ARTHROSCOPY,LOCAL,LOCAL,,,,both,,,"1,879.00","1,879.00",526.12,"1,879.00","1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,390.46",percent of total billed charges,"1,390.46",percent of total billed charges,"1,503.20",percent of total billed charges,"1,503.20",percent of total billed charges,,,"1,352.88",percent of total billed charges ,,,"1,503.20",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,,,,,999.63,percent of total billed charges ,,,,,949.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,
OPEN OR ENDO ELBOW REPAIR,LOCAL,LOCAL,,,,both,,,"2,022.00","2,022.00",566.16,"2,022.00","2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"2,022.00",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,455.84",percent of total billed charges,"1,496.28",percent of total billed charges,"1,496.28",percent of total billed charges,"1,617.60",percent of total billed charges,"1,617.60",percent of total billed charges,,,"1,455.84",percent of total billed charges ,,,"1,617.60",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,698.48",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,577.16",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,617.60",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,415.40",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,"1,213.20",percent of total billed charges ,,,,,"1,075.70",percent of total billed charges ,,,,,"1,021.92",percent of total billed charges ,,,,,,,,,,,,,,,,,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,,,566.16,percent of total billed charges,
BICEP TENODESIS OPEN-FAC,LOCAL,LOCAL,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
ORIF HUMERUS FACILITY FEE,1744,CDM,,,,both,,,"2,338.00","2,338.00",654.64,"2,338.00","2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"2,338.00",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,683.36",percent of total billed charges,"1,730.12",percent of total billed charges,"1,730.12",percent of total billed charges,"1,870.40",percent of total billed charges,"1,870.40",percent of total billed charges,,,"1,683.36",percent of total billed charges ,,,"1,870.40",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,963.92",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,823.64",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,870.40",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,636.60",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,"1,402.80",percent of total billed charges ,,,,,"1,243.82",percent of total billed charges ,,,,,"1,181.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,,,654.64,percent of total billed charges,
**VAGINAL DELIVERY,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**CESAREAN DELIVERY,LOCAL,LOCAL,,,,both,,,"3,420.00","3,420.00",957.6,"3,420.00","3,420.00",percent of total billed charges,"3,420.00",percent of total billed charges,"3,420.00",percent of total billed charges,"3,420.00",percent of total billed charges,"3,420.00",percent of total billed charges,"3,420.00",percent of total billed charges,"3,420.00",percent of total billed charges,"3,420.00",percent of total billed charges,"2,462.40",percent of total billed charges,"2,462.40",percent of total billed charges,"2,462.40",percent of total billed charges,"2,462.40",percent of total billed charges,"2,462.40",percent of total billed charges,"2,462.40",percent of total billed charges,"2,530.80",percent of total billed charges,"2,530.80",percent of total billed charges,"2,736.00",percent of total billed charges,"2,736.00",percent of total billed charges,,,"2,462.40",percent of total billed charges ,,,"2,736.00",percent of total billed charges ,"2,872.80",percent of total billed charges ,"2,872.80",percent of total billed charges ,"2,667.60",percent of total billed charges ,"2,667.60",percent of total billed charges ,"2,736.00",percent of total billed charges ,"2,736.00",percent of total billed charges ,"2,394.00",percent of total billed charges ,"2,394.00",percent of total billed charges ,"2,052.00",percent of total billed charges ,"2,052.00",percent of total billed charges ,"2,052.00",percent of total billed charges ,"2,052.00",percent of total billed charges ,,,,,"1,819.44",percent of total billed charges ,,,,,"1,728.47",percent of total billed charges ,,,,,,,,,,,,,,,,,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,,,957.6,percent of total billed charges,
SPONTANEOUS ABORTION,LOCAL,LOCAL,,,,both,,,"1,879.00","1,879.00",526.12,"1,879.00","1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,879.00",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,352.88",percent of total billed charges,"1,390.46",percent of total billed charges,"1,390.46",percent of total billed charges,"1,503.20",percent of total billed charges,"1,503.20",percent of total billed charges,,,"1,352.88",percent of total billed charges ,,,"1,503.20",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,578.36",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,465.62",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,503.20",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,315.30",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,"1,127.40",percent of total billed charges ,,,,,999.63,percent of total billed charges ,,,,,949.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,,,526.12,percent of total billed charges,
HYST.FOLLOWING NEURAXIAL LABOR,LOCAL,LOCAL,,,,both,,,"2,525.00","2,525.00",707,"2,525.00","2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,868.50",percent of total billed charges,"1,868.50",percent of total billed charges,"2,020.00",percent of total billed charges,"2,020.00",percent of total billed charges,,,"1,818.00",percent of total billed charges ,,,"2,020.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"1,969.50",percent of total billed charges ,"1,969.50",percent of total billed charges ,"2,020.00",percent of total billed charges ,"2,020.00",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,,,,,"1,343.30",percent of total billed charges ,,,,,"1,276.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,
DAILY MANAGEMENT OF EPIDUR/SUBARACHNOID,LOCAL,LOCAL,,,,both,,,"1,310.00","1,310.00",366.8,"1,310.00","1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,969.4,percent of total billed charges,969.4,percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,,,943.2,percent of total billed charges ,,,"1,048.00",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,048.00",percent of total billed charges ,"1,048.00",percent of total billed charges ,917,percent of total billed charges ,917,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,,,,,696.92,percent of total billed charges ,,,,,662.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,
"INJECTIONS,ONE OR TWO MUSCLES",LOCAL,LOCAL,,,,both,,,"1,310.00","1,310.00",366.8,"1,310.00","1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,969.4,percent of total billed charges,969.4,percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,,,943.2,percent of total billed charges ,,,"1,048.00",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,048.00",percent of total billed charges ,"1,048.00",percent of total billed charges ,917,percent of total billed charges ,917,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,,,,,696.92,percent of total billed charges ,,,,,662.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,
"INJECTIONS,THREE OR MORE MUSCLES",LOCAL,LOCAL,,,,both,,,"1,310.00","1,310.00",366.8,"1,310.00","1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,"1,310.00",percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,943.2,percent of total billed charges,969.4,percent of total billed charges,969.4,percent of total billed charges,"1,048.00",percent of total billed charges,"1,048.00",percent of total billed charges,,,943.2,percent of total billed charges ,,,"1,048.00",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,100.40",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,021.80",percent of total billed charges ,"1,048.00",percent of total billed charges ,"1,048.00",percent of total billed charges ,917,percent of total billed charges ,917,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,786,percent of total billed charges ,,,,,696.92,percent of total billed charges ,,,,,662.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,,,366.8,percent of total billed charges,
INJ.SACROILIAC ARTHROGRAPHY STEROID,LOCAL,LOCAL,,,,both,,,"3,089.00","3,089.00",864.92,"3,089.00","3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"3,089.00",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,224.08",percent of total billed charges,"2,285.86",percent of total billed charges,"2,285.86",percent of total billed charges,"2,471.20",percent of total billed charges,"2,471.20",percent of total billed charges,,,"2,224.08",percent of total billed charges ,,,"2,471.20",percent of total billed charges ,"2,594.76",percent of total billed charges ,"2,594.76",percent of total billed charges ,"2,409.42",percent of total billed charges ,"2,409.42",percent of total billed charges ,"2,471.20",percent of total billed charges ,"2,471.20",percent of total billed charges ,"2,162.30",percent of total billed charges ,"2,162.30",percent of total billed charges ,"1,853.40",percent of total billed charges ,"1,853.40",percent of total billed charges ,"1,853.40",percent of total billed charges ,"1,853.40",percent of total billed charges ,,,,,"1,643.35",percent of total billed charges ,,,,,"1,561.18",percent of total billed charges ,,,,,,,,,,,,,,,,,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,,,864.92,percent of total billed charges,
"SPINAL PUNCTURE,DIAGNOSTIC",LOCAL,LOCAL,,,,both,,,"2,337.00","2,337.00",654.36,"2,337.00","2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"2,337.00",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,682.64",percent of total billed charges,"1,729.38",percent of total billed charges,"1,729.38",percent of total billed charges,"1,869.60",percent of total billed charges,"1,869.60",percent of total billed charges,,,"1,682.64",percent of total billed charges ,,,"1,869.60",percent of total billed charges ,"1,963.08",percent of total billed charges ,"1,963.08",percent of total billed charges ,"1,822.86",percent of total billed charges ,"1,822.86",percent of total billed charges ,"1,869.60",percent of total billed charges ,"1,869.60",percent of total billed charges ,"1,635.90",percent of total billed charges ,"1,635.90",percent of total billed charges ,"1,402.20",percent of total billed charges ,"1,402.20",percent of total billed charges ,"1,402.20",percent of total billed charges ,"1,402.20",percent of total billed charges ,,,,,"1,243.28",percent of total billed charges ,,,,,"1,181.12",percent of total billed charges ,,,,,,,,,,,,,,,,,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,,,654.36,percent of total billed charges,
"SPINAL PUNCTURE, THERAPTIC",LOCAL,LOCAL,,,,both,,,"3,738.00","3,738.00","1,046.64","3,738.00","3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"3,738.00",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,691.36",percent of total billed charges,"2,766.12",percent of total billed charges,"2,766.12",percent of total billed charges,"2,990.40",percent of total billed charges,"2,990.40",percent of total billed charges,,,"2,691.36",percent of total billed charges ,,,"2,990.40",percent of total billed charges ,"3,139.92",percent of total billed charges ,"3,139.92",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,915.64",percent of total billed charges ,"2,990.40",percent of total billed charges ,"2,990.40",percent of total billed charges ,"2,616.60",percent of total billed charges ,"2,616.60",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,"2,242.80",percent of total billed charges ,,,,,"1,988.62",percent of total billed charges ,,,,,"1,889.19",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,,,"1,046.64",percent of total billed charges,
INJ. EPIDURAL OF BLOOD OR CLOT PATCH,LOCAL,LOCAL,,,,both,,,"4,040.00","4,040.00","1,131.20","4,040.00","4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,989.60",percent of total billed charges,"2,989.60",percent of total billed charges,"3,232.00",percent of total billed charges,"3,232.00",percent of total billed charges,,,"2,908.80",percent of total billed charges ,,,"3,232.00",percent of total billed charges ,"3,393.60",percent of total billed charges ,"3,393.60",percent of total billed charges ,"3,151.20",percent of total billed charges ,"3,151.20",percent of total billed charges ,"3,232.00",percent of total billed charges ,"3,232.00",percent of total billed charges ,"2,828.00",percent of total billed charges ,"2,828.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,,,,,"2,149.28",percent of total billed charges ,,,,,"2,041.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,
"LUMBAR, SACRAL (CAUDAL)",LOCAL,LOCAL,,,,both,,,"4,425.00","4,425.00","1,239.00","4,425.00","4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"4,425.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,186.00",percent of total billed charges,"3,274.50",percent of total billed charges,"3,274.50",percent of total billed charges,"3,540.00",percent of total billed charges,"3,540.00",percent of total billed charges,,,"3,186.00",percent of total billed charges ,,,"3,540.00",percent of total billed charges ,"3,717.00",percent of total billed charges ,"3,717.00",percent of total billed charges ,"3,451.50",percent of total billed charges ,"3,451.50",percent of total billed charges ,"3,540.00",percent of total billed charges ,"3,540.00",percent of total billed charges ,"3,097.50",percent of total billed charges ,"3,097.50",percent of total billed charges ,"2,655.00",percent of total billed charges ,"2,655.00",percent of total billed charges ,"2,655.00",percent of total billed charges ,"2,655.00",percent of total billed charges ,,,,,"2,354.10",percent of total billed charges ,,,,,"2,236.40",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,,,"1,239.00",percent of total billed charges,
"INTERCOSTAL NERVE, SINGLE",LOCAL,LOCAL,,,,both,,,"2,525.00","2,525.00",707,"2,525.00","2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"2,525.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,818.00",percent of total billed charges,"1,868.50",percent of total billed charges,"1,868.50",percent of total billed charges,"2,020.00",percent of total billed charges,"2,020.00",percent of total billed charges,,,"1,818.00",percent of total billed charges ,,,"2,020.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"2,121.00",percent of total billed charges ,"1,969.50",percent of total billed charges ,"1,969.50",percent of total billed charges ,"2,020.00",percent of total billed charges ,"2,020.00",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,767.50",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,"1,515.00",percent of total billed charges ,,,,,"1,343.30",percent of total billed charges ,,,,,"1,276.14",percent of total billed charges ,,,,,,,,,,,,,,,,,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,,,707,percent of total billed charges,
"INTERCOSTAL NERVES,MULTIPLE",LOCAL,LOCAL,,,,both,,,"4,040.00","4,040.00","1,131.20","4,040.00","4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"4,040.00",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,908.80",percent of total billed charges,"2,989.60",percent of total billed charges,"2,989.60",percent of total billed charges,"3,232.00",percent of total billed charges,"3,232.00",percent of total billed charges,,,"2,908.80",percent of total billed charges ,,,"3,232.00",percent of total billed charges ,"3,393.60",percent of total billed charges ,"3,393.60",percent of total billed charges ,"3,151.20",percent of total billed charges ,"3,151.20",percent of total billed charges ,"3,232.00",percent of total billed charges ,"3,232.00",percent of total billed charges ,"2,828.00",percent of total billed charges ,"2,828.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,"2,424.00",percent of total billed charges ,,,,,"2,149.28",percent of total billed charges ,,,,,"2,041.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,,,"1,131.20",percent of total billed charges,
FLUORO GUIDE FOR NEEDLE PLACEMENT,LOCAL,LOCAL,,,,both,,,"1,016.00","1,016.00",284.48,"1,016.00","1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,"1,016.00",percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,731.52,percent of total billed charges,751.84,percent of total billed charges,751.84,percent of total billed charges,812.8,percent of total billed charges,812.8,percent of total billed charges,,,731.52,percent of total billed charges ,,,812.8,percent of total billed charges ,853.44,percent of total billed charges ,853.44,percent of total billed charges ,792.48,percent of total billed charges ,792.48,percent of total billed charges ,812.8,percent of total billed charges ,812.8,percent of total billed charges ,711.2,percent of total billed charges ,711.2,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,609.6,percent of total billed charges ,,,,,540.51,percent of total billed charges ,,,,,513.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,,,284.48,percent of total billed charges,
FLUORO GUIDE & LOCATIZATION,LOCAL,LOCAL,,,,both,,,946,946,264.88,946,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,946,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,681.12,percent of total billed charges,700.04,percent of total billed charges,700.04,percent of total billed charges,756.8,percent of total billed charges,756.8,percent of total billed charges,,,681.12,percent of total billed charges ,,,756.8,percent of total billed charges ,794.64,percent of total billed charges ,794.64,percent of total billed charges ,737.88,percent of total billed charges ,737.88,percent of total billed charges ,756.8,percent of total billed charges ,756.8,percent of total billed charges ,662.2,percent of total billed charges ,662.2,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,567.6,percent of total billed charges ,,,,,503.27,percent of total billed charges ,,,,,478.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,,,264.88,percent of total billed charges,
"ARTERIAL CATHERIZATION, PERCUTANOUS",LOCAL,LOCAL,,,,both,,,"1,519.00","1,519.00",425.32,"1,519.00","1,519.00",percent of total billed charges,"1,519.00",percent of total billed charges,"1,519.00",percent of total billed charges,"1,519.00",percent of total billed charges,"1,519.00",percent of total billed charges,"1,519.00",percent of total billed charges,"1,519.00",percent of total billed charges,"1,519.00",percent of total billed charges,"1,093.68",percent of total billed charges,"1,093.68",percent of total billed charges,"1,093.68",percent of total billed charges,"1,093.68",percent of total billed charges,"1,093.68",percent of total billed charges,"1,093.68",percent of total billed charges,"1,124.06",percent of total billed charges,"1,124.06",percent of total billed charges,"1,215.20",percent of total billed charges,"1,215.20",percent of total billed charges,,,"1,093.68",percent of total billed charges ,,,"1,215.20",percent of total billed charges ,"1,275.96",percent of total billed charges ,"1,275.96",percent of total billed charges ,"1,184.82",percent of total billed charges ,"1,184.82",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,215.20",percent of total billed charges ,"1,063.30",percent of total billed charges ,"1,063.30",percent of total billed charges ,911.4,percent of total billed charges ,911.4,percent of total billed charges ,911.4,percent of total billed charges ,911.4,percent of total billed charges ,,,,,808.11,percent of total billed charges ,,,,,767.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,,,425.32,percent of total billed charges,
"ECHOCARDIOGRAPH, TRANSESOPHAGEAL",LOCAL,LOCAL,,,,both,,,"3,272.00","3,272.00",916.16,"3,272.00","3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,421.28",percent of total billed charges,"2,421.28",percent of total billed charges,"2,617.60",percent of total billed charges,"2,617.60",percent of total billed charges,,,"2,355.84",percent of total billed charges ,,,"2,617.60",percent of total billed charges ,"2,748.48",percent of total billed charges ,"2,748.48",percent of total billed charges ,"2,552.16",percent of total billed charges ,"2,552.16",percent of total billed charges ,"2,617.60",percent of total billed charges ,"2,617.60",percent of total billed charges ,"2,290.40",percent of total billed charges ,"2,290.40",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,,,,,"1,740.70",percent of total billed charges ,,,,,"1,653.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,
PLACEMENT OF PROBE ONLY,LOCAL,LOCAL,,,,both,,,"3,272.00","3,272.00",916.16,"3,272.00","3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"3,272.00",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,355.84",percent of total billed charges,"2,421.28",percent of total billed charges,"2,421.28",percent of total billed charges,"2,617.60",percent of total billed charges,"2,617.60",percent of total billed charges,,,"2,355.84",percent of total billed charges ,,,"2,617.60",percent of total billed charges ,"2,748.48",percent of total billed charges ,"2,748.48",percent of total billed charges ,"2,552.16",percent of total billed charges ,"2,552.16",percent of total billed charges ,"2,617.60",percent of total billed charges ,"2,617.60",percent of total billed charges ,"2,290.40",percent of total billed charges ,"2,290.40",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,"1,963.20",percent of total billed charges ,,,,,"1,740.70",percent of total billed charges ,,,,,"1,653.67",percent of total billed charges ,,,,,,,,,,,,,,,,,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,,,916.16,percent of total billed charges,
OPEN PROC KNEE/FORELEG,LOCAL,LOCAL,,,,both,,,"1,931.00","1,931.00",540.68,"1,931.00","1,931.00",percent of total billed charges,"1,931.00",percent of total billed charges,"1,931.00",percent of total billed charges,"1,931.00",percent of total billed charges,"1,931.00",percent of total billed charges,"1,931.00",percent of total billed charges,"1,931.00",percent of total billed charges,"1,931.00",percent of total billed charges,"1,390.32",percent of total billed charges,"1,390.32",percent of total billed charges,"1,390.32",percent of total billed charges,"1,390.32",percent of total billed charges,"1,390.32",percent of total billed charges,"1,390.32",percent of total billed charges,"1,428.94",percent of total billed charges,"1,428.94",percent of total billed charges,"1,544.80",percent of total billed charges,"1,544.80",percent of total billed charges,,,"1,390.32",percent of total billed charges ,,,"1,544.80",percent of total billed charges ,"1,622.04",percent of total billed charges ,"1,622.04",percent of total billed charges ,"1,506.18",percent of total billed charges ,"1,506.18",percent of total billed charges ,"1,544.80",percent of total billed charges ,"1,544.80",percent of total billed charges ,"1,351.70",percent of total billed charges ,"1,351.70",percent of total billed charges ,"1,158.60",percent of total billed charges ,"1,158.60",percent of total billed charges ,"1,158.60",percent of total billed charges ,"1,158.60",percent of total billed charges ,,,,,"1,027.29",percent of total billed charges ,,,,,975.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,,,540.68,percent of total billed charges,
ANES BASIC FEE/15 MIN,LOCAL,LOCAL,,,,both,,,311,311,87.08,311,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,311,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,223.92,percent of total billed charges,230.14,percent of total billed charges,230.14,percent of total billed charges,248.8,percent of total billed charges,248.8,percent of total billed charges,,,223.92,percent of total billed charges ,,,248.8,percent of total billed charges ,261.24,percent of total billed charges ,261.24,percent of total billed charges ,242.58,percent of total billed charges ,242.58,percent of total billed charges ,248.8,percent of total billed charges ,248.8,percent of total billed charges ,217.7,percent of total billed charges ,217.7,percent of total billed charges ,186.6,percent of total billed charges ,186.6,percent of total billed charges ,186.6,percent of total billed charges ,186.6,percent of total billed charges ,,,,,165.45,percent of total billed charges ,,,,,157.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,,,87.08,percent of total billed charges,
**TOTAL HIP,1214,CDM,,,,both,,,"1,639.00","1,639.00",458.92,"1,639.00","1,639.00",percent of total billed charges,"1,639.00",percent of total billed charges,"1,639.00",percent of total billed charges,"1,639.00",percent of total billed charges,"1,639.00",percent of total billed charges,"1,639.00",percent of total billed charges,"1,639.00",percent of total billed charges,"1,639.00",percent of total billed charges,"1,180.08",percent of total billed charges,"1,180.08",percent of total billed charges,"1,180.08",percent of total billed charges,"1,180.08",percent of total billed charges,"1,180.08",percent of total billed charges,"1,180.08",percent of total billed charges,"1,212.86",percent of total billed charges,"1,212.86",percent of total billed charges,"1,311.20",percent of total billed charges,"1,311.20",percent of total billed charges,,,"1,180.08",percent of total billed charges ,,,"1,311.20",percent of total billed charges ,"1,376.76",percent of total billed charges ,"1,376.76",percent of total billed charges ,"1,278.42",percent of total billed charges ,"1,278.42",percent of total billed charges ,"1,311.20",percent of total billed charges ,"1,311.20",percent of total billed charges ,"1,147.30",percent of total billed charges ,"1,147.30",percent of total billed charges ,983.4,percent of total billed charges ,983.4,percent of total billed charges ,983.4,percent of total billed charges ,983.4,percent of total billed charges ,,,,,871.95,percent of total billed charges ,,,,,828.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,,,458.92,percent of total billed charges,
PICC LINE( POWE PICC SOLO 5 FR),C1751,CDM,,,,both,,,"2,197.00","2,197.00",615.16,"2,197.00","2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,625.78",percent of total billed charges,"1,625.78",percent of total billed charges,"1,757.60",percent of total billed charges,"1,757.60",percent of total billed charges,,,"1,581.84",percent of total billed charges ,,,"1,757.60",percent of total billed charges ,"1,845.48",percent of total billed charges ,"1,845.48",percent of total billed charges ,"1,713.66",percent of total billed charges ,"1,713.66",percent of total billed charges ,"1,757.60",percent of total billed charges ,"1,757.60",percent of total billed charges ,"1,537.90",percent of total billed charges ,"1,537.90",percent of total billed charges ,"1,318.20",percent of total billed charges ,"1,318.20",percent of total billed charges ,"1,318.20",percent of total billed charges ,"1,318.20",percent of total billed charges ,,,,,"1,168.80",percent of total billed charges ,,,,,"1,110.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,
**ANESTHESIA SET UP,LOCAL,LOCAL,,,,both,,,885,885,247.8,885,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,654.9,percent of total billed charges,654.9,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,,,637.2,percent of total billed charges ,,,708,percent of total billed charges ,743.4,percent of total billed charges ,743.4,percent of total billed charges ,690.3,percent of total billed charges ,690.3,percent of total billed charges ,708,percent of total billed charges ,708,percent of total billed charges ,619.5,percent of total billed charges ,619.5,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,,,,,470.82,percent of total billed charges ,,,,,447.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,
BLOOD WARMER,LOCAL,LOCAL,,,,both,,,444,444,124.32,444,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,319.68,percent of total billed charges,328.56,percent of total billed charges,328.56,percent of total billed charges,355.2,percent of total billed charges,355.2,percent of total billed charges,,,319.68,percent of total billed charges ,,,355.2,percent of total billed charges ,372.96,percent of total billed charges ,372.96,percent of total billed charges ,346.32,percent of total billed charges ,346.32,percent of total billed charges ,355.2,percent of total billed charges ,355.2,percent of total billed charges ,310.8,percent of total billed charges ,310.8,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,266.4,percent of total billed charges ,,,,,236.21,percent of total billed charges ,,,,,224.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,,,124.32,percent of total billed charges,
**BIER BLOCK-DISP SUPPLIES,LOCAL,LOCAL,,,,both,,,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
SPINAL TRAY-DISP,LOCAL,LOCAL,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
DINMAP,LOCAL,LOCAL,,,,both,,,79,79,22.12,79,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,63.2,percent of total billed charges,63.2,percent of total billed charges,,,56.88,percent of total billed charges ,,,63.2,percent of total billed charges ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,,,,,42.03,percent of total billed charges ,,,,,39.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,
MIDLINE CATHETER TRAY,LOCAL,LOCAL,,,,both,,,"1,024.00","1,024.00",286.72,"1,024.00","1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,"1,024.00",percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,737.28,percent of total billed charges,757.76,percent of total billed charges,757.76,percent of total billed charges,819.2,percent of total billed charges,819.2,percent of total billed charges,,,737.28,percent of total billed charges ,,,819.2,percent of total billed charges ,860.16,percent of total billed charges ,860.16,percent of total billed charges ,798.72,percent of total billed charges ,798.72,percent of total billed charges ,819.2,percent of total billed charges ,819.2,percent of total billed charges ,716.8,percent of total billed charges ,716.8,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,,,,,544.77,percent of total billed charges ,,,,,517.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,,,286.72,percent of total billed charges,
MIDLINE CATHETER 18GX10CM,LOCAL,LOCAL,,,,both,,,728,728,203.84,728,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,728,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,524.16,percent of total billed charges,538.72,percent of total billed charges,538.72,percent of total billed charges,582.4,percent of total billed charges,582.4,percent of total billed charges,,,524.16,percent of total billed charges ,,,582.4,percent of total billed charges ,611.52,percent of total billed charges ,611.52,percent of total billed charges ,567.84,percent of total billed charges ,567.84,percent of total billed charges ,582.4,percent of total billed charges ,582.4,percent of total billed charges ,509.6,percent of total billed charges ,509.6,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,,,,,387.3,percent of total billed charges ,,,,,367.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,,,203.84,percent of total billed charges,
BARD PROVENA MIDLINE CATH REF S4153108GP,LOCAL,LOCAL,,,,both,,,"1,418.00","1,418.00",397.04,"1,418.00","1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,418.00",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,020.96",percent of total billed charges,"1,049.32",percent of total billed charges,"1,049.32",percent of total billed charges,"1,134.40",percent of total billed charges,"1,134.40",percent of total billed charges,,,"1,020.96",percent of total billed charges ,,,"1,134.40",percent of total billed charges ,"1,191.12",percent of total billed charges ,"1,191.12",percent of total billed charges ,"1,106.04",percent of total billed charges ,"1,106.04",percent of total billed charges ,"1,134.40",percent of total billed charges ,"1,134.40",percent of total billed charges ,992.6,percent of total billed charges ,992.6,percent of total billed charges ,850.8,percent of total billed charges ,850.8,percent of total billed charges ,850.8,percent of total billed charges ,850.8,percent of total billed charges ,,,,,754.38,percent of total billed charges ,,,,,716.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,,,397.04,percent of total billed charges,
**GLIDE SCOPE,LOCAL,LOCAL,,,,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
MIDLINE CATHETER,LOCAL,LOCAL,,,,both,,,595,595,166.6,595,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,595,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,428.4,percent of total billed charges,440.3,percent of total billed charges,440.3,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,,,428.4,percent of total billed charges ,,,476,percent of total billed charges ,499.8,percent of total billed charges ,499.8,percent of total billed charges ,464.1,percent of total billed charges ,464.1,percent of total billed charges ,476,percent of total billed charges ,476,percent of total billed charges ,416.5,percent of total billed charges ,416.5,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,357,percent of total billed charges ,,,,,316.54,percent of total billed charges ,,,,,300.71,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,,,166.6,percent of total billed charges,
**5% DEX IN D/W 500CC,LOCAL,LOCAL,,,,both,,,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
5% DEX IN D/W 1000CC,LOCAL,LOCAL,,,,both,,,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
BLOOD TUBING-DISP,LOCAL,LOCAL,,,,both,,,219,219,61.32,219,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,162.06,percent of total billed charges,162.06,percent of total billed charges,175.2,percent of total billed charges,175.2,percent of total billed charges,,,157.68,percent of total billed charges ,,,175.2,percent of total billed charges ,183.96,percent of total billed charges ,183.96,percent of total billed charges ,170.82,percent of total billed charges ,170.82,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,153.3,percent of total billed charges ,153.3,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,,,,,116.51,percent of total billed charges ,,,,,110.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,
**WARMING SET-DISP,LOCAL,LOCAL,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
**BULB SYRINGE-DISP,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
CVP LINE-DISP,LOCAL,LOCAL,,,,both,,,110,110,30.8,110,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,81.4,percent of total billed charges,81.4,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,,,79.2,percent of total billed charges ,,,88,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,88,percent of total billed charges ,88,percent of total billed charges ,77,percent of total billed charges ,77,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,,,,,58.52,percent of total billed charges ,,,,,55.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,
DEFIBRILLATOR,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
BREATHING CIRCUIT-DISP,LOCAL,LOCAL,,,,both,,,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
**EKG MONITOR,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
**RINGERS LAC 1000CC,LOCAL,LOCAL,,,,both,,,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
ENDOTRACHEAL TUBE-DISP,LOCAL,LOCAL,,,,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
**END TITLE CO2 MONITOR,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
DISP ESO STETHOSCOPE,LOCAL,LOCAL,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
**VENOSETS-DISP,LOCAL,LOCAL,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
LEVINE-DISP,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
L M A DISPOSABLE,LOCAL,LOCAL,,,,both,,,345,345,96.6,345,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,345,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,248.4,percent of total billed charges,255.3,percent of total billed charges,255.3,percent of total billed charges,276,percent of total billed charges,276,percent of total billed charges,,,248.4,percent of total billed charges ,,,276,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,269.1,percent of total billed charges ,269.1,percent of total billed charges ,276,percent of total billed charges ,276,percent of total billed charges ,241.5,percent of total billed charges ,241.5,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,207,percent of total billed charges ,,,,,183.54,percent of total billed charges ,,,,,174.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,,,96.6,percent of total billed charges,
L T A KIT-DISP,LOCAL,LOCAL,,,,both,,,79,79,22.12,79,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,79,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,56.88,percent of total billed charges,58.46,percent of total billed charges,58.46,percent of total billed charges,63.2,percent of total billed charges,63.2,percent of total billed charges,,,56.88,percent of total billed charges ,,,63.2,percent of total billed charges ,66.36,percent of total billed charges ,66.36,percent of total billed charges ,61.62,percent of total billed charges ,61.62,percent of total billed charges ,63.2,percent of total billed charges ,63.2,percent of total billed charges ,55.3,percent of total billed charges ,55.3,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,47.4,percent of total billed charges ,,,,,42.03,percent of total billed charges ,,,,,39.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,,,22.12,percent of total billed charges,
TWITCHVIEW ELECTRODE,LOCAL,LOCAL,,,,both,,,265,265,74.2,265,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,265,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,190.8,percent of total billed charges,196.1,percent of total billed charges,196.1,percent of total billed charges,212,percent of total billed charges,212,percent of total billed charges,,,190.8,percent of total billed charges ,,,212,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,206.7,percent of total billed charges ,206.7,percent of total billed charges ,212,percent of total billed charges ,212,percent of total billed charges ,185.5,percent of total billed charges ,185.5,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,159,percent of total billed charges ,,,,,140.98,percent of total billed charges ,,,,,133.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,,,74.2,percent of total billed charges,
**OPTI GARD-DISP,LOCAL,LOCAL,,,,both,,,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
5% DEX IN R/L 1000CC,LOCAL,LOCAL,,,,both,,,144,144,40.32,144,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,103.68,percent of total billed charges,106.56,percent of total billed charges,106.56,percent of total billed charges,115.2,percent of total billed charges,115.2,percent of total billed charges,,,103.68,percent of total billed charges ,,,115.2,percent of total billed charges ,120.96,percent of total billed charges ,120.96,percent of total billed charges ,112.32,percent of total billed charges ,112.32,percent of total billed charges ,115.2,percent of total billed charges ,115.2,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,86.4,percent of total billed charges ,,,,,76.61,percent of total billed charges ,,,,,72.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,,,40.32,percent of total billed charges,
**NORMAL SALINE 250CC,LOCAL,LOCAL,,,,both,,,123,123,34.44,123,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,123,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,88.56,percent of total billed charges,91.02,percent of total billed charges,91.02,percent of total billed charges,98.4,percent of total billed charges,98.4,percent of total billed charges,,,88.56,percent of total billed charges ,,,98.4,percent of total billed charges ,103.32,percent of total billed charges ,103.32,percent of total billed charges ,95.94,percent of total billed charges ,95.94,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,86.1,percent of total billed charges ,86.1,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,73.8,percent of total billed charges ,,,,,65.44,percent of total billed charges ,,,,,62.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,,,34.44,percent of total billed charges,
**EPIDURAL PUMP,LOCAL,LOCAL,,,,both,,,401,401,112.28,401,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,401,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,288.72,percent of total billed charges,296.74,percent of total billed charges,296.74,percent of total billed charges,320.8,percent of total billed charges,320.8,percent of total billed charges,,,288.72,percent of total billed charges ,,,320.8,percent of total billed charges ,336.84,percent of total billed charges ,336.84,percent of total billed charges ,312.78,percent of total billed charges ,312.78,percent of total billed charges ,320.8,percent of total billed charges ,320.8,percent of total billed charges ,280.7,percent of total billed charges ,280.7,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,240.6,percent of total billed charges ,,,,,213.33,percent of total billed charges ,,,,,202.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,,,112.28,percent of total billed charges,
**NORMAL SALINE 500CC,LOCAL,LOCAL,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
**NORM R 1000CC,LOCAL,LOCAL,,,,both,,,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
**VENTILATOR,LOCAL,LOCAL,,,,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
**NERVE STIMULATOR,LOCAL,LOCAL,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
**OXIMETER,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
**INHALATION,LOCAL,LOCAL,,,,both,,,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
EPIDURAL SINGLE SHOT TRAY DISPOSABLE,LOCAL,LOCAL,,,,both,,,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
EPIDURAL CONTINOUS TRAY-DISP,LOCAL,LOCAL,,,,both,,,287,287,80.36,287,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,212.38,percent of total billed charges,212.38,percent of total billed charges,229.6,percent of total billed charges,229.6,percent of total billed charges,,,206.64,percent of total billed charges ,,,229.6,percent of total billed charges ,241.08,percent of total billed charges ,241.08,percent of total billed charges ,223.86,percent of total billed charges ,223.86,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,200.9,percent of total billed charges ,200.9,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,,,,,152.68,percent of total billed charges ,,,,,145.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,
MIDLINE INSERTION,36573,CDM,,,,both,,,"3,123.00","3,123.00",874.44,"3,123.00","3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,311.02",percent of total billed charges,"2,311.02",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,,,"2,248.56",percent of total billed charges ,,,"2,498.40",percent of total billed charges ,"2,623.32",percent of total billed charges ,"2,623.32",percent of total billed charges ,"2,435.94",percent of total billed charges ,"2,435.94",percent of total billed charges ,"2,498.40",percent of total billed charges ,"2,498.40",percent of total billed charges ,"2,186.10",percent of total billed charges ,"2,186.10",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,,,,,"1,661.44",percent of total billed charges ,,,,,"1,578.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,
PIC INSERT W/O SUB PORT OR PUMP,36573,CDM,,,,both,,,"3,123.00","3,123.00",874.44,"3,123.00","3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"3,123.00",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,248.56",percent of total billed charges,"2,311.02",percent of total billed charges,"2,311.02",percent of total billed charges,"2,498.40",percent of total billed charges,"2,498.40",percent of total billed charges,,,"2,248.56",percent of total billed charges ,,,"2,498.40",percent of total billed charges ,"2,623.32",percent of total billed charges ,"2,623.32",percent of total billed charges ,"2,435.94",percent of total billed charges ,"2,435.94",percent of total billed charges ,"2,498.40",percent of total billed charges ,"2,498.40",percent of total billed charges ,"2,186.10",percent of total billed charges ,"2,186.10",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,"1,873.80",percent of total billed charges ,,,,,"1,661.44",percent of total billed charges ,,,,,"1,578.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,,,874.44,percent of total billed charges,
PIC INSERT DISCONT AFTER ANES,36569,CDM,,,74,both,,,"3,599.00","3,599.00","1,007.72","3,599.00","3,599.00",percent of total billed charges,"3,599.00",percent of total billed charges,"3,599.00",percent of total billed charges,"3,599.00",percent of total billed charges,"3,599.00",percent of total billed charges,"3,599.00",percent of total billed charges,"3,599.00",percent of total billed charges,"3,599.00",percent of total billed charges,"2,591.28",percent of total billed charges,"2,591.28",percent of total billed charges,"2,591.28",percent of total billed charges,"2,591.28",percent of total billed charges,"2,591.28",percent of total billed charges,"2,591.28",percent of total billed charges,"2,663.26",percent of total billed charges,"2,663.26",percent of total billed charges,"2,879.20",percent of total billed charges,"2,879.20",percent of total billed charges,,,"2,591.28",percent of total billed charges ,,,"2,879.20",percent of total billed charges ,"3,023.16",percent of total billed charges ,"3,023.16",percent of total billed charges ,"2,807.22",percent of total billed charges ,"2,807.22",percent of total billed charges ,"2,879.20",percent of total billed charges ,"2,879.20",percent of total billed charges ,"2,519.30",percent of total billed charges ,"2,519.30",percent of total billed charges ,"2,159.40",percent of total billed charges ,"2,159.40",percent of total billed charges ,"2,159.40",percent of total billed charges ,"2,159.40",percent of total billed charges ,,,,,"1,914.67",percent of total billed charges ,,,,,"1,818.93",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,,,"1,007.72",percent of total billed charges,
**INTERNAL JUGUEN TRAY-DISP,LOCAL,LOCAL,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
"**VENIPUNCTURE, AGE 3+",36410,CDM,,,,both,,,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
ART CATH,LOCAL,LOCAL,,,,both,,,60,60,16.8,60,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,44.4,percent of total billed charges,44.4,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,,,43.2,percent of total billed charges ,,,48,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,,,,,31.92,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,
CVP CATH,LOCAL,LOCAL,,,,both,,,240,240,67.2,240,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,240,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,172.8,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,192,percent of total billed charges,192,percent of total billed charges,,,172.8,percent of total billed charges ,,,192,percent of total billed charges ,201.6,percent of total billed charges ,201.6,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,192,percent of total billed charges ,192,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,,,,,127.68,percent of total billed charges ,,,,,121.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,,,67.2,percent of total billed charges,
ART LINE,LOCAL,LOCAL,,,,both,,,287,287,80.36,287,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,212.38,percent of total billed charges,212.38,percent of total billed charges,229.6,percent of total billed charges,229.6,percent of total billed charges,,,206.64,percent of total billed charges ,,,229.6,percent of total billed charges ,241.08,percent of total billed charges ,241.08,percent of total billed charges ,223.86,percent of total billed charges ,223.86,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,200.9,percent of total billed charges ,200.9,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,,,,,152.68,percent of total billed charges ,,,,,145.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,
**TRANSFER MONITORING PACK - 4 HOURS,LOCAL,LOCAL,,,,both,,,"1,140.00","1,140.00",319.2,"1,140.00","1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,"1,140.00",percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,820.8,percent of total billed charges,843.6,percent of total billed charges,843.6,percent of total billed charges,912,percent of total billed charges,912,percent of total billed charges,,,820.8,percent of total billed charges ,,,912,percent of total billed charges ,957.6,percent of total billed charges ,957.6,percent of total billed charges ,889.2,percent of total billed charges ,889.2,percent of total billed charges ,912,percent of total billed charges ,912,percent of total billed charges ,798,percent of total billed charges ,798,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,684,percent of total billed charges ,,,,,606.48,percent of total billed charges ,,,,,576.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,,,319.2,percent of total billed charges,
**5% DEX IN R/L 500CC,LOCAL,LOCAL,,,,both,,,139,139,38.92,139,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,139,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,100.08,percent of total billed charges,102.86,percent of total billed charges,102.86,percent of total billed charges,111.2,percent of total billed charges,111.2,percent of total billed charges,,,100.08,percent of total billed charges ,,,111.2,percent of total billed charges ,116.76,percent of total billed charges ,116.76,percent of total billed charges ,108.42,percent of total billed charges ,108.42,percent of total billed charges ,111.2,percent of total billed charges ,111.2,percent of total billed charges ,97.3,percent of total billed charges ,97.3,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,83.4,percent of total billed charges ,,,,,73.95,percent of total billed charges ,,,,,70.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,,,38.92,percent of total billed charges,
INTUB BLADE & HANDLE,LOCAL,LOCAL,,,,both,,,176,176,49.28,176,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,176,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,126.72,percent of total billed charges,130.24,percent of total billed charges,130.24,percent of total billed charges,140.8,percent of total billed charges,140.8,percent of total billed charges,,,126.72,percent of total billed charges ,,,140.8,percent of total billed charges ,147.84,percent of total billed charges ,147.84,percent of total billed charges ,137.28,percent of total billed charges ,137.28,percent of total billed charges ,140.8,percent of total billed charges ,140.8,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,105.6,percent of total billed charges ,,,,,93.63,percent of total billed charges ,,,,,88.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,,,49.28,percent of total billed charges,
BFLEX 5.0 0570-0375 VERATHON,LOCAL,LOCAL,,,,both,,,"2,478.00","2,478.00",693.84,"2,478.00","2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"2,478.00",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,784.16",percent of total billed charges,"1,833.72",percent of total billed charges,"1,833.72",percent of total billed charges,"1,982.40",percent of total billed charges,"1,982.40",percent of total billed charges,,,"1,784.16",percent of total billed charges ,,,"1,982.40",percent of total billed charges ,"2,081.52",percent of total billed charges ,"2,081.52",percent of total billed charges ,"1,932.84",percent of total billed charges ,"1,932.84",percent of total billed charges ,"1,982.40",percent of total billed charges ,"1,982.40",percent of total billed charges ,"1,734.60",percent of total billed charges ,"1,734.60",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,486.80",percent of total billed charges ,"1,486.80",percent of total billed charges ,,,,,"1,318.30",percent of total billed charges ,,,,,"1,252.38",percent of total billed charges ,,,,,,,,,,,,,,,,,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,,,693.84,percent of total billed charges,
0570-0396 B FLEX 3.8 GLIDESCOPE DISP BRN,LOCAL,LOCAL,,,,both,,,"2,418.00","2,418.00",677.04,"2,418.00","2,418.00",percent of total billed charges,"2,418.00",percent of total billed charges,"2,418.00",percent of total billed charges,"2,418.00",percent of total billed charges,"2,418.00",percent of total billed charges,"2,418.00",percent of total billed charges,"2,418.00",percent of total billed charges,"2,418.00",percent of total billed charges,"1,740.96",percent of total billed charges,"1,740.96",percent of total billed charges,"1,740.96",percent of total billed charges,"1,740.96",percent of total billed charges,"1,740.96",percent of total billed charges,"1,740.96",percent of total billed charges,"1,789.32",percent of total billed charges,"1,789.32",percent of total billed charges,"1,934.40",percent of total billed charges,"1,934.40",percent of total billed charges,,,"1,740.96",percent of total billed charges ,,,"1,934.40",percent of total billed charges ,"2,031.12",percent of total billed charges ,"2,031.12",percent of total billed charges ,"1,886.04",percent of total billed charges ,"1,886.04",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,934.40",percent of total billed charges ,"1,692.60",percent of total billed charges ,"1,692.60",percent of total billed charges ,"1,450.80",percent of total billed charges ,"1,450.80",percent of total billed charges ,"1,450.80",percent of total billed charges ,"1,450.80",percent of total billed charges ,,,,,"1,286.38",percent of total billed charges ,,,,,"1,222.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,,,677.04,percent of total billed charges,
0570-0397 B FLEX 5.8 GLIDESCOPE DISP BR,LOCAL,LOCAL,,,,both,,,"2,788.00","2,788.00",780.64,"2,788.00","2,788.00",percent of total billed charges,"2,788.00",percent of total billed charges,"2,788.00",percent of total billed charges,"2,788.00",percent of total billed charges,"2,788.00",percent of total billed charges,"2,788.00",percent of total billed charges,"2,788.00",percent of total billed charges,"2,788.00",percent of total billed charges,"2,007.36",percent of total billed charges,"2,007.36",percent of total billed charges,"2,007.36",percent of total billed charges,"2,007.36",percent of total billed charges,"2,007.36",percent of total billed charges,"2,007.36",percent of total billed charges,"2,063.12",percent of total billed charges,"2,063.12",percent of total billed charges,"2,230.40",percent of total billed charges,"2,230.40",percent of total billed charges,,,"2,007.36",percent of total billed charges ,,,"2,230.40",percent of total billed charges ,"2,341.92",percent of total billed charges ,"2,341.92",percent of total billed charges ,"2,174.64",percent of total billed charges ,"2,174.64",percent of total billed charges ,"2,230.40",percent of total billed charges ,"2,230.40",percent of total billed charges ,"1,951.60",percent of total billed charges ,"1,951.60",percent of total billed charges ,"1,672.80",percent of total billed charges ,"1,672.80",percent of total billed charges ,"1,672.80",percent of total billed charges ,"1,672.80",percent of total billed charges ,,,,,"1,483.22",percent of total billed charges ,,,,,"1,409.06",percent of total billed charges ,,,,,,,,,,,,,,,,,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,,,780.64,percent of total billed charges,
HIGH FLOW OXYGEN PER DAY,LOCAL,LOCAL,,,,both,,,885,885,247.8,885,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,885,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,637.2,percent of total billed charges,654.9,percent of total billed charges,654.9,percent of total billed charges,708,percent of total billed charges,708,percent of total billed charges,,,637.2,percent of total billed charges ,,,708,percent of total billed charges ,743.4,percent of total billed charges ,743.4,percent of total billed charges ,690.3,percent of total billed charges ,690.3,percent of total billed charges ,708,percent of total billed charges ,708,percent of total billed charges ,619.5,percent of total billed charges ,619.5,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,531,percent of total billed charges ,,,,,470.82,percent of total billed charges ,,,,,447.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,,,247.8,percent of total billed charges,
**POLSOMNOGRAPHY 1-3 ADD PARAMETERS,95808,CDM,,,,both,,,"3,442.00","3,442.00",963.76,"3,442.00","3,442.00",percent of total billed charges,"3,442.00",percent of total billed charges,"3,442.00",percent of total billed charges,"3,442.00",percent of total billed charges,"3,442.00",percent of total billed charges,"3,442.00",percent of total billed charges,"3,442.00",percent of total billed charges,"3,442.00",percent of total billed charges,"2,478.24",percent of total billed charges,"2,478.24",percent of total billed charges,"2,478.24",percent of total billed charges,"2,478.24",percent of total billed charges,"2,478.24",percent of total billed charges,"2,478.24",percent of total billed charges,"2,547.08",percent of total billed charges,"2,547.08",percent of total billed charges,"2,753.60",percent of total billed charges,"2,753.60",percent of total billed charges,,,"2,478.24",percent of total billed charges ,,,"2,753.60",percent of total billed charges ,"2,891.28",percent of total billed charges ,"2,891.28",percent of total billed charges ,"2,684.76",percent of total billed charges ,"2,684.76",percent of total billed charges ,"2,753.60",percent of total billed charges ,"2,753.60",percent of total billed charges ,"2,409.40",percent of total billed charges ,"2,409.40",percent of total billed charges ,"2,065.20",percent of total billed charges ,"2,065.20",percent of total billed charges ,"2,065.20",percent of total billed charges ,"2,065.20",percent of total billed charges ,,,,,"1,831.14",percent of total billed charges ,,,,,"1,739.59",percent of total billed charges ,,,,,,,,,,,,,,,,,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,,,963.76,percent of total billed charges,
**AQUA PAK,LOCAL,LOCAL,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
**NITROGEN WASH,94350,CDM,,,,both,,,334,334,93.52,334,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,334,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,240.48,percent of total billed charges,247.16,percent of total billed charges,247.16,percent of total billed charges,267.2,percent of total billed charges,267.2,percent of total billed charges,,,240.48,percent of total billed charges ,,,267.2,percent of total billed charges ,280.56,percent of total billed charges ,280.56,percent of total billed charges ,260.52,percent of total billed charges ,260.52,percent of total billed charges ,267.2,percent of total billed charges ,267.2,percent of total billed charges ,233.8,percent of total billed charges ,233.8,percent of total billed charges ,200.4,percent of total billed charges ,200.4,percent of total billed charges ,200.4,percent of total billed charges ,200.4,percent of total billed charges ,,,,,177.69,percent of total billed charges ,,,,,168.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,,,93.52,percent of total billed charges,
**TRANSFER W/ RT ASSISTANCE,94799,CDM,,,,both,,,572,572,160.16,572,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,572,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,411.84,percent of total billed charges,423.28,percent of total billed charges,423.28,percent of total billed charges,457.6,percent of total billed charges,457.6,percent of total billed charges,,,411.84,percent of total billed charges ,,,457.6,percent of total billed charges ,480.48,percent of total billed charges ,480.48,percent of total billed charges ,446.16,percent of total billed charges ,446.16,percent of total billed charges ,457.6,percent of total billed charges ,457.6,percent of total billed charges ,400.4,percent of total billed charges ,400.4,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,343.2,percent of total billed charges ,,,,,304.3,percent of total billed charges ,,,,,289.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,,,160.16,percent of total billed charges,
AEROCHAMBER,LOCAL,LOCAL,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
O2 THERAPY,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
NASAL AIRWAY,LOCAL,LOCAL,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
**02 TRANSPORT,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
OXIMETRY,94760,CDM,,,,both,,,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
PMR BAG DISPOSABLE,LOCAL,LOCAL,,,,both,,,268,268,75.04,268,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,268,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,192.96,percent of total billed charges,198.32,percent of total billed charges,198.32,percent of total billed charges,214.4,percent of total billed charges,214.4,percent of total billed charges,,,192.96,percent of total billed charges ,,,214.4,percent of total billed charges ,225.12,percent of total billed charges ,225.12,percent of total billed charges ,209.04,percent of total billed charges ,209.04,percent of total billed charges ,214.4,percent of total billed charges ,214.4,percent of total billed charges ,187.6,percent of total billed charges ,187.6,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,,,,,142.58,percent of total billed charges ,,,,,135.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,,,75.04,percent of total billed charges,
RADIAL JAW BIOPSY FORCEPS-DISP,LOCAL,LOCAL,,,,both,,,293,293,82.04,293,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,216.82,percent of total billed charges,216.82,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,210.96,percent of total billed charges ,,,234.4,percent of total billed charges ,246.12,percent of total billed charges ,246.12,percent of total billed charges ,228.54,percent of total billed charges ,228.54,percent of total billed charges ,234.4,percent of total billed charges ,234.4,percent of total billed charges ,205.1,percent of total billed charges ,205.1,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,,,,,155.88,percent of total billed charges ,,,,,148.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,
TRANS BRONCHIAL BIOPSY FORCEPS-DISP,LOCAL,LOCAL,,,,both,,,293,293,82.04,293,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,216.82,percent of total billed charges,216.82,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,210.96,percent of total billed charges ,,,234.4,percent of total billed charges ,246.12,percent of total billed charges ,246.12,percent of total billed charges ,228.54,percent of total billed charges ,228.54,percent of total billed charges ,234.4,percent of total billed charges ,234.4,percent of total billed charges ,205.1,percent of total billed charges ,205.1,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,,,,,155.88,percent of total billed charges ,,,,,148.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,
**CYTOLOGY BRUSH FOR BRONCH,LOCAL,LOCAL,,,,both,,,63,63,17.64,63,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,46.62,percent of total billed charges,46.62,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,,,45.36,percent of total billed charges ,,,50.4,percent of total billed charges ,52.92,percent of total billed charges ,52.92,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,44.1,percent of total billed charges ,44.1,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,,,,,33.52,percent of total billed charges ,,,,,31.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,
O2 EVALUATION,94760,CDM,,,,both,,,133,133,37.24,133,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,133,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,95.76,percent of total billed charges,98.42,percent of total billed charges,98.42,percent of total billed charges,106.4,percent of total billed charges,106.4,percent of total billed charges,,,95.76,percent of total billed charges ,,,106.4,percent of total billed charges ,111.72,percent of total billed charges ,111.72,percent of total billed charges ,103.74,percent of total billed charges ,103.74,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,93.1,percent of total billed charges ,93.1,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,79.8,percent of total billed charges ,,,,,70.76,percent of total billed charges ,,,,,67.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,,,37.24,percent of total billed charges,
NEB INITIAL,94640,CDM,,,,both,,,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
NEB SUBSEQUENT,94640,CDM,,,76,both,,,261,261,73.08,261,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,261,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,187.92,percent of total billed charges,193.14,percent of total billed charges,193.14,percent of total billed charges,208.8,percent of total billed charges,208.8,percent of total billed charges,,,187.92,percent of total billed charges ,,,208.8,percent of total billed charges ,219.24,percent of total billed charges ,219.24,percent of total billed charges ,203.58,percent of total billed charges ,203.58,percent of total billed charges ,208.8,percent of total billed charges ,208.8,percent of total billed charges ,182.7,percent of total billed charges ,182.7,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,156.6,percent of total billed charges ,,,,,138.85,percent of total billed charges ,,,,,131.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,,,73.08,percent of total billed charges,
**JETNEB ALTERNATE,94640,CDM,,,,both,,,53,53,14.84,53,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,53,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,38.16,percent of total billed charges,39.22,percent of total billed charges,39.22,percent of total billed charges,42.4,percent of total billed charges,42.4,percent of total billed charges,,,38.16,percent of total billed charges ,,,42.4,percent of total billed charges ,44.52,percent of total billed charges ,44.52,percent of total billed charges ,41.34,percent of total billed charges ,41.34,percent of total billed charges ,42.4,percent of total billed charges ,42.4,percent of total billed charges ,37.1,percent of total billed charges ,37.1,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,31.8,percent of total billed charges ,,,,,28.2,percent of total billed charges ,,,,,26.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,,,14.84,percent of total billed charges,
**JETNEB SUBSEQUENT,94640,CDM,,,,both,,,65,65,18.2,65,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,48.1,percent of total billed charges,48.1,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,,,46.8,percent of total billed charges ,,,52,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,50.7,percent of total billed charges ,50.7,percent of total billed charges ,52,percent of total billed charges ,52,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,,,,,34.58,percent of total billed charges ,,,,,32.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,
**INTUBATION BY R T,31500,CDM,,,,both,,,505,505,141.4,505,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,505,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,363.6,percent of total billed charges,373.7,percent of total billed charges,373.7,percent of total billed charges,404,percent of total billed charges,404,percent of total billed charges,,,363.6,percent of total billed charges ,,,404,percent of total billed charges ,424.2,percent of total billed charges ,424.2,percent of total billed charges ,393.9,percent of total billed charges ,393.9,percent of total billed charges ,404,percent of total billed charges ,404,percent of total billed charges ,353.5,percent of total billed charges ,353.5,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,303,percent of total billed charges ,,,,,268.66,percent of total billed charges ,,,,,255.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,,,141.4,percent of total billed charges,
**WALK EXER WITH 02,94799,CDM,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
**ULTRA NEB,94664,CDM,,,,both,,,71,71,19.88,71,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,71,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,51.12,percent of total billed charges,52.54,percent of total billed charges,52.54,percent of total billed charges,56.8,percent of total billed charges,56.8,percent of total billed charges,,,51.12,percent of total billed charges ,,,56.8,percent of total billed charges ,59.64,percent of total billed charges ,59.64,percent of total billed charges ,55.38,percent of total billed charges ,55.38,percent of total billed charges ,56.8,percent of total billed charges ,56.8,percent of total billed charges ,49.7,percent of total billed charges ,49.7,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,42.6,percent of total billed charges ,,,,,37.77,percent of total billed charges ,,,,,35.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,,,19.88,percent of total billed charges,
CHEST PERCUSSION-SUBSEQUENT,94668,CDM,,,,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
OXIMETRY-PROBE DISP,LOCAL,LOCAL,,,,both,,,153,153,42.84,153,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,153,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,110.16,percent of total billed charges,113.22,percent of total billed charges,113.22,percent of total billed charges,122.4,percent of total billed charges,122.4,percent of total billed charges,,,110.16,percent of total billed charges ,,,122.4,percent of total billed charges ,128.52,percent of total billed charges ,128.52,percent of total billed charges ,119.34,percent of total billed charges ,119.34,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,107.1,percent of total billed charges ,107.1,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,91.8,percent of total billed charges ,,,,,81.4,percent of total billed charges ,,,,,77.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,,,42.84,percent of total billed charges,
OXIMETRY CONTINUOUS OVERNIGHT (IP),94762,CDM,,,,both,,,358,358,100.24,358,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,358,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,257.76,percent of total billed charges,264.92,percent of total billed charges,264.92,percent of total billed charges,286.4,percent of total billed charges,286.4,percent of total billed charges,,,257.76,percent of total billed charges ,,,286.4,percent of total billed charges ,300.72,percent of total billed charges ,300.72,percent of total billed charges ,279.24,percent of total billed charges ,279.24,percent of total billed charges ,286.4,percent of total billed charges ,286.4,percent of total billed charges ,250.6,percent of total billed charges ,250.6,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,214.8,percent of total billed charges ,,,,,190.46,percent of total billed charges ,,,,,180.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,,,100.24,percent of total billed charges,
OXIMETRY-MULTIPLE DETERMINATIONS,94761,CDM,,,,both,,,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
**PEAK FLOWMETER,LOCAL,LOCAL,,,,both,,,182,182,50.96,182,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,182,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,131.04,percent of total billed charges,134.68,percent of total billed charges,134.68,percent of total billed charges,145.6,percent of total billed charges,145.6,percent of total billed charges,,,131.04,percent of total billed charges ,,,145.6,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,145.6,percent of total billed charges ,145.6,percent of total billed charges ,127.4,percent of total billed charges ,127.4,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,,,,,96.82,percent of total billed charges ,,,,,91.98,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,,,50.96,percent of total billed charges,
**PEAK FLOW,LOCAL,LOCAL,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
TRI FLOW-DISP,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**JETNEB SETUP,94799,CDM,,,,both,,,44,44,12.32,44,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,44,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,31.68,percent of total billed charges,32.56,percent of total billed charges,32.56,percent of total billed charges,35.2,percent of total billed charges,35.2,percent of total billed charges,,,31.68,percent of total billed charges ,,,35.2,percent of total billed charges ,36.96,percent of total billed charges ,36.96,percent of total billed charges ,34.32,percent of total billed charges ,34.32,percent of total billed charges ,35.2,percent of total billed charges ,35.2,percent of total billed charges ,30.8,percent of total billed charges ,30.8,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,,,,,23.41,percent of total billed charges ,,,,,22.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,,,12.32,percent of total billed charges,
OXYGEN TENT-DISP-MIST/HOURLY,LOCAL,LOCAL,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
"VENT MGMT INPT/OBSERV,INIT DAY",94002,CDM,,,,both,,,"2,496.00","2,496.00",698.88,"2,496.00","2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,"2,496.00",percent of total billed charges,"1,797.12",percent of total billed charges,"1,797.12",percent of total billed charges,"1,797.12",percent of total billed charges,"1,797.12",percent of total billed charges,"1,797.12",percent of total billed charges,"1,797.12",percent of total billed charges,"1,847.04",percent of total billed charges,"1,847.04",percent of total billed charges,"1,996.80",percent of total billed charges,"1,996.80",percent of total billed charges,,,"1,797.12",percent of total billed charges ,,,"1,996.80",percent of total billed charges ,"2,096.64",percent of total billed charges ,"2,096.64",percent of total billed charges ,"1,946.88",percent of total billed charges ,"1,946.88",percent of total billed charges ,"1,996.80",percent of total billed charges ,"1,996.80",percent of total billed charges ,"1,747.20",percent of total billed charges ,"1,747.20",percent of total billed charges ,"1,497.60",percent of total billed charges ,"1,497.60",percent of total billed charges ,"1,497.60",percent of total billed charges ,"1,497.60",percent of total billed charges ,,,,,"1,327.87",percent of total billed charges ,,,,,"1,261.48",percent of total billed charges ,,,,,,,,,,,,,,,,,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,,,698.88,percent of total billed charges,
VENT MGMT INPT/OPBV SUBSEQENT DAYS,94003,CDM,,,,both,,,"1,728.00","1,728.00",483.84,"1,728.00","1,728.00",percent of total billed charges,"1,728.00",percent of total billed charges,"1,728.00",percent of total billed charges,"1,728.00",percent of total billed charges,"1,728.00",percent of total billed charges,"1,728.00",percent of total billed charges,"1,728.00",percent of total billed charges,"1,728.00",percent of total billed charges,"1,244.16",percent of total billed charges,"1,244.16",percent of total billed charges,"1,244.16",percent of total billed charges,"1,244.16",percent of total billed charges,"1,244.16",percent of total billed charges,"1,244.16",percent of total billed charges,"1,278.72",percent of total billed charges,"1,278.72",percent of total billed charges,"1,382.40",percent of total billed charges,"1,382.40",percent of total billed charges,,,"1,244.16",percent of total billed charges ,,,"1,382.40",percent of total billed charges ,"1,451.52",percent of total billed charges ,"1,451.52",percent of total billed charges ,"1,347.84",percent of total billed charges ,"1,347.84",percent of total billed charges ,"1,382.40",percent of total billed charges ,"1,382.40",percent of total billed charges ,"1,209.60",percent of total billed charges ,"1,209.60",percent of total billed charges ,"1,036.80",percent of total billed charges ,"1,036.80",percent of total billed charges ,"1,036.80",percent of total billed charges ,"1,036.80",percent of total billed charges ,,,,,919.3,percent of total billed charges ,,,,,873.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,,,483.84,percent of total billed charges,
**VENT CIRCUIT SET-UP,LOCAL,LOCAL,,,,both,,,165,165,46.2,165,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,,,118.8,percent of total billed charges ,,,132,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,128.7,percent of total billed charges ,128.7,percent of total billed charges ,132,percent of total billed charges ,132,percent of total billed charges ,115.5,percent of total billed charges ,115.5,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,,,,,87.78,percent of total billed charges ,,,,,83.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,
**JETNEB SECOND MEDICATION,94640,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
CHEST PERCUSSION- INITIAL,94667,CDM,,,,both,,,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
CARDIOPULMONARY RESUSCITATION,92950,CDM,,,,both,,,"1,355.00","1,355.00",379.4,"1,355.00","1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,"1,355.00",percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,975.6,percent of total billed charges,"1,002.70",percent of total billed charges,"1,002.70",percent of total billed charges,"1,084.00",percent of total billed charges,"1,084.00",percent of total billed charges,,,975.6,percent of total billed charges ,,,"1,084.00",percent of total billed charges ,"1,138.20",percent of total billed charges ,"1,138.20",percent of total billed charges ,"1,056.90",percent of total billed charges ,"1,056.90",percent of total billed charges ,"1,084.00",percent of total billed charges ,"1,084.00",percent of total billed charges ,948.5,percent of total billed charges ,948.5,percent of total billed charges ,813,percent of total billed charges ,813,percent of total billed charges ,813,percent of total billed charges ,813,percent of total billed charges ,,,,,720.86,percent of total billed charges ,,,,,684.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,,,379.4,percent of total billed charges,
**RESPIRATORY RATE & TIDAL VOLUME,94799,CDM,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**CARDIOPULMONARY EXERCISE TEST-COMP,94621,CDM,,,,both,,,"2,247.00","2,247.00",629.16,"2,247.00","2,247.00",percent of total billed charges,"2,247.00",percent of total billed charges,"2,247.00",percent of total billed charges,"2,247.00",percent of total billed charges,"2,247.00",percent of total billed charges,"2,247.00",percent of total billed charges,"2,247.00",percent of total billed charges,"2,247.00",percent of total billed charges,"1,617.84",percent of total billed charges,"1,617.84",percent of total billed charges,"1,617.84",percent of total billed charges,"1,617.84",percent of total billed charges,"1,617.84",percent of total billed charges,"1,617.84",percent of total billed charges,"1,662.78",percent of total billed charges,"1,662.78",percent of total billed charges,"1,797.60",percent of total billed charges,"1,797.60",percent of total billed charges,,,"1,617.84",percent of total billed charges ,,,"1,797.60",percent of total billed charges ,"1,887.48",percent of total billed charges ,"1,887.48",percent of total billed charges ,"1,752.66",percent of total billed charges ,"1,752.66",percent of total billed charges ,"1,797.60",percent of total billed charges ,"1,797.60",percent of total billed charges ,"1,572.90",percent of total billed charges ,"1,572.90",percent of total billed charges ,"1,348.20",percent of total billed charges ,"1,348.20",percent of total billed charges ,"1,348.20",percent of total billed charges ,"1,348.20",percent of total billed charges ,,,,,"1,195.40",percent of total billed charges ,,,,,"1,135.63",percent of total billed charges ,,,,,,,,,,,,,,,,,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,,,629.16,percent of total billed charges,
**RESPIRATORY ASSISTANCE,94799,CDM,,,,both,,,287,287,80.36,287,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,287,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,206.64,percent of total billed charges,212.38,percent of total billed charges,212.38,percent of total billed charges,229.6,percent of total billed charges,229.6,percent of total billed charges,,,206.64,percent of total billed charges ,,,229.6,percent of total billed charges ,241.08,percent of total billed charges ,241.08,percent of total billed charges ,223.86,percent of total billed charges ,223.86,percent of total billed charges ,229.6,percent of total billed charges ,229.6,percent of total billed charges ,200.9,percent of total billed charges ,200.9,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,,,,,152.68,percent of total billed charges ,,,,,145.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,,,80.36,percent of total billed charges,
**FLOW VOLUME LOOPS W/O PRO FEE,94375,CDM,,,,both,,,542,542,151.76,542,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,542,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,390.24,percent of total billed charges,401.08,percent of total billed charges,401.08,percent of total billed charges,433.6,percent of total billed charges,433.6,percent of total billed charges,,,390.24,percent of total billed charges ,,,433.6,percent of total billed charges ,455.28,percent of total billed charges ,455.28,percent of total billed charges ,422.76,percent of total billed charges ,422.76,percent of total billed charges ,433.6,percent of total billed charges ,433.6,percent of total billed charges ,379.4,percent of total billed charges ,379.4,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,325.2,percent of total billed charges ,,,,,288.34,percent of total billed charges ,,,,,273.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,,,151.76,percent of total billed charges,
PLETHYSMOGRAPHY,94726,CDM,,,,both,,,585,585,163.8,585,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,585,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,421.2,percent of total billed charges,432.9,percent of total billed charges,432.9,percent of total billed charges,468,percent of total billed charges,468,percent of total billed charges,,,421.2,percent of total billed charges ,,,468,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,456.3,percent of total billed charges ,456.3,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,409.5,percent of total billed charges ,409.5,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,351,percent of total billed charges ,,,,,311.22,percent of total billed charges ,,,,,295.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,,,163.8,percent of total billed charges,
DIFFUSING CAPACITY,94729,CDM,,,,both,,,630,630,176.4,630,630,percent of total billed charges,630,percent of total billed charges,630,percent of total billed charges,630,percent of total billed charges,630,percent of total billed charges,630,percent of total billed charges,630,percent of total billed charges,630,percent of total billed charges,453.6,percent of total billed charges,453.6,percent of total billed charges,453.6,percent of total billed charges,453.6,percent of total billed charges,453.6,percent of total billed charges,453.6,percent of total billed charges,466.2,percent of total billed charges,466.2,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,,,453.6,percent of total billed charges ,,,504,percent of total billed charges ,529.2,percent of total billed charges ,529.2,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,504,percent of total billed charges ,504,percent of total billed charges ,441,percent of total billed charges ,441,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,378,percent of total billed charges ,,,,,335.16,percent of total billed charges ,,,,,318.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,,,176.4,percent of total billed charges,
**SPUTUM INDUCTION,94640,CDM,,,,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
"CPAP/BIPAP,INITIATION & MANAGEMENT",94660,CDM,,,,both,,,992,992,277.76,992,992,percent of total billed charges,992,percent of total billed charges,992,percent of total billed charges,992,percent of total billed charges,992,percent of total billed charges,992,percent of total billed charges,992,percent of total billed charges,992,percent of total billed charges,714.24,percent of total billed charges,714.24,percent of total billed charges,714.24,percent of total billed charges,714.24,percent of total billed charges,714.24,percent of total billed charges,714.24,percent of total billed charges,734.08,percent of total billed charges,734.08,percent of total billed charges,793.6,percent of total billed charges,793.6,percent of total billed charges,,,714.24,percent of total billed charges ,,,793.6,percent of total billed charges ,833.28,percent of total billed charges ,833.28,percent of total billed charges ,773.76,percent of total billed charges ,773.76,percent of total billed charges ,793.6,percent of total billed charges ,793.6,percent of total billed charges ,694.4,percent of total billed charges ,694.4,percent of total billed charges ,595.2,percent of total billed charges ,595.2,percent of total billed charges ,595.2,percent of total billed charges ,595.2,percent of total billed charges ,,,,,527.74,percent of total billed charges ,,,,,501.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,,,277.76,percent of total billed charges,
CPAP/BIPAP DISPOSABLE,LOCAL,LOCAL,,,,both,,,178,178,49.84,178,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,131.72,percent of total billed charges,131.72,percent of total billed charges,142.4,percent of total billed charges,142.4,percent of total billed charges,,,128.16,percent of total billed charges ,,,142.4,percent of total billed charges ,149.52,percent of total billed charges ,149.52,percent of total billed charges ,138.84,percent of total billed charges ,138.84,percent of total billed charges ,142.4,percent of total billed charges ,142.4,percent of total billed charges ,124.6,percent of total billed charges ,124.6,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
**LARYNGAL TRACHEAL ANESTHIA,LOCAL,LOCAL,,,,both,,,86,86,24.08,86,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,86,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,61.92,percent of total billed charges,63.64,percent of total billed charges,63.64,percent of total billed charges,68.8,percent of total billed charges,68.8,percent of total billed charges,,,61.92,percent of total billed charges ,,,68.8,percent of total billed charges ,72.24,percent of total billed charges ,72.24,percent of total billed charges ,67.08,percent of total billed charges ,67.08,percent of total billed charges ,68.8,percent of total billed charges ,68.8,percent of total billed charges ,60.2,percent of total billed charges ,60.2,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,51.6,percent of total billed charges ,,,,,45.75,percent of total billed charges ,,,,,43.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,,,24.08,percent of total billed charges,
BRONCHOSPASM EVALUATION,94070,CDM,,,,both,,,"1,473.00","1,473.00",412.44,"1,473.00","1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,473.00",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,060.56",percent of total billed charges,"1,090.02",percent of total billed charges,"1,090.02",percent of total billed charges,"1,178.40",percent of total billed charges,"1,178.40",percent of total billed charges,,,"1,060.56",percent of total billed charges ,,,"1,178.40",percent of total billed charges ,"1,237.32",percent of total billed charges ,"1,237.32",percent of total billed charges ,"1,148.94",percent of total billed charges ,"1,148.94",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,178.40",percent of total billed charges ,"1,031.10",percent of total billed charges ,"1,031.10",percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,883.8,percent of total billed charges ,,,,,783.64,percent of total billed charges ,,,,,744.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,,,412.44,percent of total billed charges,
**PT EDUCATION/ 15 MIN,94799,CDM,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
PFT COMPLETE,94010,CDM,,,,both,,,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
**PULMONARY COMPLIANCE STUDY,94750,CDM,,,,both,,,285,285,79.8,285,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,210.9,percent of total billed charges,210.9,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,,,205.2,percent of total billed charges ,,,228,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,222.3,percent of total billed charges ,222.3,percent of total billed charges ,228,percent of total billed charges ,228,percent of total billed charges ,199.5,percent of total billed charges ,199.5,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,,,,,151.62,percent of total billed charges ,,,,,144.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,
**RESISTANCE TO AIRFLOW DETERMINATION,94360,CDM,,,,both,,,247,247,69.16,247,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,247,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,177.84,percent of total billed charges,182.78,percent of total billed charges,182.78,percent of total billed charges,197.6,percent of total billed charges,197.6,percent of total billed charges,,,177.84,percent of total billed charges ,,,197.6,percent of total billed charges ,207.48,percent of total billed charges ,207.48,percent of total billed charges ,192.66,percent of total billed charges ,192.66,percent of total billed charges ,197.6,percent of total billed charges ,197.6,percent of total billed charges ,172.9,percent of total billed charges ,172.9,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,,,,,131.4,percent of total billed charges ,,,,,124.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,,,69.16,percent of total billed charges,
PFT BEFORE AND AFTER,94060,CDM,,,,both,,,826,826,231.28,826,826,percent of total billed charges,826,percent of total billed charges,826,percent of total billed charges,826,percent of total billed charges,826,percent of total billed charges,826,percent of total billed charges,826,percent of total billed charges,826,percent of total billed charges,594.72,percent of total billed charges,594.72,percent of total billed charges,594.72,percent of total billed charges,594.72,percent of total billed charges,594.72,percent of total billed charges,594.72,percent of total billed charges,611.24,percent of total billed charges,611.24,percent of total billed charges,660.8,percent of total billed charges,660.8,percent of total billed charges,,,594.72,percent of total billed charges ,,,660.8,percent of total billed charges ,693.84,percent of total billed charges ,693.84,percent of total billed charges ,644.28,percent of total billed charges ,644.28,percent of total billed charges ,660.8,percent of total billed charges ,660.8,percent of total billed charges ,578.2,percent of total billed charges ,578.2,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,495.6,percent of total billed charges ,,,,,439.43,percent of total billed charges ,,,,,417.46,percent of total billed charges ,,,,,,,,,,,,,,,,,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,,,231.28,percent of total billed charges,
SIMPLE SPIRO W/O PRO FEE,94010,CDM,,,,both,,,461,461,129.08,461,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,461,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,331.92,percent of total billed charges,341.14,percent of total billed charges,341.14,percent of total billed charges,368.8,percent of total billed charges,368.8,percent of total billed charges,,,331.92,percent of total billed charges ,,,368.8,percent of total billed charges ,387.24,percent of total billed charges ,387.24,percent of total billed charges ,359.58,percent of total billed charges ,359.58,percent of total billed charges ,368.8,percent of total billed charges ,368.8,percent of total billed charges ,322.7,percent of total billed charges ,322.7,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,276.6,percent of total billed charges ,,,,,245.25,percent of total billed charges ,,,,,232.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,,,129.08,percent of total billed charges,
**VITAL CAPACITY,94150,CDM,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
"DEMO/EVAL OF NEB,MDI OR TAG",94664,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
**BRONCHOSCOPY ASSISTANCE BY R T BART,94799,CDM,,,,both,,,350,350,98,350,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,350,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,259,percent of total billed charges,259,percent of total billed charges,280,percent of total billed charges,280,percent of total billed charges,,,252,percent of total billed charges ,,,280,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,273,percent of total billed charges ,273,percent of total billed charges ,280,percent of total billed charges ,280,percent of total billed charges ,245,percent of total billed charges ,245,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,,,,,186.2,percent of total billed charges ,,,,,176.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,,,98,percent of total billed charges,
**BRONCHOSCOPY WITH BRUSHING,31623,CDM,,,,both,,,"2,486.00","2,486.00",696.08,"2,486.00","2,486.00",percent of total billed charges,"2,486.00",percent of total billed charges,"2,486.00",percent of total billed charges,"2,486.00",percent of total billed charges,"2,486.00",percent of total billed charges,"2,486.00",percent of total billed charges,"2,486.00",percent of total billed charges,"2,486.00",percent of total billed charges,"1,789.92",percent of total billed charges,"1,789.92",percent of total billed charges,"1,789.92",percent of total billed charges,"1,789.92",percent of total billed charges,"1,789.92",percent of total billed charges,"1,789.92",percent of total billed charges,"1,839.64",percent of total billed charges,"1,839.64",percent of total billed charges,"1,988.80",percent of total billed charges,"1,988.80",percent of total billed charges,,,"1,789.92",percent of total billed charges ,,,"1,988.80",percent of total billed charges ,"2,088.24",percent of total billed charges ,"2,088.24",percent of total billed charges ,"1,939.08",percent of total billed charges ,"1,939.08",percent of total billed charges ,"1,988.80",percent of total billed charges ,"1,988.80",percent of total billed charges ,"1,740.20",percent of total billed charges ,"1,740.20",percent of total billed charges ,"1,491.60",percent of total billed charges ,"1,491.60",percent of total billed charges ,"1,491.60",percent of total billed charges ,"1,491.60",percent of total billed charges ,,,,,"1,322.55",percent of total billed charges ,,,,,"1,256.42",percent of total billed charges ,,,,,,,,,,,,,,,,,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,,,696.08,percent of total billed charges,
**CPAP HOURLY,94660,CDM,,,,both,,,78,78,21.84,78,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,78,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,56.16,percent of total billed charges,57.72,percent of total billed charges,57.72,percent of total billed charges,62.4,percent of total billed charges,62.4,percent of total billed charges,,,56.16,percent of total billed charges ,,,62.4,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,60.84,percent of total billed charges ,60.84,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,,,,,41.5,percent of total billed charges ,,,,,39.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,,,21.84,percent of total billed charges,
"**THORACENTESIS, ASPIRATION W/O GUIDANCE",32554,CDM,,,,both,,,"1,297.00","1,297.00",363.16,"1,297.00","1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,"1,297.00",percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,933.84,percent of total billed charges,959.78,percent of total billed charges,959.78,percent of total billed charges,"1,037.60",percent of total billed charges,"1,037.60",percent of total billed charges,,,933.84,percent of total billed charges ,,,"1,037.60",percent of total billed charges ,"1,089.48",percent of total billed charges ,"1,089.48",percent of total billed charges ,"1,011.66",percent of total billed charges ,"1,011.66",percent of total billed charges ,"1,037.60",percent of total billed charges ,"1,037.60",percent of total billed charges ,907.9,percent of total billed charges ,907.9,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,778.2,percent of total billed charges ,,,,,690,percent of total billed charges ,,,,,655.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,,,363.16,percent of total billed charges,
"**THORACENTESIS, ASPIRATION W/ GUIDANCE",32555,CDM,,,,both,,,"1,389.00","1,389.00",388.92,"1,389.00","1,389.00",percent of total billed charges,"1,389.00",percent of total billed charges,"1,389.00",percent of total billed charges,"1,389.00",percent of total billed charges,"1,389.00",percent of total billed charges,"1,389.00",percent of total billed charges,"1,389.00",percent of total billed charges,"1,389.00",percent of total billed charges,"1,000.08",percent of total billed charges,"1,000.08",percent of total billed charges,"1,000.08",percent of total billed charges,"1,000.08",percent of total billed charges,"1,000.08",percent of total billed charges,"1,000.08",percent of total billed charges,"1,027.86",percent of total billed charges,"1,027.86",percent of total billed charges,"1,111.20",percent of total billed charges,"1,111.20",percent of total billed charges,,,"1,000.08",percent of total billed charges ,,,"1,111.20",percent of total billed charges ,"1,166.76",percent of total billed charges ,"1,166.76",percent of total billed charges ,"1,083.42",percent of total billed charges ,"1,083.42",percent of total billed charges ,"1,111.20",percent of total billed charges ,"1,111.20",percent of total billed charges ,972.3,percent of total billed charges ,972.3,percent of total billed charges ,833.4,percent of total billed charges ,833.4,percent of total billed charges ,833.4,percent of total billed charges ,833.4,percent of total billed charges ,,,,,738.95,percent of total billed charges ,,,,,702,percent of total billed charges ,,,,,,,,,,,,,,,,,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,,,388.92,percent of total billed charges,
**TREATMENT ROOM,99212,CDM,,,,both,,,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
CYTOLOGY BRUSH FOR BRONCH,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
PULMONARY SIX MINUTE WALK,94618,CDM,,,,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
TRACH TUBE ANY SIZE,LOCAL,LOCAL,,,,both,,,583,583,163.24,583,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,431.42,percent of total billed charges,431.42,percent of total billed charges,466.4,percent of total billed charges,466.4,percent of total billed charges,,,419.76,percent of total billed charges ,,,466.4,percent of total billed charges ,489.72,percent of total billed charges ,489.72,percent of total billed charges ,454.74,percent of total billed charges ,454.74,percent of total billed charges ,466.4,percent of total billed charges ,466.4,percent of total billed charges ,408.1,percent of total billed charges ,408.1,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,,,,,310.16,percent of total billed charges ,,,,,294.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,
**PT HOME MANAGEMENT TRAINING/15 MINS,97535,CDM,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
PT HOT/COLD PACK,97010,CDM,,,GP,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
PT NEUROMUSCULAR REEDUCATION 15 MIN,97112,CDM,,,GP,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
OT HOT/COLD PACK,97010,CDM,,,GO,both,,,84,84,23.52,84,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,84,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,60.48,percent of total billed charges,62.16,percent of total billed charges,62.16,percent of total billed charges,67.2,percent of total billed charges,67.2,percent of total billed charges,,,60.48,percent of total billed charges ,,,67.2,percent of total billed charges ,70.56,percent of total billed charges ,70.56,percent of total billed charges ,65.52,percent of total billed charges ,65.52,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,,,,,44.69,percent of total billed charges ,,,,,42.45,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,,,23.52,percent of total billed charges,
OT THERAPEUTIC ACTIVITY 15 MIN,97530,CDM,,,GO,both,,,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
**PT GROUP THERAPY,97150,CDM,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
PT AQUATICS-EXERCISE 15 MIN,97113,CDM,,,GP,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
**PT (WC) EVALUATION 30 -45 MINUTES,97001,CDM,,,GP,both,,,476,476,133.28,476,476,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,476,percent of total billed charges,342.72,percent of total billed charges,342.72,percent of total billed charges,342.72,percent of total billed charges,342.72,percent of total billed charges,342.72,percent of total billed charges,342.72,percent of total billed charges,352.24,percent of total billed charges,352.24,percent of total billed charges,380.8,percent of total billed charges,380.8,percent of total billed charges,,,342.72,percent of total billed charges ,,,380.8,percent of total billed charges ,399.84,percent of total billed charges ,399.84,percent of total billed charges ,371.28,percent of total billed charges ,371.28,percent of total billed charges ,380.8,percent of total billed charges ,380.8,percent of total billed charges ,333.2,percent of total billed charges ,333.2,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,285.6,percent of total billed charges ,,,,,253.23,percent of total billed charges ,,,,,240.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,,,133.28,percent of total billed charges,
**PT (WC) EVALUATION OUTPATIENT,97110,CDM,,,GP,both,,,565,565,158.2,565,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,565,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,406.8,percent of total billed charges,418.1,percent of total billed charges,418.1,percent of total billed charges,452,percent of total billed charges,452,percent of total billed charges,,,406.8,percent of total billed charges ,,,452,percent of total billed charges ,474.6,percent of total billed charges ,474.6,percent of total billed charges ,440.7,percent of total billed charges ,440.7,percent of total billed charges ,452,percent of total billed charges ,452,percent of total billed charges ,395.5,percent of total billed charges ,395.5,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,339,percent of total billed charges ,,,,,300.58,percent of total billed charges ,,,,,285.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,,,158.2,percent of total billed charges,
**PT FLUIDO THERAPY,97022,CDM,,,GP,both,,,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
PT RE-EVALUATION,97164,CDM,,,GP,both,,,338,338,94.64,338,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,250.12,percent of total billed charges,250.12,percent of total billed charges,270.4,percent of total billed charges,270.4,percent of total billed charges,,,243.36,percent of total billed charges ,,,270.4,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,263.64,percent of total billed charges ,263.64,percent of total billed charges ,270.4,percent of total billed charges ,270.4,percent of total billed charges ,236.6,percent of total billed charges ,236.6,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,,,,,179.82,percent of total billed charges ,,,,,170.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,
OT NEUROMUSCULAR REEDUCATION PER,97112,CDM,,,GO,both,,,183,183,51.24,183,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,135.42,percent of total billed charges,135.42,percent of total billed charges,146.4,percent of total billed charges,146.4,percent of total billed charges,,,131.76,percent of total billed charges ,,,146.4,percent of total billed charges ,153.72,percent of total billed charges ,153.72,percent of total billed charges ,142.74,percent of total billed charges ,142.74,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,128.1,percent of total billed charges ,128.1,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,,,,,97.36,percent of total billed charges ,,,,,92.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,
PT ELECTRIC STIM-ATTEND 15 MIN,97032,CDM,,,GP,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**PT ORTHOTIC RECHECK 15 MIN,97762,CDM,,,GP,both,,,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
PT MASSAGE ALL METHODS 15 MIN,97124,CDM,,,GP,both,,,168,168,47.04,168,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,120.96,percent of total billed charges,124.32,percent of total billed charges,124.32,percent of total billed charges,134.4,percent of total billed charges,134.4,percent of total billed charges,,,120.96,percent of total billed charges ,,,134.4,percent of total billed charges ,141.12,percent of total billed charges ,141.12,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,134.4,percent of total billed charges ,134.4,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,,,,,89.38,percent of total billed charges ,,,,,84.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,,,47.04,percent of total billed charges,
**PT PHYSICAL PERFORMANCE TEST,97750,CDM,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
PT GAIT TRAINING 15 MIN,97116,CDM,,,GP,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
PT MANUAL THERAPY 15 MIN,97140,CDM,,,GP,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
**PT ELECTRICAL STIMULATION UNATTENDED,97014,CDM,,,GP,both,,,272,272,76.16,272,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,201.28,percent of total billed charges,201.28,percent of total billed charges,217.6,percent of total billed charges,217.6,percent of total billed charges,,,195.84,percent of total billed charges ,,,217.6,percent of total billed charges ,228.48,percent of total billed charges ,228.48,percent of total billed charges ,212.16,percent of total billed charges ,212.16,percent of total billed charges ,217.6,percent of total billed charges ,217.6,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,,,,,144.7,percent of total billed charges ,,,,,137.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,
PT THERAPEUTIC ACTIVITY 15 MIN,97530,CDM,,,GP,both,,,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
PT WHEELCHAIR MNGT 15 MIN,97542,CDM,,,GP,both,,,152,152,42.56,152,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,109.44,percent of total billed charges,112.48,percent of total billed charges,112.48,percent of total billed charges,121.6,percent of total billed charges,121.6,percent of total billed charges,,,109.44,percent of total billed charges ,,,121.6,percent of total billed charges ,127.68,percent of total billed charges ,127.68,percent of total billed charges ,118.56,percent of total billed charges ,118.56,percent of total billed charges ,121.6,percent of total billed charges ,121.6,percent of total billed charges ,106.4,percent of total billed charges ,106.4,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,91.2,percent of total billed charges ,,,,,80.86,percent of total billed charges ,,,,,76.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,,,42.56,percent of total billed charges,
**PT WHIRLPOOL,97022,CDM,,,GP,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
**PT WOUND DEBRIDEMENT <20CM,97597,CDM,,,GP,both,,,682,682,190.96,682,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,504.68,percent of total billed charges,504.68,percent of total billed charges,545.6,percent of total billed charges,545.6,percent of total billed charges,,,491.04,percent of total billed charges ,,,545.6,percent of total billed charges ,572.88,percent of total billed charges ,572.88,percent of total billed charges ,531.96,percent of total billed charges ,531.96,percent of total billed charges ,545.6,percent of total billed charges ,545.6,percent of total billed charges ,477.4,percent of total billed charges ,477.4,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,,,,,362.82,percent of total billed charges ,,,,,344.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,
**PT WOUND DEBRIDEMENT >20CM,97598,CDM,,,GP,both,,,682,682,190.96,682,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,682,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,491.04,percent of total billed charges,504.68,percent of total billed charges,504.68,percent of total billed charges,545.6,percent of total billed charges,545.6,percent of total billed charges,,,491.04,percent of total billed charges ,,,545.6,percent of total billed charges ,572.88,percent of total billed charges ,572.88,percent of total billed charges ,531.96,percent of total billed charges ,531.96,percent of total billed charges ,545.6,percent of total billed charges ,545.6,percent of total billed charges ,477.4,percent of total billed charges ,477.4,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,409.2,percent of total billed charges ,,,,,362.82,percent of total billed charges ,,,,,344.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,,,190.96,percent of total billed charges,
**OT GROUP THERAPY,97150,CDM,,,GO,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
**PT CONTRAST BATHS 15 MIN,97034,CDM,,,GP,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
**PT PARAFFIN BATH,97018,CDM,,,GP,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
PT EXERCISE 15 MIN,97110,CDM,,,GP,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
PT DRESSING,97602,CDM,,,GP,both,,,332,332,92.96,332,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,332,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,239.04,percent of total billed charges,245.68,percent of total billed charges,245.68,percent of total billed charges,265.6,percent of total billed charges,265.6,percent of total billed charges,,,239.04,percent of total billed charges ,,,265.6,percent of total billed charges ,278.88,percent of total billed charges ,278.88,percent of total billed charges ,258.96,percent of total billed charges ,258.96,percent of total billed charges ,265.6,percent of total billed charges ,265.6,percent of total billed charges ,232.4,percent of total billed charges ,232.4,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,,,,,176.62,percent of total billed charges ,,,,,167.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,,,92.96,percent of total billed charges,
**PT PROSTHETIC TRAINING 15 MIN,97761,CDM,,,GP,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
PT IONTOPHORESIS 15 MINUTES,97033,CDM,,,GP,both,,,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
PT TRACTION MECHANICAL,97012,CDM,,,GP,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
**PT ORTHOTICS TRAINING-15 MIN,97760,CDM,,,GP,both,,,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
**NEGATIVE PRESSURE WOUND THERAPY TOTAL,97605,CDM,,,,both,,,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
PT ULTRASOUND 15 MIN,97035,CDM,,,GP,both,,,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
**PT MOBILITY (CURRENT) CH,G8978,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (CURRENT) CI,G8978,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (CURRENT) CJ,G8978,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (CURRENT) CK,G8978,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (CURRENT) CL,G8978,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (CURRENT) CM,G8978,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (CURRENT) CN,G8978,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (GOAL) CH,G8979,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (GOAL) CI,G8979,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (GOAL) CJ,G8979,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (GOAL) CK,G8979,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (GOAL) CL,G8979,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (GOAL) CM,G8979,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (GOAL) CN,G8979,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (DC) CH,G8980,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (DC) CI,G8980,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (DC) CJ,G8980,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (DC) CK,G8980,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (DC) CL,G8980,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (DC) CM,G8980,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT MOBILITY (DC) CN,G8980,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (CURRENT) CH,G8981,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (CURRENT) CI,G8981,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (CURRENT) CJ,G8981,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (CURRENT) CK,G8981,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (CURRENT) CL,G8981,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (CURRENT) CM,G8981,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (CURRENT) CN,G8981,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (GOAL) CH,G8982,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (GOAL) CI,G8982,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (GOAL) CJ,G8982,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (GOAL) CK,G8982,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (GOAL) CL,G8982,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (GOAL) CM,G8982,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (GOAL) CN,G8982,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (DC) CH,G8983,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (DC) CI,G8983,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (DC) CJ,G8983,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (DC) CK,G8983,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (DC) CL,G8983,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (DC) CM,G8983,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT CHANGING BODY POSITION (DC) CN,G8983,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (GOAL) CH",G8985,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (GOAL) CI",G8985,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (GOAL) CJ",G8985,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (GOAL) CK",G8985,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (GOAL) CL",G8985,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (GOAL) CM",G8985,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (GOAL) CN",G8985,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (DC) CH",G8986,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (DC) CI",G8986,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (DC) CJ",G8986,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (DC) CK",G8986,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (DC) CL",G8986,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (DC) CM",G8986,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**PT CARRYING, MOVING OBJECTS (DC) CN",G8986,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (CURRENT) CH,G8987,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (CURRENT) CI,G8987,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (CURRENT) CJ,G8987,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (CURRENT) CK,G8987,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (CURRENT) CL,G8987,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (CURRENT) CM,G8987,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (CURRENT) CN,G8987,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (GOAL) CH,G8988,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (GOAL) CI,G8988,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (GOAL) CJ,G8988,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (GOAL) CK,G8988,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (GOAL) CL,G8988,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (GOAL) CM,G8988,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (GOAL) CN,G8988,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (DC) CH,G8989,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (DC) CI,G8989,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (DC) CJ,G8989,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (DC) CK,G8989,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (DC) CL,G8989,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (DC) CM,G8989,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT SELF CARE (DC) CN,G8989,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT,G8990,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
*OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER PT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**PT TENS UNIT,64550,CDM,,,GP,both,,,209,209,58.52,209,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,209,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,150.48,percent of total billed charges,154.66,percent of total billed charges,154.66,percent of total billed charges,167.2,percent of total billed charges,167.2,percent of total billed charges,,,150.48,percent of total billed charges ,,,167.2,percent of total billed charges ,175.56,percent of total billed charges ,175.56,percent of total billed charges ,163.02,percent of total billed charges ,163.02,percent of total billed charges ,167.2,percent of total billed charges ,167.2,percent of total billed charges ,146.3,percent of total billed charges ,146.3,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,125.4,percent of total billed charges ,,,,,111.19,percent of total billed charges ,,,,,105.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,,,58.52,percent of total billed charges,
PT CANALITH REPOSITIONING,95992,CDM,,,GP,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
**PT (WC) EVAL MODERATE COMPLEXITY,97162,CDM,,,,both,,,554,554,155.12,554,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,409.96,percent of total billed charges,409.96,percent of total billed charges,443.2,percent of total billed charges,443.2,percent of total billed charges,,,398.88,percent of total billed charges ,,,443.2,percent of total billed charges ,465.36,percent of total billed charges ,465.36,percent of total billed charges ,432.12,percent of total billed charges ,432.12,percent of total billed charges ,443.2,percent of total billed charges ,443.2,percent of total billed charges ,387.8,percent of total billed charges ,387.8,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,,,,,294.73,percent of total billed charges ,,,,,279.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,
**PT (WC) EVALUATION 61- 90  MINUTES,97163,CDM,,,GP,both,,,631,631,176.68,631,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,631,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,454.32,percent of total billed charges,466.94,percent of total billed charges,466.94,percent of total billed charges,504.8,percent of total billed charges,504.8,percent of total billed charges,,,454.32,percent of total billed charges ,,,504.8,percent of total billed charges ,530.04,percent of total billed charges ,530.04,percent of total billed charges ,492.18,percent of total billed charges ,492.18,percent of total billed charges ,504.8,percent of total billed charges ,504.8,percent of total billed charges ,441.7,percent of total billed charges ,441.7,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,378.6,percent of total billed charges ,,,,,335.69,percent of total billed charges ,,,,,318.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,,,176.68,percent of total billed charges,
**PT TEAM CONF W/O PAT BY PHYS > 30 MIN,99367,CDM,,,GP,both,,,285,285,79.8,285,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,210.9,percent of total billed charges,210.9,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,,,205.2,percent of total billed charges ,,,228,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,222.3,percent of total billed charges ,222.3,percent of total billed charges ,228,percent of total billed charges ,228,percent of total billed charges ,199.5,percent of total billed charges ,199.5,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,,,,,151.62,percent of total billed charges ,,,,,144.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,
PT TEAM CONF W/O PAT BY HC PRO > 30 MIN,99368,CDM,,,GP,both,,,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
**PT (WC) EVAL LOW COMPLEXITY,97161,CDM,,,,both,,,398,398,111.44,398,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,398,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,286.56,percent of total billed charges,294.52,percent of total billed charges,294.52,percent of total billed charges,318.4,percent of total billed charges,318.4,percent of total billed charges,,,286.56,percent of total billed charges ,,,318.4,percent of total billed charges ,334.32,percent of total billed charges ,334.32,percent of total billed charges ,310.44,percent of total billed charges ,310.44,percent of total billed charges ,318.4,percent of total billed charges ,318.4,percent of total billed charges ,278.6,percent of total billed charges ,278.6,percent of total billed charges ,238.8,percent of total billed charges ,238.8,percent of total billed charges ,238.8,percent of total billed charges ,238.8,percent of total billed charges ,,,,,211.74,percent of total billed charges ,,,,,201.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,,,111.44,percent of total billed charges,
**PT (WC) EVAL HIGH COMPLEXITY,97163,CDM,,,GP,both,,,709,709,198.52,709,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,709,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,510.48,percent of total billed charges,524.66,percent of total billed charges,524.66,percent of total billed charges,567.2,percent of total billed charges,567.2,percent of total billed charges,,,510.48,percent of total billed charges ,,,567.2,percent of total billed charges ,595.56,percent of total billed charges ,595.56,percent of total billed charges ,553.02,percent of total billed charges ,553.02,percent of total billed charges ,567.2,percent of total billed charges ,567.2,percent of total billed charges ,496.3,percent of total billed charges ,496.3,percent of total billed charges ,425.4,percent of total billed charges ,425.4,percent of total billed charges ,425.4,percent of total billed charges ,425.4,percent of total billed charges ,,,,,377.19,percent of total billed charges ,,,,,358.33,percent of total billed charges ,,,,,,,,,,,,,,,,,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,,,198.52,percent of total billed charges,
PT TEAM CONF W/ PAT BY HC PRO > 30 MIN,99366,CDM,,,GP,both,,,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
PT EVALUATION LOW COMPLEXITY,97161,CDM,,,GP,both,,,437,437,122.36,437,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,323.38,percent of total billed charges,323.38,percent of total billed charges,349.6,percent of total billed charges,349.6,percent of total billed charges,,,314.64,percent of total billed charges ,,,349.6,percent of total billed charges ,367.08,percent of total billed charges ,367.08,percent of total billed charges ,340.86,percent of total billed charges ,340.86,percent of total billed charges ,349.6,percent of total billed charges ,349.6,percent of total billed charges ,305.9,percent of total billed charges ,305.9,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,,,,,232.48,percent of total billed charges ,,,,,220.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,
PT EVALUATION MOD COMPLEXITY,97162,CDM,,,GP,both,,,466,466,130.48,466,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,344.84,percent of total billed charges,344.84,percent of total billed charges,372.8,percent of total billed charges,372.8,percent of total billed charges,,,335.52,percent of total billed charges ,,,372.8,percent of total billed charges ,391.44,percent of total billed charges ,391.44,percent of total billed charges ,363.48,percent of total billed charges ,363.48,percent of total billed charges ,372.8,percent of total billed charges ,372.8,percent of total billed charges ,326.2,percent of total billed charges ,326.2,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,,,,,247.91,percent of total billed charges ,,,,,235.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,
PT EVAL HIGH COMPLEXITY,97163,CDM,,,GP,both,,,466,466,130.48,466,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,344.84,percent of total billed charges,344.84,percent of total billed charges,372.8,percent of total billed charges,372.8,percent of total billed charges,,,335.52,percent of total billed charges ,,,372.8,percent of total billed charges ,391.44,percent of total billed charges ,391.44,percent of total billed charges ,363.48,percent of total billed charges ,363.48,percent of total billed charges ,372.8,percent of total billed charges ,372.8,percent of total billed charges ,326.2,percent of total billed charges ,326.2,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,,,,,247.91,percent of total billed charges ,,,,,235.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,
**PT RE-EVALUATION,97164,CDM,,,GP,both,,,338,338,94.64,338,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,250.12,percent of total billed charges,250.12,percent of total billed charges,270.4,percent of total billed charges,270.4,percent of total billed charges,,,243.36,percent of total billed charges ,,,270.4,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,263.64,percent of total billed charges ,263.64,percent of total billed charges ,270.4,percent of total billed charges ,270.4,percent of total billed charges ,236.6,percent of total billed charges ,236.6,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,,,,,179.82,percent of total billed charges ,,,,,170.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,
**PT EVAL (PA)  LOW COMPLEXITY 15 MINS,97161,CDM,,,GP,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**PT EVAL (PA) MODERATE COMPLEXITY 15 MI,97162,CDM,,,GP,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**PT EVAL (PA) HIGH COMPLEXITY 15 MINS,97163,CDM,,,GP,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
PT COMMUNITY REINTEGRATION 15 MIN,97537,CDM,,,GP,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
**PT TAPING,97112,CDM,,,GP,both,,,205,205,57.4,205,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,205,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,147.6,percent of total billed charges,151.7,percent of total billed charges,151.7,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,,,147.6,percent of total billed charges ,,,164,percent of total billed charges ,172.2,percent of total billed charges ,172.2,percent of total billed charges ,159.9,percent of total billed charges ,159.9,percent of total billed charges ,164,percent of total billed charges ,164,percent of total billed charges ,143.5,percent of total billed charges ,143.5,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,123,percent of total billed charges ,,,,,109.06,percent of total billed charges ,,,,,103.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,,,57.4,percent of total billed charges,
CASH ORTHOSIS-BRACE,LOCAL,LOCAL,,,,both,,,598,598,167.44,598,598,percent of total billed charges,598,percent of total billed charges,598,percent of total billed charges,598,percent of total billed charges,598,percent of total billed charges,598,percent of total billed charges,598,percent of total billed charges,598,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,430.56,percent of total billed charges,442.52,percent of total billed charges,442.52,percent of total billed charges,478.4,percent of total billed charges,478.4,percent of total billed charges,,,430.56,percent of total billed charges ,,,478.4,percent of total billed charges ,502.32,percent of total billed charges ,502.32,percent of total billed charges ,466.44,percent of total billed charges ,466.44,percent of total billed charges ,478.4,percent of total billed charges ,478.4,percent of total billed charges ,418.6,percent of total billed charges ,418.6,percent of total billed charges ,358.8,percent of total billed charges ,358.8,percent of total billed charges ,358.8,percent of total billed charges ,358.8,percent of total billed charges ,,,,,318.14,percent of total billed charges ,,,,,302.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,,,167.44,percent of total billed charges,
BACK SUPPORT PILLOW 1/2 ROLL,LOCAL,LOCAL,,,,both,,,129,129,36.12,129,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,129,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,92.88,percent of total billed charges,95.46,percent of total billed charges,95.46,percent of total billed charges,103.2,percent of total billed charges,103.2,percent of total billed charges,,,92.88,percent of total billed charges ,,,103.2,percent of total billed charges ,108.36,percent of total billed charges ,108.36,percent of total billed charges ,100.62,percent of total billed charges ,100.62,percent of total billed charges ,103.2,percent of total billed charges ,103.2,percent of total billed charges ,90.3,percent of total billed charges ,90.3,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,77.4,percent of total billed charges ,,,,,68.63,percent of total billed charges ,,,,,65.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,,,36.12,percent of total billed charges,
**OT SENSORY INTEGRATON 15 MIN,97533,CDM,,,GO,both,,,171,171,47.88,171,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,171,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,123.12,percent of total billed charges,126.54,percent of total billed charges,126.54,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,,,123.12,percent of total billed charges ,,,136.8,percent of total billed charges ,143.64,percent of total billed charges ,143.64,percent of total billed charges ,133.38,percent of total billed charges ,133.38,percent of total billed charges ,136.8,percent of total billed charges ,136.8,percent of total billed charges ,119.7,percent of total billed charges ,119.7,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,102.6,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,86.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,,,47.88,percent of total billed charges,
**OT BAL & COORD 15 MIN,97112,CDM,,,GO,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
OT PARAFFIN BATH,97018,CDM,,,GO,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
**OT ORTHOTIC RECHECK 15 MIN,97762,CDM,,,GO,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
OT IONTOPHORESIS 15 MIN,97033,CDM,,,GO,both,,,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
**OT CONTRAST BATH 15 MIN,97034,CDM,,,GO,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
OT ULTRASOUND 15 MIN,97035,CDM,,,GO,both,,,149,149,41.72,149,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,149,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,107.28,percent of total billed charges,110.26,percent of total billed charges,110.26,percent of total billed charges,119.2,percent of total billed charges,119.2,percent of total billed charges,,,107.28,percent of total billed charges ,,,119.2,percent of total billed charges ,125.16,percent of total billed charges ,125.16,percent of total billed charges ,116.22,percent of total billed charges ,116.22,percent of total billed charges ,119.2,percent of total billed charges ,119.2,percent of total billed charges ,104.3,percent of total billed charges ,104.3,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,89.4,percent of total billed charges ,,,,,79.27,percent of total billed charges ,,,,,75.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,,,41.72,percent of total billed charges,
OT THERAPUTIC EXERCISE 15 MIN,97110,CDM,,,GO,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
OT MANUAL THERAPY 15 MIN,97140,CDM,,,GO,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
OT COGNITIVE THERAPY 15 MIN,97129,CDM,,,GO,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
OT COGNITIVE THERAPY EA ADDL 15 MIN,97130,CDM,,,,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
OT PROSTHETIC TRAINING 15 MIN,97761,CDM,,,GO,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
OT ORTHOTIC FITTING 15 MIN,97760,CDM,,,GO,both,,,155,155,43.4,155,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,155,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,111.6,percent of total billed charges,114.7,percent of total billed charges,114.7,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,,,111.6,percent of total billed charges ,,,124,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,120.9,percent of total billed charges ,120.9,percent of total billed charges ,124,percent of total billed charges ,124,percent of total billed charges ,108.5,percent of total billed charges ,108.5,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,93,percent of total billed charges ,,,,,82.46,percent of total billed charges ,,,,,78.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,,,43.4,percent of total billed charges,
**THERAPUTIC ACTIVITY 15 MIN,97530,CDM,,,GO,both,,,137,137,38.36,137,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,137,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,98.64,percent of total billed charges,101.38,percent of total billed charges,101.38,percent of total billed charges,109.6,percent of total billed charges,109.6,percent of total billed charges,,,98.64,percent of total billed charges ,,,109.6,percent of total billed charges ,115.08,percent of total billed charges ,115.08,percent of total billed charges ,106.86,percent of total billed charges ,106.86,percent of total billed charges ,109.6,percent of total billed charges ,109.6,percent of total billed charges ,95.9,percent of total billed charges ,95.9,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,82.2,percent of total billed charges ,,,,,72.88,percent of total billed charges ,,,,,69.24,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,,,38.36,percent of total billed charges,
**OT GROUP THERAPY,97150,CDM,,,GO,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
OT COMMUNITY INTEGRATION 15 MIN,97537,CDM,,,GO,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
OT SELF-CARE/HOME MANAGEMENT ADL 15 MIN,97535,CDM,,,GO,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**OT RE-EVAL,97004,CDM,,,GO,both,,,457,457,127.96,457,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,338.18,percent of total billed charges,338.18,percent of total billed charges,365.6,percent of total billed charges,365.6,percent of total billed charges,,,329.04,percent of total billed charges ,,,365.6,percent of total billed charges ,383.88,percent of total billed charges ,383.88,percent of total billed charges ,356.46,percent of total billed charges ,356.46,percent of total billed charges ,365.6,percent of total billed charges ,365.6,percent of total billed charges ,319.9,percent of total billed charges ,319.9,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,,,,,243.12,percent of total billed charges ,,,,,230.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,
**OT (WC) EVAL MODERATE COMPLEXITY,97166,CDM,,,GO,both,,,504,504,141.12,504,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,504,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,362.88,percent of total billed charges,372.96,percent of total billed charges,372.96,percent of total billed charges,403.2,percent of total billed charges,403.2,percent of total billed charges,,,362.88,percent of total billed charges ,,,403.2,percent of total billed charges ,423.36,percent of total billed charges ,423.36,percent of total billed charges ,393.12,percent of total billed charges ,393.12,percent of total billed charges ,403.2,percent of total billed charges ,403.2,percent of total billed charges ,352.8,percent of total billed charges ,352.8,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,302.4,percent of total billed charges ,,,,,268.13,percent of total billed charges ,,,,,254.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,,,141.12,percent of total billed charges,
**OT FLUIDO THERAPY,97022,CDM,,,GO,both,,,262,262,73.36,262,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,262,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,188.64,percent of total billed charges,193.88,percent of total billed charges,193.88,percent of total billed charges,209.6,percent of total billed charges,209.6,percent of total billed charges,,,188.64,percent of total billed charges ,,,209.6,percent of total billed charges ,220.08,percent of total billed charges ,220.08,percent of total billed charges ,204.36,percent of total billed charges ,204.36,percent of total billed charges ,209.6,percent of total billed charges ,209.6,percent of total billed charges ,183.4,percent of total billed charges ,183.4,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,157.2,percent of total billed charges ,,,,,139.38,percent of total billed charges ,,,,,132.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,,,73.36,percent of total billed charges,
**OT MOBILITY (CURRENT),G8978,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (CURRENT),G8978,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (CURRENT),G8978,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (CURRENT),G8978,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (CURRENT),G8978,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (CURRENT),G8978,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (CURRENT),G8978,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (GOAL),G8979,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (GOAL),G8979,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (GOAL),G8979,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (GOAL),G8979,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (GOAL),G8979,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (GOAL),G8979,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (GOAL),G8979,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (DC),G8980,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (DC),G8980,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (DC),G8980,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (DC),G8980,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (DC),G8980,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (DC),G8980,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT MOBILITY (DC),G8980,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (CURRENT),G8981,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (GOAL),G8982,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT CHANGING BODY POSITION (DC),G8983,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (CURRENT)",G8984,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (GOAL)",G8985,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
"**OT CARRYING, MOVING OBJECTS (DC)",G8986,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (CURRENT),G8987,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (CURRENT),G8987,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (CURRENT),G8987,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (CURRENT),G8987,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (CURRENT),G8987,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (CURRENT),G8987,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (CURRENT),G8987,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (GOAL),G8988,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (GOAL),G8988,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (GOAL) CJ,G8988,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (GOAL) CK,G8988,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (GOAL) CL,G8988,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (GOAL) CM,G8988,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (GOAL) CN,G8988,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (DC) CH,G8989,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (DC) CI,G8989,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (DC) CJ,G8989,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (DC) CK,G8989,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (DC) CL,G8989,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (DC) CM,G8989,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OT SELF CARE (DC) CN,G8989,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (CURRENT),G8990,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
*OTHER OT PRIMARY FUNC LIMIT (GOAL),G8991,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT PRIMARY FUNC LIMIT (DC),G8992,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (CURRENT),G8993,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
*OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (GOAL),G8994,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (DC),G8995,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CI,G8995,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CJ,G8995,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CK,G8995,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CL,G8995,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CM,G8995,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**OTHER OT SUBSEQ FUNC LIMIT (DC) CN,G8995,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
OT ASSISTIVE TECHOLOGY ASSESS,97755,CDM,,,GO,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
**OT (WC) EVALUATION 46-60  MIN,97003,CDM,,,GO,both,,,583,583,163.24,583,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,583,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,419.76,percent of total billed charges,431.42,percent of total billed charges,431.42,percent of total billed charges,466.4,percent of total billed charges,466.4,percent of total billed charges,,,419.76,percent of total billed charges ,,,466.4,percent of total billed charges ,489.72,percent of total billed charges ,489.72,percent of total billed charges ,454.74,percent of total billed charges ,454.74,percent of total billed charges ,466.4,percent of total billed charges ,466.4,percent of total billed charges ,408.1,percent of total billed charges ,408.1,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,349.8,percent of total billed charges ,,,,,310.16,percent of total billed charges ,,,,,294.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,,,163.24,percent of total billed charges,
**OT (WC) EVALUATION 61-90 MIN,97003,CDM,,,GO,both,,,660,660,184.8,660,660,percent of total billed charges,660,percent of total billed charges,660,percent of total billed charges,660,percent of total billed charges,660,percent of total billed charges,660,percent of total billed charges,660,percent of total billed charges,660,percent of total billed charges,475.2,percent of total billed charges,475.2,percent of total billed charges,475.2,percent of total billed charges,475.2,percent of total billed charges,475.2,percent of total billed charges,475.2,percent of total billed charges,488.4,percent of total billed charges,488.4,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,,,475.2,percent of total billed charges ,,,528,percent of total billed charges ,554.4,percent of total billed charges ,554.4,percent of total billed charges ,514.8,percent of total billed charges ,514.8,percent of total billed charges ,528,percent of total billed charges ,528,percent of total billed charges ,462,percent of total billed charges ,462,percent of total billed charges ,396,percent of total billed charges ,396,percent of total billed charges ,396,percent of total billed charges ,396,percent of total billed charges ,,,,,351.12,percent of total billed charges ,,,,,333.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,,,184.8,percent of total billed charges,
**OT TEAM CONF W/O PAT BY PHYS > 30 MIN,99367,CDM,,,GO,both,,,285,285,79.8,285,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,210.9,percent of total billed charges,210.9,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,,,205.2,percent of total billed charges ,,,228,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,222.3,percent of total billed charges ,222.3,percent of total billed charges ,228,percent of total billed charges ,228,percent of total billed charges ,199.5,percent of total billed charges ,199.5,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,,,,,151.62,percent of total billed charges ,,,,,144.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,
OT TEAM CONF W/O PAT BY HC PRO > 30 MIN,99368,CDM,,,GO,both,,,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
**OT (WC) EVAL LOW COMPLEXITY,97165,CDM,,,GO,both,,,428,428,119.84,428,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,428,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,308.16,percent of total billed charges,316.72,percent of total billed charges,316.72,percent of total billed charges,342.4,percent of total billed charges,342.4,percent of total billed charges,,,308.16,percent of total billed charges ,,,342.4,percent of total billed charges ,359.52,percent of total billed charges ,359.52,percent of total billed charges ,333.84,percent of total billed charges ,333.84,percent of total billed charges ,342.4,percent of total billed charges ,342.4,percent of total billed charges ,299.6,percent of total billed charges ,299.6,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,,,,,227.7,percent of total billed charges ,,,,,216.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,,,119.84,percent of total billed charges,
**OT (WC) EVAL HIGH COMPLEXITY,97167,CDM,,,GO,both,,,738,738,206.64,738,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,738,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,531.36,percent of total billed charges,546.12,percent of total billed charges,546.12,percent of total billed charges,590.4,percent of total billed charges,590.4,percent of total billed charges,,,531.36,percent of total billed charges ,,,590.4,percent of total billed charges ,619.92,percent of total billed charges ,619.92,percent of total billed charges ,575.64,percent of total billed charges ,575.64,percent of total billed charges ,590.4,percent of total billed charges ,590.4,percent of total billed charges ,516.6,percent of total billed charges ,516.6,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,442.8,percent of total billed charges ,,,,,392.62,percent of total billed charges ,,,,,372.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,,,206.64,percent of total billed charges,
OT TEAM CONF W/PAT BY HC PRO > 30 MIN,99366,CDM,,,GO,both,,,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
OT EVAL LOW COMPLEXITY,97165,CDM,,,GO,both,,,466,466,130.48,466,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,344.84,percent of total billed charges,344.84,percent of total billed charges,372.8,percent of total billed charges,372.8,percent of total billed charges,,,335.52,percent of total billed charges ,,,372.8,percent of total billed charges ,391.44,percent of total billed charges ,391.44,percent of total billed charges ,363.48,percent of total billed charges ,363.48,percent of total billed charges ,372.8,percent of total billed charges ,372.8,percent of total billed charges ,326.2,percent of total billed charges ,326.2,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,,,,,247.91,percent of total billed charges ,,,,,235.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,
OT EVAL MODERATE COMPLEXITY,97166,CDM,,,GO,both,,,466,466,130.48,466,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,466,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,335.52,percent of total billed charges,344.84,percent of total billed charges,344.84,percent of total billed charges,372.8,percent of total billed charges,372.8,percent of total billed charges,,,335.52,percent of total billed charges ,,,372.8,percent of total billed charges ,391.44,percent of total billed charges ,391.44,percent of total billed charges ,363.48,percent of total billed charges ,363.48,percent of total billed charges ,372.8,percent of total billed charges ,372.8,percent of total billed charges ,326.2,percent of total billed charges ,326.2,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,279.6,percent of total billed charges ,,,,,247.91,percent of total billed charges ,,,,,235.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,,,130.48,percent of total billed charges,
OT EVAL HIGH COMPLEXITY,97167,CDM,,,GO,both,,,437,437,122.36,437,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,323.38,percent of total billed charges,323.38,percent of total billed charges,349.6,percent of total billed charges,349.6,percent of total billed charges,,,314.64,percent of total billed charges ,,,349.6,percent of total billed charges ,367.08,percent of total billed charges ,367.08,percent of total billed charges ,340.86,percent of total billed charges ,340.86,percent of total billed charges ,349.6,percent of total billed charges ,349.6,percent of total billed charges ,305.9,percent of total billed charges ,305.9,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,,,,,232.48,percent of total billed charges ,,,,,220.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,
OT RE-EVALUATION,97168,CDM,,,GO,both,,,486,486,136.08,486,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,,,349.92,percent of total billed charges ,,,388.8,percent of total billed charges ,408.24,percent of total billed charges ,408.24,percent of total billed charges ,379.08,percent of total billed charges ,379.08,percent of total billed charges ,388.8,percent of total billed charges ,388.8,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,,,,,258.55,percent of total billed charges ,,,,,245.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,
**OT EVAL (PA) LOW COMPLEXITY 15 MI,97165,CDM,,,GO,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**OT EVAL (PA) MODERATE COMPLEXITY 15 MI,97166,CDM,,,GO,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**OT EVAL (PA) HIGH COMPLEXITY 15 MINS,97167,CDM,,,GO,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
OT WHEELCHAIR MNGT,97542,CDM,,,GO,both,,,169,169,47.32,169,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,169,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,121.68,percent of total billed charges,125.06,percent of total billed charges,125.06,percent of total billed charges,135.2,percent of total billed charges,135.2,percent of total billed charges,,,121.68,percent of total billed charges ,,,135.2,percent of total billed charges ,141.96,percent of total billed charges ,141.96,percent of total billed charges ,131.82,percent of total billed charges ,131.82,percent of total billed charges ,135.2,percent of total billed charges ,135.2,percent of total billed charges ,118.3,percent of total billed charges ,118.3,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,,,,,89.91,percent of total billed charges ,,,,,85.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,,,47.32,percent of total billed charges,
**MICONAZOLE 2% (ZEASORB) PWDR,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**BARRIER STERILE FIELD,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**COLOSTOMY BELT ADJUSTABLE,LOCAL,LOCAL,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
**COLOSTOMY CONVEX INSERTS 1 3/8,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
**PICC LINE,C1751,CDM,,,,both,,,523,523,146.44,523,523,percent of total billed charges,523,percent of total billed charges,523,percent of total billed charges,523,percent of total billed charges,523,percent of total billed charges,523,percent of total billed charges,523,percent of total billed charges,523,percent of total billed charges,376.56,percent of total billed charges,376.56,percent of total billed charges,376.56,percent of total billed charges,376.56,percent of total billed charges,376.56,percent of total billed charges,376.56,percent of total billed charges,387.02,percent of total billed charges,387.02,percent of total billed charges,418.4,percent of total billed charges,418.4,percent of total billed charges,,,376.56,percent of total billed charges ,,,418.4,percent of total billed charges ,439.32,percent of total billed charges ,439.32,percent of total billed charges ,407.94,percent of total billed charges ,407.94,percent of total billed charges ,418.4,percent of total billed charges ,418.4,percent of total billed charges ,366.1,percent of total billed charges ,366.1,percent of total billed charges ,313.8,percent of total billed charges ,313.8,percent of total billed charges ,313.8,percent of total billed charges ,313.8,percent of total billed charges ,,,,,278.24,percent of total billed charges ,,,,,264.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,,,146.44,percent of total billed charges,
**COLOSTOMY DRAIN POUCH CUSTOM,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
**COLOSTOMY IRRIGATION SLEEVE 1 3/4,LOCAL,LOCAL,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**COLOSTOMY IRRIGATION SLEEVE 4,LOCAL,LOCAL,,,,both,,,32,32,8.96,32,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,32,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.04,percent of total billed charges,23.68,percent of total billed charges,23.68,percent of total billed charges,25.6,percent of total billed charges,25.6,percent of total billed charges,,,23.04,percent of total billed charges ,,,25.6,percent of total billed charges ,26.88,percent of total billed charges ,26.88,percent of total billed charges ,24.96,percent of total billed charges ,24.96,percent of total billed charges ,25.6,percent of total billed charges ,25.6,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,19.2,percent of total billed charges ,,,,,17.02,percent of total billed charges ,,,,,16.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,,,8.96,percent of total billed charges,
**COLOSTOMY IRRIGATION START SET 1 3/4,LOCAL,LOCAL,,,,both,,,406,406,113.68,406,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,406,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,292.32,percent of total billed charges,300.44,percent of total billed charges,300.44,percent of total billed charges,324.8,percent of total billed charges,324.8,percent of total billed charges,,,292.32,percent of total billed charges ,,,324.8,percent of total billed charges ,341.04,percent of total billed charges ,341.04,percent of total billed charges ,316.68,percent of total billed charges ,316.68,percent of total billed charges ,324.8,percent of total billed charges ,324.8,percent of total billed charges ,284.2,percent of total billed charges ,284.2,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,243.6,percent of total billed charges ,,,,,215.99,percent of total billed charges ,,,,,205.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,,,113.68,percent of total billed charges,
MELGISORB 4X4,LOCAL,LOCAL,,,,both,,,99,99,27.72,99,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,99,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,71.28,percent of total billed charges,73.26,percent of total billed charges,73.26,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,,,71.28,percent of total billed charges ,,,79.2,percent of total billed charges ,83.16,percent of total billed charges ,83.16,percent of total billed charges ,77.22,percent of total billed charges ,77.22,percent of total billed charges ,79.2,percent of total billed charges ,79.2,percent of total billed charges ,69.3,percent of total billed charges ,69.3,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,59.4,percent of total billed charges ,,,,,52.67,percent of total billed charges ,,,,,50.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,,,27.72,percent of total billed charges,
**IODOFORM NUGAUZ 1/4,LOCAL,LOCAL,,,,both,,,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
MEPILEX BORDER AG 6X6,LOCAL,LOCAL,,,,both,,,37,37,10.36,37,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,37,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,27.38,percent of total billed charges,27.38,percent of total billed charges,29.6,percent of total billed charges,29.6,percent of total billed charges,,,26.64,percent of total billed charges ,,,29.6,percent of total billed charges ,31.08,percent of total billed charges ,31.08,percent of total billed charges ,28.86,percent of total billed charges ,28.86,percent of total billed charges ,29.6,percent of total billed charges ,29.6,percent of total billed charges ,25.9,percent of total billed charges ,25.9,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,22.2,percent of total billed charges ,,,,,19.68,percent of total billed charges ,,,,,18.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,,,10.36,percent of total billed charges,
ILL STERNAL ASPIR NEEDLE,LOCAL,LOCAL,,,,both,,,165,165,46.2,165,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,165,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,118.8,percent of total billed charges,122.1,percent of total billed charges,122.1,percent of total billed charges,132,percent of total billed charges,132,percent of total billed charges,,,118.8,percent of total billed charges ,,,132,percent of total billed charges ,138.6,percent of total billed charges ,138.6,percent of total billed charges ,128.7,percent of total billed charges ,128.7,percent of total billed charges ,132,percent of total billed charges ,132,percent of total billed charges ,115.5,percent of total billed charges ,115.5,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,99,percent of total billed charges ,,,,,87.78,percent of total billed charges ,,,,,83.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,,,46.2,percent of total billed charges,
**BUTTERFLY 27 X 3/8,LOCAL,LOCAL,,,,both,,,34,34,9.52,34,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,25.16,percent of total billed charges,25.16,percent of total billed charges,27.2,percent of total billed charges,27.2,percent of total billed charges,,,24.48,percent of total billed charges ,,,27.2,percent of total billed charges ,28.56,percent of total billed charges ,28.56,percent of total billed charges ,26.52,percent of total billed charges ,26.52,percent of total billed charges ,27.2,percent of total billed charges ,27.2,percent of total billed charges ,23.8,percent of total billed charges ,23.8,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,,,,,18.09,percent of total billed charges ,,,,,17.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,
CATHETER IV 14 X 2 1/2,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
**CATHETER PROTECT IV 20 X 1 1/4,LOCAL,LOCAL,,,,both,,,47,47,13.16,47,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,47,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,33.84,percent of total billed charges,34.78,percent of total billed charges,34.78,percent of total billed charges,37.6,percent of total billed charges,37.6,percent of total billed charges,,,33.84,percent of total billed charges ,,,37.6,percent of total billed charges ,39.48,percent of total billed charges ,39.48,percent of total billed charges ,36.66,percent of total billed charges ,36.66,percent of total billed charges ,37.6,percent of total billed charges ,37.6,percent of total billed charges ,32.9,percent of total billed charges ,32.9,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,28.2,percent of total billed charges ,,,,,25,percent of total billed charges ,,,,,23.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,,,13.16,percent of total billed charges,
**CATHETER IV TWO LUMEN 18 X 1 3/4,LOCAL,LOCAL,,,,both,,,66,66,18.48,66,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,48.84,percent of total billed charges,48.84,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,,,47.52,percent of total billed charges ,,,52.8,percent of total billed charges ,55.44,percent of total billed charges ,55.44,percent of total billed charges ,51.48,percent of total billed charges ,51.48,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,,,,,35.11,percent of total billed charges ,,,,,33.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,
**CATHETER IV TWO LUMEN 16 X 1 3/4,LOCAL,LOCAL,,,,both,,,66,66,18.48,66,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,48.84,percent of total billed charges,48.84,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,,,47.52,percent of total billed charges ,,,52.8,percent of total billed charges ,55.44,percent of total billed charges ,55.44,percent of total billed charges ,51.48,percent of total billed charges ,51.48,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,,,,,35.11,percent of total billed charges ,,,,,33.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,
**CLAVE CON-PIGGYBACK,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**STERILE SALINE 250 ML,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**SALINE NORMAL 500CC,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**SALINE .9% NS 1500CC IRRIGATION,LOCAL,LOCAL,,,,both,,,49,49,13.72,49,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,49,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,35.28,percent of total billed charges,36.26,percent of total billed charges,36.26,percent of total billed charges,39.2,percent of total billed charges,39.2,percent of total billed charges,,,35.28,percent of total billed charges ,,,39.2,percent of total billed charges ,41.16,percent of total billed charges ,41.16,percent of total billed charges ,38.22,percent of total billed charges ,38.22,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,34.3,percent of total billed charges ,34.3,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,,,,,26.07,percent of total billed charges ,,,,,24.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,,,13.72,percent of total billed charges,
**WATER IRRIGATION 250CC,LOCAL,LOCAL,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
**VENT ADAPTER PIN UNIVERSAL,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
DVT BARIATRIC CALF,LOCAL,LOCAL,,,,both,,,602,602,168.56,602,602,percent of total billed charges,602,percent of total billed charges,602,percent of total billed charges,602,percent of total billed charges,602,percent of total billed charges,602,percent of total billed charges,602,percent of total billed charges,602,percent of total billed charges,433.44,percent of total billed charges,433.44,percent of total billed charges,433.44,percent of total billed charges,433.44,percent of total billed charges,433.44,percent of total billed charges,433.44,percent of total billed charges,445.48,percent of total billed charges,445.48,percent of total billed charges,481.6,percent of total billed charges,481.6,percent of total billed charges,,,433.44,percent of total billed charges ,,,481.6,percent of total billed charges ,505.68,percent of total billed charges ,505.68,percent of total billed charges ,469.56,percent of total billed charges ,469.56,percent of total billed charges ,481.6,percent of total billed charges ,481.6,percent of total billed charges ,421.4,percent of total billed charges ,421.4,percent of total billed charges ,361.2,percent of total billed charges ,361.2,percent of total billed charges ,361.2,percent of total billed charges ,361.2,percent of total billed charges ,,,,,320.26,percent of total billed charges ,,,,,304.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,,,168.56,percent of total billed charges,
MEPILEX BORDER AG 4 X 12,LOCAL,LOCAL,,,,both,,,298,298,83.44,298,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,220.52,percent of total billed charges,220.52,percent of total billed charges,238.4,percent of total billed charges,238.4,percent of total billed charges,,,214.56,percent of total billed charges ,,,238.4,percent of total billed charges ,250.32,percent of total billed charges ,250.32,percent of total billed charges ,232.44,percent of total billed charges ,232.44,percent of total billed charges ,238.4,percent of total billed charges ,238.4,percent of total billed charges ,208.6,percent of total billed charges ,208.6,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,,,,,158.54,percent of total billed charges ,,,,,150.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,
**MATTRESS EGGCRATE FOAM DISPOSABLE,LOCAL,LOCAL,,,,both,,,110,110,30.8,110,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,110,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,79.2,percent of total billed charges,81.4,percent of total billed charges,81.4,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,,,79.2,percent of total billed charges ,,,88,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,85.8,percent of total billed charges ,85.8,percent of total billed charges ,88,percent of total billed charges ,88,percent of total billed charges ,77,percent of total billed charges ,77,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,66,percent of total billed charges ,,,,,58.52,percent of total billed charges ,,,,,55.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,,,30.8,percent of total billed charges,
**SLIPPER ADULT 1 1/2 - 4 1/2 PAIR,LOCAL,LOCAL,,,,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
MIC GASTROSTOMY TUBE 18 FR,LOCAL,LOCAL,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
MIC GASTROSTOMY TUBE 16 FR,LOCAL,LOCAL,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
MIC GASTROSTOMY TUBE 20 FR,LOCAL,LOCAL,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
MIC GASTROSTOMY TUBE 22 FR,LOCAL,LOCAL,,,,both,,,424,424,118.72,424,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,424,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,305.28,percent of total billed charges,313.76,percent of total billed charges,313.76,percent of total billed charges,339.2,percent of total billed charges,339.2,percent of total billed charges,,,305.28,percent of total billed charges ,,,339.2,percent of total billed charges ,356.16,percent of total billed charges ,356.16,percent of total billed charges ,330.72,percent of total billed charges ,330.72,percent of total billed charges ,339.2,percent of total billed charges ,339.2,percent of total billed charges ,296.8,percent of total billed charges ,296.8,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,,,,,225.57,percent of total billed charges ,,,,,214.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,,,118.72,percent of total billed charges,
MIC GASTROSTOMY TUBE 24 FR,LOCAL,LOCAL,,,,both,,,324,324,90.72,324,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,324,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,233.28,percent of total billed charges,239.76,percent of total billed charges,239.76,percent of total billed charges,259.2,percent of total billed charges,259.2,percent of total billed charges,,,233.28,percent of total billed charges ,,,259.2,percent of total billed charges ,272.16,percent of total billed charges ,272.16,percent of total billed charges ,252.72,percent of total billed charges ,252.72,percent of total billed charges ,259.2,percent of total billed charges ,259.2,percent of total billed charges ,226.8,percent of total billed charges ,226.8,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,194.4,percent of total billed charges ,,,,,172.37,percent of total billed charges ,,,,,163.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,,,90.72,percent of total billed charges,
**CLINISTIX BX/50,LOCAL,LOCAL,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
**CONDITIONER SKIN CAST AEROZOIN,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
**DEFRIBRILLATOR PADS,LOCAL,LOCAL,,,,both,,,46,46,12.88,46,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,36.8,percent of total billed charges,36.8,percent of total billed charges,,,33.12,percent of total billed charges ,,,36.8,percent of total billed charges ,38.64,percent of total billed charges ,38.64,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,36.8,percent of total billed charges ,36.8,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,,,,,24.47,percent of total billed charges ,,,,,23.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,
**ELECTRODE PACING 6 FR BIPOLAR,LOCAL,LOCAL,,,,both,,,847,847,237.16,847,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,847,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,609.84,percent of total billed charges,626.78,percent of total billed charges,626.78,percent of total billed charges,677.6,percent of total billed charges,677.6,percent of total billed charges,,,609.84,percent of total billed charges ,,,677.6,percent of total billed charges ,711.48,percent of total billed charges ,711.48,percent of total billed charges ,660.66,percent of total billed charges ,660.66,percent of total billed charges ,677.6,percent of total billed charges ,677.6,percent of total billed charges ,592.9,percent of total billed charges ,592.9,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,508.2,percent of total billed charges ,,,,,450.6,percent of total billed charges ,,,,,428.07,percent of total billed charges ,,,,,,,,,,,,,,,,,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,,,237.16,percent of total billed charges,
**BABY BATH LIQUID,25365,CDM,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**LOTION VASELINE INTENSIVE CARE 3.5,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
LUMBAR PUNCTURE TRAY ADULT,LOCAL,LOCAL,,,,both,,,586,586,164.08,586,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,433.64,percent of total billed charges,433.64,percent of total billed charges,468.8,percent of total billed charges,468.8,percent of total billed charges,,,421.92,percent of total billed charges ,,,468.8,percent of total billed charges ,492.24,percent of total billed charges ,492.24,percent of total billed charges ,457.08,percent of total billed charges ,457.08,percent of total billed charges ,468.8,percent of total billed charges ,468.8,percent of total billed charges ,410.2,percent of total billed charges ,410.2,percent of total billed charges ,351.6,percent of total billed charges ,351.6,percent of total billed charges ,351.6,percent of total billed charges ,351.6,percent of total billed charges ,,,,,311.75,percent of total billed charges ,,,,,296.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,
LUMBAR PUNCTURE TRAY INFANT,LOCAL,LOCAL,,,,both,,,586,586,164.08,586,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,586,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,421.92,percent of total billed charges,433.64,percent of total billed charges,433.64,percent of total billed charges,468.8,percent of total billed charges,468.8,percent of total billed charges,,,421.92,percent of total billed charges ,,,468.8,percent of total billed charges ,492.24,percent of total billed charges ,492.24,percent of total billed charges ,457.08,percent of total billed charges ,457.08,percent of total billed charges ,468.8,percent of total billed charges ,468.8,percent of total billed charges ,410.2,percent of total billed charges ,410.2,percent of total billed charges ,351.6,percent of total billed charges ,351.6,percent of total billed charges ,351.6,percent of total billed charges ,351.6,percent of total billed charges ,,,,,311.75,percent of total billed charges ,,,,,296.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,,,164.08,percent of total billed charges,
BONE MARROW DISP NEEDLE 4,LOCAL,LOCAL,,,,both,,,179,179,50.12,179,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,179,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,128.88,percent of total billed charges,132.46,percent of total billed charges,132.46,percent of total billed charges,143.2,percent of total billed charges,143.2,percent of total billed charges,,,128.88,percent of total billed charges ,,,143.2,percent of total billed charges ,150.36,percent of total billed charges ,150.36,percent of total billed charges ,139.62,percent of total billed charges ,139.62,percent of total billed charges ,143.2,percent of total billed charges ,143.2,percent of total billed charges ,125.3,percent of total billed charges ,125.3,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,107.4,percent of total billed charges ,,,,,95.23,percent of total billed charges ,,,,,90.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,,,50.12,percent of total billed charges,
**CHEST DRAINAGE SYSTEM,C1729,CDM,,,,both,,,"1,152.00","1,152.00",322.56,"1,152.00","1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,"1,152.00",percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,829.44,percent of total billed charges,852.48,percent of total billed charges,852.48,percent of total billed charges,921.6,percent of total billed charges,921.6,percent of total billed charges,,,829.44,percent of total billed charges ,,,921.6,percent of total billed charges ,967.68,percent of total billed charges ,967.68,percent of total billed charges ,898.56,percent of total billed charges ,898.56,percent of total billed charges ,921.6,percent of total billed charges ,921.6,percent of total billed charges ,806.4,percent of total billed charges ,806.4,percent of total billed charges ,691.2,percent of total billed charges ,691.2,percent of total billed charges ,691.2,percent of total billed charges ,691.2,percent of total billed charges ,,,,,612.86,percent of total billed charges ,,,,,582.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,,,322.56,percent of total billed charges,
**BABY POWDER 4 OZ,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**REAGENT CLINITEST SET BX/36,LOCAL,LOCAL,,,,both,,,63,63,17.64,63,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,46.62,percent of total billed charges,46.62,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,,,45.36,percent of total billed charges ,,,50.4,percent of total billed charges ,52.92,percent of total billed charges ,52.92,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,44.1,percent of total billed charges ,44.1,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,,,,,33.52,percent of total billed charges ,,,,,31.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,
**REAGENT STRIP KETOSTIX BX/50,LOCAL,LOCAL,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
**SANITARY BELT,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**SWABSTICK LEMON-GLYCERIN PK/3,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**TES TAPE,LOCAL,LOCAL,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
**THERMOMETER DUAL SCALE,LOCAL,LOCAL,,,,both,,,13,13,3.64,13,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,13,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.36,percent of total billed charges,9.62,percent of total billed charges,9.62,percent of total billed charges,10.4,percent of total billed charges,10.4,percent of total billed charges,,,9.36,percent of total billed charges ,,,10.4,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,10.14,percent of total billed charges ,10.14,percent of total billed charges ,10.4,percent of total billed charges ,10.4,percent of total billed charges ,9.1,percent of total billed charges ,9.1,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,,,,,6.92,percent of total billed charges ,,,,,6.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,,,3.64,percent of total billed charges,
**THORACENTESIS TRAY ADULT,LOCAL,LOCAL,,,,both,,,876,876,245.28,876,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,876,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,630.72,percent of total billed charges,648.24,percent of total billed charges,648.24,percent of total billed charges,700.8,percent of total billed charges,700.8,percent of total billed charges,,,630.72,percent of total billed charges ,,,700.8,percent of total billed charges ,735.84,percent of total billed charges ,735.84,percent of total billed charges ,683.28,percent of total billed charges ,683.28,percent of total billed charges ,700.8,percent of total billed charges ,700.8,percent of total billed charges ,613.2,percent of total billed charges ,613.2,percent of total billed charges ,525.6,percent of total billed charges ,525.6,percent of total billed charges ,525.6,percent of total billed charges ,525.6,percent of total billed charges ,,,,,466.03,percent of total billed charges ,,,,,442.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,,,245.28,percent of total billed charges,
**PAD PRO ADULT PK,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
**NON-CONDUCTIVE CONNECTING TUBE,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
PAD PRO PEDI PK,LOCAL,LOCAL,,,,both,,,242,242,67.76,242,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,242,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,174.24,percent of total billed charges,179.08,percent of total billed charges,179.08,percent of total billed charges,193.6,percent of total billed charges,193.6,percent of total billed charges,,,174.24,percent of total billed charges ,,,193.6,percent of total billed charges ,203.28,percent of total billed charges ,203.28,percent of total billed charges ,188.76,percent of total billed charges ,188.76,percent of total billed charges ,193.6,percent of total billed charges ,193.6,percent of total billed charges ,169.4,percent of total billed charges ,169.4,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,145.2,percent of total billed charges ,,,,,128.74,percent of total billed charges ,,,,,122.31,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,,,67.76,percent of total billed charges,
BONE MARROW DISP NEEDLE 2,LOCAL,LOCAL,,,,both,,,558,558,156.24,558,558,percent of total billed charges,558,percent of total billed charges,558,percent of total billed charges,558,percent of total billed charges,558,percent of total billed charges,558,percent of total billed charges,558,percent of total billed charges,558,percent of total billed charges,401.76,percent of total billed charges,401.76,percent of total billed charges,401.76,percent of total billed charges,401.76,percent of total billed charges,401.76,percent of total billed charges,401.76,percent of total billed charges,412.92,percent of total billed charges,412.92,percent of total billed charges,446.4,percent of total billed charges,446.4,percent of total billed charges,,,401.76,percent of total billed charges ,,,446.4,percent of total billed charges ,468.72,percent of total billed charges ,468.72,percent of total billed charges ,435.24,percent of total billed charges ,435.24,percent of total billed charges ,446.4,percent of total billed charges ,446.4,percent of total billed charges ,390.6,percent of total billed charges ,390.6,percent of total billed charges ,334.8,percent of total billed charges ,334.8,percent of total billed charges ,334.8,percent of total billed charges ,334.8,percent of total billed charges ,,,,,296.86,percent of total billed charges ,,,,,282.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,,,156.24,percent of total billed charges,
**RING FOAM RUBBER,LOCAL,LOCAL,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
SUSPENSORY LARGE,LOCAL,LOCAL,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
SUSPENSORY MEDIUM,LOCAL,LOCAL,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
SUSPENSORY X-LARGE,LOCAL,LOCAL,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
**ISOLATION SET UP,LOCAL,LOCAL,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
**SMALL ISOLATION SET,LOCAL,LOCAL,,,,both,,,87,87,24.36,87,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,87,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,62.64,percent of total billed charges,64.38,percent of total billed charges,64.38,percent of total billed charges,69.6,percent of total billed charges,69.6,percent of total billed charges,,,62.64,percent of total billed charges ,,,69.6,percent of total billed charges ,73.08,percent of total billed charges ,73.08,percent of total billed charges ,67.86,percent of total billed charges ,67.86,percent of total billed charges ,69.6,percent of total billed charges ,69.6,percent of total billed charges ,60.9,percent of total billed charges ,60.9,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,52.2,percent of total billed charges ,,,,,46.28,percent of total billed charges ,,,,,43.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,,,24.36,percent of total billed charges,
**BAG HAZARDOUS WASTE RED,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**EMESIS BAG,LOCAL,LOCAL,,,,both,,,9,9,2.52,9,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,9,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.48,percent of total billed charges,6.66,percent of total billed charges,6.66,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,,,6.48,percent of total billed charges ,,,7.2,percent of total billed charges ,7.56,percent of total billed charges ,7.56,percent of total billed charges ,7.02,percent of total billed charges ,7.02,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,6.3,percent of total billed charges ,6.3,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,5.4,percent of total billed charges ,,,,,4.79,percent of total billed charges ,,,,,4.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,,,2.52,percent of total billed charges,
**CARAFE,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**RAZOR DISPOSABLE BATTERY OPERATED,LOCAL,LOCAL,,,,both,,,98,98,27.44,98,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,98,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,70.56,percent of total billed charges,72.52,percent of total billed charges,72.52,percent of total billed charges,78.4,percent of total billed charges,78.4,percent of total billed charges,,,70.56,percent of total billed charges ,,,78.4,percent of total billed charges ,82.32,percent of total billed charges ,82.32,percent of total billed charges ,76.44,percent of total billed charges ,76.44,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,68.6,percent of total billed charges ,68.6,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,58.8,percent of total billed charges ,,,,,52.14,percent of total billed charges ,,,,,49.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,,,27.44,percent of total billed charges,
**AIRWAY PREMIE 40MM,LOCAL,LOCAL,,,,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
AIRWAY #1 60MM,LOCAL,LOCAL,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
**BAG TUBE FEEDING FLIP TOP,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**CATHETER REPAIR KIT SMALL,LOCAL,LOCAL,,,,both,,,321,321,89.88,321,321,percent of total billed charges,321,percent of total billed charges,321,percent of total billed charges,321,percent of total billed charges,321,percent of total billed charges,321,percent of total billed charges,321,percent of total billed charges,321,percent of total billed charges,231.12,percent of total billed charges,231.12,percent of total billed charges,231.12,percent of total billed charges,231.12,percent of total billed charges,231.12,percent of total billed charges,231.12,percent of total billed charges,237.54,percent of total billed charges,237.54,percent of total billed charges,256.8,percent of total billed charges,256.8,percent of total billed charges,,,231.12,percent of total billed charges ,,,256.8,percent of total billed charges ,269.64,percent of total billed charges ,269.64,percent of total billed charges ,250.38,percent of total billed charges ,250.38,percent of total billed charges ,256.8,percent of total billed charges ,256.8,percent of total billed charges ,224.7,percent of total billed charges ,224.7,percent of total billed charges ,192.6,percent of total billed charges ,192.6,percent of total billed charges ,192.6,percent of total billed charges ,192.6,percent of total billed charges ,,,,,170.77,percent of total billed charges ,,,,,162.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,,,89.88,percent of total billed charges,
CATHETER KIT NASAL HEMOSTATIC,LOCAL,LOCAL,,,,both,,,562,562,157.36,562,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,562,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,404.64,percent of total billed charges,415.88,percent of total billed charges,415.88,percent of total billed charges,449.6,percent of total billed charges,449.6,percent of total billed charges,,,404.64,percent of total billed charges ,,,449.6,percent of total billed charges ,472.08,percent of total billed charges ,472.08,percent of total billed charges ,438.36,percent of total billed charges ,438.36,percent of total billed charges ,449.6,percent of total billed charges ,449.6,percent of total billed charges ,393.4,percent of total billed charges ,393.4,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,337.2,percent of total billed charges ,,,,,298.98,percent of total billed charges ,,,,,284.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,,,157.36,percent of total billed charges,
**CATHETER SUCTION KIT 14FR,LOCAL,LOCAL,,,,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**CONNECTOR TUBE 6 IN 1,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**STOPCOCK 1-WAY,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**STOPCOCK 3-WAY,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**STOPCOCK 3-WAY WITH TUBING,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**STERILE INSTRUMENT SINGLE-DISP,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**TUBE EXTENSION SET 30,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
TUBE FEEDING 10 FR W/STYLET,LOCAL,LOCAL,,,,both,,,22,22,6.16,22,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,22,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,15.84,percent of total billed charges,16.28,percent of total billed charges,16.28,percent of total billed charges,17.6,percent of total billed charges,17.6,percent of total billed charges,,,15.84,percent of total billed charges ,,,17.6,percent of total billed charges ,18.48,percent of total billed charges ,18.48,percent of total billed charges ,17.16,percent of total billed charges ,17.16,percent of total billed charges ,17.6,percent of total billed charges ,17.6,percent of total billed charges ,15.4,percent of total billed charges ,15.4,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,13.2,percent of total billed charges ,,,,,11.7,percent of total billed charges ,,,,,11.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,,,6.16,percent of total billed charges,
**TUBE FEEDING LEVINE 16FR X 50,LOCAL,LOCAL,,,,both,,,23,23,6.44,23,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,23,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,16.56,percent of total billed charges,17.02,percent of total billed charges,17.02,percent of total billed charges,18.4,percent of total billed charges,18.4,percent of total billed charges,,,16.56,percent of total billed charges ,,,18.4,percent of total billed charges ,19.32,percent of total billed charges ,19.32,percent of total billed charges ,17.94,percent of total billed charges ,17.94,percent of total billed charges ,18.4,percent of total billed charges ,18.4,percent of total billed charges ,16.1,percent of total billed charges ,16.1,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,13.8,percent of total billed charges ,,,,,12.24,percent of total billed charges ,,,,,11.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,,,6.44,percent of total billed charges,
TUBE TRAC SIZE 10,LOCAL,LOCAL,,,,both,,,579,579,162.12,579,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,579,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,416.88,percent of total billed charges,428.46,percent of total billed charges,428.46,percent of total billed charges,463.2,percent of total billed charges,463.2,percent of total billed charges,,,416.88,percent of total billed charges ,,,463.2,percent of total billed charges ,486.36,percent of total billed charges ,486.36,percent of total billed charges ,451.62,percent of total billed charges ,451.62,percent of total billed charges ,463.2,percent of total billed charges ,463.2,percent of total billed charges ,405.3,percent of total billed charges ,405.3,percent of total billed charges ,347.4,percent of total billed charges ,347.4,percent of total billed charges ,347.4,percent of total billed charges ,347.4,percent of total billed charges ,,,,,308.03,percent of total billed charges ,,,,,292.63,percent of total billed charges ,,,,,,,,,,,,,,,,,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,,,162.12,percent of total billed charges,
TUBE TRAC SIZE 3,LOCAL,LOCAL,,,,both,,,352,352,98.56,352,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,352,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,253.44,percent of total billed charges,260.48,percent of total billed charges,260.48,percent of total billed charges,281.6,percent of total billed charges,281.6,percent of total billed charges,,,253.44,percent of total billed charges ,,,281.6,percent of total billed charges ,295.68,percent of total billed charges ,295.68,percent of total billed charges ,274.56,percent of total billed charges ,274.56,percent of total billed charges ,281.6,percent of total billed charges ,281.6,percent of total billed charges ,246.4,percent of total billed charges ,246.4,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,211.2,percent of total billed charges ,,,,,187.26,percent of total billed charges ,,,,,177.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,,,98.56,percent of total billed charges,
TUBE TRAC SIZE 6,LOCAL,LOCAL,,,,both,,,718,718,201.04,718,718,percent of total billed charges,718,percent of total billed charges,718,percent of total billed charges,718,percent of total billed charges,718,percent of total billed charges,718,percent of total billed charges,718,percent of total billed charges,718,percent of total billed charges,516.96,percent of total billed charges,516.96,percent of total billed charges,516.96,percent of total billed charges,516.96,percent of total billed charges,516.96,percent of total billed charges,516.96,percent of total billed charges,531.32,percent of total billed charges,531.32,percent of total billed charges,574.4,percent of total billed charges,574.4,percent of total billed charges,,,516.96,percent of total billed charges ,,,574.4,percent of total billed charges ,603.12,percent of total billed charges ,603.12,percent of total billed charges ,560.04,percent of total billed charges ,560.04,percent of total billed charges ,574.4,percent of total billed charges ,574.4,percent of total billed charges ,502.6,percent of total billed charges ,502.6,percent of total billed charges ,430.8,percent of total billed charges ,430.8,percent of total billed charges ,430.8,percent of total billed charges ,430.8,percent of total billed charges ,,,,,381.98,percent of total billed charges ,,,,,362.88,percent of total billed charges ,,,,,,,,,,,,,,,,,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,,,201.04,percent of total billed charges,
**ENDOTRACHEAL TUBE CS,LOCAL,LOCAL,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
**TUBE TRAC SIZE 8,LOCAL,LOCAL,,,,both,,,402,402,112.56,402,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,402,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,289.44,percent of total billed charges,297.48,percent of total billed charges,297.48,percent of total billed charges,321.6,percent of total billed charges,321.6,percent of total billed charges,,,289.44,percent of total billed charges ,,,321.6,percent of total billed charges ,337.68,percent of total billed charges ,337.68,percent of total billed charges ,313.56,percent of total billed charges ,313.56,percent of total billed charges ,321.6,percent of total billed charges ,321.6,percent of total billed charges ,281.4,percent of total billed charges ,281.4,percent of total billed charges ,241.2,percent of total billed charges ,241.2,percent of total billed charges ,241.2,percent of total billed charges ,241.2,percent of total billed charges ,,,,,213.86,percent of total billed charges ,,,,,203.17,percent of total billed charges ,,,,,,,,,,,,,,,,,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,,,112.56,percent of total billed charges,
**WALL SUCTION KIT,LOCAL,LOCAL,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
**BETADINE SPRAY 3 OZ,LOCAL,LOCAL,,,,both,,,60,60,16.8,60,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,44.4,percent of total billed charges,44.4,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,,,43.2,percent of total billed charges ,,,48,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,46.8,percent of total billed charges ,46.8,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,42,percent of total billed charges ,42,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,,,,,31.92,percent of total billed charges ,,,,,30.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,,,16.8,percent of total billed charges,
**BETADINE SURGICAL SCRUB 1/2 OZ PK,LOCAL,LOCAL,,,,both,,,34,34,9.52,34,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,25.16,percent of total billed charges,25.16,percent of total billed charges,27.2,percent of total billed charges,27.2,percent of total billed charges,,,24.48,percent of total billed charges ,,,27.2,percent of total billed charges ,28.56,percent of total billed charges ,28.56,percent of total billed charges ,26.52,percent of total billed charges ,26.52,percent of total billed charges ,27.2,percent of total billed charges ,27.2,percent of total billed charges ,23.8,percent of total billed charges ,23.8,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,,,,,18.09,percent of total billed charges ,,,,,17.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,
HEEL BOOT,LOCAL,LOCAL,,,,both,,,112,112,31.36,112,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,112,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,80.64,percent of total billed charges,82.88,percent of total billed charges,82.88,percent of total billed charges,89.6,percent of total billed charges,89.6,percent of total billed charges,,,80.64,percent of total billed charges ,,,89.6,percent of total billed charges ,94.08,percent of total billed charges ,94.08,percent of total billed charges ,87.36,percent of total billed charges ,87.36,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,78.4,percent of total billed charges ,78.4,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,,,,,59.58,percent of total billed charges ,,,,,56.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,,,31.36,percent of total billed charges,
**CATHETER FOLEY COUDE 18 FR 5CC,LOCAL,LOCAL,,,,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
**5CC 14FT FOLLEY CATH,LOCAL,LOCAL,,,,both,,,136,136,38.08,136,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,136,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,97.92,percent of total billed charges,100.64,percent of total billed charges,100.64,percent of total billed charges,108.8,percent of total billed charges,108.8,percent of total billed charges,,,97.92,percent of total billed charges ,,,108.8,percent of total billed charges ,114.24,percent of total billed charges ,114.24,percent of total billed charges ,106.08,percent of total billed charges ,106.08,percent of total billed charges ,108.8,percent of total billed charges ,108.8,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,81.6,percent of total billed charges ,,,,,72.35,percent of total billed charges ,,,,,68.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,,,38.08,percent of total billed charges,
**FOLEY CATH SILICONE 16ft 5cc,LOCAL,LOCAL,,,,both,,,126,126,35.28,126,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,93.24,percent of total billed charges,93.24,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,,,90.72,percent of total billed charges ,,,100.8,percent of total billed charges ,105.84,percent of total billed charges ,105.84,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,,,,,67.03,percent of total billed charges ,,,,,63.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,
**CATHETER FOLEY 3-WAY 30CC BAL 20FR,LOCAL,LOCAL,,,,both,,,200,200,56,200,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,160,percent of total billed charges,160,percent of total billed charges,,,144,percent of total billed charges ,,,160,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,160,percent of total billed charges ,160,percent of total billed charges ,140,percent of total billed charges ,140,percent of total billed charges ,120,percent of total billed charges ,120,percent of total billed charges ,120,percent of total billed charges ,120,percent of total billed charges ,,,,,106.4,percent of total billed charges ,,,,,101.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,,,56,percent of total billed charges,
CATHETER TIEMANN COUDE 16FR,LOCAL,LOCAL,,,,both,,,173,173,48.44,173,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,173,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,124.56,percent of total billed charges,128.02,percent of total billed charges,128.02,percent of total billed charges,138.4,percent of total billed charges,138.4,percent of total billed charges,,,124.56,percent of total billed charges ,,,138.4,percent of total billed charges ,145.32,percent of total billed charges ,145.32,percent of total billed charges ,134.94,percent of total billed charges ,134.94,percent of total billed charges ,138.4,percent of total billed charges ,138.4,percent of total billed charges ,121.1,percent of total billed charges ,121.1,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,103.8,percent of total billed charges ,,,,,92.04,percent of total billed charges ,,,,,87.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,,,48.44,percent of total billed charges,
CATHETER TREMANN COUDE 14FR,LOCAL,LOCAL,,,,both,,,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
CATHETER TREMANN COUDE 12FR,LOCAL,LOCAL,,,,both,,,164,164,45.92,164,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,164,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,118.08,percent of total billed charges,121.36,percent of total billed charges,121.36,percent of total billed charges,131.2,percent of total billed charges,131.2,percent of total billed charges,,,118.08,percent of total billed charges ,,,131.2,percent of total billed charges ,137.76,percent of total billed charges ,137.76,percent of total billed charges ,127.92,percent of total billed charges ,127.92,percent of total billed charges ,131.2,percent of total billed charges ,131.2,percent of total billed charges ,114.8,percent of total billed charges ,114.8,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,98.4,percent of total billed charges ,,,,,87.25,percent of total billed charges ,,,,,82.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,,,45.92,percent of total billed charges,
**CATHETER SUPERPUBIC STAMEY,C2627,CDM,,,,both,,,430,430,120.4,430,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,430,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,309.6,percent of total billed charges,318.2,percent of total billed charges,318.2,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,,,309.6,percent of total billed charges ,,,344,percent of total billed charges ,361.2,percent of total billed charges ,361.2,percent of total billed charges ,335.4,percent of total billed charges ,335.4,percent of total billed charges ,344,percent of total billed charges ,344,percent of total billed charges ,301,percent of total billed charges ,301,percent of total billed charges ,258,percent of total billed charges ,258,percent of total billed charges ,258,percent of total billed charges ,258,percent of total billed charges ,,,,,228.76,percent of total billed charges ,,,,,217.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,,,120.4,percent of total billed charges,
CATHETER TREMANN COUDE 20FR,LOCAL,LOCAL,,,,both,,,222,222,62.16,222,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,222,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,159.84,percent of total billed charges,164.28,percent of total billed charges,164.28,percent of total billed charges,177.6,percent of total billed charges,177.6,percent of total billed charges,,,159.84,percent of total billed charges ,,,177.6,percent of total billed charges ,186.48,percent of total billed charges ,186.48,percent of total billed charges ,173.16,percent of total billed charges ,173.16,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,133.2,percent of total billed charges ,,,,,118.1,percent of total billed charges ,,,,,112.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,,,62.16,percent of total billed charges,
**CATHETER URETHRAL ROBINSON 10 FR,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**CATHETER URETHRAL ROBINSON 12 FR,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**CATHETER URETHRAL ROBINSON 14 FR,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**CATHETER URETHRAL ROBINSON 16 FR,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**CATHETER URETHRAL ROBINSON 8FR,LOCAL,LOCAL,,,,both,,,80,80,22.4,80,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,80,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,64,percent of total billed charges,64,percent of total billed charges,,,57.6,percent of total billed charges ,,,64,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,62.4,percent of total billed charges ,62.4,percent of total billed charges ,64,percent of total billed charges ,64,percent of total billed charges ,56,percent of total billed charges ,56,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,48,percent of total billed charges ,,,,,42.56,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,,,22.4,percent of total billed charges,
**IRRIGATION BAG VAGINAL,LOCAL,LOCAL,,,,both,,,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
**SUTURE SET,LOCAL,LOCAL,,,,both,,,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
**SAFETY SCALPEL SIZE 11,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**SAFETY SCALPEL SIZE 15,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
**DIAPER PULL-UP MEDIUM PKG/6,LOCAL,LOCAL,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
**DIAPER PULL-UP SMALL PKG/Y,LOCAL,LOCAL,,,,both,,,26,26,7.28,26,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,26,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,18.72,percent of total billed charges,19.24,percent of total billed charges,19.24,percent of total billed charges,20.8,percent of total billed charges,20.8,percent of total billed charges,,,18.72,percent of total billed charges ,,,20.8,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,20.28,percent of total billed charges ,20.28,percent of total billed charges ,20.8,percent of total billed charges ,20.8,percent of total billed charges ,18.2,percent of total billed charges ,18.2,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,,,,,13.83,percent of total billed charges ,,,,,13.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,,,7.28,percent of total billed charges,
ENDOTRACHEAL TUBES CUFFED 6.0,LOCAL,LOCAL,,,,both,,,190,190,53.2,190,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,140.6,percent of total billed charges,140.6,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,,,136.8,percent of total billed charges ,,,152,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,152,percent of total billed charges ,152,percent of total billed charges ,133,percent of total billed charges ,133,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,,,,,101.08,percent of total billed charges ,,,,,96.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,
ENDOTRACHEAL CUFFED 6.5,LOCAL,LOCAL,,,,both,,,190,190,53.2,190,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,140.6,percent of total billed charges,140.6,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,,,136.8,percent of total billed charges ,,,152,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,152,percent of total billed charges ,152,percent of total billed charges ,133,percent of total billed charges ,133,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,,,,,101.08,percent of total billed charges ,,,,,96.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,
ENDOTRACHEAL TUBES CUFFED 7.0,LOCAL,LOCAL,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
ENDOTRACHEAL CUFFED 7.5,LOCAL,LOCAL,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
ENDOTRACHEAL TUBES CUFFED 8.0,LOCAL,LOCAL,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
ENDOTRACHEAL CUFFED 8.5,LOCAL,LOCAL,,,,both,,,190,190,53.2,190,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,140.6,percent of total billed charges,140.6,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,,,136.8,percent of total billed charges ,,,152,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,152,percent of total billed charges ,152,percent of total billed charges ,133,percent of total billed charges ,133,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,,,,,101.08,percent of total billed charges ,,,,,96.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,
ENDOTRACHEAL TUBES CUFFED 9.0,LOCAL,LOCAL,,,,both,,,190,190,53.2,190,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,190,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,136.8,percent of total billed charges,140.6,percent of total billed charges,140.6,percent of total billed charges,152,percent of total billed charges,152,percent of total billed charges,,,136.8,percent of total billed charges ,,,152,percent of total billed charges ,159.6,percent of total billed charges ,159.6,percent of total billed charges ,148.2,percent of total billed charges ,148.2,percent of total billed charges ,152,percent of total billed charges ,152,percent of total billed charges ,133,percent of total billed charges ,133,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,114,percent of total billed charges ,,,,,101.08,percent of total billed charges ,,,,,96.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,,,53.2,percent of total billed charges,
TRANSPAC IV TRAY,LOCAL,LOCAL,,,,both,,,517,517,144.76,517,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,517,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,372.24,percent of total billed charges,382.58,percent of total billed charges,382.58,percent of total billed charges,413.6,percent of total billed charges,413.6,percent of total billed charges,,,372.24,percent of total billed charges ,,,413.6,percent of total billed charges ,434.28,percent of total billed charges ,434.28,percent of total billed charges ,403.26,percent of total billed charges ,403.26,percent of total billed charges ,413.6,percent of total billed charges ,413.6,percent of total billed charges ,361.9,percent of total billed charges ,361.9,percent of total billed charges ,310.2,percent of total billed charges ,310.2,percent of total billed charges ,310.2,percent of total billed charges ,310.2,percent of total billed charges ,,,,,275.04,percent of total billed charges ,,,,,261.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,,,144.76,percent of total billed charges,
**CATHETER CUT DOWN 14 GA (4242),LOCAL,LOCAL,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
**CATHETER CUT DOWN 18 GA (4222),LOCAL,LOCAL,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
**CATHETER CUT DOWN 22 GA (4212),LOCAL,LOCAL,,,,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
**CATHETER INTRA-MEDICUT 16 GA,LOCAL,LOCAL,,,,both,,,119,119,33.32,119,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,119,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,85.68,percent of total billed charges,88.06,percent of total billed charges,88.06,percent of total billed charges,95.2,percent of total billed charges,95.2,percent of total billed charges,,,85.68,percent of total billed charges ,,,95.2,percent of total billed charges ,99.96,percent of total billed charges ,99.96,percent of total billed charges ,92.82,percent of total billed charges ,92.82,percent of total billed charges ,95.2,percent of total billed charges ,95.2,percent of total billed charges ,83.3,percent of total billed charges ,83.3,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,,,,,63.31,percent of total billed charges ,,,,,60.14,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,,,33.32,percent of total billed charges,
**CATHETER THORACIC 24 FR,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
**CATHETER TRIPLE,LOCAL,LOCAL,,,,both,,,768,768,215.04,768,768,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,768,percent of total billed charges,552.96,percent of total billed charges,552.96,percent of total billed charges,552.96,percent of total billed charges,552.96,percent of total billed charges,552.96,percent of total billed charges,552.96,percent of total billed charges,568.32,percent of total billed charges,568.32,percent of total billed charges,614.4,percent of total billed charges,614.4,percent of total billed charges,,,552.96,percent of total billed charges ,,,614.4,percent of total billed charges ,645.12,percent of total billed charges ,645.12,percent of total billed charges ,599.04,percent of total billed charges ,599.04,percent of total billed charges ,614.4,percent of total billed charges ,614.4,percent of total billed charges ,537.6,percent of total billed charges ,537.6,percent of total billed charges ,460.8,percent of total billed charges ,460.8,percent of total billed charges ,460.8,percent of total billed charges ,460.8,percent of total billed charges ,,,,,408.58,percent of total billed charges ,,,,,388.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,,,215.04,percent of total billed charges,
CATHETER TROCAR 10 FR,LOCAL,LOCAL,,,,both,,,310,310,86.8,310,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,229.4,percent of total billed charges,229.4,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,,,223.2,percent of total billed charges ,,,248,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,248,percent of total billed charges ,248,percent of total billed charges ,217,percent of total billed charges ,217,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,,,,,164.92,percent of total billed charges ,,,,,156.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,
CATHETER TROCAR 16 FR,LOCAL,LOCAL,,,,both,,,310,310,86.8,310,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,229.4,percent of total billed charges,229.4,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,,,223.2,percent of total billed charges ,,,248,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,248,percent of total billed charges ,248,percent of total billed charges ,217,percent of total billed charges ,217,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,,,,,164.92,percent of total billed charges ,,,,,156.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,
CATHETER TROCAR 28 FR,LOCAL,LOCAL,,,,both,,,310,310,86.8,310,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,229.4,percent of total billed charges,229.4,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,,,223.2,percent of total billed charges ,,,248,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,248,percent of total billed charges ,248,percent of total billed charges ,217,percent of total billed charges ,217,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,,,,,164.92,percent of total billed charges ,,,,,156.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,
CATHETER TROCAR 32 FR,LOCAL,LOCAL,,,,both,,,310,310,86.8,310,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,310,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,229.4,percent of total billed charges,229.4,percent of total billed charges,248,percent of total billed charges,248,percent of total billed charges,,,223.2,percent of total billed charges ,,,248,percent of total billed charges ,260.4,percent of total billed charges ,260.4,percent of total billed charges ,241.8,percent of total billed charges ,241.8,percent of total billed charges ,248,percent of total billed charges ,248,percent of total billed charges ,217,percent of total billed charges ,217,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,186,percent of total billed charges ,,,,,164.92,percent of total billed charges ,,,,,156.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,,,86.8,percent of total billed charges,
**CATHETER THERMODILUTION,LOCAL,LOCAL,,,,both,,,528,528,147.84,528,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,528,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,380.16,percent of total billed charges,390.72,percent of total billed charges,390.72,percent of total billed charges,422.4,percent of total billed charges,422.4,percent of total billed charges,,,380.16,percent of total billed charges ,,,422.4,percent of total billed charges ,443.52,percent of total billed charges ,443.52,percent of total billed charges ,411.84,percent of total billed charges ,411.84,percent of total billed charges ,422.4,percent of total billed charges ,422.4,percent of total billed charges ,369.6,percent of total billed charges ,369.6,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,316.8,percent of total billed charges ,,,,,280.9,percent of total billed charges ,,,,,266.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,,,147.84,percent of total billed charges,
**CATHETER INTRA 16 GA X 12,LOCAL,LOCAL,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
**CATHETER INTRA 19 GA X 24,LOCAL,LOCAL,,,,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
**CATHETER INTRA 19 GA X 12,LOCAL,LOCAL,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
**CATHETER INTRA 19 GA X 8,LOCAL,LOCAL,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**CATHETER INTRA 22 GA X 12,LOCAL,LOCAL,,,,both,,,74,74,20.72,74,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,74,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,54.76,percent of total billed charges,54.76,percent of total billed charges,59.2,percent of total billed charges,59.2,percent of total billed charges,,,53.28,percent of total billed charges ,,,59.2,percent of total billed charges ,62.16,percent of total billed charges ,62.16,percent of total billed charges ,57.72,percent of total billed charges ,57.72,percent of total billed charges ,59.2,percent of total billed charges ,59.2,percent of total billed charges ,51.8,percent of total billed charges ,51.8,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,44.4,percent of total billed charges ,,,,,39.37,percent of total billed charges ,,,,,37.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,,,20.72,percent of total billed charges,
**CATHETER INTRA 22 GA X 8,LOCAL,LOCAL,,,,both,,,72,72,20.16,72,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,51.84,percent of total billed charges,53.28,percent of total billed charges,53.28,percent of total billed charges,57.6,percent of total billed charges,57.6,percent of total billed charges,,,51.84,percent of total billed charges ,,,57.6,percent of total billed charges ,60.48,percent of total billed charges ,60.48,percent of total billed charges ,56.16,percent of total billed charges ,56.16,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,,,,,38.3,percent of total billed charges ,,,,,36.39,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,,,20.16,percent of total billed charges,
**DEFIBRILLATOR SUPPLIES,LOCAL,LOCAL,,,,both,,,130,130,36.4,130,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,130,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,96.2,percent of total billed charges,96.2,percent of total billed charges,104,percent of total billed charges,104,percent of total billed charges,,,93.6,percent of total billed charges ,,,104,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,101.4,percent of total billed charges ,101.4,percent of total billed charges ,104,percent of total billed charges ,104,percent of total billed charges ,91,percent of total billed charges ,91,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,78,percent of total billed charges ,,,,,69.16,percent of total billed charges ,,,,,65.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,,,36.4,percent of total billed charges,
**CHEST TUBE CLAMPS,LOCAL,LOCAL,,,,both,,,41,41,11.48,41,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,41,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,29.52,percent of total billed charges,30.34,percent of total billed charges,30.34,percent of total billed charges,32.8,percent of total billed charges,32.8,percent of total billed charges,,,29.52,percent of total billed charges ,,,32.8,percent of total billed charges ,34.44,percent of total billed charges ,34.44,percent of total billed charges ,31.98,percent of total billed charges ,31.98,percent of total billed charges ,32.8,percent of total billed charges ,32.8,percent of total billed charges ,28.7,percent of total billed charges ,28.7,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,24.6,percent of total billed charges ,,,,,21.81,percent of total billed charges ,,,,,20.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,,,11.48,percent of total billed charges,
**MANDARIN CATH GUIDE,LOCAL,LOCAL,,,,both,,,66,66,18.48,66,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,66,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,47.52,percent of total billed charges,48.84,percent of total billed charges,48.84,percent of total billed charges,52.8,percent of total billed charges,52.8,percent of total billed charges,,,47.52,percent of total billed charges ,,,52.8,percent of total billed charges ,55.44,percent of total billed charges ,55.44,percent of total billed charges ,51.48,percent of total billed charges ,51.48,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,46.2,percent of total billed charges ,46.2,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,39.6,percent of total billed charges ,,,,,35.11,percent of total billed charges ,,,,,33.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,,,18.48,percent of total billed charges,
**BLOOD THERAPY BOX,LOCAL,LOCAL,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
**CODE BLUE-CRASH CART,LOCAL,LOCAL,,,,both,,,593,593,166.04,593,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,593,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,426.96,percent of total billed charges,438.82,percent of total billed charges,438.82,percent of total billed charges,474.4,percent of total billed charges,474.4,percent of total billed charges,,,426.96,percent of total billed charges ,,,474.4,percent of total billed charges ,498.12,percent of total billed charges ,498.12,percent of total billed charges ,462.54,percent of total billed charges ,462.54,percent of total billed charges ,474.4,percent of total billed charges ,474.4,percent of total billed charges ,415.1,percent of total billed charges ,415.1,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,355.8,percent of total billed charges ,,,,,315.48,percent of total billed charges ,,,,,299.7,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,,,166.04,percent of total billed charges,
**UROLOGY CART,LOCAL,LOCAL,,,,both,,,90,90,25.2,90,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,66.6,percent of total billed charges,66.6,percent of total billed charges,72,percent of total billed charges,72,percent of total billed charges,,,64.8,percent of total billed charges ,,,72,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,72,percent of total billed charges ,72,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,54,percent of total billed charges ,,,,,47.88,percent of total billed charges ,,,,,45.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,,,25.2,percent of total billed charges,
**FOLLOWERS PHILLIPS,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**FILIFORMS,LOCAL,LOCAL,,,,both,,,85,85,23.8,85,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,85,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,61.2,percent of total billed charges,62.9,percent of total billed charges,62.9,percent of total billed charges,68,percent of total billed charges,68,percent of total billed charges,,,61.2,percent of total billed charges ,,,68,percent of total billed charges ,71.4,percent of total billed charges ,71.4,percent of total billed charges ,66.3,percent of total billed charges ,66.3,percent of total billed charges ,68,percent of total billed charges ,68,percent of total billed charges ,59.5,percent of total billed charges ,59.5,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,51,percent of total billed charges ,,,,,45.22,percent of total billed charges ,,,,,42.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,,,23.8,percent of total billed charges,
**DISP EXAM GLOVES,LOCAL,LOCAL,,,,both,,,135,135,37.8,135,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,135,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,97.2,percent of total billed charges,99.9,percent of total billed charges,99.9,percent of total billed charges,108,percent of total billed charges,108,percent of total billed charges,,,97.2,percent of total billed charges ,,,108,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,105.3,percent of total billed charges ,105.3,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,94.5,percent of total billed charges ,94.5,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,81,percent of total billed charges ,,,,,71.82,percent of total billed charges ,,,,,68.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,,,37.8,percent of total billed charges,
**DECUBINEX FLEECE PAD,LOCAL,LOCAL,,,,both,,,45,45,12.6,45,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,45,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,32.4,percent of total billed charges,33.3,percent of total billed charges,33.3,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,,,32.4,percent of total billed charges ,,,36,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,35.1,percent of total billed charges ,35.1,percent of total billed charges ,36,percent of total billed charges ,36,percent of total billed charges ,31.5,percent of total billed charges ,31.5,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,27,percent of total billed charges ,,,,,23.94,percent of total billed charges ,,,,,22.74,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,,,12.6,percent of total billed charges,
**NAIL CLIPPERS,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
**STERILE PITCHER,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**RESTRAINTS-WRIST,LOCAL,LOCAL,,,,both,,,18,18,5.04,18,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,12.96,percent of total billed charges,13.32,percent of total billed charges,13.32,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,,,12.96,percent of total billed charges ,,,14.4,percent of total billed charges ,15.12,percent of total billed charges ,15.12,percent of total billed charges ,14.04,percent of total billed charges ,14.04,percent of total billed charges ,14.4,percent of total billed charges ,14.4,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,10.8,percent of total billed charges ,,,,,9.58,percent of total billed charges ,,,,,9.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,,,5.04,percent of total billed charges,
**RESTRAINTS-HOUDINI,LOCAL,LOCAL,,,,both,,,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
**RESTRAINTS-POSEY,LOCAL,LOCAL,,,,both,,,103,103,28.84,103,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,103,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,74.16,percent of total billed charges,76.22,percent of total billed charges,76.22,percent of total billed charges,82.4,percent of total billed charges,82.4,percent of total billed charges,,,74.16,percent of total billed charges ,,,82.4,percent of total billed charges ,86.52,percent of total billed charges ,86.52,percent of total billed charges ,80.34,percent of total billed charges ,80.34,percent of total billed charges ,82.4,percent of total billed charges ,82.4,percent of total billed charges ,72.1,percent of total billed charges ,72.1,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,61.8,percent of total billed charges ,,,,,54.8,percent of total billed charges ,,,,,52.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,,,28.84,percent of total billed charges,
**RESTRAINTS-WAIST,LOCAL,LOCAL,,,,both,,,54,54,15.12,54,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,38.88,percent of total billed charges,39.96,percent of total billed charges,39.96,percent of total billed charges,43.2,percent of total billed charges,43.2,percent of total billed charges,,,38.88,percent of total billed charges ,,,43.2,percent of total billed charges ,45.36,percent of total billed charges ,45.36,percent of total billed charges ,42.12,percent of total billed charges ,42.12,percent of total billed charges ,43.2,percent of total billed charges ,43.2,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,32.4,percent of total billed charges ,,,,,28.73,percent of total billed charges ,,,,,27.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,,,15.12,percent of total billed charges,
**SCISSORS + FORCEPS,LOCAL,LOCAL,,,,both,,,82,82,22.96,82,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,82,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,59.04,percent of total billed charges,60.68,percent of total billed charges,60.68,percent of total billed charges,65.6,percent of total billed charges,65.6,percent of total billed charges,,,59.04,percent of total billed charges ,,,65.6,percent of total billed charges ,68.88,percent of total billed charges ,68.88,percent of total billed charges ,63.96,percent of total billed charges ,63.96,percent of total billed charges ,65.6,percent of total billed charges ,65.6,percent of total billed charges ,57.4,percent of total billed charges ,57.4,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,49.2,percent of total billed charges ,,,,,43.62,percent of total billed charges ,,,,,41.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,,,22.96,percent of total billed charges,
**DILATORS MALE & FEMALE,LOCAL,LOCAL,,,,both,,,10,10,2.8,10,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,10,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.2,percent of total billed charges,7.4,percent of total billed charges,7.4,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,,,7.2,percent of total billed charges ,,,8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.8,percent of total billed charges ,7.8,percent of total billed charges ,8,percent of total billed charges ,8,percent of total billed charges ,7,percent of total billed charges ,7,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,6,percent of total billed charges ,,,,,5.32,percent of total billed charges ,,,,,5.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,,,2.8,percent of total billed charges,
POSEY QUICK RELEASE WRIST/PAIR,LOCAL,LOCAL,,,,both,,,483,483,135.24,483,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,483,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,347.76,percent of total billed charges,357.42,percent of total billed charges,357.42,percent of total billed charges,386.4,percent of total billed charges,386.4,percent of total billed charges,,,347.76,percent of total billed charges ,,,386.4,percent of total billed charges ,405.72,percent of total billed charges ,405.72,percent of total billed charges ,376.74,percent of total billed charges ,376.74,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,338.1,percent of total billed charges ,338.1,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,289.8,percent of total billed charges ,,,,,256.96,percent of total billed charges ,,,,,244.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,,,135.24,percent of total billed charges,
POSEY QUICK RELEASE ANKLE/PAIR,LOCAL,LOCAL,,,,both,,,274,274,76.72,274,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,274,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,197.28,percent of total billed charges,202.76,percent of total billed charges,202.76,percent of total billed charges,219.2,percent of total billed charges,219.2,percent of total billed charges,,,197.28,percent of total billed charges ,,,219.2,percent of total billed charges ,230.16,percent of total billed charges ,230.16,percent of total billed charges ,213.72,percent of total billed charges ,213.72,percent of total billed charges ,219.2,percent of total billed charges ,219.2,percent of total billed charges ,191.8,percent of total billed charges ,191.8,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,164.4,percent of total billed charges ,,,,,145.77,percent of total billed charges ,,,,,138.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,,,76.72,percent of total billed charges,
**ASPIRATION TRAY,LOCAL,LOCAL,,,,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
**ABDOMINAL TAP TRAY,LOCAL,LOCAL,,,,both,,,109,109,30.52,109,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,109,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,78.48,percent of total billed charges,80.66,percent of total billed charges,80.66,percent of total billed charges,87.2,percent of total billed charges,87.2,percent of total billed charges,,,78.48,percent of total billed charges ,,,87.2,percent of total billed charges ,91.56,percent of total billed charges ,91.56,percent of total billed charges ,85.02,percent of total billed charges ,85.02,percent of total billed charges ,87.2,percent of total billed charges ,87.2,percent of total billed charges ,76.3,percent of total billed charges ,76.3,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,65.4,percent of total billed charges ,,,,,57.99,percent of total billed charges ,,,,,55.09,percent of total billed charges ,,,,,,,,,,,,,,,,,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,,,30.52,percent of total billed charges,
**PATIENT PACK TRAY,LOCAL,LOCAL,,,,both,,,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
**BLOOD TRANS TRAY,LOCAL,LOCAL,,,,both,,,260,260,72.8,260,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,260,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,192.4,percent of total billed charges,192.4,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,,,187.2,percent of total billed charges ,,,208,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,208,percent of total billed charges ,208,percent of total billed charges ,182,percent of total billed charges ,182,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,156,percent of total billed charges ,,,,,138.32,percent of total billed charges ,,,,,131.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,,,72.8,percent of total billed charges,
**CUT DOWN TRAY,LOCAL,LOCAL,,,,both,,,610,610,170.8,610,610,percent of total billed charges,610,percent of total billed charges,610,percent of total billed charges,610,percent of total billed charges,610,percent of total billed charges,610,percent of total billed charges,610,percent of total billed charges,610,percent of total billed charges,439.2,percent of total billed charges,439.2,percent of total billed charges,439.2,percent of total billed charges,439.2,percent of total billed charges,439.2,percent of total billed charges,439.2,percent of total billed charges,451.4,percent of total billed charges,451.4,percent of total billed charges,488,percent of total billed charges,488,percent of total billed charges,,,439.2,percent of total billed charges ,,,488,percent of total billed charges ,512.4,percent of total billed charges ,512.4,percent of total billed charges ,475.8,percent of total billed charges ,475.8,percent of total billed charges ,488,percent of total billed charges ,488,percent of total billed charges ,427,percent of total billed charges ,427,percent of total billed charges ,366,percent of total billed charges ,366,percent of total billed charges ,366,percent of total billed charges ,366,percent of total billed charges ,,,,,324.52,percent of total billed charges ,,,,,308.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,,,170.8,percent of total billed charges,
**CVP TRAY,LOCAL,LOCAL,,,,both,,,399,399,111.72,399,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,399,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,287.28,percent of total billed charges,295.26,percent of total billed charges,295.26,percent of total billed charges,319.2,percent of total billed charges,319.2,percent of total billed charges,,,287.28,percent of total billed charges ,,,319.2,percent of total billed charges ,335.16,percent of total billed charges ,335.16,percent of total billed charges ,311.22,percent of total billed charges ,311.22,percent of total billed charges ,319.2,percent of total billed charges ,319.2,percent of total billed charges ,279.3,percent of total billed charges ,279.3,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,,,,,212.27,percent of total billed charges ,,,,,201.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,,,111.72,percent of total billed charges,
**CHEST HEIM DRAIN VALVE,LOCAL,LOCAL,,,,both,,,131,131,36.68,131,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,131,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,94.32,percent of total billed charges,96.94,percent of total billed charges,96.94,percent of total billed charges,104.8,percent of total billed charges,104.8,percent of total billed charges,,,94.32,percent of total billed charges ,,,104.8,percent of total billed charges ,110.04,percent of total billed charges ,110.04,percent of total billed charges ,102.18,percent of total billed charges ,102.18,percent of total billed charges ,104.8,percent of total billed charges ,104.8,percent of total billed charges ,91.7,percent of total billed charges ,91.7,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,78.6,percent of total billed charges ,,,,,69.69,percent of total billed charges ,,,,,66.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,,,36.68,percent of total billed charges,
**DRESSING TRAY (SMALL),LOCAL,LOCAL,,,,both,,,233,233,65.24,233,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,233,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,167.76,percent of total billed charges,172.42,percent of total billed charges,172.42,percent of total billed charges,186.4,percent of total billed charges,186.4,percent of total billed charges,,,167.76,percent of total billed charges ,,,186.4,percent of total billed charges ,195.72,percent of total billed charges ,195.72,percent of total billed charges ,181.74,percent of total billed charges ,181.74,percent of total billed charges ,186.4,percent of total billed charges ,186.4,percent of total billed charges ,163.1,percent of total billed charges ,163.1,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,139.8,percent of total billed charges ,,,,,123.96,percent of total billed charges ,,,,,117.76,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,,,65.24,percent of total billed charges,
**DRESSING TRAY (LARGE),LOCAL,LOCAL,,,,both,,,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
**SUTURE & DEBRIV REMOVAL SET,LOCAL,LOCAL,,,,both,,,76,76,21.28,76,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,76,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,54.72,percent of total billed charges,56.24,percent of total billed charges,56.24,percent of total billed charges,60.8,percent of total billed charges,60.8,percent of total billed charges,,,54.72,percent of total billed charges ,,,60.8,percent of total billed charges ,63.84,percent of total billed charges ,63.84,percent of total billed charges ,59.28,percent of total billed charges ,59.28,percent of total billed charges ,60.8,percent of total billed charges ,60.8,percent of total billed charges ,53.2,percent of total billed charges ,53.2,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,45.6,percent of total billed charges ,,,,,40.43,percent of total billed charges ,,,,,38.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,,,21.28,percent of total billed charges,
**EAR TRAY,LOCAL,LOCAL,,,,both,,,219,219,61.32,219,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,219,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,157.68,percent of total billed charges,162.06,percent of total billed charges,162.06,percent of total billed charges,175.2,percent of total billed charges,175.2,percent of total billed charges,,,157.68,percent of total billed charges ,,,175.2,percent of total billed charges ,183.96,percent of total billed charges ,183.96,percent of total billed charges ,170.82,percent of total billed charges ,170.82,percent of total billed charges ,175.2,percent of total billed charges ,175.2,percent of total billed charges ,153.3,percent of total billed charges ,153.3,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,131.4,percent of total billed charges ,,,,,116.51,percent of total billed charges ,,,,,110.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,,,61.32,percent of total billed charges,
**SUTURE PACK,LOCAL,LOCAL,,,,both,,,126,126,35.28,126,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,126,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,90.72,percent of total billed charges,93.24,percent of total billed charges,93.24,percent of total billed charges,100.8,percent of total billed charges,100.8,percent of total billed charges,,,90.72,percent of total billed charges ,,,100.8,percent of total billed charges ,105.84,percent of total billed charges ,105.84,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,100.8,percent of total billed charges ,100.8,percent of total billed charges ,88.2,percent of total billed charges ,88.2,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,75.6,percent of total billed charges ,,,,,67.03,percent of total billed charges ,,,,,63.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,,,35.28,percent of total billed charges,
**FOUR QUAD TEST PACK,LOCAL,LOCAL,,,,both,,,163,163,45.64,163,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,163,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,117.36,percent of total billed charges,120.62,percent of total billed charges,120.62,percent of total billed charges,130.4,percent of total billed charges,130.4,percent of total billed charges,,,117.36,percent of total billed charges ,,,130.4,percent of total billed charges ,136.92,percent of total billed charges ,136.92,percent of total billed charges ,127.14,percent of total billed charges ,127.14,percent of total billed charges ,130.4,percent of total billed charges ,130.4,percent of total billed charges ,114.1,percent of total billed charges ,114.1,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,97.8,percent of total billed charges ,,,,,86.72,percent of total billed charges ,,,,,82.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,,,45.64,percent of total billed charges,
**TRAY HICKMAN CATH,LOCAL,LOCAL,,,,both,,,73,73,20.44,73,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,73,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,52.56,percent of total billed charges,54.02,percent of total billed charges,54.02,percent of total billed charges,58.4,percent of total billed charges,58.4,percent of total billed charges,,,52.56,percent of total billed charges ,,,58.4,percent of total billed charges ,61.32,percent of total billed charges ,61.32,percent of total billed charges ,56.94,percent of total billed charges ,56.94,percent of total billed charges ,58.4,percent of total billed charges ,58.4,percent of total billed charges ,51.1,percent of total billed charges ,51.1,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,43.8,percent of total billed charges ,,,,,38.84,percent of total billed charges ,,,,,36.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,,,20.44,percent of total billed charges,
**INCISION TRAY,LOCAL,LOCAL,,,,both,,,201,201,56.28,201,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,201,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,144.72,percent of total billed charges,148.74,percent of total billed charges,148.74,percent of total billed charges,160.8,percent of total billed charges,160.8,percent of total billed charges,,,144.72,percent of total billed charges ,,,160.8,percent of total billed charges ,168.84,percent of total billed charges ,168.84,percent of total billed charges ,156.78,percent of total billed charges ,156.78,percent of total billed charges ,160.8,percent of total billed charges ,160.8,percent of total billed charges ,140.7,percent of total billed charges ,140.7,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,120.6,percent of total billed charges ,,,,,106.93,percent of total billed charges ,,,,,101.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,,,56.28,percent of total billed charges,
**LOCAL PREP TRAY,LOCAL,LOCAL,,,,both,,,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
**NEEDLE INTRA CARDIAC,LOCAL,LOCAL,,,,both,,,145,145,40.6,145,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,107.3,percent of total billed charges,107.3,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,,,104.4,percent of total billed charges ,,,116,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,113.1,percent of total billed charges ,113.1,percent of total billed charges ,116,percent of total billed charges ,116,percent of total billed charges ,101.5,percent of total billed charges ,101.5,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,,,,,77.14,percent of total billed charges ,,,,,73.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,
**PARACENTESIS TRAY,LOCAL,LOCAL,,,,both,,,392,392,109.76,392,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,282.24,percent of total billed charges,290.08,percent of total billed charges,290.08,percent of total billed charges,313.6,percent of total billed charges,313.6,percent of total billed charges,,,282.24,percent of total billed charges ,,,313.6,percent of total billed charges ,329.28,percent of total billed charges ,329.28,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,313.6,percent of total billed charges ,313.6,percent of total billed charges ,274.4,percent of total billed charges ,274.4,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,235.2,percent of total billed charges ,,,,,208.54,percent of total billed charges ,,,,,198.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,,,109.76,percent of total billed charges,
**PELVIC EXAM TRAY,LOCAL,LOCAL,,,,both,,,145,145,40.6,145,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,145,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,104.4,percent of total billed charges,107.3,percent of total billed charges,107.3,percent of total billed charges,116,percent of total billed charges,116,percent of total billed charges,,,104.4,percent of total billed charges ,,,116,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,113.1,percent of total billed charges ,113.1,percent of total billed charges ,116,percent of total billed charges ,116,percent of total billed charges ,101.5,percent of total billed charges ,101.5,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,87,percent of total billed charges ,,,,,77.14,percent of total billed charges ,,,,,73.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,,,40.6,percent of total billed charges,
**SUBCLAVIAN INS + DRSG TRAY,LOCAL,LOCAL,,,,both,,,272,272,76.16,272,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,272,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,195.84,percent of total billed charges,201.28,percent of total billed charges,201.28,percent of total billed charges,217.6,percent of total billed charges,217.6,percent of total billed charges,,,195.84,percent of total billed charges ,,,217.6,percent of total billed charges ,228.48,percent of total billed charges ,228.48,percent of total billed charges ,212.16,percent of total billed charges ,212.16,percent of total billed charges ,217.6,percent of total billed charges ,217.6,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,,,,,144.7,percent of total billed charges ,,,,,137.47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,,,76.16,percent of total billed charges,
**VENOGRAM TRAY,LOCAL,LOCAL,,,,both,,,412,412,115.36,412,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,296.64,percent of total billed charges,304.88,percent of total billed charges,304.88,percent of total billed charges,329.6,percent of total billed charges,329.6,percent of total billed charges,,,296.64,percent of total billed charges ,,,329.6,percent of total billed charges ,346.08,percent of total billed charges ,346.08,percent of total billed charges ,321.36,percent of total billed charges ,321.36,percent of total billed charges ,329.6,percent of total billed charges ,329.6,percent of total billed charges ,288.4,percent of total billed charges ,288.4,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,247.2,percent of total billed charges ,,,,,219.18,percent of total billed charges ,,,,,208.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,,,115.36,percent of total billed charges,
**MAJOR PACK,LOCAL,LOCAL,,,,both,,,249,249,69.72,249,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,249,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,179.28,percent of total billed charges,184.26,percent of total billed charges,184.26,percent of total billed charges,199.2,percent of total billed charges,199.2,percent of total billed charges,,,179.28,percent of total billed charges ,,,199.2,percent of total billed charges ,209.16,percent of total billed charges ,209.16,percent of total billed charges ,194.22,percent of total billed charges ,194.22,percent of total billed charges ,199.2,percent of total billed charges ,199.2,percent of total billed charges ,174.3,percent of total billed charges ,174.3,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,149.4,percent of total billed charges ,,,,,132.47,percent of total billed charges ,,,,,125.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,,,69.72,percent of total billed charges,
**SPONGE PACK,LOCAL,LOCAL,,,,both,,,12,12,3.36,12,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.64,percent of total billed charges,8.88,percent of total billed charges,8.88,percent of total billed charges,9.6,percent of total billed charges,9.6,percent of total billed charges,,,8.64,percent of total billed charges ,,,9.6,percent of total billed charges ,10.08,percent of total billed charges ,10.08,percent of total billed charges ,9.36,percent of total billed charges ,9.36,percent of total billed charges ,9.6,percent of total billed charges ,9.6,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,7.2,percent of total billed charges ,,,,,6.38,percent of total billed charges ,,,,,6.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,,,3.36,percent of total billed charges,
**MINOR PACK,LOCAL,LOCAL,,,,both,,,128,128,35.84,128,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,128,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,92.16,percent of total billed charges,94.72,percent of total billed charges,94.72,percent of total billed charges,102.4,percent of total billed charges,102.4,percent of total billed charges,,,92.16,percent of total billed charges ,,,102.4,percent of total billed charges ,107.52,percent of total billed charges ,107.52,percent of total billed charges ,99.84,percent of total billed charges ,99.84,percent of total billed charges ,102.4,percent of total billed charges ,102.4,percent of total billed charges ,89.6,percent of total billed charges ,89.6,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,,,,,68.1,percent of total billed charges ,,,,,64.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,,,35.84,percent of total billed charges,
**PREP BASIN STERILE,LOCAL,LOCAL,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
CUFF INFANT,LOCAL,LOCAL,,,,both,,,63,63,17.64,63,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,63,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,45.36,percent of total billed charges,46.62,percent of total billed charges,46.62,percent of total billed charges,50.4,percent of total billed charges,50.4,percent of total billed charges,,,45.36,percent of total billed charges ,,,50.4,percent of total billed charges ,52.92,percent of total billed charges ,52.92,percent of total billed charges ,49.14,percent of total billed charges ,49.14,percent of total billed charges ,50.4,percent of total billed charges ,50.4,percent of total billed charges ,44.1,percent of total billed charges ,44.1,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,37.8,percent of total billed charges ,,,,,33.52,percent of total billed charges ,,,,,31.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,,,17.64,percent of total billed charges,
**HEAT THERAPY MACHINE,LOCAL,LOCAL,,,,both,,,410,410,114.8,410,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,303.4,percent of total billed charges,303.4,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,,,295.2,percent of total billed charges ,,,328,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,328,percent of total billed charges ,328,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,,,,,218.12,percent of total billed charges ,,,,,207.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,
**SUCTION MACHINE,LOCAL,LOCAL,,,,both,,,618,618,173.04,618,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,457.32,percent of total billed charges,457.32,percent of total billed charges,494.4,percent of total billed charges,494.4,percent of total billed charges,,,444.96,percent of total billed charges ,,,494.4,percent of total billed charges ,519.12,percent of total billed charges ,519.12,percent of total billed charges ,482.04,percent of total billed charges ,482.04,percent of total billed charges ,494.4,percent of total billed charges ,494.4,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,,,,,328.78,percent of total billed charges ,,,,,312.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,
**HANDTOWELS (2) STERILE,LOCAL,LOCAL,,,,both,,,46,46,12.88,46,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,46,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,33.12,percent of total billed charges,34.04,percent of total billed charges,34.04,percent of total billed charges,36.8,percent of total billed charges,36.8,percent of total billed charges,,,33.12,percent of total billed charges ,,,36.8,percent of total billed charges ,38.64,percent of total billed charges ,38.64,percent of total billed charges ,35.88,percent of total billed charges ,35.88,percent of total billed charges ,36.8,percent of total billed charges ,36.8,percent of total billed charges ,32.2,percent of total billed charges ,32.2,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,27.6,percent of total billed charges ,,,,,24.47,percent of total billed charges ,,,,,23.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,,,12.88,percent of total billed charges,
**TOWELS (2 BATH),LOCAL,LOCAL,,,,both,,,34,34,9.52,34,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,34,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,24.48,percent of total billed charges,25.16,percent of total billed charges,25.16,percent of total billed charges,27.2,percent of total billed charges,27.2,percent of total billed charges,,,24.48,percent of total billed charges ,,,27.2,percent of total billed charges ,28.56,percent of total billed charges ,28.56,percent of total billed charges ,26.52,percent of total billed charges ,26.52,percent of total billed charges ,27.2,percent of total billed charges ,27.2,percent of total billed charges ,23.8,percent of total billed charges ,23.8,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,20.4,percent of total billed charges ,,,,,18.09,percent of total billed charges ,,,,,17.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,,,9.52,percent of total billed charges,
**KALTOSTAT WOUND PACKING,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**KALTOSTAT FORTEX WOUND DRESSING,LOCAL,LOCAL,,,,both,,,21,21,5.88,21,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,21,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.12,percent of total billed charges,15.54,percent of total billed charges,15.54,percent of total billed charges,16.8,percent of total billed charges,16.8,percent of total billed charges,,,15.12,percent of total billed charges ,,,16.8,percent of total billed charges ,17.64,percent of total billed charges ,17.64,percent of total billed charges ,16.38,percent of total billed charges ,16.38,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,14.7,percent of total billed charges ,14.7,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,,,,,11.17,percent of total billed charges ,,,,,10.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,,,5.88,percent of total billed charges,
**SORB SAN FORTEX WOUND DRESSING,LOCAL,LOCAL,,,,both,,,14,14,3.92,14,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,14,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.08,percent of total billed charges,10.36,percent of total billed charges,10.36,percent of total billed charges,11.2,percent of total billed charges,11.2,percent of total billed charges,,,10.08,percent of total billed charges ,,,11.2,percent of total billed charges ,11.76,percent of total billed charges ,11.76,percent of total billed charges ,10.92,percent of total billed charges ,10.92,percent of total billed charges ,11.2,percent of total billed charges ,11.2,percent of total billed charges ,9.8,percent of total billed charges ,9.8,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,8.4,percent of total billed charges ,,,,,7.45,percent of total billed charges ,,,,,7.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,,,3.92,percent of total billed charges,
**SORB SAN 4X4 DRESSING,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**SORB SAN 4X8 DRESSING,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
ST SWALLOWING THERAPY,92526,CDM,,,GN,both,,,457,457,127.96,457,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,457,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,329.04,percent of total billed charges,338.18,percent of total billed charges,338.18,percent of total billed charges,365.6,percent of total billed charges,365.6,percent of total billed charges,,,329.04,percent of total billed charges ,,,365.6,percent of total billed charges ,383.88,percent of total billed charges ,383.88,percent of total billed charges ,356.46,percent of total billed charges ,356.46,percent of total billed charges ,365.6,percent of total billed charges ,365.6,percent of total billed charges ,319.9,percent of total billed charges ,319.9,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,274.2,percent of total billed charges ,,,,,243.12,percent of total billed charges ,,,,,230.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,,,127.96,percent of total billed charges,
ST SWALLOWING EVAL,92610,CDM,,,GN,both,,,780,780,218.4,780,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,577.2,percent of total billed charges,577.2,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,,,561.6,percent of total billed charges ,,,624,percent of total billed charges ,655.2,percent of total billed charges ,655.2,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,624,percent of total billed charges ,624,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,,,,,414.96,percent of total billed charges ,,,,,394.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,
ST APHASIA ASSESSMENT/HR,96105,CDM,,,GN,both,,,546,546,152.88,546,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,546,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,393.12,percent of total billed charges,404.04,percent of total billed charges,404.04,percent of total billed charges,436.8,percent of total billed charges,436.8,percent of total billed charges,,,393.12,percent of total billed charges ,,,436.8,percent of total billed charges ,458.64,percent of total billed charges ,458.64,percent of total billed charges ,425.88,percent of total billed charges ,425.88,percent of total billed charges ,436.8,percent of total billed charges ,436.8,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,327.6,percent of total billed charges ,,,,,290.47,percent of total billed charges ,,,,,275.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,,,152.88,percent of total billed charges,
ST STANDARDIZED COGNITIVE PERFORM/ HR,96125,CDM,,,GN,both,,,522,522,146.16,522,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,522,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,375.84,percent of total billed charges,386.28,percent of total billed charges,386.28,percent of total billed charges,417.6,percent of total billed charges,417.6,percent of total billed charges,,,375.84,percent of total billed charges ,,,417.6,percent of total billed charges ,438.48,percent of total billed charges ,438.48,percent of total billed charges ,407.16,percent of total billed charges ,407.16,percent of total billed charges ,417.6,percent of total billed charges ,417.6,percent of total billed charges ,365.4,percent of total billed charges ,365.4,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,313.2,percent of total billed charges ,,,,,277.7,percent of total billed charges ,,,,,263.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,,,146.16,percent of total billed charges,
**ST DIAG EVAL,92506,CDM,,,GN,both,,,755,755,211.4,755,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,558.7,percent of total billed charges,558.7,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,,,543.6,percent of total billed charges ,,,604,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,588.9,percent of total billed charges ,588.9,percent of total billed charges ,604,percent of total billed charges ,604,percent of total billed charges ,528.5,percent of total billed charges ,528.5,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,,,,,401.66,percent of total billed charges ,,,,,381.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,
**ST DIAGNOSTIC EVALUATION OUTPATIENT,92506,CDM,,,GN,both,,,755,755,211.4,755,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,558.7,percent of total billed charges,558.7,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,,,543.6,percent of total billed charges ,,,604,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,588.9,percent of total billed charges ,588.9,percent of total billed charges ,604,percent of total billed charges ,604,percent of total billed charges ,528.5,percent of total billed charges ,528.5,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,,,,,401.66,percent of total billed charges ,,,,,381.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,
**ST HEARING SCREENING,92551,CDM,,,GN,both,,,118,118,33.04,118,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,118,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,84.96,percent of total billed charges,87.32,percent of total billed charges,87.32,percent of total billed charges,94.4,percent of total billed charges,94.4,percent of total billed charges,,,84.96,percent of total billed charges ,,,94.4,percent of total billed charges ,99.12,percent of total billed charges ,99.12,percent of total billed charges ,92.04,percent of total billed charges ,92.04,percent of total billed charges ,94.4,percent of total billed charges ,94.4,percent of total billed charges ,82.6,percent of total billed charges ,82.6,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,70.8,percent of total billed charges ,,,,,62.78,percent of total billed charges ,,,,,59.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,,,33.04,percent of total billed charges,
ST LANG/VOICE/COMM THERAPY,92507,CDM,,,GN,both,,,410,410,114.8,410,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,303.4,percent of total billed charges,303.4,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,,,295.2,percent of total billed charges ,,,328,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,328,percent of total billed charges ,328,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,,,,,218.12,percent of total billed charges ,,,,,207.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,
ST VIDEO FLOUROSCOPY EVAL,92611,CDM,,,GN,both,,,911,911,255.08,911,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,911,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,655.92,percent of total billed charges,674.14,percent of total billed charges,674.14,percent of total billed charges,728.8,percent of total billed charges,728.8,percent of total billed charges,,,655.92,percent of total billed charges ,,,728.8,percent of total billed charges ,765.24,percent of total billed charges ,765.24,percent of total billed charges ,710.58,percent of total billed charges ,710.58,percent of total billed charges ,728.8,percent of total billed charges ,728.8,percent of total billed charges ,637.7,percent of total billed charges ,637.7,percent of total billed charges ,546.6,percent of total billed charges ,546.6,percent of total billed charges ,546.6,percent of total billed charges ,546.6,percent of total billed charges ,,,,,484.65,percent of total billed charges ,,,,,460.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,,,255.08,percent of total billed charges,
**ST GROUP THERAPY,92508,CDM,,,GN,both,,,417,417,116.76,417,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,308.58,percent of total billed charges,308.58,percent of total billed charges,333.6,percent of total billed charges,333.6,percent of total billed charges,,,300.24,percent of total billed charges ,,,333.6,percent of total billed charges ,350.28,percent of total billed charges ,350.28,percent of total billed charges ,325.26,percent of total billed charges ,325.26,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,291.9,percent of total billed charges ,291.9,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,,,,,221.84,percent of total billed charges ,,,,,210.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,
**SWALLOW (CURRENT) CH,G8996,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (CURRENT) CI,G8996,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (CURRENT) CJ,G8996,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (CURRENT) CK,G8996,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (CURRENT) CL,G8996,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (CURRENT) CM,G8996,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (CURRENT) CN,G8996,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (GOAL) CH,G8997,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (GOAL) CI,G8997,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (GOAL) CJ,G8997,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (GOAL) CK,G8997,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (GOAL) CL,G8997,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (GOAL) CM,G8997,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (GOAL) CN,G8997,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (DC) CH,G8998,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (DC) CI,G8998,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (DC) CJ,G8998,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (DC) CK,G8998,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (DC) CL,G8998,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (DC) CM,G8998,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SWALLOW (DC) CN,G8998,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (CURRENT) CH,G8999,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (CURRENT) CI,G8999,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (CURRENT) CJ,G8999,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (CURRENT) CK,G8999,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (CURRENT) CL,G8999,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (CURRENT) CM,G8999,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (CURRENT) CN,G8999,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (GOAL) CH,G9186,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (GOAL) CI,G9186,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (GOAL) CJ,G9186,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (GOAL) CK,G9186,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (GOAL) CL,G9186,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (GOAL) CM,G9186,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (GOAL) CN,G9186,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (DC) CH,G9158,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (DC) CI,G9158,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (DC) CJ,G9158,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (DC) CK,G9158,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (DC) CL,G9158,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (DC) CM,G9158,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MOTOR SPEECH (DC) CN,G9158,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (CURRENT) CH,G9159,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (CURRENT) CI,G9159,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (CURRENT) CJ,G9159,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (CURRENT) CK,G9159,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (CURRENT) CL,G9159,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (CURRENT) CM,G9159,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (CURRENT) CN,G9159,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (GOAL) CH,G9160,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (GOAL) CI,G9160,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (GOAL) CJ,G9160,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (GOAL) CK,G9160,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (GOAL) CL,G9160,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (GOAL) CM,G9160,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (GOAL) CN,G9160,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (DC) CH,G9161,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (DC) CI,G9161,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (DC) CJ,G9161,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (DC) CK,G9161,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (DC) CL,G9161,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (DC) CM,G9161,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG COMP (DC) CN,G9161,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (CURRENT) CH,G9162,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (CURRENT) CI,G9162,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (CURRENT) CJ,G9162,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (CURRENT) CK,G9162,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (CURRENT) CL,G9162,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (CURRENT) CM,G9162,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (CURRENT) CN,G9162,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (GOAL) CH,G9163,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (GOAL) CI,G9163,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (GOAL) CJ,G9163,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (GOAL) CK,G9163,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (GOAL) CL,G9163,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (GOAL) CM,G9163,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (GOAL) CN,G9163,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (DC) CH,G9164,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (DC) CI,G9164,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (DC) CJ,G9164,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (DC) CK,G9164,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (DC) CL,G9164,CDM,,,CL,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**LANG EXPRESS (DC) CM,G9164,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**LANG EXPRESS (DC) CN,G9164,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (CURRENT) CH,G9165,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (CURRENT) CI,G9165,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (CURRENT) CJ,G9165,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (CURRENT) CK,G9165,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (CURRENT) CL,G9165,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (CURRENT) CM,G9165,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (CURRENT) CN,G9165,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (GOAL) CH,G9166,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (GOAL) CI,G9166,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (GOAL) CJ,G9166,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (GOAL) CK,G9166,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (GOAL) CL,G9166,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (GOAL) CM,G9166,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (GOAL) CN,G9166,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (DC) CH,G9167,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (DC) CI,G9167,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (DC) CJ,G9167,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (DC) CK,G9167,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (DC) CL,G9167,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (DC) CM,G9167,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**ATTEN (DC) CN,G9167,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (CURRENT) CH,G9168,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (CURRENT) CI,G9168,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (CURRENT) CJ,G9168,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (CURRENT) CK,G9168,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (CURRENT) CL,G9168,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (CURRENT) CM,G9168,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (CURRENT) CN,G9168,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (GOAL) CH,G9169,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (GOAL) CI,G9169,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (GOAL) CJ,G9169,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (GOAL) CK,G9169,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (GOAL) CL,G9169,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (GOAL) CM,G9169,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (GOAL) CN,G9169,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (DC) CH,G9170,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (DC) CI,G9170,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (DC) CJ,G9170,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (DC) CK,G9170,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (DC) CL,G9170,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (DC) CM,G9170,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**MEMORY (DC) CN,G9170,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (CURRENT) CH,G9171,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (CURRENT) CI,G9171,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (CURRENT) CJ,G9171,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (CURRENT) CK,G9171,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (CURRENT) CL,G9171,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (CURRENT) CM,G9171,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (CURRENT) CN,G9171,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (GOAL) CH,G9172,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (GOAL) CI,G9172,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (GOAL) CJ,G9172,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (GOAL) CK,G9172,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (GOAL) CL,G9172,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (GOAL) CM,G9172,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (GOAL) CN,G9172,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (DC) CH,G9173,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (DC) CI,G9173,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (DC) CJ,G9173,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (DC) CK,G9173,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (DC) CL,G9173,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (DC) CM,G9173,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**VOICE (DC) CN,G9173,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (CURRENT) CH,G9174,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (CURRENT) CI,G9174,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (CURRENT) CJ,G9174,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (CURRENT) CK,G9174,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (CURRENT) CL,G9174,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (CURRENT) CM,G9174,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (CURRENT) CN,G9174,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (GOAL) CH,G9175,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (GOAL) CI,G9175,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (GOAL) CJ,G9175,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (GOAL) CK,G9175,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (GOAL) CL,G9175,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (GOAL) CM,G9175,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (GOAL) CN,G9175,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (DC) CH,G9176,CDM,,,CH,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (DC) CI,G9176,CDM,,,CI,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (DC) CJ,G9176,CDM,,,CJ,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (DC) CK,G9176,CDM,,,CK,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (DC) CL,G9176,CDM,,,CL,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (DC) CM,G9176,CDM,,,CM,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
**SPEECH LANG (DC) CN,G9176,CDM,,,CN,both,,,5,5,1.4,5,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,5,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.6,percent of total billed charges,3.7,percent of total billed charges,3.7,percent of total billed charges,4,percent of total billed charges,4,percent of total billed charges,,,3.6,percent of total billed charges ,,,4,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.9,percent of total billed charges ,3.9,percent of total billed charges ,4,percent of total billed charges ,4,percent of total billed charges ,3.5,percent of total billed charges ,3.5,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,3,percent of total billed charges ,,,,,2.66,percent of total billed charges ,,,,,2.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,,,1.4,percent of total billed charges,
ST EVAL SPEECH FLUENCY,92521,CDM,,,GN,both,,,561,561,157.08,561,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,561,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,403.92,percent of total billed charges,415.14,percent of total billed charges,415.14,percent of total billed charges,448.8,percent of total billed charges,448.8,percent of total billed charges,,,403.92,percent of total billed charges ,,,448.8,percent of total billed charges ,471.24,percent of total billed charges ,471.24,percent of total billed charges ,437.58,percent of total billed charges ,437.58,percent of total billed charges ,448.8,percent of total billed charges ,448.8,percent of total billed charges ,392.7,percent of total billed charges ,392.7,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,336.6,percent of total billed charges ,,,,,298.45,percent of total billed charges ,,,,,283.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,,,157.08,percent of total billed charges,
ST EVAL SPEECH SOUND PROD,92522,CDM,,,GN,both,,,599,599,167.72,599,599,percent of total billed charges,599,percent of total billed charges,599,percent of total billed charges,599,percent of total billed charges,599,percent of total billed charges,599,percent of total billed charges,599,percent of total billed charges,599,percent of total billed charges,431.28,percent of total billed charges,431.28,percent of total billed charges,431.28,percent of total billed charges,431.28,percent of total billed charges,431.28,percent of total billed charges,431.28,percent of total billed charges,443.26,percent of total billed charges,443.26,percent of total billed charges,479.2,percent of total billed charges,479.2,percent of total billed charges,,,431.28,percent of total billed charges ,,,479.2,percent of total billed charges ,503.16,percent of total billed charges ,503.16,percent of total billed charges ,467.22,percent of total billed charges ,467.22,percent of total billed charges ,479.2,percent of total billed charges ,479.2,percent of total billed charges ,419.3,percent of total billed charges ,419.3,percent of total billed charges ,359.4,percent of total billed charges ,359.4,percent of total billed charges ,359.4,percent of total billed charges ,359.4,percent of total billed charges ,,,,,318.67,percent of total billed charges ,,,,,302.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,,,167.72,percent of total billed charges,
ST EVAL SPEECH SOUND PROD W/EVA LANG,92523,CDM,,,GN,both,,,644,644,180.32,644,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,644,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,463.68,percent of total billed charges,476.56,percent of total billed charges,476.56,percent of total billed charges,515.2,percent of total billed charges,515.2,percent of total billed charges,,,463.68,percent of total billed charges ,,,515.2,percent of total billed charges ,540.96,percent of total billed charges ,540.96,percent of total billed charges ,502.32,percent of total billed charges ,502.32,percent of total billed charges ,515.2,percent of total billed charges ,515.2,percent of total billed charges ,450.8,percent of total billed charges ,450.8,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,386.4,percent of total billed charges ,,,,,342.61,percent of total billed charges ,,,,,325.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,,,180.32,percent of total billed charges,
ST BEHAVIORAL & QUALITATIVE ANALYSIS,92524,CDM,,,GN,both,,,755,755,211.4,755,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,558.7,percent of total billed charges,558.7,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,,,543.6,percent of total billed charges ,,,604,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,588.9,percent of total billed charges ,588.9,percent of total billed charges ,604,percent of total billed charges ,604,percent of total billed charges ,528.5,percent of total billed charges ,528.5,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,,,,,401.66,percent of total billed charges ,,,,,381.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,
EI-EVAL SP SOUND PROD W/ EVAL LAN 15 MIN,92523,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
**EI-EVAL SPEECH FLUENCY 15 MIN,92521,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
**EI-EVAL SPEECH SOUND PRODUCTION 15 MIN,92522,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
EI-IFSP DEVELOPMENT 15 MIN,99499,CDM,,,GN,both,,,117,117,32.76,117,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,117,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,84.24,percent of total billed charges,86.58,percent of total billed charges,86.58,percent of total billed charges,93.6,percent of total billed charges,93.6,percent of total billed charges,,,84.24,percent of total billed charges ,,,93.6,percent of total billed charges ,98.28,percent of total billed charges ,98.28,percent of total billed charges ,91.26,percent of total billed charges ,91.26,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,81.9,percent of total billed charges ,81.9,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,70.2,percent of total billed charges ,,,,,62.24,percent of total billed charges ,,,,,59.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,,,32.76,percent of total billed charges,
**EI-SPEECH GRP TREATMENT 15 MIN,92508,CDM,,,,both,,,42,42,11.76,42,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,42,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,30.24,percent of total billed charges,31.08,percent of total billed charges,31.08,percent of total billed charges,33.6,percent of total billed charges,33.6,percent of total billed charges,,,30.24,percent of total billed charges ,,,33.6,percent of total billed charges ,35.28,percent of total billed charges ,35.28,percent of total billed charges ,32.76,percent of total billed charges ,32.76,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,,,,,22.34,percent of total billed charges ,,,,,21.23,percent of total billed charges ,,,,,,,,,,,,,,,,,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,,,11.76,percent of total billed charges,
EI-SPEECH TREATMENT 15 MIN,92507,CDM,,,,both,,,410,410,114.8,410,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,410,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,295.2,percent of total billed charges,303.4,percent of total billed charges,303.4,percent of total billed charges,328,percent of total billed charges,328,percent of total billed charges,,,295.2,percent of total billed charges ,,,328,percent of total billed charges ,344.4,percent of total billed charges ,344.4,percent of total billed charges ,319.8,percent of total billed charges ,319.8,percent of total billed charges ,328,percent of total billed charges ,328,percent of total billed charges ,287,percent of total billed charges ,287,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,246,percent of total billed charges ,,,,,218.12,percent of total billed charges ,,,,,207.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,,,114.8,percent of total billed charges,
ST ASSISTIVE TECHNOLOGY ASSESS,97755,CDM,,,GN,both,,,191,191,53.48,191,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,191,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,137.52,percent of total billed charges,141.34,percent of total billed charges,141.34,percent of total billed charges,152.8,percent of total billed charges,152.8,percent of total billed charges,,,137.52,percent of total billed charges ,,,152.8,percent of total billed charges ,160.44,percent of total billed charges ,160.44,percent of total billed charges ,148.98,percent of total billed charges ,148.98,percent of total billed charges ,152.8,percent of total billed charges ,152.8,percent of total billed charges ,133.7,percent of total billed charges ,133.7,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,114.6,percent of total billed charges ,,,,,101.61,percent of total billed charges ,,,,,96.53,percent of total billed charges ,,,,,,,,,,,,,,,,,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,,,53.48,percent of total billed charges,
**ST TEAM CONF W/O PAT BY PHYS > 30 MIN,99367,CDM,,,GN,both,,,285,285,79.8,285,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,285,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,205.2,percent of total billed charges,210.9,percent of total billed charges,210.9,percent of total billed charges,228,percent of total billed charges,228,percent of total billed charges,,,205.2,percent of total billed charges ,,,228,percent of total billed charges ,239.4,percent of total billed charges ,239.4,percent of total billed charges ,222.3,percent of total billed charges ,222.3,percent of total billed charges ,228,percent of total billed charges ,228,percent of total billed charges ,199.5,percent of total billed charges ,199.5,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,171,percent of total billed charges ,,,,,151.62,percent of total billed charges ,,,,,144.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,,,79.8,percent of total billed charges,
ST TEAM CONF W/O PAT BY HC PRO > 30 MIN,99368,CDM,,,GN,both,,,206,206,57.68,206,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,206,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,148.32,percent of total billed charges,152.44,percent of total billed charges,152.44,percent of total billed charges,164.8,percent of total billed charges,164.8,percent of total billed charges,,,148.32,percent of total billed charges ,,,164.8,percent of total billed charges ,173.04,percent of total billed charges ,173.04,percent of total billed charges ,160.68,percent of total billed charges ,160.68,percent of total billed charges ,164.8,percent of total billed charges ,164.8,percent of total billed charges ,144.2,percent of total billed charges ,144.2,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,123.6,percent of total billed charges ,,,,,109.59,percent of total billed charges ,,,,,104.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,,,57.68,percent of total billed charges,
ST TEAM CONF W/PAT BY HC PRO > 30 MIN,99366,CDM,,,GN,both,,,277,277,77.56,277,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,277,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,199.44,percent of total billed charges,204.98,percent of total billed charges,204.98,percent of total billed charges,221.6,percent of total billed charges,221.6,percent of total billed charges,,,199.44,percent of total billed charges ,,,221.6,percent of total billed charges ,232.68,percent of total billed charges ,232.68,percent of total billed charges ,216.06,percent of total billed charges ,216.06,percent of total billed charges ,221.6,percent of total billed charges ,221.6,percent of total billed charges ,193.9,percent of total billed charges ,193.9,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,166.2,percent of total billed charges ,,,,,147.36,percent of total billed charges ,,,,,140,percent of total billed charges ,,,,,,,,,,,,,,,,,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,,,77.56,percent of total billed charges,
**ST IFSP DEVELOP-SPEECH 15 MIN ONSITE,99499,CDM,,,GN,both,,,56,56,15.68,56,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,56,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,40.32,percent of total billed charges,41.44,percent of total billed charges,41.44,percent of total billed charges,44.8,percent of total billed charges,44.8,percent of total billed charges,,,40.32,percent of total billed charges ,,,44.8,percent of total billed charges ,47.04,percent of total billed charges ,47.04,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,44.8,percent of total billed charges ,44.8,percent of total billed charges ,39.2,percent of total billed charges ,39.2,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,,,,,29.79,percent of total billed charges ,,,,,28.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,,,15.68,percent of total billed charges,
ST EVAL ORAL SPEECH DEVICE,92597,CDM,,,,both,,,541,541,151.48,541,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,541,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,389.52,percent of total billed charges,400.34,percent of total billed charges,400.34,percent of total billed charges,432.8,percent of total billed charges,432.8,percent of total billed charges,,,389.52,percent of total billed charges ,,,432.8,percent of total billed charges ,454.44,percent of total billed charges ,454.44,percent of total billed charges ,421.98,percent of total billed charges ,421.98,percent of total billed charges ,432.8,percent of total billed charges ,432.8,percent of total billed charges ,378.7,percent of total billed charges ,378.7,percent of total billed charges ,324.6,percent of total billed charges ,324.6,percent of total billed charges ,324.6,percent of total billed charges ,324.6,percent of total billed charges ,,,,,287.81,percent of total billed charges ,,,,,273.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,,,151.48,percent of total billed charges,
**PR AEROCHAMBER-DISP,LOCAL,LOCAL,,,,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
**PR GLUCOSCAN,82948,CDM,,,,both,,,69,69,19.32,69,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,69,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,49.68,percent of total billed charges,51.06,percent of total billed charges,51.06,percent of total billed charges,55.2,percent of total billed charges,55.2,percent of total billed charges,,,49.68,percent of total billed charges ,,,55.2,percent of total billed charges ,57.96,percent of total billed charges ,57.96,percent of total billed charges ,53.82,percent of total billed charges ,53.82,percent of total billed charges ,55.2,percent of total billed charges ,55.2,percent of total billed charges ,48.3,percent of total billed charges ,48.3,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,41.4,percent of total billed charges ,,,,,36.71,percent of total billed charges ,,,,,34.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,,,19.32,percent of total billed charges,
**PR PULMONARY RE-EVAL,99211,CDM,,,,both,,,156,156,43.68,156,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,156,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,112.32,percent of total billed charges,115.44,percent of total billed charges,115.44,percent of total billed charges,124.8,percent of total billed charges,124.8,percent of total billed charges,,,112.32,percent of total billed charges ,,,124.8,percent of total billed charges ,131.04,percent of total billed charges ,131.04,percent of total billed charges ,121.68,percent of total billed charges ,121.68,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,109.2,percent of total billed charges ,109.2,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,93.6,percent of total billed charges ,,,,,82.99,percent of total billed charges ,,,,,78.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,,,43.68,percent of total billed charges,
**PR MDI INSTRUCTION,94664,CDM,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
**PR PFLEX INSP TRAIN-DISP,LOCAL,LOCAL,,,,both,,,67,67,18.76,67,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,67,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,48.24,percent of total billed charges,49.58,percent of total billed charges,49.58,percent of total billed charges,53.6,percent of total billed charges,53.6,percent of total billed charges,,,48.24,percent of total billed charges ,,,53.6,percent of total billed charges ,56.28,percent of total billed charges ,56.28,percent of total billed charges ,52.26,percent of total billed charges ,52.26,percent of total billed charges ,53.6,percent of total billed charges ,53.6,percent of total billed charges ,46.9,percent of total billed charges ,46.9,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,40.2,percent of total billed charges ,,,,,35.64,percent of total billed charges ,,,,,33.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,,,18.76,percent of total billed charges,
**PR PT EXERCISE,97530,CDM,,,,both,,,127,127,35.56,127,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,127,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,91.44,percent of total billed charges,93.98,percent of total billed charges,93.98,percent of total billed charges,101.6,percent of total billed charges,101.6,percent of total billed charges,,,91.44,percent of total billed charges ,,,101.6,percent of total billed charges ,106.68,percent of total billed charges ,106.68,percent of total billed charges ,99.06,percent of total billed charges ,99.06,percent of total billed charges ,101.6,percent of total billed charges ,101.6,percent of total billed charges ,88.9,percent of total billed charges ,88.9,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,76.2,percent of total billed charges ,,,,,67.56,percent of total billed charges ,,,,,64.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,,,35.56,percent of total billed charges,
**PR 02 THERAPY,LOCAL,LOCAL,,,,both,,,33,33,9.24,33,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,33,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,23.76,percent of total billed charges,24.42,percent of total billed charges,24.42,percent of total billed charges,26.4,percent of total billed charges,26.4,percent of total billed charges,,,23.76,percent of total billed charges ,,,26.4,percent of total billed charges ,27.72,percent of total billed charges ,27.72,percent of total billed charges ,25.74,percent of total billed charges ,25.74,percent of total billed charges ,26.4,percent of total billed charges ,26.4,percent of total billed charges ,23.1,percent of total billed charges ,23.1,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,19.8,percent of total billed charges ,,,,,17.56,percent of total billed charges ,,,,,16.68,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,,,9.24,percent of total billed charges,
**PR OXIMETRY-MULTIPLE DETERMINATIONS,94761,CDM,,,,both,,,279,279,78.12,279,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,279,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,200.88,percent of total billed charges,206.46,percent of total billed charges,206.46,percent of total billed charges,223.2,percent of total billed charges,223.2,percent of total billed charges,,,200.88,percent of total billed charges ,,,223.2,percent of total billed charges ,234.36,percent of total billed charges ,234.36,percent of total billed charges ,217.62,percent of total billed charges ,217.62,percent of total billed charges ,223.2,percent of total billed charges ,223.2,percent of total billed charges ,195.3,percent of total billed charges ,195.3,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,167.4,percent of total billed charges ,,,,,148.43,percent of total billed charges ,,,,,141.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,,,78.12,percent of total billed charges,
**PR PEAKFLOW,94150,CDM,,,,both,,,38,38,10.64,38,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,38,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,27.36,percent of total billed charges,28.12,percent of total billed charges,28.12,percent of total billed charges,30.4,percent of total billed charges,30.4,percent of total billed charges,,,27.36,percent of total billed charges ,,,30.4,percent of total billed charges ,31.92,percent of total billed charges ,31.92,percent of total billed charges ,29.64,percent of total billed charges ,29.64,percent of total billed charges ,30.4,percent of total billed charges ,30.4,percent of total billed charges ,26.6,percent of total billed charges ,26.6,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,22.8,percent of total billed charges ,,,,,20.22,percent of total billed charges ,,,,,19.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,,,10.64,percent of total billed charges,
PR PULMONARY REHAB PHASE III,94799,CDM,,,,both,,,20,20,5.6,20,20,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.4,percent of total billed charges,14.8,percent of total billed charges,14.8,percent of total billed charges,16,percent of total billed charges,16,percent of total billed charges,,,14.4,percent of total billed charges ,,,16,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,15.6,percent of total billed charges ,15.6,percent of total billed charges ,16,percent of total billed charges ,16,percent of total billed charges ,14,percent of total billed charges ,14,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,,,,,10.64,percent of total billed charges ,,,,,10.11,percent of total billed charges ,,,,,,,,,,,,,,,,,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,,,5.6,percent of total billed charges,
**PR PEAK FLOWMETER-DISP,LOCAL,LOCAL,,,,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
**PR RESISTIVE BREATHING TRAINING-DISP,LOCAL,LOCAL,,,,both,,,81,81,22.68,81,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,81,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,58.32,percent of total billed charges,59.94,percent of total billed charges,59.94,percent of total billed charges,64.8,percent of total billed charges,64.8,percent of total billed charges,,,58.32,percent of total billed charges ,,,64.8,percent of total billed charges ,68.04,percent of total billed charges ,68.04,percent of total billed charges ,63.18,percent of total billed charges ,63.18,percent of total billed charges ,64.8,percent of total billed charges ,64.8,percent of total billed charges ,56.7,percent of total billed charges ,56.7,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,48.6,percent of total billed charges ,,,,,43.09,percent of total billed charges ,,,,,40.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,,,22.68,percent of total billed charges,
**PR FLOW VOLUME LOOPS-HAND HELD-DISP,LOCAL,LOCAL,,,,both,,,97,97,27.16,97,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,97,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,69.84,percent of total billed charges,71.78,percent of total billed charges,71.78,percent of total billed charges,77.6,percent of total billed charges,77.6,percent of total billed charges,,,69.84,percent of total billed charges ,,,77.6,percent of total billed charges ,81.48,percent of total billed charges ,81.48,percent of total billed charges ,75.66,percent of total billed charges ,75.66,percent of total billed charges ,77.6,percent of total billed charges ,77.6,percent of total billed charges ,67.9,percent of total billed charges ,67.9,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,58.2,percent of total billed charges ,,,,,51.6,percent of total billed charges ,,,,,49.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,,,27.16,percent of total billed charges,
PR FLUTTER VALVE-DISP,LOCAL,LOCAL,,,,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
PENTAMINE NEBULIZATION,94642,CDM,,,,both,,,506,506,141.68,506,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,506,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,364.32,percent of total billed charges,374.44,percent of total billed charges,374.44,percent of total billed charges,404.8,percent of total billed charges,404.8,percent of total billed charges,,,364.32,percent of total billed charges ,,,404.8,percent of total billed charges ,425.04,percent of total billed charges ,425.04,percent of total billed charges ,394.68,percent of total billed charges ,394.68,percent of total billed charges ,404.8,percent of total billed charges ,404.8,percent of total billed charges ,354.2,percent of total billed charges ,354.2,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,303.6,percent of total billed charges ,,,,,269.19,percent of total billed charges ,,,,,255.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,,,141.68,percent of total billed charges,
**PR 12 LEAD EKG,93005,CDM,,,,both,,,486,486,136.08,486,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,486,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,349.92,percent of total billed charges,359.64,percent of total billed charges,359.64,percent of total billed charges,388.8,percent of total billed charges,388.8,percent of total billed charges,,,349.92,percent of total billed charges ,,,388.8,percent of total billed charges ,408.24,percent of total billed charges ,408.24,percent of total billed charges ,379.08,percent of total billed charges ,379.08,percent of total billed charges ,388.8,percent of total billed charges ,388.8,percent of total billed charges ,340.2,percent of total billed charges ,340.2,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,291.6,percent of total billed charges ,,,,,258.55,percent of total billed charges ,,,,,245.62,percent of total billed charges ,,,,,,,,,,,,,,,,,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,,,136.08,percent of total billed charges,
**PR RHYTHM ECG,93041,CDM,,,,both,,,304,304,85.12,304,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,304,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,218.88,percent of total billed charges,224.96,percent of total billed charges,224.96,percent of total billed charges,243.2,percent of total billed charges,243.2,percent of total billed charges,,,218.88,percent of total billed charges ,,,243.2,percent of total billed charges ,255.36,percent of total billed charges ,255.36,percent of total billed charges ,237.12,percent of total billed charges ,237.12,percent of total billed charges ,243.2,percent of total billed charges ,243.2,percent of total billed charges ,212.8,percent of total billed charges ,212.8,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,182.4,percent of total billed charges ,,,,,161.73,percent of total billed charges ,,,,,153.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,,,85.12,percent of total billed charges,
**PR NEBULIZER/INHALER INITIAL,94664,CDM,,,,both,,,88,88,24.64,88,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,88,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,63.36,percent of total billed charges,65.12,percent of total billed charges,65.12,percent of total billed charges,70.4,percent of total billed charges,70.4,percent of total billed charges,,,63.36,percent of total billed charges ,,,70.4,percent of total billed charges ,73.92,percent of total billed charges ,73.92,percent of total billed charges ,68.64,percent of total billed charges ,68.64,percent of total billed charges ,70.4,percent of total billed charges ,70.4,percent of total billed charges ,61.6,percent of total billed charges ,61.6,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,52.8,percent of total billed charges ,,,,,46.82,percent of total billed charges ,,,,,44.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,,,24.64,percent of total billed charges,
**PR NEBULIZER/INHALER SUBSQUENT,94665,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
**PR PULMONARY MUSCLE TRAINING 1:1 15 M,G0237,CDM,,,,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
**PR PULMONARY EXERCISE/GROUP,97150,CDM,,,,both,,,106,106,29.68,106,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,106,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,76.32,percent of total billed charges,78.44,percent of total billed charges,78.44,percent of total billed charges,84.8,percent of total billed charges,84.8,percent of total billed charges,,,76.32,percent of total billed charges ,,,84.8,percent of total billed charges ,89.04,percent of total billed charges ,89.04,percent of total billed charges ,82.68,percent of total billed charges ,82.68,percent of total billed charges ,84.8,percent of total billed charges ,84.8,percent of total billed charges ,74.2,percent of total billed charges ,74.2,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,63.6,percent of total billed charges ,,,,,56.39,percent of total billed charges ,,,,,53.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,,,29.68,percent of total billed charges,
PR PULMONARY SIX MINUTE WALK,94618,CDM,,,,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
**PR OXIMETRY-SINGLE,94760,CDM,,,,both,,,146,146,40.88,146,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,108.04,percent of total billed charges,108.04,percent of total billed charges,116.8,percent of total billed charges,116.8,percent of total billed charges,,,105.12,percent of total billed charges ,,,116.8,percent of total billed charges ,122.64,percent of total billed charges ,122.64,percent of total billed charges ,113.88,percent of total billed charges ,113.88,percent of total billed charges ,116.8,percent of total billed charges ,116.8,percent of total billed charges ,102.2,percent of total billed charges ,102.2,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,,,,,77.67,percent of total billed charges ,,,,,73.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,
**PR CHEST PERCUSSION,94667,CDM,,,,both,,,146,146,40.88,146,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,146,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,105.12,percent of total billed charges,108.04,percent of total billed charges,108.04,percent of total billed charges,116.8,percent of total billed charges,116.8,percent of total billed charges,,,105.12,percent of total billed charges ,,,116.8,percent of total billed charges ,122.64,percent of total billed charges ,122.64,percent of total billed charges ,113.88,percent of total billed charges ,113.88,percent of total billed charges ,116.8,percent of total billed charges ,116.8,percent of total billed charges ,102.2,percent of total billed charges ,102.2,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,87.6,percent of total billed charges ,,,,,77.67,percent of total billed charges ,,,,,73.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,,,40.88,percent of total billed charges,
**PR PULMONARY INITIAL EVAL,99211,CDM,,,25,both,,,204,204,57.12,204,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,204,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,146.88,percent of total billed charges,150.96,percent of total billed charges,150.96,percent of total billed charges,163.2,percent of total billed charges,163.2,percent of total billed charges,,,146.88,percent of total billed charges ,,,163.2,percent of total billed charges ,171.36,percent of total billed charges ,171.36,percent of total billed charges ,159.12,percent of total billed charges ,159.12,percent of total billed charges ,163.2,percent of total billed charges ,163.2,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,122.4,percent of total billed charges ,,,,,108.53,percent of total billed charges ,,,,,103.1,percent of total billed charges ,,,,,,,,,,,,,,,,,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,,,57.12,percent of total billed charges,
**PR PULMONARY EXERCISE 2 OR MORE 15 M,G0239,CDM,,,,both,,,286,286,80.08,286,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,286,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,205.92,percent of total billed charges,211.64,percent of total billed charges,211.64,percent of total billed charges,228.8,percent of total billed charges,228.8,percent of total billed charges,,,205.92,percent of total billed charges ,,,228.8,percent of total billed charges ,240.24,percent of total billed charges ,240.24,percent of total billed charges ,223.08,percent of total billed charges ,223.08,percent of total billed charges ,228.8,percent of total billed charges ,228.8,percent of total billed charges ,200.2,percent of total billed charges ,200.2,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,171.6,percent of total billed charges ,,,,,152.15,percent of total billed charges ,,,,,144.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,,,80.08,percent of total billed charges,
CONTINOUS NEB TX:1ST HR,94644,CDM,,,,both,,,490,490,137.2,490,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,490,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,352.8,percent of total billed charges,362.6,percent of total billed charges,362.6,percent of total billed charges,392,percent of total billed charges,392,percent of total billed charges,,,352.8,percent of total billed charges ,,,392,percent of total billed charges ,411.6,percent of total billed charges ,411.6,percent of total billed charges ,382.2,percent of total billed charges ,382.2,percent of total billed charges ,392,percent of total billed charges ,392,percent of total billed charges ,343,percent of total billed charges ,343,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,294,percent of total billed charges ,,,,,260.68,percent of total billed charges ,,,,,247.65,percent of total billed charges ,,,,,,,,,,,,,,,,,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,,,137.2,percent of total billed charges,
CONTINOUS NEB TX:EACH ADDTL HR,94645,CDM,,,,both,,,250,250,70,250,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,,,180,percent of total billed charges ,,,200,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,200,percent of total billed charges ,200,percent of total billed charges ,175,percent of total billed charges ,175,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,,,,,133,percent of total billed charges ,,,,,126.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,
**PR PULMONARY ADL 1:1 PER 15 MINUTES,G0238,CDM,,,,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
**WEEKLY WEIGHT CHECK MONITIOR,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**BOOST PUDDING,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PEPTAMEN - 8OZ,LOCAL,LOCAL,,,,both,,,51,51,14.28,51,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,51,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,36.72,percent of total billed charges,37.74,percent of total billed charges,37.74,percent of total billed charges,40.8,percent of total billed charges,40.8,percent of total billed charges,,,36.72,percent of total billed charges ,,,40.8,percent of total billed charges ,42.84,percent of total billed charges ,42.84,percent of total billed charges ,39.78,percent of total billed charges ,39.78,percent of total billed charges ,40.8,percent of total billed charges ,40.8,percent of total billed charges ,35.7,percent of total billed charges ,35.7,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,30.6,percent of total billed charges ,,,,,27.13,percent of total billed charges ,,,,,25.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,,,14.28,percent of total billed charges,
**PROMOD,LOCAL,LOCAL,,,,both,,,65,65,18.2,65,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,65,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,46.8,percent of total billed charges,48.1,percent of total billed charges,48.1,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,,,46.8,percent of total billed charges ,,,52,percent of total billed charges ,54.6,percent of total billed charges ,54.6,percent of total billed charges ,50.7,percent of total billed charges ,50.7,percent of total billed charges ,52,percent of total billed charges ,52,percent of total billed charges ,45.5,percent of total billed charges ,45.5,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,39,percent of total billed charges ,,,,,34.58,percent of total billed charges ,,,,,32.85,percent of total billed charges ,,,,,,,,,,,,,,,,,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,,,18.2,percent of total billed charges,
**NEPRO,LOCAL,LOCAL,,,,both,,,15,15,4.2,15,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,15,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,10.8,percent of total billed charges,11.1,percent of total billed charges,11.1,percent of total billed charges,12,percent of total billed charges,12,percent of total billed charges,,,10.8,percent of total billed charges ,,,12,percent of total billed charges ,12.6,percent of total billed charges ,12.6,percent of total billed charges ,11.7,percent of total billed charges ,11.7,percent of total billed charges ,12,percent of total billed charges ,12,percent of total billed charges ,10.5,percent of total billed charges ,10.5,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,9,percent of total billed charges ,,,,,7.98,percent of total billed charges ,,,,,7.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,,,4.2,percent of total billed charges,
**OSMOLITE 8OZ,LOCAL,LOCAL,,,,both,,,6,6,1.68,6,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,6,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.32,percent of total billed charges,4.44,percent of total billed charges,4.44,percent of total billed charges,4.8,percent of total billed charges,4.8,percent of total billed charges,,,4.32,percent of total billed charges ,,,4.8,percent of total billed charges ,5.04,percent of total billed charges ,5.04,percent of total billed charges ,4.68,percent of total billed charges ,4.68,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,3.6,percent of total billed charges ,,,,,3.19,percent of total billed charges ,,,,,3.03,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,,,1.68,percent of total billed charges,
**OSMOLITE HN 8OZ,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**PROMOTE WITH FIBER,LOCAL,LOCAL,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**THICKEN UP,LOCAL,LOCAL,,,,both,,,35,35,9.8,35,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,35,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.2,percent of total billed charges,25.9,percent of total billed charges,25.9,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,,,25.2,percent of total billed charges ,,,28,percent of total billed charges ,29.4,percent of total billed charges ,29.4,percent of total billed charges ,27.3,percent of total billed charges ,27.3,percent of total billed charges ,28,percent of total billed charges ,28,percent of total billed charges ,24.5,percent of total billed charges ,24.5,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,,,,,18.62,percent of total billed charges ,,,,,17.69,percent of total billed charges ,,,,,,,,,,,,,,,,,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,,,9.8,percent of total billed charges,
**CRITICARE HN,LOCAL,LOCAL,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
**PROCIDE/METRICIDE,LOCAL,LOCAL,,,,both,,,36,36,10.08,36,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,36,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,25.92,percent of total billed charges,26.64,percent of total billed charges,26.64,percent of total billed charges,28.8,percent of total billed charges,28.8,percent of total billed charges,,,25.92,percent of total billed charges ,,,28.8,percent of total billed charges ,30.24,percent of total billed charges ,30.24,percent of total billed charges ,28.08,percent of total billed charges ,28.08,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,25.2,percent of total billed charges ,25.2,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,21.6,percent of total billed charges ,,,,,19.15,percent of total billed charges ,,,,,18.19,percent of total billed charges ,,,,,,,,,,,,,,,,,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,,,10.08,percent of total billed charges,
MELGISORB 4X4,LOCAL,LOCAL,,,,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
**MEPILEX BORDER AG 6X6,LOCAL,LOCAL,,,,both,,,28,28,7.84,28,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,28,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.16,percent of total billed charges,20.72,percent of total billed charges,20.72,percent of total billed charges,22.4,percent of total billed charges,22.4,percent of total billed charges,,,20.16,percent of total billed charges ,,,22.4,percent of total billed charges ,23.52,percent of total billed charges ,23.52,percent of total billed charges ,21.84,percent of total billed charges ,21.84,percent of total billed charges ,22.4,percent of total billed charges ,22.4,percent of total billed charges ,19.6,percent of total billed charges ,19.6,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,16.8,percent of total billed charges ,,,,,14.9,percent of total billed charges ,,,,,14.15,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,,,7.84,percent of total billed charges,
**DVT BARIATRIC CALF,LOCAL,LOCAL,,,,both,,,482,482,134.96,482,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,482,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,347.04,percent of total billed charges,356.68,percent of total billed charges,356.68,percent of total billed charges,385.6,percent of total billed charges,385.6,percent of total billed charges,,,347.04,percent of total billed charges ,,,385.6,percent of total billed charges ,404.88,percent of total billed charges ,404.88,percent of total billed charges ,375.96,percent of total billed charges ,375.96,percent of total billed charges ,385.6,percent of total billed charges ,385.6,percent of total billed charges ,337.4,percent of total billed charges ,337.4,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,289.2,percent of total billed charges ,,,,,256.42,percent of total billed charges ,,,,,243.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,,,134.96,percent of total billed charges,
LUMBAR PUNCTURE TRAY ADULT,LOCAL,LOCAL,,,,both,,,554,554,155.12,554,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,409.96,percent of total billed charges,409.96,percent of total billed charges,443.2,percent of total billed charges,443.2,percent of total billed charges,,,398.88,percent of total billed charges ,,,443.2,percent of total billed charges ,465.36,percent of total billed charges ,465.36,percent of total billed charges ,432.12,percent of total billed charges ,432.12,percent of total billed charges ,443.2,percent of total billed charges ,443.2,percent of total billed charges ,387.8,percent of total billed charges ,387.8,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,,,,,294.73,percent of total billed charges ,,,,,279.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,
LUMBAR PUNCTURE TRAY INFANT,LOCAL,LOCAL,,,,both,,,554,554,155.12,554,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,554,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,398.88,percent of total billed charges,409.96,percent of total billed charges,409.96,percent of total billed charges,443.2,percent of total billed charges,443.2,percent of total billed charges,,,398.88,percent of total billed charges ,,,443.2,percent of total billed charges ,465.36,percent of total billed charges ,465.36,percent of total billed charges ,432.12,percent of total billed charges ,432.12,percent of total billed charges ,443.2,percent of total billed charges ,443.2,percent of total billed charges ,387.8,percent of total billed charges ,387.8,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,332.4,percent of total billed charges ,,,,,294.73,percent of total billed charges ,,,,,279.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,,,155.12,percent of total billed charges,
**SUSPENSORY LARGE,LOCAL,LOCAL,,,,both,,,138,138,38.64,138,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,102.12,percent of total billed charges,102.12,percent of total billed charges,110.4,percent of total billed charges,110.4,percent of total billed charges,,,99.36,percent of total billed charges ,,,110.4,percent of total billed charges ,115.92,percent of total billed charges ,115.92,percent of total billed charges ,107.64,percent of total billed charges ,107.64,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,,,,,73.42,percent of total billed charges ,,,,,69.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,
**SUSPENSORY MEDIUM,LOCAL,LOCAL,,,,both,,,138,138,38.64,138,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,102.12,percent of total billed charges,102.12,percent of total billed charges,110.4,percent of total billed charges,110.4,percent of total billed charges,,,99.36,percent of total billed charges ,,,110.4,percent of total billed charges ,115.92,percent of total billed charges ,115.92,percent of total billed charges ,107.64,percent of total billed charges ,107.64,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,,,,,73.42,percent of total billed charges ,,,,,69.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,
CUFF INFANT,LOCAL,LOCAL,,,,both,,,75,75,21,75,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,75,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,54,percent of total billed charges,55.5,percent of total billed charges,55.5,percent of total billed charges,60,percent of total billed charges,60,percent of total billed charges,,,54,percent of total billed charges ,,,60,percent of total billed charges ,63,percent of total billed charges ,63,percent of total billed charges ,58.5,percent of total billed charges ,58.5,percent of total billed charges ,60,percent of total billed charges ,60,percent of total billed charges ,52.5,percent of total billed charges ,52.5,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,45,percent of total billed charges ,,,,,39.9,percent of total billed charges ,,,,,37.91,percent of total billed charges ,,,,,,,,,,,,,,,,,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,,,21,percent of total billed charges,
CATHETER IV 14 X 2 1/2,LOCAL,LOCAL,,,,both,,,83,83,23.24,83,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,83,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,59.76,percent of total billed charges,61.42,percent of total billed charges,61.42,percent of total billed charges,66.4,percent of total billed charges,66.4,percent of total billed charges,,,59.76,percent of total billed charges ,,,66.4,percent of total billed charges ,69.72,percent of total billed charges ,69.72,percent of total billed charges ,64.74,percent of total billed charges ,64.74,percent of total billed charges ,66.4,percent of total billed charges ,66.4,percent of total billed charges ,58.1,percent of total billed charges ,58.1,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,49.8,percent of total billed charges ,,,,,44.16,percent of total billed charges ,,,,,41.95,percent of total billed charges ,,,,,,,,,,,,,,,,,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,,,23.24,percent of total billed charges,
AIRWAY #1 60MM,LOCAL,LOCAL,,,,both,,,48,48,13.44,48,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,48,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,34.56,percent of total billed charges,35.52,percent of total billed charges,35.52,percent of total billed charges,38.4,percent of total billed charges,38.4,percent of total billed charges,,,34.56,percent of total billed charges ,,,38.4,percent of total billed charges ,40.32,percent of total billed charges ,40.32,percent of total billed charges ,37.44,percent of total billed charges ,37.44,percent of total billed charges ,38.4,percent of total billed charges ,38.4,percent of total billed charges ,33.6,percent of total billed charges ,33.6,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,28.8,percent of total billed charges ,,,,,25.54,percent of total billed charges ,,,,,24.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,,,13.44,percent of total billed charges,
6FR PEDIATRIC FOLEY CATHETER,LOCAL,LOCAL,,,,both,,,210,210,58.8,210,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,210,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,155.4,percent of total billed charges,155.4,percent of total billed charges,168,percent of total billed charges,168,percent of total billed charges,,,151.2,percent of total billed charges ,,,168,percent of total billed charges ,176.4,percent of total billed charges ,176.4,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,168,percent of total billed charges ,168,percent of total billed charges ,147,percent of total billed charges ,147,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,,,,,111.72,percent of total billed charges ,,,,,106.13,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,,,58.8,percent of total billed charges,
ENDOTRACHEAL TUBES CUFFED 6.0,LOCAL,LOCAL,,,,both,,,180,180,50.4,180,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,,,129.6,percent of total billed charges ,,,144,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,,,,,95.76,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,
ENDOTRACHEAL CUFFED 6.5,LOCAL,LOCAL,,,,both,,,180,180,50.4,180,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,,,129.6,percent of total billed charges ,,,144,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,,,,,95.76,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,
CATHETER TROCAR 10 FR,LOCAL,LOCAL,,,,both,,,293,293,82.04,293,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,216.82,percent of total billed charges,216.82,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,210.96,percent of total billed charges ,,,234.4,percent of total billed charges ,246.12,percent of total billed charges ,246.12,percent of total billed charges ,228.54,percent of total billed charges ,228.54,percent of total billed charges ,234.4,percent of total billed charges ,234.4,percent of total billed charges ,205.1,percent of total billed charges ,205.1,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,,,,,155.88,percent of total billed charges ,,,,,148.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,
CATHETER TROCAR 16 FR,LOCAL,LOCAL,,,,both,,,293,293,82.04,293,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,216.82,percent of total billed charges,216.82,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,210.96,percent of total billed charges ,,,234.4,percent of total billed charges ,246.12,percent of total billed charges ,246.12,percent of total billed charges ,228.54,percent of total billed charges ,228.54,percent of total billed charges ,234.4,percent of total billed charges ,234.4,percent of total billed charges ,205.1,percent of total billed charges ,205.1,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,,,,,155.88,percent of total billed charges ,,,,,148.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,
CATHETER TROCAR 28 FR,LOCAL,LOCAL,,,,both,,,293,293,82.04,293,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,216.82,percent of total billed charges,216.82,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,210.96,percent of total billed charges ,,,234.4,percent of total billed charges ,246.12,percent of total billed charges ,246.12,percent of total billed charges ,228.54,percent of total billed charges ,228.54,percent of total billed charges ,234.4,percent of total billed charges ,234.4,percent of total billed charges ,205.1,percent of total billed charges ,205.1,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,,,,,155.88,percent of total billed charges ,,,,,148.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,
CATHETER TROCAR 32 FR,LOCAL,LOCAL,,,,both,,,293,293,82.04,293,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,293,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,210.96,percent of total billed charges,216.82,percent of total billed charges,216.82,percent of total billed charges,234.4,percent of total billed charges,234.4,percent of total billed charges,,,210.96,percent of total billed charges ,,,234.4,percent of total billed charges ,246.12,percent of total billed charges ,246.12,percent of total billed charges ,228.54,percent of total billed charges ,228.54,percent of total billed charges ,234.4,percent of total billed charges ,234.4,percent of total billed charges ,205.1,percent of total billed charges ,205.1,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,175.8,percent of total billed charges ,,,,,155.88,percent of total billed charges ,,,,,148.08,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,,,82.04,percent of total billed charges,
**ILL STERNAL ASPIR NEEDLE,LOCAL,LOCAL,,,,both,,,122,122,34.16,122,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,122,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,87.84,percent of total billed charges,90.28,percent of total billed charges,90.28,percent of total billed charges,97.6,percent of total billed charges,97.6,percent of total billed charges,,,87.84,percent of total billed charges ,,,97.6,percent of total billed charges ,102.48,percent of total billed charges ,102.48,percent of total billed charges ,95.16,percent of total billed charges ,95.16,percent of total billed charges ,97.6,percent of total billed charges ,97.6,percent of total billed charges ,85.4,percent of total billed charges ,85.4,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,73.2,percent of total billed charges ,,,,,64.9,percent of total billed charges ,,,,,61.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,,,34.16,percent of total billed charges,
MEPILEX BORDER AG 4 X 12,LOCAL,LOCAL,,,,both,,,298,298,83.44,298,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,298,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,214.56,percent of total billed charges,220.52,percent of total billed charges,220.52,percent of total billed charges,238.4,percent of total billed charges,238.4,percent of total billed charges,,,214.56,percent of total billed charges ,,,238.4,percent of total billed charges ,250.32,percent of total billed charges ,250.32,percent of total billed charges ,232.44,percent of total billed charges ,232.44,percent of total billed charges ,238.4,percent of total billed charges ,238.4,percent of total billed charges ,208.6,percent of total billed charges ,208.6,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,178.8,percent of total billed charges ,,,,,158.54,percent of total billed charges ,,,,,150.61,percent of total billed charges ,,,,,,,,,,,,,,,,,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,,,83.44,percent of total billed charges,
MIC GASTROSTOMY TUBE 18 FR,LOCAL,LOCAL,,,,both,,,281,281,78.68,281,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,281,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,202.32,percent of total billed charges,207.94,percent of total billed charges,207.94,percent of total billed charges,224.8,percent of total billed charges,224.8,percent of total billed charges,,,202.32,percent of total billed charges ,,,224.8,percent of total billed charges ,236.04,percent of total billed charges ,236.04,percent of total billed charges ,219.18,percent of total billed charges ,219.18,percent of total billed charges ,224.8,percent of total billed charges ,224.8,percent of total billed charges ,196.7,percent of total billed charges ,196.7,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,168.6,percent of total billed charges ,,,,,149.49,percent of total billed charges ,,,,,142.02,percent of total billed charges ,,,,,,,,,,,,,,,,,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,,,78.68,percent of total billed charges,
**MIC GASTROSTOMY TUBE 16 FR,LOCAL,LOCAL,,,,both,,,501,501,140.28,501,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,370.74,percent of total billed charges,370.74,percent of total billed charges,400.8,percent of total billed charges,400.8,percent of total billed charges,,,360.72,percent of total billed charges ,,,400.8,percent of total billed charges ,420.84,percent of total billed charges ,420.84,percent of total billed charges ,390.78,percent of total billed charges ,390.78,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,350.7,percent of total billed charges ,350.7,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,,,,,266.53,percent of total billed charges ,,,,,253.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,
**MIC GASTROSTOMY TUBE 20 FR,LOCAL,LOCAL,,,,both,,,819,819,229.32,819,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,819,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,589.68,percent of total billed charges,606.06,percent of total billed charges,606.06,percent of total billed charges,655.2,percent of total billed charges,655.2,percent of total billed charges,,,589.68,percent of total billed charges ,,,655.2,percent of total billed charges ,687.96,percent of total billed charges ,687.96,percent of total billed charges ,638.82,percent of total billed charges ,638.82,percent of total billed charges ,655.2,percent of total billed charges ,655.2,percent of total billed charges ,573.3,percent of total billed charges ,573.3,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,491.4,percent of total billed charges ,,,,,435.71,percent of total billed charges ,,,,,413.92,percent of total billed charges ,,,,,,,,,,,,,,,,,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,,,229.32,percent of total billed charges,
**MIC GASTROSTOMY TUBE 22 FR,LOCAL,LOCAL,,,,both,,,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
**MIC GASTROSTOMY TUBE 24 FR,LOCAL,LOCAL,,,,both,,,239,239,66.92,239,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,239,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,172.08,percent of total billed charges,176.86,percent of total billed charges,176.86,percent of total billed charges,191.2,percent of total billed charges,191.2,percent of total billed charges,,,172.08,percent of total billed charges ,,,191.2,percent of total billed charges ,200.76,percent of total billed charges ,200.76,percent of total billed charges ,186.42,percent of total billed charges ,186.42,percent of total billed charges ,191.2,percent of total billed charges ,191.2,percent of total billed charges ,167.3,percent of total billed charges ,167.3,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,143.4,percent of total billed charges ,,,,,127.15,percent of total billed charges ,,,,,120.79,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,,,66.92,percent of total billed charges,
BONE MARROW DISP NEEDLE 4,LOCAL,LOCAL,,,,both,,,183,183,51.24,183,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,183,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,131.76,percent of total billed charges,135.42,percent of total billed charges,135.42,percent of total billed charges,146.4,percent of total billed charges,146.4,percent of total billed charges,,,131.76,percent of total billed charges ,,,146.4,percent of total billed charges ,153.72,percent of total billed charges ,153.72,percent of total billed charges ,142.74,percent of total billed charges ,142.74,percent of total billed charges ,146.4,percent of total billed charges ,146.4,percent of total billed charges ,128.1,percent of total billed charges ,128.1,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,109.8,percent of total billed charges ,,,,,97.36,percent of total billed charges ,,,,,92.49,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,,,51.24,percent of total billed charges,
THORACENTESIS TRAY ADULT,LOCAL,LOCAL,,,,both,,,635,635,177.8,635,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,635,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,457.2,percent of total billed charges,469.9,percent of total billed charges,469.9,percent of total billed charges,508,percent of total billed charges,508,percent of total billed charges,,,457.2,percent of total billed charges ,,,508,percent of total billed charges ,533.4,percent of total billed charges ,533.4,percent of total billed charges ,495.3,percent of total billed charges ,495.3,percent of total billed charges ,508,percent of total billed charges ,508,percent of total billed charges ,444.5,percent of total billed charges ,444.5,percent of total billed charges ,381,percent of total billed charges ,381,percent of total billed charges ,381,percent of total billed charges ,381,percent of total billed charges ,,,,,337.82,percent of total billed charges ,,,,,320.93,percent of total billed charges ,,,,,,,,,,,,,,,,,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,,,177.8,percent of total billed charges,
**BONE MARROW DISP NEEDLE 2,LOCAL,LOCAL,,,,both,,,448,448,125.44,448,448,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,448,percent of total billed charges,322.56,percent of total billed charges,322.56,percent of total billed charges,322.56,percent of total billed charges,322.56,percent of total billed charges,322.56,percent of total billed charges,322.56,percent of total billed charges,331.52,percent of total billed charges,331.52,percent of total billed charges,358.4,percent of total billed charges,358.4,percent of total billed charges,,,322.56,percent of total billed charges ,,,358.4,percent of total billed charges ,376.32,percent of total billed charges ,376.32,percent of total billed charges ,349.44,percent of total billed charges ,349.44,percent of total billed charges ,358.4,percent of total billed charges ,358.4,percent of total billed charges ,313.6,percent of total billed charges ,313.6,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,268.8,percent of total billed charges ,,,,,238.34,percent of total billed charges ,,,,,226.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,,,125.44,percent of total billed charges,
**SUSPENSORY X-LARGE,LOCAL,LOCAL,,,,both,,,138,138,38.64,138,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,138,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,99.36,percent of total billed charges,102.12,percent of total billed charges,102.12,percent of total billed charges,110.4,percent of total billed charges,110.4,percent of total billed charges,,,99.36,percent of total billed charges ,,,110.4,percent of total billed charges ,115.92,percent of total billed charges ,115.92,percent of total billed charges ,107.64,percent of total billed charges ,107.64,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,96.6,percent of total billed charges ,96.6,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,82.8,percent of total billed charges ,,,,,73.42,percent of total billed charges ,,,,,69.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,,,38.64,percent of total billed charges,
CATHETER KIT NASAL HEMOSTATIC,LOCAL,LOCAL,,,,both,,,596,596,166.88,596,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,596,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,429.12,percent of total billed charges,441.04,percent of total billed charges,441.04,percent of total billed charges,476.8,percent of total billed charges,476.8,percent of total billed charges,,,429.12,percent of total billed charges ,,,476.8,percent of total billed charges ,500.64,percent of total billed charges ,500.64,percent of total billed charges ,464.88,percent of total billed charges ,464.88,percent of total billed charges ,476.8,percent of total billed charges ,476.8,percent of total billed charges ,417.2,percent of total billed charges ,417.2,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,357.6,percent of total billed charges ,,,,,317.07,percent of total billed charges ,,,,,301.22,percent of total billed charges ,,,,,,,,,,,,,,,,,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,,,166.88,percent of total billed charges,
TUBE FEEDING 10 FR W/STYLET,LOCAL,LOCAL,,,,both,,,211,211,59.08,211,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,156.14,percent of total billed charges,156.14,percent of total billed charges,168.8,percent of total billed charges,168.8,percent of total billed charges,,,151.92,percent of total billed charges ,,,168.8,percent of total billed charges ,177.24,percent of total billed charges ,177.24,percent of total billed charges ,164.58,percent of total billed charges ,164.58,percent of total billed charges ,168.8,percent of total billed charges ,168.8,percent of total billed charges ,147.7,percent of total billed charges ,147.7,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,,,,,112.25,percent of total billed charges ,,,,,106.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,
HEEL BOOT,LOCAL,LOCAL,,,,both,,,211,211,59.08,211,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,211,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,151.92,percent of total billed charges,156.14,percent of total billed charges,156.14,percent of total billed charges,168.8,percent of total billed charges,168.8,percent of total billed charges,,,151.92,percent of total billed charges ,,,168.8,percent of total billed charges ,177.24,percent of total billed charges ,177.24,percent of total billed charges ,164.58,percent of total billed charges ,164.58,percent of total billed charges ,168.8,percent of total billed charges ,168.8,percent of total billed charges ,147.7,percent of total billed charges ,147.7,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,126.6,percent of total billed charges ,,,,,112.25,percent of total billed charges ,,,,,106.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,,,59.08,percent of total billed charges,
CATHETER TIEMANN COUDE 16FR,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
CATHETER TREMANN COUDE 14FR,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
CATHETER TREMANN COUDE 12FR,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
CATHETER TREMANN COUDE 20FR,LOCAL,LOCAL,,,,both,,,235,235,65.8,235,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,235,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,169.2,percent of total billed charges,173.9,percent of total billed charges,173.9,percent of total billed charges,188,percent of total billed charges,188,percent of total billed charges,,,169.2,percent of total billed charges ,,,188,percent of total billed charges ,197.4,percent of total billed charges ,197.4,percent of total billed charges ,183.3,percent of total billed charges ,183.3,percent of total billed charges ,188,percent of total billed charges ,188,percent of total billed charges ,164.5,percent of total billed charges ,164.5,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,141,percent of total billed charges ,,,,,125.02,percent of total billed charges ,,,,,118.77,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,,,65.8,percent of total billed charges,
TRANSPAC IV TRAY,LOCAL,LOCAL,,,,both,,,227,227,63.56,227,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,227,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,163.44,percent of total billed charges,167.98,percent of total billed charges,167.98,percent of total billed charges,181.6,percent of total billed charges,181.6,percent of total billed charges,,,163.44,percent of total billed charges ,,,181.6,percent of total billed charges ,190.68,percent of total billed charges ,190.68,percent of total billed charges ,177.06,percent of total billed charges ,177.06,percent of total billed charges ,181.6,percent of total billed charges ,181.6,percent of total billed charges ,158.9,percent of total billed charges ,158.9,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,136.2,percent of total billed charges ,,,,,120.76,percent of total billed charges ,,,,,114.73,percent of total billed charges ,,,,,,,,,,,,,,,,,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,,,63.56,percent of total billed charges,
CATHETER TRIPLE,LOCAL,LOCAL,,,,both,,,948,948,265.44,948,948,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,948,percent of total billed charges,682.56,percent of total billed charges,682.56,percent of total billed charges,682.56,percent of total billed charges,682.56,percent of total billed charges,682.56,percent of total billed charges,682.56,percent of total billed charges,701.52,percent of total billed charges,701.52,percent of total billed charges,758.4,percent of total billed charges,758.4,percent of total billed charges,,,682.56,percent of total billed charges ,,,758.4,percent of total billed charges ,796.32,percent of total billed charges ,796.32,percent of total billed charges ,739.44,percent of total billed charges ,739.44,percent of total billed charges ,758.4,percent of total billed charges ,758.4,percent of total billed charges ,663.6,percent of total billed charges ,663.6,percent of total billed charges ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,568.8,percent of total billed charges ,,,,,504.34,percent of total billed charges ,,,,,479.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,,,265.44,percent of total billed charges,
3/4  PORT ACCESS SYSTEM,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
1  PORT ACCESS SYSTEM,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
SIZE 1 GLIDESCOPE,LOCAL,LOCAL,,,,both,,,250,250,70,250,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,250,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,200,percent of total billed charges,200,percent of total billed charges,,,180,percent of total billed charges ,,,200,percent of total billed charges ,210,percent of total billed charges ,210,percent of total billed charges ,195,percent of total billed charges ,195,percent of total billed charges ,200,percent of total billed charges ,200,percent of total billed charges ,175,percent of total billed charges ,175,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,150,percent of total billed charges ,,,,,133,percent of total billed charges ,,,,,126.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,,,70,percent of total billed charges,
SIZE 2 GLIDESCOPE,LOCAL,LOCAL,,,,both,,,315,315,88.2,315,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,315,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,226.8,percent of total billed charges,233.1,percent of total billed charges,233.1,percent of total billed charges,252,percent of total billed charges,252,percent of total billed charges,,,226.8,percent of total billed charges ,,,252,percent of total billed charges ,264.6,percent of total billed charges ,264.6,percent of total billed charges ,245.7,percent of total billed charges ,245.7,percent of total billed charges ,252,percent of total billed charges ,252,percent of total billed charges ,220.5,percent of total billed charges ,220.5,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,189,percent of total billed charges ,,,,,167.58,percent of total billed charges ,,,,,159.2,percent of total billed charges ,,,,,,,,,,,,,,,,,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,,,88.2,percent of total billed charges,
SIZE 3 GLIDESCOPE,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
SIZE 4 GLIDESCOPE,LOCAL,LOCAL,,,,both,,,197,197,55.16,197,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,197,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,141.84,percent of total billed charges,145.78,percent of total billed charges,145.78,percent of total billed charges,157.6,percent of total billed charges,157.6,percent of total billed charges,,,141.84,percent of total billed charges ,,,157.6,percent of total billed charges ,165.48,percent of total billed charges ,165.48,percent of total billed charges ,153.66,percent of total billed charges ,153.66,percent of total billed charges ,157.6,percent of total billed charges ,157.6,percent of total billed charges ,137.9,percent of total billed charges ,137.9,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,118.2,percent of total billed charges ,,,,,104.8,percent of total billed charges ,,,,,99.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,,,55.16,percent of total billed charges,
POSEY QUICK RELEASE WRIST/PAIR,LOCAL,LOCAL,,,,both,,,215,215,60.2,215,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,215,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,154.8,percent of total billed charges,159.1,percent of total billed charges,159.1,percent of total billed charges,172,percent of total billed charges,172,percent of total billed charges,,,154.8,percent of total billed charges ,,,172,percent of total billed charges ,180.6,percent of total billed charges ,180.6,percent of total billed charges ,167.7,percent of total billed charges ,167.7,percent of total billed charges ,172,percent of total billed charges ,172,percent of total billed charges ,150.5,percent of total billed charges ,150.5,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,129,percent of total billed charges ,,,,,114.38,percent of total billed charges ,,,,,108.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,,,60.2,percent of total billed charges,
POSEY QUICK RELEASE ANKLE/PAIR,LOCAL,LOCAL,,,,both,,,217,217,60.76,217,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,217,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,156.24,percent of total billed charges,160.58,percent of total billed charges,160.58,percent of total billed charges,173.6,percent of total billed charges,173.6,percent of total billed charges,,,156.24,percent of total billed charges ,,,173.6,percent of total billed charges ,182.28,percent of total billed charges ,182.28,percent of total billed charges ,169.26,percent of total billed charges ,169.26,percent of total billed charges ,173.6,percent of total billed charges ,173.6,percent of total billed charges ,151.9,percent of total billed charges ,151.9,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,,,,,115.44,percent of total billed charges ,,,,,109.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,,,60.76,percent of total billed charges,
CHEST HEIM DRAIN VALVE,LOCAL,LOCAL,,,,both,,,296,296,82.88,296,296,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,296,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,213.12,percent of total billed charges,219.04,percent of total billed charges,219.04,percent of total billed charges,236.8,percent of total billed charges,236.8,percent of total billed charges,,,213.12,percent of total billed charges ,,,236.8,percent of total billed charges ,248.64,percent of total billed charges ,248.64,percent of total billed charges ,230.88,percent of total billed charges ,230.88,percent of total billed charges ,236.8,percent of total billed charges ,236.8,percent of total billed charges ,207.2,percent of total billed charges ,207.2,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,177.6,percent of total billed charges ,,,,,157.47,percent of total billed charges ,,,,,149.6,percent of total billed charges ,,,,,,,,,,,,,,,,,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,,,82.88,percent of total billed charges,
**BLADE SAW SAGITAL,LOCAL,LOCAL,,,,both,,,555,555,155.4,555,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,555,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,399.6,percent of total billed charges,410.7,percent of total billed charges,410.7,percent of total billed charges,444,percent of total billed charges,444,percent of total billed charges,,,399.6,percent of total billed charges ,,,444,percent of total billed charges ,466.2,percent of total billed charges ,466.2,percent of total billed charges ,432.9,percent of total billed charges ,432.9,percent of total billed charges ,444,percent of total billed charges ,444,percent of total billed charges ,388.5,percent of total billed charges ,388.5,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,333,percent of total billed charges ,,,,,295.26,percent of total billed charges ,,,,,280.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,,,155.4,percent of total billed charges,
TRAY EPIDURAL SINGLE DOSE,LOCAL,LOCAL,,,,both,,,186,186,52.08,186,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,186,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,133.92,percent of total billed charges,137.64,percent of total billed charges,137.64,percent of total billed charges,148.8,percent of total billed charges,148.8,percent of total billed charges,,,133.92,percent of total billed charges ,,,148.8,percent of total billed charges ,156.24,percent of total billed charges ,156.24,percent of total billed charges ,145.08,percent of total billed charges ,145.08,percent of total billed charges ,148.8,percent of total billed charges ,148.8,percent of total billed charges ,130.2,percent of total billed charges ,130.2,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,111.6,percent of total billed charges ,,,,,98.95,percent of total billed charges ,,,,,94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,,,52.08,percent of total billed charges,
4.2 GATOR BLADE,LOCAL,LOCAL,,,,both,,,527,527,147.56,527,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,389.98,percent of total billed charges,389.98,percent of total billed charges,421.6,percent of total billed charges,421.6,percent of total billed charges,,,379.44,percent of total billed charges ,,,421.6,percent of total billed charges ,442.68,percent of total billed charges ,442.68,percent of total billed charges ,411.06,percent of total billed charges ,411.06,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,368.9,percent of total billed charges ,368.9,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,,,,,280.36,percent of total billed charges ,,,,,266.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,
5.5 GATOR BLADE,LOCAL,LOCAL,,,,both,,,527,527,147.56,527,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,527,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,379.44,percent of total billed charges,389.98,percent of total billed charges,389.98,percent of total billed charges,421.6,percent of total billed charges,421.6,percent of total billed charges,,,379.44,percent of total billed charges ,,,421.6,percent of total billed charges ,442.68,percent of total billed charges ,442.68,percent of total billed charges ,411.06,percent of total billed charges ,411.06,percent of total billed charges ,421.6,percent of total billed charges ,421.6,percent of total billed charges ,368.9,percent of total billed charges ,368.9,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,316.2,percent of total billed charges ,,,,,280.36,percent of total billed charges ,,,,,266.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,,,147.56,percent of total billed charges,
3.5 GATOR BLADE,LOCAL,LOCAL,,,,both,,,515,515,144.2,515,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,515,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,370.8,percent of total billed charges,381.1,percent of total billed charges,381.1,percent of total billed charges,412,percent of total billed charges,412,percent of total billed charges,,,370.8,percent of total billed charges ,,,412,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,401.7,percent of total billed charges ,401.7,percent of total billed charges ,412,percent of total billed charges ,412,percent of total billed charges ,360.5,percent of total billed charges ,360.5,percent of total billed charges ,309,percent of total billed charges ,309,percent of total billed charges ,309,percent of total billed charges ,309,percent of total billed charges ,,,,,273.98,percent of total billed charges ,,,,,260.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,,,144.2,percent of total billed charges,
ABULATOR VAPOR WAND,LOCAL,LOCAL,,,,both,,,"3,023.00","3,023.00",846.44,"3,023.00","3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"3,023.00",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,176.56",percent of total billed charges,"2,237.02",percent of total billed charges,"2,237.02",percent of total billed charges,"2,418.40",percent of total billed charges,"2,418.40",percent of total billed charges,,,"2,176.56",percent of total billed charges ,,,"2,418.40",percent of total billed charges ,"2,539.32",percent of total billed charges ,"2,539.32",percent of total billed charges ,"2,357.94",percent of total billed charges ,"2,357.94",percent of total billed charges ,"2,418.40",percent of total billed charges ,"2,418.40",percent of total billed charges ,"2,116.10",percent of total billed charges ,"2,116.10",percent of total billed charges ,"1,813.80",percent of total billed charges ,"1,813.80",percent of total billed charges ,"1,813.80",percent of total billed charges ,"1,813.80",percent of total billed charges ,,,,,"1,608.24",percent of total billed charges ,,,,,"1,527.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,,,846.44,percent of total billed charges,
KNEE POSITIONING,LOCAL,LOCAL,,,,both,,,214,214,59.92,214,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,214,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,154.08,percent of total billed charges,158.36,percent of total billed charges,158.36,percent of total billed charges,171.2,percent of total billed charges,171.2,percent of total billed charges,,,154.08,percent of total billed charges ,,,171.2,percent of total billed charges ,179.76,percent of total billed charges ,179.76,percent of total billed charges ,166.92,percent of total billed charges ,166.92,percent of total billed charges ,171.2,percent of total billed charges ,171.2,percent of total billed charges ,149.8,percent of total billed charges ,149.8,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,128.4,percent of total billed charges ,,,,,113.85,percent of total billed charges ,,,,,108.16,percent of total billed charges ,,,,,,,,,,,,,,,,,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,,,59.92,percent of total billed charges,
LONG CAUTERY TIP 33CM,LOCAL,LOCAL,,,,both,,,437,437,122.36,437,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,437,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,314.64,percent of total billed charges,323.38,percent of total billed charges,323.38,percent of total billed charges,349.6,percent of total billed charges,349.6,percent of total billed charges,,,314.64,percent of total billed charges ,,,349.6,percent of total billed charges ,367.08,percent of total billed charges ,367.08,percent of total billed charges ,340.86,percent of total billed charges ,340.86,percent of total billed charges ,349.6,percent of total billed charges ,349.6,percent of total billed charges ,305.9,percent of total billed charges ,305.9,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,262.2,percent of total billed charges ,,,,,232.48,percent of total billed charges ,,,,,220.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,,,122.36,percent of total billed charges,
PROXIMA DRAPE,LOCAL,LOCAL,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
TUBES COLLAR BUTTON,LOCAL,LOCAL,,,,both,,,256,256,71.68,256,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,256,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,184.32,percent of total billed charges,189.44,percent of total billed charges,189.44,percent of total billed charges,204.8,percent of total billed charges,204.8,percent of total billed charges,,,184.32,percent of total billed charges ,,,204.8,percent of total billed charges ,215.04,percent of total billed charges ,215.04,percent of total billed charges ,199.68,percent of total billed charges ,199.68,percent of total billed charges ,204.8,percent of total billed charges ,204.8,percent of total billed charges ,179.2,percent of total billed charges ,179.2,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,153.6,percent of total billed charges ,,,,,136.19,percent of total billed charges ,,,,,129.38,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,,,71.68,percent of total billed charges,
TUBES ARMSTRONG GROMETS,LOCAL,LOCAL,,,,both,,,519,519,145.32,519,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,519,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,373.68,percent of total billed charges,384.06,percent of total billed charges,384.06,percent of total billed charges,415.2,percent of total billed charges,415.2,percent of total billed charges,,,373.68,percent of total billed charges ,,,415.2,percent of total billed charges ,435.96,percent of total billed charges ,435.96,percent of total billed charges ,404.82,percent of total billed charges ,404.82,percent of total billed charges ,415.2,percent of total billed charges ,415.2,percent of total billed charges ,363.3,percent of total billed charges ,363.3,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,311.4,percent of total billed charges ,,,,,276.11,percent of total billed charges ,,,,,262.3,percent of total billed charges ,,,,,,,,,,,,,,,,,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,,,145.32,percent of total billed charges,
**DILATOR BALLOON CRE 15 16.5 18,LOCAL,LOCAL,,,,both,,,"1,759.00","1,759.00",492.52,"1,759.00","1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,759.00",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,266.48",percent of total billed charges,"1,301.66",percent of total billed charges,"1,301.66",percent of total billed charges,"1,407.20",percent of total billed charges,"1,407.20",percent of total billed charges,,,"1,266.48",percent of total billed charges ,,,"1,407.20",percent of total billed charges ,"1,477.56",percent of total billed charges ,"1,477.56",percent of total billed charges ,"1,372.02",percent of total billed charges ,"1,372.02",percent of total billed charges ,"1,407.20",percent of total billed charges ,"1,407.20",percent of total billed charges ,"1,231.30",percent of total billed charges ,"1,231.30",percent of total billed charges ,"1,055.40",percent of total billed charges ,"1,055.40",percent of total billed charges ,"1,055.40",percent of total billed charges ,"1,055.40",percent of total billed charges ,,,,,935.79,percent of total billed charges ,,,,,889,percent of total billed charges ,,,,,,,,,,,,,,,,,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,,,492.52,percent of total billed charges,
5MM ENDOCLIP APPLIER,LOCAL,LOCAL,,,,both,,,"1,372.00","1,372.00",384.16,"1,372.00","1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,"1,372.00",percent of total billed charges,987.84,percent of total billed charges,987.84,percent of total billed charges,987.84,percent of total billed charges,987.84,percent of total billed charges,987.84,percent of total billed charges,987.84,percent of total billed charges,"1,015.28",percent of total billed charges,"1,015.28",percent of total billed charges,"1,097.60",percent of total billed charges,"1,097.60",percent of total billed charges,,,987.84,percent of total billed charges ,,,"1,097.60",percent of total billed charges ,"1,152.48",percent of total billed charges ,"1,152.48",percent of total billed charges ,"1,070.16",percent of total billed charges ,"1,070.16",percent of total billed charges ,"1,097.60",percent of total billed charges ,"1,097.60",percent of total billed charges ,960.4,percent of total billed charges ,960.4,percent of total billed charges ,823.2,percent of total billed charges ,823.2,percent of total billed charges ,823.2,percent of total billed charges ,823.2,percent of total billed charges ,,,,,729.9,percent of total billed charges ,,,,,693.41,percent of total billed charges ,,,,,,,,,,,,,,,,,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,,,384.16,percent of total billed charges,
25X20 MESH,LOCAL,LOCAL,,,,both,,,"12,265.00","12,265.00","3,434.20","12,265.00","12,265.00",percent of total billed charges,"12,265.00",percent of total billed charges,"12,265.00",percent of total billed charges,"12,265.00",percent of total billed charges,"12,265.00",percent of total billed charges,"12,265.00",percent of total billed charges,"12,265.00",percent of total billed charges,"12,265.00",percent of total billed charges,"8,830.80",percent of total billed charges,"8,830.80",percent of total billed charges,"8,830.80",percent of total billed charges,"8,830.80",percent of total billed charges,"8,830.80",percent of total billed charges,"8,830.80",percent of total billed charges,"9,076.10",percent of total billed charges,"9,076.10",percent of total billed charges,"9,812.00",percent of total billed charges,"9,812.00",percent of total billed charges,,,"8,830.80",percent of total billed charges ,,,"9,812.00",percent of total billed charges ,"10,302.60",percent of total billed charges ,"10,302.60",percent of total billed charges ,"9,566.70",percent of total billed charges ,"9,566.70",percent of total billed charges ,"9,812.00",percent of total billed charges ,"9,812.00",percent of total billed charges ,"8,585.50",percent of total billed charges ,"8,585.50",percent of total billed charges ,"7,359.00",percent of total billed charges ,"7,359.00",percent of total billed charges ,"7,359.00",percent of total billed charges ,"7,359.00",percent of total billed charges ,,,,,"6,524.98",percent of total billed charges ,,,,,"6,198.73",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,,,"3,434.20",percent of total billed charges,
CLAMP RAYPORT MUSCLE BIOSPY SZ12,LOCAL,LOCAL,,,,both,,,318,318,89.04,318,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,318,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,228.96,percent of total billed charges,235.32,percent of total billed charges,235.32,percent of total billed charges,254.4,percent of total billed charges,254.4,percent of total billed charges,,,228.96,percent of total billed charges ,,,254.4,percent of total billed charges ,267.12,percent of total billed charges ,267.12,percent of total billed charges ,248.04,percent of total billed charges ,248.04,percent of total billed charges ,254.4,percent of total billed charges ,254.4,percent of total billed charges ,222.6,percent of total billed charges ,222.6,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,190.8,percent of total billed charges ,,,,,169.18,percent of total billed charges ,,,,,160.72,percent of total billed charges ,,,,,,,,,,,,,,,,,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,,,89.04,percent of total billed charges,
**5FR POWER PICC SOLO,LOCAL,LOCAL,,,,both,,,"2,197.00","2,197.00",615.16,"2,197.00","2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"2,197.00",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,581.84",percent of total billed charges,"1,625.78",percent of total billed charges,"1,625.78",percent of total billed charges,"1,757.60",percent of total billed charges,"1,757.60",percent of total billed charges,,,"1,581.84",percent of total billed charges ,,,"1,757.60",percent of total billed charges ,"1,845.48",percent of total billed charges ,"1,845.48",percent of total billed charges ,"1,713.66",percent of total billed charges ,"1,713.66",percent of total billed charges ,"1,757.60",percent of total billed charges ,"1,757.60",percent of total billed charges ,"1,537.90",percent of total billed charges ,"1,537.90",percent of total billed charges ,"1,318.20",percent of total billed charges ,"1,318.20",percent of total billed charges ,"1,318.20",percent of total billed charges ,"1,318.20",percent of total billed charges ,,,,,"1,168.80",percent of total billed charges ,,,,,"1,110.36",percent of total billed charges ,,,,,,,,,,,,,,,,,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,,,615.16,percent of total billed charges,
CHEST DRAINAGE SYSTEM,LOCAL,LOCAL,,,,both,,,344,344,96.32,344,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,344,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,247.68,percent of total billed charges,254.56,percent of total billed charges,254.56,percent of total billed charges,275.2,percent of total billed charges,275.2,percent of total billed charges,,,247.68,percent of total billed charges ,,,275.2,percent of total billed charges ,288.96,percent of total billed charges ,288.96,percent of total billed charges ,268.32,percent of total billed charges ,268.32,percent of total billed charges ,275.2,percent of total billed charges ,275.2,percent of total billed charges ,240.8,percent of total billed charges ,240.8,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,206.4,percent of total billed charges ,,,,,183.01,percent of total billed charges ,,,,,173.86,percent of total billed charges ,,,,,,,,,,,,,,,,,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,,,96.32,percent of total billed charges,
PAD PRO ADULT PK,LOCAL,LOCAL,,,,both,,,208,208,58.24,208,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,208,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,149.76,percent of total billed charges,153.92,percent of total billed charges,153.92,percent of total billed charges,166.4,percent of total billed charges,166.4,percent of total billed charges,,,149.76,percent of total billed charges ,,,166.4,percent of total billed charges ,174.72,percent of total billed charges ,174.72,percent of total billed charges ,162.24,percent of total billed charges ,162.24,percent of total billed charges ,166.4,percent of total billed charges ,166.4,percent of total billed charges ,145.6,percent of total billed charges ,145.6,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,124.8,percent of total billed charges ,,,,,110.66,percent of total billed charges ,,,,,105.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,,,58.24,percent of total billed charges,
PAD PRO PEDI PK,LOCAL,LOCAL,,,,both,,,257,257,71.96,257,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,257,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,185.04,percent of total billed charges,190.18,percent of total billed charges,190.18,percent of total billed charges,205.6,percent of total billed charges,205.6,percent of total billed charges,,,185.04,percent of total billed charges ,,,205.6,percent of total billed charges ,215.88,percent of total billed charges ,215.88,percent of total billed charges ,200.46,percent of total billed charges ,200.46,percent of total billed charges ,205.6,percent of total billed charges ,205.6,percent of total billed charges ,179.9,percent of total billed charges ,179.9,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,154.2,percent of total billed charges ,,,,,136.72,percent of total billed charges ,,,,,129.89,percent of total billed charges ,,,,,,,,,,,,,,,,,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,,,71.96,percent of total billed charges,
**TUBE TRAC SIZE 10,LOCAL,LOCAL,,,,both,,,613,613,171.64,613,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,613,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,441.36,percent of total billed charges,453.62,percent of total billed charges,453.62,percent of total billed charges,490.4,percent of total billed charges,490.4,percent of total billed charges,,,441.36,percent of total billed charges ,,,490.4,percent of total billed charges ,514.92,percent of total billed charges ,514.92,percent of total billed charges ,478.14,percent of total billed charges ,478.14,percent of total billed charges ,490.4,percent of total billed charges ,490.4,percent of total billed charges ,429.1,percent of total billed charges ,429.1,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,367.8,percent of total billed charges ,,,,,326.12,percent of total billed charges ,,,,,309.81,percent of total billed charges ,,,,,,,,,,,,,,,,,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,,,171.64,percent of total billed charges,
**TUBE TRAC SIZE 3,LOCAL,LOCAL,,,,both,,,355,355,99.4,355,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,355,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,255.6,percent of total billed charges,262.7,percent of total billed charges,262.7,percent of total billed charges,284,percent of total billed charges,284,percent of total billed charges,,,255.6,percent of total billed charges ,,,284,percent of total billed charges ,298.2,percent of total billed charges ,298.2,percent of total billed charges ,276.9,percent of total billed charges ,276.9,percent of total billed charges ,284,percent of total billed charges ,284,percent of total billed charges ,248.5,percent of total billed charges ,248.5,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,213,percent of total billed charges ,,,,,188.86,percent of total billed charges ,,,,,179.42,percent of total billed charges ,,,,,,,,,,,,,,,,,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,,,99.4,percent of total billed charges,
**TUBE TRAC SIZE 6,LOCAL,LOCAL,,,,both,,,556,556,155.68,556,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,556,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,400.32,percent of total billed charges,411.44,percent of total billed charges,411.44,percent of total billed charges,444.8,percent of total billed charges,444.8,percent of total billed charges,,,400.32,percent of total billed charges ,,,444.8,percent of total billed charges ,467.04,percent of total billed charges ,467.04,percent of total billed charges ,433.68,percent of total billed charges ,433.68,percent of total billed charges ,444.8,percent of total billed charges ,444.8,percent of total billed charges ,389.2,percent of total billed charges ,389.2,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,,,,,295.79,percent of total billed charges ,,,,,281,percent of total billed charges ,,,,,,,,,,,,,,,,,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,,,155.68,percent of total billed charges,
**TUBE TRAC SIZE 8,LOCAL,LOCAL,,,,both,,,465,465,130.2,465,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,465,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,334.8,percent of total billed charges,344.1,percent of total billed charges,344.1,percent of total billed charges,372,percent of total billed charges,372,percent of total billed charges,,,334.8,percent of total billed charges ,,,372,percent of total billed charges ,390.6,percent of total billed charges ,390.6,percent of total billed charges ,362.7,percent of total billed charges ,362.7,percent of total billed charges ,372,percent of total billed charges ,372,percent of total billed charges ,325.5,percent of total billed charges ,325.5,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,279,percent of total billed charges ,,,,,247.38,percent of total billed charges ,,,,,235.01,percent of total billed charges ,,,,,,,,,,,,,,,,,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,,,130.2,percent of total billed charges,
CATHETER SUPERPUBIC STAMEY,LOCAL,LOCAL,,,,both,,,501,501,140.28,501,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,501,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,360.72,percent of total billed charges,370.74,percent of total billed charges,370.74,percent of total billed charges,400.8,percent of total billed charges,400.8,percent of total billed charges,,,360.72,percent of total billed charges ,,,400.8,percent of total billed charges ,420.84,percent of total billed charges ,420.84,percent of total billed charges ,390.78,percent of total billed charges ,390.78,percent of total billed charges ,400.8,percent of total billed charges ,400.8,percent of total billed charges ,350.7,percent of total billed charges ,350.7,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,300.6,percent of total billed charges ,,,,,266.53,percent of total billed charges ,,,,,253.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,,,140.28,percent of total billed charges,
URINE METER,LOCAL,LOCAL,,,,both,,,238,238,66.64,238,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,238,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,171.36,percent of total billed charges,176.12,percent of total billed charges,176.12,percent of total billed charges,190.4,percent of total billed charges,190.4,percent of total billed charges,,,171.36,percent of total billed charges ,,,190.4,percent of total billed charges ,199.92,percent of total billed charges ,199.92,percent of total billed charges ,185.64,percent of total billed charges ,185.64,percent of total billed charges ,190.4,percent of total billed charges ,190.4,percent of total billed charges ,166.6,percent of total billed charges ,166.6,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,142.8,percent of total billed charges ,,,,,126.62,percent of total billed charges ,,,,,120.29,percent of total billed charges ,,,,,,,,,,,,,,,,,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,,,66.64,percent of total billed charges,
ENDOTRACHEAL TUBES CUFFED 7.0,LOCAL,LOCAL,,,,both,,,174,174,48.72,174,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,174,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,125.28,percent of total billed charges,128.76,percent of total billed charges,128.76,percent of total billed charges,139.2,percent of total billed charges,139.2,percent of total billed charges,,,125.28,percent of total billed charges ,,,139.2,percent of total billed charges ,146.16,percent of total billed charges ,146.16,percent of total billed charges ,135.72,percent of total billed charges ,135.72,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,121.8,percent of total billed charges ,121.8,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,104.4,percent of total billed charges ,,,,,92.57,percent of total billed charges ,,,,,87.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,,,48.72,percent of total billed charges,
ENDOTRACHEAL CUFFED 7.5,LOCAL,LOCAL,,,,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
ENDOTRACHEAL TUBES CUFFED 8.0,LOCAL,LOCAL,,,,both,,,178,178,49.84,178,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,131.72,percent of total billed charges,131.72,percent of total billed charges,142.4,percent of total billed charges,142.4,percent of total billed charges,,,128.16,percent of total billed charges ,,,142.4,percent of total billed charges ,149.52,percent of total billed charges ,149.52,percent of total billed charges ,138.84,percent of total billed charges ,138.84,percent of total billed charges ,142.4,percent of total billed charges ,142.4,percent of total billed charges ,124.6,percent of total billed charges ,124.6,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
ENDOTRACHEAL CUFFED 8.5,LOCAL,LOCAL,,,,both,,,180,180,50.4,180,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,180,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,129.6,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,144,percent of total billed charges,144,percent of total billed charges,,,129.6,percent of total billed charges ,,,144,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,144,percent of total billed charges ,144,percent of total billed charges ,126,percent of total billed charges ,126,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,108,percent of total billed charges ,,,,,95.76,percent of total billed charges ,,,,,90.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,,,50.4,percent of total billed charges,
**ENDOTRACHEAL TUBES CUFFED 9.0,LOCAL,LOCAL,,,,both,,,151,151,42.28,151,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,151,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,108.72,percent of total billed charges,111.74,percent of total billed charges,111.74,percent of total billed charges,120.8,percent of total billed charges,120.8,percent of total billed charges,,,108.72,percent of total billed charges ,,,120.8,percent of total billed charges ,126.84,percent of total billed charges ,126.84,percent of total billed charges ,117.78,percent of total billed charges ,117.78,percent of total billed charges ,120.8,percent of total billed charges ,120.8,percent of total billed charges ,105.7,percent of total billed charges ,105.7,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,90.6,percent of total billed charges ,,,,,80.33,percent of total billed charges ,,,,,76.32,percent of total billed charges ,,,,,,,,,,,,,,,,,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,,,42.28,percent of total billed charges,
KIT PHEUMOTHORAX,LOCAL,LOCAL,,,,both,,,"4,503.00","4,503.00","1,260.84","4,503.00","4,503.00",percent of total billed charges,"4,503.00",percent of total billed charges,"4,503.00",percent of total billed charges,"4,503.00",percent of total billed charges,"4,503.00",percent of total billed charges,"4,503.00",percent of total billed charges,"4,503.00",percent of total billed charges,"4,503.00",percent of total billed charges,"3,242.16",percent of total billed charges,"3,242.16",percent of total billed charges,"3,242.16",percent of total billed charges,"3,242.16",percent of total billed charges,"3,242.16",percent of total billed charges,"3,242.16",percent of total billed charges,"3,332.22",percent of total billed charges,"3,332.22",percent of total billed charges,"3,602.40",percent of total billed charges,"3,602.40",percent of total billed charges,,,"3,242.16",percent of total billed charges ,,,"3,602.40",percent of total billed charges ,"3,782.52",percent of total billed charges ,"3,782.52",percent of total billed charges ,"3,512.34",percent of total billed charges ,"3,512.34",percent of total billed charges ,"3,602.40",percent of total billed charges ,"3,602.40",percent of total billed charges ,"3,152.10",percent of total billed charges ,"3,152.10",percent of total billed charges ,"2,701.80",percent of total billed charges ,"2,701.80",percent of total billed charges ,"2,701.80",percent of total billed charges ,"2,701.80",percent of total billed charges ,,,,,"2,395.60",percent of total billed charges ,,,,,"2,275.82",percent of total billed charges ,,,,,,,,,,,,,,,,,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,,,"1,260.84",percent of total billed charges,
DERMABOND ADHESIVE,LOCAL,LOCAL,,,,both,,,185,185,51.8,185,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,185,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,133.2,percent of total billed charges,136.9,percent of total billed charges,136.9,percent of total billed charges,148,percent of total billed charges,148,percent of total billed charges,,,133.2,percent of total billed charges ,,,148,percent of total billed charges ,155.4,percent of total billed charges ,155.4,percent of total billed charges ,144.3,percent of total billed charges ,144.3,percent of total billed charges ,148,percent of total billed charges ,148,percent of total billed charges ,129.5,percent of total billed charges ,129.5,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,111,percent of total billed charges ,,,,,98.42,percent of total billed charges ,,,,,93.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,,,51.8,percent of total billed charges,
PSYCH   FOLLOW UP 1-20 MIN,99211,CDM,,,,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
PSYCH   FOLLOW UP 21-40 MIN,99212,CDM,,,,both,,,232,232,64.96,232,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,232,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,167.04,percent of total billed charges,171.68,percent of total billed charges,171.68,percent of total billed charges,185.6,percent of total billed charges,185.6,percent of total billed charges,,,167.04,percent of total billed charges ,,,185.6,percent of total billed charges ,194.88,percent of total billed charges ,194.88,percent of total billed charges ,180.96,percent of total billed charges ,180.96,percent of total billed charges ,185.6,percent of total billed charges ,185.6,percent of total billed charges ,162.4,percent of total billed charges ,162.4,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,139.2,percent of total billed charges ,,,,,123.42,percent of total billed charges ,,,,,117.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,,,64.96,percent of total billed charges,
PSYCH   FOLLOW UP 41-60 MIN,99213,CDM,,,,both,,,364,364,101.92,364,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,364,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,262.08,percent of total billed charges,269.36,percent of total billed charges,269.36,percent of total billed charges,291.2,percent of total billed charges,291.2,percent of total billed charges,,,262.08,percent of total billed charges ,,,291.2,percent of total billed charges ,305.76,percent of total billed charges ,305.76,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,291.2,percent of total billed charges ,291.2,percent of total billed charges ,254.8,percent of total billed charges ,254.8,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,218.4,percent of total billed charges ,,,,,193.65,percent of total billed charges ,,,,,183.97,percent of total billed charges ,,,,,,,,,,,,,,,,,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,,,101.92,percent of total billed charges,
PSYCH   FOLLOW UP 61 MIN OR OVER,99214,CDM,,,,both,,,464,464,129.92,464,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,464,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,334.08,percent of total billed charges,343.36,percent of total billed charges,343.36,percent of total billed charges,371.2,percent of total billed charges,371.2,percent of total billed charges,,,334.08,percent of total billed charges ,,,371.2,percent of total billed charges ,389.76,percent of total billed charges ,389.76,percent of total billed charges ,361.92,percent of total billed charges ,361.92,percent of total billed charges ,371.2,percent of total billed charges ,371.2,percent of total billed charges ,324.8,percent of total billed charges ,324.8,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,278.4,percent of total billed charges ,,,,,246.85,percent of total billed charges ,,,,,234.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,,,129.92,percent of total billed charges,
VITAMIN B COMPLEX WITH VIT C:,LOCAL,LOCAL,,,,both,,,0.5,0.5,0.14,0.5,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.5,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.36,percent of total billed charges,0.37,percent of total billed charges,0.37,percent of total billed charges,0.4,percent of total billed charges,0.4,percent of total billed charges,,,0.36,percent of total billed charges ,,,0.4,percent of total billed charges ,0.42,percent of total billed charges ,0.42,percent of total billed charges ,0.39,percent of total billed charges ,0.39,percent of total billed charges ,0.4,percent of total billed charges ,0.4,percent of total billed charges ,0.35,percent of total billed charges ,0.35,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,0.3,percent of total billed charges ,,,,,0.27,percent of total billed charges ,,,,,0.25,percent of total billed charges ,,,,,,,,,,,,,,,,,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,,,0.14,percent of total billed charges,
**OT APP SHORT ARM SPLINT FOREARM TO HAN,29125,CDM,,,GO,both,,,124,124,34.72,124,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,124,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,89.28,percent of total billed charges,91.76,percent of total billed charges,91.76,percent of total billed charges,99.2,percent of total billed charges,99.2,percent of total billed charges,,,89.28,percent of total billed charges ,,,99.2,percent of total billed charges ,104.16,percent of total billed charges ,104.16,percent of total billed charges ,96.72,percent of total billed charges ,96.72,percent of total billed charges ,99.2,percent of total billed charges ,99.2,percent of total billed charges ,86.8,percent of total billed charges ,86.8,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,,,,,65.97,percent of total billed charges ,,,,,62.67,percent of total billed charges ,,,,,,,,,,,,,,,,,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,,,34.72,percent of total billed charges,
**PT HOT/COLD PACK,97010,CDM,,,GP,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
**PT NEUROMUSCULAR REEDUCATION 15 MIN,97112,CDM,,,GP,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT HOT/COLD PACK,97010,CDM,,,GO,both,,,157,157,43.96,157,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,157,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,113.04,percent of total billed charges,116.18,percent of total billed charges,116.18,percent of total billed charges,125.6,percent of total billed charges,125.6,percent of total billed charges,,,113.04,percent of total billed charges ,,,125.6,percent of total billed charges ,131.88,percent of total billed charges ,131.88,percent of total billed charges ,122.46,percent of total billed charges ,122.46,percent of total billed charges ,125.6,percent of total billed charges ,125.6,percent of total billed charges ,109.9,percent of total billed charges ,109.9,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,94.2,percent of total billed charges ,,,,,83.52,percent of total billed charges ,,,,,79.35,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,,,43.96,percent of total billed charges,
**OT THERAPEUTIC ACTIVITY 15 MIN,97530,CDM,,,GO,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**ST THERAPEUTIC GROUP THERAPY,97150,CDM,,,GN,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**OT GROUP THERAPY,97150,CDM,,,GO,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
**PT MANUAL TECHNIQUES,97140,CDM,,,GP,both,,,196,196,54.88,196,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,196,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,141.12,percent of total billed charges,145.04,percent of total billed charges,145.04,percent of total billed charges,156.8,percent of total billed charges,156.8,percent of total billed charges,,,141.12,percent of total billed charges ,,,156.8,percent of total billed charges ,164.64,percent of total billed charges ,164.64,percent of total billed charges ,152.88,percent of total billed charges ,152.88,percent of total billed charges ,156.8,percent of total billed charges ,156.8,percent of total billed charges ,137.2,percent of total billed charges ,137.2,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,117.6,percent of total billed charges ,,,,,104.27,percent of total billed charges ,,,,,99.06,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,,,54.88,percent of total billed charges,
**PT GROUP THERAPY,97150,CDM,,,GP,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**ST DIAG EVAL,92506,CDM,,,GN,both,,,755,755,211.4,755,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,558.7,percent of total billed charges,558.7,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,,,543.6,percent of total billed charges ,,,604,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,588.9,percent of total billed charges ,588.9,percent of total billed charges ,604,percent of total billed charges ,604,percent of total billed charges ,528.5,percent of total billed charges ,528.5,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,,,,,401.66,percent of total billed charges ,,,,,381.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,
**ST LANG/VOICE/COMM THERAPY DISTINCT,92507,CDM,,,59,both,,,551,551,154.28,551,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,407.74,percent of total billed charges,407.74,percent of total billed charges,440.8,percent of total billed charges,440.8,percent of total billed charges,,,396.72,percent of total billed charges ,,,440.8,percent of total billed charges ,462.84,percent of total billed charges ,462.84,percent of total billed charges ,429.78,percent of total billed charges ,429.78,percent of total billed charges ,440.8,percent of total billed charges ,440.8,percent of total billed charges ,385.7,percent of total billed charges ,385.7,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,278.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,
**ST LANG/VOICE/COMM THERAPY,92507,CDM,,,GN,both,,,551,551,154.28,551,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,551,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,396.72,percent of total billed charges,407.74,percent of total billed charges,407.74,percent of total billed charges,440.8,percent of total billed charges,440.8,percent of total billed charges,,,396.72,percent of total billed charges ,,,440.8,percent of total billed charges ,462.84,percent of total billed charges ,462.84,percent of total billed charges ,429.78,percent of total billed charges ,429.78,percent of total billed charges ,440.8,percent of total billed charges ,440.8,percent of total billed charges ,385.7,percent of total billed charges ,385.7,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,330.6,percent of total billed charges ,,,,,293.13,percent of total billed charges ,,,,,278.48,percent of total billed charges ,,,,,,,,,,,,,,,,,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,,,154.28,percent of total billed charges,
**ST TREATMENT GROUP THERAPY,92508,CDM,,,GN,both,,,417,417,116.76,417,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,308.58,percent of total billed charges,308.58,percent of total billed charges,333.6,percent of total billed charges,333.6,percent of total billed charges,,,300.24,percent of total billed charges ,,,333.6,percent of total billed charges ,350.28,percent of total billed charges ,350.28,percent of total billed charges ,325.26,percent of total billed charges ,325.26,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,291.9,percent of total billed charges ,291.9,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,,,,,221.84,percent of total billed charges ,,,,,210.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,
**ST SWALLOWING EVAL,92610,CDM,,,GN,both,,,780,780,218.4,780,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,780,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,561.6,percent of total billed charges,577.2,percent of total billed charges,577.2,percent of total billed charges,624,percent of total billed charges,624,percent of total billed charges,,,561.6,percent of total billed charges ,,,624,percent of total billed charges ,655.2,percent of total billed charges ,655.2,percent of total billed charges ,608.4,percent of total billed charges ,608.4,percent of total billed charges ,624,percent of total billed charges ,624,percent of total billed charges ,546,percent of total billed charges ,546,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,468,percent of total billed charges ,,,,,414.96,percent of total billed charges ,,,,,394.21,percent of total billed charges ,,,,,,,,,,,,,,,,,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,,,218.4,percent of total billed charges,
**ST EVAL OF AUDITOR REHAB STATUS,92627,CDM,,,GN,both,,,59,59,16.52,59,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,59,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,42.48,percent of total billed charges,43.66,percent of total billed charges,43.66,percent of total billed charges,47.2,percent of total billed charges,47.2,percent of total billed charges,,,42.48,percent of total billed charges ,,,47.2,percent of total billed charges ,49.56,percent of total billed charges ,49.56,percent of total billed charges ,46.02,percent of total billed charges ,46.02,percent of total billed charges ,47.2,percent of total billed charges ,47.2,percent of total billed charges ,41.3,percent of total billed charges ,41.3,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,35.4,percent of total billed charges ,,,,,31.39,percent of total billed charges ,,,,,29.82,percent of total billed charges ,,,,,,,,,,,,,,,,,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,,,16.52,percent of total billed charges,
**ST SWALLOWING THERAPY,92526,CDM,,,GN,both,,,514,514,143.92,514,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,514,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,370.08,percent of total billed charges,380.36,percent of total billed charges,380.36,percent of total billed charges,411.2,percent of total billed charges,411.2,percent of total billed charges,,,370.08,percent of total billed charges ,,,411.2,percent of total billed charges ,431.76,percent of total billed charges ,431.76,percent of total billed charges ,400.92,percent of total billed charges ,400.92,percent of total billed charges ,411.2,percent of total billed charges ,411.2,percent of total billed charges ,359.8,percent of total billed charges ,359.8,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,308.4,percent of total billed charges ,,,,,273.45,percent of total billed charges ,,,,,259.78,percent of total billed charges ,,,,,,,,,,,,,,,,,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,,,143.92,percent of total billed charges,
**ST COGNITIVE SKILLS DEV,97532,CDM,,,GN,both,,,194,194,54.32,194,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,194,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,139.68,percent of total billed charges,143.56,percent of total billed charges,143.56,percent of total billed charges,155.2,percent of total billed charges,155.2,percent of total billed charges,,,139.68,percent of total billed charges ,,,155.2,percent of total billed charges ,162.96,percent of total billed charges ,162.96,percent of total billed charges ,151.32,percent of total billed charges ,151.32,percent of total billed charges ,155.2,percent of total billed charges ,155.2,percent of total billed charges ,135.8,percent of total billed charges ,135.8,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,116.4,percent of total billed charges ,,,,,103.21,percent of total billed charges ,,,,,98.05,percent of total billed charges ,,,,,,,,,,,,,,,,,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,,,54.32,percent of total billed charges,
**ST TREATMENT GROUP THERAPY DISTINCT,92508,CDM,,,59,both,,,417,417,116.76,417,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,417,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,300.24,percent of total billed charges,308.58,percent of total billed charges,308.58,percent of total billed charges,333.6,percent of total billed charges,333.6,percent of total billed charges,,,300.24,percent of total billed charges ,,,333.6,percent of total billed charges ,350.28,percent of total billed charges ,350.28,percent of total billed charges ,325.26,percent of total billed charges ,325.26,percent of total billed charges ,333.6,percent of total billed charges ,333.6,percent of total billed charges ,291.9,percent of total billed charges ,291.9,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,250.2,percent of total billed charges ,,,,,221.84,percent of total billed charges ,,,,,210.75,percent of total billed charges ,,,,,,,,,,,,,,,,,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,,,116.76,percent of total billed charges,
**ST ORAL SPEECH DEVICE EVAL,92597,CDM,,,GN,both,,,618,618,173.04,618,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,618,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,444.96,percent of total billed charges,457.32,percent of total billed charges,457.32,percent of total billed charges,494.4,percent of total billed charges,494.4,percent of total billed charges,,,444.96,percent of total billed charges ,,,494.4,percent of total billed charges ,519.12,percent of total billed charges ,519.12,percent of total billed charges ,482.04,percent of total billed charges ,482.04,percent of total billed charges ,494.4,percent of total billed charges ,494.4,percent of total billed charges ,432.6,percent of total billed charges ,432.6,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,370.8,percent of total billed charges ,,,,,328.78,percent of total billed charges ,,,,,312.34,percent of total billed charges ,,,,,,,,,,,,,,,,,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,,,173.04,percent of total billed charges,
**ST EVAL SPEECH FLUENCY,92521,CDM,,,GN,both,,,712,712,199.36,712,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,526.88,percent of total billed charges,526.88,percent of total billed charges,569.6,percent of total billed charges,569.6,percent of total billed charges,,,512.64,percent of total billed charges ,,,569.6,percent of total billed charges ,598.08,percent of total billed charges ,598.08,percent of total billed charges ,555.36,percent of total billed charges ,555.36,percent of total billed charges ,569.6,percent of total billed charges ,569.6,percent of total billed charges ,498.4,percent of total billed charges ,498.4,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,,,,,378.78,percent of total billed charges ,,,,,359.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,
**ST EVAL SPEECH SOUND PRODUCTION,92522,CDM,,,GN,both,,,712,712,199.36,712,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,526.88,percent of total billed charges,526.88,percent of total billed charges,569.6,percent of total billed charges,569.6,percent of total billed charges,,,512.64,percent of total billed charges ,,,569.6,percent of total billed charges ,598.08,percent of total billed charges ,598.08,percent of total billed charges ,555.36,percent of total billed charges ,555.36,percent of total billed charges ,569.6,percent of total billed charges ,569.6,percent of total billed charges ,498.4,percent of total billed charges ,498.4,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,,,,,378.78,percent of total billed charges ,,,,,359.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,
**ST EVAL SPEECH SOUND PROD W/EVAL LANG,92523,CDM,,,GN,both,,,712,712,199.36,712,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,712,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,512.64,percent of total billed charges,526.88,percent of total billed charges,526.88,percent of total billed charges,569.6,percent of total billed charges,569.6,percent of total billed charges,,,512.64,percent of total billed charges ,,,569.6,percent of total billed charges ,598.08,percent of total billed charges ,598.08,percent of total billed charges ,555.36,percent of total billed charges ,555.36,percent of total billed charges ,569.6,percent of total billed charges ,569.6,percent of total billed charges ,498.4,percent of total billed charges ,498.4,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,427.2,percent of total billed charges ,,,,,378.78,percent of total billed charges ,,,,,359.84,percent of total billed charges ,,,,,,,,,,,,,,,,,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,,,199.36,percent of total billed charges,
**ST BEHAVIORAL & QUALITATIVE ANALYSIS,92524,CDM,,,GN,both,,,755,755,211.4,755,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,755,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,543.6,percent of total billed charges,558.7,percent of total billed charges,558.7,percent of total billed charges,604,percent of total billed charges,604,percent of total billed charges,,,543.6,percent of total billed charges ,,,604,percent of total billed charges ,634.2,percent of total billed charges ,634.2,percent of total billed charges ,588.9,percent of total billed charges ,588.9,percent of total billed charges ,604,percent of total billed charges ,604,percent of total billed charges ,528.5,percent of total billed charges ,528.5,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,453,percent of total billed charges ,,,,,401.66,percent of total billed charges ,,,,,381.58,percent of total billed charges ,,,,,,,,,,,,,,,,,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,,,211.4,percent of total billed charges,
**PT EVALUATION,97001,CDM,,,GP,both,,,485,485,135.8,485,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,358.9,percent of total billed charges,358.9,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,,,349.2,percent of total billed charges ,,,388,percent of total billed charges ,407.4,percent of total billed charges ,407.4,percent of total billed charges ,378.3,percent of total billed charges ,378.3,percent of total billed charges ,388,percent of total billed charges ,388,percent of total billed charges ,339.5,percent of total billed charges ,339.5,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,,,,,258.02,percent of total billed charges ,,,,,245.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,
**PT RE-EVALUATION,97002,CDM,,,GP,both,,,338,338,94.64,338,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,338,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,243.36,percent of total billed charges,250.12,percent of total billed charges,250.12,percent of total billed charges,270.4,percent of total billed charges,270.4,percent of total billed charges,,,243.36,percent of total billed charges ,,,270.4,percent of total billed charges ,283.92,percent of total billed charges ,283.92,percent of total billed charges ,263.64,percent of total billed charges ,263.64,percent of total billed charges ,270.4,percent of total billed charges ,270.4,percent of total billed charges ,236.6,percent of total billed charges ,236.6,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,202.8,percent of total billed charges ,,,,,179.82,percent of total billed charges ,,,,,170.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,,,94.64,percent of total billed charges,
**OT NEUROMUSCULAR REEDUCATION PER MIN,97112,CDM,,,GO,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT SELF-CARE/HOME ADL 15 MIN,97535,CDM,,,,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT SELF-CARE/HOME ADL 15 MIN DISTINCT,97535,CDM,,,59,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT ORTHOTIC RECHECK 15 MIN,97762,CDM,,,GP,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
**PT GAIT TRAINING 15 MIN,97116,CDM,,,,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
**PT GAIT TRAINING 15 MIN DISTINCT,97116,CDM,,,59,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
**PT ELECTRICAL STIMULATION UNATTENDED,97014,CDM,,,GP,both,,,234,234,65.52,234,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,234,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,168.48,percent of total billed charges,173.16,percent of total billed charges,173.16,percent of total billed charges,187.2,percent of total billed charges,187.2,percent of total billed charges,,,168.48,percent of total billed charges ,,,187.2,percent of total billed charges ,196.56,percent of total billed charges ,196.56,percent of total billed charges ,182.52,percent of total billed charges ,182.52,percent of total billed charges ,187.2,percent of total billed charges ,187.2,percent of total billed charges ,163.8,percent of total billed charges ,163.8,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,140.4,percent of total billed charges ,,,,,124.49,percent of total billed charges ,,,,,118.26,percent of total billed charges ,,,,,,,,,,,,,,,,,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,,,65.52,percent of total billed charges,
**PT THERAPEUTIC ACTIVITY 15 MIN,97530,CDM,,,GP,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT WHEELCHAIR MNGT 15 MIN,97542,CDM,,,GP,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
**PT WOUND DEBRIDEMENT <20CM,97597,CDM,,,GP,both,,,545,545,152.6,545,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,403.3,percent of total billed charges,403.3,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,,,392.4,percent of total billed charges ,,,436,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,425.1,percent of total billed charges ,425.1,percent of total billed charges ,436,percent of total billed charges ,436,percent of total billed charges ,381.5,percent of total billed charges ,381.5,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,,,,,289.94,percent of total billed charges ,,,,,275.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,
**PT WOUND DEBRIDEMENT >20CM,97598,CDM,,,GP,both,,,545,545,152.6,545,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,545,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,392.4,percent of total billed charges,403.3,percent of total billed charges,403.3,percent of total billed charges,436,percent of total billed charges,436,percent of total billed charges,,,392.4,percent of total billed charges ,,,436,percent of total billed charges ,457.8,percent of total billed charges ,457.8,percent of total billed charges ,425.1,percent of total billed charges ,425.1,percent of total billed charges ,436,percent of total billed charges ,436,percent of total billed charges ,381.5,percent of total billed charges ,381.5,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,327,percent of total billed charges ,,,,,289.94,percent of total billed charges ,,,,,275.44,percent of total billed charges ,,,,,,,,,,,,,,,,,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,,,152.6,percent of total billed charges,
**PT PHYSICAL PERFORMANCE TEST,97750,CDM,,,GP,both,,,93,93,26.04,93,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,93,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,66.96,percent of total billed charges,68.82,percent of total billed charges,68.82,percent of total billed charges,74.4,percent of total billed charges,74.4,percent of total billed charges,,,66.96,percent of total billed charges ,,,74.4,percent of total billed charges ,78.12,percent of total billed charges ,78.12,percent of total billed charges ,72.54,percent of total billed charges ,72.54,percent of total billed charges ,74.4,percent of total billed charges ,74.4,percent of total billed charges ,65.1,percent of total billed charges ,65.1,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,55.8,percent of total billed charges ,,,,,49.48,percent of total billed charges ,,,,,47,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,,,26.04,percent of total billed charges,
**PT MUSCLE TEST LIMB,95831,CDM,,,GP,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
**PT SELF-CARE/HOME MNGMENT,97535,CDM,,,GP,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
**PT RANGE OF MOTION LIMB,95851,CDM,,,GP,both,,,154,154,43.12,154,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,154,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,110.88,percent of total billed charges,113.96,percent of total billed charges,113.96,percent of total billed charges,123.2,percent of total billed charges,123.2,percent of total billed charges,,,110.88,percent of total billed charges ,,,123.2,percent of total billed charges ,129.36,percent of total billed charges ,129.36,percent of total billed charges ,120.12,percent of total billed charges ,120.12,percent of total billed charges ,123.2,percent of total billed charges ,123.2,percent of total billed charges ,107.8,percent of total billed charges ,107.8,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,92.4,percent of total billed charges ,,,,,81.93,percent of total billed charges ,,,,,77.83,percent of total billed charges ,,,,,,,,,,,,,,,,,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,,,43.12,percent of total billed charges,
**PT ELECTRICAL STIM MANUAL,97032,CDM,,,GP,both,,,178,178,49.84,178,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,131.72,percent of total billed charges,131.72,percent of total billed charges,142.4,percent of total billed charges,142.4,percent of total billed charges,,,128.16,percent of total billed charges ,,,142.4,percent of total billed charges ,149.52,percent of total billed charges ,149.52,percent of total billed charges ,138.84,percent of total billed charges ,138.84,percent of total billed charges ,142.4,percent of total billed charges ,142.4,percent of total billed charges ,124.6,percent of total billed charges ,124.6,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
**PT ELECTRICAL STIM MANUAL DISTINCT,97032,CDM,,,59,both,,,178,178,49.84,178,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,178,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,128.16,percent of total billed charges,131.72,percent of total billed charges,131.72,percent of total billed charges,142.4,percent of total billed charges,142.4,percent of total billed charges,,,128.16,percent of total billed charges ,,,142.4,percent of total billed charges ,149.52,percent of total billed charges ,149.52,percent of total billed charges ,138.84,percent of total billed charges ,138.84,percent of total billed charges ,142.4,percent of total billed charges ,142.4,percent of total billed charges ,124.6,percent of total billed charges ,124.6,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,106.8,percent of total billed charges ,,,,,94.7,percent of total billed charges ,,,,,89.96,percent of total billed charges ,,,,,,,,,,,,,,,,,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,,,49.84,percent of total billed charges,
**PT EXERCISE 15 MIN,97110,CDM,,,GP,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT HOME MANAGEMENT TRAINING,97535,CDM,,,,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT ORTHOTICS TRAINING 15 MIN,97760,CDM,,,GP,both,,,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
**PT ULTRASOUND 15 MIN,97035,CDM,,,GP,both,,,199,199,55.72,199,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,199,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,143.28,percent of total billed charges,147.26,percent of total billed charges,147.26,percent of total billed charges,159.2,percent of total billed charges,159.2,percent of total billed charges,,,143.28,percent of total billed charges ,,,159.2,percent of total billed charges ,167.16,percent of total billed charges ,167.16,percent of total billed charges ,155.22,percent of total billed charges ,155.22,percent of total billed charges ,159.2,percent of total billed charges ,159.2,percent of total billed charges ,139.3,percent of total billed charges ,139.3,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,119.4,percent of total billed charges ,,,,,105.87,percent of total billed charges ,,,,,100.57,percent of total billed charges ,,,,,,,,,,,,,,,,,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,,,55.72,percent of total billed charges,
**PT EXERCISE 15 MIN DISTINCT,97110,CDM,,,59,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT GROUP THERAPY DISTINCT,97150,CDM,,,59,both,,,189,189,52.92,189,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,189,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,136.08,percent of total billed charges,139.86,percent of total billed charges,139.86,percent of total billed charges,151.2,percent of total billed charges,151.2,percent of total billed charges,,,136.08,percent of total billed charges ,,,151.2,percent of total billed charges ,158.76,percent of total billed charges ,158.76,percent of total billed charges ,147.42,percent of total billed charges ,147.42,percent of total billed charges ,151.2,percent of total billed charges ,151.2,percent of total billed charges ,132.3,percent of total billed charges ,132.3,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,113.4,percent of total billed charges ,,,,,100.55,percent of total billed charges ,,,,,95.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,,,52.92,percent of total billed charges,
**PT NEUROMUSCU REEDUCAT15 MIN DISTINCT,97112,CDM,,,59,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT THERAPEUTIC ACTIVITY 15 MIN DISTINC,97530,CDM,,,59,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT MASSAGE,97124,CDM,,,GP,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**PT E STIM UNATTENDED NOT WOUND,G0283,CDM,,,GP,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
**PT WHIRLPOOL,97022,CDM,,,GP,both,,,218,218,61.04,218,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,218,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,156.96,percent of total billed charges,161.32,percent of total billed charges,161.32,percent of total billed charges,174.4,percent of total billed charges,174.4,percent of total billed charges,,,156.96,percent of total billed charges ,,,174.4,percent of total billed charges ,183.12,percent of total billed charges ,183.12,percent of total billed charges ,170.04,percent of total billed charges ,170.04,percent of total billed charges ,174.4,percent of total billed charges ,174.4,percent of total billed charges ,152.6,percent of total billed charges ,152.6,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,130.8,percent of total billed charges ,,,,,115.98,percent of total billed charges ,,,,,110.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,,,61.04,percent of total billed charges,
**OT ORTHOTIC RECHECK 15 MIN,97762,CDM,,,GO,both,,,96,96,26.88,96,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,96,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,69.12,percent of total billed charges,71.04,percent of total billed charges,71.04,percent of total billed charges,76.8,percent of total billed charges,76.8,percent of total billed charges,,,69.12,percent of total billed charges ,,,76.8,percent of total billed charges ,80.64,percent of total billed charges ,80.64,percent of total billed charges ,74.88,percent of total billed charges ,74.88,percent of total billed charges ,76.8,percent of total billed charges ,76.8,percent of total billed charges ,67.2,percent of total billed charges ,67.2,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,57.6,percent of total billed charges ,,,,,51.07,percent of total billed charges ,,,,,48.52,percent of total billed charges ,,,,,,,,,,,,,,,,,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,,,26.88,percent of total billed charges,
**OT THERAPUTIC EXERCISE 15 MIN,97110,CDM,,,GO,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT MANUAL THERAPY 15 MIN,97140,CDM,,,GO,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT WHEELCHAIR MNGT 15 MIN,97542,CDM,,,GO,both,,,167,167,46.76,167,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,167,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,120.24,percent of total billed charges,123.58,percent of total billed charges,123.58,percent of total billed charges,133.6,percent of total billed charges,133.6,percent of total billed charges,,,120.24,percent of total billed charges ,,,133.6,percent of total billed charges ,140.28,percent of total billed charges ,140.28,percent of total billed charges ,130.26,percent of total billed charges ,130.26,percent of total billed charges ,133.6,percent of total billed charges ,133.6,percent of total billed charges ,116.9,percent of total billed charges ,116.9,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,100.2,percent of total billed charges ,,,,,88.84,percent of total billed charges ,,,,,84.4,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,,,46.76,percent of total billed charges,
**OT BODY MUSCLE TEST WITH HANDS,95834,CDM,,,GO,both,,,159,159,44.52,159,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,159,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,114.48,percent of total billed charges,117.66,percent of total billed charges,117.66,percent of total billed charges,127.2,percent of total billed charges,127.2,percent of total billed charges,,,114.48,percent of total billed charges ,,,127.2,percent of total billed charges ,133.56,percent of total billed charges ,133.56,percent of total billed charges ,124.02,percent of total billed charges ,124.02,percent of total billed charges ,127.2,percent of total billed charges ,127.2,percent of total billed charges ,111.3,percent of total billed charges ,111.3,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,95.4,percent of total billed charges ,,,,,84.59,percent of total billed charges ,,,,,80.36,percent of total billed charges ,,,,,,,,,,,,,,,,,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,,,44.52,percent of total billed charges,
**OT ORTHOTIC FITTING 15 MIN,97760,CDM,,,GO,both,,,125,125,35,125,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,125,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,90,percent of total billed charges,92.5,percent of total billed charges,92.5,percent of total billed charges,100,percent of total billed charges,100,percent of total billed charges,,,90,percent of total billed charges ,,,100,percent of total billed charges ,105,percent of total billed charges ,105,percent of total billed charges ,97.5,percent of total billed charges ,97.5,percent of total billed charges ,100,percent of total billed charges ,100,percent of total billed charges ,87.5,percent of total billed charges ,87.5,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,75,percent of total billed charges ,,,,,66.5,percent of total billed charges ,,,,,63.18,percent of total billed charges ,,,,,,,,,,,,,,,,,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,,,35,percent of total billed charges,
**OT EVALUATION,97003,CDM,,,GO,both,,,485,485,135.8,485,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,485,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,349.2,percent of total billed charges,358.9,percent of total billed charges,358.9,percent of total billed charges,388,percent of total billed charges,388,percent of total billed charges,,,349.2,percent of total billed charges ,,,388,percent of total billed charges ,407.4,percent of total billed charges ,407.4,percent of total billed charges ,378.3,percent of total billed charges ,378.3,percent of total billed charges ,388,percent of total billed charges ,388,percent of total billed charges ,339.5,percent of total billed charges ,339.5,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,291,percent of total billed charges ,,,,,258.02,percent of total billed charges ,,,,,245.12,percent of total billed charges ,,,,,,,,,,,,,,,,,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,,,135.8,percent of total billed charges,
**OT COGNITIVE STND TST INTP DISTINCT,97532,CDM,,,59,both,,,379,379,106.12,379,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,379,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,272.88,percent of total billed charges,280.46,percent of total billed charges,280.46,percent of total billed charges,303.2,percent of total billed charges,303.2,percent of total billed charges,,,272.88,percent of total billed charges ,,,303.2,percent of total billed charges ,318.36,percent of total billed charges ,318.36,percent of total billed charges ,295.62,percent of total billed charges ,295.62,percent of total billed charges ,303.2,percent of total billed charges ,303.2,percent of total billed charges ,265.3,percent of total billed charges ,265.3,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,227.4,percent of total billed charges ,,,,,201.63,percent of total billed charges ,,,,,191.55,percent of total billed charges ,,,,,,,,,,,,,,,,,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,,,106.12,percent of total billed charges,
**OT COGNITIVE STANDARD TEST INTERPRET,97532,CDM,,,GO,both,,,241,241,67.48,241,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,241,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,173.52,percent of total billed charges,178.34,percent of total billed charges,178.34,percent of total billed charges,192.8,percent of total billed charges,192.8,percent of total billed charges,,,173.52,percent of total billed charges ,,,192.8,percent of total billed charges ,202.44,percent of total billed charges ,202.44,percent of total billed charges ,187.98,percent of total billed charges ,187.98,percent of total billed charges ,192.8,percent of total billed charges ,192.8,percent of total billed charges ,168.7,percent of total billed charges ,168.7,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,144.6,percent of total billed charges ,,,,,128.21,percent of total billed charges ,,,,,121.8,percent of total billed charges ,,,,,,,,,,,,,,,,,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,,,67.48,percent of total billed charges,
**OT THERAPEUTIC ACTIVITY 15 MIN DISTINC,97530,CDM,,,59,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT THERAPUTIC EXERCISE 15 MIN DISTINCT,97110,CDM,,,59,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT NEUROMUSCU REEDUCAT 15 MIN DISTINCT,97112,CDM,,,G5,both,,,187,187,52.36,187,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,187,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,134.64,percent of total billed charges,138.38,percent of total billed charges,138.38,percent of total billed charges,149.6,percent of total billed charges,149.6,percent of total billed charges,,,134.64,percent of total billed charges ,,,149.6,percent of total billed charges ,157.08,percent of total billed charges ,157.08,percent of total billed charges ,145.86,percent of total billed charges ,145.86,percent of total billed charges ,149.6,percent of total billed charges ,149.6,percent of total billed charges ,130.9,percent of total billed charges ,130.9,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,112.2,percent of total billed charges ,,,,,99.48,percent of total billed charges ,,,,,94.51,percent of total billed charges ,,,,,,,,,,,,,,,,,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,,,52.36,percent of total billed charges,
**OT GROUP THERAPY DISTINCT,97150,CDM,,,59,both,,,267,267,74.76,267,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,267,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,192.24,percent of total billed charges,197.58,percent of total billed charges,197.58,percent of total billed charges,213.6,percent of total billed charges,213.6,percent of total billed charges,,,192.24,percent of total billed charges ,,,213.6,percent of total billed charges ,224.28,percent of total billed charges ,224.28,percent of total billed charges ,208.26,percent of total billed charges ,208.26,percent of total billed charges ,213.6,percent of total billed charges ,213.6,percent of total billed charges ,186.9,percent of total billed charges ,186.9,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,160.2,percent of total billed charges ,,,,,142.04,percent of total billed charges ,,,,,134.94,percent of total billed charges ,,,,,,,,,,,,,,,,,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,,,74.76,percent of total billed charges,
**OT E STIM UNATTENDED NOT WOUND,G0283,CDM,,,GO,both,,,184,184,51.52,184,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,184,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,132.48,percent of total billed charges,136.16,percent of total billed charges,136.16,percent of total billed charges,147.2,percent of total billed charges,147.2,percent of total billed charges,,,132.48,percent of total billed charges ,,,147.2,percent of total billed charges ,154.56,percent of total billed charges ,154.56,percent of total billed charges ,143.52,percent of total billed charges ,143.52,percent of total billed charges ,147.2,percent of total billed charges ,147.2,percent of total billed charges ,128.8,percent of total billed charges ,128.8,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,110.4,percent of total billed charges ,,,,,97.89,percent of total billed charges ,,,,,92.99,percent of total billed charges ,,,,,,,,,,,,,,,,,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,,,51.52,percent of total billed charges,
**PT MOBILITY (CURRENT) CJ,G8978,CDM,,,CJ,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT MOBILITY (GOAL) CI,G8979,CDM,,,CI,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT MOBILITY (DC) CI,G8980,CDM,,,CI,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT SELF CARE (CURRENT) CK,G8987,CDM,,,CK,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT SELF CARE (GOAL) CJ,G8988,CDM,,,CJ,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT SELF CARE (DC) CJ,G8989,CDM,,,CJ,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT MOBILITY (CURRENT) CI,G8978,CDM,,,CI,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT MOBILITY (GOAL) CH,G8979,CDM,,,CH,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT SELF CARE (GOAL) CI,G8988,CDM,,,CI,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT MOBILITY (CURRENT) CH,G8978,CDM,,,CH,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**OT SELF CARE (CURRENT) CK,G8987,CDM,,,CK,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**OT SELF CARE (CURRENT) CM,G8987,CDM,,,CM,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**OT SELF CARE (CURRENT) CJ,G8987,CDM,,,CJ,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**OT SELF CARE (GOAL) CI,G8988,CDM,,,CI,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**OT SELF CARE (DC) CJ,G8989,CDM,,,CJ,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT MOBILITY (GOAL) CH,G8979,CDM,,,CH,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PT MOBILITY (DC) CH,G8980,CDM,,,CH,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
COLOSTOMY SKIN PREP WIPES,LOCAL,LOCAL,,,,both,,,11,11,3.08,11,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,11,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,7.92,percent of total billed charges,8.14,percent of total billed charges,8.14,percent of total billed charges,8.8,percent of total billed charges,8.8,percent of total billed charges,,,7.92,percent of total billed charges ,,,8.8,percent of total billed charges ,9.24,percent of total billed charges ,9.24,percent of total billed charges ,8.58,percent of total billed charges ,8.58,percent of total billed charges ,8.8,percent of total billed charges ,8.8,percent of total billed charges ,7.7,percent of total billed charges ,7.7,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,6.6,percent of total billed charges ,,,,,5.85,percent of total billed charges ,,,,,5.56,percent of total billed charges ,,,,,,,,,,,,,,,,,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,,,3.08,percent of total billed charges,
**SMOOTH MUSCLE ANTIBODY(*),86255,CDM,,,,both,,,253,253,70.84,253,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,253,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,182.16,percent of total billed charges,187.22,percent of total billed charges,187.22,percent of total billed charges,202.4,percent of total billed charges,202.4,percent of total billed charges,,,182.16,percent of total billed charges ,,,202.4,percent of total billed charges ,212.52,percent of total billed charges ,212.52,percent of total billed charges ,197.34,percent of total billed charges ,197.34,percent of total billed charges ,202.4,percent of total billed charges ,202.4,percent of total billed charges ,177.1,percent of total billed charges ,177.1,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,151.8,percent of total billed charges ,,,,,134.6,percent of total billed charges ,,,,,127.87,percent of total billed charges ,,,,,,,,,,,,,,,,,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,,,70.84,percent of total billed charges,
**CYTO PATH CONSULT 2,88334,CDM,,,,both,,,166,166,46.48,166,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,166,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,119.52,percent of total billed charges,122.84,percent of total billed charges,122.84,percent of total billed charges,132.8,percent of total billed charges,132.8,percent of total billed charges,,,119.52,percent of total billed charges ,,,132.8,percent of total billed charges ,139.44,percent of total billed charges ,139.44,percent of total billed charges ,129.48,percent of total billed charges ,129.48,percent of total billed charges ,132.8,percent of total billed charges ,132.8,percent of total billed charges ,116.2,percent of total billed charges ,116.2,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,99.6,percent of total billed charges ,,,,,88.31,percent of total billed charges ,,,,,83.9,percent of total billed charges ,,,,,,,,,,,,,,,,,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,,,46.48,percent of total billed charges,
**MEFOXIN 1GM/NS 100ML ** PREDEFINED,J0694,CDM,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**MEFOXIN 2GM/NS 100ML *** PREDEFIN,J0694,CDM,,,,both,,,8,8,2.24,8,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,8,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.76,percent of total billed charges,5.92,percent of total billed charges,5.92,percent of total billed charges,6.4,percent of total billed charges,6.4,percent of total billed charges,,,5.76,percent of total billed charges ,,,6.4,percent of total billed charges ,6.72,percent of total billed charges ,6.72,percent of total billed charges ,6.24,percent of total billed charges ,6.24,percent of total billed charges ,6.4,percent of total billed charges ,6.4,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,4.8,percent of total billed charges ,,,,,4.26,percent of total billed charges ,,,,,4.04,percent of total billed charges ,,,,,,,,,,,,,,,,,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,,,2.24,percent of total billed charges,
**PHARMACY NOTE,LOCAL,LOCAL,,,,both,,,7,7,1.96,7,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,7,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.04,percent of total billed charges,5.18,percent of total billed charges,5.18,percent of total billed charges,5.6,percent of total billed charges,5.6,percent of total billed charges,,,5.04,percent of total billed charges ,,,5.6,percent of total billed charges ,5.88,percent of total billed charges ,5.88,percent of total billed charges ,5.46,percent of total billed charges ,5.46,percent of total billed charges ,5.6,percent of total billed charges ,5.6,percent of total billed charges ,4.9,percent of total billed charges ,4.9,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,4.2,percent of total billed charges ,,,,,3.72,percent of total billed charges ,,,,,3.54,percent of total billed charges ,,,,,,,,,,,,,,,,,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,,,1.96,percent of total billed charges,
**PILOCARPINE OPHTH SOL:0.5%/15ML,LOCAL,LOCAL,,,,both,,,52,52,14.56,52,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,52,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,37.44,percent of total billed charges,38.48,percent of total billed charges,38.48,percent of total billed charges,41.6,percent of total billed charges,41.6,percent of total billed charges,,,37.44,percent of total billed charges ,,,41.6,percent of total billed charges ,43.68,percent of total billed charges ,43.68,percent of total billed charges ,40.56,percent of total billed charges ,40.56,percent of total billed charges ,41.6,percent of total billed charges ,41.6,percent of total billed charges ,36.4,percent of total billed charges ,36.4,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,31.2,percent of total billed charges ,,,,,27.66,percent of total billed charges ,,,,,26.28,percent of total billed charges ,,,,,,,,,,,,,,,,,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,,,14.56,percent of total billed charges,
CLINDAMYCIN 300MG: ADVANTAGE,LOCAL,LOCAL,,,,both,,,25,25,7,25,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,25,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18,percent of total billed charges,18.5,percent of total billed charges,18.5,percent of total billed charges,20,percent of total billed charges,20,percent of total billed charges,,,18,percent of total billed charges ,,,20,percent of total billed charges ,21,percent of total billed charges ,21,percent of total billed charges ,19.5,percent of total billed charges ,19.5,percent of total billed charges ,20,percent of total billed charges ,20,percent of total billed charges ,17.5,percent of total billed charges ,17.5,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,15,percent of total billed charges ,,,,,13.3,percent of total billed charges ,,,,,12.64,percent of total billed charges ,,,,,,,,,,,,,,,,,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,,,7,percent of total billed charges,
**VALPROIC ACID SYR (DEPAKENE)250MG/5ML:,LOCAL,LOCAL,,,,both,,,29,29,8.12,29,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,29,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,20.88,percent of total billed charges,21.46,percent of total billed charges,21.46,percent of total billed charges,23.2,percent of total billed charges,23.2,percent of total billed charges,,,20.88,percent of total billed charges ,,,23.2,percent of total billed charges ,24.36,percent of total billed charges ,24.36,percent of total billed charges ,22.62,percent of total billed charges ,22.62,percent of total billed charges ,23.2,percent of total billed charges ,23.2,percent of total billed charges ,20.3,percent of total billed charges ,20.3,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,17.4,percent of total billed charges ,,,,,15.43,percent of total billed charges ,,,,,14.66,percent of total billed charges ,,,,,,,,,,,,,,,,,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,,,8.12,percent of total billed charges,
TAG/AG HUMIDIFIED AEROL,LOCAL,LOCAL,,,,both,,,17,17,4.76,17,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,17,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.24,percent of total billed charges,12.58,percent of total billed charges,12.58,percent of total billed charges,13.6,percent of total billed charges,13.6,percent of total billed charges,,,12.24,percent of total billed charges ,,,13.6,percent of total billed charges ,14.28,percent of total billed charges ,14.28,percent of total billed charges ,13.26,percent of total billed charges ,13.26,percent of total billed charges ,13.6,percent of total billed charges ,13.6,percent of total billed charges ,11.9,percent of total billed charges ,11.9,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,10.2,percent of total billed charges ,,,,,9.04,percent of total billed charges ,,,,,8.59,percent of total billed charges ,,,,,,,,,,,,,,,,,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,,,4.76,percent of total billed charges,
001-1 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-1,APR-DRG,,,,inpatient ,,, -   ,,"32,331.33","32,331.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,331.33",APRDRG Case Rate,,,"32,331.33",APRDRG Case Rate,,,"32,331.33",APRDRG Case Rate,,,"32,331.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-2 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-2,APR-DRG,,,,inpatient ,,, -   ,,"36,414.45","36,414.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,414.45",APRDRG Case Rate,,,"36,414.45",APRDRG Case Rate,,,"36,414.45",APRDRG Case Rate,,,"36,414.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-3 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-3,APR-DRG,,,,inpatient ,,, -   ,,"43,447.77","43,447.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,447.77",APRDRG Case Rate,,,"43,447.77",APRDRG Case Rate,,,"43,447.77",APRDRG Case Rate,,,"43,447.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001-4 - LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,001-4,APR-DRG,,,,inpatient ,,, -   ,,"75,152.32","75,152.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"75,152.32",APRDRG Case Rate,,,"75,152.32",APRDRG Case Rate,,,"75,152.32",APRDRG Case Rate,,,"75,152.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-1 - HEART &/OR LUNG TRANSPLANT,002-1,APR-DRG,,,,inpatient ,,, -   ,,"46,249.32","46,249.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,249.32",APRDRG Case Rate,,,"46,249.32",APRDRG Case Rate,,,"46,249.32",APRDRG Case Rate,,,"46,249.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-2 - HEART &/OR LUNG TRANSPLANT,002-2,APR-DRG,,,,inpatient ,,, -   ,,"53,949.85","53,949.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"53,949.85",APRDRG Case Rate,,,"53,949.85",APRDRG Case Rate,,,"53,949.85",APRDRG Case Rate,,,"53,949.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-3 - HEART &/OR LUNG TRANSPLANT,002-3,APR-DRG,,,,inpatient ,,, -   ,,"72,698.06","72,698.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"72,698.06",APRDRG Case Rate,,,"72,698.06",APRDRG Case Rate,,,"72,698.06",APRDRG Case Rate,,,"72,698.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002-4 - HEART &/OR LUNG TRANSPLANT,002-4,APR-DRG,,,,inpatient ,,, -   ,,"117,561.09","117,561.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"117,561.09",APRDRG Case Rate,,,"117,561.09",APRDRG Case Rate,,,"117,561.09",APRDRG Case Rate,,,"117,561.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-1 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-1,APR-DRG,,,,inpatient ,,, -   ,,"23,984.29","23,984.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,984.29",APRDRG Case Rate,,,"23,984.29",APRDRG Case Rate,,,"23,984.29",APRDRG Case Rate,,,"23,984.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-2 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-2,APR-DRG,,,,inpatient ,,, -   ,,"35,915.95","35,915.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,915.95",APRDRG Case Rate,,,"35,915.95",APRDRG Case Rate,,,"35,915.95",APRDRG Case Rate,,,"35,915.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-3 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-3,APR-DRG,,,,inpatient ,,, -   ,,"52,241.10","52,241.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,241.10",APRDRG Case Rate,,,"52,241.10",APRDRG Case Rate,,,"52,241.10",APRDRG Case Rate,,,"52,241.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
004-4 - TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,004-4,APR-DRG,,,,inpatient ,,, -   ,,"76,339.35","76,339.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,339.35",APRDRG Case Rate,,,"76,339.35",APRDRG Case Rate,,,"76,339.35",APRDRG Case Rate,,,"76,339.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-1 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-1,APR-DRG,,,,inpatient ,,, -   ,,"22,518.73","22,518.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,518.73",APRDRG Case Rate,,,"22,518.73",APRDRG Case Rate,,,"22,518.73",APRDRG Case Rate,,,"22,518.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-2 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-2,APR-DRG,,,,inpatient ,,, -   ,,"27,117.53","27,117.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,117.53",APRDRG Case Rate,,,"27,117.53",APRDRG Case Rate,,,"27,117.53",APRDRG Case Rate,,,"27,117.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-3 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-3,APR-DRG,,,,inpatient ,,, -   ,,"37,046.95","37,046.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,046.95",APRDRG Case Rate,,,"37,046.95",APRDRG Case Rate,,,"37,046.95",APRDRG Case Rate,,,"37,046.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005-4 - TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,005-4,APR-DRG,,,,inpatient ,,, -   ,,"50,309.20","50,309.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,309.20",APRDRG Case Rate,,,"50,309.20",APRDRG Case Rate,,,"50,309.20",APRDRG Case Rate,,,"50,309.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-1 - PANCREAS TRANSPLANT,006-1,APR-DRG,,,,inpatient ,,, -   ,,"31,843.66","31,843.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,843.66",APRDRG Case Rate,,,"31,843.66",APRDRG Case Rate,,,"31,843.66",APRDRG Case Rate,,,"31,843.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-2 - PANCREAS TRANSPLANT,006-2,APR-DRG,,,,inpatient ,,, -   ,,"40,511.25","40,511.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,511.25",APRDRG Case Rate,,,"40,511.25",APRDRG Case Rate,,,"40,511.25",APRDRG Case Rate,,,"40,511.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-3 - PANCREAS TRANSPLANT,006-3,APR-DRG,,,,inpatient ,,, -   ,,"46,666.64","46,666.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,666.64",APRDRG Case Rate,,,"46,666.64",APRDRG Case Rate,,,"46,666.64",APRDRG Case Rate,,,"46,666.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006-4 - PANCREAS TRANSPLANT,006-4,APR-DRG,,,,inpatient ,,, -   ,,"66,368.23","66,368.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"66,368.23",APRDRG Case Rate,,,"66,368.23",APRDRG Case Rate,,,"66,368.23",APRDRG Case Rate,,,"66,368.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-1 - ALLOGENEIC BONE MARROW TRANSPLANT,007-1,APR-DRG,,,,inpatient ,,, -   ,,"31,634.84","31,634.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,634.84",APRDRG Case Rate,,,"31,634.84",APRDRG Case Rate,,,"31,634.84",APRDRG Case Rate,,,"31,634.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-2 - ALLOGENEIC BONE MARROW TRANSPLANT,007-2,APR-DRG,,,,inpatient ,,, -   ,,"35,527.92","35,527.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,527.92",APRDRG Case Rate,,,"35,527.92",APRDRG Case Rate,,,"35,527.92",APRDRG Case Rate,,,"35,527.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-3 - ALLOGENEIC BONE MARROW TRANSPLANT,007-3,APR-DRG,,,,inpatient ,,, -   ,,"45,420.09","45,420.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,420.09",APRDRG Case Rate,,,"45,420.09",APRDRG Case Rate,,,"45,420.09",APRDRG Case Rate,,,"45,420.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007-4 - ALLOGENEIC BONE MARROW TRANSPLANT,007-4,APR-DRG,,,,inpatient ,,, -   ,,"77,071.17","77,071.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"77,071.17",APRDRG Case Rate,,,"77,071.17",APRDRG Case Rate,,,"77,071.17",APRDRG Case Rate,,,"77,071.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-1 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-1,APR-DRG,,,,inpatient ,,, -   ,,"15,435.12","15,435.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,435.12",APRDRG Case Rate,,,"15,435.12",APRDRG Case Rate,,,"15,435.12",APRDRG Case Rate,,,"15,435.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-2 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-2,APR-DRG,,,,inpatient ,,, -   ,,"20,540.05","20,540.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,540.05",APRDRG Case Rate,,,"20,540.05",APRDRG Case Rate,,,"20,540.05",APRDRG Case Rate,,,"20,540.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-3 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-3,APR-DRG,,,,inpatient ,,, -   ,,"24,549.63","24,549.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,549.63",APRDRG Case Rate,,,"24,549.63",APRDRG Case Rate,,,"24,549.63",APRDRG Case Rate,,,"24,549.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008-4 - AUTOLOGOUS BONE MARROW TRANSPLANT,008-4,APR-DRG,,,,inpatient ,,, -   ,,"38,987.12","38,987.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,987.12",APRDRG Case Rate,,,"38,987.12",APRDRG Case Rate,,,"38,987.12",APRDRG Case Rate,,,"38,987.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-1 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-1,APR-DRG,,,,inpatient ,,, -   ,,"20,618.67","20,618.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,618.67",APRDRG Case Rate,,,"20,618.67",APRDRG Case Rate,,,"20,618.67",APRDRG Case Rate,,,"20,618.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-2 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-2,APR-DRG,,,,inpatient ,,, -   ,,"25,123.88","25,123.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,123.88",APRDRG Case Rate,,,"25,123.88",APRDRG Case Rate,,,"25,123.88",APRDRG Case Rate,,,"25,123.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-3 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-3,APR-DRG,,,,inpatient ,,, -   ,,"34,446.26","34,446.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,446.26",APRDRG Case Rate,,,"34,446.26",APRDRG Case Rate,,,"34,446.26",APRDRG Case Rate,,,"34,446.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
009-4 - EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),009-4,APR-DRG,,,,inpatient ,,, -   ,,"74,738.19","74,738.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"74,738.19",APRDRG Case Rate,,,"74,738.19",APRDRG Case Rate,,,"74,738.19",APRDRG Case Rate,,,"74,738.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-1 - HEAD TRAUMA WITH DEEP COMA,010-1,APR-DRG,,,,inpatient ,,, -   ,,"14,082.25","14,082.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,082.25",APRDRG Case Rate,,,"14,082.25",APRDRG Case Rate,,,"14,082.25",APRDRG Case Rate,,,"14,082.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-2 - HEAD TRAUMA WITH DEEP COMA,010-2,APR-DRG,,,,inpatient ,,, -   ,,"20,895.29","20,895.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,895.29",APRDRG Case Rate,,,"20,895.29",APRDRG Case Rate,,,"20,895.29",APRDRG Case Rate,,,"20,895.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-3 - HEAD TRAUMA WITH DEEP COMA,010-3,APR-DRG,,,,inpatient ,,, -   ,,"39,447.42","39,447.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,447.42",APRDRG Case Rate,,,"39,447.42",APRDRG Case Rate,,,"39,447.42",APRDRG Case Rate,,,"39,447.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010-4 - HEAD TRAUMA WITH DEEP COMA,010-4,APR-DRG,,,,inpatient ,,, -   ,,"80,140.75","80,140.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"80,140.75",APRDRG Case Rate,,,"80,140.75",APRDRG Case Rate,,,"80,140.75",APRDRG Case Rate,,,"80,140.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-1 - CRANIOTOMY FOR TRAUMA,020-1,APR-DRG,,,,inpatient ,,, -   ,,"10,686.39","10,686.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,686.39",APRDRG Case Rate,,,"10,686.39",APRDRG Case Rate,,,"10,686.39",APRDRG Case Rate,,,"10,686.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-2 - CRANIOTOMY FOR TRAUMA,020-2,APR-DRG,,,,inpatient ,,, -   ,,"12,837.61","12,837.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,837.61",APRDRG Case Rate,,,"12,837.61",APRDRG Case Rate,,,"12,837.61",APRDRG Case Rate,,,"12,837.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-3 - CRANIOTOMY FOR TRAUMA,020-3,APR-DRG,,,,inpatient ,,, -   ,,"17,565.33","17,565.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,565.33",APRDRG Case Rate,,,"17,565.33",APRDRG Case Rate,,,"17,565.33",APRDRG Case Rate,,,"17,565.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020-4 - CRANIOTOMY FOR TRAUMA,020-4,APR-DRG,,,,inpatient ,,, -   ,,"27,460.68","27,460.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,460.68",APRDRG Case Rate,,,"27,460.68",APRDRG Case Rate,,,"27,460.68",APRDRG Case Rate,,,"27,460.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-1 - CRANIOTOMY EXCEPT FOR TRAUMA,021-1,APR-DRG,,,,inpatient ,,, -   ,,"10,017.59","10,017.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,017.59",APRDRG Case Rate,,,"10,017.59",APRDRG Case Rate,,,"10,017.59",APRDRG Case Rate,,,"10,017.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-2 - CRANIOTOMY EXCEPT FOR TRAUMA,021-2,APR-DRG,,,,inpatient ,,, -   ,,"12,751.66","12,751.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,751.66",APRDRG Case Rate,,,"12,751.66",APRDRG Case Rate,,,"12,751.66",APRDRG Case Rate,,,"12,751.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-3 - CRANIOTOMY EXCEPT FOR TRAUMA,021-3,APR-DRG,,,,inpatient ,,, -   ,,"19,077.99","19,077.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,077.99",APRDRG Case Rate,,,"19,077.99",APRDRG Case Rate,,,"19,077.99",APRDRG Case Rate,,,"19,077.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021-4 - CRANIOTOMY EXCEPT FOR TRAUMA,021-4,APR-DRG,,,,inpatient ,,, -   ,,"29,765.34","29,765.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,765.34",APRDRG Case Rate,,,"29,765.34",APRDRG Case Rate,,,"29,765.34",APRDRG Case Rate,,,"29,765.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-1 - VENTRICULAR SHUNT PROCEDURES,022-1,APR-DRG,,,,inpatient ,,, -   ,,"6,829.92","6,829.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,829.92",APRDRG Case Rate,,,"6,829.92",APRDRG Case Rate,,,"6,829.92",APRDRG Case Rate,,,"6,829.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-2 - VENTRICULAR SHUNT PROCEDURES,022-2,APR-DRG,,,,inpatient ,,, -   ,,"8,100.02","8,100.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,100.02",APRDRG Case Rate,,,"8,100.02",APRDRG Case Rate,,,"8,100.02",APRDRG Case Rate,,,"8,100.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-3 - VENTRICULAR SHUNT PROCEDURES,022-3,APR-DRG,,,,inpatient ,,, -   ,,"11,262.87","11,262.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,262.87",APRDRG Case Rate,,,"11,262.87",APRDRG Case Rate,,,"11,262.87",APRDRG Case Rate,,,"11,262.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022-4 - VENTRICULAR SHUNT PROCEDURES,022-4,APR-DRG,,,,inpatient ,,, -   ,,"22,746.02","22,746.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,746.02",APRDRG Case Rate,,,"22,746.02",APRDRG Case Rate,,,"22,746.02",APRDRG Case Rate,,,"22,746.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-1 - SPINAL PROCEDURES,023-1,APR-DRG,,,,inpatient ,,, -   ,,"8,029.67","8,029.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,029.67",APRDRG Case Rate,,,"8,029.67",APRDRG Case Rate,,,"8,029.67",APRDRG Case Rate,,,"8,029.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-2 - SPINAL PROCEDURES,023-2,APR-DRG,,,,inpatient ,,, -   ,,"11,008.21","11,008.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,008.21",APRDRG Case Rate,,,"11,008.21",APRDRG Case Rate,,,"11,008.21",APRDRG Case Rate,,,"11,008.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-3 - SPINAL PROCEDURES,023-3,APR-DRG,,,,inpatient ,,, -   ,,"18,544.48","18,544.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,544.48",APRDRG Case Rate,,,"18,544.48",APRDRG Case Rate,,,"18,544.48",APRDRG Case Rate,,,"18,544.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023-4 - SPINAL PROCEDURES,023-4,APR-DRG,,,,inpatient ,,, -   ,,"30,178.84","30,178.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,178.84",APRDRG Case Rate,,,"30,178.84",APRDRG Case Rate,,,"30,178.84",APRDRG Case Rate,,,"30,178.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-1 - EXTRACRANIAL VASCULAR PROCEDURES,024-1,APR-DRG,,,,inpatient ,,, -   ,,"5,365.32","5,365.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,365.32",APRDRG Case Rate,,,"5,365.32",APRDRG Case Rate,,,"5,365.32",APRDRG Case Rate,,,"5,365.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-2 - EXTRACRANIAL VASCULAR PROCEDURES,024-2,APR-DRG,,,,inpatient ,,, -   ,,"6,693.68","6,693.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,693.68",APRDRG Case Rate,,,"6,693.68",APRDRG Case Rate,,,"6,693.68",APRDRG Case Rate,,,"6,693.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-3 - EXTRACRANIAL VASCULAR PROCEDURES,024-3,APR-DRG,,,,inpatient ,,, -   ,,"11,697.38","11,697.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,697.38",APRDRG Case Rate,,,"11,697.38",APRDRG Case Rate,,,"11,697.38",APRDRG Case Rate,,,"11,697.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024-4 - EXTRACRANIAL VASCULAR PROCEDURES,024-4,APR-DRG,,,,inpatient ,,, -   ,,"19,903.40","19,903.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,903.40",APRDRG Case Rate,,,"19,903.40",APRDRG Case Rate,,,"19,903.40",APRDRG Case Rate,,,"19,903.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-1 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-1,APR-DRG,,,,inpatient ,,, -   ,,"6,327.60","6,327.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,327.60",APRDRG Case Rate,,,"6,327.60",APRDRG Case Rate,,,"6,327.60",APRDRG Case Rate,,,"6,327.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-2 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-2,APR-DRG,,,,inpatient ,,, -   ,,"8,016.62","8,016.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,016.62",APRDRG Case Rate,,,"8,016.62",APRDRG Case Rate,,,"8,016.62",APRDRG Case Rate,,,"8,016.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-3 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-3,APR-DRG,,,,inpatient ,,, -   ,,"12,256.99","12,256.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,256.99",APRDRG Case Rate,,,"12,256.99",APRDRG Case Rate,,,"12,256.99",APRDRG Case Rate,,,"12,256.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026-4 - OTHER NERVOUS SYSTEM & RELATED PROCEDURES,026-4,APR-DRG,,,,inpatient ,,, -   ,,"22,883.21","22,883.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,883.21",APRDRG Case Rate,,,"22,883.21",APRDRG Case Rate,,,"22,883.21",APRDRG Case Rate,,,"22,883.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-1 - SPINAL DISORDERS & INJURIES,040-1,APR-DRG,,,,inpatient ,,, -   ,,"8,412.93","8,412.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,412.93",APRDRG Case Rate,,,"8,412.93",APRDRG Case Rate,,,"8,412.93",APRDRG Case Rate,,,"8,412.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-2 - SPINAL DISORDERS & INJURIES,040-2,APR-DRG,,,,inpatient ,,, -   ,,"9,793.18","9,793.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,793.18",APRDRG Case Rate,,,"9,793.18",APRDRG Case Rate,,,"9,793.18",APRDRG Case Rate,,,"9,793.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-3 - SPINAL DISORDERS & INJURIES,040-3,APR-DRG,,,,inpatient ,,, -   ,,"15,912.60","15,912.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,912.60",APRDRG Case Rate,,,"15,912.60",APRDRG Case Rate,,,"15,912.60",APRDRG Case Rate,,,"15,912.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
040-4 - SPINAL DISORDERS & INJURIES,040-4,APR-DRG,,,,inpatient ,,, -   ,,"26,236.42","26,236.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,236.42",APRDRG Case Rate,,,"26,236.42",APRDRG Case Rate,,,"26,236.42",APRDRG Case Rate,,,"26,236.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-1 - NERVOUS SYSTEM MALIGNANCY,041-1,APR-DRG,,,,inpatient ,,, -   ,,"9,531.83","9,531.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,531.83",APRDRG Case Rate,,,"9,531.83",APRDRG Case Rate,,,"9,531.83",APRDRG Case Rate,,,"9,531.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-2 - NERVOUS SYSTEM MALIGNANCY,041-2,APR-DRG,,,,inpatient ,,, -   ,,"10,008.36","10,008.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,008.36",APRDRG Case Rate,,,"10,008.36",APRDRG Case Rate,,,"10,008.36",APRDRG Case Rate,,,"10,008.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-3 - NERVOUS SYSTEM MALIGNANCY,041-3,APR-DRG,,,,inpatient ,,, -   ,,"12,878.03","12,878.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,878.03",APRDRG Case Rate,,,"12,878.03",APRDRG Case Rate,,,"12,878.03",APRDRG Case Rate,,,"12,878.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
041-4 - NERVOUS SYSTEM MALIGNANCY,041-4,APR-DRG,,,,inpatient ,,, -   ,,"21,270.59","21,270.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,270.59",APRDRG Case Rate,,,"21,270.59",APRDRG Case Rate,,,"21,270.59",APRDRG Case Rate,,,"21,270.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-1 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-1,APR-DRG,,,,inpatient ,,, -   ,,"9,581.49","9,581.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,581.49",APRDRG Case Rate,,,"9,581.49",APRDRG Case Rate,,,"9,581.49",APRDRG Case Rate,,,"9,581.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-2 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-2,APR-DRG,,,,inpatient ,,, -   ,,"12,839.20","12,839.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,839.20",APRDRG Case Rate,,,"12,839.20",APRDRG Case Rate,,,"12,839.20",APRDRG Case Rate,,,"12,839.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-3 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-3,APR-DRG,,,,inpatient ,,, -   ,,"17,590.47","17,590.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,590.47",APRDRG Case Rate,,,"17,590.47",APRDRG Case Rate,,,"17,590.47",APRDRG Case Rate,,,"17,590.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
042-4 - DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,042-4,APR-DRG,,,,inpatient ,,, -   ,,"23,223.82","23,223.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,223.82",APRDRG Case Rate,,,"23,223.82",APRDRG Case Rate,,,"23,223.82",APRDRG Case Rate,,,"23,223.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-1 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-1,APR-DRG,,,,inpatient ,,, -   ,,"4,488.02","4,488.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,488.02",APRDRG Case Rate,,,"4,488.02",APRDRG Case Rate,,,"4,488.02",APRDRG Case Rate,,,"4,488.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-2 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-2,APR-DRG,,,,inpatient ,,, -   ,,"6,312.01","6,312.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,312.01",APRDRG Case Rate,,,"6,312.01",APRDRG Case Rate,,,"6,312.01",APRDRG Case Rate,,,"6,312.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-3 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-3,APR-DRG,,,,inpatient ,,, -   ,,"8,765.31","8,765.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,765.31",APRDRG Case Rate,,,"8,765.31",APRDRG Case Rate,,,"8,765.31",APRDRG Case Rate,,,"8,765.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
043-4 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,043-4,APR-DRG,,,,inpatient ,,, -   ,,"14,209.89","14,209.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,209.89",APRDRG Case Rate,,,"14,209.89",APRDRG Case Rate,,,"14,209.89",APRDRG Case Rate,,,"14,209.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-1 - INTRACRANIAL HEMORRHAGE,044-1,APR-DRG,,,,inpatient ,,, -   ,,"3,614.55","3,614.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,614.55",APRDRG Case Rate,,,"3,614.55",APRDRG Case Rate,,,"3,614.55",APRDRG Case Rate,,,"3,614.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-2 - INTRACRANIAL HEMORRHAGE,044-2,APR-DRG,,,,inpatient ,,, -   ,,"4,028.68","4,028.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,028.68",APRDRG Case Rate,,,"4,028.68",APRDRG Case Rate,,,"4,028.68",APRDRG Case Rate,,,"4,028.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-3 - INTRACRANIAL HEMORRHAGE,044-3,APR-DRG,,,,inpatient ,,, -   ,,"5,322.03","5,322.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,322.03",APRDRG Case Rate,,,"5,322.03",APRDRG Case Rate,,,"5,322.03",APRDRG Case Rate,,,"5,322.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
044-4 - INTRACRANIAL HEMORRHAGE,044-4,APR-DRG,,,,inpatient ,,, -   ,,"7,873.69","7,873.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,873.69",APRDRG Case Rate,,,"7,873.69",APRDRG Case Rate,,,"7,873.69",APRDRG Case Rate,,,"7,873.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-1 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-1,APR-DRG,,,,inpatient ,,, -   ,,"3,365.94","3,365.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,365.94",APRDRG Case Rate,,,"3,365.94",APRDRG Case Rate,,,"3,365.94",APRDRG Case Rate,,,"3,365.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-2 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-2,APR-DRG,,,,inpatient ,,, -   ,,"4,272.20","4,272.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,272.20",APRDRG Case Rate,,,"4,272.20",APRDRG Case Rate,,,"4,272.20",APRDRG Case Rate,,,"4,272.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-3 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-3,APR-DRG,,,,inpatient ,,, -   ,,"5,748.26","5,748.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,748.26",APRDRG Case Rate,,,"5,748.26",APRDRG Case Rate,,,"5,748.26",APRDRG Case Rate,,,"5,748.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
045-4 - CVA & PRECEREBRAL OCCLUSION W INFARCT,045-4,APR-DRG,,,,inpatient ,,, -   ,,"10,235.01","10,235.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,235.01",APRDRG Case Rate,,,"10,235.01",APRDRG Case Rate,,,"10,235.01",APRDRG Case Rate,,,"10,235.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-1 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-1,APR-DRG,,,,inpatient ,,, -   ,,"4,115.27","4,115.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,115.27",APRDRG Case Rate,,,"4,115.27",APRDRG Case Rate,,,"4,115.27",APRDRG Case Rate,,,"4,115.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-2 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-2,APR-DRG,,,,inpatient ,,, -   ,,"5,541.35","5,541.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,541.35",APRDRG Case Rate,,,"5,541.35",APRDRG Case Rate,,,"5,541.35",APRDRG Case Rate,,,"5,541.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-3 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-3,APR-DRG,,,,inpatient ,,, -   ,,"8,589.92","8,589.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,589.92",APRDRG Case Rate,,,"8,589.92",APRDRG Case Rate,,,"8,589.92",APRDRG Case Rate,,,"8,589.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
046-4 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,046-4,APR-DRG,,,,inpatient ,,, -   ,,"15,661.76","15,661.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,661.76",APRDRG Case Rate,,,"15,661.76",APRDRG Case Rate,,,"15,661.76",APRDRG Case Rate,,,"15,661.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-1 - TRANSIENT ISCHEMIA,047-1,APR-DRG,,,,inpatient ,,, -   ,,"3,744.42","3,744.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,744.42",APRDRG Case Rate,,,"3,744.42",APRDRG Case Rate,,,"3,744.42",APRDRG Case Rate,,,"3,744.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-2 - TRANSIENT ISCHEMIA,047-2,APR-DRG,,,,inpatient ,,, -   ,,"5,241.17","5,241.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,241.17",APRDRG Case Rate,,,"5,241.17",APRDRG Case Rate,,,"5,241.17",APRDRG Case Rate,,,"5,241.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-3 - TRANSIENT ISCHEMIA,047-3,APR-DRG,,,,inpatient ,,, -   ,,"6,863.34","6,863.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,863.34",APRDRG Case Rate,,,"6,863.34",APRDRG Case Rate,,,"6,863.34",APRDRG Case Rate,,,"6,863.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
047-4 - TRANSIENT ISCHEMIA,047-4,APR-DRG,,,,inpatient ,,, -   ,,"7,647.05","7,647.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,647.05",APRDRG Case Rate,,,"7,647.05",APRDRG Case Rate,,,"7,647.05",APRDRG Case Rate,,,"7,647.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-1 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-1,APR-DRG,,,,inpatient ,,, -   ,,"3,985.39","3,985.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,985.39",APRDRG Case Rate,,,"3,985.39",APRDRG Case Rate,,,"3,985.39",APRDRG Case Rate,,,"3,985.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-2 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-2,APR-DRG,,,,inpatient ,,, -   ,,"4,929.85","4,929.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,929.85",APRDRG Case Rate,,,"4,929.85",APRDRG Case Rate,,,"4,929.85",APRDRG Case Rate,,,"4,929.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-3 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-3,APR-DRG,,,,inpatient ,,, -   ,,"6,598.82","6,598.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,598.82",APRDRG Case Rate,,,"6,598.82",APRDRG Case Rate,,,"6,598.82",APRDRG Case Rate,,,"6,598.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"048-4 - PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",048-4,APR-DRG,,,,inpatient ,,, -   ,,"9,920.51","9,920.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,920.51",APRDRG Case Rate,,,"9,920.51",APRDRG Case Rate,,,"9,920.51",APRDRG Case Rate,,,"9,920.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-1 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-1,APR-DRG,,,,inpatient ,,, -   ,,"3,271.08","3,271.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,271.08",APRDRG Case Rate,,,"3,271.08",APRDRG Case Rate,,,"3,271.08",APRDRG Case Rate,,,"3,271.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-2 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-2,APR-DRG,,,,inpatient ,,, -   ,,"4,124.50","4,124.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,124.50",APRDRG Case Rate,,,"4,124.50",APRDRG Case Rate,,,"4,124.50",APRDRG Case Rate,,,"4,124.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-3 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-3,APR-DRG,,,,inpatient ,,, -   ,,"5,095.38","5,095.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,095.38",APRDRG Case Rate,,,"5,095.38",APRDRG Case Rate,,,"5,095.38",APRDRG Case Rate,,,"5,095.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
049-4 - BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,049-4,APR-DRG,,,,inpatient ,,, -   ,,"8,942.94","8,942.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,942.94",APRDRG Case Rate,,,"8,942.94",APRDRG Case Rate,,,"8,942.94",APRDRG Case Rate,,,"8,942.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-1 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-1,APR-DRG,,,,inpatient ,,, -   ,,"3,335.06","3,335.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,335.06",APRDRG Case Rate,,,"3,335.06",APRDRG Case Rate,,,"3,335.06",APRDRG Case Rate,,,"3,335.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-2 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-2,APR-DRG,,,,inpatient ,,, -   ,,"3,806.18","3,806.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,806.18",APRDRG Case Rate,,,"3,806.18",APRDRG Case Rate,,,"3,806.18",APRDRG Case Rate,,,"3,806.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-3 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-3,APR-DRG,,,,inpatient ,,, -   ,,"4,779.92","4,779.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,779.92",APRDRG Case Rate,,,"4,779.92",APRDRG Case Rate,,,"4,779.92",APRDRG Case Rate,,,"4,779.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
050-4 - NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,050-4,APR-DRG,,,,inpatient ,,, -   ,,"7,776.29","7,776.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,776.29",APRDRG Case Rate,,,"7,776.29",APRDRG Case Rate,,,"7,776.29",APRDRG Case Rate,,,"7,776.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-1 - VIRAL MENINGITIS,051-1,APR-DRG,,,,inpatient ,,, -   ,,"3,106.19","3,106.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,106.19",APRDRG Case Rate,,,"3,106.19",APRDRG Case Rate,,,"3,106.19",APRDRG Case Rate,,,"3,106.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-2 - VIRAL MENINGITIS,051-2,APR-DRG,,,,inpatient ,,, -   ,,"3,576.98","3,576.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,576.98",APRDRG Case Rate,,,"3,576.98",APRDRG Case Rate,,,"3,576.98",APRDRG Case Rate,,,"3,576.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-3 - VIRAL MENINGITIS,051-3,APR-DRG,,,,inpatient ,,, -   ,,"4,854.41","4,854.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,854.41",APRDRG Case Rate,,,"4,854.41",APRDRG Case Rate,,,"4,854.41",APRDRG Case Rate,,,"4,854.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
051-4 - VIRAL MENINGITIS,051-4,APR-DRG,,,,inpatient ,,, -   ,,"9,000.55","9,000.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,000.55",APRDRG Case Rate,,,"9,000.55",APRDRG Case Rate,,,"9,000.55",APRDRG Case Rate,,,"9,000.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-1 - ALTERATION IN CONSCIOUSNESS,052-1,APR-DRG,,,,inpatient ,,, -   ,,"4,759.23","4,759.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,759.23",APRDRG Case Rate,,,"4,759.23",APRDRG Case Rate,,,"4,759.23",APRDRG Case Rate,,,"4,759.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-2 - ALTERATION IN CONSCIOUSNESS,052-2,APR-DRG,,,,inpatient ,,, -   ,,"9,440.16","9,440.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,440.16",APRDRG Case Rate,,,"9,440.16",APRDRG Case Rate,,,"9,440.16",APRDRG Case Rate,,,"9,440.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-3 - ALTERATION IN CONSCIOUSNESS,052-3,APR-DRG,,,,inpatient ,,, -   ,,"10,516.72","10,516.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,516.72",APRDRG Case Rate,,,"10,516.72",APRDRG Case Rate,,,"10,516.72",APRDRG Case Rate,,,"10,516.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052-4 - ALTERATION IN CONSCIOUSNESS,052-4,APR-DRG,,,,inpatient ,,, -   ,,"17,602.89","17,602.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,602.89",APRDRG Case Rate,,,"17,602.89",APRDRG Case Rate,,,"17,602.89",APRDRG Case Rate,,,"17,602.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-1 - SEIZURE,053-1,APR-DRG,,,,inpatient ,,, -   ,,"3,297.50","3,297.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,297.50",APRDRG Case Rate,,,"3,297.50",APRDRG Case Rate,,,"3,297.50",APRDRG Case Rate,,,"3,297.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-2 - SEIZURE,053-2,APR-DRG,,,,inpatient ,,, -   ,,"5,729.80","5,729.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,729.80",APRDRG Case Rate,,,"5,729.80",APRDRG Case Rate,,,"5,729.80",APRDRG Case Rate,,,"5,729.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-3 - SEIZURE,053-3,APR-DRG,,,,inpatient ,,, -   ,,"9,087.77","9,087.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,087.77",APRDRG Case Rate,,,"9,087.77",APRDRG Case Rate,,,"9,087.77",APRDRG Case Rate,,,"9,087.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053-4 - SEIZURE,053-4,APR-DRG,,,,inpatient ,,, -   ,,"18,615.15","18,615.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,615.15",APRDRG Case Rate,,,"18,615.15",APRDRG Case Rate,,,"18,615.15",APRDRG Case Rate,,,"18,615.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-1 - MIGRAINE & OTHER HEADACHES,054-1,APR-DRG,,,,inpatient ,,, -   ,,"2,418.29","2,418.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,418.29",APRDRG Case Rate,,,"2,418.29",APRDRG Case Rate,,,"2,418.29",APRDRG Case Rate,,,"2,418.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-2 - MIGRAINE & OTHER HEADACHES,054-2,APR-DRG,,,,inpatient ,,, -   ,,"3,642.24","3,642.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,642.24",APRDRG Case Rate,,,"3,642.24",APRDRG Case Rate,,,"3,642.24",APRDRG Case Rate,,,"3,642.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-3 - MIGRAINE & OTHER HEADACHES,054-3,APR-DRG,,,,inpatient ,,, -   ,,"6,053.21","6,053.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,053.21",APRDRG Case Rate,,,"6,053.21",APRDRG Case Rate,,,"6,053.21",APRDRG Case Rate,,,"6,053.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054-4 - MIGRAINE & OTHER HEADACHES,054-4,APR-DRG,,,,inpatient ,,, -   ,,"12,037.03","12,037.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,037.03",APRDRG Case Rate,,,"12,037.03",APRDRG Case Rate,,,"12,037.03",APRDRG Case Rate,,,"12,037.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-1 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-1,APR-DRG,,,,inpatient ,,, -   ,,"2,927.29","2,927.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,927.29",APRDRG Case Rate,,,"2,927.29",APRDRG Case Rate,,,"2,927.29",APRDRG Case Rate,,,"2,927.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-2 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-2,APR-DRG,,,,inpatient ,,, -   ,,"3,464.93","3,464.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,464.93",APRDRG Case Rate,,,"3,464.93",APRDRG Case Rate,,,"3,464.93",APRDRG Case Rate,,,"3,464.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-3 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-3,APR-DRG,,,,inpatient ,,, -   ,,"4,504.26","4,504.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,504.26",APRDRG Case Rate,,,"4,504.26",APRDRG Case Rate,,,"4,504.26",APRDRG Case Rate,,,"4,504.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055-4 - HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,055-4,APR-DRG,,,,inpatient ,,, -   ,,"8,808.92","8,808.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,808.92",APRDRG Case Rate,,,"8,808.92",APRDRG Case Rate,,,"8,808.92",APRDRG Case Rate,,,"8,808.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-1 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-1,APR-DRG,,,,inpatient ,,, -   ,,"2,479.41","2,479.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,479.41",APRDRG Case Rate,,,"2,479.41",APRDRG Case Rate,,,"2,479.41",APRDRG Case Rate,,,"2,479.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-2 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-2,APR-DRG,,,,inpatient ,,, -   ,,"3,162.21","3,162.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,162.21",APRDRG Case Rate,,,"3,162.21",APRDRG Case Rate,,,"3,162.21",APRDRG Case Rate,,,"3,162.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-3 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-3,APR-DRG,,,,inpatient ,,, -   ,,"4,120.36","4,120.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,120.36",APRDRG Case Rate,,,"4,120.36",APRDRG Case Rate,,,"4,120.36",APRDRG Case Rate,,,"4,120.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"056-4 - BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",056-4,APR-DRG,,,,inpatient ,,, -   ,,"9,375.22","9,375.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,375.22",APRDRG Case Rate,,,"9,375.22",APRDRG Case Rate,,,"9,375.22",APRDRG Case Rate,,,"9,375.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-1 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-1,APR-DRG,,,,inpatient ,,, -   ,,"2,782.13","2,782.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,782.13",APRDRG Case Rate,,,"2,782.13",APRDRG Case Rate,,,"2,782.13",APRDRG Case Rate,,,"2,782.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-2 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-2,APR-DRG,,,,inpatient ,,, -   ,,"3,387.26","3,387.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,387.26",APRDRG Case Rate,,,"3,387.26",APRDRG Case Rate,,,"3,387.26",APRDRG Case Rate,,,"3,387.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-3 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-3,APR-DRG,,,,inpatient ,,, -   ,,"4,216.17","4,216.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,216.17",APRDRG Case Rate,,,"4,216.17",APRDRG Case Rate,,,"4,216.17",APRDRG Case Rate,,,"4,216.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"057-4 - CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",057-4,APR-DRG,,,,inpatient ,,, -   ,,"6,584.17","6,584.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,584.17",APRDRG Case Rate,,,"6,584.17",APRDRG Case Rate,,,"6,584.17",APRDRG Case Rate,,,"6,584.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-1 - OTHER DISORDERS OF NERVOUS SYSTEM,058-1,APR-DRG,,,,inpatient ,,, -   ,,"3,195.63","3,195.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,195.63",APRDRG Case Rate,,,"3,195.63",APRDRG Case Rate,,,"3,195.63",APRDRG Case Rate,,,"3,195.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-2 - OTHER DISORDERS OF NERVOUS SYSTEM,058-2,APR-DRG,,,,inpatient ,,, -   ,,"4,501.39","4,501.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,501.39",APRDRG Case Rate,,,"4,501.39",APRDRG Case Rate,,,"4,501.39",APRDRG Case Rate,,,"4,501.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-3 - OTHER DISORDERS OF NERVOUS SYSTEM,058-3,APR-DRG,,,,inpatient ,,, -   ,,"6,745.88","6,745.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,745.88",APRDRG Case Rate,,,"6,745.88",APRDRG Case Rate,,,"6,745.88",APRDRG Case Rate,,,"6,745.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058-4 - OTHER DISORDERS OF NERVOUS SYSTEM,058-4,APR-DRG,,,,inpatient ,,, -   ,,"11,919.25","11,919.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,919.25",APRDRG Case Rate,,,"11,919.25",APRDRG Case Rate,,,"11,919.25",APRDRG Case Rate,,,"11,919.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-1 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-1,APR-DRG,,,,inpatient ,,, -   ,,"3,038.07","3,038.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,038.07",APRDRG Case Rate,,,"3,038.07",APRDRG Case Rate,,,"3,038.07",APRDRG Case Rate,,,"3,038.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-2 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-2,APR-DRG,,,,inpatient ,,, -   ,,"4,336.50","4,336.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,336.50",APRDRG Case Rate,,,"4,336.50",APRDRG Case Rate,,,"4,336.50",APRDRG Case Rate,,,"4,336.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-3 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-3,APR-DRG,,,,inpatient ,,, -   ,,"5,971.08","5,971.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,971.08",APRDRG Case Rate,,,"5,971.08",APRDRG Case Rate,,,"5,971.08",APRDRG Case Rate,,,"5,971.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059-4 - ANOXIC & OTHER SEVERE BRAIN DAMAGE,059-4,APR-DRG,,,,inpatient ,,, -   ,,"9,563.67","9,563.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,563.67",APRDRG Case Rate,,,"9,563.67",APRDRG Case Rate,,,"9,563.67",APRDRG Case Rate,,,"9,563.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-1 - ORBIT AND EYE PROCEDURES,073-1,APR-DRG,,,,inpatient ,,, -   ,,"2,725.15","2,725.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,725.15",APRDRG Case Rate,,,"2,725.15",APRDRG Case Rate,,,"2,725.15",APRDRG Case Rate,,,"2,725.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-2 - ORBIT AND EYE PROCEDURES,073-2,APR-DRG,,,,inpatient ,,, -   ,,"4,061.15","4,061.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,061.15",APRDRG Case Rate,,,"4,061.15",APRDRG Case Rate,,,"4,061.15",APRDRG Case Rate,,,"4,061.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-3 - ORBIT AND EYE PROCEDURES,073-3,APR-DRG,,,,inpatient ,,, -   ,,"5,981.27","5,981.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,981.27",APRDRG Case Rate,,,"5,981.27",APRDRG Case Rate,,,"5,981.27",APRDRG Case Rate,,,"5,981.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073-4 - ORBIT AND EYE PROCEDURES,073-4,APR-DRG,,,,inpatient ,,, -   ,,"9,885.81","9,885.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,885.81",APRDRG Case Rate,,,"9,885.81",APRDRG Case Rate,,,"9,885.81",APRDRG Case Rate,,,"9,885.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-1 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-1,APR-DRG,,,,inpatient ,,, -   ,,"3,951.33","3,951.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,951.33",APRDRG Case Rate,,,"3,951.33",APRDRG Case Rate,,,"3,951.33",APRDRG Case Rate,,,"3,951.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-2 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-2,APR-DRG,,,,inpatient ,,, -   ,,"5,301.97","5,301.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,301.97",APRDRG Case Rate,,,"5,301.97",APRDRG Case Rate,,,"5,301.97",APRDRG Case Rate,,,"5,301.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-3 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-3,APR-DRG,,,,inpatient ,,, -   ,,"6,946.10","6,946.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,946.10",APRDRG Case Rate,,,"6,946.10",APRDRG Case Rate,,,"6,946.10",APRDRG Case Rate,,,"6,946.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082-4 - EYE INFECTIONS AND OTHER EYE DISORDERS,082-4,APR-DRG,,,,inpatient ,,, -   ,,"9,665.53","9,665.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,665.53",APRDRG Case Rate,,,"9,665.53",APRDRG Case Rate,,,"9,665.53",APRDRG Case Rate,,,"9,665.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-1 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-1,APR-DRG,,,,inpatient ,,, -   ,,"2,648.12","2,648.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,648.12",APRDRG Case Rate,,,"2,648.12",APRDRG Case Rate,,,"2,648.12",APRDRG Case Rate,,,"2,648.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-2 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-2,APR-DRG,,,,inpatient ,,, -   ,,"4,349.23","4,349.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,349.23",APRDRG Case Rate,,,"4,349.23",APRDRG Case Rate,,,"4,349.23",APRDRG Case Rate,,,"4,349.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-3 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-3,APR-DRG,,,,inpatient ,,, -   ,,"6,135.02","6,135.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,135.02",APRDRG Case Rate,,,"6,135.02",APRDRG Case Rate,,,"6,135.02",APRDRG Case Rate,,,"6,135.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089-4 - MAJOR CRANIAL/FACIAL BONE PROCEDURES,089-4,APR-DRG,,,,inpatient ,,, -   ,,"8,491.56","8,491.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,491.56",APRDRG Case Rate,,,"8,491.56",APRDRG Case Rate,,,"8,491.56",APRDRG Case Rate,,,"8,491.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-1 - OTHER MAJOR HEAD & NECK PROCEDURES,091-1,APR-DRG,,,,inpatient ,,, -   ,,"4,623.63","4,623.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,623.63",APRDRG Case Rate,,,"4,623.63",APRDRG Case Rate,,,"4,623.63",APRDRG Case Rate,,,"4,623.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-2 - OTHER MAJOR HEAD & NECK PROCEDURES,091-2,APR-DRG,,,,inpatient ,,, -   ,,"5,869.22","5,869.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,869.22",APRDRG Case Rate,,,"5,869.22",APRDRG Case Rate,,,"5,869.22",APRDRG Case Rate,,,"5,869.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-3 - OTHER MAJOR HEAD & NECK PROCEDURES,091-3,APR-DRG,,,,inpatient ,,, -   ,,"9,184.23","9,184.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,184.23",APRDRG Case Rate,,,"9,184.23",APRDRG Case Rate,,,"9,184.23",APRDRG Case Rate,,,"9,184.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091-4 - OTHER MAJOR HEAD & NECK PROCEDURES,091-4,APR-DRG,,,,inpatient ,,, -   ,,"17,714.94","17,714.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,714.94",APRDRG Case Rate,,,"17,714.94",APRDRG Case Rate,,,"17,714.94",APRDRG Case Rate,,,"17,714.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-1 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-1,APR-DRG,,,,inpatient ,,, -   ,,"2,761.13","2,761.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,761.13",APRDRG Case Rate,,,"2,761.13",APRDRG Case Rate,,,"2,761.13",APRDRG Case Rate,,,"2,761.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-2 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-2,APR-DRG,,,,inpatient ,,, -   ,,"3,393.31","3,393.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,393.31",APRDRG Case Rate,,,"3,393.31",APRDRG Case Rate,,,"3,393.31",APRDRG Case Rate,,,"3,393.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-3 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-3,APR-DRG,,,,inpatient ,,, -   ,,"4,938.13","4,938.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,938.13",APRDRG Case Rate,,,"4,938.13",APRDRG Case Rate,,,"4,938.13",APRDRG Case Rate,,,"4,938.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092-4 - FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,092-4,APR-DRG,,,,inpatient ,,, -   ,,"9,756.57","9,756.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,756.57",APRDRG Case Rate,,,"9,756.57",APRDRG Case Rate,,,"9,756.57",APRDRG Case Rate,,,"9,756.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-1 - CLEFT LIP & PALATE REPAIR,095-1,APR-DRG,,,,inpatient ,,, -   ,,"7,953.91","7,953.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,953.91",APRDRG Case Rate,,,"7,953.91",APRDRG Case Rate,,,"7,953.91",APRDRG Case Rate,,,"7,953.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-2 - CLEFT LIP & PALATE REPAIR,095-2,APR-DRG,,,,inpatient ,,, -   ,,"10,645.96","10,645.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,645.96",APRDRG Case Rate,,,"10,645.96",APRDRG Case Rate,,,"10,645.96",APRDRG Case Rate,,,"10,645.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-3 - CLEFT LIP & PALATE REPAIR,095-3,APR-DRG,,,,inpatient ,,, -   ,,"19,447.56","19,447.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,447.56",APRDRG Case Rate,,,"19,447.56",APRDRG Case Rate,,,"19,447.56",APRDRG Case Rate,,,"19,447.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095-4 - CLEFT LIP & PALATE REPAIR,095-4,APR-DRG,,,,inpatient ,,, -   ,,"28,003.10","28,003.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,003.10",APRDRG Case Rate,,,"28,003.10",APRDRG Case Rate,,,"28,003.10",APRDRG Case Rate,,,"28,003.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-1 - TONSIL & ADENOID PROCEDURES,097-1,APR-DRG,,,,inpatient ,,, -   ,,"7,523.54","7,523.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,523.54",APRDRG Case Rate,,,"7,523.54",APRDRG Case Rate,,,"7,523.54",APRDRG Case Rate,,,"7,523.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-2 - TONSIL & ADENOID PROCEDURES,097-2,APR-DRG,,,,inpatient ,,, -   ,,"11,293.75","11,293.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,293.75",APRDRG Case Rate,,,"11,293.75",APRDRG Case Rate,,,"11,293.75",APRDRG Case Rate,,,"11,293.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-3 - TONSIL & ADENOID PROCEDURES,097-3,APR-DRG,,,,inpatient ,,, -   ,,"20,106.17","20,106.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,106.17",APRDRG Case Rate,,,"20,106.17",APRDRG Case Rate,,,"20,106.17",APRDRG Case Rate,,,"20,106.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097-4 - TONSIL & ADENOID PROCEDURES,097-4,APR-DRG,,,,inpatient ,,, -   ,,"31,500.83","31,500.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,500.83",APRDRG Case Rate,,,"31,500.83",APRDRG Case Rate,,,"31,500.83",APRDRG Case Rate,,,"31,500.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-1 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-1,APR-DRG,,,,inpatient ,,, -   ,,"6,419.28","6,419.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,419.28",APRDRG Case Rate,,,"6,419.28",APRDRG Case Rate,,,"6,419.28",APRDRG Case Rate,,,"6,419.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-2 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-2,APR-DRG,,,,inpatient ,,, -   ,,"8,264.91","8,264.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,264.91",APRDRG Case Rate,,,"8,264.91",APRDRG Case Rate,,,"8,264.91",APRDRG Case Rate,,,"8,264.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-3 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-3,APR-DRG,,,,inpatient ,,, -   ,,"12,956.98","12,956.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,956.98",APRDRG Case Rate,,,"12,956.98",APRDRG Case Rate,,,"12,956.98",APRDRG Case Rate,,,"12,956.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"098-4 - OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",098-4,APR-DRG,,,,inpatient ,,, -   ,,"24,920.16","24,920.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,920.16",APRDRG Case Rate,,,"24,920.16",APRDRG Case Rate,,,"24,920.16",APRDRG Case Rate,,,"24,920.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-1 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-1,APR-DRG,,,,inpatient ,,, -   ,,"4,102.22","4,102.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,102.22",APRDRG Case Rate,,,"4,102.22",APRDRG Case Rate,,,"4,102.22",APRDRG Case Rate,,,"4,102.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-2 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-2,APR-DRG,,,,inpatient ,,, -   ,,"4,738.22","4,738.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,738.22",APRDRG Case Rate,,,"4,738.22",APRDRG Case Rate,,,"4,738.22",APRDRG Case Rate,,,"4,738.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-3 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-3,APR-DRG,,,,inpatient ,,, -   ,,"7,656.92","7,656.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,656.92",APRDRG Case Rate,,,"7,656.92",APRDRG Case Rate,,,"7,656.92",APRDRG Case Rate,,,"7,656.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"110-4 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",110-4,APR-DRG,,,,inpatient ,,, -   ,,"10,931.50","10,931.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,931.50",APRDRG Case Rate,,,"10,931.50",APRDRG Case Rate,,,"10,931.50",APRDRG Case Rate,,,"10,931.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-1 - VERTIGO & OTHER LABYRINTH DISORDERS,111-1,APR-DRG,,,,inpatient ,,, -   ,,"2,662.76","2,662.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,662.76",APRDRG Case Rate,,,"2,662.76",APRDRG Case Rate,,,"2,662.76",APRDRG Case Rate,,,"2,662.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-2 - VERTIGO & OTHER LABYRINTH DISORDERS,111-2,APR-DRG,,,,inpatient ,,, -   ,,"3,858.70","3,858.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,858.70",APRDRG Case Rate,,,"3,858.70",APRDRG Case Rate,,,"3,858.70",APRDRG Case Rate,,,"3,858.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-3 - VERTIGO & OTHER LABYRINTH DISORDERS,111-3,APR-DRG,,,,inpatient ,,, -   ,,"5,934.48","5,934.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,934.48",APRDRG Case Rate,,,"5,934.48",APRDRG Case Rate,,,"5,934.48",APRDRG Case Rate,,,"5,934.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111-4 - VERTIGO & OTHER LABYRINTH DISORDERS,111-4,APR-DRG,,,,inpatient ,,, -   ,,"13,631.18","13,631.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,631.18",APRDRG Case Rate,,,"13,631.18",APRDRG Case Rate,,,"13,631.18",APRDRG Case Rate,,,"13,631.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-1 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-1,APR-DRG,,,,inpatient ,,, -   ,,"4,258.19","4,258.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,258.19",APRDRG Case Rate,,,"4,258.19",APRDRG Case Rate,,,"4,258.19",APRDRG Case Rate,,,"4,258.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-2 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-2,APR-DRG,,,,inpatient ,,, -   ,,"5,895.64","5,895.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,895.64",APRDRG Case Rate,,,"5,895.64",APRDRG Case Rate,,,"5,895.64",APRDRG Case Rate,,,"5,895.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-3 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-3,APR-DRG,,,,inpatient ,,, -   ,,"9,914.46","9,914.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,914.46",APRDRG Case Rate,,,"9,914.46",APRDRG Case Rate,,,"9,914.46",APRDRG Case Rate,,,"9,914.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113-4 - INFECTIONS OF UPPER RESPIRATORY TRACT,113-4,APR-DRG,,,,inpatient ,,, -   ,,"16,914.68","16,914.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,914.68",APRDRG Case Rate,,,"16,914.68",APRDRG Case Rate,,,"16,914.68",APRDRG Case Rate,,,"16,914.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-1 - DENTAL DISEASES AND DISORDERS,114-1,APR-DRG,,,,inpatient ,,, -   ,,"3,597.36","3,597.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,597.36",APRDRG Case Rate,,,"3,597.36",APRDRG Case Rate,,,"3,597.36",APRDRG Case Rate,,,"3,597.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-2 - DENTAL DISEASES AND DISORDERS,114-2,APR-DRG,,,,inpatient ,,, -   ,,"4,114.63","4,114.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,114.63",APRDRG Case Rate,,,"4,114.63",APRDRG Case Rate,,,"4,114.63",APRDRG Case Rate,,,"4,114.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-3 - DENTAL DISEASES AND DISORDERS,114-3,APR-DRG,,,,inpatient ,,, -   ,,"5,960.58","5,960.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,960.58",APRDRG Case Rate,,,"5,960.58",APRDRG Case Rate,,,"5,960.58",APRDRG Case Rate,,,"5,960.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114-4 - DENTAL DISEASES AND DISORDERS,114-4,APR-DRG,,,,inpatient ,,, -   ,,"9,706.27","9,706.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,706.27",APRDRG Case Rate,,,"9,706.27",APRDRG Case Rate,,,"9,706.27",APRDRG Case Rate,,,"9,706.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-1 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-1,APR-DRG,,,,inpatient ,,, -   ,,"2,793.28","2,793.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,793.28",APRDRG Case Rate,,,"2,793.28",APRDRG Case Rate,,,"2,793.28",APRDRG Case Rate,,,"2,793.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-2 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-2,APR-DRG,,,,inpatient ,,, -   ,,"3,209.00","3,209.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,209.00",APRDRG Case Rate,,,"3,209.00",APRDRG Case Rate,,,"3,209.00",APRDRG Case Rate,,,"3,209.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-3 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-3,APR-DRG,,,,inpatient ,,, -   ,,"3,874.30","3,874.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,874.30",APRDRG Case Rate,,,"3,874.30",APRDRG Case Rate,,,"3,874.30",APRDRG Case Rate,,,"3,874.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"115-4 - OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",115-4,APR-DRG,,,,inpatient ,,, -   ,,"6,792.67","6,792.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,792.67",APRDRG Case Rate,,,"6,792.67",APRDRG Case Rate,,,"6,792.67",APRDRG Case Rate,,,"6,792.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-1 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-1,APR-DRG,,,,inpatient ,,, -   ,,"1,679.47","1,679.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,679.47",APRDRG Case Rate,,,"1,679.47",APRDRG Case Rate,,,"1,679.47",APRDRG Case Rate,,,"1,679.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-2 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-2,APR-DRG,,,,inpatient ,,, -   ,,"2,478.46","2,478.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,478.46",APRDRG Case Rate,,,"2,478.46",APRDRG Case Rate,,,"2,478.46",APRDRG Case Rate,,,"2,478.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-3 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-3,APR-DRG,,,,inpatient ,,, -   ,,"3,611.36","3,611.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,611.36",APRDRG Case Rate,,,"3,611.36",APRDRG Case Rate,,,"3,611.36",APRDRG Case Rate,,,"3,611.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
120-4 - MAJOR RESPIRATORY & CHEST PROCEDURES,120-4,APR-DRG,,,,inpatient ,,, -   ,,"5,906.15","5,906.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,906.15",APRDRG Case Rate,,,"5,906.15",APRDRG Case Rate,,,"5,906.15",APRDRG Case Rate,,,"5,906.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-1 - OTHER RESPIRATORY & CHEST PROCEDURES,121-1,APR-DRG,,,,inpatient ,,, -   ,,"1,987.28","1,987.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,987.28",APRDRG Case Rate,,,"1,987.28",APRDRG Case Rate,,,"1,987.28",APRDRG Case Rate,,,"1,987.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-2 - OTHER RESPIRATORY & CHEST PROCEDURES,121-2,APR-DRG,,,,inpatient ,,, -   ,,"2,742.98","2,742.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,742.98",APRDRG Case Rate,,,"2,742.98",APRDRG Case Rate,,,"2,742.98",APRDRG Case Rate,,,"2,742.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-3 - OTHER RESPIRATORY & CHEST PROCEDURES,121-3,APR-DRG,,,,inpatient ,,, -   ,,"4,405.26","4,405.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,405.26",APRDRG Case Rate,,,"4,405.26",APRDRG Case Rate,,,"4,405.26",APRDRG Case Rate,,,"4,405.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121-4 - OTHER RESPIRATORY & CHEST PROCEDURES,121-4,APR-DRG,,,,inpatient ,,, -   ,,"7,710.40","7,710.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,710.40",APRDRG Case Rate,,,"7,710.40",APRDRG Case Rate,,,"7,710.40",APRDRG Case Rate,,,"7,710.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-1 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-1,APR-DRG,,,,inpatient ,,, -   ,,"2,312.61","2,312.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,312.61",APRDRG Case Rate,,,"2,312.61",APRDRG Case Rate,,,"2,312.61",APRDRG Case Rate,,,"2,312.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-2 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-2,APR-DRG,,,,inpatient ,,, -   ,,"3,195.63","3,195.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,195.63",APRDRG Case Rate,,,"3,195.63",APRDRG Case Rate,,,"3,195.63",APRDRG Case Rate,,,"3,195.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-3 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-3,APR-DRG,,,,inpatient ,,, -   ,,"4,835.95","4,835.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,835.95",APRDRG Case Rate,,,"4,835.95",APRDRG Case Rate,,,"4,835.95",APRDRG Case Rate,,,"4,835.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130-4 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,130-4,APR-DRG,,,,inpatient ,,, -   ,,"8,846.17","8,846.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,846.17",APRDRG Case Rate,,,"8,846.17",APRDRG Case Rate,,,"8,846.17",APRDRG Case Rate,,,"8,846.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-1 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-1,APR-DRG,,,,inpatient ,,, -   ,,"9,397.18","9,397.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,397.18",APRDRG Case Rate,,,"9,397.18",APRDRG Case Rate,,,"9,397.18",APRDRG Case Rate,,,"9,397.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-2 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-2,APR-DRG,,,,inpatient ,,, -   ,,"11,538.22","11,538.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,538.22",APRDRG Case Rate,,,"11,538.22",APRDRG Case Rate,,,"11,538.22",APRDRG Case Rate,,,"11,538.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-3 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-3,APR-DRG,,,,inpatient ,,, -   ,,"15,670.04","15,670.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,670.04",APRDRG Case Rate,,,"15,670.04",APRDRG Case Rate,,,"15,670.04",APRDRG Case Rate,,,"15,670.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131-4 - CYSTIC FIBROSIS - PULMONARY DISEASE,131-4,APR-DRG,,,,inpatient ,,, -   ,,"27,333.99","27,333.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,333.99",APRDRG Case Rate,,,"27,333.99",APRDRG Case Rate,,,"27,333.99",APRDRG Case Rate,,,"27,333.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-1 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-1,APR-DRG,,,,inpatient ,,, -   ,,"6,843.92","6,843.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,843.92",APRDRG Case Rate,,,"6,843.92",APRDRG Case Rate,,,"6,843.92",APRDRG Case Rate,,,"6,843.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-2 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-2,APR-DRG,,,,inpatient ,,, -   ,,"8,848.08","8,848.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,848.08",APRDRG Case Rate,,,"8,848.08",APRDRG Case Rate,,,"8,848.08",APRDRG Case Rate,,,"8,848.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-3 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-3,APR-DRG,,,,inpatient ,,, -   ,,"13,458.02","13,458.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,458.02",APRDRG Case Rate,,,"13,458.02",APRDRG Case Rate,,,"13,458.02",APRDRG Case Rate,,,"13,458.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132-4 - BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,132-4,APR-DRG,,,,inpatient ,,, -   ,,"22,349.07","22,349.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,349.07",APRDRG Case Rate,,,"22,349.07",APRDRG Case Rate,,,"22,349.07",APRDRG Case Rate,,,"22,349.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-1 - RESPIRATORY FAILURE,133-1,APR-DRG,,,,inpatient ,,, -   ,,"16,356.02","16,356.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,356.02",APRDRG Case Rate,,,"16,356.02",APRDRG Case Rate,,,"16,356.02",APRDRG Case Rate,,,"16,356.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-2 - RESPIRATORY FAILURE,133-2,APR-DRG,,,,inpatient ,,, -   ,,"16,359.52","16,359.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,359.52",APRDRG Case Rate,,,"16,359.52",APRDRG Case Rate,,,"16,359.52",APRDRG Case Rate,,,"16,359.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-3 - RESPIRATORY FAILURE,133-3,APR-DRG,,,,inpatient ,,, -   ,,"20,025.64","20,025.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,025.64",APRDRG Case Rate,,,"20,025.64",APRDRG Case Rate,,,"20,025.64",APRDRG Case Rate,,,"20,025.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133-4 - RESPIRATORY FAILURE,133-4,APR-DRG,,,,inpatient ,,, -   ,,"25,939.74","25,939.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,939.74",APRDRG Case Rate,,,"25,939.74",APRDRG Case Rate,,,"25,939.74",APRDRG Case Rate,,,"25,939.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-1 - PULMONARY EMBOLISM,134-1,APR-DRG,,,,inpatient ,,, -   ,,"5,428.66","5,428.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,428.66",APRDRG Case Rate,,,"5,428.66",APRDRG Case Rate,,,"5,428.66",APRDRG Case Rate,,,"5,428.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-2 - PULMONARY EMBOLISM,134-2,APR-DRG,,,,inpatient ,,, -   ,,"7,638.14","7,638.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,638.14",APRDRG Case Rate,,,"7,638.14",APRDRG Case Rate,,,"7,638.14",APRDRG Case Rate,,,"7,638.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-3 - PULMONARY EMBOLISM,134-3,APR-DRG,,,,inpatient ,,, -   ,,"10,174.21","10,174.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,174.21",APRDRG Case Rate,,,"10,174.21",APRDRG Case Rate,,,"10,174.21",APRDRG Case Rate,,,"10,174.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134-4 - PULMONARY EMBOLISM,134-4,APR-DRG,,,,inpatient ,,, -   ,,"13,206.86","13,206.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,206.86",APRDRG Case Rate,,,"13,206.86",APRDRG Case Rate,,,"13,206.86",APRDRG Case Rate,,,"13,206.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-1 - MAJOR CHEST & RESPIRATORY TRAUMA,135-1,APR-DRG,,,,inpatient ,,, -   ,,"1,962.14","1,962.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,962.14",APRDRG Case Rate,,,"1,962.14",APRDRG Case Rate,,,"1,962.14",APRDRG Case Rate,,,"1,962.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-2 - MAJOR CHEST & RESPIRATORY TRAUMA,135-2,APR-DRG,,,,inpatient ,,, -   ,,"2,576.50","2,576.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,576.50",APRDRG Case Rate,,,"2,576.50",APRDRG Case Rate,,,"2,576.50",APRDRG Case Rate,,,"2,576.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-3 - MAJOR CHEST & RESPIRATORY TRAUMA,135-3,APR-DRG,,,,inpatient ,,, -   ,,"4,328.22","4,328.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,328.22",APRDRG Case Rate,,,"4,328.22",APRDRG Case Rate,,,"4,328.22",APRDRG Case Rate,,,"4,328.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135-4 - MAJOR CHEST & RESPIRATORY TRAUMA,135-4,APR-DRG,,,,inpatient ,,, -   ,,"6,895.81","6,895.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,895.81",APRDRG Case Rate,,,"6,895.81",APRDRG Case Rate,,,"6,895.81",APRDRG Case Rate,,,"6,895.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-1 - RESPIRATORY MALIGNANCY,136-1,APR-DRG,,,,inpatient ,,, -   ,,"2,248.31","2,248.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,248.31",APRDRG Case Rate,,,"2,248.31",APRDRG Case Rate,,,"2,248.31",APRDRG Case Rate,,,"2,248.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-2 - RESPIRATORY MALIGNANCY,136-2,APR-DRG,,,,inpatient ,,, -   ,,"3,711.63","3,711.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,711.63",APRDRG Case Rate,,,"3,711.63",APRDRG Case Rate,,,"3,711.63",APRDRG Case Rate,,,"3,711.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-3 - RESPIRATORY MALIGNANCY,136-3,APR-DRG,,,,inpatient ,,, -   ,,"5,589.42","5,589.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,589.42",APRDRG Case Rate,,,"5,589.42",APRDRG Case Rate,,,"5,589.42",APRDRG Case Rate,,,"5,589.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136-4 - RESPIRATORY MALIGNANCY,136-4,APR-DRG,,,,inpatient ,,, -   ,,"9,225.61","9,225.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,225.61",APRDRG Case Rate,,,"9,225.61",APRDRG Case Rate,,,"9,225.61",APRDRG Case Rate,,,"9,225.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-1 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-1,APR-DRG,,,,inpatient ,,, -   ,,"2,933.02","2,933.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,933.02",APRDRG Case Rate,,,"2,933.02",APRDRG Case Rate,,,"2,933.02",APRDRG Case Rate,,,"2,933.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-2 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-2,APR-DRG,,,,inpatient ,,, -   ,,"3,819.23","3,819.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,819.23",APRDRG Case Rate,,,"3,819.23",APRDRG Case Rate,,,"3,819.23",APRDRG Case Rate,,,"3,819.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-3 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-3,APR-DRG,,,,inpatient ,,, -   ,,"5,509.84","5,509.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,509.84",APRDRG Case Rate,,,"5,509.84",APRDRG Case Rate,,,"5,509.84",APRDRG Case Rate,,,"5,509.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137-4 - MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,137-4,APR-DRG,,,,inpatient ,,, -   ,,"8,386.83","8,386.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,386.83",APRDRG Case Rate,,,"8,386.83",APRDRG Case Rate,,,"8,386.83",APRDRG Case Rate,,,"8,386.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-1 - BRONCHIOLITIS & RSV PNEUMONIA,138-1,APR-DRG,,,,inpatient ,,, -   ,,"3,553.75","3,553.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,553.75",APRDRG Case Rate,,,"3,553.75",APRDRG Case Rate,,,"3,553.75",APRDRG Case Rate,,,"3,553.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-2 - BRONCHIOLITIS & RSV PNEUMONIA,138-2,APR-DRG,,,,inpatient ,,, -   ,,"4,135.64","4,135.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,135.64",APRDRG Case Rate,,,"4,135.64",APRDRG Case Rate,,,"4,135.64",APRDRG Case Rate,,,"4,135.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-3 - BRONCHIOLITIS & RSV PNEUMONIA,138-3,APR-DRG,,,,inpatient ,,, -   ,,"5,932.57","5,932.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,932.57",APRDRG Case Rate,,,"5,932.57",APRDRG Case Rate,,,"5,932.57",APRDRG Case Rate,,,"5,932.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138-4 - BRONCHIOLITIS & RSV PNEUMONIA,138-4,APR-DRG,,,,inpatient ,,, -   ,,"9,994.04","9,994.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,994.04",APRDRG Case Rate,,,"9,994.04",APRDRG Case Rate,,,"9,994.04",APRDRG Case Rate,,,"9,994.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-1 - OTHER PNEUMONIA,139-1,APR-DRG,,,,inpatient ,,, -   ,,"3,086.77","3,086.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,086.77",APRDRG Case Rate,,,"3,086.77",APRDRG Case Rate,,,"3,086.77",APRDRG Case Rate,,,"3,086.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-2 - OTHER PNEUMONIA,139-2,APR-DRG,,,,inpatient ,,, -   ,,"4,271.56","4,271.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,271.56",APRDRG Case Rate,,,"4,271.56",APRDRG Case Rate,,,"4,271.56",APRDRG Case Rate,,,"4,271.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-3 - OTHER PNEUMONIA,139-3,APR-DRG,,,,inpatient ,,, -   ,,"6,072.63","6,072.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,072.63",APRDRG Case Rate,,,"6,072.63",APRDRG Case Rate,,,"6,072.63",APRDRG Case Rate,,,"6,072.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139-4 - OTHER PNEUMONIA,139-4,APR-DRG,,,,inpatient ,,, -   ,,"8,608.70","8,608.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,608.70",APRDRG Case Rate,,,"8,608.70",APRDRG Case Rate,,,"8,608.70",APRDRG Case Rate,,,"8,608.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-1 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-1,APR-DRG,,,,inpatient ,,, -   ,,"3,155.53","3,155.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,155.53",APRDRG Case Rate,,,"3,155.53",APRDRG Case Rate,,,"3,155.53",APRDRG Case Rate,,,"3,155.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-2 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-2,APR-DRG,,,,inpatient ,,, -   ,,"4,021.36","4,021.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,021.36",APRDRG Case Rate,,,"4,021.36",APRDRG Case Rate,,,"4,021.36",APRDRG Case Rate,,,"4,021.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-3 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-3,APR-DRG,,,,inpatient ,,, -   ,,"5,481.50","5,481.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,481.50",APRDRG Case Rate,,,"5,481.50",APRDRG Case Rate,,,"5,481.50",APRDRG Case Rate,,,"5,481.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140-4 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,140-4,APR-DRG,,,,inpatient ,,, -   ,,"7,918.26","7,918.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,918.26",APRDRG Case Rate,,,"7,918.26",APRDRG Case Rate,,,"7,918.26",APRDRG Case Rate,,,"7,918.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-1 - ASTHMA,141-1,APR-DRG,,,,inpatient ,,, -   ,,"1,487.52","1,487.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,487.52",APRDRG Case Rate,,,"1,487.52",APRDRG Case Rate,,,"1,487.52",APRDRG Case Rate,,,"1,487.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-2 - ASTHMA,141-2,APR-DRG,,,,inpatient ,,, -   ,,"2,130.21","2,130.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,130.21",APRDRG Case Rate,,,"2,130.21",APRDRG Case Rate,,,"2,130.21",APRDRG Case Rate,,,"2,130.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-3 - ASTHMA,141-3,APR-DRG,,,,inpatient ,,, -   ,,"3,374.85","3,374.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,374.85",APRDRG Case Rate,,,"3,374.85",APRDRG Case Rate,,,"3,374.85",APRDRG Case Rate,,,"3,374.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141-4 - ASTHMA,141-4,APR-DRG,,,,inpatient ,,, -   ,,"7,174.98","7,174.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,174.98",APRDRG Case Rate,,,"7,174.98",APRDRG Case Rate,,,"7,174.98",APRDRG Case Rate,,,"7,174.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-1 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-1,APR-DRG,,,,inpatient ,,, -   ,,"2,306.24","2,306.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,306.24",APRDRG Case Rate,,,"2,306.24",APRDRG Case Rate,,,"2,306.24",APRDRG Case Rate,,,"2,306.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-2 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-2,APR-DRG,,,,inpatient ,,, -   ,,"3,198.82","3,198.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,198.82",APRDRG Case Rate,,,"3,198.82",APRDRG Case Rate,,,"3,198.82",APRDRG Case Rate,,,"3,198.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-3 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-3,APR-DRG,,,,inpatient ,,, -   ,,"4,433.91","4,433.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,433.91",APRDRG Case Rate,,,"4,433.91",APRDRG Case Rate,,,"4,433.91",APRDRG Case Rate,,,"4,433.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142-4 - INTERSTITIAL & ALVEOLAR LUNG DISEASES,142-4,APR-DRG,,,,inpatient ,,, -   ,,"6,669.16","6,669.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,669.16",APRDRG Case Rate,,,"6,669.16",APRDRG Case Rate,,,"6,669.16",APRDRG Case Rate,,,"6,669.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-1 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-1,APR-DRG,,,,inpatient ,,, -   ,,"2,739.80","2,739.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,739.80",APRDRG Case Rate,,,"2,739.80",APRDRG Case Rate,,,"2,739.80",APRDRG Case Rate,,,"2,739.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-2 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-2,APR-DRG,,,,inpatient ,,, -   ,,"3,374.21","3,374.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,374.21",APRDRG Case Rate,,,"3,374.21",APRDRG Case Rate,,,"3,374.21",APRDRG Case Rate,,,"3,374.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-3 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-3,APR-DRG,,,,inpatient ,,, -   ,,"4,091.71","4,091.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,091.71",APRDRG Case Rate,,,"4,091.71",APRDRG Case Rate,,,"4,091.71",APRDRG Case Rate,,,"4,091.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143-4 - OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",143-4,APR-DRG,,,,inpatient ,,, -   ,,"6,051.30","6,051.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,051.30",APRDRG Case Rate,,,"6,051.30",APRDRG Case Rate,,,"6,051.30",APRDRG Case Rate,,,"6,051.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-1 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-1,APR-DRG,,,,inpatient ,,, -   ,,"1,937.31","1,937.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,937.31",APRDRG Case Rate,,,"1,937.31",APRDRG Case Rate,,,"1,937.31",APRDRG Case Rate,,,"1,937.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-2 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-2,APR-DRG,,,,inpatient ,,, -   ,,"2,914.24","2,914.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,914.24",APRDRG Case Rate,,,"2,914.24",APRDRG Case Rate,,,"2,914.24",APRDRG Case Rate,,,"2,914.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-3 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-3,APR-DRG,,,,inpatient ,,, -   ,,"3,504.73","3,504.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,504.73",APRDRG Case Rate,,,"3,504.73",APRDRG Case Rate,,,"3,504.73",APRDRG Case Rate,,,"3,504.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144-4 - RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",144-4,APR-DRG,,,,inpatient ,,, -   ,,"6,159.21","6,159.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,159.21",APRDRG Case Rate,,,"6,159.21",APRDRG Case Rate,,,"6,159.21",APRDRG Case Rate,,,"6,159.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-1 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-1,APR-DRG,,,,inpatient ,,, -   ,,"3,172.72","3,172.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,172.72",APRDRG Case Rate,,,"3,172.72",APRDRG Case Rate,,,"3,172.72",APRDRG Case Rate,,,"3,172.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-2 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-2,APR-DRG,,,,inpatient ,,, -   ,,"3,736.15","3,736.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,736.15",APRDRG Case Rate,,,"3,736.15",APRDRG Case Rate,,,"3,736.15",APRDRG Case Rate,,,"3,736.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-3 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-3,APR-DRG,,,,inpatient ,,, -   ,,"5,058.45","5,058.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,058.45",APRDRG Case Rate,,,"5,058.45",APRDRG Case Rate,,,"5,058.45",APRDRG Case Rate,,,"5,058.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145-4 - ACUTE BRONCHITIS AND RELATED SYMPTOMS,145-4,APR-DRG,,,,inpatient ,,, -   ,,"7,627.31","7,627.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,627.31",APRDRG Case Rate,,,"7,627.31",APRDRG Case Rate,,,"7,627.31",APRDRG Case Rate,,,"7,627.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-1 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-1,APR-DRG,,,,inpatient ,,, -   ,,"2,566.63","2,566.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,566.63",APRDRG Case Rate,,,"2,566.63",APRDRG Case Rate,,,"2,566.63",APRDRG Case Rate,,,"2,566.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-2 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-2,APR-DRG,,,,inpatient ,,, -   ,,"3,636.51","3,636.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,636.51",APRDRG Case Rate,,,"3,636.51",APRDRG Case Rate,,,"3,636.51",APRDRG Case Rate,,,"3,636.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-3 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-3,APR-DRG,,,,inpatient ,,, -   ,,"5,203.61","5,203.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,203.61",APRDRG Case Rate,,,"5,203.61",APRDRG Case Rate,,,"5,203.61",APRDRG Case Rate,,,"5,203.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160-4 - MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,160-4,APR-DRG,,,,inpatient ,,, -   ,,"8,014.07","8,014.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,014.07",APRDRG Case Rate,,,"8,014.07",APRDRG Case Rate,,,"8,014.07",APRDRG Case Rate,,,"8,014.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-1 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-1,APR-DRG,,,,inpatient ,,, -   ,,"2,490.55","2,490.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,490.55",APRDRG Case Rate,,,"2,490.55",APRDRG Case Rate,,,"2,490.55",APRDRG Case Rate,,,"2,490.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-2 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-2,APR-DRG,,,,inpatient ,,, -   ,,"3,278.08","3,278.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,278.08",APRDRG Case Rate,,,"3,278.08",APRDRG Case Rate,,,"3,278.08",APRDRG Case Rate,,,"3,278.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-3 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-3,APR-DRG,,,,inpatient ,,, -   ,,"4,630.95","4,630.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,630.95",APRDRG Case Rate,,,"4,630.95",APRDRG Case Rate,,,"4,630.95",APRDRG Case Rate,,,"4,630.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161-4 - CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,161-4,APR-DRG,,,,inpatient ,,, -   ,,"8,075.83","8,075.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,075.83",APRDRG Case Rate,,,"8,075.83",APRDRG Case Rate,,,"8,075.83",APRDRG Case Rate,,,"8,075.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-1 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-1,APR-DRG,,,,inpatient ,,, -   ,,"2,383.91","2,383.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,383.91",APRDRG Case Rate,,,"2,383.91",APRDRG Case Rate,,,"2,383.91",APRDRG Case Rate,,,"2,383.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-2 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-2,APR-DRG,,,,inpatient ,,, -   ,,"3,046.98","3,046.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,046.98",APRDRG Case Rate,,,"3,046.98",APRDRG Case Rate,,,"3,046.98",APRDRG Case Rate,,,"3,046.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-3 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-3,APR-DRG,,,,inpatient ,,, -   ,,"3,931.28","3,931.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,931.28",APRDRG Case Rate,,,"3,931.28",APRDRG Case Rate,,,"3,931.28",APRDRG Case Rate,,,"3,931.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162-4 - CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,162-4,APR-DRG,,,,inpatient ,,, -   ,,"5,988.91","5,988.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,988.91",APRDRG Case Rate,,,"5,988.91",APRDRG Case Rate,,,"5,988.91",APRDRG Case Rate,,,"5,988.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-1 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-1,APR-DRG,,,,inpatient ,,, -   ,,"14,560.05","14,560.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,560.05",APRDRG Case Rate,,,"14,560.05",APRDRG Case Rate,,,"14,560.05",APRDRG Case Rate,,,"14,560.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-2 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-2,APR-DRG,,,,inpatient ,,, -   ,,"17,933.94","17,933.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,933.94",APRDRG Case Rate,,,"17,933.94",APRDRG Case Rate,,,"17,933.94",APRDRG Case Rate,,,"17,933.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-3 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-3,APR-DRG,,,,inpatient ,,, -   ,,"27,671.09","27,671.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,671.09",APRDRG Case Rate,,,"27,671.09",APRDRG Case Rate,,,"27,671.09",APRDRG Case Rate,,,"27,671.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163-4 - CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,163-4,APR-DRG,,,,inpatient ,,, -   ,,"51,547.79","51,547.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,547.79",APRDRG Case Rate,,,"51,547.79",APRDRG Case Rate,,,"51,547.79",APRDRG Case Rate,,,"51,547.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-1 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-1,APR-DRG,,,,inpatient ,,, -   ,,"71,186.99","71,186.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"71,186.99",APRDRG Case Rate,,,"71,186.99",APRDRG Case Rate,,,"71,186.99",APRDRG Case Rate,,,"71,186.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-2 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-2,APR-DRG,,,,inpatient ,,, -   ,,"74,933.95","74,933.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"74,933.95",APRDRG Case Rate,,,"74,933.95",APRDRG Case Rate,,,"74,933.95",APRDRG Case Rate,,,"74,933.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-3 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-3,APR-DRG,,,,inpatient ,,, -   ,,"93,327.55","93,327.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"93,327.55",APRDRG Case Rate,,,"93,327.55",APRDRG Case Rate,,,"93,327.55",APRDRG Case Rate,,,"93,327.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165-4 - CORONARY BYPASS W AMI OR COMPLEX PDX,165-4,APR-DRG,,,,inpatient ,,, -   ,,"121,821.19","121,821.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"121,821.19",APRDRG Case Rate,,,"121,821.19",APRDRG Case Rate,,,"121,821.19",APRDRG Case Rate,,,"121,821.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-1 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-1,APR-DRG,,,,inpatient ,,, -   ,,"22,505.05","22,505.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,505.05",APRDRG Case Rate,,,"22,505.05",APRDRG Case Rate,,,"22,505.05",APRDRG Case Rate,,,"22,505.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-2 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-2,APR-DRG,,,,inpatient ,,, -   ,,"26,372.02","26,372.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,372.02",APRDRG Case Rate,,,"26,372.02",APRDRG Case Rate,,,"26,372.02",APRDRG Case Rate,,,"26,372.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-3 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-3,APR-DRG,,,,inpatient ,,, -   ,,"33,275.15","33,275.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,275.15",APRDRG Case Rate,,,"33,275.15",APRDRG Case Rate,,,"33,275.15",APRDRG Case Rate,,,"33,275.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166-4 - CORONARY BYPASS W/O AMI OR COMPLEX PDX,166-4,APR-DRG,,,,inpatient ,,, -   ,,"48,582.94","48,582.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,582.94",APRDRG Case Rate,,,"48,582.94",APRDRG Case Rate,,,"48,582.94",APRDRG Case Rate,,,"48,582.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-1 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-1,APR-DRG,,,,inpatient ,,, -   ,,"19,683.76","19,683.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,683.76",APRDRG Case Rate,,,"19,683.76",APRDRG Case Rate,,,"19,683.76",APRDRG Case Rate,,,"19,683.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-2 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-2,APR-DRG,,,,inpatient ,,, -   ,,"21,780.86","21,780.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,780.86",APRDRG Case Rate,,,"21,780.86",APRDRG Case Rate,,,"21,780.86",APRDRG Case Rate,,,"21,780.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-3 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-3,APR-DRG,,,,inpatient ,,, -   ,,"27,521.80","27,521.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,521.80",APRDRG Case Rate,,,"27,521.80",APRDRG Case Rate,,,"27,521.80",APRDRG Case Rate,,,"27,521.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167-4 - OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,167-4,APR-DRG,,,,inpatient ,,, -   ,,"41,341.11","41,341.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,341.11",APRDRG Case Rate,,,"41,341.11",APRDRG Case Rate,,,"41,341.11",APRDRG Case Rate,,,"41,341.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-1 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-1,APR-DRG,,,,inpatient ,,, -   ,,"19,070.67","19,070.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,070.67",APRDRG Case Rate,,,"19,070.67",APRDRG Case Rate,,,"19,070.67",APRDRG Case Rate,,,"19,070.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-2 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-2,APR-DRG,,,,inpatient ,,, -   ,,"23,222.86","23,222.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,222.86",APRDRG Case Rate,,,"23,222.86",APRDRG Case Rate,,,"23,222.86",APRDRG Case Rate,,,"23,222.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-3 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-3,APR-DRG,,,,inpatient ,,, -   ,,"27,921.93","27,921.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,921.93",APRDRG Case Rate,,,"27,921.93",APRDRG Case Rate,,,"27,921.93",APRDRG Case Rate,,,"27,921.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169-4 - MAJOR ABDOMINAL VASCULAR PROCEDURES,169-4,APR-DRG,,,,inpatient ,,, -   ,,"37,805.51","37,805.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,805.51",APRDRG Case Rate,,,"37,805.51",APRDRG Case Rate,,,"37,805.51",APRDRG Case Rate,,,"37,805.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-1 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-1,APR-DRG,,,,inpatient ,,, -   ,,"17,555.78","17,555.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,555.78",APRDRG Case Rate,,,"17,555.78",APRDRG Case Rate,,,"17,555.78",APRDRG Case Rate,,,"17,555.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-2 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-2,APR-DRG,,,,inpatient ,,, -   ,,"19,548.15","19,548.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,548.15",APRDRG Case Rate,,,"19,548.15",APRDRG Case Rate,,,"19,548.15",APRDRG Case Rate,,,"19,548.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-3 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-3,APR-DRG,,,,inpatient ,,, -   ,,"23,213.95","23,213.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,213.95",APRDRG Case Rate,,,"23,213.95",APRDRG Case Rate,,,"23,213.95",APRDRG Case Rate,,,"23,213.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"170-4 - PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",170-4,APR-DRG,,,,inpatient ,,, -   ,,"34,078.28","34,078.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,078.28",APRDRG Case Rate,,,"34,078.28",APRDRG Case Rate,,,"34,078.28",APRDRG Case Rate,,,"34,078.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-1 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-1,APR-DRG,,,,inpatient ,,, -   ,,"14,759.64","14,759.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,759.64",APRDRG Case Rate,,,"14,759.64",APRDRG Case Rate,,,"14,759.64",APRDRG Case Rate,,,"14,759.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-2 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-2,APR-DRG,,,,inpatient ,,, -   ,,"15,341.85","15,341.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,341.85",APRDRG Case Rate,,,"15,341.85",APRDRG Case Rate,,,"15,341.85",APRDRG Case Rate,,,"15,341.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-3 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-3,APR-DRG,,,,inpatient ,,, -   ,,"23,161.75","23,161.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,161.75",APRDRG Case Rate,,,"23,161.75",APRDRG Case Rate,,,"23,161.75",APRDRG Case Rate,,,"23,161.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"171-4 - PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",171-4,APR-DRG,,,,inpatient ,,, -   ,,"37,186.69","37,186.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,186.69",APRDRG Case Rate,,,"37,186.69",APRDRG Case Rate,,,"37,186.69",APRDRG Case Rate,,,"37,186.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-1 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-1,APR-DRG,,,,inpatient ,,, -   ,,"14,804.52","14,804.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,804.52",APRDRG Case Rate,,,"14,804.52",APRDRG Case Rate,,,"14,804.52",APRDRG Case Rate,,,"14,804.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-2 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-2,APR-DRG,,,,inpatient ,,, -   ,,"15,004.11","15,004.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,004.11",APRDRG Case Rate,,,"15,004.11",APRDRG Case Rate,,,"15,004.11",APRDRG Case Rate,,,"15,004.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-3 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-3,APR-DRG,,,,inpatient ,,, -   ,,"19,606.09","19,606.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,606.09",APRDRG Case Rate,,,"19,606.09",APRDRG Case Rate,,,"19,606.09",APRDRG Case Rate,,,"19,606.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
174-4 - PERCUTANEOUS CORONARY INTERVENTION W AMI,174-4,APR-DRG,,,,inpatient ,,, -   ,,"31,896.18","31,896.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,896.18",APRDRG Case Rate,,,"31,896.18",APRDRG Case Rate,,,"31,896.18",APRDRG Case Rate,,,"31,896.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-1 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-1,APR-DRG,,,,inpatient ,,, -   ,,"11,103.71","11,103.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,103.71",APRDRG Case Rate,,,"11,103.71",APRDRG Case Rate,,,"11,103.71",APRDRG Case Rate,,,"11,103.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-2 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-2,APR-DRG,,,,inpatient ,,, -   ,,"12,612.55","12,612.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,612.55",APRDRG Case Rate,,,"12,612.55",APRDRG Case Rate,,,"12,612.55",APRDRG Case Rate,,,"12,612.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-3 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-3,APR-DRG,,,,inpatient ,,, -   ,,"15,995.68","15,995.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,995.68",APRDRG Case Rate,,,"15,995.68",APRDRG Case Rate,,,"15,995.68",APRDRG Case Rate,,,"15,995.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175-4 - PERCUTANEOUS CORONARY INTERVENTION W/O AMI,175-4,APR-DRG,,,,inpatient ,,, -   ,,"22,491.04","22,491.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,491.04",APRDRG Case Rate,,,"22,491.04",APRDRG Case Rate,,,"22,491.04",APRDRG Case Rate,,,"22,491.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-1 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-1,APR-DRG,,,,inpatient ,,, -   ,,"8,229.26","8,229.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,229.26",APRDRG Case Rate,,,"8,229.26",APRDRG Case Rate,,,"8,229.26",APRDRG Case Rate,,,"8,229.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-2 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-2,APR-DRG,,,,inpatient ,,, -   ,,"9,436.02","9,436.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,436.02",APRDRG Case Rate,,,"9,436.02",APRDRG Case Rate,,,"9,436.02",APRDRG Case Rate,,,"9,436.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-3 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-3,APR-DRG,,,,inpatient ,,, -   ,,"12,076.82","12,076.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,076.82",APRDRG Case Rate,,,"12,076.82",APRDRG Case Rate,,,"12,076.82",APRDRG Case Rate,,,"12,076.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176-4 - CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,176-4,APR-DRG,,,,inpatient ,,, -   ,,"17,961.00","17,961.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,961.00",APRDRG Case Rate,,,"17,961.00",APRDRG Case Rate,,,"17,961.00",APRDRG Case Rate,,,"17,961.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-1 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-1,APR-DRG,,,,inpatient ,,, -   ,,"10,236.60","10,236.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,236.60",APRDRG Case Rate,,,"10,236.60",APRDRG Case Rate,,,"10,236.60",APRDRG Case Rate,,,"10,236.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-2 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-2,APR-DRG,,,,inpatient ,,, -   ,,"11,107.85","11,107.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,107.85",APRDRG Case Rate,,,"11,107.85",APRDRG Case Rate,,,"11,107.85",APRDRG Case Rate,,,"11,107.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-3 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-3,APR-DRG,,,,inpatient ,,, -   ,,"13,626.73","13,626.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,626.73",APRDRG Case Rate,,,"13,626.73",APRDRG Case Rate,,,"13,626.73",APRDRG Case Rate,,,"13,626.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177-4 - CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,177-4,APR-DRG,,,,inpatient ,,, -   ,,"19,043.30","19,043.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,043.30",APRDRG Case Rate,,,"19,043.30",APRDRG Case Rate,,,"19,043.30",APRDRG Case Rate,,,"19,043.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-1 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-1,APR-DRG,,,,inpatient ,,, -   ,,"10,308.22","10,308.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,308.22",APRDRG Case Rate,,,"10,308.22",APRDRG Case Rate,,,"10,308.22",APRDRG Case Rate,,,"10,308.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-2 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-2,APR-DRG,,,,inpatient ,,, -   ,,"11,651.22","11,651.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,651.22",APRDRG Case Rate,,,"11,651.22",APRDRG Case Rate,,,"11,651.22",APRDRG Case Rate,,,"11,651.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-3 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-3,APR-DRG,,,,inpatient ,,, -   ,,"14,379.56","14,379.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,379.56",APRDRG Case Rate,,,"14,379.56",APRDRG Case Rate,,,"14,379.56",APRDRG Case Rate,,,"14,379.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180-4 - OTHER CIRCULATORY SYSTEM PROCEDURES,180-4,APR-DRG,,,,inpatient ,,, -   ,,"21,042.36","21,042.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,042.36",APRDRG Case Rate,,,"21,042.36",APRDRG Case Rate,,,"21,042.36",APRDRG Case Rate,,,"21,042.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-1 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-1,APR-DRG,,,,inpatient ,,, -   ,,"8,510.98","8,510.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,510.98",APRDRG Case Rate,,,"8,510.98",APRDRG Case Rate,,,"8,510.98",APRDRG Case Rate,,,"8,510.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-2 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-2,APR-DRG,,,,inpatient ,,, -   ,,"10,096.86","10,096.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,096.86",APRDRG Case Rate,,,"10,096.86",APRDRG Case Rate,,,"10,096.86",APRDRG Case Rate,,,"10,096.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-3 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-3,APR-DRG,,,,inpatient ,,, -   ,,"15,642.34","15,642.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,642.34",APRDRG Case Rate,,,"15,642.34",APRDRG Case Rate,,,"15,642.34",APRDRG Case Rate,,,"15,642.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181-4 - LOWER EXTREMITY ARTERIAL PROCEDURES,181-4,APR-DRG,,,,inpatient ,,, -   ,,"25,907.59","25,907.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,907.59",APRDRG Case Rate,,,"25,907.59",APRDRG Case Rate,,,"25,907.59",APRDRG Case Rate,,,"25,907.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-1 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-1,APR-DRG,,,,inpatient ,,, -   ,,"6,097.78","6,097.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,097.78",APRDRG Case Rate,,,"6,097.78",APRDRG Case Rate,,,"6,097.78",APRDRG Case Rate,,,"6,097.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-2 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-2,APR-DRG,,,,inpatient ,,, -   ,,"8,802.56","8,802.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,802.56",APRDRG Case Rate,,,"8,802.56",APRDRG Case Rate,,,"8,802.56",APRDRG Case Rate,,,"8,802.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-3 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-3,APR-DRG,,,,inpatient ,,, -   ,,"11,827.57","11,827.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,827.57",APRDRG Case Rate,,,"11,827.57",APRDRG Case Rate,,,"11,827.57",APRDRG Case Rate,,,"11,827.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182-4 - OTHER PERIPHERAL VASCULAR PROCEDURES,182-4,APR-DRG,,,,inpatient ,,, -   ,,"16,319.41","16,319.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,319.41",APRDRG Case Rate,,,"16,319.41",APRDRG Case Rate,,,"16,319.41",APRDRG Case Rate,,,"16,319.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-1 - ACUTE MYOCARDIAL INFARCTION,190-1,APR-DRG,,,,inpatient ,,, -   ,,"25,245.48","25,245.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,245.48",APRDRG Case Rate,,,"25,245.48",APRDRG Case Rate,,,"25,245.48",APRDRG Case Rate,,,"25,245.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-2 - ACUTE MYOCARDIAL INFARCTION,190-2,APR-DRG,,,,inpatient ,,, -   ,,"28,304.56","28,304.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,304.56",APRDRG Case Rate,,,"28,304.56",APRDRG Case Rate,,,"28,304.56",APRDRG Case Rate,,,"28,304.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-3 - ACUTE MYOCARDIAL INFARCTION,190-3,APR-DRG,,,,inpatient ,,, -   ,,"30,380.02","30,380.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,380.02",APRDRG Case Rate,,,"30,380.02",APRDRG Case Rate,,,"30,380.02",APRDRG Case Rate,,,"30,380.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190-4 - ACUTE MYOCARDIAL INFARCTION,190-4,APR-DRG,,,,inpatient ,,, -   ,,"41,065.13","41,065.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,065.13",APRDRG Case Rate,,,"41,065.13",APRDRG Case Rate,,,"41,065.13",APRDRG Case Rate,,,"41,065.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-1 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-1,APR-DRG,,,,inpatient ,,, -   ,,"17,539.22","17,539.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,539.22",APRDRG Case Rate,,,"17,539.22",APRDRG Case Rate,,,"17,539.22",APRDRG Case Rate,,,"17,539.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-2 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-2,APR-DRG,,,,inpatient ,,, -   ,,"19,876.34","19,876.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,876.34",APRDRG Case Rate,,,"19,876.34",APRDRG Case Rate,,,"19,876.34",APRDRG Case Rate,,,"19,876.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-3 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-3,APR-DRG,,,,inpatient ,,, -   ,,"24,395.24","24,395.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,395.24",APRDRG Case Rate,,,"24,395.24",APRDRG Case Rate,,,"24,395.24",APRDRG Case Rate,,,"24,395.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191-4 - CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,191-4,APR-DRG,,,,inpatient ,,, -   ,,"33,456.92","33,456.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,456.92",APRDRG Case Rate,,,"33,456.92",APRDRG Case Rate,,,"33,456.92",APRDRG Case Rate,,,"33,456.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-1 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-1,APR-DRG,,,,inpatient ,,, -   ,,"5,977.45","5,977.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,977.45",APRDRG Case Rate,,,"5,977.45",APRDRG Case Rate,,,"5,977.45",APRDRG Case Rate,,,"5,977.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-2 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-2,APR-DRG,,,,inpatient ,,, -   ,,"7,462.10","7,462.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,462.10",APRDRG Case Rate,,,"7,462.10",APRDRG Case Rate,,,"7,462.10",APRDRG Case Rate,,,"7,462.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-3 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-3,APR-DRG,,,,inpatient ,,, -   ,,"10,311.09","10,311.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,311.09",APRDRG Case Rate,,,"10,311.09",APRDRG Case Rate,,,"10,311.09",APRDRG Case Rate,,,"10,311.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192-4 - CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,192-4,APR-DRG,,,,inpatient ,,, -   ,,"18,978.36","18,978.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,978.36",APRDRG Case Rate,,,"18,978.36",APRDRG Case Rate,,,"18,978.36",APRDRG Case Rate,,,"18,978.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-1 - ACUTE & SUBACUTE ENDOCARDITIS,193-1,APR-DRG,,,,inpatient ,,, -   ,,"7,875.92","7,875.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,875.92",APRDRG Case Rate,,,"7,875.92",APRDRG Case Rate,,,"7,875.92",APRDRG Case Rate,,,"7,875.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-2 - ACUTE & SUBACUTE ENDOCARDITIS,193-2,APR-DRG,,,,inpatient ,,, -   ,,"10,884.07","10,884.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,884.07",APRDRG Case Rate,,,"10,884.07",APRDRG Case Rate,,,"10,884.07",APRDRG Case Rate,,,"10,884.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-3 - ACUTE & SUBACUTE ENDOCARDITIS,193-3,APR-DRG,,,,inpatient ,,, -   ,,"16,914.99","16,914.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,914.99",APRDRG Case Rate,,,"16,914.99",APRDRG Case Rate,,,"16,914.99",APRDRG Case Rate,,,"16,914.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193-4 - ACUTE & SUBACUTE ENDOCARDITIS,193-4,APR-DRG,,,,inpatient ,,, -   ,,"26,372.02","26,372.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,372.02",APRDRG Case Rate,,,"26,372.02",APRDRG Case Rate,,,"26,372.02",APRDRG Case Rate,,,"26,372.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-1 - HEART FAILURE,194-1,APR-DRG,,,,inpatient ,,, -   ,,"9,518.15","9,518.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,518.15",APRDRG Case Rate,,,"9,518.15",APRDRG Case Rate,,,"9,518.15",APRDRG Case Rate,,,"9,518.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-2 - HEART FAILURE,194-2,APR-DRG,,,,inpatient ,,, -   ,,"10,335.92","10,335.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,335.92",APRDRG Case Rate,,,"10,335.92",APRDRG Case Rate,,,"10,335.92",APRDRG Case Rate,,,"10,335.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-3 - HEART FAILURE,194-3,APR-DRG,,,,inpatient ,,, -   ,,"12,508.78","12,508.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,508.78",APRDRG Case Rate,,,"12,508.78",APRDRG Case Rate,,,"12,508.78",APRDRG Case Rate,,,"12,508.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194-4 - HEART FAILURE,194-4,APR-DRG,,,,inpatient ,,, -   ,,"22,405.73","22,405.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,405.73",APRDRG Case Rate,,,"22,405.73",APRDRG Case Rate,,,"22,405.73",APRDRG Case Rate,,,"22,405.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-1 - CARDIAC ARREST & SHOCK,196-1,APR-DRG,,,,inpatient ,,, -   ,,"20,552.14","20,552.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,552.14",APRDRG Case Rate,,,"20,552.14",APRDRG Case Rate,,,"20,552.14",APRDRG Case Rate,,,"20,552.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-2 - CARDIAC ARREST & SHOCK,196-2,APR-DRG,,,,inpatient ,,, -   ,,"21,141.36","21,141.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,141.36",APRDRG Case Rate,,,"21,141.36",APRDRG Case Rate,,,"21,141.36",APRDRG Case Rate,,,"21,141.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-3 - CARDIAC ARREST & SHOCK,196-3,APR-DRG,,,,inpatient ,,, -   ,,"24,616.16","24,616.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,616.16",APRDRG Case Rate,,,"24,616.16",APRDRG Case Rate,,,"24,616.16",APRDRG Case Rate,,,"24,616.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196-4 - CARDIAC ARREST & SHOCK,196-4,APR-DRG,,,,inpatient ,,, -   ,,"35,042.80","35,042.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,042.80",APRDRG Case Rate,,,"35,042.80",APRDRG Case Rate,,,"35,042.80",APRDRG Case Rate,,,"35,042.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-1 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-1,APR-DRG,,,,inpatient ,,, -   ,,"3,975.52","3,975.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,975.52",APRDRG Case Rate,,,"3,975.52",APRDRG Case Rate,,,"3,975.52",APRDRG Case Rate,,,"3,975.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-2 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-2,APR-DRG,,,,inpatient ,,, -   ,,"4,333.95","4,333.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,333.95",APRDRG Case Rate,,,"4,333.95",APRDRG Case Rate,,,"4,333.95",APRDRG Case Rate,,,"4,333.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-3 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-3,APR-DRG,,,,inpatient ,,, -   ,,"5,550.26","5,550.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,550.26",APRDRG Case Rate,,,"5,550.26",APRDRG Case Rate,,,"5,550.26",APRDRG Case Rate,,,"5,550.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197-4 - PERIPHERAL & OTHER VASCULAR DISORDERS,197-4,APR-DRG,,,,inpatient ,,, -   ,,"8,053.86","8,053.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,053.86",APRDRG Case Rate,,,"8,053.86",APRDRG Case Rate,,,"8,053.86",APRDRG Case Rate,,,"8,053.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-1 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-1,APR-DRG,,,,inpatient ,,, -   ,,"4,743.95","4,743.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,743.95",APRDRG Case Rate,,,"4,743.95",APRDRG Case Rate,,,"4,743.95",APRDRG Case Rate,,,"4,743.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-2 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-2,APR-DRG,,,,inpatient ,,, -   ,,"5,561.09","5,561.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,561.09",APRDRG Case Rate,,,"5,561.09",APRDRG Case Rate,,,"5,561.09",APRDRG Case Rate,,,"5,561.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-3 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-3,APR-DRG,,,,inpatient ,,, -   ,,"7,222.09","7,222.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,222.09",APRDRG Case Rate,,,"7,222.09",APRDRG Case Rate,,,"7,222.09",APRDRG Case Rate,,,"7,222.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198-4 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,198-4,APR-DRG,,,,inpatient ,,, -   ,,"10,356.92","10,356.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,356.92",APRDRG Case Rate,,,"10,356.92",APRDRG Case Rate,,,"10,356.92",APRDRG Case Rate,,,"10,356.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-1 - HYPERTENSION,199-1,APR-DRG,,,,inpatient ,,, -   ,,"5,089.01","5,089.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,089.01",APRDRG Case Rate,,,"5,089.01",APRDRG Case Rate,,,"5,089.01",APRDRG Case Rate,,,"5,089.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-2 - HYPERTENSION,199-2,APR-DRG,,,,inpatient ,,, -   ,,"6,332.38","6,332.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,332.38",APRDRG Case Rate,,,"6,332.38",APRDRG Case Rate,,,"6,332.38",APRDRG Case Rate,,,"6,332.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-3 - HYPERTENSION,199-3,APR-DRG,,,,inpatient ,,, -   ,,"8,880.55","8,880.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,880.55",APRDRG Case Rate,,,"8,880.55",APRDRG Case Rate,,,"8,880.55",APRDRG Case Rate,,,"8,880.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199-4 - HYPERTENSION,199-4,APR-DRG,,,,inpatient ,,, -   ,,"13,799.90","13,799.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,799.90",APRDRG Case Rate,,,"13,799.90",APRDRG Case Rate,,,"13,799.90",APRDRG Case Rate,,,"13,799.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-1 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-1,APR-DRG,,,,inpatient ,,, -   ,,"3,863.79","3,863.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,863.79",APRDRG Case Rate,,,"3,863.79",APRDRG Case Rate,,,"3,863.79",APRDRG Case Rate,,,"3,863.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-2 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-2,APR-DRG,,,,inpatient ,,, -   ,,"5,691.60","5,691.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,691.60",APRDRG Case Rate,,,"5,691.60",APRDRG Case Rate,,,"5,691.60",APRDRG Case Rate,,,"5,691.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-3 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-3,APR-DRG,,,,inpatient ,,, -   ,,"7,538.82","7,538.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,538.82",APRDRG Case Rate,,,"7,538.82",APRDRG Case Rate,,,"7,538.82",APRDRG Case Rate,,,"7,538.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200-4 - CARDIAC STRUCTURAL & VALVULAR DISORDERS,200-4,APR-DRG,,,,inpatient ,,, -   ,,"11,715.52","11,715.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,715.52",APRDRG Case Rate,,,"11,715.52",APRDRG Case Rate,,,"11,715.52",APRDRG Case Rate,,,"11,715.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-1 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-1,APR-DRG,,,,inpatient ,,, -   ,,"2,647.17","2,647.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,647.17",APRDRG Case Rate,,,"2,647.17",APRDRG Case Rate,,,"2,647.17",APRDRG Case Rate,,,"2,647.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-2 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-2,APR-DRG,,,,inpatient ,,, -   ,,"3,474.17","3,474.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,474.17",APRDRG Case Rate,,,"3,474.17",APRDRG Case Rate,,,"3,474.17",APRDRG Case Rate,,,"3,474.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-3 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-3,APR-DRG,,,,inpatient ,,, -   ,,"4,805.71","4,805.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,805.71",APRDRG Case Rate,,,"4,805.71",APRDRG Case Rate,,,"4,805.71",APRDRG Case Rate,,,"4,805.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201-4 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,201-4,APR-DRG,,,,inpatient ,,, -   ,,"7,284.80","7,284.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,284.80",APRDRG Case Rate,,,"7,284.80",APRDRG Case Rate,,,"7,284.80",APRDRG Case Rate,,,"7,284.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-1 - CHEST PAIN,203-1,APR-DRG,,,,inpatient ,,, -   ,,"1,901.02","1,901.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,901.02",APRDRG Case Rate,,,"1,901.02",APRDRG Case Rate,,,"1,901.02",APRDRG Case Rate,,,"1,901.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-2 - CHEST PAIN,203-2,APR-DRG,,,,inpatient ,,, -   ,,"2,812.06","2,812.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,812.06",APRDRG Case Rate,,,"2,812.06",APRDRG Case Rate,,,"2,812.06",APRDRG Case Rate,,,"2,812.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-3 - CHEST PAIN,203-3,APR-DRG,,,,inpatient ,,, -   ,,"4,379.47","4,379.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,379.47",APRDRG Case Rate,,,"4,379.47",APRDRG Case Rate,,,"4,379.47",APRDRG Case Rate,,,"4,379.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203-4 - CHEST PAIN,203-4,APR-DRG,,,,inpatient ,,, -   ,,"7,876.24","7,876.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,876.24",APRDRG Case Rate,,,"7,876.24",APRDRG Case Rate,,,"7,876.24",APRDRG Case Rate,,,"7,876.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-1 - SYNCOPE & COLLAPSE,204-1,APR-DRG,,,,inpatient ,,, -   ,,"2,431.34","2,431.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,431.34",APRDRG Case Rate,,,"2,431.34",APRDRG Case Rate,,,"2,431.34",APRDRG Case Rate,,,"2,431.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-2 - SYNCOPE & COLLAPSE,204-2,APR-DRG,,,,inpatient ,,, -   ,,"3,247.52","3,247.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,247.52",APRDRG Case Rate,,,"3,247.52",APRDRG Case Rate,,,"3,247.52",APRDRG Case Rate,,,"3,247.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-3 - SYNCOPE & COLLAPSE,204-3,APR-DRG,,,,inpatient ,,, -   ,,"4,491.21","4,491.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,491.21",APRDRG Case Rate,,,"4,491.21",APRDRG Case Rate,,,"4,491.21",APRDRG Case Rate,,,"4,491.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204-4 - SYNCOPE & COLLAPSE,204-4,APR-DRG,,,,inpatient ,,, -   ,,"8,183.74","8,183.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,183.74",APRDRG Case Rate,,,"8,183.74",APRDRG Case Rate,,,"8,183.74",APRDRG Case Rate,,,"8,183.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-1 - CARDIOMYOPATHY,205-1,APR-DRG,,,,inpatient ,,, -   ,,"2,411.61","2,411.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,411.61",APRDRG Case Rate,,,"2,411.61",APRDRG Case Rate,,,"2,411.61",APRDRG Case Rate,,,"2,411.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-2 - CARDIOMYOPATHY,205-2,APR-DRG,,,,inpatient ,,, -   ,,"2,881.77","2,881.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,881.77",APRDRG Case Rate,,,"2,881.77",APRDRG Case Rate,,,"2,881.77",APRDRG Case Rate,,,"2,881.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-3 - CARDIOMYOPATHY,205-3,APR-DRG,,,,inpatient ,,, -   ,,"3,802.04","3,802.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,802.04",APRDRG Case Rate,,,"3,802.04",APRDRG Case Rate,,,"3,802.04",APRDRG Case Rate,,,"3,802.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205-4 - CARDIOMYOPATHY,205-4,APR-DRG,,,,inpatient ,,, -   ,,"6,610.27","6,610.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,610.27",APRDRG Case Rate,,,"6,610.27",APRDRG Case Rate,,,"6,610.27",APRDRG Case Rate,,,"6,610.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-1 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-1,APR-DRG,,,,inpatient ,,, -   ,,"2,573.32","2,573.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,573.32",APRDRG Case Rate,,,"2,573.32",APRDRG Case Rate,,,"2,573.32",APRDRG Case Rate,,,"2,573.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-2 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-2,APR-DRG,,,,inpatient ,,, -   ,,"3,144.38","3,144.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,144.38",APRDRG Case Rate,,,"3,144.38",APRDRG Case Rate,,,"3,144.38",APRDRG Case Rate,,,"3,144.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-3 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-3,APR-DRG,,,,inpatient ,,, -   ,,"4,331.41","4,331.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,331.41",APRDRG Case Rate,,,"4,331.41",APRDRG Case Rate,,,"4,331.41",APRDRG Case Rate,,,"4,331.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"206-4 - MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",206-4,APR-DRG,,,,inpatient ,,, -   ,,"6,325.06","6,325.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,325.06",APRDRG Case Rate,,,"6,325.06",APRDRG Case Rate,,,"6,325.06",APRDRG Case Rate,,,"6,325.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-1 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-1,APR-DRG,,,,inpatient ,,, -   ,,"2,208.52","2,208.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,208.52",APRDRG Case Rate,,,"2,208.52",APRDRG Case Rate,,,"2,208.52",APRDRG Case Rate,,,"2,208.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-2 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-2,APR-DRG,,,,inpatient ,,, -   ,,"3,269.49","3,269.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,269.49",APRDRG Case Rate,,,"3,269.49",APRDRG Case Rate,,,"3,269.49",APRDRG Case Rate,,,"3,269.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-3 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-3,APR-DRG,,,,inpatient ,,, -   ,,"4,728.35","4,728.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,728.35",APRDRG Case Rate,,,"4,728.35",APRDRG Case Rate,,,"4,728.35",APRDRG Case Rate,,,"4,728.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207-4 - OTHER CIRCULATORY SYSTEM DIAGNOSES,207-4,APR-DRG,,,,inpatient ,,, -   ,,"7,337.00","7,337.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,337.00",APRDRG Case Rate,,,"7,337.00",APRDRG Case Rate,,,"7,337.00",APRDRG Case Rate,,,"7,337.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-1 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-1,APR-DRG,,,,inpatient ,,, -   ,,"2,285.23","2,285.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,285.23",APRDRG Case Rate,,,"2,285.23",APRDRG Case Rate,,,"2,285.23",APRDRG Case Rate,,,"2,285.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-2 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-2,APR-DRG,,,,inpatient ,,, -   ,,"2,962.94","2,962.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,962.94",APRDRG Case Rate,,,"2,962.94",APRDRG Case Rate,,,"2,962.94",APRDRG Case Rate,,,"2,962.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-3 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-3,APR-DRG,,,,inpatient ,,, -   ,,"4,424.99","4,424.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,424.99",APRDRG Case Rate,,,"4,424.99",APRDRG Case Rate,,,"4,424.99",APRDRG Case Rate,,,"4,424.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220-4 - MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",220-4,APR-DRG,,,,inpatient ,,, -   ,,"7,267.93","7,267.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,267.93",APRDRG Case Rate,,,"7,267.93",APRDRG Case Rate,,,"7,267.93",APRDRG Case Rate,,,"7,267.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-1 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-1,APR-DRG,,,,inpatient ,,, -   ,,"2,442.80","2,442.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,442.80",APRDRG Case Rate,,,"2,442.80",APRDRG Case Rate,,,"2,442.80",APRDRG Case Rate,,,"2,442.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-2 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-2,APR-DRG,,,,inpatient ,,, -   ,,"2,889.41","2,889.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,889.41",APRDRG Case Rate,,,"2,889.41",APRDRG Case Rate,,,"2,889.41",APRDRG Case Rate,,,"2,889.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-3 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-3,APR-DRG,,,,inpatient ,,, -   ,,"3,601.50","3,601.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,601.50",APRDRG Case Rate,,,"3,601.50",APRDRG Case Rate,,,"3,601.50",APRDRG Case Rate,,,"3,601.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222-4 - OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",222-4,APR-DRG,,,,inpatient ,,, -   ,,"5,348.76","5,348.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,348.76",APRDRG Case Rate,,,"5,348.76",APRDRG Case Rate,,,"5,348.76",APRDRG Case Rate,,,"5,348.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-1 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-1,APR-DRG,,,,inpatient ,,, -   ,,"2,815.24","2,815.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,815.24",APRDRG Case Rate,,,"2,815.24",APRDRG Case Rate,,,"2,815.24",APRDRG Case Rate,,,"2,815.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-2 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-2,APR-DRG,,,,inpatient ,,, -   ,,"3,309.28","3,309.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,309.28",APRDRG Case Rate,,,"3,309.28",APRDRG Case Rate,,,"3,309.28",APRDRG Case Rate,,,"3,309.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-3 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-3,APR-DRG,,,,inpatient ,,, -   ,,"4,263.92","4,263.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,263.92",APRDRG Case Rate,,,"4,263.92",APRDRG Case Rate,,,"4,263.92",APRDRG Case Rate,,,"4,263.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223-4 - OTHER SMALL & LARGE BOWEL PROCEDURES,223-4,APR-DRG,,,,inpatient ,,, -   ,,"6,681.26","6,681.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,681.26",APRDRG Case Rate,,,"6,681.26",APRDRG Case Rate,,,"6,681.26",APRDRG Case Rate,,,"6,681.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-1 - PERITONEAL ADHESIOLYSIS,224-1,APR-DRG,,,,inpatient ,,, -   ,,"2,528.11","2,528.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,528.11",APRDRG Case Rate,,,"2,528.11",APRDRG Case Rate,,,"2,528.11",APRDRG Case Rate,,,"2,528.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-2 - PERITONEAL ADHESIOLYSIS,224-2,APR-DRG,,,,inpatient ,,, -   ,,"3,150.11","3,150.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,150.11",APRDRG Case Rate,,,"3,150.11",APRDRG Case Rate,,,"3,150.11",APRDRG Case Rate,,,"3,150.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-3 - PERITONEAL ADHESIOLYSIS,224-3,APR-DRG,,,,inpatient ,,, -   ,,"4,663.42","4,663.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,663.42",APRDRG Case Rate,,,"4,663.42",APRDRG Case Rate,,,"4,663.42",APRDRG Case Rate,,,"4,663.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224-4 - PERITONEAL ADHESIOLYSIS,224-4,APR-DRG,,,,inpatient ,,, -   ,,"8,381.74","8,381.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,381.74",APRDRG Case Rate,,,"8,381.74",APRDRG Case Rate,,,"8,381.74",APRDRG Case Rate,,,"8,381.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-1 - ANAL PROCEDURES,226-1,APR-DRG,,,,inpatient ,,, -   ,,"3,240.20","3,240.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,240.20",APRDRG Case Rate,,,"3,240.20",APRDRG Case Rate,,,"3,240.20",APRDRG Case Rate,,,"3,240.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-2 - ANAL PROCEDURES,226-2,APR-DRG,,,,inpatient ,,, -   ,,"3,304.18","3,304.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,304.18",APRDRG Case Rate,,,"3,304.18",APRDRG Case Rate,,,"3,304.18",APRDRG Case Rate,,,"3,304.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-3 - ANAL PROCEDURES,226-3,APR-DRG,,,,inpatient ,,, -   ,,"4,954.05","4,954.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,954.05",APRDRG Case Rate,,,"4,954.05",APRDRG Case Rate,,,"4,954.05",APRDRG Case Rate,,,"4,954.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226-4 - ANAL PROCEDURES,226-4,APR-DRG,,,,inpatient ,,, -   ,,"9,810.37","9,810.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,810.37",APRDRG Case Rate,,,"9,810.37",APRDRG Case Rate,,,"9,810.37",APRDRG Case Rate,,,"9,810.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-1 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-1,APR-DRG,,,,inpatient ,,, -   ,,"2,701.60","2,701.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,701.60",APRDRG Case Rate,,,"2,701.60",APRDRG Case Rate,,,"2,701.60",APRDRG Case Rate,,,"2,701.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-2 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-2,APR-DRG,,,,inpatient ,,, -   ,,"3,384.72","3,384.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,384.72",APRDRG Case Rate,,,"3,384.72",APRDRG Case Rate,,,"3,384.72",APRDRG Case Rate,,,"3,384.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-3 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-3,APR-DRG,,,,inpatient ,,, -   ,,"4,707.98","4,707.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,707.98",APRDRG Case Rate,,,"4,707.98",APRDRG Case Rate,,,"4,707.98",APRDRG Case Rate,,,"4,707.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"227-4 - HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",227-4,APR-DRG,,,,inpatient ,,, -   ,,"7,977.47","7,977.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,977.47",APRDRG Case Rate,,,"7,977.47",APRDRG Case Rate,,,"7,977.47",APRDRG Case Rate,,,"7,977.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-1 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-1,APR-DRG,,,,inpatient ,,, -   ,,"7,223.04","7,223.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,223.04",APRDRG Case Rate,,,"7,223.04",APRDRG Case Rate,,,"7,223.04",APRDRG Case Rate,,,"7,223.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-2 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-2,APR-DRG,,,,inpatient ,,, -   ,,"10,365.52","10,365.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,365.52",APRDRG Case Rate,,,"10,365.52",APRDRG Case Rate,,,"10,365.52",APRDRG Case Rate,,,"10,365.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-3 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-3,APR-DRG,,,,inpatient ,,, -   ,,"15,785.27","15,785.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,785.27",APRDRG Case Rate,,,"15,785.27",APRDRG Case Rate,,,"15,785.27",APRDRG Case Rate,,,"15,785.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"228-4 - INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",228-4,APR-DRG,,,,inpatient ,,, -   ,,"28,193.46","28,193.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,193.46",APRDRG Case Rate,,,"28,193.46",APRDRG Case Rate,,,"28,193.46",APRDRG Case Rate,,,"28,193.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-1 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-1,APR-DRG,,,,inpatient ,,, -   ,,"3,854.56","3,854.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,854.56",APRDRG Case Rate,,,"3,854.56",APRDRG Case Rate,,,"3,854.56",APRDRG Case Rate,,,"3,854.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-2 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-2,APR-DRG,,,,inpatient ,,, -   ,,"6,503.00","6,503.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,503.00",APRDRG Case Rate,,,"6,503.00",APRDRG Case Rate,,,"6,503.00",APRDRG Case Rate,,,"6,503.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-3 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-3,APR-DRG,,,,inpatient ,,, -   ,,"9,714.23","9,714.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,714.23",APRDRG Case Rate,,,"9,714.23",APRDRG Case Rate,,,"9,714.23",APRDRG Case Rate,,,"9,714.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229-4 - OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,229-4,APR-DRG,,,,inpatient ,,, -   ,,"20,709.71","20,709.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,709.71",APRDRG Case Rate,,,"20,709.71",APRDRG Case Rate,,,"20,709.71",APRDRG Case Rate,,,"20,709.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-1 - MAJOR SMALL BOWEL PROCEDURES,230-1,APR-DRG,,,,inpatient ,,, -   ,,"5,304.84","5,304.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,304.84",APRDRG Case Rate,,,"5,304.84",APRDRG Case Rate,,,"5,304.84",APRDRG Case Rate,,,"5,304.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-2 - MAJOR SMALL BOWEL PROCEDURES,230-2,APR-DRG,,,,inpatient ,,, -   ,,"8,025.22","8,025.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,025.22",APRDRG Case Rate,,,"8,025.22",APRDRG Case Rate,,,"8,025.22",APRDRG Case Rate,,,"8,025.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-3 - MAJOR SMALL BOWEL PROCEDURES,230-3,APR-DRG,,,,inpatient ,,, -   ,,"11,279.10","11,279.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,279.10",APRDRG Case Rate,,,"11,279.10",APRDRG Case Rate,,,"11,279.10",APRDRG Case Rate,,,"11,279.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230-4 - MAJOR SMALL BOWEL PROCEDURES,230-4,APR-DRG,,,,inpatient ,,, -   ,,"19,904.67","19,904.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,904.67",APRDRG Case Rate,,,"19,904.67",APRDRG Case Rate,,,"19,904.67",APRDRG Case Rate,,,"19,904.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-1 - MAJOR LARGE BOWEL PROCEDURES,231-1,APR-DRG,,,,inpatient ,,, -   ,,"6,421.51","6,421.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,421.51",APRDRG Case Rate,,,"6,421.51",APRDRG Case Rate,,,"6,421.51",APRDRG Case Rate,,,"6,421.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-2 - MAJOR LARGE BOWEL PROCEDURES,231-2,APR-DRG,,,,inpatient ,,, -   ,,"7,940.86","7,940.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,940.86",APRDRG Case Rate,,,"7,940.86",APRDRG Case Rate,,,"7,940.86",APRDRG Case Rate,,,"7,940.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-3 - MAJOR LARGE BOWEL PROCEDURES,231-3,APR-DRG,,,,inpatient ,,, -   ,,"11,283.24","11,283.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,283.24",APRDRG Case Rate,,,"11,283.24",APRDRG Case Rate,,,"11,283.24",APRDRG Case Rate,,,"11,283.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231-4 - MAJOR LARGE BOWEL PROCEDURES,231-4,APR-DRG,,,,inpatient ,,, -   ,,"19,330.74","19,330.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,330.74",APRDRG Case Rate,,,"19,330.74",APRDRG Case Rate,,,"19,330.74",APRDRG Case Rate,,,"19,330.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-1 - GASTRIC FUNDOPLICATION,232-1,APR-DRG,,,,inpatient ,,, -   ,,"4,249.28","4,249.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,249.28",APRDRG Case Rate,,,"4,249.28",APRDRG Case Rate,,,"4,249.28",APRDRG Case Rate,,,"4,249.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-2 - GASTRIC FUNDOPLICATION,232-2,APR-DRG,,,,inpatient ,,, -   ,,"5,622.52","5,622.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,622.52",APRDRG Case Rate,,,"5,622.52",APRDRG Case Rate,,,"5,622.52",APRDRG Case Rate,,,"5,622.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-3 - GASTRIC FUNDOPLICATION,232-3,APR-DRG,,,,inpatient ,,, -   ,,"8,248.68","8,248.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,248.68",APRDRG Case Rate,,,"8,248.68",APRDRG Case Rate,,,"8,248.68",APRDRG Case Rate,,,"8,248.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232-4 - GASTRIC FUNDOPLICATION,232-4,APR-DRG,,,,inpatient ,,, -   ,,"13,788.44","13,788.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,788.44",APRDRG Case Rate,,,"13,788.44",APRDRG Case Rate,,,"13,788.44",APRDRG Case Rate,,,"13,788.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-1 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-1,APR-DRG,,,,inpatient ,,, -   ,,"6,049.07","6,049.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,049.07",APRDRG Case Rate,,,"6,049.07",APRDRG Case Rate,,,"6,049.07",APRDRG Case Rate,,,"6,049.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-2 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-2,APR-DRG,,,,inpatient ,,, -   ,,"7,567.47","7,567.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,567.47",APRDRG Case Rate,,,"7,567.47",APRDRG Case Rate,,,"7,567.47",APRDRG Case Rate,,,"7,567.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-3 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-3,APR-DRG,,,,inpatient ,,, -   ,,"10,695.30","10,695.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,695.30",APRDRG Case Rate,,,"10,695.30",APRDRG Case Rate,,,"10,695.30",APRDRG Case Rate,,,"10,695.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233-4 - APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,233-4,APR-DRG,,,,inpatient ,,, -   ,,"19,483.53","19,483.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,483.53",APRDRG Case Rate,,,"19,483.53",APRDRG Case Rate,,,"19,483.53",APRDRG Case Rate,,,"19,483.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-1 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-1,APR-DRG,,,,inpatient ,,, -   ,,"4,596.25","4,596.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,596.25",APRDRG Case Rate,,,"4,596.25",APRDRG Case Rate,,,"4,596.25",APRDRG Case Rate,,,"4,596.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-2 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-2,APR-DRG,,,,inpatient ,,, -   ,,"5,926.52","5,926.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,926.52",APRDRG Case Rate,,,"5,926.52",APRDRG Case Rate,,,"5,926.52",APRDRG Case Rate,,,"5,926.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-3 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-3,APR-DRG,,,,inpatient ,,, -   ,,"8,070.74","8,070.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,070.74",APRDRG Case Rate,,,"8,070.74",APRDRG Case Rate,,,"8,070.74",APRDRG Case Rate,,,"8,070.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234-4 - APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,234-4,APR-DRG,,,,inpatient ,,, -   ,,"13,884.25","13,884.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,884.25",APRDRG Case Rate,,,"13,884.25",APRDRG Case Rate,,,"13,884.25",APRDRG Case Rate,,,"13,884.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-1 - DIGESTIVE MALIGNANCY,240-1,APR-DRG,,,,inpatient ,,, -   ,,"5,762.26","5,762.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,762.26",APRDRG Case Rate,,,"5,762.26",APRDRG Case Rate,,,"5,762.26",APRDRG Case Rate,,,"5,762.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-2 - DIGESTIVE MALIGNANCY,240-2,APR-DRG,,,,inpatient ,,, -   ,,"7,944.36","7,944.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,944.36",APRDRG Case Rate,,,"7,944.36",APRDRG Case Rate,,,"7,944.36",APRDRG Case Rate,,,"7,944.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-3 - DIGESTIVE MALIGNANCY,240-3,APR-DRG,,,,inpatient ,,, -   ,,"11,995.65","11,995.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,995.65",APRDRG Case Rate,,,"11,995.65",APRDRG Case Rate,,,"11,995.65",APRDRG Case Rate,,,"11,995.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240-4 - DIGESTIVE MALIGNANCY,240-4,APR-DRG,,,,inpatient ,,, -   ,,"20,699.84","20,699.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,699.84",APRDRG Case Rate,,,"20,699.84",APRDRG Case Rate,,,"20,699.84",APRDRG Case Rate,,,"20,699.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-1 - PEPTIC ULCER & GASTRITIS,241-1,APR-DRG,,,,inpatient ,,, -   ,,"6,763.71","6,763.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,763.71",APRDRG Case Rate,,,"6,763.71",APRDRG Case Rate,,,"6,763.71",APRDRG Case Rate,,,"6,763.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-2 - PEPTIC ULCER & GASTRITIS,241-2,APR-DRG,,,,inpatient ,,, -   ,,"9,274.31","9,274.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,274.31",APRDRG Case Rate,,,"9,274.31",APRDRG Case Rate,,,"9,274.31",APRDRG Case Rate,,,"9,274.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-3 - PEPTIC ULCER & GASTRITIS,241-3,APR-DRG,,,,inpatient ,,, -   ,,"13,734.32","13,734.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,734.32",APRDRG Case Rate,,,"13,734.32",APRDRG Case Rate,,,"13,734.32",APRDRG Case Rate,,,"13,734.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241-4 - PEPTIC ULCER & GASTRITIS,241-4,APR-DRG,,,,inpatient ,,, -   ,,"25,269.36","25,269.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,269.36",APRDRG Case Rate,,,"25,269.36",APRDRG Case Rate,,,"25,269.36",APRDRG Case Rate,,,"25,269.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-1 - MAJOR ESOPHAGEAL DISORDERS,242-1,APR-DRG,,,,inpatient ,,, -   ,,"7,725.99","7,725.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,725.99",APRDRG Case Rate,,,"7,725.99",APRDRG Case Rate,,,"7,725.99",APRDRG Case Rate,,,"7,725.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-2 - MAJOR ESOPHAGEAL DISORDERS,242-2,APR-DRG,,,,inpatient ,,, -   ,,"9,486.95","9,486.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,486.95",APRDRG Case Rate,,,"9,486.95",APRDRG Case Rate,,,"9,486.95",APRDRG Case Rate,,,"9,486.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-3 - MAJOR ESOPHAGEAL DISORDERS,242-3,APR-DRG,,,,inpatient ,,, -   ,,"13,560.52","13,560.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,560.52",APRDRG Case Rate,,,"13,560.52",APRDRG Case Rate,,,"13,560.52",APRDRG Case Rate,,,"13,560.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242-4 - MAJOR ESOPHAGEAL DISORDERS,242-4,APR-DRG,,,,inpatient ,,, -   ,,"22,233.84","22,233.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,233.84",APRDRG Case Rate,,,"22,233.84",APRDRG Case Rate,,,"22,233.84",APRDRG Case Rate,,,"22,233.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-1 - OTHER ESOPHAGEAL DISORDERS,243-1,APR-DRG,,,,inpatient ,,, -   ,,"5,858.72","5,858.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,858.72",APRDRG Case Rate,,,"5,858.72",APRDRG Case Rate,,,"5,858.72",APRDRG Case Rate,,,"5,858.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-2 - OTHER ESOPHAGEAL DISORDERS,243-2,APR-DRG,,,,inpatient ,,, -   ,,"7,156.52","7,156.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,156.52",APRDRG Case Rate,,,"7,156.52",APRDRG Case Rate,,,"7,156.52",APRDRG Case Rate,,,"7,156.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-3 - OTHER ESOPHAGEAL DISORDERS,243-3,APR-DRG,,,,inpatient ,,, -   ,,"9,459.57","9,459.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,459.57",APRDRG Case Rate,,,"9,459.57",APRDRG Case Rate,,,"9,459.57",APRDRG Case Rate,,,"9,459.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243-4 - OTHER ESOPHAGEAL DISORDERS,243-4,APR-DRG,,,,inpatient ,,, -   ,,"20,759.05","20,759.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,759.05",APRDRG Case Rate,,,"20,759.05",APRDRG Case Rate,,,"20,759.05",APRDRG Case Rate,,,"20,759.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-1 - DIVERTICULITIS & DIVERTICULOSIS,244-1,APR-DRG,,,,inpatient ,,, -   ,,"5,238.31","5,238.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,238.31",APRDRG Case Rate,,,"5,238.31",APRDRG Case Rate,,,"5,238.31",APRDRG Case Rate,,,"5,238.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-2 - DIVERTICULITIS & DIVERTICULOSIS,244-2,APR-DRG,,,,inpatient ,,, -   ,,"6,765.30","6,765.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,765.30",APRDRG Case Rate,,,"6,765.30",APRDRG Case Rate,,,"6,765.30",APRDRG Case Rate,,,"6,765.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-3 - DIVERTICULITIS & DIVERTICULOSIS,244-3,APR-DRG,,,,inpatient ,,, -   ,,"9,803.68","9,803.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,803.68",APRDRG Case Rate,,,"9,803.68",APRDRG Case Rate,,,"9,803.68",APRDRG Case Rate,,,"9,803.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244-4 - DIVERTICULITIS & DIVERTICULOSIS,244-4,APR-DRG,,,,inpatient ,,, -   ,,"14,665.73","14,665.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,665.73",APRDRG Case Rate,,,"14,665.73",APRDRG Case Rate,,,"14,665.73",APRDRG Case Rate,,,"14,665.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-1 - INFLAMMATORY BOWEL DISEASE,245-1,APR-DRG,,,,inpatient ,,, -   ,,"4,248.01","4,248.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,248.01",APRDRG Case Rate,,,"4,248.01",APRDRG Case Rate,,,"4,248.01",APRDRG Case Rate,,,"4,248.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-2 - INFLAMMATORY BOWEL DISEASE,245-2,APR-DRG,,,,inpatient ,,, -   ,,"5,486.92","5,486.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,486.92",APRDRG Case Rate,,,"5,486.92",APRDRG Case Rate,,,"5,486.92",APRDRG Case Rate,,,"5,486.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-3 - INFLAMMATORY BOWEL DISEASE,245-3,APR-DRG,,,,inpatient ,,, -   ,,"8,066.92","8,066.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,066.92",APRDRG Case Rate,,,"8,066.92",APRDRG Case Rate,,,"8,066.92",APRDRG Case Rate,,,"8,066.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245-4 - INFLAMMATORY BOWEL DISEASE,245-4,APR-DRG,,,,inpatient ,,, -   ,,"13,738.78","13,738.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,738.78",APRDRG Case Rate,,,"13,738.78",APRDRG Case Rate,,,"13,738.78",APRDRG Case Rate,,,"13,738.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-1 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-1,APR-DRG,,,,inpatient ,,, -   ,,"3,655.61","3,655.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,655.61",APRDRG Case Rate,,,"3,655.61",APRDRG Case Rate,,,"3,655.61",APRDRG Case Rate,,,"3,655.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-2 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-2,APR-DRG,,,,inpatient ,,, -   ,,"4,225.09","4,225.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,225.09",APRDRG Case Rate,,,"4,225.09",APRDRG Case Rate,,,"4,225.09",APRDRG Case Rate,,,"4,225.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-3 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-3,APR-DRG,,,,inpatient ,,, -   ,,"5,761.63","5,761.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,761.63",APRDRG Case Rate,,,"5,761.63",APRDRG Case Rate,,,"5,761.63",APRDRG Case Rate,,,"5,761.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246-4 - GASTROINTESTINAL VASCULAR INSUFFICIENCY,246-4,APR-DRG,,,,inpatient ,,, -   ,,"9,471.03","9,471.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,471.03",APRDRG Case Rate,,,"9,471.03",APRDRG Case Rate,,,"9,471.03",APRDRG Case Rate,,,"9,471.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-1 - INTESTINAL OBSTRUCTION,247-1,APR-DRG,,,,inpatient ,,, -   ,,"3,090.59","3,090.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,090.59",APRDRG Case Rate,,,"3,090.59",APRDRG Case Rate,,,"3,090.59",APRDRG Case Rate,,,"3,090.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-2 - INTESTINAL OBSTRUCTION,247-2,APR-DRG,,,,inpatient ,,, -   ,,"3,847.24","3,847.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,847.24",APRDRG Case Rate,,,"3,847.24",APRDRG Case Rate,,,"3,847.24",APRDRG Case Rate,,,"3,847.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-3 - INTESTINAL OBSTRUCTION,247-3,APR-DRG,,,,inpatient ,,, -   ,,"5,607.88","5,607.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,607.88",APRDRG Case Rate,,,"5,607.88",APRDRG Case Rate,,,"5,607.88",APRDRG Case Rate,,,"5,607.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247-4 - INTESTINAL OBSTRUCTION,247-4,APR-DRG,,,,inpatient ,,, -   ,,"10,922.58","10,922.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,922.58",APRDRG Case Rate,,,"10,922.58",APRDRG Case Rate,,,"10,922.58",APRDRG Case Rate,,,"10,922.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-1 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-1,APR-DRG,,,,inpatient ,,, -   ,,"2,819.38","2,819.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,819.38",APRDRG Case Rate,,,"2,819.38",APRDRG Case Rate,,,"2,819.38",APRDRG Case Rate,,,"2,819.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-2 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-2,APR-DRG,,,,inpatient ,,, -   ,,"3,647.02","3,647.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,647.02",APRDRG Case Rate,,,"3,647.02",APRDRG Case Rate,,,"3,647.02",APRDRG Case Rate,,,"3,647.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-3 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-3,APR-DRG,,,,inpatient ,,, -   ,,"5,230.35","5,230.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,230.35",APRDRG Case Rate,,,"5,230.35",APRDRG Case Rate,,,"5,230.35",APRDRG Case Rate,,,"5,230.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248-4 - MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,248-4,APR-DRG,,,,inpatient ,,, -   ,,"10,733.50","10,733.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,733.50",APRDRG Case Rate,,,"10,733.50",APRDRG Case Rate,,,"10,733.50",APRDRG Case Rate,,,"10,733.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-1 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-1,APR-DRG,,,,inpatient ,,, -   ,,"2,655.44","2,655.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,655.44",APRDRG Case Rate,,,"2,655.44",APRDRG Case Rate,,,"2,655.44",APRDRG Case Rate,,,"2,655.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-2 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-2,APR-DRG,,,,inpatient ,,, -   ,,"3,414.64","3,414.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,414.64",APRDRG Case Rate,,,"3,414.64",APRDRG Case Rate,,,"3,414.64",APRDRG Case Rate,,,"3,414.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-3 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-3,APR-DRG,,,,inpatient ,,, -   ,,"4,977.60","4,977.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,977.60",APRDRG Case Rate,,,"4,977.60",APRDRG Case Rate,,,"4,977.60",APRDRG Case Rate,,,"4,977.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"249-4 - OTHER GASTROENTERITIS, NAUSEA & VOMITING",249-4,APR-DRG,,,,inpatient ,,, -   ,,"8,965.86","8,965.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,965.86",APRDRG Case Rate,,,"8,965.86",APRDRG Case Rate,,,"8,965.86",APRDRG Case Rate,,,"8,965.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-1 - ABDOMINAL PAIN,251-1,APR-DRG,,,,inpatient ,,, -   ,,"2,669.77","2,669.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,669.77",APRDRG Case Rate,,,"2,669.77",APRDRG Case Rate,,,"2,669.77",APRDRG Case Rate,,,"2,669.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-2 - ABDOMINAL PAIN,251-2,APR-DRG,,,,inpatient ,,, -   ,,"3,487.85","3,487.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,487.85",APRDRG Case Rate,,,"3,487.85",APRDRG Case Rate,,,"3,487.85",APRDRG Case Rate,,,"3,487.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-3 - ABDOMINAL PAIN,251-3,APR-DRG,,,,inpatient ,,, -   ,,"5,273.64","5,273.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,273.64",APRDRG Case Rate,,,"5,273.64",APRDRG Case Rate,,,"5,273.64",APRDRG Case Rate,,,"5,273.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251-4 - ABDOMINAL PAIN,251-4,APR-DRG,,,,inpatient ,,, -   ,,"9,027.61","9,027.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,027.61",APRDRG Case Rate,,,"9,027.61",APRDRG Case Rate,,,"9,027.61",APRDRG Case Rate,,,"9,027.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-1 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-1,APR-DRG,,,,inpatient ,,, -   ,,"2,858.53","2,858.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,858.53",APRDRG Case Rate,,,"2,858.53",APRDRG Case Rate,,,"2,858.53",APRDRG Case Rate,,,"2,858.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-2 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-2,APR-DRG,,,,inpatient ,,, -   ,,"3,645.42","3,645.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,645.42",APRDRG Case Rate,,,"3,645.42",APRDRG Case Rate,,,"3,645.42",APRDRG Case Rate,,,"3,645.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-3 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-3,APR-DRG,,,,inpatient ,,, -   ,,"5,229.71","5,229.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,229.71",APRDRG Case Rate,,,"5,229.71",APRDRG Case Rate,,,"5,229.71",APRDRG Case Rate,,,"5,229.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"252-4 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",252-4,APR-DRG,,,,inpatient ,,, -   ,,"9,138.07","9,138.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,138.07",APRDRG Case Rate,,,"9,138.07",APRDRG Case Rate,,,"9,138.07",APRDRG Case Rate,,,"9,138.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-1 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-1,APR-DRG,,,,inpatient ,,, -   ,,"3,028.20","3,028.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,028.20",APRDRG Case Rate,,,"3,028.20",APRDRG Case Rate,,,"3,028.20",APRDRG Case Rate,,,"3,028.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-2 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-2,APR-DRG,,,,inpatient ,,, -   ,,"3,832.28","3,832.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,832.28",APRDRG Case Rate,,,"3,832.28",APRDRG Case Rate,,,"3,832.28",APRDRG Case Rate,,,"3,832.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-3 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-3,APR-DRG,,,,inpatient ,,, -   ,,"5,417.20","5,417.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,417.20",APRDRG Case Rate,,,"5,417.20",APRDRG Case Rate,,,"5,417.20",APRDRG Case Rate,,,"5,417.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253-4 - OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,253-4,APR-DRG,,,,inpatient ,,, -   ,,"7,830.72","7,830.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,830.72",APRDRG Case Rate,,,"7,830.72",APRDRG Case Rate,,,"7,830.72",APRDRG Case Rate,,,"7,830.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-1 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-1,APR-DRG,,,,inpatient ,,, -   ,,"2,424.66","2,424.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,424.66",APRDRG Case Rate,,,"2,424.66",APRDRG Case Rate,,,"2,424.66",APRDRG Case Rate,,,"2,424.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-2 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-2,APR-DRG,,,,inpatient ,,, -   ,,"3,141.20","3,141.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,141.20",APRDRG Case Rate,,,"3,141.20",APRDRG Case Rate,,,"3,141.20",APRDRG Case Rate,,,"3,141.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-3 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-3,APR-DRG,,,,inpatient ,,, -   ,,"4,695.89","4,695.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,695.89",APRDRG Case Rate,,,"4,695.89",APRDRG Case Rate,,,"4,695.89",APRDRG Case Rate,,,"4,695.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254-4 - OTHER DIGESTIVE SYSTEM DIAGNOSES,254-4,APR-DRG,,,,inpatient ,,, -   ,,"8,662.81","8,662.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,662.81",APRDRG Case Rate,,,"8,662.81",APRDRG Case Rate,,,"8,662.81",APRDRG Case Rate,,,"8,662.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-1 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-1,APR-DRG,,,,inpatient ,,, -   ,,"2,670.72","2,670.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,670.72",APRDRG Case Rate,,,"2,670.72",APRDRG Case Rate,,,"2,670.72",APRDRG Case Rate,,,"2,670.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-2 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-2,APR-DRG,,,,inpatient ,,, -   ,,"3,516.18","3,516.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,516.18",APRDRG Case Rate,,,"3,516.18",APRDRG Case Rate,,,"3,516.18",APRDRG Case Rate,,,"3,516.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-3 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-3,APR-DRG,,,,inpatient ,,, -   ,,"5,165.41","5,165.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,165.41",APRDRG Case Rate,,,"5,165.41",APRDRG Case Rate,,,"5,165.41",APRDRG Case Rate,,,"5,165.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"260-4 - MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",260-4,APR-DRG,,,,inpatient ,,, -   ,,"9,388.91","9,388.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,388.91",APRDRG Case Rate,,,"9,388.91",APRDRG Case Rate,,,"9,388.91",APRDRG Case Rate,,,"9,388.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-1 - MAJOR BILIARY TRACT PROCEDURES,261-1,APR-DRG,,,,inpatient ,,, -   ,,"2,265.50","2,265.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,265.50",APRDRG Case Rate,,,"2,265.50",APRDRG Case Rate,,,"2,265.50",APRDRG Case Rate,,,"2,265.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-2 - MAJOR BILIARY TRACT PROCEDURES,261-2,APR-DRG,,,,inpatient ,,, -   ,,"2,831.79","2,831.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,831.79",APRDRG Case Rate,,,"2,831.79",APRDRG Case Rate,,,"2,831.79",APRDRG Case Rate,,,"2,831.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-3 - MAJOR BILIARY TRACT PROCEDURES,261-3,APR-DRG,,,,inpatient ,,, -   ,,"4,095.85","4,095.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,095.85",APRDRG Case Rate,,,"4,095.85",APRDRG Case Rate,,,"4,095.85",APRDRG Case Rate,,,"4,095.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261-4 - MAJOR BILIARY TRACT PROCEDURES,261-4,APR-DRG,,,,inpatient ,,, -   ,,"7,538.82","7,538.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,538.82",APRDRG Case Rate,,,"7,538.82",APRDRG Case Rate,,,"7,538.82",APRDRG Case Rate,,,"7,538.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-1 - CHOLECYSTECTOMY,263-1,APR-DRG,,,,inpatient ,,, -   ,,"2,384.23","2,384.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,384.23",APRDRG Case Rate,,,"2,384.23",APRDRG Case Rate,,,"2,384.23",APRDRG Case Rate,,,"2,384.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-2 - CHOLECYSTECTOMY,263-2,APR-DRG,,,,inpatient ,,, -   ,,"3,079.13","3,079.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,079.13",APRDRG Case Rate,,,"3,079.13",APRDRG Case Rate,,,"3,079.13",APRDRG Case Rate,,,"3,079.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-3 - CHOLECYSTECTOMY,263-3,APR-DRG,,,,inpatient ,,, -   ,,"4,064.34","4,064.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,064.34",APRDRG Case Rate,,,"4,064.34",APRDRG Case Rate,,,"4,064.34",APRDRG Case Rate,,,"4,064.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263-4 - CHOLECYSTECTOMY,263-4,APR-DRG,,,,inpatient ,,, -   ,,"6,869.07","6,869.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,869.07",APRDRG Case Rate,,,"6,869.07",APRDRG Case Rate,,,"6,869.07",APRDRG Case Rate,,,"6,869.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-1 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-1,APR-DRG,,,,inpatient ,,, -   ,,"2,901.19","2,901.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,901.19",APRDRG Case Rate,,,"2,901.19",APRDRG Case Rate,,,"2,901.19",APRDRG Case Rate,,,"2,901.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-2 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-2,APR-DRG,,,,inpatient ,,, -   ,,"3,590.99","3,590.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,590.99",APRDRG Case Rate,,,"3,590.99",APRDRG Case Rate,,,"3,590.99",APRDRG Case Rate,,,"3,590.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-3 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-3,APR-DRG,,,,inpatient ,,, -   ,,"5,104.61","5,104.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,104.61",APRDRG Case Rate,,,"5,104.61",APRDRG Case Rate,,,"5,104.61",APRDRG Case Rate,,,"5,104.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"264-4 - OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",264-4,APR-DRG,,,,inpatient ,,, -   ,,"9,713.60","9,713.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,713.60",APRDRG Case Rate,,,"9,713.60",APRDRG Case Rate,,,"9,713.60",APRDRG Case Rate,,,"9,713.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-1 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-1,APR-DRG,,,,inpatient ,,, -   ,,"2,915.19","2,915.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,915.19",APRDRG Case Rate,,,"2,915.19",APRDRG Case Rate,,,"2,915.19",APRDRG Case Rate,,,"2,915.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-2 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-2,APR-DRG,,,,inpatient ,,, -   ,,"3,767.02","3,767.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,767.02",APRDRG Case Rate,,,"3,767.02",APRDRG Case Rate,,,"3,767.02",APRDRG Case Rate,,,"3,767.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-3 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-3,APR-DRG,,,,inpatient ,,, -   ,,"5,304.84","5,304.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,304.84",APRDRG Case Rate,,,"5,304.84",APRDRG Case Rate,,,"5,304.84",APRDRG Case Rate,,,"5,304.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
279-4 - HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,279-4,APR-DRG,,,,inpatient ,,, -   ,,"9,137.75","9,137.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,137.75",APRDRG Case Rate,,,"9,137.75",APRDRG Case Rate,,,"9,137.75",APRDRG Case Rate,,,"9,137.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-1 - ALCOHOLIC LIVER DISEASE,280-1,APR-DRG,,,,inpatient ,,, -   ,,"2,497.24","2,497.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,497.24",APRDRG Case Rate,,,"2,497.24",APRDRG Case Rate,,,"2,497.24",APRDRG Case Rate,,,"2,497.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-2 - ALCOHOLIC LIVER DISEASE,280-2,APR-DRG,,,,inpatient ,,, -   ,,"3,486.26","3,486.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,486.26",APRDRG Case Rate,,,"3,486.26",APRDRG Case Rate,,,"3,486.26",APRDRG Case Rate,,,"3,486.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-3 - ALCOHOLIC LIVER DISEASE,280-3,APR-DRG,,,,inpatient ,,, -   ,,"5,012.93","5,012.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,012.93",APRDRG Case Rate,,,"5,012.93",APRDRG Case Rate,,,"5,012.93",APRDRG Case Rate,,,"5,012.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280-4 - ALCOHOLIC LIVER DISEASE,280-4,APR-DRG,,,,inpatient ,,, -   ,,"8,808.92","8,808.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,808.92",APRDRG Case Rate,,,"8,808.92",APRDRG Case Rate,,,"8,808.92",APRDRG Case Rate,,,"8,808.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-1 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-1,APR-DRG,,,,inpatient ,,, -   ,,"8,958.54","8,958.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,958.54",APRDRG Case Rate,,,"8,958.54",APRDRG Case Rate,,,"8,958.54",APRDRG Case Rate,,,"8,958.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-2 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-2,APR-DRG,,,,inpatient ,,, -   ,,"11,356.46","11,356.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,356.46",APRDRG Case Rate,,,"11,356.46",APRDRG Case Rate,,,"11,356.46",APRDRG Case Rate,,,"11,356.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-3 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-3,APR-DRG,,,,inpatient ,,, -   ,,"15,564.67","15,564.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,564.67",APRDRG Case Rate,,,"15,564.67",APRDRG Case Rate,,,"15,564.67",APRDRG Case Rate,,,"15,564.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281-4 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,281-4,APR-DRG,,,,inpatient ,,, -   ,,"29,386.85","29,386.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,386.85",APRDRG Case Rate,,,"29,386.85",APRDRG Case Rate,,,"29,386.85",APRDRG Case Rate,,,"29,386.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-1 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-1,APR-DRG,,,,inpatient ,,, -   ,,"7,478.98","7,478.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,478.98",APRDRG Case Rate,,,"7,478.98",APRDRG Case Rate,,,"7,478.98",APRDRG Case Rate,,,"7,478.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-2 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-2,APR-DRG,,,,inpatient ,,, -   ,,"9,787.76","9,787.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,787.76",APRDRG Case Rate,,,"9,787.76",APRDRG Case Rate,,,"9,787.76",APRDRG Case Rate,,,"9,787.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-3 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-3,APR-DRG,,,,inpatient ,,, -   ,,"13,561.15","13,561.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,561.15",APRDRG Case Rate,,,"13,561.15",APRDRG Case Rate,,,"13,561.15",APRDRG Case Rate,,,"13,561.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282-4 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY,282-4,APR-DRG,,,,inpatient ,,, -   ,,"25,830.24","25,830.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,830.24",APRDRG Case Rate,,,"25,830.24",APRDRG Case Rate,,,"25,830.24",APRDRG Case Rate,,,"25,830.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-1 - OTHER DISORDERS OF THE LIVER,283-1,APR-DRG,,,,inpatient ,,, -   ,,"5,486.28","5,486.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,486.28",APRDRG Case Rate,,,"5,486.28",APRDRG Case Rate,,,"5,486.28",APRDRG Case Rate,,,"5,486.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-2 - OTHER DISORDERS OF THE LIVER,283-2,APR-DRG,,,,inpatient ,,, -   ,,"6,954.38","6,954.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,954.38",APRDRG Case Rate,,,"6,954.38",APRDRG Case Rate,,,"6,954.38",APRDRG Case Rate,,,"6,954.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-3 - OTHER DISORDERS OF THE LIVER,283-3,APR-DRG,,,,inpatient ,,, -   ,,"8,822.61","8,822.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,822.61",APRDRG Case Rate,,,"8,822.61",APRDRG Case Rate,,,"8,822.61",APRDRG Case Rate,,,"8,822.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283-4 - OTHER DISORDERS OF THE LIVER,283-4,APR-DRG,,,,inpatient ,,, -   ,,"16,281.53","16,281.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,281.53",APRDRG Case Rate,,,"16,281.53",APRDRG Case Rate,,,"16,281.53",APRDRG Case Rate,,,"16,281.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-1 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-1,APR-DRG,,,,inpatient ,,, -   ,,"6,788.85","6,788.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,788.85",APRDRG Case Rate,,,"6,788.85",APRDRG Case Rate,,,"6,788.85",APRDRG Case Rate,,,"6,788.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-2 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-2,APR-DRG,,,,inpatient ,,, -   ,,"7,427.73","7,427.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,427.73",APRDRG Case Rate,,,"7,427.73",APRDRG Case Rate,,,"7,427.73",APRDRG Case Rate,,,"7,427.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-3 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-3,APR-DRG,,,,inpatient ,,, -   ,,"10,795.25","10,795.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,795.25",APRDRG Case Rate,,,"10,795.25",APRDRG Case Rate,,,"10,795.25",APRDRG Case Rate,,,"10,795.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284-4 - DISORDERS OF GALLBLADDER & BILIARY TRACT,284-4,APR-DRG,,,,inpatient ,,, -   ,,"22,943.69","22,943.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,943.69",APRDRG Case Rate,,,"22,943.69",APRDRG Case Rate,,,"22,943.69",APRDRG Case Rate,,,"22,943.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-1 - HIP JOINT REPLACEMENT,301-1,APR-DRG,,,,inpatient ,,, -   ,,"2,550.71","2,550.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,550.71",APRDRG Case Rate,,,"2,550.71",APRDRG Case Rate,,,"2,550.71",APRDRG Case Rate,,,"2,550.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-2 - HIP JOINT REPLACEMENT,301-2,APR-DRG,,,,inpatient ,,, -   ,,"3,131.02","3,131.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,131.02",APRDRG Case Rate,,,"3,131.02",APRDRG Case Rate,,,"3,131.02",APRDRG Case Rate,,,"3,131.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-3 - HIP JOINT REPLACEMENT,301-3,APR-DRG,,,,inpatient ,,, -   ,,"4,791.06","4,791.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,791.06",APRDRG Case Rate,,,"4,791.06",APRDRG Case Rate,,,"4,791.06",APRDRG Case Rate,,,"4,791.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301-4 - HIP JOINT REPLACEMENT,301-4,APR-DRG,,,,inpatient ,,, -   ,,"10,002.63","10,002.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,002.63",APRDRG Case Rate,,,"10,002.63",APRDRG Case Rate,,,"10,002.63",APRDRG Case Rate,,,"10,002.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-1 - KNEE JOINT REPLACEMENT,302-1,APR-DRG,,,,inpatient ,,, -   ,,"2,625.52","2,625.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,625.52",APRDRG Case Rate,,,"2,625.52",APRDRG Case Rate,,,"2,625.52",APRDRG Case Rate,,,"2,625.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-2 - KNEE JOINT REPLACEMENT,302-2,APR-DRG,,,,inpatient ,,, -   ,,"3,387.90","3,387.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,387.90",APRDRG Case Rate,,,"3,387.90",APRDRG Case Rate,,,"3,387.90",APRDRG Case Rate,,,"3,387.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-3 - KNEE JOINT REPLACEMENT,302-3,APR-DRG,,,,inpatient ,,, -   ,,"5,159.04","5,159.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,159.04",APRDRG Case Rate,,,"5,159.04",APRDRG Case Rate,,,"5,159.04",APRDRG Case Rate,,,"5,159.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302-4 - KNEE JOINT REPLACEMENT,302-4,APR-DRG,,,,inpatient ,,, -   ,,"10,850.64","10,850.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,850.64",APRDRG Case Rate,,,"10,850.64",APRDRG Case Rate,,,"10,850.64",APRDRG Case Rate,,,"10,850.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-1 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-1,APR-DRG,,,,inpatient ,,, -   ,,"3,187.99","3,187.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,187.99",APRDRG Case Rate,,,"3,187.99",APRDRG Case Rate,,,"3,187.99",APRDRG Case Rate,,,"3,187.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-2 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-2,APR-DRG,,,,inpatient ,,, -   ,,"4,227.63","4,227.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,227.63",APRDRG Case Rate,,,"4,227.63",APRDRG Case Rate,,,"4,227.63",APRDRG Case Rate,,,"4,227.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-3 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-3,APR-DRG,,,,inpatient ,,, -   ,,"5,501.56","5,501.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,501.56",APRDRG Case Rate,,,"5,501.56",APRDRG Case Rate,,,"5,501.56",APRDRG Case Rate,,,"5,501.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303-4 - DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,303-4,APR-DRG,,,,inpatient ,,, -   ,,"8,088.56","8,088.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,088.56",APRDRG Case Rate,,,"8,088.56",APRDRG Case Rate,,,"8,088.56",APRDRG Case Rate,,,"8,088.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-1 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-1,APR-DRG,,,,inpatient ,,, -   ,,"2,691.73","2,691.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,691.73",APRDRG Case Rate,,,"2,691.73",APRDRG Case Rate,,,"2,691.73",APRDRG Case Rate,,,"2,691.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-2 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-2,APR-DRG,,,,inpatient ,,, -   ,,"3,504.73","3,504.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,504.73",APRDRG Case Rate,,,"3,504.73",APRDRG Case Rate,,,"3,504.73",APRDRG Case Rate,,,"3,504.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-3 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-3,APR-DRG,,,,inpatient ,,, -   ,,"5,335.08","5,335.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,335.08",APRDRG Case Rate,,,"5,335.08",APRDRG Case Rate,,,"5,335.08",APRDRG Case Rate,,,"5,335.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304-4 - DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,304-4,APR-DRG,,,,inpatient ,,, -   ,,"11,814.20","11,814.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,814.20",APRDRG Case Rate,,,"11,814.20",APRDRG Case Rate,,,"11,814.20",APRDRG Case Rate,,,"11,814.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-1 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-1,APR-DRG,,,,inpatient ,,, -   ,,"2,544.03","2,544.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,544.03",APRDRG Case Rate,,,"2,544.03",APRDRG Case Rate,,,"2,544.03",APRDRG Case Rate,,,"2,544.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-2 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-2,APR-DRG,,,,inpatient ,,, -   ,,"3,255.48","3,255.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,255.48",APRDRG Case Rate,,,"3,255.48",APRDRG Case Rate,,,"3,255.48",APRDRG Case Rate,,,"3,255.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-3 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-3,APR-DRG,,,,inpatient ,,, -   ,,"4,737.27","4,737.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,737.27",APRDRG Case Rate,,,"4,737.27",APRDRG Case Rate,,,"4,737.27",APRDRG Case Rate,,,"4,737.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305-4 - AMPUTATION OF LOWER LIMB EXCEPT TOES,305-4,APR-DRG,,,,inpatient ,,, -   ,,"8,882.14","8,882.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,882.14",APRDRG Case Rate,,,"8,882.14",APRDRG Case Rate,,,"8,882.14",APRDRG Case Rate,,,"8,882.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-1 - HIP & FEMUR FRACTURE REPAIR,308-1,APR-DRG,,,,inpatient ,,, -   ,,"3,257.71","3,257.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,257.71",APRDRG Case Rate,,,"3,257.71",APRDRG Case Rate,,,"3,257.71",APRDRG Case Rate,,,"3,257.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-2 - HIP & FEMUR FRACTURE REPAIR,308-2,APR-DRG,,,,inpatient ,,, -   ,,"4,302.44","4,302.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,302.44",APRDRG Case Rate,,,"4,302.44",APRDRG Case Rate,,,"4,302.44",APRDRG Case Rate,,,"4,302.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-3 - HIP & FEMUR FRACTURE REPAIR,308-3,APR-DRG,,,,inpatient ,,, -   ,,"5,958.99","5,958.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,958.99",APRDRG Case Rate,,,"5,958.99",APRDRG Case Rate,,,"5,958.99",APRDRG Case Rate,,,"5,958.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308-4 - HIP & FEMUR FRACTURE REPAIR,308-4,APR-DRG,,,,inpatient ,,, -   ,,"10,342.28","10,342.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,342.28",APRDRG Case Rate,,,"10,342.28",APRDRG Case Rate,,,"10,342.28",APRDRG Case Rate,,,"10,342.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-1 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-1,APR-DRG,,,,inpatient ,,, -   ,,"21,273.14","21,273.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,273.14",APRDRG Case Rate,,,"21,273.14",APRDRG Case Rate,,,"21,273.14",APRDRG Case Rate,,,"21,273.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-2 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-2,APR-DRG,,,,inpatient ,,, -   ,,"25,551.07","25,551.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,551.07",APRDRG Case Rate,,,"25,551.07",APRDRG Case Rate,,,"25,551.07",APRDRG Case Rate,,,"25,551.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-3 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-3,APR-DRG,,,,inpatient ,,, -   ,,"35,167.90","35,167.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,167.90",APRDRG Case Rate,,,"35,167.90",APRDRG Case Rate,,,"35,167.90",APRDRG Case Rate,,,"35,167.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309-4 - OTHER SIGNIFICANT HIP & FEMUR SURGERY,309-4,APR-DRG,,,,inpatient ,,, -   ,,"46,446.68","46,446.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,446.68",APRDRG Case Rate,,,"46,446.68",APRDRG Case Rate,,,"46,446.68",APRDRG Case Rate,,,"46,446.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-1 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-1,APR-DRG,,,,inpatient ,,, -   ,,"14,377.97","14,377.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,377.97",APRDRG Case Rate,,,"14,377.97",APRDRG Case Rate,,,"14,377.97",APRDRG Case Rate,,,"14,377.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-2 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-2,APR-DRG,,,,inpatient ,,, -   ,,"17,080.52","17,080.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,080.52",APRDRG Case Rate,,,"17,080.52",APRDRG Case Rate,,,"17,080.52",APRDRG Case Rate,,,"17,080.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-3 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-3,APR-DRG,,,,inpatient ,,, -   ,,"24,092.52","24,092.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,092.52",APRDRG Case Rate,,,"24,092.52",APRDRG Case Rate,,,"24,092.52",APRDRG Case Rate,,,"24,092.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310-4 - INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,310-4,APR-DRG,,,,inpatient ,,, -   ,,"35,650.15","35,650.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,650.15",APRDRG Case Rate,,,"35,650.15",APRDRG Case Rate,,,"35,650.15",APRDRG Case Rate,,,"35,650.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-1 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-1,APR-DRG,,,,inpatient ,,, -   ,,"5,368.50","5,368.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,368.50",APRDRG Case Rate,,,"5,368.50",APRDRG Case Rate,,,"5,368.50",APRDRG Case Rate,,,"5,368.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-2 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-2,APR-DRG,,,,inpatient ,,, -   ,,"7,158.74","7,158.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,158.74",APRDRG Case Rate,,,"7,158.74",APRDRG Case Rate,,,"7,158.74",APRDRG Case Rate,,,"7,158.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-3 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-3,APR-DRG,,,,inpatient ,,, -   ,,"10,842.37","10,842.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,842.37",APRDRG Case Rate,,,"10,842.37",APRDRG Case Rate,,,"10,842.37",APRDRG Case Rate,,,"10,842.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"312-4 - SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",312-4,APR-DRG,,,,inpatient ,,, -   ,,"20,127.50","20,127.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,127.50",APRDRG Case Rate,,,"20,127.50",APRDRG Case Rate,,,"20,127.50",APRDRG Case Rate,,,"20,127.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-1 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-1,APR-DRG,,,,inpatient ,,, -   ,,"7,189.62","7,189.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,189.62",APRDRG Case Rate,,,"7,189.62",APRDRG Case Rate,,,"7,189.62",APRDRG Case Rate,,,"7,189.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-2 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-2,APR-DRG,,,,inpatient ,,, -   ,,"8,480.42","8,480.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,480.42",APRDRG Case Rate,,,"8,480.42",APRDRG Case Rate,,,"8,480.42",APRDRG Case Rate,,,"8,480.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-3 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-3,APR-DRG,,,,inpatient ,,, -   ,,"10,887.89","10,887.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,887.89",APRDRG Case Rate,,,"10,887.89",APRDRG Case Rate,,,"10,887.89",APRDRG Case Rate,,,"10,887.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313-4 - KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,313-4,APR-DRG,,,,inpatient ,,, -   ,,"15,737.20","15,737.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,737.20",APRDRG Case Rate,,,"15,737.20",APRDRG Case Rate,,,"15,737.20",APRDRG Case Rate,,,"15,737.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-1 - FOOT & TOE PROCEDURES,314-1,APR-DRG,,,,inpatient ,,, -   ,,"6,974.44","6,974.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,974.44",APRDRG Case Rate,,,"6,974.44",APRDRG Case Rate,,,"6,974.44",APRDRG Case Rate,,,"6,974.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-2 - FOOT & TOE PROCEDURES,314-2,APR-DRG,,,,inpatient ,,, -   ,,"9,275.90","9,275.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,275.90",APRDRG Case Rate,,,"9,275.90",APRDRG Case Rate,,,"9,275.90",APRDRG Case Rate,,,"9,275.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-3 - FOOT & TOE PROCEDURES,314-3,APR-DRG,,,,inpatient ,,, -   ,,"13,192.22","13,192.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,192.22",APRDRG Case Rate,,,"13,192.22",APRDRG Case Rate,,,"13,192.22",APRDRG Case Rate,,,"13,192.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314-4 - FOOT & TOE PROCEDURES,314-4,APR-DRG,,,,inpatient ,,, -   ,,"21,101.88","21,101.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,101.88",APRDRG Case Rate,,,"21,101.88",APRDRG Case Rate,,,"21,101.88",APRDRG Case Rate,,,"21,101.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-1 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-1,APR-DRG,,,,inpatient ,,, -   ,,"5,677.59","5,677.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,677.59",APRDRG Case Rate,,,"5,677.59",APRDRG Case Rate,,,"5,677.59",APRDRG Case Rate,,,"5,677.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-2 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-2,APR-DRG,,,,inpatient ,,, -   ,,"7,654.37","7,654.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,654.37",APRDRG Case Rate,,,"7,654.37",APRDRG Case Rate,,,"7,654.37",APRDRG Case Rate,,,"7,654.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-3 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-3,APR-DRG,,,,inpatient ,,, -   ,,"10,711.85","10,711.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,711.85",APRDRG Case Rate,,,"10,711.85",APRDRG Case Rate,,,"10,711.85",APRDRG Case Rate,,,"10,711.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"315-4 - SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",315-4,APR-DRG,,,,inpatient ,,, -   ,,"18,425.11","18,425.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,425.11",APRDRG Case Rate,,,"18,425.11",APRDRG Case Rate,,,"18,425.11",APRDRG Case Rate,,,"18,425.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-1 - HAND & WRIST PROCEDURES,316-1,APR-DRG,,,,inpatient ,,, -   ,,"5,770.54","5,770.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,770.54",APRDRG Case Rate,,,"5,770.54",APRDRG Case Rate,,,"5,770.54",APRDRG Case Rate,,,"5,770.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-2 - HAND & WRIST PROCEDURES,316-2,APR-DRG,,,,inpatient ,,, -   ,,"9,244.39","9,244.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,244.39",APRDRG Case Rate,,,"9,244.39",APRDRG Case Rate,,,"9,244.39",APRDRG Case Rate,,,"9,244.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-3 - HAND & WRIST PROCEDURES,316-3,APR-DRG,,,,inpatient ,,, -   ,,"15,614.65","15,614.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,614.65",APRDRG Case Rate,,,"15,614.65",APRDRG Case Rate,,,"15,614.65",APRDRG Case Rate,,,"15,614.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316-4 - HAND & WRIST PROCEDURES,316-4,APR-DRG,,,,inpatient ,,, -   ,,"31,666.67","31,666.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,666.67",APRDRG Case Rate,,,"31,666.67",APRDRG Case Rate,,,"31,666.67",APRDRG Case Rate,,,"31,666.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-1 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-1,APR-DRG,,,,inpatient ,,, -   ,,"6,701.00","6,701.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,701.00",APRDRG Case Rate,,,"6,701.00",APRDRG Case Rate,,,"6,701.00",APRDRG Case Rate,,,"6,701.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-2 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-2,APR-DRG,,,,inpatient ,,, -   ,,"8,821.98","8,821.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,821.98",APRDRG Case Rate,,,"8,821.98",APRDRG Case Rate,,,"8,821.98",APRDRG Case Rate,,,"8,821.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-3 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-3,APR-DRG,,,,inpatient ,,, -   ,,"12,871.03","12,871.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,871.03",APRDRG Case Rate,,,"12,871.03",APRDRG Case Rate,,,"12,871.03",APRDRG Case Rate,,,"12,871.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"317-4 - TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",317-4,APR-DRG,,,,inpatient ,,, -   ,,"20,041.87","20,041.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,041.87",APRDRG Case Rate,,,"20,041.87",APRDRG Case Rate,,,"20,041.87",APRDRG Case Rate,,,"20,041.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-1 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-1,APR-DRG,,,,inpatient ,,, -   ,,"5,679.50","5,679.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,679.50",APRDRG Case Rate,,,"5,679.50",APRDRG Case Rate,,,"5,679.50",APRDRG Case Rate,,,"5,679.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-2 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-2,APR-DRG,,,,inpatient ,,, -   ,,"6,045.89","6,045.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,045.89",APRDRG Case Rate,,,"6,045.89",APRDRG Case Rate,,,"6,045.89",APRDRG Case Rate,,,"6,045.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-3 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-3,APR-DRG,,,,inpatient ,,, -   ,,"8,019.17","8,019.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,019.17",APRDRG Case Rate,,,"8,019.17",APRDRG Case Rate,,,"8,019.17",APRDRG Case Rate,,,"8,019.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320-4 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,320-4,APR-DRG,,,,inpatient ,,, -   ,,"14,550.18","14,550.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,550.18",APRDRG Case Rate,,,"14,550.18",APRDRG Case Rate,,,"14,550.18",APRDRG Case Rate,,,"14,550.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-1 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-1,APR-DRG,,,,inpatient ,,, -   ,,"4,919.98","4,919.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,919.98",APRDRG Case Rate,,,"4,919.98",APRDRG Case Rate,,,"4,919.98",APRDRG Case Rate,,,"4,919.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-2 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-2,APR-DRG,,,,inpatient ,,, -   ,,"7,874.33","7,874.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,874.33",APRDRG Case Rate,,,"7,874.33",APRDRG Case Rate,,,"7,874.33",APRDRG Case Rate,,,"7,874.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-3 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-3,APR-DRG,,,,inpatient ,,, -   ,,"11,733.03","11,733.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,733.03",APRDRG Case Rate,,,"11,733.03",APRDRG Case Rate,,,"11,733.03",APRDRG Case Rate,,,"11,733.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321-4 - CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,321-4,APR-DRG,,,,inpatient ,,, -   ,,"19,077.99","19,077.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,077.99",APRDRG Case Rate,,,"19,077.99",APRDRG Case Rate,,,"19,077.99",APRDRG Case Rate,,,"19,077.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-1 - SHOULDER & ELBOW JOINT REPLACEMENT,322-1,APR-DRG,,,,inpatient ,,, -   ,,"4,146.46","4,146.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,146.46",APRDRG Case Rate,,,"4,146.46",APRDRG Case Rate,,,"4,146.46",APRDRG Case Rate,,,"4,146.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-2 - SHOULDER & ELBOW JOINT REPLACEMENT,322-2,APR-DRG,,,,inpatient ,,, -   ,,"5,598.97","5,598.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,598.97",APRDRG Case Rate,,,"5,598.97",APRDRG Case Rate,,,"5,598.97",APRDRG Case Rate,,,"5,598.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-3 - SHOULDER & ELBOW JOINT REPLACEMENT,322-3,APR-DRG,,,,inpatient ,,, -   ,,"8,640.21","8,640.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,640.21",APRDRG Case Rate,,,"8,640.21",APRDRG Case Rate,,,"8,640.21",APRDRG Case Rate,,,"8,640.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322-4 - SHOULDER & ELBOW JOINT REPLACEMENT,322-4,APR-DRG,,,,inpatient ,,, -   ,,"15,761.08","15,761.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,761.08",APRDRG Case Rate,,,"15,761.08",APRDRG Case Rate,,,"15,761.08",APRDRG Case Rate,,,"15,761.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-1 - FRACTURE OF FEMUR,340-1,APR-DRG,,,,inpatient ,,, -   ,,"4,869.05","4,869.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,869.05",APRDRG Case Rate,,,"4,869.05",APRDRG Case Rate,,,"4,869.05",APRDRG Case Rate,,,"4,869.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-2 - FRACTURE OF FEMUR,340-2,APR-DRG,,,,inpatient ,,, -   ,,"6,298.00","6,298.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,298.00",APRDRG Case Rate,,,"6,298.00",APRDRG Case Rate,,,"6,298.00",APRDRG Case Rate,,,"6,298.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-3 - FRACTURE OF FEMUR,340-3,APR-DRG,,,,inpatient ,,, -   ,,"9,670.62","9,670.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,670.62",APRDRG Case Rate,,,"9,670.62",APRDRG Case Rate,,,"9,670.62",APRDRG Case Rate,,,"9,670.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340-4 - FRACTURE OF FEMUR,340-4,APR-DRG,,,,inpatient ,,, -   ,,"17,661.78","17,661.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,661.78",APRDRG Case Rate,,,"17,661.78",APRDRG Case Rate,,,"17,661.78",APRDRG Case Rate,,,"17,661.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-1 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-1,APR-DRG,,,,inpatient ,,, -   ,,"5,408.29","5,408.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,408.29",APRDRG Case Rate,,,"5,408.29",APRDRG Case Rate,,,"5,408.29",APRDRG Case Rate,,,"5,408.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-2 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-2,APR-DRG,,,,inpatient ,,, -   ,,"7,493.30","7,493.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,493.30",APRDRG Case Rate,,,"7,493.30",APRDRG Case Rate,,,"7,493.30",APRDRG Case Rate,,,"7,493.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-3 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-3,APR-DRG,,,,inpatient ,,, -   ,,"10,915.58","10,915.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,915.58",APRDRG Case Rate,,,"10,915.58",APRDRG Case Rate,,,"10,915.58",APRDRG Case Rate,,,"10,915.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341-4 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,341-4,APR-DRG,,,,inpatient ,,, -   ,,"18,622.79","18,622.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,622.79",APRDRG Case Rate,,,"18,622.79",APRDRG Case Rate,,,"18,622.79",APRDRG Case Rate,,,"18,622.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-1 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-1,APR-DRG,,,,inpatient ,,, -   ,,"8,961.72","8,961.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,961.72",APRDRG Case Rate,,,"8,961.72",APRDRG Case Rate,,,"8,961.72",APRDRG Case Rate,,,"8,961.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-2 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-2,APR-DRG,,,,inpatient ,,, -   ,,"10,870.70","10,870.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,870.70",APRDRG Case Rate,,,"10,870.70",APRDRG Case Rate,,,"10,870.70",APRDRG Case Rate,,,"10,870.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-3 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-3,APR-DRG,,,,inpatient ,,, -   ,,"14,963.68","14,963.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,963.68",APRDRG Case Rate,,,"14,963.68",APRDRG Case Rate,,,"14,963.68",APRDRG Case Rate,,,"14,963.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"342-4 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",342-4,APR-DRG,,,,inpatient ,,, -   ,,"23,394.76","23,394.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,394.76",APRDRG Case Rate,,,"23,394.76",APRDRG Case Rate,,,"23,394.76",APRDRG Case Rate,,,"23,394.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-1 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-1,APR-DRG,,,,inpatient ,,, -   ,,"9,288.00","9,288.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,288.00",APRDRG Case Rate,,,"9,288.00",APRDRG Case Rate,,,"9,288.00",APRDRG Case Rate,,,"9,288.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-2 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-2,APR-DRG,,,,inpatient ,,, -   ,,"10,084.76","10,084.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,084.76",APRDRG Case Rate,,,"10,084.76",APRDRG Case Rate,,,"10,084.76",APRDRG Case Rate,,,"10,084.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-3 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-3,APR-DRG,,,,inpatient ,,, -   ,,"13,242.83","13,242.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,242.83",APRDRG Case Rate,,,"13,242.83",APRDRG Case Rate,,,"13,242.83",APRDRG Case Rate,,,"13,242.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343-4 - MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,343-4,APR-DRG,,,,inpatient ,,, -   ,,"17,731.17","17,731.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,731.17",APRDRG Case Rate,,,"17,731.17",APRDRG Case Rate,,,"17,731.17",APRDRG Case Rate,,,"17,731.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-1 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-1,APR-DRG,,,,inpatient ,,, -   ,,"8,576.23","8,576.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,576.23",APRDRG Case Rate,,,"8,576.23",APRDRG Case Rate,,,"8,576.23",APRDRG Case Rate,,,"8,576.23",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-2 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-2,APR-DRG,,,,inpatient ,,, -   ,,"9,630.20","9,630.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,630.20",APRDRG Case Rate,,,"9,630.20",APRDRG Case Rate,,,"9,630.20",APRDRG Case Rate,,,"9,630.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-3 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-3,APR-DRG,,,,inpatient ,,, -   ,,"12,817.24","12,817.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,817.24",APRDRG Case Rate,,,"12,817.24",APRDRG Case Rate,,,"12,817.24",APRDRG Case Rate,,,"12,817.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"344-4 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",344-4,APR-DRG,,,,inpatient ,,, -   ,,"17,876.96","17,876.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,876.96",APRDRG Case Rate,,,"17,876.96",APRDRG Case Rate,,,"17,876.96",APRDRG Case Rate,,,"17,876.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-1 - CONNECTIVE TISSUE DISORDERS,346-1,APR-DRG,,,,inpatient ,,, -   ,,"7,668.06","7,668.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,668.06",APRDRG Case Rate,,,"7,668.06",APRDRG Case Rate,,,"7,668.06",APRDRG Case Rate,,,"7,668.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-2 - CONNECTIVE TISSUE DISORDERS,346-2,APR-DRG,,,,inpatient ,,, -   ,,"8,353.72","8,353.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,353.72",APRDRG Case Rate,,,"8,353.72",APRDRG Case Rate,,,"8,353.72",APRDRG Case Rate,,,"8,353.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-3 - CONNECTIVE TISSUE DISORDERS,346-3,APR-DRG,,,,inpatient ,,, -   ,,"11,274.65","11,274.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,274.65",APRDRG Case Rate,,,"11,274.65",APRDRG Case Rate,,,"11,274.65",APRDRG Case Rate,,,"11,274.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346-4 - CONNECTIVE TISSUE DISORDERS,346-4,APR-DRG,,,,inpatient ,,, -   ,,"17,893.52","17,893.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,893.52",APRDRG Case Rate,,,"17,893.52",APRDRG Case Rate,,,"17,893.52",APRDRG Case Rate,,,"17,893.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-1 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-1,APR-DRG,,,,inpatient ,,, -   ,,"10,656.47","10,656.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,656.47",APRDRG Case Rate,,,"10,656.47",APRDRG Case Rate,,,"10,656.47",APRDRG Case Rate,,,"10,656.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-2 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-2,APR-DRG,,,,inpatient ,,, -   ,,"12,405.01","12,405.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,405.01",APRDRG Case Rate,,,"12,405.01",APRDRG Case Rate,,,"12,405.01",APRDRG Case Rate,,,"12,405.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-3 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-3,APR-DRG,,,,inpatient ,,, -   ,,"16,373.85","16,373.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,373.85",APRDRG Case Rate,,,"16,373.85",APRDRG Case Rate,,,"16,373.85",APRDRG Case Rate,,,"16,373.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"347-4 - OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",347-4,APR-DRG,,,,inpatient ,,, -   ,,"22,793.13","22,793.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,793.13",APRDRG Case Rate,,,"22,793.13",APRDRG Case Rate,,,"22,793.13",APRDRG Case Rate,,,"22,793.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-1 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-1,APR-DRG,,,,inpatient ,,, -   ,,"7,623.49","7,623.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,623.49",APRDRG Case Rate,,,"7,623.49",APRDRG Case Rate,,,"7,623.49",APRDRG Case Rate,,,"7,623.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-2 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-2,APR-DRG,,,,inpatient ,,, -   ,,"8,093.02","8,093.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,093.02",APRDRG Case Rate,,,"8,093.02",APRDRG Case Rate,,,"8,093.02",APRDRG Case Rate,,,"8,093.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-3 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-3,APR-DRG,,,,inpatient ,,, -   ,,"11,509.25","11,509.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,509.25",APRDRG Case Rate,,,"11,509.25",APRDRG Case Rate,,,"11,509.25",APRDRG Case Rate,,,"11,509.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"349-4 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",349-4,APR-DRG,,,,inpatient ,,, -   ,,"15,082.73","15,082.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,082.73",APRDRG Case Rate,,,"15,082.73",APRDRG Case Rate,,,"15,082.73",APRDRG Case Rate,,,"15,082.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-1 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-1,APR-DRG,,,,inpatient ,,, -   ,,"2,389.96","2,389.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,389.96",APRDRG Case Rate,,,"2,389.96",APRDRG Case Rate,,,"2,389.96",APRDRG Case Rate,,,"2,389.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-2 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-2,APR-DRG,,,,inpatient ,,, -   ,,"2,971.22","2,971.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,971.22",APRDRG Case Rate,,,"2,971.22",APRDRG Case Rate,,,"2,971.22",APRDRG Case Rate,,,"2,971.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-3 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-3,APR-DRG,,,,inpatient ,,, -   ,,"4,236.55","4,236.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,236.55",APRDRG Case Rate,,,"4,236.55",APRDRG Case Rate,,,"4,236.55",APRDRG Case Rate,,,"4,236.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351-4 - OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,351-4,APR-DRG,,,,inpatient ,,, -   ,,"6,231.47","6,231.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,231.47",APRDRG Case Rate,,,"6,231.47",APRDRG Case Rate,,,"6,231.47",APRDRG Case Rate,,,"6,231.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-1 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-1,APR-DRG,,,,inpatient ,,, -   ,,"2,567.90","2,567.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,567.90",APRDRG Case Rate,,,"2,567.90",APRDRG Case Rate,,,"2,567.90",APRDRG Case Rate,,,"2,567.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-2 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-2,APR-DRG,,,,inpatient ,,, -   ,,"3,149.80","3,149.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,149.80",APRDRG Case Rate,,,"3,149.80",APRDRG Case Rate,,,"3,149.80",APRDRG Case Rate,,,"3,149.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-3 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-3,APR-DRG,,,,inpatient ,,, -   ,,"4,013.72","4,013.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,013.72",APRDRG Case Rate,,,"4,013.72",APRDRG Case Rate,,,"4,013.72",APRDRG Case Rate,,,"4,013.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361-4 - SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,361-4,APR-DRG,,,,inpatient ,,, -   ,,"7,488.53","7,488.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,488.53",APRDRG Case Rate,,,"7,488.53",APRDRG Case Rate,,,"7,488.53",APRDRG Case Rate,,,"7,488.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-1 - MASTECTOMY PROCEDURES,362-1,APR-DRG,,,,inpatient ,,, -   ,,"2,575.22","2,575.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,575.22",APRDRG Case Rate,,,"2,575.22",APRDRG Case Rate,,,"2,575.22",APRDRG Case Rate,,,"2,575.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-2 - MASTECTOMY PROCEDURES,362-2,APR-DRG,,,,inpatient ,,, -   ,,"3,469.07","3,469.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,469.07",APRDRG Case Rate,,,"3,469.07",APRDRG Case Rate,,,"3,469.07",APRDRG Case Rate,,,"3,469.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-3 - MASTECTOMY PROCEDURES,362-3,APR-DRG,,,,inpatient ,,, -   ,,"4,834.99","4,834.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,834.99",APRDRG Case Rate,,,"4,834.99",APRDRG Case Rate,,,"4,834.99",APRDRG Case Rate,,,"4,834.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362-4 - MASTECTOMY PROCEDURES,362-4,APR-DRG,,,,inpatient ,,, -   ,,"7,941.82","7,941.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,941.82",APRDRG Case Rate,,,"7,941.82",APRDRG Case Rate,,,"7,941.82",APRDRG Case Rate,,,"7,941.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-1 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-1,APR-DRG,,,,inpatient ,,, -   ,,"3,912.50","3,912.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,912.50",APRDRG Case Rate,,,"3,912.50",APRDRG Case Rate,,,"3,912.50",APRDRG Case Rate,,,"3,912.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-2 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-2,APR-DRG,,,,inpatient ,,, -   ,,"4,598.48","4,598.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,598.48",APRDRG Case Rate,,,"4,598.48",APRDRG Case Rate,,,"4,598.48",APRDRG Case Rate,,,"4,598.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-3 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-3,APR-DRG,,,,inpatient ,,, -   ,,"6,719.78","6,719.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,719.78",APRDRG Case Rate,,,"6,719.78",APRDRG Case Rate,,,"6,719.78",APRDRG Case Rate,,,"6,719.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363-4 - BREAST PROCEDURES EXCEPT MASTECTOMY,363-4,APR-DRG,,,,inpatient ,,, -   ,,"10,881.20","10,881.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,881.20",APRDRG Case Rate,,,"10,881.20",APRDRG Case Rate,,,"10,881.20",APRDRG Case Rate,,,"10,881.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-1 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-1,APR-DRG,,,,inpatient ,,, -   ,,"3,399.04","3,399.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,399.04",APRDRG Case Rate,,,"3,399.04",APRDRG Case Rate,,,"3,399.04",APRDRG Case Rate,,,"3,399.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-2 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-2,APR-DRG,,,,inpatient ,,, -   ,,"4,311.99","4,311.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,311.99",APRDRG Case Rate,,,"4,311.99",APRDRG Case Rate,,,"4,311.99",APRDRG Case Rate,,,"4,311.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-3 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-3,APR-DRG,,,,inpatient ,,, -   ,,"6,185.31","6,185.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,185.31",APRDRG Case Rate,,,"6,185.31",APRDRG Case Rate,,,"6,185.31",APRDRG Case Rate,,,"6,185.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"364-4 - OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",364-4,APR-DRG,,,,inpatient ,,, -   ,,"9,931.96","9,931.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,931.96",APRDRG Case Rate,,,"9,931.96",APRDRG Case Rate,,,"9,931.96",APRDRG Case Rate,,,"9,931.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-1 - SKIN ULCERS,380-1,APR-DRG,,,,inpatient ,,, -   ,,"3,091.22","3,091.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,091.22",APRDRG Case Rate,,,"3,091.22",APRDRG Case Rate,,,"3,091.22",APRDRG Case Rate,,,"3,091.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-2 - SKIN ULCERS,380-2,APR-DRG,,,,inpatient ,,, -   ,,"4,116.22","4,116.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,116.22",APRDRG Case Rate,,,"4,116.22",APRDRG Case Rate,,,"4,116.22",APRDRG Case Rate,,,"4,116.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-3 - SKIN ULCERS,380-3,APR-DRG,,,,inpatient ,,, -   ,,"6,282.08","6,282.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,282.08",APRDRG Case Rate,,,"6,282.08",APRDRG Case Rate,,,"6,282.08",APRDRG Case Rate,,,"6,282.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380-4 - SKIN ULCERS,380-4,APR-DRG,,,,inpatient ,,, -   ,,"13,041.33","13,041.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,041.33",APRDRG Case Rate,,,"13,041.33",APRDRG Case Rate,,,"13,041.33",APRDRG Case Rate,,,"13,041.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-1 - MAJOR SKIN DISORDERS,381-1,APR-DRG,,,,inpatient ,,, -   ,,"3,036.47","3,036.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,036.47",APRDRG Case Rate,,,"3,036.47",APRDRG Case Rate,,,"3,036.47",APRDRG Case Rate,,,"3,036.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-2 - MAJOR SKIN DISORDERS,381-2,APR-DRG,,,,inpatient ,,, -   ,,"3,829.41","3,829.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,829.41",APRDRG Case Rate,,,"3,829.41",APRDRG Case Rate,,,"3,829.41",APRDRG Case Rate,,,"3,829.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-3 - MAJOR SKIN DISORDERS,381-3,APR-DRG,,,,inpatient ,,, -   ,,"5,182.28","5,182.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,182.28",APRDRG Case Rate,,,"5,182.28",APRDRG Case Rate,,,"5,182.28",APRDRG Case Rate,,,"5,182.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381-4 - MAJOR SKIN DISORDERS,381-4,APR-DRG,,,,inpatient ,,, -   ,,"8,934.03","8,934.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,934.03",APRDRG Case Rate,,,"8,934.03",APRDRG Case Rate,,,"8,934.03",APRDRG Case Rate,,,"8,934.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-1 - MALIGNANT BREAST DISORDERS,382-1,APR-DRG,,,,inpatient ,,, -   ,,"2,689.50","2,689.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,689.50",APRDRG Case Rate,,,"2,689.50",APRDRG Case Rate,,,"2,689.50",APRDRG Case Rate,,,"2,689.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-2 - MALIGNANT BREAST DISORDERS,382-2,APR-DRG,,,,inpatient ,,, -   ,,"3,808.40","3,808.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,808.40",APRDRG Case Rate,,,"3,808.40",APRDRG Case Rate,,,"3,808.40",APRDRG Case Rate,,,"3,808.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-3 - MALIGNANT BREAST DISORDERS,382-3,APR-DRG,,,,inpatient ,,, -   ,,"5,470.68","5,470.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,470.68",APRDRG Case Rate,,,"5,470.68",APRDRG Case Rate,,,"5,470.68",APRDRG Case Rate,,,"5,470.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382-4 - MALIGNANT BREAST DISORDERS,382-4,APR-DRG,,,,inpatient ,,, -   ,,"9,731.74","9,731.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,731.74",APRDRG Case Rate,,,"9,731.74",APRDRG Case Rate,,,"9,731.74",APRDRG Case Rate,,,"9,731.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-1 - CELLULITIS & OTHER SKIN INFECTIONS,383-1,APR-DRG,,,,inpatient ,,, -   ,,"2,429.75","2,429.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,429.75",APRDRG Case Rate,,,"2,429.75",APRDRG Case Rate,,,"2,429.75",APRDRG Case Rate,,,"2,429.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-2 - CELLULITIS & OTHER SKIN INFECTIONS,383-2,APR-DRG,,,,inpatient ,,, -   ,,"3,080.72","3,080.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,080.72",APRDRG Case Rate,,,"3,080.72",APRDRG Case Rate,,,"3,080.72",APRDRG Case Rate,,,"3,080.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-3 - CELLULITIS & OTHER SKIN INFECTIONS,383-3,APR-DRG,,,,inpatient ,,, -   ,,"4,769.10","4,769.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,769.10",APRDRG Case Rate,,,"4,769.10",APRDRG Case Rate,,,"4,769.10",APRDRG Case Rate,,,"4,769.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383-4 - CELLULITIS & OTHER SKIN INFECTIONS,383-4,APR-DRG,,,,inpatient ,,, -   ,,"8,377.92","8,377.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,377.92",APRDRG Case Rate,,,"8,377.92",APRDRG Case Rate,,,"8,377.92",APRDRG Case Rate,,,"8,377.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-1 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-1,APR-DRG,,,,inpatient ,,, -   ,,"7,041.92","7,041.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,041.92",APRDRG Case Rate,,,"7,041.92",APRDRG Case Rate,,,"7,041.92",APRDRG Case Rate,,,"7,041.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-2 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-2,APR-DRG,,,,inpatient ,,, -   ,,"8,746.53","8,746.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,746.53",APRDRG Case Rate,,,"8,746.53",APRDRG Case Rate,,,"8,746.53",APRDRG Case Rate,,,"8,746.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-3 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-3,APR-DRG,,,,inpatient ,,, -   ,,"13,337.69","13,337.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,337.69",APRDRG Case Rate,,,"13,337.69",APRDRG Case Rate,,,"13,337.69",APRDRG Case Rate,,,"13,337.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"384-4 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",384-4,APR-DRG,,,,inpatient ,,, -   ,,"26,817.67","26,817.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,817.67",APRDRG Case Rate,,,"26,817.67",APRDRG Case Rate,,,"26,817.67",APRDRG Case Rate,,,"26,817.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-1 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-1,APR-DRG,,,,inpatient ,,, -   ,,"6,499.82","6,499.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,499.82",APRDRG Case Rate,,,"6,499.82",APRDRG Case Rate,,,"6,499.82",APRDRG Case Rate,,,"6,499.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-2 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-2,APR-DRG,,,,inpatient ,,, -   ,,"9,358.99","9,358.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,358.99",APRDRG Case Rate,,,"9,358.99",APRDRG Case Rate,,,"9,358.99",APRDRG Case Rate,,,"9,358.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-3 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-3,APR-DRG,,,,inpatient ,,, -   ,,"11,091.93","11,091.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,091.93",APRDRG Case Rate,,,"11,091.93",APRDRG Case Rate,,,"11,091.93",APRDRG Case Rate,,,"11,091.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"385-4 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",385-4,APR-DRG,,,,inpatient ,,, -   ,,"19,695.54","19,695.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,695.54",APRDRG Case Rate,,,"19,695.54",APRDRG Case Rate,,,"19,695.54",APRDRG Case Rate,,,"19,695.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-1 - ADRENAL PROCEDURES,401-1,APR-DRG,,,,inpatient ,,, -   ,,"5,363.41","5,363.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,363.41",APRDRG Case Rate,,,"5,363.41",APRDRG Case Rate,,,"5,363.41",APRDRG Case Rate,,,"5,363.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-2 - ADRENAL PROCEDURES,401-2,APR-DRG,,,,inpatient ,,, -   ,,"9,872.12","9,872.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,872.12",APRDRG Case Rate,,,"9,872.12",APRDRG Case Rate,,,"9,872.12",APRDRG Case Rate,,,"9,872.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-3 - ADRENAL PROCEDURES,401-3,APR-DRG,,,,inpatient ,,, -   ,,"12,530.43","12,530.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,530.43",APRDRG Case Rate,,,"12,530.43",APRDRG Case Rate,,,"12,530.43",APRDRG Case Rate,,,"12,530.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401-4 - ADRENAL PROCEDURES,401-4,APR-DRG,,,,inpatient ,,, -   ,,"15,917.05","15,917.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,917.05",APRDRG Case Rate,,,"15,917.05",APRDRG Case Rate,,,"15,917.05",APRDRG Case Rate,,,"15,917.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-1 - PROCEDURES FOR OBESITY,403-1,APR-DRG,,,,inpatient ,,, -   ,,"3,838.64","3,838.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,838.64",APRDRG Case Rate,,,"3,838.64",APRDRG Case Rate,,,"3,838.64",APRDRG Case Rate,,,"3,838.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-2 - PROCEDURES FOR OBESITY,403-2,APR-DRG,,,,inpatient ,,, -   ,,"5,303.56","5,303.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,303.56",APRDRG Case Rate,,,"5,303.56",APRDRG Case Rate,,,"5,303.56",APRDRG Case Rate,,,"5,303.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-3 - PROCEDURES FOR OBESITY,403-3,APR-DRG,,,,inpatient ,,, -   ,,"8,469.59","8,469.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,469.59",APRDRG Case Rate,,,"8,469.59",APRDRG Case Rate,,,"8,469.59",APRDRG Case Rate,,,"8,469.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403-4 - PROCEDURES FOR OBESITY,403-4,APR-DRG,,,,inpatient ,,, -   ,,"15,138.76","15,138.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,138.76",APRDRG Case Rate,,,"15,138.76",APRDRG Case Rate,,,"15,138.76",APRDRG Case Rate,,,"15,138.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-1 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-1,APR-DRG,,,,inpatient ,,, -   ,,"2,686.96","2,686.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,686.96",APRDRG Case Rate,,,"2,686.96",APRDRG Case Rate,,,"2,686.96",APRDRG Case Rate,,,"2,686.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-2 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-2,APR-DRG,,,,inpatient ,,, -   ,,"3,498.36","3,498.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,498.36",APRDRG Case Rate,,,"3,498.36",APRDRG Case Rate,,,"3,498.36",APRDRG Case Rate,,,"3,498.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-3 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-3,APR-DRG,,,,inpatient ,,, -   ,,"5,061.32","5,061.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,061.32",APRDRG Case Rate,,,"5,061.32",APRDRG Case Rate,,,"5,061.32",APRDRG Case Rate,,,"5,061.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"404-4 - THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",404-4,APR-DRG,,,,inpatient ,,, -   ,,"8,871.00","8,871.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,871.00",APRDRG Case Rate,,,"8,871.00",APRDRG Case Rate,,,"8,871.00",APRDRG Case Rate,,,"8,871.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-1 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-1,APR-DRG,,,,inpatient ,,, -   ,,"1,895.93","1,895.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,895.93",APRDRG Case Rate,,,"1,895.93",APRDRG Case Rate,,,"1,895.93",APRDRG Case Rate,,,"1,895.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-2 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-2,APR-DRG,,,,inpatient ,,, -   ,,"3,123.69","3,123.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,123.69",APRDRG Case Rate,,,"3,123.69",APRDRG Case Rate,,,"3,123.69",APRDRG Case Rate,,,"3,123.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-3 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-3,APR-DRG,,,,inpatient ,,, -   ,,"6,280.17","6,280.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,280.17",APRDRG Case Rate,,,"6,280.17",APRDRG Case Rate,,,"6,280.17",APRDRG Case Rate,,,"6,280.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405-4 - OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",405-4,APR-DRG,,,,inpatient ,,, -   ,,"12,365.22","12,365.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,365.22",APRDRG Case Rate,,,"12,365.22",APRDRG Case Rate,,,"12,365.22",APRDRG Case Rate,,,"12,365.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-1 - DIABETES,420-1,APR-DRG,,,,inpatient ,,, -   ,,"3,012.60","3,012.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,012.60",APRDRG Case Rate,,,"3,012.60",APRDRG Case Rate,,,"3,012.60",APRDRG Case Rate,,,"3,012.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-2 - DIABETES,420-2,APR-DRG,,,,inpatient ,,, -   ,,"3,547.70","3,547.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,547.70",APRDRG Case Rate,,,"3,547.70",APRDRG Case Rate,,,"3,547.70",APRDRG Case Rate,,,"3,547.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-3 - DIABETES,420-3,APR-DRG,,,,inpatient ,,, -   ,,"5,024.71","5,024.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,024.71",APRDRG Case Rate,,,"5,024.71",APRDRG Case Rate,,,"5,024.71",APRDRG Case Rate,,,"5,024.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420-4 - DIABETES,420-4,APR-DRG,,,,inpatient ,,, -   ,,"7,441.41","7,441.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,441.41",APRDRG Case Rate,,,"7,441.41",APRDRG Case Rate,,,"7,441.41",APRDRG Case Rate,,,"7,441.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-1 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-1,APR-DRG,,,,inpatient ,,, -   ,,"2,205.33","2,205.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,205.33",APRDRG Case Rate,,,"2,205.33",APRDRG Case Rate,,,"2,205.33",APRDRG Case Rate,,,"2,205.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-2 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-2,APR-DRG,,,,inpatient ,,, -   ,,"3,022.47","3,022.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,022.47",APRDRG Case Rate,,,"3,022.47",APRDRG Case Rate,,,"3,022.47",APRDRG Case Rate,,,"3,022.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-3 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-3,APR-DRG,,,,inpatient ,,, -   ,,"4,496.93","4,496.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,496.93",APRDRG Case Rate,,,"4,496.93",APRDRG Case Rate,,,"4,496.93",APRDRG Case Rate,,,"4,496.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"421-4 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",421-4,APR-DRG,,,,inpatient ,,, -   ,,"8,214.62","8,214.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,214.62",APRDRG Case Rate,,,"8,214.62",APRDRG Case Rate,,,"8,214.62",APRDRG Case Rate,,,"8,214.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-1 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-1,APR-DRG,,,,inpatient ,,, -   ,,"2,820.97","2,820.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,820.97",APRDRG Case Rate,,,"2,820.97",APRDRG Case Rate,,,"2,820.97",APRDRG Case Rate,,,"2,820.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-2 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-2,APR-DRG,,,,inpatient ,,, -   ,,"3,535.60","3,535.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,535.60",APRDRG Case Rate,,,"3,535.60",APRDRG Case Rate,,,"3,535.60",APRDRG Case Rate,,,"3,535.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-3 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-3,APR-DRG,,,,inpatient ,,, -   ,,"5,151.40","5,151.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,151.40",APRDRG Case Rate,,,"5,151.40",APRDRG Case Rate,,,"5,151.40",APRDRG Case Rate,,,"5,151.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422-4 - HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,422-4,APR-DRG,,,,inpatient ,,, -   ,,"8,634.48","8,634.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,634.48",APRDRG Case Rate,,,"8,634.48",APRDRG Case Rate,,,"8,634.48",APRDRG Case Rate,,,"8,634.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-1 - INBORN ERRORS OF METABOLISM,423-1,APR-DRG,,,,inpatient ,,, -   ,,"2,171.27","2,171.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,171.27",APRDRG Case Rate,,,"2,171.27",APRDRG Case Rate,,,"2,171.27",APRDRG Case Rate,,,"2,171.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-2 - INBORN ERRORS OF METABOLISM,423-2,APR-DRG,,,,inpatient ,,, -   ,,"2,863.94","2,863.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,863.94",APRDRG Case Rate,,,"2,863.94",APRDRG Case Rate,,,"2,863.94",APRDRG Case Rate,,,"2,863.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-3 - INBORN ERRORS OF METABOLISM,423-3,APR-DRG,,,,inpatient ,,, -   ,,"4,446.64","4,446.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,446.64",APRDRG Case Rate,,,"4,446.64",APRDRG Case Rate,,,"4,446.64",APRDRG Case Rate,,,"4,446.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423-4 - INBORN ERRORS OF METABOLISM,423-4,APR-DRG,,,,inpatient ,,, -   ,,"8,920.97","8,920.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,920.97",APRDRG Case Rate,,,"8,920.97",APRDRG Case Rate,,,"8,920.97",APRDRG Case Rate,,,"8,920.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-1 - OTHER ENDOCRINE DISORDERS,424-1,APR-DRG,,,,inpatient ,,, -   ,,"6,665.34","6,665.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,665.34",APRDRG Case Rate,,,"6,665.34",APRDRG Case Rate,,,"6,665.34",APRDRG Case Rate,,,"6,665.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-2 - OTHER ENDOCRINE DISORDERS,424-2,APR-DRG,,,,inpatient ,,, -   ,,"11,745.45","11,745.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,745.45",APRDRG Case Rate,,,"11,745.45",APRDRG Case Rate,,,"11,745.45",APRDRG Case Rate,,,"11,745.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-3 - OTHER ENDOCRINE DISORDERS,424-3,APR-DRG,,,,inpatient ,,, -   ,,"14,739.58","14,739.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,739.58",APRDRG Case Rate,,,"14,739.58",APRDRG Case Rate,,,"14,739.58",APRDRG Case Rate,,,"14,739.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424-4 - OTHER ENDOCRINE DISORDERS,424-4,APR-DRG,,,,inpatient ,,, -   ,,"24,747.94","24,747.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,747.94",APRDRG Case Rate,,,"24,747.94",APRDRG Case Rate,,,"24,747.94",APRDRG Case Rate,,,"24,747.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-1 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-1,APR-DRG,,,,inpatient ,,, -   ,,"5,792.19","5,792.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,792.19",APRDRG Case Rate,,,"5,792.19",APRDRG Case Rate,,,"5,792.19",APRDRG Case Rate,,,"5,792.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-2 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-2,APR-DRG,,,,inpatient ,,, -   ,,"6,724.55","6,724.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,724.55",APRDRG Case Rate,,,"6,724.55",APRDRG Case Rate,,,"6,724.55",APRDRG Case Rate,,,"6,724.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-3 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-3,APR-DRG,,,,inpatient ,,, -   ,,"9,592.63","9,592.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,592.63",APRDRG Case Rate,,,"9,592.63",APRDRG Case Rate,,,"9,592.63",APRDRG Case Rate,,,"9,592.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425-4 - OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,425-4,APR-DRG,,,,inpatient ,,, -   ,,"19,593.04","19,593.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,593.04",APRDRG Case Rate,,,"19,593.04",APRDRG Case Rate,,,"19,593.04",APRDRG Case Rate,,,"19,593.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-1 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-1,APR-DRG,,,,inpatient ,,, -   ,,"4,749.05","4,749.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,749.05",APRDRG Case Rate,,,"4,749.05",APRDRG Case Rate,,,"4,749.05",APRDRG Case Rate,,,"4,749.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-2 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-2,APR-DRG,,,,inpatient ,,, -   ,,"6,967.11","6,967.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,967.11",APRDRG Case Rate,,,"6,967.11",APRDRG Case Rate,,,"6,967.11",APRDRG Case Rate,,,"6,967.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-3 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-3,APR-DRG,,,,inpatient ,,, -   ,,"11,691.65","11,691.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,691.65",APRDRG Case Rate,,,"11,691.65",APRDRG Case Rate,,,"11,691.65",APRDRG Case Rate,,,"11,691.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426-4 - NON-HYPOVOLEMIC SODIUM DISORDERS,426-4,APR-DRG,,,,inpatient ,,, -   ,,"24,320.12","24,320.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,320.12",APRDRG Case Rate,,,"24,320.12",APRDRG Case Rate,,,"24,320.12",APRDRG Case Rate,,,"24,320.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-1 - THYROID DISORDERS,427-1,APR-DRG,,,,inpatient ,,, -   ,,"6,678.08","6,678.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,678.08",APRDRG Case Rate,,,"6,678.08",APRDRG Case Rate,,,"6,678.08",APRDRG Case Rate,,,"6,678.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-2 - THYROID DISORDERS,427-2,APR-DRG,,,,inpatient ,,, -   ,,"7,529.91","7,529.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,529.91",APRDRG Case Rate,,,"7,529.91",APRDRG Case Rate,,,"7,529.91",APRDRG Case Rate,,,"7,529.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-3 - THYROID DISORDERS,427-3,APR-DRG,,,,inpatient ,,, -   ,,"11,436.67","11,436.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,436.67",APRDRG Case Rate,,,"11,436.67",APRDRG Case Rate,,,"11,436.67",APRDRG Case Rate,,,"11,436.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427-4 - THYROID DISORDERS,427-4,APR-DRG,,,,inpatient ,,, -   ,,"22,695.09","22,695.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,695.09",APRDRG Case Rate,,,"22,695.09",APRDRG Case Rate,,,"22,695.09",APRDRG Case Rate,,,"22,695.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-1 - KIDNEY TRANSPLANT,440-1,APR-DRG,,,,inpatient ,,, -   ,,"2,217.11","2,217.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,217.11",APRDRG Case Rate,,,"2,217.11",APRDRG Case Rate,,,"2,217.11",APRDRG Case Rate,,,"2,217.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-2 - KIDNEY TRANSPLANT,440-2,APR-DRG,,,,inpatient ,,, -   ,,"2,849.30","2,849.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,849.30",APRDRG Case Rate,,,"2,849.30",APRDRG Case Rate,,,"2,849.30",APRDRG Case Rate,,,"2,849.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-3 - KIDNEY TRANSPLANT,440-3,APR-DRG,,,,inpatient ,,, -   ,,"4,212.67","4,212.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,212.67",APRDRG Case Rate,,,"4,212.67",APRDRG Case Rate,,,"4,212.67",APRDRG Case Rate,,,"4,212.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440-4 - KIDNEY TRANSPLANT,440-4,APR-DRG,,,,inpatient ,,, -   ,,"8,237.54","8,237.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,237.54",APRDRG Case Rate,,,"8,237.54",APRDRG Case Rate,,,"8,237.54",APRDRG Case Rate,,,"8,237.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-1 - MAJOR BLADDER PROCEDURES,441-1,APR-DRG,,,,inpatient ,,, -   ,,"2,031.85","2,031.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,031.85",APRDRG Case Rate,,,"2,031.85",APRDRG Case Rate,,,"2,031.85",APRDRG Case Rate,,,"2,031.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-2 - MAJOR BLADDER PROCEDURES,441-2,APR-DRG,,,,inpatient ,,, -   ,,"3,039.34","3,039.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,039.34",APRDRG Case Rate,,,"3,039.34",APRDRG Case Rate,,,"3,039.34",APRDRG Case Rate,,,"3,039.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-3 - MAJOR BLADDER PROCEDURES,441-3,APR-DRG,,,,inpatient ,,, -   ,,"4,605.80","4,605.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,605.80",APRDRG Case Rate,,,"4,605.80",APRDRG Case Rate,,,"4,605.80",APRDRG Case Rate,,,"4,605.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441-4 - MAJOR BLADDER PROCEDURES,441-4,APR-DRG,,,,inpatient ,,, -   ,,"8,883.09","8,883.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,883.09",APRDRG Case Rate,,,"8,883.09",APRDRG Case Rate,,,"8,883.09",APRDRG Case Rate,,,"8,883.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-1 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-1,APR-DRG,,,,inpatient ,,, -   ,,"1,722.12","1,722.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,722.12",APRDRG Case Rate,,,"1,722.12",APRDRG Case Rate,,,"1,722.12",APRDRG Case Rate,,,"1,722.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-2 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-2,APR-DRG,,,,inpatient ,,, -   ,,"2,562.81","2,562.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,562.81",APRDRG Case Rate,,,"2,562.81",APRDRG Case Rate,,,"2,562.81",APRDRG Case Rate,,,"2,562.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-3 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-3,APR-DRG,,,,inpatient ,,, -   ,,"3,730.42","3,730.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,730.42",APRDRG Case Rate,,,"3,730.42",APRDRG Case Rate,,,"3,730.42",APRDRG Case Rate,,,"3,730.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
442-4 - KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,442-4,APR-DRG,,,,inpatient ,,, -   ,,"6,521.46","6,521.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,521.46",APRDRG Case Rate,,,"6,521.46",APRDRG Case Rate,,,"6,521.46",APRDRG Case Rate,,,"6,521.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-1 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-1,APR-DRG,,,,inpatient ,,, -   ,,"2,612.15","2,612.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,612.15",APRDRG Case Rate,,,"2,612.15",APRDRG Case Rate,,,"2,612.15",APRDRG Case Rate,,,"2,612.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-2 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-2,APR-DRG,,,,inpatient ,,, -   ,,"3,421.96","3,421.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,421.96",APRDRG Case Rate,,,"3,421.96",APRDRG Case Rate,,,"3,421.96",APRDRG Case Rate,,,"3,421.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-3 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-3,APR-DRG,,,,inpatient ,,, -   ,,"5,374.87","5,374.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,374.87",APRDRG Case Rate,,,"5,374.87",APRDRG Case Rate,,,"5,374.87",APRDRG Case Rate,,,"5,374.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443-4 - KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,443-4,APR-DRG,,,,inpatient ,,, -   ,,"11,628.30","11,628.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,628.30",APRDRG Case Rate,,,"11,628.30",APRDRG Case Rate,,,"11,628.30",APRDRG Case Rate,,,"11,628.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-1 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-1,APR-DRG,,,,inpatient ,,, -   ,,"2,489.60","2,489.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,489.60",APRDRG Case Rate,,,"2,489.60",APRDRG Case Rate,,,"2,489.60",APRDRG Case Rate,,,"2,489.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-2 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-2,APR-DRG,,,,inpatient ,,, -   ,,"3,464.30","3,464.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,464.30",APRDRG Case Rate,,,"3,464.30",APRDRG Case Rate,,,"3,464.30",APRDRG Case Rate,,,"3,464.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-3 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-3,APR-DRG,,,,inpatient ,,, -   ,,"5,094.11","5,094.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,094.11",APRDRG Case Rate,,,"5,094.11",APRDRG Case Rate,,,"5,094.11",APRDRG Case Rate,,,"5,094.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444-4 - RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,444-4,APR-DRG,,,,inpatient ,,, -   ,,"9,003.74","9,003.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,003.74",APRDRG Case Rate,,,"9,003.74",APRDRG Case Rate,,,"9,003.74",APRDRG Case Rate,,,"9,003.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-1 - OTHER BLADDER PROCEDURES,445-1,APR-DRG,,,,inpatient ,,, -   ,,"2,213.61","2,213.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,213.61",APRDRG Case Rate,,,"2,213.61",APRDRG Case Rate,,,"2,213.61",APRDRG Case Rate,,,"2,213.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-2 - OTHER BLADDER PROCEDURES,445-2,APR-DRG,,,,inpatient ,,, -   ,,"2,710.51","2,710.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,710.51",APRDRG Case Rate,,,"2,710.51",APRDRG Case Rate,,,"2,710.51",APRDRG Case Rate,,,"2,710.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-3 - OTHER BLADDER PROCEDURES,445-3,APR-DRG,,,,inpatient ,,, -   ,,"3,668.66","3,668.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,668.66",APRDRG Case Rate,,,"3,668.66",APRDRG Case Rate,,,"3,668.66",APRDRG Case Rate,,,"3,668.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445-4 - OTHER BLADDER PROCEDURES,445-4,APR-DRG,,,,inpatient ,,, -   ,,"7,252.97","7,252.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,252.97",APRDRG Case Rate,,,"7,252.97",APRDRG Case Rate,,,"7,252.97",APRDRG Case Rate,,,"7,252.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-1 - URETHRAL & TRANSURETHRAL PROCEDURES,446-1,APR-DRG,,,,inpatient ,,, -   ,,"2,362.90","2,362.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,362.90",APRDRG Case Rate,,,"2,362.90",APRDRG Case Rate,,,"2,362.90",APRDRG Case Rate,,,"2,362.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-2 - URETHRAL & TRANSURETHRAL PROCEDURES,446-2,APR-DRG,,,,inpatient ,,, -   ,,"3,129.74","3,129.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,129.74",APRDRG Case Rate,,,"3,129.74",APRDRG Case Rate,,,"3,129.74",APRDRG Case Rate,,,"3,129.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-3 - URETHRAL & TRANSURETHRAL PROCEDURES,446-3,APR-DRG,,,,inpatient ,,, -   ,,"4,574.92","4,574.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,574.92",APRDRG Case Rate,,,"4,574.92",APRDRG Case Rate,,,"4,574.92",APRDRG Case Rate,,,"4,574.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446-4 - URETHRAL & TRANSURETHRAL PROCEDURES,446-4,APR-DRG,,,,inpatient ,,, -   ,,"8,110.84","8,110.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,110.84",APRDRG Case Rate,,,"8,110.84",APRDRG Case Rate,,,"8,110.84",APRDRG Case Rate,,,"8,110.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-1 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-1,APR-DRG,,,,inpatient ,,, -   ,,"2,306.88","2,306.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,306.88",APRDRG Case Rate,,,"2,306.88",APRDRG Case Rate,,,"2,306.88",APRDRG Case Rate,,,"2,306.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-2 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-2,APR-DRG,,,,inpatient ,,, -   ,,"3,182.27","3,182.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,182.27",APRDRG Case Rate,,,"3,182.27",APRDRG Case Rate,,,"3,182.27",APRDRG Case Rate,,,"3,182.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-3 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-3,APR-DRG,,,,inpatient ,,, -   ,,"5,068.64","5,068.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,068.64",APRDRG Case Rate,,,"5,068.64",APRDRG Case Rate,,,"5,068.64",APRDRG Case Rate,,,"5,068.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"447-4 - OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",447-4,APR-DRG,,,,inpatient ,,, -   ,,"8,852.22","8,852.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,852.22",APRDRG Case Rate,,,"8,852.22",APRDRG Case Rate,,,"8,852.22",APRDRG Case Rate,,,"8,852.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-1 - KIDNEY & URINARY TRACT MALIGNANCY,461-1,APR-DRG,,,,inpatient ,,, -   ,,"22,289.86","22,289.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,289.86",APRDRG Case Rate,,,"22,289.86",APRDRG Case Rate,,,"22,289.86",APRDRG Case Rate,,,"22,289.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-2 - KIDNEY & URINARY TRACT MALIGNANCY,461-2,APR-DRG,,,,inpatient ,,, -   ,,"24,962.81","24,962.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,962.81",APRDRG Case Rate,,,"24,962.81",APRDRG Case Rate,,,"24,962.81",APRDRG Case Rate,,,"24,962.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-3 - KIDNEY & URINARY TRACT MALIGNANCY,461-3,APR-DRG,,,,inpatient ,,, -   ,,"29,105.45","29,105.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,105.45",APRDRG Case Rate,,,"29,105.45",APRDRG Case Rate,,,"29,105.45",APRDRG Case Rate,,,"29,105.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461-4 - KIDNEY & URINARY TRACT MALIGNANCY,461-4,APR-DRG,,,,inpatient ,,, -   ,,"44,155.72","44,155.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,155.72",APRDRG Case Rate,,,"44,155.72",APRDRG Case Rate,,,"44,155.72",APRDRG Case Rate,,,"44,155.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-1 - NEPHRITIS & NEPHROSIS,462-1,APR-DRG,,,,inpatient ,,, -   ,,"7,591.02","7,591.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,591.02",APRDRG Case Rate,,,"7,591.02",APRDRG Case Rate,,,"7,591.02",APRDRG Case Rate,,,"7,591.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-2 - NEPHRITIS & NEPHROSIS,462-2,APR-DRG,,,,inpatient ,,, -   ,,"11,552.22","11,552.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,552.22",APRDRG Case Rate,,,"11,552.22",APRDRG Case Rate,,,"11,552.22",APRDRG Case Rate,,,"11,552.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-3 - NEPHRITIS & NEPHROSIS,462-3,APR-DRG,,,,inpatient ,,, -   ,,"15,105.02","15,105.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,105.02",APRDRG Case Rate,,,"15,105.02",APRDRG Case Rate,,,"15,105.02",APRDRG Case Rate,,,"15,105.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462-4 - NEPHRITIS & NEPHROSIS,462-4,APR-DRG,,,,inpatient ,,, -   ,,"29,759.92","29,759.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,759.92",APRDRG Case Rate,,,"29,759.92",APRDRG Case Rate,,,"29,759.92",APRDRG Case Rate,,,"29,759.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-1 - KIDNEY & URINARY TRACT INFECTIONS,463-1,APR-DRG,,,,inpatient ,,, -   ,,"7,100.49","7,100.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,100.49",APRDRG Case Rate,,,"7,100.49",APRDRG Case Rate,,,"7,100.49",APRDRG Case Rate,,,"7,100.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-2 - KIDNEY & URINARY TRACT INFECTIONS,463-2,APR-DRG,,,,inpatient ,,, -   ,,"8,245.49","8,245.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,245.49",APRDRG Case Rate,,,"8,245.49",APRDRG Case Rate,,,"8,245.49",APRDRG Case Rate,,,"8,245.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-3 - KIDNEY & URINARY TRACT INFECTIONS,463-3,APR-DRG,,,,inpatient ,,, -   ,,"11,979.41","11,979.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,979.41",APRDRG Case Rate,,,"11,979.41",APRDRG Case Rate,,,"11,979.41",APRDRG Case Rate,,,"11,979.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463-4 - KIDNEY & URINARY TRACT INFECTIONS,463-4,APR-DRG,,,,inpatient ,,, -   ,,"20,987.29","20,987.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,987.29",APRDRG Case Rate,,,"20,987.29",APRDRG Case Rate,,,"20,987.29",APRDRG Case Rate,,,"20,987.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-1 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-1,APR-DRG,,,,inpatient ,,, -   ,,"5,976.81","5,976.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,976.81",APRDRG Case Rate,,,"5,976.81",APRDRG Case Rate,,,"5,976.81",APRDRG Case Rate,,,"5,976.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-2 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-2,APR-DRG,,,,inpatient ,,, -   ,,"6,920.32","6,920.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,920.32",APRDRG Case Rate,,,"6,920.32",APRDRG Case Rate,,,"6,920.32",APRDRG Case Rate,,,"6,920.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-3 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-3,APR-DRG,,,,inpatient ,,, -   ,,"10,176.75","10,176.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,176.75",APRDRG Case Rate,,,"10,176.75",APRDRG Case Rate,,,"10,176.75",APRDRG Case Rate,,,"10,176.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465-4 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,465-4,APR-DRG,,,,inpatient ,,, -   ,,"17,054.74","17,054.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,054.74",APRDRG Case Rate,,,"17,054.74",APRDRG Case Rate,,,"17,054.74",APRDRG Case Rate,,,"17,054.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-1 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-1,APR-DRG,,,,inpatient ,,, -   ,,"4,700.98","4,700.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,700.98",APRDRG Case Rate,,,"4,700.98",APRDRG Case Rate,,,"4,700.98",APRDRG Case Rate,,,"4,700.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-2 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-2,APR-DRG,,,,inpatient ,,, -   ,,"7,009.77","7,009.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,009.77",APRDRG Case Rate,,,"7,009.77",APRDRG Case Rate,,,"7,009.77",APRDRG Case Rate,,,"7,009.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-3 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-3,APR-DRG,,,,inpatient ,,, -   ,,"10,342.28","10,342.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,342.28",APRDRG Case Rate,,,"10,342.28",APRDRG Case Rate,,,"10,342.28",APRDRG Case Rate,,,"10,342.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"466-4 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",466-4,APR-DRG,,,,inpatient ,,, -   ,,"17,673.56","17,673.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,673.56",APRDRG Case Rate,,,"17,673.56",APRDRG Case Rate,,,"17,673.56",APRDRG Case Rate,,,"17,673.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-1 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-1,APR-DRG,,,,inpatient ,,, -   ,,"4,890.70","4,890.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,890.70",APRDRG Case Rate,,,"4,890.70",APRDRG Case Rate,,,"4,890.70",APRDRG Case Rate,,,"4,890.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-2 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-2,APR-DRG,,,,inpatient ,,, -   ,,"6,222.56","6,222.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,222.56",APRDRG Case Rate,,,"6,222.56",APRDRG Case Rate,,,"6,222.56",APRDRG Case Rate,,,"6,222.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-3 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-3,APR-DRG,,,,inpatient ,,, -   ,,"8,738.58","8,738.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,738.58",APRDRG Case Rate,,,"8,738.58",APRDRG Case Rate,,,"8,738.58",APRDRG Case Rate,,,"8,738.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"468-4 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",468-4,APR-DRG,,,,inpatient ,,, -   ,,"16,318.78","16,318.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,318.78",APRDRG Case Rate,,,"16,318.78",APRDRG Case Rate,,,"16,318.78",APRDRG Case Rate,,,"16,318.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-1 - ACUTE KIDNEY INJURY,469-1,APR-DRG,,,,inpatient ,,, -   ,,"4,233.05","4,233.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,233.05",APRDRG Case Rate,,,"4,233.05",APRDRG Case Rate,,,"4,233.05",APRDRG Case Rate,,,"4,233.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-2 - ACUTE KIDNEY INJURY,469-2,APR-DRG,,,,inpatient ,,, -   ,,"5,154.27","5,154.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,154.27",APRDRG Case Rate,,,"5,154.27",APRDRG Case Rate,,,"5,154.27",APRDRG Case Rate,,,"5,154.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-3 - ACUTE KIDNEY INJURY,469-3,APR-DRG,,,,inpatient ,,, -   ,,"8,102.57","8,102.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,102.57",APRDRG Case Rate,,,"8,102.57",APRDRG Case Rate,,,"8,102.57",APRDRG Case Rate,,,"8,102.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469-4 - ACUTE KIDNEY INJURY,469-4,APR-DRG,,,,inpatient ,,, -   ,,"13,429.37","13,429.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,429.37",APRDRG Case Rate,,,"13,429.37",APRDRG Case Rate,,,"13,429.37",APRDRG Case Rate,,,"13,429.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-1 - CHRONIC KIDNEY DISEASE,470-1,APR-DRG,,,,inpatient ,,, -   ,,"6,379.49","6,379.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,379.49",APRDRG Case Rate,,,"6,379.49",APRDRG Case Rate,,,"6,379.49",APRDRG Case Rate,,,"6,379.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-2 - CHRONIC KIDNEY DISEASE,470-2,APR-DRG,,,,inpatient ,,, -   ,,"7,724.08","7,724.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,724.08",APRDRG Case Rate,,,"7,724.08",APRDRG Case Rate,,,"7,724.08",APRDRG Case Rate,,,"7,724.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-3 - CHRONIC KIDNEY DISEASE,470-3,APR-DRG,,,,inpatient ,,, -   ,,"10,780.93","10,780.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,780.93",APRDRG Case Rate,,,"10,780.93",APRDRG Case Rate,,,"10,780.93",APRDRG Case Rate,,,"10,780.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470-4 - CHRONIC KIDNEY DISEASE,470-4,APR-DRG,,,,inpatient ,,, -   ,,"21,978.54","21,978.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,978.54",APRDRG Case Rate,,,"21,978.54",APRDRG Case Rate,,,"21,978.54",APRDRG Case Rate,,,"21,978.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-1 - MAJOR MALE PELVIC PROCEDURES,480-1,APR-DRG,,,,inpatient ,,, -   ,,"3,150.11","3,150.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,150.11",APRDRG Case Rate,,,"3,150.11",APRDRG Case Rate,,,"3,150.11",APRDRG Case Rate,,,"3,150.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-2 - MAJOR MALE PELVIC PROCEDURES,480-2,APR-DRG,,,,inpatient ,,, -   ,,"3,799.49","3,799.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,799.49",APRDRG Case Rate,,,"3,799.49",APRDRG Case Rate,,,"3,799.49",APRDRG Case Rate,,,"3,799.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-3 - MAJOR MALE PELVIC PROCEDURES,480-3,APR-DRG,,,,inpatient ,,, -   ,,"5,499.01","5,499.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,499.01",APRDRG Case Rate,,,"5,499.01",APRDRG Case Rate,,,"5,499.01",APRDRG Case Rate,,,"5,499.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480-4 - MAJOR MALE PELVIC PROCEDURES,480-4,APR-DRG,,,,inpatient ,,, -   ,,"7,960.28","7,960.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,960.28",APRDRG Case Rate,,,"7,960.28",APRDRG Case Rate,,,"7,960.28",APRDRG Case Rate,,,"7,960.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-1 - TRANSURETHRAL PROSTATECTOMY,482-1,APR-DRG,,,,inpatient ,,, -   ,,"2,154.40","2,154.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,154.40",APRDRG Case Rate,,,"2,154.40",APRDRG Case Rate,,,"2,154.40",APRDRG Case Rate,,,"2,154.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-2 - TRANSURETHRAL PROSTATECTOMY,482-2,APR-DRG,,,,inpatient ,,, -   ,,"3,145.98","3,145.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,145.98",APRDRG Case Rate,,,"3,145.98",APRDRG Case Rate,,,"3,145.98",APRDRG Case Rate,,,"3,145.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-3 - TRANSURETHRAL PROSTATECTOMY,482-3,APR-DRG,,,,inpatient ,,, -   ,,"5,838.66","5,838.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,838.66",APRDRG Case Rate,,,"5,838.66",APRDRG Case Rate,,,"5,838.66",APRDRG Case Rate,,,"5,838.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482-4 - TRANSURETHRAL PROSTATECTOMY,482-4,APR-DRG,,,,inpatient ,,, -   ,,"13,105.00","13,105.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,105.00",APRDRG Case Rate,,,"13,105.00",APRDRG Case Rate,,,"13,105.00",APRDRG Case Rate,,,"13,105.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-1 - PENIS, TESTES & SCROTAL PROCEDURES",483-1,APR-DRG,,,,inpatient ,,, -   ,,"2,402.06","2,402.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,402.06",APRDRG Case Rate,,,"2,402.06",APRDRG Case Rate,,,"2,402.06",APRDRG Case Rate,,,"2,402.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-2 - PENIS, TESTES & SCROTAL PROCEDURES",483-2,APR-DRG,,,,inpatient ,,, -   ,,"3,018.97","3,018.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,018.97",APRDRG Case Rate,,,"3,018.97",APRDRG Case Rate,,,"3,018.97",APRDRG Case Rate,,,"3,018.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-3 - PENIS, TESTES & SCROTAL PROCEDURES",483-3,APR-DRG,,,,inpatient ,,, -   ,,"4,053.83","4,053.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,053.83",APRDRG Case Rate,,,"4,053.83",APRDRG Case Rate,,,"4,053.83",APRDRG Case Rate,,,"4,053.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"483-4 - PENIS, TESTES & SCROTAL PROCEDURES",483-4,APR-DRG,,,,inpatient ,,, -   ,,"6,306.91","6,306.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,306.91",APRDRG Case Rate,,,"6,306.91",APRDRG Case Rate,,,"6,306.91",APRDRG Case Rate,,,"6,306.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-1 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-1,APR-DRG,,,,inpatient ,,, -   ,,"2,530.34","2,530.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,530.34",APRDRG Case Rate,,,"2,530.34",APRDRG Case Rate,,,"2,530.34",APRDRG Case Rate,,,"2,530.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-2 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-2,APR-DRG,,,,inpatient ,,, -   ,,"3,108.73","3,108.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,108.73",APRDRG Case Rate,,,"3,108.73",APRDRG Case Rate,,,"3,108.73",APRDRG Case Rate,,,"3,108.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-3 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-3,APR-DRG,,,,inpatient ,,, -   ,,"5,145.04","5,145.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,145.04",APRDRG Case Rate,,,"5,145.04",APRDRG Case Rate,,,"5,145.04",APRDRG Case Rate,,,"5,145.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484-4 - OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,484-4,APR-DRG,,,,inpatient ,,, -   ,,"8,937.21","8,937.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,937.21",APRDRG Case Rate,,,"8,937.21",APRDRG Case Rate,,,"8,937.21",APRDRG Case Rate,,,"8,937.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-1 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-1,APR-DRG,,,,inpatient ,,, -   ,,"2,171.27","2,171.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,171.27",APRDRG Case Rate,,,"2,171.27",APRDRG Case Rate,,,"2,171.27",APRDRG Case Rate,,,"2,171.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-2 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-2,APR-DRG,,,,inpatient ,,, -   ,,"3,110.01","3,110.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,110.01",APRDRG Case Rate,,,"3,110.01",APRDRG Case Rate,,,"3,110.01",APRDRG Case Rate,,,"3,110.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-3 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-3,APR-DRG,,,,inpatient ,,, -   ,,"4,419.26","4,419.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,419.26",APRDRG Case Rate,,,"4,419.26",APRDRG Case Rate,,,"4,419.26",APRDRG Case Rate,,,"4,419.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"500-4 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",500-4,APR-DRG,,,,inpatient ,,, -   ,,"7,400.03","7,400.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,400.03",APRDRG Case Rate,,,"7,400.03",APRDRG Case Rate,,,"7,400.03",APRDRG Case Rate,,,"7,400.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-1 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-1,APR-DRG,,,,inpatient ,,, -   ,,"2,343.49","2,343.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,343.49",APRDRG Case Rate,,,"2,343.49",APRDRG Case Rate,,,"2,343.49",APRDRG Case Rate,,,"2,343.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-2 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-2,APR-DRG,,,,inpatient ,,, -   ,,"3,223.01","3,223.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,223.01",APRDRG Case Rate,,,"3,223.01",APRDRG Case Rate,,,"3,223.01",APRDRG Case Rate,,,"3,223.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-3 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-3,APR-DRG,,,,inpatient ,,, -   ,,"4,601.66","4,601.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,601.66",APRDRG Case Rate,,,"4,601.66",APRDRG Case Rate,,,"4,601.66",APRDRG Case Rate,,,"4,601.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501-4 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,501-4,APR-DRG,,,,inpatient ,,, -   ,,"8,065.96","8,065.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,065.96",APRDRG Case Rate,,,"8,065.96",APRDRG Case Rate,,,"8,065.96",APRDRG Case Rate,,,"8,065.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-1 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-1,APR-DRG,,,,inpatient ,,, -   ,,"2,370.54","2,370.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,370.54",APRDRG Case Rate,,,"2,370.54",APRDRG Case Rate,,,"2,370.54",APRDRG Case Rate,,,"2,370.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-2 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-2,APR-DRG,,,,inpatient ,,, -   ,,"3,074.35","3,074.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,074.35",APRDRG Case Rate,,,"3,074.35",APRDRG Case Rate,,,"3,074.35",APRDRG Case Rate,,,"3,074.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-3 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-3,APR-DRG,,,,inpatient ,,, -   ,,"4,798.39","4,798.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,798.39",APRDRG Case Rate,,,"4,798.39",APRDRG Case Rate,,,"4,798.39",APRDRG Case Rate,,,"4,798.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510-4 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",510-4,APR-DRG,,,,inpatient ,,, -   ,,"8,977.32","8,977.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,977.32",APRDRG Case Rate,,,"8,977.32",APRDRG Case Rate,,,"8,977.32",APRDRG Case Rate,,,"8,977.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-1 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-1,APR-DRG,,,,inpatient ,,, -   ,,"1,982.19","1,982.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,982.19",APRDRG Case Rate,,,"1,982.19",APRDRG Case Rate,,,"1,982.19",APRDRG Case Rate,,,"1,982.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-2 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-2,APR-DRG,,,,inpatient ,,, -   ,,"2,699.37","2,699.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,699.37",APRDRG Case Rate,,,"2,699.37",APRDRG Case Rate,,,"2,699.37",APRDRG Case Rate,,,"2,699.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-3 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-3,APR-DRG,,,,inpatient ,,, -   ,,"4,460.65","4,460.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,460.65",APRDRG Case Rate,,,"4,460.65",APRDRG Case Rate,,,"4,460.65",APRDRG Case Rate,,,"4,460.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
511-4 - UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,511-4,APR-DRG,,,,inpatient ,,, -   ,,"7,812.90","7,812.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,812.90",APRDRG Case Rate,,,"7,812.90",APRDRG Case Rate,,,"7,812.90",APRDRG Case Rate,,,"7,812.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-1 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-1,APR-DRG,,,,inpatient ,,, -   ,,"6,675.85","6,675.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,675.85",APRDRG Case Rate,,,"6,675.85",APRDRG Case Rate,,,"6,675.85",APRDRG Case Rate,,,"6,675.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-2 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-2,APR-DRG,,,,inpatient ,,, -   ,,"7,672.83","7,672.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,672.83",APRDRG Case Rate,,,"7,672.83",APRDRG Case Rate,,,"7,672.83",APRDRG Case Rate,,,"7,672.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-3 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-3,APR-DRG,,,,inpatient ,,, -   ,,"11,442.40","11,442.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,442.40",APRDRG Case Rate,,,"11,442.40",APRDRG Case Rate,,,"11,442.40",APRDRG Case Rate,,,"11,442.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
512-4 - UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,512-4,APR-DRG,,,,inpatient ,,, -   ,,"18,793.09","18,793.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,793.09",APRDRG Case Rate,,,"18,793.09",APRDRG Case Rate,,,"18,793.09",APRDRG Case Rate,,,"18,793.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-1 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-1,APR-DRG,,,,inpatient ,,, -   ,,"3,675.35","3,675.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,675.35",APRDRG Case Rate,,,"3,675.35",APRDRG Case Rate,,,"3,675.35",APRDRG Case Rate,,,"3,675.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-2 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-2,APR-DRG,,,,inpatient ,,, -   ,,"4,494.71","4,494.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,494.71",APRDRG Case Rate,,,"4,494.71",APRDRG Case Rate,,,"4,494.71",APRDRG Case Rate,,,"4,494.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-3 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-3,APR-DRG,,,,inpatient ,,, -   ,,"8,174.83","8,174.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,174.83",APRDRG Case Rate,,,"8,174.83",APRDRG Case Rate,,,"8,174.83",APRDRG Case Rate,,,"8,174.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
513-4 - UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,513-4,APR-DRG,,,,inpatient ,,, -   ,,"13,603.49","13,603.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,603.49",APRDRG Case Rate,,,"13,603.49",APRDRG Case Rate,,,"13,603.49",APRDRG Case Rate,,,"13,603.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-1 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-1,APR-DRG,,,,inpatient ,,, -   ,,"4,733.45","4,733.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,733.45",APRDRG Case Rate,,,"4,733.45",APRDRG Case Rate,,,"4,733.45",APRDRG Case Rate,,,"4,733.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-2 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-2,APR-DRG,,,,inpatient ,,, -   ,,"6,322.51","6,322.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,322.51",APRDRG Case Rate,,,"6,322.51",APRDRG Case Rate,,,"6,322.51",APRDRG Case Rate,,,"6,322.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-3 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-3,APR-DRG,,,,inpatient ,,, -   ,,"9,502.55","9,502.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,502.55",APRDRG Case Rate,,,"9,502.55",APRDRG Case Rate,,,"9,502.55",APRDRG Case Rate,,,"9,502.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
514-4 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,514-4,APR-DRG,,,,inpatient ,,, -   ,,"17,148.96","17,148.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,148.96",APRDRG Case Rate,,,"17,148.96",APRDRG Case Rate,,,"17,148.96",APRDRG Case Rate,,,"17,148.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-1 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-1,APR-DRG,,,,inpatient ,,, -   ,,"5,642.26","5,642.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,642.26",APRDRG Case Rate,,,"5,642.26",APRDRG Case Rate,,,"5,642.26",APRDRG Case Rate,,,"5,642.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-2 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-2,APR-DRG,,,,inpatient ,,, -   ,,"7,210.95","7,210.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,210.95",APRDRG Case Rate,,,"7,210.95",APRDRG Case Rate,,,"7,210.95",APRDRG Case Rate,,,"7,210.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-3 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-3,APR-DRG,,,,inpatient ,,, -   ,,"8,647.54","8,647.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,647.54",APRDRG Case Rate,,,"8,647.54",APRDRG Case Rate,,,"8,647.54",APRDRG Case Rate,,,"8,647.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517-4 - DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,517-4,APR-DRG,,,,inpatient ,,, -   ,,"19,061.12","19,061.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,061.12",APRDRG Case Rate,,,"19,061.12",APRDRG Case Rate,,,"19,061.12",APRDRG Case Rate,,,"19,061.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-1 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-1,APR-DRG,,,,inpatient ,,, -   ,,"2,529.70","2,529.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,529.70",APRDRG Case Rate,,,"2,529.70",APRDRG Case Rate,,,"2,529.70",APRDRG Case Rate,,,"2,529.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-2 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-2,APR-DRG,,,,inpatient ,,, -   ,,"3,466.84","3,466.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,466.84",APRDRG Case Rate,,,"3,466.84",APRDRG Case Rate,,,"3,466.84",APRDRG Case Rate,,,"3,466.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-3 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-3,APR-DRG,,,,inpatient ,,, -   ,,"5,343.03","5,343.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,343.03",APRDRG Case Rate,,,"5,343.03",APRDRG Case Rate,,,"5,343.03",APRDRG Case Rate,,,"5,343.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518-4 - OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,518-4,APR-DRG,,,,inpatient ,,, -   ,,"9,496.82","9,496.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,496.82",APRDRG Case Rate,,,"9,496.82",APRDRG Case Rate,,,"9,496.82",APRDRG Case Rate,,,"9,496.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-1 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-1,APR-DRG,,,,inpatient ,,, -   ,,"2,301.47","2,301.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,301.47",APRDRG Case Rate,,,"2,301.47",APRDRG Case Rate,,,"2,301.47",APRDRG Case Rate,,,"2,301.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-2 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-2,APR-DRG,,,,inpatient ,,, -   ,,"3,088.36","3,088.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,088.36",APRDRG Case Rate,,,"3,088.36",APRDRG Case Rate,,,"3,088.36",APRDRG Case Rate,,,"3,088.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-3 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-3,APR-DRG,,,,inpatient ,,, -   ,,"4,534.50","4,534.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,534.50",APRDRG Case Rate,,,"4,534.50",APRDRG Case Rate,,,"4,534.50",APRDRG Case Rate,,,"4,534.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519-4 - UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,519-4,APR-DRG,,,,inpatient ,,, -   ,,"9,255.85","9,255.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,255.85",APRDRG Case Rate,,,"9,255.85",APRDRG Case Rate,,,"9,255.85",APRDRG Case Rate,,,"9,255.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-1 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-1,APR-DRG,,,,inpatient ,,, -   ,,"6,884.35","6,884.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,884.35",APRDRG Case Rate,,,"6,884.35",APRDRG Case Rate,,,"6,884.35",APRDRG Case Rate,,,"6,884.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-2 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-2,APR-DRG,,,,inpatient ,,, -   ,,"8,056.09","8,056.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,056.09",APRDRG Case Rate,,,"8,056.09",APRDRG Case Rate,,,"8,056.09",APRDRG Case Rate,,,"8,056.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-3 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-3,APR-DRG,,,,inpatient ,,, -   ,,"12,278.32","12,278.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,278.32",APRDRG Case Rate,,,"12,278.32",APRDRG Case Rate,,,"12,278.32",APRDRG Case Rate,,,"12,278.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530-4 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,530-4,APR-DRG,,,,inpatient ,,, -   ,,"25,260.12","25,260.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,260.12",APRDRG Case Rate,,,"25,260.12",APRDRG Case Rate,,,"25,260.12",APRDRG Case Rate,,,"25,260.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-1 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-1,APR-DRG,,,,inpatient ,,, -   ,,"6,922.55","6,922.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,922.55",APRDRG Case Rate,,,"6,922.55",APRDRG Case Rate,,,"6,922.55",APRDRG Case Rate,,,"6,922.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-2 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-2,APR-DRG,,,,inpatient ,,, -   ,,"8,406.88","8,406.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,406.88",APRDRG Case Rate,,,"8,406.88",APRDRG Case Rate,,,"8,406.88",APRDRG Case Rate,,,"8,406.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-3 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-3,APR-DRG,,,,inpatient ,,, -   ,,"12,381.13","12,381.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,381.13",APRDRG Case Rate,,,"12,381.13",APRDRG Case Rate,,,"12,381.13",APRDRG Case Rate,,,"12,381.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531-4 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,531-4,APR-DRG,,,,inpatient ,,, -   ,,"22,803.00","22,803.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,803.00",APRDRG Case Rate,,,"22,803.00",APRDRG Case Rate,,,"22,803.00",APRDRG Case Rate,,,"22,803.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-1 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-1,APR-DRG,,,,inpatient ,,, -   ,,"6,347.66","6,347.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,347.66",APRDRG Case Rate,,,"6,347.66",APRDRG Case Rate,,,"6,347.66",APRDRG Case Rate,,,"6,347.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-2 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-2,APR-DRG,,,,inpatient ,,, -   ,,"7,509.85","7,509.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,509.85",APRDRG Case Rate,,,"7,509.85",APRDRG Case Rate,,,"7,509.85",APRDRG Case Rate,,,"7,509.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-3 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-3,APR-DRG,,,,inpatient ,,, -   ,,"11,818.66","11,818.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,818.66",APRDRG Case Rate,,,"11,818.66",APRDRG Case Rate,,,"11,818.66",APRDRG Case Rate,,,"11,818.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532-4 - MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,532-4,APR-DRG,,,,inpatient ,,, -   ,,"20,248.46","20,248.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,248.46",APRDRG Case Rate,,,"20,248.46",APRDRG Case Rate,,,"20,248.46",APRDRG Case Rate,,,"20,248.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-1 - CESAREAN DELIVERY,540-1,APR-DRG,,,,inpatient ,,, -   ,,"4,904.71","4,904.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,904.71",APRDRG Case Rate,,,"4,904.71",APRDRG Case Rate,,,"4,904.71",APRDRG Case Rate,,,"4,904.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-2 - CESAREAN DELIVERY,540-2,APR-DRG,,,,inpatient ,,, -   ,,"5,904.24","5,904.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,904.24",APRDRG Case Rate,,,"5,904.24",APRDRG Case Rate,,,"5,904.24",APRDRG Case Rate,,,"5,904.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-3 - CESAREAN DELIVERY,540-3,APR-DRG,,,,inpatient ,,, -   ,,"9,379.99","9,379.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,379.99",APRDRG Case Rate,,,"9,379.99",APRDRG Case Rate,,,"9,379.99",APRDRG Case Rate,,,"9,379.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540-4 - CESAREAN DELIVERY,540-4,APR-DRG,,,,inpatient ,,, -   ,,"15,222.79","15,222.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,222.79",APRDRG Case Rate,,,"15,222.79",APRDRG Case Rate,,,"15,222.79",APRDRG Case Rate,,,"15,222.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-1 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-1,APR-DRG,,,,inpatient ,,, -   ,,"4,061.79","4,061.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,061.79",APRDRG Case Rate,,,"4,061.79",APRDRG Case Rate,,,"4,061.79",APRDRG Case Rate,,,"4,061.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-2 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-2,APR-DRG,,,,inpatient ,,, -   ,,"6,025.20","6,025.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,025.20",APRDRG Case Rate,,,"6,025.20",APRDRG Case Rate,,,"6,025.20",APRDRG Case Rate,,,"6,025.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-3 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-3,APR-DRG,,,,inpatient ,,, -   ,,"11,629.89","11,629.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,629.89",APRDRG Case Rate,,,"11,629.89",APRDRG Case Rate,,,"11,629.89",APRDRG Case Rate,,,"11,629.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541-4 - VAGINAL DELIVERY W STERILIZATION &/OR D&C,541-4,APR-DRG,,,,inpatient ,,, -   ,,"19,437.70","19,437.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,437.70",APRDRG Case Rate,,,"19,437.70",APRDRG Case Rate,,,"19,437.70",APRDRG Case Rate,,,"19,437.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-1 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-1,APR-DRG,,,,inpatient ,,, -   ,,"3,430.24","3,430.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,430.24",APRDRG Case Rate,,,"3,430.24",APRDRG Case Rate,,,"3,430.24",APRDRG Case Rate,,,"3,430.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-2 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-2,APR-DRG,,,,inpatient ,,, -   ,,"4,354.33","4,354.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,354.33",APRDRG Case Rate,,,"4,354.33",APRDRG Case Rate,,,"4,354.33",APRDRG Case Rate,,,"4,354.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-3 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-3,APR-DRG,,,,inpatient ,,, -   ,,"7,308.35","7,308.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,308.35",APRDRG Case Rate,,,"7,308.35",APRDRG Case Rate,,,"7,308.35",APRDRG Case Rate,,,"7,308.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542-4 - VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,542-4,APR-DRG,,,,inpatient ,,, -   ,,"12,855.43","12,855.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,855.43",APRDRG Case Rate,,,"12,855.43",APRDRG Case Rate,,,"12,855.43",APRDRG Case Rate,,,"12,855.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-1 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-1,APR-DRG,,,,inpatient ,,, -   ,,"4,165.88","4,165.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,165.88",APRDRG Case Rate,,,"4,165.88",APRDRG Case Rate,,,"4,165.88",APRDRG Case Rate,,,"4,165.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-2 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-2,APR-DRG,,,,inpatient ,,, -   ,,"6,046.53","6,046.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,046.53",APRDRG Case Rate,,,"6,046.53",APRDRG Case Rate,,,"6,046.53",APRDRG Case Rate,,,"6,046.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-3 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-3,APR-DRG,,,,inpatient ,,, -   ,,"10,169.11","10,169.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,169.11",APRDRG Case Rate,,,"10,169.11",APRDRG Case Rate,,,"10,169.11",APRDRG Case Rate,,,"10,169.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"544-4 - D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES",544-4,APR-DRG,,,,inpatient ,,, -   ,,"18,650.17","18,650.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,650.17",APRDRG Case Rate,,,"18,650.17",APRDRG Case Rate,,,"18,650.17",APRDRG Case Rate,,,"18,650.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-1 - ECTOPIC PREGNANCY PROCEDURE,545-1,APR-DRG,,,,inpatient ,,, -   ,,"4,638.27","4,638.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,638.27",APRDRG Case Rate,,,"4,638.27",APRDRG Case Rate,,,"4,638.27",APRDRG Case Rate,,,"4,638.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-2 - ECTOPIC PREGNANCY PROCEDURE,545-2,APR-DRG,,,,inpatient ,,, -   ,,"5,894.05","5,894.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,894.05",APRDRG Case Rate,,,"5,894.05",APRDRG Case Rate,,,"5,894.05",APRDRG Case Rate,,,"5,894.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-3 - ECTOPIC PREGNANCY PROCEDURE,545-3,APR-DRG,,,,inpatient ,,, -   ,,"9,527.70","9,527.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,527.70",APRDRG Case Rate,,,"9,527.70",APRDRG Case Rate,,,"9,527.70",APRDRG Case Rate,,,"9,527.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545-4 - ECTOPIC PREGNANCY PROCEDURE,545-4,APR-DRG,,,,inpatient ,,, -   ,,"18,224.89","18,224.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,224.89",APRDRG Case Rate,,,"18,224.89",APRDRG Case Rate,,,"18,224.89",APRDRG Case Rate,,,"18,224.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-1 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-1,APR-DRG,,,,inpatient ,,, -   ,,"2,730.88","2,730.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,730.88",APRDRG Case Rate,,,"2,730.88",APRDRG Case Rate,,,"2,730.88",APRDRG Case Rate,,,"2,730.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-2 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-2,APR-DRG,,,,inpatient ,,, -   ,,"3,676.94","3,676.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,676.94",APRDRG Case Rate,,,"3,676.94",APRDRG Case Rate,,,"3,676.94",APRDRG Case Rate,,,"3,676.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-3 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-3,APR-DRG,,,,inpatient ,,, -   ,,"5,345.90","5,345.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,345.90",APRDRG Case Rate,,,"5,345.90",APRDRG Case Rate,,,"5,345.90",APRDRG Case Rate,,,"5,345.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546-4 - OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES,546-4,APR-DRG,,,,inpatient ,,, -   ,,"8,585.14","8,585.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,585.14",APRDRG Case Rate,,,"8,585.14",APRDRG Case Rate,,,"8,585.14",APRDRG Case Rate,,,"8,585.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-1 - VAGINAL DELIVERY,560-1,APR-DRG,,,,inpatient ,,, -   ,,"2,495.33","2,495.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,495.33",APRDRG Case Rate,,,"2,495.33",APRDRG Case Rate,,,"2,495.33",APRDRG Case Rate,,,"2,495.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-2 - VAGINAL DELIVERY,560-2,APR-DRG,,,,inpatient ,,, -   ,,"3,257.71","3,257.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,257.71",APRDRG Case Rate,,,"3,257.71",APRDRG Case Rate,,,"3,257.71",APRDRG Case Rate,,,"3,257.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-3 - VAGINAL DELIVERY,560-3,APR-DRG,,,,inpatient ,,, -   ,,"5,029.81","5,029.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,029.81",APRDRG Case Rate,,,"5,029.81",APRDRG Case Rate,,,"5,029.81",APRDRG Case Rate,,,"5,029.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
560-4 - VAGINAL DELIVERY,560-4,APR-DRG,,,,inpatient ,,, -   ,,"8,231.81","8,231.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,231.81",APRDRG Case Rate,,,"8,231.81",APRDRG Case Rate,,,"8,231.81",APRDRG Case Rate,,,"8,231.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-1 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-1,APR-DRG,,,,inpatient ,,, -   ,,"2,080.55","2,080.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,080.55",APRDRG Case Rate,,,"2,080.55",APRDRG Case Rate,,,"2,080.55",APRDRG Case Rate,,,"2,080.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-2 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-2,APR-DRG,,,,inpatient ,,, -   ,,"2,608.33","2,608.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,608.33",APRDRG Case Rate,,,"2,608.33",APRDRG Case Rate,,,"2,608.33",APRDRG Case Rate,,,"2,608.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-3 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-3,APR-DRG,,,,inpatient ,,, -   ,,"4,102.22","4,102.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,102.22",APRDRG Case Rate,,,"4,102.22",APRDRG Case Rate,,,"4,102.22",APRDRG Case Rate,,,"4,102.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561-4 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,561-4,APR-DRG,,,,inpatient ,,, -   ,,"6,784.72","6,784.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,784.72",APRDRG Case Rate,,,"6,784.72",APRDRG Case Rate,,,"6,784.72",APRDRG Case Rate,,,"6,784.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-1 - PRETERM LABOR,563-1,APR-DRG,,,,inpatient ,,, -   ,,"3,099.50","3,099.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,099.50",APRDRG Case Rate,,,"3,099.50",APRDRG Case Rate,,,"3,099.50",APRDRG Case Rate,,,"3,099.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-2 - PRETERM LABOR,563-2,APR-DRG,,,,inpatient ,,, -   ,,"3,580.17","3,580.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,580.17",APRDRG Case Rate,,,"3,580.17",APRDRG Case Rate,,,"3,580.17",APRDRG Case Rate,,,"3,580.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-3 - PRETERM LABOR,563-3,APR-DRG,,,,inpatient ,,, -   ,,"5,059.73","5,059.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,059.73",APRDRG Case Rate,,,"5,059.73",APRDRG Case Rate,,,"5,059.73",APRDRG Case Rate,,,"5,059.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563-4 - PRETERM LABOR,563-4,APR-DRG,,,,inpatient ,,, -   ,,"10,470.57","10,470.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,470.57",APRDRG Case Rate,,,"10,470.57",APRDRG Case Rate,,,"10,470.57",APRDRG Case Rate,,,"10,470.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-1 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-1,APR-DRG,,,,inpatient ,,, -   ,,"3,041.25","3,041.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,041.25",APRDRG Case Rate,,,"3,041.25",APRDRG Case Rate,,,"3,041.25",APRDRG Case Rate,,,"3,041.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-2 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-2,APR-DRG,,,,inpatient ,,, -   ,,"3,704.63","3,704.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,704.63",APRDRG Case Rate,,,"3,704.63",APRDRG Case Rate,,,"3,704.63",APRDRG Case Rate,,,"3,704.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-3 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-3,APR-DRG,,,,inpatient ,,, -   ,,"4,682.83","4,682.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,682.83",APRDRG Case Rate,,,"4,682.83",APRDRG Case Rate,,,"4,682.83",APRDRG Case Rate,,,"4,682.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564-4 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",564-4,APR-DRG,,,,inpatient ,,, -   ,,"7,868.92","7,868.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,868.92",APRDRG Case Rate,,,"7,868.92",APRDRG Case Rate,,,"7,868.92",APRDRG Case Rate,,,"7,868.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-1 - FALSE LABOR,565-1,APR-DRG,,,,inpatient ,,, -   ,,"3,157.44","3,157.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,157.44",APRDRG Case Rate,,,"3,157.44",APRDRG Case Rate,,,"3,157.44",APRDRG Case Rate,,,"3,157.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-2 - FALSE LABOR,565-2,APR-DRG,,,,inpatient ,,, -   ,,"3,290.49","3,290.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,290.49",APRDRG Case Rate,,,"3,290.49",APRDRG Case Rate,,,"3,290.49",APRDRG Case Rate,,,"3,290.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-3 - FALSE LABOR,565-3,APR-DRG,,,,inpatient ,,, -   ,,"4,050.65","4,050.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,050.65",APRDRG Case Rate,,,"4,050.65",APRDRG Case Rate,,,"4,050.65",APRDRG Case Rate,,,"4,050.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565-4 - FALSE LABOR,565-4,APR-DRG,,,,inpatient ,,, -   ,,"5,447.13","5,447.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,447.13",APRDRG Case Rate,,,"5,447.13",APRDRG Case Rate,,,"5,447.13",APRDRG Case Rate,,,"5,447.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-1 - OTHER ANTEPARTUM DIAGNOSES,566-1,APR-DRG,,,,inpatient ,,, -   ,,"2,071.64","2,071.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,071.64",APRDRG Case Rate,,,"2,071.64",APRDRG Case Rate,,,"2,071.64",APRDRG Case Rate,,,"2,071.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-2 - OTHER ANTEPARTUM DIAGNOSES,566-2,APR-DRG,,,,inpatient ,,, -   ,,"2,357.17","2,357.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,357.17",APRDRG Case Rate,,,"2,357.17",APRDRG Case Rate,,,"2,357.17",APRDRG Case Rate,,,"2,357.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-3 - OTHER ANTEPARTUM DIAGNOSES,566-3,APR-DRG,,,,inpatient ,,, -   ,,"3,476.39","3,476.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,476.39",APRDRG Case Rate,,,"3,476.39",APRDRG Case Rate,,,"3,476.39",APRDRG Case Rate,,,"3,476.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566-4 - OTHER ANTEPARTUM DIAGNOSES,566-4,APR-DRG,,,,inpatient ,,, -   ,,"7,983.20","7,983.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,983.20",APRDRG Case Rate,,,"7,983.20",APRDRG Case Rate,,,"7,983.20",APRDRG Case Rate,,,"7,983.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-1 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-1,APR-DRG,,,,inpatient ,,, -   ,,"2,419.88","2,419.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,419.88",APRDRG Case Rate,,,"2,419.88",APRDRG Case Rate,,,"2,419.88",APRDRG Case Rate,,,"2,419.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-2 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-2,APR-DRG,,,,inpatient ,,, -   ,,"3,203.27","3,203.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,203.27",APRDRG Case Rate,,,"3,203.27",APRDRG Case Rate,,,"3,203.27",APRDRG Case Rate,,,"3,203.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-3 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-3,APR-DRG,,,,inpatient ,,, -   ,,"4,330.77","4,330.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,330.77",APRDRG Case Rate,,,"4,330.77",APRDRG Case Rate,,,"4,330.77",APRDRG Case Rate,,,"4,330.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580-4 - NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",580-4,APR-DRG,,,,inpatient ,,, -   ,,"11,755.31","11,755.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,755.31",APRDRG Case Rate,,,"11,755.31",APRDRG Case Rate,,,"11,755.31",APRDRG Case Rate,,,"11,755.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-1 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-1,APR-DRG,,,,inpatient ,,, -   ,,"3,113.51","3,113.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,113.51",APRDRG Case Rate,,,"3,113.51",APRDRG Case Rate,,,"3,113.51",APRDRG Case Rate,,,"3,113.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-2 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-2,APR-DRG,,,,inpatient ,,, -   ,,"4,353.37","4,353.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,353.37",APRDRG Case Rate,,,"4,353.37",APRDRG Case Rate,,,"4,353.37",APRDRG Case Rate,,,"4,353.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-3 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-3,APR-DRG,,,,inpatient ,,, -   ,,"6,468.62","6,468.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,468.62",APRDRG Case Rate,,,"6,468.62",APRDRG Case Rate,,,"6,468.62",APRDRG Case Rate,,,"6,468.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581-4 - NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",581-4,APR-DRG,,,,inpatient ,,, -   ,,"11,554.77","11,554.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,554.77",APRDRG Case Rate,,,"11,554.77",APRDRG Case Rate,,,"11,554.77",APRDRG Case Rate,,,"11,554.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-1 - NEONATE W ECMO,583-1,APR-DRG,,,,inpatient ,,, -   ,,"2,100.93","2,100.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,100.93",APRDRG Case Rate,,,"2,100.93",APRDRG Case Rate,,,"2,100.93",APRDRG Case Rate,,,"2,100.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-2 - NEONATE W ECMO,583-2,APR-DRG,,,,inpatient ,,, -   ,,"4,357.19","4,357.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,357.19",APRDRG Case Rate,,,"4,357.19",APRDRG Case Rate,,,"4,357.19",APRDRG Case Rate,,,"4,357.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-3 - NEONATE W ECMO,583-3,APR-DRG,,,,inpatient ,,, -   ,,"7,278.43","7,278.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,278.43",APRDRG Case Rate,,,"7,278.43",APRDRG Case Rate,,,"7,278.43",APRDRG Case Rate,,,"7,278.43",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583-4 - NEONATE W ECMO,583-4,APR-DRG,,,,inpatient ,,, -   ,,"16,619.27","16,619.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,619.27",APRDRG Case Rate,,,"16,619.27",APRDRG Case Rate,,,"16,619.27",APRDRG Case Rate,,,"16,619.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-1 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-1,APR-DRG,,,,inpatient ,,, -   ,,"1,796.93","1,796.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,796.93",APRDRG Case Rate,,,"1,796.93",APRDRG Case Rate,,,"1,796.93",APRDRG Case Rate,,,"1,796.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-2 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-2,APR-DRG,,,,inpatient ,,, -   ,,"2,051.90","2,051.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,051.90",APRDRG Case Rate,,,"2,051.90",APRDRG Case Rate,,,"2,051.90",APRDRG Case Rate,,,"2,051.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-3 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-3,APR-DRG,,,,inpatient ,,, -   ,,"2,672.31","2,672.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,672.31",APRDRG Case Rate,,,"2,672.31",APRDRG Case Rate,,,"2,672.31",APRDRG Case Rate,,,"2,672.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
588-4 - NEONATE BWT <1500G W MAJOR PROCEDURE,588-4,APR-DRG,,,,inpatient ,,, -   ,,"3,762.88","3,762.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,762.88",APRDRG Case Rate,,,"3,762.88",APRDRG Case Rate,,,"3,762.88",APRDRG Case Rate,,,"3,762.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-1 - NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANO",589-1,APR-DRG,,,,inpatient ,,, -   ,,"1,261.83","1,261.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,261.83",APRDRG Case Rate,,,"1,261.83",APRDRG Case Rate,,,"1,261.83",APRDRG Case Rate,,,"1,261.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-2 - NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANO",589-2,APR-DRG,,,,inpatient ,,, -   ,,"1,916.30","1,916.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,916.30",APRDRG Case Rate,,,"1,916.30",APRDRG Case Rate,,,"1,916.30",APRDRG Case Rate,,,"1,916.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-3 - NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANO",589-3,APR-DRG,,,,inpatient ,,, -   ,,"2,997.32","2,997.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,997.32",APRDRG Case Rate,,,"2,997.32",APRDRG Case Rate,,,"2,997.32",APRDRG Case Rate,,,"2,997.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"589-4 - NEONATE BWT < 500G, OR BWT 500-999G & GESTATIONAL AGE <24 WKS, OR BWT 500-749G W MAJOR ANO",589-4,APR-DRG,,,,inpatient ,,, -   ,,"6,333.33","6,333.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,333.33",APRDRG Case Rate,,,"6,333.33",APRDRG Case Rate,,,"6,333.33",APRDRG Case Rate,,,"6,333.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-1 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-1,APR-DRG,,,,inpatient ,,, -   ,,"1,545.45","1,545.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,545.45",APRDRG Case Rate,,,"1,545.45",APRDRG Case Rate,,,"1,545.45",APRDRG Case Rate,,,"1,545.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-2 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-2,APR-DRG,,,,inpatient ,,, -   ,,"2,066.86","2,066.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,066.86",APRDRG Case Rate,,,"2,066.86",APRDRG Case Rate,,,"2,066.86",APRDRG Case Rate,,,"2,066.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-3 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-3,APR-DRG,,,,inpatient ,,, -   ,,"2,885.27","2,885.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,885.27",APRDRG Case Rate,,,"2,885.27",APRDRG Case Rate,,,"2,885.27",APRDRG Case Rate,,,"2,885.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591-4 - NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,591-4,APR-DRG,,,,inpatient ,,, -   ,,"7,590.39","7,590.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,590.39",APRDRG Case Rate,,,"7,590.39",APRDRG Case Rate,,,"7,590.39",APRDRG Case Rate,,,"7,590.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-1 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-1,APR-DRG,,,,inpatient ,,, -   ,,"1,216.31","1,216.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,216.31",APRDRG Case Rate,,,"1,216.31",APRDRG Case Rate,,,"1,216.31",APRDRG Case Rate,,,"1,216.31",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-2 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-2,APR-DRG,,,,inpatient ,,, -   ,,"1,636.49","1,636.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,636.49",APRDRG Case Rate,,,"1,636.49",APRDRG Case Rate,,,"1,636.49",APRDRG Case Rate,,,"1,636.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-3 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-3,APR-DRG,,,,inpatient ,,, -   ,,"2,381.05","2,381.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,381.05",APRDRG Case Rate,,,"2,381.05",APRDRG Case Rate,,,"2,381.05",APRDRG Case Rate,,,"2,381.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593-4 - NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,593-4,APR-DRG,,,,inpatient ,,, -   ,,"5,282.55","5,282.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,282.55",APRDRG Case Rate,,,"5,282.55",APRDRG Case Rate,,,"5,282.55",APRDRG Case Rate,,,"5,282.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-1 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-1,APR-DRG,,,,inpatient ,,, -   ,,"1,530.81","1,530.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,530.81",APRDRG Case Rate,,,"1,530.81",APRDRG Case Rate,,,"1,530.81",APRDRG Case Rate,,,"1,530.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-2 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-2,APR-DRG,,,,inpatient ,,, -   ,,"1,957.68","1,957.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,957.68",APRDRG Case Rate,,,"1,957.68",APRDRG Case Rate,,,"1,957.68",APRDRG Case Rate,,,"1,957.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-3 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-3,APR-DRG,,,,inpatient ,,, -   ,,"3,211.55","3,211.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,211.55",APRDRG Case Rate,,,"3,211.55",APRDRG Case Rate,,,"3,211.55",APRDRG Case Rate,,,"3,211.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602-4 - NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,602-4,APR-DRG,,,,inpatient ,,, -   ,,"5,266.00","5,266.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,266.00",APRDRG Case Rate,,,"5,266.00",APRDRG Case Rate,,,"5,266.00",APRDRG Case Rate,,,"5,266.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-1 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-1,APR-DRG,,,,inpatient ,,, -   ,,532.87,532.87,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,532.87,APRDRG Case Rate,,,532.87,APRDRG Case Rate,,,532.87,APRDRG Case Rate,,,532.87,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-2 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-2,APR-DRG,,,,inpatient ,,, -   ,,798.35,798.35,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,798.35,APRDRG Case Rate,,,798.35,APRDRG Case Rate,,,798.35,APRDRG Case Rate,,,798.35,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-3 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-3,APR-DRG,,,,inpatient ,,, -   ,,"1,223.95","1,223.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,223.95",APRDRG Case Rate,,,"1,223.95",APRDRG Case Rate,,,"1,223.95",APRDRG Case Rate,,,"1,223.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603-4 - NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,603-4,APR-DRG,,,,inpatient ,,, -   ,,"2,048.08","2,048.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,048.08",APRDRG Case Rate,,,"2,048.08",APRDRG Case Rate,,,"2,048.08",APRDRG Case Rate,,,"2,048.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-1 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-1,APR-DRG,,,,inpatient ,,, -   ,,"78,396.98","78,396.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"78,396.98",APRDRG Case Rate,,,"78,396.98",APRDRG Case Rate,,,"78,396.98",APRDRG Case Rate,,,"78,396.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-2 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-2,APR-DRG,,,,inpatient ,,, -   ,,"90,718.27","90,718.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,718.27",APRDRG Case Rate,,,"90,718.27",APRDRG Case Rate,,,"90,718.27",APRDRG Case Rate,,,"90,718.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-3 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-3,APR-DRG,,,,inpatient ,,, -   ,,"123,023.81","123,023.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"123,023.81",APRDRG Case Rate,,,"123,023.81",APRDRG Case Rate,,,"123,023.81",APRDRG Case Rate,,,"123,023.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607-4 - NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,607-4,APR-DRG,,,,inpatient ,,, -   ,,"155,329.36","155,329.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"155,329.36",APRDRG Case Rate,,,"155,329.36",APRDRG Case Rate,,,"155,329.36",APRDRG Case Rate,,,"155,329.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-1 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-1,APR-DRG,,,,inpatient ,,, -   ,,"52,906.39","52,906.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,906.39",APRDRG Case Rate,,,"52,906.39",APRDRG Case Rate,,,"52,906.39",APRDRG Case Rate,,,"52,906.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-2 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-2,APR-DRG,,,,inpatient ,,, -   ,,"80,375.99","80,375.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"80,375.99",APRDRG Case Rate,,,"80,375.99",APRDRG Case Rate,,,"80,375.99",APRDRG Case Rate,,,"80,375.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-3 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-3,APR-DRG,,,,inpatient ,,, -   ,,"82,083.78","82,083.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"82,083.78",APRDRG Case Rate,,,"82,083.78",APRDRG Case Rate,,,"82,083.78",APRDRG Case Rate,,,"82,083.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
608-4 - NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,608-4,APR-DRG,,,,inpatient ,,, -   ,,"127,412.20","127,412.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"127,412.20",APRDRG Case Rate,,,"127,412.20",APRDRG Case Rate,,,"127,412.20",APRDRG Case Rate,,,"127,412.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-1 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-1,APR-DRG,,,,inpatient ,,, -   ,,"24,893.42","24,893.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,893.42",APRDRG Case Rate,,,"24,893.42",APRDRG Case Rate,,,"24,893.42",APRDRG Case Rate,,,"24,893.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-2 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-2,APR-DRG,,,,inpatient ,,, -   ,,"20,665.46","20,665.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,665.46",APRDRG Case Rate,,,"20,665.46",APRDRG Case Rate,,,"20,665.46",APRDRG Case Rate,,,"20,665.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-3 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-3,APR-DRG,,,,inpatient ,,, -   ,,"16,437.51","16,437.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,437.51",APRDRG Case Rate,,,"16,437.51",APRDRG Case Rate,,,"16,437.51",APRDRG Case Rate,,,"16,437.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
609-4 - NEONATE BWT 1500-2499G W MAJOR PROCEDURE,609-4,APR-DRG,,,,inpatient ,,, -   ,,348.56,348.56,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.56,APRDRG Case Rate,,,348.56,APRDRG Case Rate,,,348.56,APRDRG Case Rate,,,348.56,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-1 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-1,APR-DRG,,,,inpatient ,,, -   ,,679.62,679.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,679.62,APRDRG Case Rate,,,679.62,APRDRG Case Rate,,,679.62,APRDRG Case Rate,,,679.62,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-2 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-2,APR-DRG,,,,inpatient ,,, -   ,,"25,015.65","25,015.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,015.65",APRDRG Case Rate,,,"25,015.65",APRDRG Case Rate,,,"25,015.65",APRDRG Case Rate,,,"25,015.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-3 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-3,APR-DRG,,,,inpatient ,,, -   ,,"47,010.75","47,010.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,010.75",APRDRG Case Rate,,,"47,010.75",APRDRG Case Rate,,,"47,010.75",APRDRG Case Rate,,,"47,010.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
611-4 - NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,611-4,APR-DRG,,,,inpatient ,,, -   ,,"80,243.88","80,243.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"80,243.88",APRDRG Case Rate,,,"80,243.88",APRDRG Case Rate,,,"80,243.88",APRDRG Case Rate,,,"80,243.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-1 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-1,APR-DRG,,,,inpatient ,,, -   ,,784.35,784.35,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,784.35,APRDRG Case Rate,,,784.35,APRDRG Case Rate,,,784.35,APRDRG Case Rate,,,784.35,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-2 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-2,APR-DRG,,,,inpatient ,,, -   ,,"42,353.70","42,353.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,353.70",APRDRG Case Rate,,,"42,353.70",APRDRG Case Rate,,,"42,353.70",APRDRG Case Rate,,,"42,353.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-3 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-3,APR-DRG,,,,inpatient ,,, -   ,,"53,436.71","53,436.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"53,436.71",APRDRG Case Rate,,,"53,436.71",APRDRG Case Rate,,,"53,436.71",APRDRG Case Rate,,,"53,436.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
612-4 - NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,612-4,APR-DRG,,,,inpatient ,,, -   ,,"83,097.00","83,097.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"83,097.00",APRDRG Case Rate,,,"83,097.00",APRDRG Case Rate,,,"83,097.00",APRDRG Case Rate,,,"83,097.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-1 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-1,APR-DRG,,,,inpatient ,,, -   ,,"7,047.01","7,047.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,047.01",APRDRG Case Rate,,,"7,047.01",APRDRG Case Rate,,,"7,047.01",APRDRG Case Rate,,,"7,047.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-2 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-2,APR-DRG,,,,inpatient ,,, -   ,,"35,837.96","35,837.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,837.96",APRDRG Case Rate,,,"35,837.96",APRDRG Case Rate,,,"35,837.96",APRDRG Case Rate,,,"35,837.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-3 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-3,APR-DRG,,,,inpatient ,,, -   ,,"46,967.77","46,967.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,967.77",APRDRG Case Rate,,,"46,967.77",APRDRG Case Rate,,,"46,967.77",APRDRG Case Rate,,,"46,967.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
613-4 - NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,613-4,APR-DRG,,,,inpatient ,,, -   ,,"59,564.09","59,564.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,564.09",APRDRG Case Rate,,,"59,564.09",APRDRG Case Rate,,,"59,564.09",APRDRG Case Rate,,,"59,564.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-1 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-1,APR-DRG,,,,inpatient ,,, -   ,,778.62,778.62,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,778.62,APRDRG Case Rate,,,778.62,APRDRG Case Rate,,,778.62,APRDRG Case Rate,,,778.62,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-2 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-2,APR-DRG,,,,inpatient ,,, -   ,,"16,037.70","16,037.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,037.70",APRDRG Case Rate,,,"16,037.70",APRDRG Case Rate,,,"16,037.70",APRDRG Case Rate,,,"16,037.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-3 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-3,APR-DRG,,,,inpatient ,,, -   ,,"32,505.13","32,505.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,505.13",APRDRG Case Rate,,,"32,505.13",APRDRG Case Rate,,,"32,505.13",APRDRG Case Rate,,,"32,505.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614-4 - NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,614-4,APR-DRG,,,,inpatient ,,, -   ,,"66,796.05","66,796.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"66,796.05",APRDRG Case Rate,,,"66,796.05",APRDRG Case Rate,,,"66,796.05",APRDRG Case Rate,,,"66,796.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-1 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-1,APR-DRG,,,,inpatient ,,, -   ,,"11,407.39","11,407.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,407.39",APRDRG Case Rate,,,"11,407.39",APRDRG Case Rate,,,"11,407.39",APRDRG Case Rate,,,"11,407.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-2 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-2,APR-DRG,,,,inpatient ,,, -   ,,"27,559.36","27,559.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,559.36",APRDRG Case Rate,,,"27,559.36",APRDRG Case Rate,,,"27,559.36",APRDRG Case Rate,,,"27,559.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-3 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-3,APR-DRG,,,,inpatient ,,, -   ,,"35,591.26","35,591.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,591.26",APRDRG Case Rate,,,"35,591.26",APRDRG Case Rate,,,"35,591.26",APRDRG Case Rate,,,"35,591.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621-4 - NEONATE BWT 2000-2499G W MAJOR ANOMALY,621-4,APR-DRG,,,,inpatient ,,, -   ,,"45,750.51","45,750.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,750.51",APRDRG Case Rate,,,"45,750.51",APRDRG Case Rate,,,"45,750.51",APRDRG Case Rate,,,"45,750.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-1 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-1,APR-DRG,,,,inpatient ,,, -   ,,"2,759.22","2,759.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,759.22",APRDRG Case Rate,,,"2,759.22",APRDRG Case Rate,,,"2,759.22",APRDRG Case Rate,,,"2,759.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-2 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-2,APR-DRG,,,,inpatient ,,, -   ,,"20,365.92","20,365.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,365.92",APRDRG Case Rate,,,"20,365.92",APRDRG Case Rate,,,"20,365.92",APRDRG Case Rate,,,"20,365.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-3 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-3,APR-DRG,,,,inpatient ,,, -   ,,"27,587.69","27,587.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,587.69",APRDRG Case Rate,,,"27,587.69",APRDRG Case Rate,,,"27,587.69",APRDRG Case Rate,,,"27,587.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
622-4 - NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,622-4,APR-DRG,,,,inpatient ,,, -   ,,"28,967.30","28,967.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,967.30",APRDRG Case Rate,,,"28,967.30",APRDRG Case Rate,,,"28,967.30",APRDRG Case Rate,,,"28,967.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-1 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-1,APR-DRG,,,,inpatient ,,, -   ,,"17,924.39","17,924.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,924.39",APRDRG Case Rate,,,"17,924.39",APRDRG Case Rate,,,"17,924.39",APRDRG Case Rate,,,"17,924.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-2 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-2,APR-DRG,,,,inpatient ,,, -   ,,"18,867.90","18,867.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,867.90",APRDRG Case Rate,,,"18,867.90",APRDRG Case Rate,,,"18,867.90",APRDRG Case Rate,,,"18,867.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-3 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-3,APR-DRG,,,,inpatient ,,, -   ,,"39,722.77","39,722.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,722.77",APRDRG Case Rate,,,"39,722.77",APRDRG Case Rate,,,"39,722.77",APRDRG Case Rate,,,"39,722.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623-4 - NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,623-4,APR-DRG,,,,inpatient ,,, -   ,,"79,732.02","79,732.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"79,732.02",APRDRG Case Rate,,,"79,732.02",APRDRG Case Rate,,,"79,732.02",APRDRG Case Rate,,,"79,732.02",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-1 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-1,APR-DRG,,,,inpatient ,,, -   ,,"5,836.12","5,836.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,836.12",APRDRG Case Rate,,,"5,836.12",APRDRG Case Rate,,,"5,836.12",APRDRG Case Rate,,,"5,836.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-2 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-2,APR-DRG,,,,inpatient ,,, -   ,,"12,970.67","12,970.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,970.67",APRDRG Case Rate,,,"12,970.67",APRDRG Case Rate,,,"12,970.67",APRDRG Case Rate,,,"12,970.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-3 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-3,APR-DRG,,,,inpatient ,,, -   ,,"22,644.79","22,644.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,644.79",APRDRG Case Rate,,,"22,644.79",APRDRG Case Rate,,,"22,644.79",APRDRG Case Rate,,,"22,644.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625-4 - NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,625-4,APR-DRG,,,,inpatient ,,, -   ,,"34,766.81","34,766.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,766.81",APRDRG Case Rate,,,"34,766.81",APRDRG Case Rate,,,"34,766.81",APRDRG Case Rate,,,"34,766.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-1 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-1,APR-DRG,,,,inpatient ,,, -   ,,"11,834.89","11,834.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,834.89",APRDRG Case Rate,,,"11,834.89",APRDRG Case Rate,,,"11,834.89",APRDRG Case Rate,,,"11,834.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-2 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-2,APR-DRG,,,,inpatient ,,, -   ,,"18,106.16","18,106.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,106.16",APRDRG Case Rate,,,"18,106.16",APRDRG Case Rate,,,"18,106.16",APRDRG Case Rate,,,"18,106.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-3 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-3,APR-DRG,,,,inpatient ,,, -   ,,"23,381.07","23,381.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,381.07",APRDRG Case Rate,,,"23,381.07",APRDRG Case Rate,,,"23,381.07",APRDRG Case Rate,,,"23,381.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626-4 - NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",626-4,APR-DRG,,,,inpatient ,,, -   ,,"33,245.87","33,245.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,245.87",APRDRG Case Rate,,,"33,245.87",APRDRG Case Rate,,,"33,245.87",APRDRG Case Rate,,,"33,245.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-1 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-1,APR-DRG,,,,inpatient ,,, -   ,,"7,280.98","7,280.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,280.98",APRDRG Case Rate,,,"7,280.98",APRDRG Case Rate,,,"7,280.98",APRDRG Case Rate,,,"7,280.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-2 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-2,APR-DRG,,,,inpatient ,,, -   ,,"13,214.50","13,214.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,214.50",APRDRG Case Rate,,,"13,214.50",APRDRG Case Rate,,,"13,214.50",APRDRG Case Rate,,,"13,214.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-3 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-3,APR-DRG,,,,inpatient ,,, -   ,,"21,269.96","21,269.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,269.96",APRDRG Case Rate,,,"21,269.96",APRDRG Case Rate,,,"21,269.96",APRDRG Case Rate,,,"21,269.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630-4 - NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,630-4,APR-DRG,,,,inpatient ,,, -   ,,"32,618.14","32,618.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,618.14",APRDRG Case Rate,,,"32,618.14",APRDRG Case Rate,,,"32,618.14",APRDRG Case Rate,,,"32,618.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-1 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-1,APR-DRG,,,,inpatient ,,, -   ,,"4,548.18","4,548.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,548.18",APRDRG Case Rate,,,"4,548.18",APRDRG Case Rate,,,"4,548.18",APRDRG Case Rate,,,"4,548.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-2 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-2,APR-DRG,,,,inpatient ,,, -   ,,"11,048.00","11,048.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,048.00",APRDRG Case Rate,,,"11,048.00",APRDRG Case Rate,,,"11,048.00",APRDRG Case Rate,,,"11,048.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-3 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-3,APR-DRG,,,,inpatient ,,, -   ,,"20,108.72","20,108.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,108.72",APRDRG Case Rate,,,"20,108.72",APRDRG Case Rate,,,"20,108.72",APRDRG Case Rate,,,"20,108.72",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631-4 - NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,631-4,APR-DRG,,,,inpatient ,,, -   ,,"26,212.54","26,212.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,212.54",APRDRG Case Rate,,,"26,212.54",APRDRG Case Rate,,,"26,212.54",APRDRG Case Rate,,,"26,212.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-1 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-1,APR-DRG,,,,inpatient ,,, -   ,,"2,078.64","2,078.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,078.64",APRDRG Case Rate,,,"2,078.64",APRDRG Case Rate,,,"2,078.64",APRDRG Case Rate,,,"2,078.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-2 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-2,APR-DRG,,,,inpatient ,,, -   ,,"6,732.51","6,732.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,732.51",APRDRG Case Rate,,,"6,732.51",APRDRG Case Rate,,,"6,732.51",APRDRG Case Rate,,,"6,732.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-3 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-3,APR-DRG,,,,inpatient ,,, -   ,,"16,010.32","16,010.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,010.32",APRDRG Case Rate,,,"16,010.32",APRDRG Case Rate,,,"16,010.32",APRDRG Case Rate,,,"16,010.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633-4 - NEONATE BIRTHWT >2499G W MAJOR ANOMALY,633-4,APR-DRG,,,,inpatient ,,, -   ,,"27,275.10","27,275.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,275.10",APRDRG Case Rate,,,"27,275.10",APRDRG Case Rate,,,"27,275.10",APRDRG Case Rate,,,"27,275.10",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-1 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-1,APR-DRG,,,,inpatient ,,, -   ,,"7,391.44","7,391.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,391.44",APRDRG Case Rate,,,"7,391.44",APRDRG Case Rate,,,"7,391.44",APRDRG Case Rate,,,"7,391.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-2 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-2,APR-DRG,,,,inpatient ,,, -   ,,"11,055.32","11,055.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,055.32",APRDRG Case Rate,,,"11,055.32",APRDRG Case Rate,,,"11,055.32",APRDRG Case Rate,,,"11,055.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-3 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-3,APR-DRG,,,,inpatient ,,, -   ,,"12,537.75","12,537.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,537.75",APRDRG Case Rate,,,"12,537.75",APRDRG Case Rate,,,"12,537.75",APRDRG Case Rate,,,"12,537.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"634-4 - NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",634-4,APR-DRG,,,,inpatient ,,, -   ,,"21,528.12","21,528.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,528.12",APRDRG Case Rate,,,"21,528.12",APRDRG Case Rate,,,"21,528.12",APRDRG Case Rate,,,"21,528.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-1 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-1,APR-DRG,,,,inpatient ,,, -   ,,"4,564.74","4,564.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,564.74",APRDRG Case Rate,,,"4,564.74",APRDRG Case Rate,,,"4,564.74",APRDRG Case Rate,,,"4,564.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-2 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-2,APR-DRG,,,,inpatient ,,, -   ,,"7,404.81","7,404.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,404.81",APRDRG Case Rate,,,"7,404.81",APRDRG Case Rate,,,"7,404.81",APRDRG Case Rate,,,"7,404.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-3 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-3,APR-DRG,,,,inpatient ,,, -   ,,"16,292.67","16,292.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,292.67",APRDRG Case Rate,,,"16,292.67",APRDRG Case Rate,,,"16,292.67",APRDRG Case Rate,,,"16,292.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636-4 - NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,636-4,APR-DRG,,,,inpatient ,,, -   ,,"19,757.61","19,757.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,757.61",APRDRG Case Rate,,,"19,757.61",APRDRG Case Rate,,,"19,757.61",APRDRG Case Rate,,,"19,757.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-1 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-1,APR-DRG,,,,inpatient ,,, -   ,,"5,274.91","5,274.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,274.91",APRDRG Case Rate,,,"5,274.91",APRDRG Case Rate,,,"5,274.91",APRDRG Case Rate,,,"5,274.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-2 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-2,APR-DRG,,,,inpatient ,,, -   ,,"7,172.75","7,172.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,172.75",APRDRG Case Rate,,,"7,172.75",APRDRG Case Rate,,,"7,172.75",APRDRG Case Rate,,,"7,172.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-3 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-3,APR-DRG,,,,inpatient ,,, -   ,,"12,972.26","12,972.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,972.26",APRDRG Case Rate,,,"12,972.26",APRDRG Case Rate,,,"12,972.26",APRDRG Case Rate,,,"12,972.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639-4 - NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,639-4,APR-DRG,,,,inpatient ,,, -   ,,"18,201.33","18,201.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,201.33",APRDRG Case Rate,,,"18,201.33",APRDRG Case Rate,,,"18,201.33",APRDRG Case Rate,,,"18,201.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-1 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-1,APR-DRG,,,,inpatient ,,, -   ,,798.35,798.35,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,798.35,APRDRG Case Rate,,,798.35,APRDRG Case Rate,,,798.35,APRDRG Case Rate,,,798.35,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-2 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-2,APR-DRG,,,,inpatient ,,, -   ,,931.41,931.41,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,931.41,APRDRG Case Rate,,,931.41,APRDRG Case Rate,,,931.41,APRDRG Case Rate,,,931.41,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-3 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-3,APR-DRG,,,,inpatient ,,, -   ,,"2,205.33","2,205.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,205.33",APRDRG Case Rate,,,"2,205.33",APRDRG Case Rate,,,"2,205.33",APRDRG Case Rate,,,"2,205.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640-4 - NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",640-4,APR-DRG,,,,inpatient ,,, -   ,,"12,149.08","12,149.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,149.08",APRDRG Case Rate,,,"12,149.08",APRDRG Case Rate,,,"12,149.08",APRDRG Case Rate,,,"12,149.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-1 - SPLENECTOMY,650-1,APR-DRG,,,,inpatient ,,, -   ,,"11,246.63","11,246.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,246.63",APRDRG Case Rate,,,"11,246.63",APRDRG Case Rate,,,"11,246.63",APRDRG Case Rate,,,"11,246.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-2 - SPLENECTOMY,650-2,APR-DRG,,,,inpatient ,,, -   ,,"28,350.71","28,350.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,350.71",APRDRG Case Rate,,,"28,350.71",APRDRG Case Rate,,,"28,350.71",APRDRG Case Rate,,,"28,350.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-3 - SPLENECTOMY,650-3,APR-DRG,,,,inpatient ,,, -   ,,"44,684.45","44,684.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,684.45",APRDRG Case Rate,,,"44,684.45",APRDRG Case Rate,,,"44,684.45",APRDRG Case Rate,,,"44,684.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650-4 - SPLENECTOMY,650-4,APR-DRG,,,,inpatient ,,, -   ,,"92,480.50","92,480.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"92,480.50",APRDRG Case Rate,,,"92,480.50",APRDRG Case Rate,,,"92,480.50",APRDRG Case Rate,,,"92,480.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-1 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-1,APR-DRG,,,,inpatient ,,, -   ,,"2,328.21","2,328.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,328.21",APRDRG Case Rate,,,"2,328.21",APRDRG Case Rate,,,"2,328.21",APRDRG Case Rate,,,"2,328.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-2 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-2,APR-DRG,,,,inpatient ,,, -   ,,"18,028.17","18,028.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,028.17",APRDRG Case Rate,,,"18,028.17",APRDRG Case Rate,,,"18,028.17",APRDRG Case Rate,,,"18,028.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-3 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-3,APR-DRG,,,,inpatient ,,, -   ,,"29,395.76","29,395.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,395.76",APRDRG Case Rate,,,"29,395.76",APRDRG Case Rate,,,"29,395.76",APRDRG Case Rate,,,"29,395.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651-4 - OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,651-4,APR-DRG,,,,inpatient ,,, -   ,,"76,546.25","76,546.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,546.25",APRDRG Case Rate,,,"76,546.25",APRDRG Case Rate,,,"76,546.25",APRDRG Case Rate,,,"76,546.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-1 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-1,APR-DRG,,,,inpatient ,,, -   ,,950.19,950.19,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,950.19,APRDRG Case Rate,,,950.19,APRDRG Case Rate,,,950.19,APRDRG Case Rate,,,950.19,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-2 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-2,APR-DRG,,,,inpatient ,,, -   ,,"2,700.96","2,700.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,700.96",APRDRG Case Rate,,,"2,700.96",APRDRG Case Rate,,,"2,700.96",APRDRG Case Rate,,,"2,700.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-3 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-3,APR-DRG,,,,inpatient ,,, -   ,,"9,586.27","9,586.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,586.27",APRDRG Case Rate,,,"9,586.27",APRDRG Case Rate,,,"9,586.27",APRDRG Case Rate,,,"9,586.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660-4 - MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,660-4,APR-DRG,,,,inpatient ,,, -   ,,"24,790.28","24,790.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,790.28",APRDRG Case Rate,,,"24,790.28",APRDRG Case Rate,,,"24,790.28",APRDRG Case Rate,,,"24,790.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-1 - COAGULATION & PLATELET DISORDERS,661-1,APR-DRG,,,,inpatient ,,, -   ,,"2,821.61","2,821.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,821.61",APRDRG Case Rate,,,"2,821.61",APRDRG Case Rate,,,"2,821.61",APRDRG Case Rate,,,"2,821.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-2 - COAGULATION & PLATELET DISORDERS,661-2,APR-DRG,,,,inpatient ,,, -   ,,"5,787.41","5,787.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,787.41",APRDRG Case Rate,,,"5,787.41",APRDRG Case Rate,,,"5,787.41",APRDRG Case Rate,,,"5,787.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-3 - COAGULATION & PLATELET DISORDERS,661-3,APR-DRG,,,,inpatient ,,, -   ,,"6,535.15","6,535.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,535.15",APRDRG Case Rate,,,"6,535.15",APRDRG Case Rate,,,"6,535.15",APRDRG Case Rate,,,"6,535.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661-4 - COAGULATION & PLATELET DISORDERS,661-4,APR-DRG,,,,inpatient ,,, -   ,,"19,000.00","19,000.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,000.00",APRDRG Case Rate,,,"19,000.00",APRDRG Case Rate,,,"19,000.00",APRDRG Case Rate,,,"19,000.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-1 - SICKLE CELL ANEMIA CRISIS,662-1,APR-DRG,,,,inpatient ,,, -   ,,"2,514.11","2,514.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,514.11",APRDRG Case Rate,,,"2,514.11",APRDRG Case Rate,,,"2,514.11",APRDRG Case Rate,,,"2,514.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-2 - SICKLE CELL ANEMIA CRISIS,662-2,APR-DRG,,,,inpatient ,,, -   ,,"4,708.94","4,708.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,708.94",APRDRG Case Rate,,,"4,708.94",APRDRG Case Rate,,,"4,708.94",APRDRG Case Rate,,,"4,708.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-3 - SICKLE CELL ANEMIA CRISIS,662-3,APR-DRG,,,,inpatient ,,, -   ,,"9,734.61","9,734.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,734.61",APRDRG Case Rate,,,"9,734.61",APRDRG Case Rate,,,"9,734.61",APRDRG Case Rate,,,"9,734.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662-4 - SICKLE CELL ANEMIA CRISIS,662-4,APR-DRG,,,,inpatient ,,, -   ,,"15,729.24","15,729.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,729.24",APRDRG Case Rate,,,"15,729.24",APRDRG Case Rate,,,"15,729.24",APRDRG Case Rate,,,"15,729.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-1 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-1,APR-DRG,,,,inpatient ,,, -   ,,"1,758.09","1,758.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,758.09",APRDRG Case Rate,,,"1,758.09",APRDRG Case Rate,,,"1,758.09",APRDRG Case Rate,,,"1,758.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-2 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-2,APR-DRG,,,,inpatient ,,, -   ,,"2,404.60","2,404.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,404.60",APRDRG Case Rate,,,"2,404.60",APRDRG Case Rate,,,"2,404.60",APRDRG Case Rate,,,"2,404.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-3 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-3,APR-DRG,,,,inpatient ,,, -   ,,"7,874.97","7,874.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,874.97",APRDRG Case Rate,,,"7,874.97",APRDRG Case Rate,,,"7,874.97",APRDRG Case Rate,,,"7,874.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663-4 - OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,663-4,APR-DRG,,,,inpatient ,,, -   ,,"11,628.62","11,628.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,628.62",APRDRG Case Rate,,,"11,628.62",APRDRG Case Rate,,,"11,628.62",APRDRG Case Rate,,,"11,628.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-1 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-1,APR-DRG,,,,inpatient ,,, -   ,,555.47,555.47,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,555.47,APRDRG Case Rate,,,555.47,APRDRG Case Rate,,,555.47,APRDRG Case Rate,,,555.47,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-2 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-2,APR-DRG,,,,inpatient ,,, -   ,,735.01,735.01,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,735.01,APRDRG Case Rate,,,735.01,APRDRG Case Rate,,,735.01,APRDRG Case Rate,,,735.01,APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-3 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-3,APR-DRG,,,,inpatient ,,, -   ,,"1,328.36","1,328.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,328.36",APRDRG Case Rate,,,"1,328.36",APRDRG Case Rate,,,"1,328.36",APRDRG Case Rate,,,"1,328.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
680-4 - MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,680-4,APR-DRG,,,,inpatient ,,, -   ,,"10,024.91","10,024.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,024.91",APRDRG Case Rate,,,"10,024.91",APRDRG Case Rate,,,"10,024.91",APRDRG Case Rate,,,"10,024.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-1 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-1,APR-DRG,,,,inpatient ,,, -   ,,"6,998.95","6,998.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,998.95",APRDRG Case Rate,,,"6,998.95",APRDRG Case Rate,,,"6,998.95",APRDRG Case Rate,,,"6,998.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-2 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-2,APR-DRG,,,,inpatient ,,, -   ,,"9,262.22","9,262.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,262.22",APRDRG Case Rate,,,"9,262.22",APRDRG Case Rate,,,"9,262.22",APRDRG Case Rate,,,"9,262.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-3 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-3,APR-DRG,,,,inpatient ,,, -   ,,"13,649.01","13,649.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,649.01",APRDRG Case Rate,,,"13,649.01",APRDRG Case Rate,,,"13,649.01",APRDRG Case Rate,,,"13,649.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
681-4 - OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,681-4,APR-DRG,,,,inpatient ,,, -   ,,"22,317.24","22,317.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,317.24",APRDRG Case Rate,,,"22,317.24",APRDRG Case Rate,,,"22,317.24",APRDRG Case Rate,,,"22,317.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-1 - ACUTE LEUKEMIA,690-1,APR-DRG,,,,inpatient ,,, -   ,,"5,407.34","5,407.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,407.34",APRDRG Case Rate,,,"5,407.34",APRDRG Case Rate,,,"5,407.34",APRDRG Case Rate,,,"5,407.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-2 - ACUTE LEUKEMIA,690-2,APR-DRG,,,,inpatient ,,, -   ,,"7,915.71","7,915.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,915.71",APRDRG Case Rate,,,"7,915.71",APRDRG Case Rate,,,"7,915.71",APRDRG Case Rate,,,"7,915.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-3 - ACUTE LEUKEMIA,690-3,APR-DRG,,,,inpatient ,,, -   ,,"10,702.62","10,702.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,702.62",APRDRG Case Rate,,,"10,702.62",APRDRG Case Rate,,,"10,702.62",APRDRG Case Rate,,,"10,702.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690-4 - ACUTE LEUKEMIA,690-4,APR-DRG,,,,inpatient ,,, -   ,,"24,591.33","24,591.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,591.33",APRDRG Case Rate,,,"24,591.33",APRDRG Case Rate,,,"24,591.33",APRDRG Case Rate,,,"24,591.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-1 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-1,APR-DRG,,,,inpatient ,,, -   ,,"3,089.63","3,089.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,089.63",APRDRG Case Rate,,,"3,089.63",APRDRG Case Rate,,,"3,089.63",APRDRG Case Rate,,,"3,089.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-2 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-2,APR-DRG,,,,inpatient ,,, -   ,,"3,630.78","3,630.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,630.78",APRDRG Case Rate,,,"3,630.78",APRDRG Case Rate,,,"3,630.78",APRDRG Case Rate,,,"3,630.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-3 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-3,APR-DRG,,,,inpatient ,,, -   ,,"5,660.08","5,660.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,660.08",APRDRG Case Rate,,,"5,660.08",APRDRG Case Rate,,,"5,660.08",APRDRG Case Rate,,,"5,660.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"691-4 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",691-4,APR-DRG,,,,inpatient ,,, -   ,,"12,350.26","12,350.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,350.26",APRDRG Case Rate,,,"12,350.26",APRDRG Case Rate,,,"12,350.26",APRDRG Case Rate,,,"12,350.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-1 - RADIOTHERAPY,692-1,APR-DRG,,,,inpatient ,,, -   ,,"3,559.79","3,559.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,559.79",APRDRG Case Rate,,,"3,559.79",APRDRG Case Rate,,,"3,559.79",APRDRG Case Rate,,,"3,559.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-2 - RADIOTHERAPY,692-2,APR-DRG,,,,inpatient ,,, -   ,,"4,740.77","4,740.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,740.77",APRDRG Case Rate,,,"4,740.77",APRDRG Case Rate,,,"4,740.77",APRDRG Case Rate,,,"4,740.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-3 - RADIOTHERAPY,692-3,APR-DRG,,,,inpatient ,,, -   ,,"6,124.52","6,124.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,124.52",APRDRG Case Rate,,,"6,124.52",APRDRG Case Rate,,,"6,124.52",APRDRG Case Rate,,,"6,124.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692-4 - RADIOTHERAPY,692-4,APR-DRG,,,,inpatient ,,, -   ,,"11,666.50","11,666.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,666.50",APRDRG Case Rate,,,"11,666.50",APRDRG Case Rate,,,"11,666.50",APRDRG Case Rate,,,"11,666.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-1 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-1,APR-DRG,,,,inpatient ,,, -   ,,"2,548.17","2,548.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,548.17",APRDRG Case Rate,,,"2,548.17",APRDRG Case Rate,,,"2,548.17",APRDRG Case Rate,,,"2,548.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-2 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-2,APR-DRG,,,,inpatient ,,, -   ,,"3,494.22","3,494.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,494.22",APRDRG Case Rate,,,"3,494.22",APRDRG Case Rate,,,"3,494.22",APRDRG Case Rate,,,"3,494.22",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-3 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-3,APR-DRG,,,,inpatient ,,, -   ,,"4,954.36","4,954.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,954.36",APRDRG Case Rate,,,"4,954.36",APRDRG Case Rate,,,"4,954.36",APRDRG Case Rate,,,"4,954.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694-4 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,694-4,APR-DRG,,,,inpatient ,,, -   ,,"9,315.06","9,315.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,315.06",APRDRG Case Rate,,,"9,315.06",APRDRG Case Rate,,,"9,315.06",APRDRG Case Rate,,,"9,315.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-1 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-1,APR-DRG,,,,inpatient ,,, -   ,,"2,439.30","2,439.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,439.30",APRDRG Case Rate,,,"2,439.30",APRDRG Case Rate,,,"2,439.30",APRDRG Case Rate,,,"2,439.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-2 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-2,APR-DRG,,,,inpatient ,,, -   ,,"3,450.29","3,450.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,450.29",APRDRG Case Rate,,,"3,450.29",APRDRG Case Rate,,,"3,450.29",APRDRG Case Rate,,,"3,450.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-3 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-3,APR-DRG,,,,inpatient ,,, -   ,,"4,818.44","4,818.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,818.44",APRDRG Case Rate,,,"4,818.44",APRDRG Case Rate,,,"4,818.44",APRDRG Case Rate,,,"4,818.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695-4 - CHEMOTHERAPY FOR ACUTE LEUKEMIA,695-4,APR-DRG,,,,inpatient ,,, -   ,,"7,965.37","7,965.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,965.37",APRDRG Case Rate,,,"7,965.37",APRDRG Case Rate,,,"7,965.37",APRDRG Case Rate,,,"7,965.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-1 - OTHER CHEMOTHERAPY,696-1,APR-DRG,,,,inpatient ,,, -   ,,"8,014.71","8,014.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,014.71",APRDRG Case Rate,,,"8,014.71",APRDRG Case Rate,,,"8,014.71",APRDRG Case Rate,,,"8,014.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-2 - OTHER CHEMOTHERAPY,696-2,APR-DRG,,,,inpatient ,,, -   ,,"10,574.66","10,574.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,574.66",APRDRG Case Rate,,,"10,574.66",APRDRG Case Rate,,,"10,574.66",APRDRG Case Rate,,,"10,574.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-3 - OTHER CHEMOTHERAPY,696-3,APR-DRG,,,,inpatient ,,, -   ,,"17,391.52","17,391.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,391.52",APRDRG Case Rate,,,"17,391.52",APRDRG Case Rate,,,"17,391.52",APRDRG Case Rate,,,"17,391.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696-4 - OTHER CHEMOTHERAPY,696-4,APR-DRG,,,,inpatient ,,, -   ,,"33,318.13","33,318.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,318.13",APRDRG Case Rate,,,"33,318.13",APRDRG Case Rate,,,"33,318.13",APRDRG Case Rate,,,"33,318.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-1 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-1,APR-DRG,,,,inpatient ,,, -   ,,"5,927.79","5,927.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,927.79",APRDRG Case Rate,,,"5,927.79",APRDRG Case Rate,,,"5,927.79",APRDRG Case Rate,,,"5,927.79",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-2 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-2,APR-DRG,,,,inpatient ,,, -   ,,"7,779.47","7,779.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,779.47",APRDRG Case Rate,,,"7,779.47",APRDRG Case Rate,,,"7,779.47",APRDRG Case Rate,,,"7,779.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-3 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-3,APR-DRG,,,,inpatient ,,, -   ,,"13,353.29","13,353.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,353.29",APRDRG Case Rate,,,"13,353.29",APRDRG Case Rate,,,"13,353.29",APRDRG Case Rate,,,"13,353.29",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710-4 - INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,710-4,APR-DRG,,,,inpatient ,,, -   ,,"28,410.88","28,410.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,410.88",APRDRG Case Rate,,,"28,410.88",APRDRG Case Rate,,,"28,410.88",APRDRG Case Rate,,,"28,410.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-1 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-1,APR-DRG,,,,inpatient ,,, -   ,,"4,330.45","4,330.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,330.45",APRDRG Case Rate,,,"4,330.45",APRDRG Case Rate,,,"4,330.45",APRDRG Case Rate,,,"4,330.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-2 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-2,APR-DRG,,,,inpatient ,,, -   ,,"8,385.24","8,385.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,385.24",APRDRG Case Rate,,,"8,385.24",APRDRG Case Rate,,,"8,385.24",APRDRG Case Rate,,,"8,385.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-3 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-3,APR-DRG,,,,inpatient ,,, -   ,,"15,619.42","15,619.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,619.42",APRDRG Case Rate,,,"15,619.42",APRDRG Case Rate,,,"15,619.42",APRDRG Case Rate,,,"15,619.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"711-4 - POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",711-4,APR-DRG,,,,inpatient ,,, -   ,,"27,195.20","27,195.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,195.20",APRDRG Case Rate,,,"27,195.20",APRDRG Case Rate,,,"27,195.20",APRDRG Case Rate,,,"27,195.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-1 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-1,APR-DRG,,,,inpatient ,,, -   ,,"4,424.04","4,424.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,424.04",APRDRG Case Rate,,,"4,424.04",APRDRG Case Rate,,,"4,424.04",APRDRG Case Rate,,,"4,424.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-2 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-2,APR-DRG,,,,inpatient ,,, -   ,,"5,733.93","5,733.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,733.93",APRDRG Case Rate,,,"5,733.93",APRDRG Case Rate,,,"5,733.93",APRDRG Case Rate,,,"5,733.93",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-3 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-3,APR-DRG,,,,inpatient ,,, -   ,,"8,589.60","8,589.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,589.60",APRDRG Case Rate,,,"8,589.60",APRDRG Case Rate,,,"8,589.60",APRDRG Case Rate,,,"8,589.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720-4 - SEPTICEMIA & DISSEMINATED INFECTIONS,720-4,APR-DRG,,,,inpatient ,,, -   ,,"15,981.04","15,981.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,981.04",APRDRG Case Rate,,,"15,981.04",APRDRG Case Rate,,,"15,981.04",APRDRG Case Rate,,,"15,981.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-1 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-1,APR-DRG,,,,inpatient ,,, -   ,,"3,104.28","3,104.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,104.28",APRDRG Case Rate,,,"3,104.28",APRDRG Case Rate,,,"3,104.28",APRDRG Case Rate,,,"3,104.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-2 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-2,APR-DRG,,,,inpatient ,,, -   ,,"5,263.77","5,263.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,263.77",APRDRG Case Rate,,,"5,263.77",APRDRG Case Rate,,,"5,263.77",APRDRG Case Rate,,,"5,263.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-3 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-3,APR-DRG,,,,inpatient ,,, -   ,,"9,548.71","9,548.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,548.71",APRDRG Case Rate,,,"9,548.71",APRDRG Case Rate,,,"9,548.71",APRDRG Case Rate,,,"9,548.71",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"721-4 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",721-4,APR-DRG,,,,inpatient ,,, -   ,,"16,970.70","16,970.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,970.70",APRDRG Case Rate,,,"16,970.70",APRDRG Case Rate,,,"16,970.70",APRDRG Case Rate,,,"16,970.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-1 - FEVER,722-1,APR-DRG,,,,inpatient ,,, -   ,,"3,121.47","3,121.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,121.47",APRDRG Case Rate,,,"3,121.47",APRDRG Case Rate,,,"3,121.47",APRDRG Case Rate,,,"3,121.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-2 - FEVER,722-2,APR-DRG,,,,inpatient ,,, -   ,,"3,906.13","3,906.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,906.13",APRDRG Case Rate,,,"3,906.13",APRDRG Case Rate,,,"3,906.13",APRDRG Case Rate,,,"3,906.13",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-3 - FEVER,722-3,APR-DRG,,,,inpatient ,,, -   ,,"5,740.94","5,740.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,740.94",APRDRG Case Rate,,,"5,740.94",APRDRG Case Rate,,,"5,740.94",APRDRG Case Rate,,,"5,740.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722-4 - FEVER,722-4,APR-DRG,,,,inpatient ,,, -   ,,"9,916.69","9,916.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,916.69",APRDRG Case Rate,,,"9,916.69",APRDRG Case Rate,,,"9,916.69",APRDRG Case Rate,,,"9,916.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-1 - VIRAL ILLNESS,723-1,APR-DRG,,,,inpatient ,,, -   ,,"2,848.03","2,848.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,848.03",APRDRG Case Rate,,,"2,848.03",APRDRG Case Rate,,,"2,848.03",APRDRG Case Rate,,,"2,848.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-2 - VIRAL ILLNESS,723-2,APR-DRG,,,,inpatient ,,, -   ,,"3,944.96","3,944.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,944.96",APRDRG Case Rate,,,"3,944.96",APRDRG Case Rate,,,"3,944.96",APRDRG Case Rate,,,"3,944.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-3 - VIRAL ILLNESS,723-3,APR-DRG,,,,inpatient ,,, -   ,,"8,248.68","8,248.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,248.68",APRDRG Case Rate,,,"8,248.68",APRDRG Case Rate,,,"8,248.68",APRDRG Case Rate,,,"8,248.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723-4 - VIRAL ILLNESS,723-4,APR-DRG,,,,inpatient ,,, -   ,,"25,594.68","25,594.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,594.68",APRDRG Case Rate,,,"25,594.68",APRDRG Case Rate,,,"25,594.68",APRDRG Case Rate,,,"25,594.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-1 - OTHER INFECTIOUS & PARASITIC DISEASES,724-1,APR-DRG,,,,inpatient ,,, -   ,,"3,306.41","3,306.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,306.41",APRDRG Case Rate,,,"3,306.41",APRDRG Case Rate,,,"3,306.41",APRDRG Case Rate,,,"3,306.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-2 - OTHER INFECTIOUS & PARASITIC DISEASES,724-2,APR-DRG,,,,inpatient ,,, -   ,,"4,210.45","4,210.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,210.45",APRDRG Case Rate,,,"4,210.45",APRDRG Case Rate,,,"4,210.45",APRDRG Case Rate,,,"4,210.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-3 - OTHER INFECTIOUS & PARASITIC DISEASES,724-3,APR-DRG,,,,inpatient ,,, -   ,,"6,268.08","6,268.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,268.08",APRDRG Case Rate,,,"6,268.08",APRDRG Case Rate,,,"6,268.08",APRDRG Case Rate,,,"6,268.08",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724-4 - OTHER INFECTIOUS & PARASITIC DISEASES,724-4,APR-DRG,,,,inpatient ,,, -   ,,"12,458.49","12,458.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,458.49",APRDRG Case Rate,,,"12,458.49",APRDRG Case Rate,,,"12,458.49",APRDRG Case Rate,,,"12,458.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-1 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-1,APR-DRG,,,,inpatient ,,, -   ,,"5,231.94","5,231.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,231.94",APRDRG Case Rate,,,"5,231.94",APRDRG Case Rate,,,"5,231.94",APRDRG Case Rate,,,"5,231.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-2 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-2,APR-DRG,,,,inpatient ,,, -   ,,"7,569.06","7,569.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,569.06",APRDRG Case Rate,,,"7,569.06",APRDRG Case Rate,,,"7,569.06",APRDRG Case Rate,,,"7,569.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-3 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-3,APR-DRG,,,,inpatient ,,, -   ,,"12,400.87","12,400.87",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,400.87",APRDRG Case Rate,,,"12,400.87",APRDRG Case Rate,,,"12,400.87",APRDRG Case Rate,,,"12,400.87",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740-4 - MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,740-4,APR-DRG,,,,inpatient ,,, -   ,,"22,870.16","22,870.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,870.16",APRDRG Case Rate,,,"22,870.16",APRDRG Case Rate,,,"22,870.16",APRDRG Case Rate,,,"22,870.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-1 - SCHIZOPHRENIA,750-1,APR-DRG,,,,inpatient ,,, -   ,,"5,316.61","5,316.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,316.61",APRDRG Case Rate,,,"5,316.61",APRDRG Case Rate,,,"5,316.61",APRDRG Case Rate,,,"5,316.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-2 - SCHIZOPHRENIA,750-2,APR-DRG,,,,inpatient ,,, -   ,,"6,952.47","6,952.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,952.47",APRDRG Case Rate,,,"6,952.47",APRDRG Case Rate,,,"6,952.47",APRDRG Case Rate,,,"6,952.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-3 - SCHIZOPHRENIA,750-3,APR-DRG,,,,inpatient ,,, -   ,,"11,488.56","11,488.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,488.56",APRDRG Case Rate,,,"11,488.56",APRDRG Case Rate,,,"11,488.56",APRDRG Case Rate,,,"11,488.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750-4 - SCHIZOPHRENIA,750-4,APR-DRG,,,,inpatient ,,, -   ,,"21,573.64","21,573.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,573.64",APRDRG Case Rate,,,"21,573.64",APRDRG Case Rate,,,"21,573.64",APRDRG Case Rate,,,"21,573.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-1 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-1,APR-DRG,,,,inpatient ,,, -   ,,"2,923.15","2,923.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,923.15",APRDRG Case Rate,,,"2,923.15",APRDRG Case Rate,,,"2,923.15",APRDRG Case Rate,,,"2,923.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-2 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-2,APR-DRG,,,,inpatient ,,, -   ,,"3,759.06","3,759.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,759.06",APRDRG Case Rate,,,"3,759.06",APRDRG Case Rate,,,"3,759.06",APRDRG Case Rate,,,"3,759.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-3 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-3,APR-DRG,,,,inpatient ,,, -   ,,"5,525.75","5,525.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,525.75",APRDRG Case Rate,,,"5,525.75",APRDRG Case Rate,,,"5,525.75",APRDRG Case Rate,,,"5,525.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751-4 - MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,751-4,APR-DRG,,,,inpatient ,,, -   ,,"9,639.11","9,639.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,639.11",APRDRG Case Rate,,,"9,639.11",APRDRG Case Rate,,,"9,639.11",APRDRG Case Rate,,,"9,639.11",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-1 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-1,APR-DRG,,,,inpatient ,,, -   ,,"2,833.07","2,833.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,833.07",APRDRG Case Rate,,,"2,833.07",APRDRG Case Rate,,,"2,833.07",APRDRG Case Rate,,,"2,833.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-2 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-2,APR-DRG,,,,inpatient ,,, -   ,,"3,733.92","3,733.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,733.92",APRDRG Case Rate,,,"3,733.92",APRDRG Case Rate,,,"3,733.92",APRDRG Case Rate,,,"3,733.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-3 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-3,APR-DRG,,,,inpatient ,,, -   ,,"5,888.32","5,888.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,888.32",APRDRG Case Rate,,,"5,888.32",APRDRG Case Rate,,,"5,888.32",APRDRG Case Rate,,,"5,888.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752-4 - DISORDERS OF PERSONALITY & IMPULSE CONTROL,752-4,APR-DRG,,,,inpatient ,,, -   ,,"10,550.78","10,550.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,550.78",APRDRG Case Rate,,,"10,550.78",APRDRG Case Rate,,,"10,550.78",APRDRG Case Rate,,,"10,550.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-1 - BIPOLAR DISORDERS,753-1,APR-DRG,,,,inpatient ,,, -   ,,"1,932.53","1,932.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,932.53",APRDRG Case Rate,,,"1,932.53",APRDRG Case Rate,,,"1,932.53",APRDRG Case Rate,,,"1,932.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-2 - BIPOLAR DISORDERS,753-2,APR-DRG,,,,inpatient ,,, -   ,,"2,899.60","2,899.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,899.60",APRDRG Case Rate,,,"2,899.60",APRDRG Case Rate,,,"2,899.60",APRDRG Case Rate,,,"2,899.60",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-3 - BIPOLAR DISORDERS,753-3,APR-DRG,,,,inpatient ,,, -   ,,"3,951.65","3,951.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,951.65",APRDRG Case Rate,,,"3,951.65",APRDRG Case Rate,,,"3,951.65",APRDRG Case Rate,,,"3,951.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753-4 - BIPOLAR DISORDERS,753-4,APR-DRG,,,,inpatient ,,, -   ,,"5,735.53","5,735.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,735.53",APRDRG Case Rate,,,"5,735.53",APRDRG Case Rate,,,"5,735.53",APRDRG Case Rate,,,"5,735.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-1 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-1,APR-DRG,,,,inpatient ,,, -   ,,"1,853.91","1,853.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,853.91",APRDRG Case Rate,,,"1,853.91",APRDRG Case Rate,,,"1,853.91",APRDRG Case Rate,,,"1,853.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-2 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-2,APR-DRG,,,,inpatient ,,, -   ,,"2,644.94","2,644.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,644.94",APRDRG Case Rate,,,"2,644.94",APRDRG Case Rate,,,"2,644.94",APRDRG Case Rate,,,"2,644.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-3 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-3,APR-DRG,,,,inpatient ,,, -   ,,"3,969.16","3,969.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,969.16",APRDRG Case Rate,,,"3,969.16",APRDRG Case Rate,,,"3,969.16",APRDRG Case Rate,,,"3,969.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
754-4 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,754-4,APR-DRG,,,,inpatient ,,, -   ,,"7,840.27","7,840.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,840.27",APRDRG Case Rate,,,"7,840.27",APRDRG Case Rate,,,"7,840.27",APRDRG Case Rate,,,"7,840.27",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-1 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-1,APR-DRG,,,,inpatient ,,, -   ,,"2,849.62","2,849.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,849.62",APRDRG Case Rate,,,"2,849.62",APRDRG Case Rate,,,"2,849.62",APRDRG Case Rate,,,"2,849.62",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-2 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-2,APR-DRG,,,,inpatient ,,, -   ,,"3,414.00","3,414.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,414.00",APRDRG Case Rate,,,"3,414.00",APRDRG Case Rate,,,"3,414.00",APRDRG Case Rate,,,"3,414.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-3 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-3,APR-DRG,,,,inpatient ,,, -   ,,"5,696.37","5,696.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,696.37",APRDRG Case Rate,,,"5,696.37",APRDRG Case Rate,,,"5,696.37",APRDRG Case Rate,,,"5,696.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
755-4 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,755-4,APR-DRG,,,,inpatient ,,, -   ,,"11,477.42","11,477.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,477.42",APRDRG Case Rate,,,"11,477.42",APRDRG Case Rate,,,"11,477.42",APRDRG Case Rate,,,"11,477.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-1 - ACUTE ANXIETY & DELIRIUM STATES,756-1,APR-DRG,,,,inpatient ,,, -   ,,"5,849.17","5,849.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,849.17",APRDRG Case Rate,,,"5,849.17",APRDRG Case Rate,,,"5,849.17",APRDRG Case Rate,,,"5,849.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-2 - ACUTE ANXIETY & DELIRIUM STATES,756-2,APR-DRG,,,,inpatient ,,, -   ,,"8,998.01","8,998.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,998.01",APRDRG Case Rate,,,"8,998.01",APRDRG Case Rate,,,"8,998.01",APRDRG Case Rate,,,"8,998.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-3 - ACUTE ANXIETY & DELIRIUM STATES,756-3,APR-DRG,,,,inpatient ,,, -   ,,"12,147.17","12,147.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,147.17",APRDRG Case Rate,,,"12,147.17",APRDRG Case Rate,,,"12,147.17",APRDRG Case Rate,,,"12,147.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
756-4 - ACUTE ANXIETY & DELIRIUM STATES,756-4,APR-DRG,,,,inpatient ,,, -   ,,"29,010.28","29,010.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,010.28",APRDRG Case Rate,,,"29,010.28",APRDRG Case Rate,,,"29,010.28",APRDRG Case Rate,,,"29,010.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-1 - ORGANIC MENTAL HEALTH DISTURBANCES,757-1,APR-DRG,,,,inpatient ,,, -   ,,"2,700.01","2,700.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,700.01",APRDRG Case Rate,,,"2,700.01",APRDRG Case Rate,,,"2,700.01",APRDRG Case Rate,,,"2,700.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-2 - ORGANIC MENTAL HEALTH DISTURBANCES,757-2,APR-DRG,,,,inpatient ,,, -   ,,"3,365.30","3,365.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,365.30",APRDRG Case Rate,,,"3,365.30",APRDRG Case Rate,,,"3,365.30",APRDRG Case Rate,,,"3,365.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-3 - ORGANIC MENTAL HEALTH DISTURBANCES,757-3,APR-DRG,,,,inpatient ,,, -   ,,"5,633.34","5,633.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,633.34",APRDRG Case Rate,,,"5,633.34",APRDRG Case Rate,,,"5,633.34",APRDRG Case Rate,,,"5,633.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
757-4 - ORGANIC MENTAL HEALTH DISTURBANCES,757-4,APR-DRG,,,,inpatient ,,, -   ,,"12,739.25","12,739.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,739.25",APRDRG Case Rate,,,"12,739.25",APRDRG Case Rate,,,"12,739.25",APRDRG Case Rate,,,"12,739.25",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-1 - BEHAVIORAL DISORDERS,758-1,APR-DRG,,,,inpatient ,,, -   ,,"1,858.05","1,858.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,858.05",APRDRG Case Rate,,,"1,858.05",APRDRG Case Rate,,,"1,858.05",APRDRG Case Rate,,,"1,858.05",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-2 - BEHAVIORAL DISORDERS,758-2,APR-DRG,,,,inpatient ,,, -   ,,"2,502.01","2,502.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,502.01",APRDRG Case Rate,,,"2,502.01",APRDRG Case Rate,,,"2,502.01",APRDRG Case Rate,,,"2,502.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-3 - BEHAVIORAL DISORDERS,758-3,APR-DRG,,,,inpatient ,,, -   ,,"4,601.66","4,601.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,601.66",APRDRG Case Rate,,,"4,601.66",APRDRG Case Rate,,,"4,601.66",APRDRG Case Rate,,,"4,601.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
758-4 - BEHAVIORAL DISORDERS,758-4,APR-DRG,,,,inpatient ,,, -   ,,"9,358.99","9,358.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,358.99",APRDRG Case Rate,,,"9,358.99",APRDRG Case Rate,,,"9,358.99",APRDRG Case Rate,,,"9,358.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-1 - EATING DISORDERS,759-1,APR-DRG,,,,inpatient ,,, -   ,,"1,487.84","1,487.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,487.84",APRDRG Case Rate,,,"1,487.84",APRDRG Case Rate,,,"1,487.84",APRDRG Case Rate,,,"1,487.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-2 - EATING DISORDERS,759-2,APR-DRG,,,,inpatient ,,, -   ,,"2,096.47","2,096.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,096.47",APRDRG Case Rate,,,"2,096.47",APRDRG Case Rate,,,"2,096.47",APRDRG Case Rate,,,"2,096.47",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-3 - EATING DISORDERS,759-3,APR-DRG,,,,inpatient ,,, -   ,,"4,805.07","4,805.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,805.07",APRDRG Case Rate,,,"4,805.07",APRDRG Case Rate,,,"4,805.07",APRDRG Case Rate,,,"4,805.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
759-4 - EATING DISORDERS,759-4,APR-DRG,,,,inpatient ,,, -   ,,"19,023.88","19,023.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,023.88",APRDRG Case Rate,,,"19,023.88",APRDRG Case Rate,,,"19,023.88",APRDRG Case Rate,,,"19,023.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-1 - OTHER MENTAL HEALTH DISORDERS,760-1,APR-DRG,,,,inpatient ,,, -   ,,"2,030.26","2,030.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,030.26",APRDRG Case Rate,,,"2,030.26",APRDRG Case Rate,,,"2,030.26",APRDRG Case Rate,,,"2,030.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-2 - OTHER MENTAL HEALTH DISORDERS,760-2,APR-DRG,,,,inpatient ,,, -   ,,"2,742.34","2,742.34",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,742.34",APRDRG Case Rate,,,"2,742.34",APRDRG Case Rate,,,"2,742.34",APRDRG Case Rate,,,"2,742.34",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-3 - OTHER MENTAL HEALTH DISORDERS,760-3,APR-DRG,,,,inpatient ,,, -   ,,"4,857.59","4,857.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,857.59",APRDRG Case Rate,,,"4,857.59",APRDRG Case Rate,,,"4,857.59",APRDRG Case Rate,,,"4,857.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760-4 - OTHER MENTAL HEALTH DISORDERS,760-4,APR-DRG,,,,inpatient ,,, -   ,,"9,216.70","9,216.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,216.70",APRDRG Case Rate,,,"9,216.70",APRDRG Case Rate,,,"9,216.70",APRDRG Case Rate,,,"9,216.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-1 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-1,APR-DRG,,,,inpatient ,,, -   ,,"1,650.18","1,650.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,650.18",APRDRG Case Rate,,,"1,650.18",APRDRG Case Rate,,,"1,650.18",APRDRG Case Rate,,,"1,650.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-2 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-2,APR-DRG,,,,inpatient ,,, -   ,,"2,207.88","2,207.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,207.88",APRDRG Case Rate,,,"2,207.88",APRDRG Case Rate,,,"2,207.88",APRDRG Case Rate,,,"2,207.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-3 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-3,APR-DRG,,,,inpatient ,,, -   ,,"3,502.50","3,502.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,502.50",APRDRG Case Rate,,,"3,502.50",APRDRG Case Rate,,,"3,502.50",APRDRG Case Rate,,,"3,502.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770-4 - DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",770-4,APR-DRG,,,,inpatient ,,, -   ,,"7,407.35","7,407.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,407.35",APRDRG Case Rate,,,"7,407.35",APRDRG Case Rate,,,"7,407.35",APRDRG Case Rate,,,"7,407.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-1 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-1,APR-DRG,,,,inpatient ,,, -   ,,"1,500.89","1,500.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,500.89",APRDRG Case Rate,,,"1,500.89",APRDRG Case Rate,,,"1,500.89",APRDRG Case Rate,,,"1,500.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-2 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-2,APR-DRG,,,,inpatient ,,, -   ,,"2,200.56","2,200.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,200.56",APRDRG Case Rate,,,"2,200.56",APRDRG Case Rate,,,"2,200.56",APRDRG Case Rate,,,"2,200.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-3 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-3,APR-DRG,,,,inpatient ,,, -   ,,"3,449.66","3,449.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,449.66",APRDRG Case Rate,,,"3,449.66",APRDRG Case Rate,,,"3,449.66",APRDRG Case Rate,,,"3,449.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772-4 - ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,772-4,APR-DRG,,,,inpatient ,,, -   ,,"5,946.57","5,946.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,946.57",APRDRG Case Rate,,,"5,946.57",APRDRG Case Rate,,,"5,946.57",APRDRG Case Rate,,,"5,946.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-1 - OPIOID ABUSE & DEPENDENCE,773-1,APR-DRG,,,,inpatient ,,, -   ,,"2,233.35","2,233.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,233.35",APRDRG Case Rate,,,"2,233.35",APRDRG Case Rate,,,"2,233.35",APRDRG Case Rate,,,"2,233.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-2 - OPIOID ABUSE & DEPENDENCE,773-2,APR-DRG,,,,inpatient ,,, -   ,,"2,920.92","2,920.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,920.92",APRDRG Case Rate,,,"2,920.92",APRDRG Case Rate,,,"2,920.92",APRDRG Case Rate,,,"2,920.92",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-3 - OPIOID ABUSE & DEPENDENCE,773-3,APR-DRG,,,,inpatient ,,, -   ,,"3,027.88","3,027.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,027.88",APRDRG Case Rate,,,"3,027.88",APRDRG Case Rate,,,"3,027.88",APRDRG Case Rate,,,"3,027.88",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
773-4 - OPIOID ABUSE & DEPENDENCE,773-4,APR-DRG,,,,inpatient ,,, -   ,,"6,256.94","6,256.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,256.94",APRDRG Case Rate,,,"6,256.94",APRDRG Case Rate,,,"6,256.94",APRDRG Case Rate,,,"6,256.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-1 - COCAINE ABUSE & DEPENDENCE,774-1,APR-DRG,,,,inpatient ,,, -   ,,"2,284.28","2,284.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,284.28",APRDRG Case Rate,,,"2,284.28",APRDRG Case Rate,,,"2,284.28",APRDRG Case Rate,,,"2,284.28",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-2 - COCAINE ABUSE & DEPENDENCE,774-2,APR-DRG,,,,inpatient ,,, -   ,,"3,094.73","3,094.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,094.73",APRDRG Case Rate,,,"3,094.73",APRDRG Case Rate,,,"3,094.73",APRDRG Case Rate,,,"3,094.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-3 - COCAINE ABUSE & DEPENDENCE,774-3,APR-DRG,,,,inpatient ,,, -   ,,"4,725.49","4,725.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,725.49",APRDRG Case Rate,,,"4,725.49",APRDRG Case Rate,,,"4,725.49",APRDRG Case Rate,,,"4,725.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
774-4 - COCAINE ABUSE & DEPENDENCE,774-4,APR-DRG,,,,inpatient ,,, -   ,,"10,904.76","10,904.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,904.76",APRDRG Case Rate,,,"10,904.76",APRDRG Case Rate,,,"10,904.76",APRDRG Case Rate,,,"10,904.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-1 - ALCOHOL ABUSE & DEPENDENCE,775-1,APR-DRG,,,,inpatient ,,, -   ,,"1,901.66","1,901.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,901.66",APRDRG Case Rate,,,"1,901.66",APRDRG Case Rate,,,"1,901.66",APRDRG Case Rate,,,"1,901.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-2 - ALCOHOL ABUSE & DEPENDENCE,775-2,APR-DRG,,,,inpatient ,,, -   ,,"2,351.76","2,351.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,351.76",APRDRG Case Rate,,,"2,351.76",APRDRG Case Rate,,,"2,351.76",APRDRG Case Rate,,,"2,351.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-3 - ALCOHOL ABUSE & DEPENDENCE,775-3,APR-DRG,,,,inpatient ,,, -   ,,"4,101.58","4,101.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,101.58",APRDRG Case Rate,,,"4,101.58",APRDRG Case Rate,,,"4,101.58",APRDRG Case Rate,,,"4,101.58",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
775-4 - ALCOHOL ABUSE & DEPENDENCE,775-4,APR-DRG,,,,inpatient ,,, -   ,,"5,413.07","5,413.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,413.07",APRDRG Case Rate,,,"5,413.07",APRDRG Case Rate,,,"5,413.07",APRDRG Case Rate,,,"5,413.07",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-1 - OTHER DRUG ABUSE & DEPENDENCE,776-1,APR-DRG,,,,inpatient ,,, -   ,,"3,035.20","3,035.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,035.20",APRDRG Case Rate,,,"3,035.20",APRDRG Case Rate,,,"3,035.20",APRDRG Case Rate,,,"3,035.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-2 - OTHER DRUG ABUSE & DEPENDENCE,776-2,APR-DRG,,,,inpatient ,,, -   ,,"4,749.68","4,749.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,749.68",APRDRG Case Rate,,,"4,749.68",APRDRG Case Rate,,,"4,749.68",APRDRG Case Rate,,,"4,749.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-3 - OTHER DRUG ABUSE & DEPENDENCE,776-3,APR-DRG,,,,inpatient ,,, -   ,,"6,571.12","6,571.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,571.12",APRDRG Case Rate,,,"6,571.12",APRDRG Case Rate,,,"6,571.12",APRDRG Case Rate,,,"6,571.12",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776-4 - OTHER DRUG ABUSE & DEPENDENCE,776-4,APR-DRG,,,,inpatient ,,, -   ,,"27,146.50","27,146.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,146.50",APRDRG Case Rate,,,"27,146.50",APRDRG Case Rate,,,"27,146.50",APRDRG Case Rate,,,"27,146.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-1 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-1,APR-DRG,,,,inpatient ,,, -   ,,"2,639.21","2,639.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,639.21",APRDRG Case Rate,,,"2,639.21",APRDRG Case Rate,,,"2,639.21",APRDRG Case Rate,,,"2,639.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-2 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-2,APR-DRG,,,,inpatient ,,, -   ,,"3,243.38","3,243.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,243.38",APRDRG Case Rate,,,"3,243.38",APRDRG Case Rate,,,"3,243.38",APRDRG Case Rate,,,"3,243.38",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-3 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-3,APR-DRG,,,,inpatient ,,, -   ,,"4,538.64","4,538.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,538.64",APRDRG Case Rate,,,"4,538.64",APRDRG Case Rate,,,"4,538.64",APRDRG Case Rate,,,"4,538.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792-4 - EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,792-4,APR-DRG,,,,inpatient ,,, -   ,,"7,612.03","7,612.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,612.03",APRDRG Case Rate,,,"7,612.03",APRDRG Case Rate,,,"7,612.03",APRDRG Case Rate,,,"7,612.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-1 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-1,APR-DRG,,,,inpatient ,,, -   ,,"1,289.52","1,289.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,289.52",APRDRG Case Rate,,,"1,289.52",APRDRG Case Rate,,,"1,289.52",APRDRG Case Rate,,,"1,289.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-2 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-2,APR-DRG,,,,inpatient ,,, -   ,,"1,972.64","1,972.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,972.64",APRDRG Case Rate,,,"1,972.64",APRDRG Case Rate,,,"1,972.64",APRDRG Case Rate,,,"1,972.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-3 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-3,APR-DRG,,,,inpatient ,,, -   ,,"3,124.97","3,124.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,124.97",APRDRG Case Rate,,,"3,124.97",APRDRG Case Rate,,,"3,124.97",APRDRG Case Rate,,,"3,124.97",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793-4 - MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,793-4,APR-DRG,,,,inpatient ,,, -   ,,"6,362.94","6,362.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,362.94",APRDRG Case Rate,,,"6,362.94",APRDRG Case Rate,,,"6,362.94",APRDRG Case Rate,,,"6,362.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-1 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-1,APR-DRG,,,,inpatient ,,, -   ,,"2,346.03","2,346.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,346.03",APRDRG Case Rate,,,"2,346.03",APRDRG Case Rate,,,"2,346.03",APRDRG Case Rate,,,"2,346.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-2 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-2,APR-DRG,,,,inpatient ,,, -   ,,"2,884.95","2,884.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,884.95",APRDRG Case Rate,,,"2,884.95",APRDRG Case Rate,,,"2,884.95",APRDRG Case Rate,,,"2,884.95",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-3 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-3,APR-DRG,,,,inpatient ,,, -   ,,"3,532.42","3,532.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,532.42",APRDRG Case Rate,,,"3,532.42",APRDRG Case Rate,,,"3,532.42",APRDRG Case Rate,,,"3,532.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794-4 - NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,794-4,APR-DRG,,,,inpatient ,,, -   ,,"9,326.52","9,326.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,326.52",APRDRG Case Rate,,,"9,326.52",APRDRG Case Rate,,,"9,326.52",APRDRG Case Rate,,,"9,326.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-1 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-1,APR-DRG,,,,inpatient ,,, -   ,,"1,460.14","1,460.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,460.14",APRDRG Case Rate,,,"1,460.14",APRDRG Case Rate,,,"1,460.14",APRDRG Case Rate,,,"1,460.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-2 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-2,APR-DRG,,,,inpatient ,,, -   ,,"2,084.69","2,084.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,084.69",APRDRG Case Rate,,,"2,084.69",APRDRG Case Rate,,,"2,084.69",APRDRG Case Rate,,,"2,084.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-3 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-3,APR-DRG,,,,inpatient ,,, -   ,,"3,868.57","3,868.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,868.57",APRDRG Case Rate,,,"3,868.57",APRDRG Case Rate,,,"3,868.57",APRDRG Case Rate,,,"3,868.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810-4 - HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,810-4,APR-DRG,,,,inpatient ,,, -   ,,"8,545.04","8,545.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,545.04",APRDRG Case Rate,,,"8,545.04",APRDRG Case Rate,,,"8,545.04",APRDRG Case Rate,,,"8,545.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-1 - ALLERGIC REACTIONS,811-1,APR-DRG,,,,inpatient ,,, -   ,,"1,647.63","1,647.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,647.63",APRDRG Case Rate,,,"1,647.63",APRDRG Case Rate,,,"1,647.63",APRDRG Case Rate,,,"1,647.63",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-2 - ALLERGIC REACTIONS,811-2,APR-DRG,,,,inpatient ,,, -   ,,"1,996.83","1,996.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,996.83",APRDRG Case Rate,,,"1,996.83",APRDRG Case Rate,,,"1,996.83",APRDRG Case Rate,,,"1,996.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-3 - ALLERGIC REACTIONS,811-3,APR-DRG,,,,inpatient ,,, -   ,,"3,633.33","3,633.33",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,633.33",APRDRG Case Rate,,,"3,633.33",APRDRG Case Rate,,,"3,633.33",APRDRG Case Rate,,,"3,633.33",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811-4 - ALLERGIC REACTIONS,811-4,APR-DRG,,,,inpatient ,,, -   ,,"8,510.98","8,510.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,510.98",APRDRG Case Rate,,,"8,510.98",APRDRG Case Rate,,,"8,510.98",APRDRG Case Rate,,,"8,510.98",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-1 - POISONING OF MEDICINAL AGENTS,812-1,APR-DRG,,,,inpatient ,,, -   ,,"1,926.80","1,926.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,926.80",APRDRG Case Rate,,,"1,926.80",APRDRG Case Rate,,,"1,926.80",APRDRG Case Rate,,,"1,926.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-2 - POISONING OF MEDICINAL AGENTS,812-2,APR-DRG,,,,inpatient ,,, -   ,,"2,639.21","2,639.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,639.21",APRDRG Case Rate,,,"2,639.21",APRDRG Case Rate,,,"2,639.21",APRDRG Case Rate,,,"2,639.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-3 - POISONING OF MEDICINAL AGENTS,812-3,APR-DRG,,,,inpatient ,,, -   ,,"4,491.21","4,491.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,491.21",APRDRG Case Rate,,,"4,491.21",APRDRG Case Rate,,,"4,491.21",APRDRG Case Rate,,,"4,491.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812-4 - POISONING OF MEDICINAL AGENTS,812-4,APR-DRG,,,,inpatient ,,, -   ,,"9,949.15","9,949.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,949.15",APRDRG Case Rate,,,"9,949.15",APRDRG Case Rate,,,"9,949.15",APRDRG Case Rate,,,"9,949.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-1 - OTHER COMPLICATIONS OF TREATMENT,813-1,APR-DRG,,,,inpatient ,,, -   ,,"2,019.75","2,019.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,019.75",APRDRG Case Rate,,,"2,019.75",APRDRG Case Rate,,,"2,019.75",APRDRG Case Rate,,,"2,019.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-2 - OTHER COMPLICATIONS OF TREATMENT,813-2,APR-DRG,,,,inpatient ,,, -   ,,"2,213.61","2,213.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,213.61",APRDRG Case Rate,,,"2,213.61",APRDRG Case Rate,,,"2,213.61",APRDRG Case Rate,,,"2,213.61",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-3 - OTHER COMPLICATIONS OF TREATMENT,813-3,APR-DRG,,,,inpatient ,,, -   ,,"3,870.80","3,870.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,870.80",APRDRG Case Rate,,,"3,870.80",APRDRG Case Rate,,,"3,870.80",APRDRG Case Rate,,,"3,870.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813-4 - OTHER COMPLICATIONS OF TREATMENT,813-4,APR-DRG,,,,inpatient ,,, -   ,,"6,693.04","6,693.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,693.04",APRDRG Case Rate,,,"6,693.04",APRDRG Case Rate,,,"6,693.04",APRDRG Case Rate,,,"6,693.04",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-1 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-1,APR-DRG,,,,inpatient ,,, -   ,,"7,009.77","7,009.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,009.77",APRDRG Case Rate,,,"7,009.77",APRDRG Case Rate,,,"7,009.77",APRDRG Case Rate,,,"7,009.77",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-2 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-2,APR-DRG,,,,inpatient ,,, -   ,,"8,866.86","8,866.86",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,866.86",APRDRG Case Rate,,,"8,866.86",APRDRG Case Rate,,,"8,866.86",APRDRG Case Rate,,,"8,866.86",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-3 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-3,APR-DRG,,,,inpatient ,,, -   ,,"13,211.00","13,211.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,211.00",APRDRG Case Rate,,,"13,211.00",APRDRG Case Rate,,,"13,211.00",APRDRG Case Rate,,,"13,211.00",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"815-4 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",815-4,APR-DRG,,,,inpatient ,,, -   ,,"24,799.19","24,799.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,799.19",APRDRG Case Rate,,,"24,799.19",APRDRG Case Rate,,,"24,799.19",APRDRG Case Rate,,,"24,799.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-1 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-1,APR-DRG,,,,inpatient ,,, -   ,,"5,091.56","5,091.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,091.56",APRDRG Case Rate,,,"5,091.56",APRDRG Case Rate,,,"5,091.56",APRDRG Case Rate,,,"5,091.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-2 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-2,APR-DRG,,,,inpatient ,,, -   ,,"6,753.52","6,753.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,753.52",APRDRG Case Rate,,,"6,753.52",APRDRG Case Rate,,,"6,753.52",APRDRG Case Rate,,,"6,753.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-3 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-3,APR-DRG,,,,inpatient ,,, -   ,,"10,007.73","10,007.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,007.73",APRDRG Case Rate,,,"10,007.73",APRDRG Case Rate,,,"10,007.73",APRDRG Case Rate,,,"10,007.73",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816-4 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,816-4,APR-DRG,,,,inpatient ,,, -   ,,"19,527.14","19,527.14",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,527.14",APRDRG Case Rate,,,"19,527.14",APRDRG Case Rate,,,"19,527.14",APRDRG Case Rate,,,"19,527.14",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-1 - OVERDOSE,817-1,APR-DRG,,,,inpatient ,,, -   ,,"4,350.19","4,350.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,350.19",APRDRG Case Rate,,,"4,350.19",APRDRG Case Rate,,,"4,350.19",APRDRG Case Rate,,,"4,350.19",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-2 - OVERDOSE,817-2,APR-DRG,,,,inpatient ,,, -   ,,"5,591.64","5,591.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,591.64",APRDRG Case Rate,,,"5,591.64",APRDRG Case Rate,,,"5,591.64",APRDRG Case Rate,,,"5,591.64",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-3 - OVERDOSE,817-3,APR-DRG,,,,inpatient ,,, -   ,,"8,135.67","8,135.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,135.67",APRDRG Case Rate,,,"8,135.67",APRDRG Case Rate,,,"8,135.67",APRDRG Case Rate,,,"8,135.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817-4 - OVERDOSE,817-4,APR-DRG,,,,inpatient ,,, -   ,,"14,560.68","14,560.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,560.68",APRDRG Case Rate,,,"14,560.68",APRDRG Case Rate,,,"14,560.68",APRDRG Case Rate,,,"14,560.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-1 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-1,APR-DRG,,,,inpatient ,,, -   ,,"2,314.52","2,314.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,314.52",APRDRG Case Rate,,,"2,314.52",APRDRG Case Rate,,,"2,314.52",APRDRG Case Rate,,,"2,314.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-2 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-2,APR-DRG,,,,inpatient ,,, -   ,,"3,229.70","3,229.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,229.70",APRDRG Case Rate,,,"3,229.70",APRDRG Case Rate,,,"3,229.70",APRDRG Case Rate,,,"3,229.70",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-3 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-3,APR-DRG,,,,inpatient ,,, -   ,,"5,075.96","5,075.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,075.96",APRDRG Case Rate,,,"5,075.96",APRDRG Case Rate,,,"5,075.96",APRDRG Case Rate,,,"5,075.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841-4 - EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,841-4,APR-DRG,,,,inpatient ,,, -   ,,"10,444.46","10,444.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,444.46",APRDRG Case Rate,,,"10,444.46",APRDRG Case Rate,,,"10,444.46",APRDRG Case Rate,,,"10,444.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-1 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-1,APR-DRG,,,,inpatient ,,, -   ,,"1,636.49","1,636.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,636.49",APRDRG Case Rate,,,"1,636.49",APRDRG Case Rate,,,"1,636.49",APRDRG Case Rate,,,"1,636.49",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-2 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-2,APR-DRG,,,,inpatient ,,, -   ,,"2,434.53","2,434.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,434.53",APRDRG Case Rate,,,"2,434.53",APRDRG Case Rate,,,"2,434.53",APRDRG Case Rate,,,"2,434.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-3 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-3,APR-DRG,,,,inpatient ,,, -   ,,"4,681.56","4,681.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,681.56",APRDRG Case Rate,,,"4,681.56",APRDRG Case Rate,,,"4,681.56",APRDRG Case Rate,,,"4,681.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842-4 - BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,842-4,APR-DRG,,,,inpatient ,,, -   ,,"9,148.26","9,148.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,148.26",APRDRG Case Rate,,,"9,148.26",APRDRG Case Rate,,,"9,148.26",APRDRG Case Rate,,,"9,148.26",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-1 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-1,APR-DRG,,,,inpatient ,,, -   ,,"1,806.80","1,806.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,806.80",APRDRG Case Rate,,,"1,806.80",APRDRG Case Rate,,,"1,806.80",APRDRG Case Rate,,,"1,806.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-2 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-2,APR-DRG,,,,inpatient ,,, -   ,,"2,578.09","2,578.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,578.09",APRDRG Case Rate,,,"2,578.09",APRDRG Case Rate,,,"2,578.09",APRDRG Case Rate,,,"2,578.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-3 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-3,APR-DRG,,,,inpatient ,,, -   ,,"3,776.89","3,776.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,776.89",APRDRG Case Rate,,,"3,776.89",APRDRG Case Rate,,,"3,776.89",APRDRG Case Rate,,,"3,776.89",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843-4 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,843-4,APR-DRG,,,,inpatient ,,, -   ,,"6,718.82","6,718.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,718.82",APRDRG Case Rate,,,"6,718.82",APRDRG Case Rate,,,"6,718.82",APRDRG Case Rate,,,"6,718.82",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-1 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-1,APR-DRG,,,,inpatient ,,, -   ,,"2,809.51","2,809.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,809.51",APRDRG Case Rate,,,"2,809.51",APRDRG Case Rate,,,"2,809.51",APRDRG Case Rate,,,"2,809.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-2 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-2,APR-DRG,,,,inpatient ,,, -   ,,"3,460.80","3,460.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,460.80",APRDRG Case Rate,,,"3,460.80",APRDRG Case Rate,,,"3,460.80",APRDRG Case Rate,,,"3,460.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-3 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-3,APR-DRG,,,,inpatient ,,, -   ,,"5,018.66","5,018.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,018.66",APRDRG Case Rate,,,"5,018.66",APRDRG Case Rate,,,"5,018.66",APRDRG Case Rate,,,"5,018.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844-4 - PARTIAL THICKNESS BURNS W/O SKIN GRAFT,844-4,APR-DRG,,,,inpatient ,,, -   ,,"8,995.78","8,995.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,995.78",APRDRG Case Rate,,,"8,995.78",APRDRG Case Rate,,,"8,995.78",APRDRG Case Rate,,,"8,995.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-1 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-1,APR-DRG,,,,inpatient ,,, -   ,,"1,964.37","1,964.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,964.37",APRDRG Case Rate,,,"1,964.37",APRDRG Case Rate,,,"1,964.37",APRDRG Case Rate,,,"1,964.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-2 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-2,APR-DRG,,,,inpatient ,,, -   ,,"2,796.78","2,796.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,796.78",APRDRG Case Rate,,,"2,796.78",APRDRG Case Rate,,,"2,796.78",APRDRG Case Rate,,,"2,796.78",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-3 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-3,APR-DRG,,,,inpatient ,,, -   ,,"4,582.56","4,582.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,582.56",APRDRG Case Rate,,,"4,582.56",APRDRG Case Rate,,,"4,582.56",APRDRG Case Rate,,,"4,582.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"850-4 - PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",850-4,APR-DRG,,,,inpatient ,,, -   ,,"9,624.15","9,624.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,624.15",APRDRG Case Rate,,,"9,624.15",APRDRG Case Rate,,,"9,624.15",APRDRG Case Rate,,,"9,624.15",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-1 - REHABILITATION,860-1,APR-DRG,,,,inpatient ,,, -   ,,"2,657.03","2,657.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,657.03",APRDRG Case Rate,,,"2,657.03",APRDRG Case Rate,,,"2,657.03",APRDRG Case Rate,,,"2,657.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-2 - REHABILITATION,860-2,APR-DRG,,,,inpatient ,,, -   ,,"2,813.01","2,813.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,813.01",APRDRG Case Rate,,,"2,813.01",APRDRG Case Rate,,,"2,813.01",APRDRG Case Rate,,,"2,813.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-3 - REHABILITATION,860-3,APR-DRG,,,,inpatient ,,, -   ,,"3,717.68","3,717.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,717.68",APRDRG Case Rate,,,"3,717.68",APRDRG Case Rate,,,"3,717.68",APRDRG Case Rate,,,"3,717.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860-4 - REHABILITATION,860-4,APR-DRG,,,,inpatient ,,, -   ,,"6,709.91","6,709.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,709.91",APRDRG Case Rate,,,"6,709.91",APRDRG Case Rate,,,"6,709.91",APRDRG Case Rate,,,"6,709.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-1 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-1,APR-DRG,,,,inpatient ,,, -   ,,"1,965.96","1,965.96",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,965.96",APRDRG Case Rate,,,"1,965.96",APRDRG Case Rate,,,"1,965.96",APRDRG Case Rate,,,"1,965.96",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-2 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-2,APR-DRG,,,,inpatient ,,, -   ,,"2,478.46","2,478.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,478.46",APRDRG Case Rate,,,"2,478.46",APRDRG Case Rate,,,"2,478.46",APRDRG Case Rate,,,"2,478.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-3 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-3,APR-DRG,,,,inpatient ,,, -   ,,"4,027.09","4,027.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,027.09",APRDRG Case Rate,,,"4,027.09",APRDRG Case Rate,,,"4,027.09",APRDRG Case Rate,,,"4,027.09",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"861-4 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",861-4,APR-DRG,,,,inpatient ,,, -   ,,"7,310.90","7,310.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,310.90",APRDRG Case Rate,,,"7,310.90",APRDRG Case Rate,,,"7,310.90",APRDRG Case Rate,,,"7,310.90",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-1 - OTHER AFTERCARE & CONVALESCENCE,862-1,APR-DRG,,,,inpatient ,,, -   ,,"8,108.30","8,108.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,108.30",APRDRG Case Rate,,,"8,108.30",APRDRG Case Rate,,,"8,108.30",APRDRG Case Rate,,,"8,108.30",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-2 - OTHER AFTERCARE & CONVALESCENCE,862-2,APR-DRG,,,,inpatient ,,, -   ,,"9,229.75","9,229.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,229.75",APRDRG Case Rate,,,"9,229.75",APRDRG Case Rate,,,"9,229.75",APRDRG Case Rate,,,"9,229.75",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-3 - OTHER AFTERCARE & CONVALESCENCE,862-3,APR-DRG,,,,inpatient ,,, -   ,,"31,527.57","31,527.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,527.57",APRDRG Case Rate,,,"31,527.57",APRDRG Case Rate,,,"31,527.57",APRDRG Case Rate,,,"31,527.57",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862-4 - OTHER AFTERCARE & CONVALESCENCE,862-4,APR-DRG,,,,inpatient ,,, -   ,,"85,908.74","85,908.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"85,908.74",APRDRG Case Rate,,,"85,908.74",APRDRG Case Rate,,,"85,908.74",APRDRG Case Rate,,,"85,908.74",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-1 - NEONATAL AFTERCARE,863-1,APR-DRG,,,,inpatient ,,, -   ,,"6,119.42","6,119.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,119.42",APRDRG Case Rate,,,"6,119.42",APRDRG Case Rate,,,"6,119.42",APRDRG Case Rate,,,"6,119.42",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-2 - NEONATAL AFTERCARE,863-2,APR-DRG,,,,inpatient ,,, -   ,,"9,491.41","9,491.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,491.41",APRDRG Case Rate,,,"9,491.41",APRDRG Case Rate,,,"9,491.41",APRDRG Case Rate,,,"9,491.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-3 - NEONATAL AFTERCARE,863-3,APR-DRG,,,,inpatient ,,, -   ,,"17,904.66","17,904.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,904.66",APRDRG Case Rate,,,"17,904.66",APRDRG Case Rate,,,"17,904.66",APRDRG Case Rate,,,"17,904.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863-4 - NEONATAL AFTERCARE,863-4,APR-DRG,,,,inpatient ,,, -   ,,"43,415.94","43,415.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,415.94",APRDRG Case Rate,,,"43,415.94",APRDRG Case Rate,,,"43,415.94",APRDRG Case Rate,,,"43,415.94",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-1 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-1,APR-DRG,,,,inpatient ,,, -   ,,"2,357.17","2,357.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,357.17",APRDRG Case Rate,,,"2,357.17",APRDRG Case Rate,,,"2,357.17",APRDRG Case Rate,,,"2,357.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-2 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-2,APR-DRG,,,,inpatient ,,, -   ,,"3,617.41","3,617.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,617.41",APRDRG Case Rate,,,"3,617.41",APRDRG Case Rate,,,"3,617.41",APRDRG Case Rate,,,"3,617.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-3 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-3,APR-DRG,,,,inpatient ,,, -   ,,"4,901.52","4,901.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,901.52",APRDRG Case Rate,,,"4,901.52",APRDRG Case Rate,,,"4,901.52",APRDRG Case Rate,,,"4,901.52",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
890-4 - HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,890-4,APR-DRG,,,,inpatient ,,, -   ,,"10,093.67","10,093.67",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,093.67",APRDRG Case Rate,,,"10,093.67",APRDRG Case Rate,,,"10,093.67",APRDRG Case Rate,,,"10,093.67",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-1 - HIV W MAJOR HIV RELATED CONDITION,892-1,APR-DRG,,,,inpatient ,,, -   ,,"1,853.91","1,853.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,853.91",APRDRG Case Rate,,,"1,853.91",APRDRG Case Rate,,,"1,853.91",APRDRG Case Rate,,,"1,853.91",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-2 - HIV W MAJOR HIV RELATED CONDITION,892-2,APR-DRG,,,,inpatient ,,, -   ,,"3,004.32","3,004.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,004.32",APRDRG Case Rate,,,"3,004.32",APRDRG Case Rate,,,"3,004.32",APRDRG Case Rate,,,"3,004.32",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-3 - HIV W MAJOR HIV RELATED CONDITION,892-3,APR-DRG,,,,inpatient ,,, -   ,,"5,163.18","5,163.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,163.18",APRDRG Case Rate,,,"5,163.18",APRDRG Case Rate,,,"5,163.18",APRDRG Case Rate,,,"5,163.18",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
892-4 - HIV W MAJOR HIV RELATED CONDITION,892-4,APR-DRG,,,,inpatient ,,, -   ,,"11,923.39","11,923.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,923.39",APRDRG Case Rate,,,"11,923.39",APRDRG Case Rate,,,"11,923.39",APRDRG Case Rate,,,"11,923.39",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-1 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-1,APR-DRG,,,,inpatient ,,, -   ,,"8,565.41","8,565.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,565.41",APRDRG Case Rate,,,"8,565.41",APRDRG Case Rate,,,"8,565.41",APRDRG Case Rate,,,"8,565.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-2 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-2,APR-DRG,,,,inpatient ,,, -   ,,"11,617.16","11,617.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,617.16",APRDRG Case Rate,,,"11,617.16",APRDRG Case Rate,,,"11,617.16",APRDRG Case Rate,,,"11,617.16",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-3 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-3,APR-DRG,,,,inpatient ,,, -   ,,"14,241.41","14,241.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,241.41",APRDRG Case Rate,,,"14,241.41",APRDRG Case Rate,,,"14,241.41",APRDRG Case Rate,,,"14,241.41",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
893-4 - HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,893-4,APR-DRG,,,,inpatient ,,, -   ,,"30,256.51","30,256.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,256.51",APRDRG Case Rate,,,"30,256.51",APRDRG Case Rate,,,"30,256.51",APRDRG Case Rate,,,"30,256.51",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-1 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-1,APR-DRG,,,,inpatient ,,, -   ,,"4,986.83","4,986.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,986.83",APRDRG Case Rate,,,"4,986.83",APRDRG Case Rate,,,"4,986.83",APRDRG Case Rate,,,"4,986.83",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-2 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-2,APR-DRG,,,,inpatient ,,, -   ,,"6,113.06","6,113.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,113.06",APRDRG Case Rate,,,"6,113.06",APRDRG Case Rate,,,"6,113.06",APRDRG Case Rate,,,"6,113.06",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-3 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-3,APR-DRG,,,,inpatient ,,, -   ,,"7,785.84","7,785.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,785.84",APRDRG Case Rate,,,"7,785.84",APRDRG Case Rate,,,"7,785.84",APRDRG Case Rate,,,"7,785.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
894-4 - HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,894-4,APR-DRG,,,,inpatient ,,, -   ,,"9,537.56","9,537.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,537.56",APRDRG Case Rate,,,"9,537.56",APRDRG Case Rate,,,"9,537.56",APRDRG Case Rate,,,"9,537.56",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-1 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-1,APR-DRG,,,,inpatient ,,, -   ,,"1,773.69","1,773.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,773.69",APRDRG Case Rate,,,"1,773.69",APRDRG Case Rate,,,"1,773.69",APRDRG Case Rate,,,"1,773.69",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-2 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-2,APR-DRG,,,,inpatient ,,, -   ,,"3,074.35","3,074.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,074.35",APRDRG Case Rate,,,"3,074.35",APRDRG Case Rate,,,"3,074.35",APRDRG Case Rate,,,"3,074.35",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-3 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-3,APR-DRG,,,,inpatient ,,, -   ,,"4,301.17","4,301.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,301.17",APRDRG Case Rate,,,"4,301.17",APRDRG Case Rate,,,"4,301.17",APRDRG Case Rate,,,"4,301.17",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
910-4 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,910-4,APR-DRG,,,,inpatient ,,, -   ,,"4,645.59","4,645.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,645.59",APRDRG Case Rate,,,"4,645.59",APRDRG Case Rate,,,"4,645.59",APRDRG Case Rate,,,"4,645.59",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-1 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-1,APR-DRG,,,,inpatient ,,, -   ,,"2,403.65","2,403.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,403.65",APRDRG Case Rate,,,"2,403.65",APRDRG Case Rate,,,"2,403.65",APRDRG Case Rate,,,"2,403.65",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-2 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-2,APR-DRG,,,,inpatient ,,, -   ,,"3,502.50","3,502.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,502.50",APRDRG Case Rate,,,"3,502.50",APRDRG Case Rate,,,"3,502.50",APRDRG Case Rate,,,"3,502.50",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-3 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-3,APR-DRG,,,,inpatient ,,, -   ,,"3,913.45","3,913.45",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,913.45",APRDRG Case Rate,,,"3,913.45",APRDRG Case Rate,,,"3,913.45",APRDRG Case Rate,,,"3,913.45",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
911-4 - EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,911-4,APR-DRG,,,,inpatient ,,, -   ,,"4,109.54","4,109.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,109.54",APRDRG Case Rate,,,"4,109.54",APRDRG Case Rate,,,"4,109.54",APRDRG Case Rate,,,"4,109.54",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-1 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-1,APR-DRG,,,,inpatient ,,, -   ,,"4,410.99","4,410.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,410.99",APRDRG Case Rate,,,"4,410.99",APRDRG Case Rate,,,"4,410.99",APRDRG Case Rate,,,"4,410.99",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-2 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-2,APR-DRG,,,,inpatient ,,, -   ,,"11,220.85","11,220.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,220.85",APRDRG Case Rate,,,"11,220.85",APRDRG Case Rate,,,"11,220.85",APRDRG Case Rate,,,"11,220.85",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-3 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-3,APR-DRG,,,,inpatient ,,, -   ,,"21,869.36","21,869.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,869.36",APRDRG Case Rate,,,"21,869.36",APRDRG Case Rate,,,"21,869.36",APRDRG Case Rate,,,"21,869.36",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
912-4 - MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,912-4,APR-DRG,,,,inpatient ,,, -   ,,"34,084.01","34,084.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,084.01",APRDRG Case Rate,,,"34,084.01",APRDRG Case Rate,,,"34,084.01",APRDRG Case Rate,,,"34,084.01",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-1 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-1,APR-DRG,,,,inpatient ,,, -   ,,"4,187.84","4,187.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,187.84",APRDRG Case Rate,,,"4,187.84",APRDRG Case Rate,,,"4,187.84",APRDRG Case Rate,,,"4,187.84",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-2 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-2,APR-DRG,,,,inpatient ,,, -   ,,"4,408.44","4,408.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,408.44",APRDRG Case Rate,,,"4,408.44",APRDRG Case Rate,,,"4,408.44",APRDRG Case Rate,,,"4,408.44",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-3 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-3,APR-DRG,,,,inpatient ,,, -   ,,"6,576.53","6,576.53",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,576.53",APRDRG Case Rate,,,"6,576.53",APRDRG Case Rate,,,"6,576.53",APRDRG Case Rate,,,"6,576.53",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
930-4 - MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,930-4,APR-DRG,,,,inpatient ,,, -   ,,"12,566.40","12,566.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,566.40",APRDRG Case Rate,,,"12,566.40",APRDRG Case Rate,,,"12,566.40",APRDRG Case Rate,,,"12,566.40",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-1 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-1,APR-DRG,,,,inpatient ,,, -   ,,"3,512.68","3,512.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,512.68",APRDRG Case Rate,,,"3,512.68",APRDRG Case Rate,,,"3,512.68",APRDRG Case Rate,,,"3,512.68",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-2 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-2,APR-DRG,,,,inpatient ,,, -   ,,"3,731.37","3,731.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,731.37",APRDRG Case Rate,,,"3,731.37",APRDRG Case Rate,,,"3,731.37",APRDRG Case Rate,,,"3,731.37",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-3 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-3,APR-DRG,,,,inpatient ,,, -   ,,"5,169.55","5,169.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,169.55",APRDRG Case Rate,,,"5,169.55",APRDRG Case Rate,,,"5,169.55",APRDRG Case Rate,,,"5,169.55",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950-4 - EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,950-4,APR-DRG,,,,inpatient ,,, -   ,,"8,040.81","8,040.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,040.81",APRDRG Case Rate,,,"8,040.81",APRDRG Case Rate,,,"8,040.81",APRDRG Case Rate,,,"8,040.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-1 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-1,APR-DRG,,,,inpatient ,,, -   ,,"3,869.20","3,869.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,869.20",APRDRG Case Rate,,,"3,869.20",APRDRG Case Rate,,,"3,869.20",APRDRG Case Rate,,,"3,869.20",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-2 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-2,APR-DRG,,,,inpatient ,,, -   ,,"4,191.03","4,191.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,191.03",APRDRG Case Rate,,,"4,191.03",APRDRG Case Rate,,,"4,191.03",APRDRG Case Rate,,,"4,191.03",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-3 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-3,APR-DRG,,,,inpatient ,,, -   ,,"5,849.80","5,849.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,849.80",APRDRG Case Rate,,,"5,849.80",APRDRG Case Rate,,,"5,849.80",APRDRG Case Rate,,,"5,849.80",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951-4 - MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,951-4,APR-DRG,,,,inpatient ,,, -   ,,"8,930.21","8,930.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,930.21",APRDRG Case Rate,,,"8,930.21",APRDRG Case Rate,,,"8,930.21",APRDRG Case Rate,,,"8,930.21",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-1 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-1,APR-DRG,,,,inpatient ,,, -   ,,"2,852.48","2,852.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,852.48",APRDRG Case Rate,,,"2,852.48",APRDRG Case Rate,,,"2,852.48",APRDRG Case Rate,,,"2,852.48",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-2 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-2,APR-DRG,,,,inpatient ,,, -   ,,"3,569.66","3,569.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,569.66",APRDRG Case Rate,,,"3,569.66",APRDRG Case Rate,,,"3,569.66",APRDRG Case Rate,,,"3,569.66",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-3 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-3,APR-DRG,,,,inpatient ,,, -   ,,"5,164.46","5,164.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,164.46",APRDRG Case Rate,,,"5,164.46",APRDRG Case Rate,,,"5,164.46",APRDRG Case Rate,,,"5,164.46",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
952-4 - NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,952-4,APR-DRG,,,,inpatient ,,, -   ,,"7,982.24","7,982.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,982.24",APRDRG Case Rate,,,"7,982.24",APRDRG Case Rate,,,"7,982.24",APRDRG Case Rate,,,"7,982.24",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
955-0 - Principal Diag Invalid,955-0,APR-DRG,,,,inpatient ,,, -   ,,"15,575.81","15,575.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,575.81",APRDRG Case Rate,,,"15,575.81",APRDRG Case Rate,,,"15,575.81",APRDRG Case Rate,,,"15,575.81",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
956-0 - Ungroupable,956-0,APR-DRG,,,,inpatient ,,, -   ,,"17,817.76","17,817.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,817.76",APRDRG Case Rate,,,"17,817.76",APRDRG Case Rate,,,"17,817.76",APRDRG Case Rate,,,"17,817.76",APRDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1 - PHOTOCHEMOTHERAPY,1,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
2 - SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION,2,EAPG,,,,outpatient ,,, -   ,,"1,070.22","1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,070.22",EAPG Case Rate,,,"1,070.22",EAPG Case Rate,,,"1,070.22",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
3 - LEVEL I SKIN INCISION AND DRAINAGE,3,EAPG,,,,outpatient ,,, -   ,,258.75,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258.75,EAPG Case Rate,,,258.75,EAPG Case Rate,,,258.75,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
4 - LEVEL II SKIN INCISION AND DRAINAGE,4,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,681.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,681.24",EAPG Case Rate,,,"1,681.24",EAPG Case Rate,,,"1,681.24",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
5 - NAIL PROCEDURES,5,EAPG,,,,outpatient ,,, -   ,,104.11,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,104.11,EAPG Case Rate,,,104.11,EAPG Case Rate,,,104.11,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
6 - LEVEL I SKIN DEBRIDEMENT AND DESTRUCTION,6,EAPG,,,,outpatient ,,, -   ,,658.97,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,658.97,EAPG Case Rate,,,658.97,EAPG Case Rate,,,658.97,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
7 - LEVEL II SKIN DEBRIDEMENT AND DESTRUCTION,7,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,895.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,895.42",EAPG Case Rate,,,"1,895.42",EAPG Case Rate,,,"1,895.42",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
8 - LEVEL III SKIN DEBRIDEMENT AND DESTRUCTION,8,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,801.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,801.66",EAPG Case Rate,,,"2,801.66",EAPG Case Rate,,,"2,801.66",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
9 - LEVEL I EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE,9,EAPG,,,,outpatient ,,, -   ,,285.65,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,285.65,EAPG Case Rate,,,285.65,EAPG Case Rate,,,285.65,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
10 - LEVEL II EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE,10,EAPG,,,,outpatient ,,, -   ,,598.31,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,598.31,EAPG Case Rate,,,598.31,EAPG Case Rate,,,598.31,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
11 - LEVEL III EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE,11,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,591.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,591.65",EAPG Case Rate,,,"1,591.65",EAPG Case Rate,,,"1,591.65",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
12 - LEVEL I SKIN REPAIR,12,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,478.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,478.66",EAPG Case Rate,,,"1,478.66",EAPG Case Rate,,,"1,478.66",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
13 - LEVEL II SKIN REPAIR,13,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,084.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,084.95",EAPG Case Rate,,,"2,084.95",EAPG Case Rate,,,"2,084.95",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
14 - LEVEL III SKIN REPAIR,14,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,098.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,098.31",EAPG Case Rate,,,"5,098.31",EAPG Case Rate,,,"5,098.31",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
15 - LEVEL IV SKIN REPAIR,15,EAPG,,,,outpatient ,,, -   ,,"1,107.09","11,320.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,320.08",EAPG Case Rate,,,"11,320.08",EAPG Case Rate,,,"11,320.08",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
20 - LEVEL I BREAST PROCEDURES,20,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,662.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,662.77",EAPG Case Rate,,,"2,662.77",EAPG Case Rate,,,"2,662.77",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
21 - LEVEL II BREAST PROCEDURES,21,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,588.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,588.99",EAPG Case Rate,,,"8,588.99",EAPG Case Rate,,,"8,588.99",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
22 - LEVEL III BREAST PROCEDURES,22,EAPG,,,,outpatient ,,, -   ,,"1,107.09","7,357.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,357.26",EAPG Case Rate,,,"7,357.26",EAPG Case Rate,,,"7,357.26",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
30 - LEVEL I MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT,30,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,902.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,902.70",EAPG Case Rate,,,"4,902.70",EAPG Case Rate,,,"4,902.70",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
31 - LEVEL II MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT,31,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,515.18",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,515.18",EAPG Case Rate,,,"6,515.18",EAPG Case Rate,,,"6,515.18",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
32 - LEVEL III MUSCULOSKELETAL PROCEDURES EXCLUDING HAND AND FOOT,32,EAPG,,,,outpatient ,,, -   ,,"1,107.09","7,733.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,733.74",EAPG Case Rate,,,"7,733.74",EAPG Case Rate,,,"7,733.74",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
33 - LEVEL I HAND PROCEDURES,33,EAPG,,,,outpatient ,,, -   ,,"1,107.09","18,008.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,008.36",EAPG Case Rate,,,"18,008.36",EAPG Case Rate,,,"18,008.36",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
34 - LEVEL II HAND PROCEDURES,34,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,044.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,044.66",EAPG Case Rate,,,"2,044.66",EAPG Case Rate,,,"2,044.66",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
35 - LEVEL I FOOT PROCEDURES,35,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,371.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,371.83",EAPG Case Rate,,,"3,371.83",EAPG Case Rate,,,"3,371.83",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
36 - LEVEL II FOOT PROCEDURES,36,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,349.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,349.43",EAPG Case Rate,,,"3,349.43",EAPG Case Rate,,,"3,349.43",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
37 - LEVEL I ARTHROSCOPY,37,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,540.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,540.37",EAPG Case Rate,,,"8,540.37",EAPG Case Rate,,,"8,540.37",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
38 - LEVEL II ARTHROSCOPY,38,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,352.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,352.35",EAPG Case Rate,,,"3,352.35",EAPG Case Rate,,,"3,352.35",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
39 - REPLACEMENT OF CAST,39,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,454.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,454.72",EAPG Case Rate,,,"8,454.72",EAPG Case Rate,,,"8,454.72",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"40 - SPLINT, STRAPPING AND CAST REMOVAL",40,EAPG,,,,outpatient ,,, -   ,,281.82,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,281.82,EAPG Case Rate,,,281.82,EAPG Case Rate,,,281.82,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"41 - CLOSED TREATMENT FX & DISLOCATION OF FINGER, TOE & TRUNK",41,EAPG,,,,outpatient ,,, -   ,,118.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118.63,EAPG Case Rate,,,118.63,EAPG Case Rate,,,118.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"42 - CLOSED TREATMENT FX & DISLOCATION EXC FINGER, TOE & TRUNK",42,EAPG,,,,outpatient ,,, -   ,,720.87,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,720.87,EAPG Case Rate,,,720.87,EAPG Case Rate,,,720.87,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
43 - OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES,43,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,267.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,267.44",EAPG Case Rate,,,"8,267.44",EAPG Case Rate,,,"8,267.44",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
44 - BONE OR JOINT MANIPULATION UNDER ANESTHESIA,44,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,512.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,512.65",EAPG Case Rate,,,"1,512.65",EAPG Case Rate,,,"1,512.65",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
45 - BUNION PROCEDURES,45,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,307.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,307.65",EAPG Case Rate,,,"5,307.65",EAPG Case Rate,,,"5,307.65",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
46 - LEVEL I ARTHROPLASTY,46,EAPG,,,,outpatient ,,, -   ,,"1,107.09","14,869.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,869.39",EAPG Case Rate,,,"14,869.39",EAPG Case Rate,,,"14,869.39",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
47 - LEVEL II ARTHROPLASTY,47,EAPG,,,,outpatient ,,, -   ,,385.81,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.81,EAPG Case Rate,,,385.81,EAPG Case Rate,,,385.81,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
48 - HAND AND FOOT TENOTOMY,48,EAPG,,,,outpatient ,,, -   ,,719.07,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,719.07,EAPG Case Rate,,,719.07,EAPG Case Rate,,,719.07,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
49 - ARTHROCENTESIS AND LIGAMENT OR TENDON INJECTION,49,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,804.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,804.58",EAPG Case Rate,,,"2,804.58",EAPG Case Rate,,,"2,804.58",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
60 - PULMONARY TESTS,60,EAPG,,,,outpatient ,,, -   ,,"1,107.09","11,488.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,488.90",EAPG Case Rate,,,"11,488.90",EAPG Case Rate,,,"11,488.90",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"61 - NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND INTUBATION",61,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,197.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,197.29",EAPG Case Rate,,,"1,197.29",EAPG Case Rate,,,"1,197.29",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
62 - LEVEL I ENDOSCOPY OF THE UPPER AIRWAY,62,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,628.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,628.10",EAPG Case Rate,,,"3,628.10",EAPG Case Rate,,,"3,628.10",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
63 - LEVEL II ENDOSCOPY OF THE UPPER AIRWAY,63,EAPG,,,,outpatient ,,, -   ,,"1,107.09","18,343.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,343.41",EAPG Case Rate,,,"18,343.41",EAPG Case Rate,,,"18,343.41",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
64 - ENDOSCOPY OF THE LOWER AIRWAY,64,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,043.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,043.07",EAPG Case Rate,,,"3,043.07",EAPG Case Rate,,,"3,043.07",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
65 - RESPIRATORY THERAPY,65,EAPG,,,,outpatient ,,, -   ,,"1,107.09","26,086.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,086.83",EAPG Case Rate,,,"26,086.83",EAPG Case Rate,,,"26,086.83",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
66 - PULMONARY REHABILITATION,66,EAPG,,,,outpatient ,,, -   ,,"1,107.09","14,008.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,008.06",EAPG Case Rate,,,"14,008.06",EAPG Case Rate,,,"14,008.06",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
67 - VENTILATION ASSISTANCE AND MANAGEMENT,67,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,514.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,514.40",EAPG Case Rate,,,"5,514.40",EAPG Case Rate,,,"5,514.40",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"78 - LEVEL I VASCULAR LIGATION, REPAIR AND RECONSTRUCTION",78,EAPG,,,,outpatient ,,, -   ,,161.73,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,161.73,EAPG Case Rate,,,161.73,EAPG Case Rate,,,161.73,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
79 - LEVEL I PERIPHERAL VASCULAR AND TRANSCATHETER PROCEDURES,79,EAPG,,,,outpatient ,,, -   ,,946.19,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,946.19,EAPG Case Rate,,,946.19,EAPG Case Rate,,,946.19,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
80 - EXERCISE TOLERANCE TESTS,80,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,949.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,949.77",EAPG Case Rate,,,"2,949.77",EAPG Case Rate,,,"2,949.77",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
81 - ECHOCARDIOGRAPHY,81,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,808.75",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,808.75",EAPG Case Rate,,,"2,808.75",EAPG Case Rate,,,"2,808.75",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
82 - CARDIAC ELECTROPHYSIOLOGIC TESTS AND MONITORING,82,EAPG,,,,outpatient ,,, -   ,,53.57,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,53.57,EAPG Case Rate,,,53.57,EAPG Case Rate,,,53.57,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
83 - PLACEMENT OF TRANSVENOUS CATHETERS,83,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,657.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,657.27",EAPG Case Rate,,,"1,657.27",EAPG Case Rate,,,"1,657.27",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
84 - DIAGNOSTIC CARDIAC CATHETERIZATION,84,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,561.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,561.38",EAPG Case Rate,,,"1,561.38",EAPG Case Rate,,,"1,561.38",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
85 - LEVEL II PERIPHERAL VASCULAR AND TRANSCATHETER PROCEDURES,85,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,628.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,628.77",EAPG Case Rate,,,"3,628.77",EAPG Case Rate,,,"3,628.77",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
86 - PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT,86,EAPG,,,,outpatient ,,, -   ,,"1,107.09","7,914.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,914.26",EAPG Case Rate,,,"7,914.26",EAPG Case Rate,,,"7,914.26",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
87 - REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES,87,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,722.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,722.62",EAPG Case Rate,,,"5,722.62",EAPG Case Rate,,,"5,722.62",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
88 - LEVEL I CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DEVICE,88,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,222.02",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,222.02",EAPG Case Rate,,,"3,222.02",EAPG Case Rate,,,"3,222.02",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
89 - LEVEL II CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DEVICE,89,EAPG,,,,outpatient ,,, -   ,,"1,107.09","10,055.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,055.71",EAPG Case Rate,,,"10,055.71",EAPG Case Rate,,,"10,055.71",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
90 - SECONDARY VARICOSE VEINS AND VASCULAR INJECTION,90,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,458.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,458.27",EAPG Case Rate,,,"2,458.27",EAPG Case Rate,,,"2,458.27",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"91 - LEVEL II VASCULAR LIGATION, REPAIR AND RECONSTRUCTION",91,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,719.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,719.62",EAPG Case Rate,,,"1,719.62",EAPG Case Rate,,,"1,719.62",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
92 - RESUSCITATION,92,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,155.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,155.19",EAPG Case Rate,,,"1,155.19",EAPG Case Rate,,,"1,155.19",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
93 - CARDIOVERSION,93,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,774.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,774.16",EAPG Case Rate,,,"5,774.16",EAPG Case Rate,,,"5,774.16",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
94 - CARDIAC REHABILITATION,94,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,282.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,282.69",EAPG Case Rate,,,"3,282.69",EAPG Case Rate,,,"3,282.69",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
95 - THROMBOLYSIS,95,EAPG,,,,outpatient ,,, -   ,,"1,107.09","9,682.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,682.73",EAPG Case Rate,,,"9,682.73",EAPG Case Rate,,,"9,682.73",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
96 - ATRIAL AND VENTRICULAR RECORDING AND PACING,96,EAPG,,,,outpatient ,,, -   ,,259.76,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,259.76,EAPG Case Rate,,,259.76,EAPG Case Rate,,,259.76,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
97 - AICD IMPLANT,97,EAPG,,,,outpatient ,,, -   ,,678.66,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,678.66,EAPG Case Rate,,,678.66,EAPG Case Rate,,,678.66,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
99 - CORONARY ANGIOPLASTY AND RELATED PROCEDURES,99,EAPG,,,,outpatient ,,, -   ,,"1,107.09","27,391.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,391.26",EAPG Case Rate,,,"27,391.26",EAPG Case Rate,,,"27,391.26",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
101 - LEVEL III CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DEVICE,101,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,320.95",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,320.95",EAPG Case Rate,,,"3,320.95",EAPG Case Rate,,,"3,320.95",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
110 - PHARMACOTHERAPY BY EXTENDED INFUSION,110,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,780.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,780.82",EAPG Case Rate,,,"3,780.82",EAPG Case Rate,,,"3,780.82",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
111 - PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION,111,EAPG,,,,outpatient ,,, -   ,,"1,107.09","16,764.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,764.36",EAPG Case Rate,,,"16,764.36",EAPG Case Rate,,,"16,764.36",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
112 - PHLEBOTOMY,112,EAPG,,,,outpatient ,,, -   ,,"1,107.09","12,331.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,331.77",EAPG Case Rate,,,"12,331.77",EAPG Case Rate,,,"12,331.77",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113 - LEVEL I BLOOD AND BLOOD PRODUCT EXCHANGE,113,EAPG,,,,outpatient ,,, -   ,,"1,107.09","11,323.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,323.79",EAPG Case Rate,,,"11,323.79",EAPG Case Rate,,,"11,323.79",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114 - LEVEL II BLOOD AND BLOOD PRODUCT EXCHANGE,114,EAPG,,,,outpatient ,,, -   ,,995.26,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,995.26,EAPG Case Rate,,,995.26,EAPG Case Rate,,,995.26,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
115 - DEEP LYMPH STRUCTURE AND THYROID PROCEDURES,115,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,262.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,262.51",EAPG Case Rate,,,"6,262.51",EAPG Case Rate,,,"6,262.51",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
116 - ALLERGY TESTS,116,EAPG,,,,outpatient ,,, -   ,,"1,101.51","1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,101.51",EAPG Case Rate,,,"1,101.51",EAPG Case Rate,,,"1,101.51",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
117 - HOME INFUSION,117,EAPG,,,,outpatient ,,, -   ,,971.18,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,971.18,EAPG Case Rate,,,971.18,EAPG Case Rate,,,971.18,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
118 - NUTRITION THERAPY,118,EAPG,,,,outpatient ,,, -   ,,244.57,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.57,EAPG Case Rate,,,244.57,EAPG Case Rate,,,244.57,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
130 - ALIMENTARY TESTS AND SIMPLE TUBE PLACEMENT,130,EAPG,,,,outpatient ,,, -   ,,"1,107.09","9,984.81",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,984.81",EAPG Case Rate,,,"9,984.81",EAPG Case Rate,,,"9,984.81",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
131 - ESOPHAGEAL DILATION WITHOUT ENDOSCOPY,131,EAPG,,,,outpatient ,,, -   ,,"1,107.09","34,736.48",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,736.48",EAPG Case Rate,,,"34,736.48",EAPG Case Rate,,,"34,736.48",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
132 - ANOSCOPY WITH BIOPSY AND DIAGNOSTIC PROCTOSIGMOIDOSCOPY,132,EAPG,,,,outpatient ,,, -   ,,"1,107.09","12,852.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,852.08",EAPG Case Rate,,,"12,852.08",EAPG Case Rate,,,"12,852.08",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
133 - PROCTOSIGMOIDOSCOPY WITH EXCISION OR BIOPSY,133,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
134 - DIAGNOSTIC UPPER GI ENDOSCOPY OR INTUBATION,134,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,262.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,262.76",EAPG Case Rate,,,"4,262.76",EAPG Case Rate,,,"4,262.76",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135 - THERAPEUTIC UPPER GI ENDOSCOPY OR INTUBATION,135,EAPG,,,,outpatient ,,, -   ,,"1,107.09","27,340.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,340.05",EAPG Case Rate,,,"27,340.05",EAPG Case Rate,,,"27,340.05",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136 - DIAGNOSTIC LOWER GASTROINTESTINAL ENDOSCOPY,136,EAPG,,,,outpatient ,,, -   ,,"1,107.09","17,010.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,010.05",EAPG Case Rate,,,"17,010.05",EAPG Case Rate,,,"17,010.05",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137 - THERAPEUTIC COLONOSCOPY,137,EAPG,,,,outpatient ,,, -   ,,"1,107.09","14,931.97",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,931.97",EAPG Case Rate,,,"14,931.97",EAPG Case Rate,,,"14,931.97",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138 - ERCP AND MISCELLANEOUS GI ENDOSCOPY PROCEDURES,138,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,381.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,381.03",EAPG Case Rate,,,"5,381.03",EAPG Case Rate,,,"5,381.03",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139 - LEVEL I HERNIA REPAIR,139,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,728.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,728.58",EAPG Case Rate,,,"5,728.58",EAPG Case Rate,,,"5,728.58",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140 - LEVEL II HERNIA REPAIR,140,EAPG,,,,outpatient ,,, -   ,,72.59,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,72.59,EAPG Case Rate,,,72.59,EAPG Case Rate,,,72.59,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141 - LEVEL I ANAL AND RECTAL PROCEDURES,141,EAPG,,,,outpatient ,,, -   ,,723.23,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,723.23,EAPG Case Rate,,,723.23,EAPG Case Rate,,,723.23,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142 - LEVEL II ANAL AND RECTAL PROCEDURES,142,EAPG,,,,outpatient ,,, -   ,,461.67,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.67,EAPG Case Rate,,,461.67,EAPG Case Rate,,,461.67,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
143 - LEVEL I GASTROINTESTINAL PROCEDURES,143,EAPG,,,,outpatient ,,, -   ,,632.86,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,632.86,EAPG Case Rate,,,632.86,EAPG Case Rate,,,632.86,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
144 - LEVEL II GASTROINTESTINAL PROCEDURES,144,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,563.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,563.06",EAPG Case Rate,,,"2,563.06",EAPG Case Rate,,,"2,563.06",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
145 - LEVEL I LAPAROSCOPY,145,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,980.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,980.59",EAPG Case Rate,,,"4,980.59",EAPG Case Rate,,,"4,980.59",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
146 - LEVEL II LAPAROSCOPY,146,EAPG,,,,outpatient ,,, -   ,,54.59,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.59,EAPG Case Rate,,,54.59,EAPG Case Rate,,,54.59,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
147 - LEVEL III LAPAROSCOPY,147,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
148 - LEVEL IV LAPAROSCOPY,148,EAPG,,,,outpatient ,,, -   ,,260.21,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260.21,EAPG Case Rate,,,260.21,EAPG Case Rate,,,260.21,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
149 - SCREENING COLORECTAL SERVICES,149,EAPG,,,,outpatient ,,, -   ,,938.88,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,938.88,EAPG Case Rate,,,938.88,EAPG Case Rate,,,938.88,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
160 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY,160,EAPG,,,,outpatient ,,, -   ,,"1,107.09","70,279.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"70,279.25",EAPG Case Rate,,,"70,279.25",EAPG Case Rate,,,"70,279.25",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
161 - URINARY STUDIES AND PROCEDURES,161,EAPG,,,,outpatient ,,, -   ,,"1,107.09","22,611.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,611.57",EAPG Case Rate,,,"22,611.57",EAPG Case Rate,,,"22,611.57",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
162 - URINARY DILATATION,162,EAPG,,,,outpatient ,,, -   ,,"1,107.09","25,727.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,727.12",EAPG Case Rate,,,"25,727.12",EAPG Case Rate,,,"25,727.12",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163 - LEVEL I BLADDER AND KIDNEY PROCEDURES,163,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,670.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,670.36",EAPG Case Rate,,,"8,670.36",EAPG Case Rate,,,"8,670.36",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
164 - LEVEL II BLADDER AND KIDNEY PROCEDURES,164,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,596.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,596.37",EAPG Case Rate,,,"2,596.37",EAPG Case Rate,,,"2,596.37",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165 - LEVEL III BLADDER AND KIDNEY PROCEDURES,165,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,091.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,091.00",EAPG Case Rate,,,"5,091.00",EAPG Case Rate,,,"5,091.00",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166 - LEVEL I URETHRA AND PROSTATE PROCEDURES,166,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,553.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,553.57",EAPG Case Rate,,,"5,553.57",EAPG Case Rate,,,"5,553.57",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167 - LEVEL II URETHRA AND PROSTATE PROCEDURES,167,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,230.47",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,230.47",EAPG Case Rate,,,"3,230.47",EAPG Case Rate,,,"3,230.47",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
168 - HEMODIALYSIS,168,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,982.15",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,982.15",EAPG Case Rate,,,"5,982.15",EAPG Case Rate,,,"5,982.15",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
169 - PERITONEAL DIALYSIS,169,EAPG,,,,outpatient ,,, -   ,,"1,107.09","7,878.36",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,878.36",EAPG Case Rate,,,"7,878.36",EAPG Case Rate,,,"7,878.36",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180 - TESTICULAR AND EPIDIDYMAL PROCEDURES,180,EAPG,,,,outpatient ,,, -   ,,609.67,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,609.67,EAPG Case Rate,,,609.67,EAPG Case Rate,,,609.67,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181 - CIRCUMCISION,181,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,511.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,511.52",EAPG Case Rate,,,"1,511.52",EAPG Case Rate,,,"1,511.52",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182 - INSERTION OF PENILE PROSTHESIS,182,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,142.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,142.68",EAPG Case Rate,,,"3,142.68",EAPG Case Rate,,,"3,142.68",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183 - OTHER PENILE PROCEDURES,183,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,544.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,544.50",EAPG Case Rate,,,"1,544.50",EAPG Case Rate,,,"1,544.50",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
184 - DESTRUCTION OR RESECTION OF PROSTATE,184,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,175.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,175.20",EAPG Case Rate,,,"3,175.20",EAPG Case Rate,,,"3,175.20",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
185 - PROSTATE NEEDLE AND PUNCH BIOPSY,185,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,013.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,013.80",EAPG Case Rate,,,"4,013.80",EAPG Case Rate,,,"4,013.80",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190 - ARTIFICIAL FERTILIZATION,190,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,254.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,254.00",EAPG Case Rate,,,"2,254.00",EAPG Case Rate,,,"2,254.00",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191 - LEVEL I FETAL PROCEDURES,191,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,525.57",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,525.57",EAPG Case Rate,,,"3,525.57",EAPG Case Rate,,,"3,525.57",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192 - LEVEL II FETAL PROCEDURES,192,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,130.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,130.77",EAPG Case Rate,,,"1,130.77",EAPG Case Rate,,,"1,130.77",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193 - TREATMENT OF INCOMPLETE ABORTION,193,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,471.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,471.54",EAPG Case Rate,,,"3,471.54",EAPG Case Rate,,,"3,471.54",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194 - THERAPEUTIC ABORTION,194,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,497.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,497.26",EAPG Case Rate,,,"8,497.26",EAPG Case Rate,,,"8,497.26",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
195 - VAGINAL DELIVERY,195,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,676.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,676.91",EAPG Case Rate,,,"6,676.91",EAPG Case Rate,,,"6,676.91",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196 - LEVEL I FEMALE REPRODUCTIVE PROCEDURES,196,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,881.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,881.20",EAPG Case Rate,,,"5,881.20",EAPG Case Rate,,,"5,881.20",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197 - LEVEL II FEMALE REPRODUCTIVE PROCEDURES,197,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,953.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,953.89",EAPG Case Rate,,,"6,953.89",EAPG Case Rate,,,"6,953.89",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198 - LEVEL III FEMALE REPRODUCTIVE PROCEDURES,198,EAPG,,,,outpatient ,,, -   ,,87.67,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,87.67,EAPG Case Rate,,,87.67,EAPG Case Rate,,,87.67,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199 - DILATION AND CURETTAGE,199,EAPG,,,,outpatient ,,, -   ,,152.62,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,152.62,EAPG Case Rate,,,152.62,EAPG Case Rate,,,152.62,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200 - HYSTEROSCOPY,200,EAPG,,,,outpatient ,,, -   ,,130.89,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,130.89,EAPG Case Rate,,,130.89,EAPG Case Rate,,,130.89,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201 - COLPOSCOPY,201,EAPG,,,,outpatient ,,, -   ,,135.06,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,135.06,EAPG Case Rate,,,135.06,EAPG Case Rate,,,135.06,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
210 - EXTENDED EEG STUDIES,210,EAPG,,,,outpatient ,,, -   ,,632.41,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,632.41,EAPG Case Rate,,,632.41,EAPG Case Rate,,,632.41,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
211 - ELECTROENCEPHALOGRAM,211,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,490.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,490.10",EAPG Case Rate,,,"4,490.10",EAPG Case Rate,,,"4,490.10",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
212 - ELECTROCONVULSIVE THERAPY,212,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,960.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,960.17",EAPG Case Rate,,,"8,960.17",EAPG Case Rate,,,"8,960.17",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
213 - NERVE AND MUSCLE TESTS,213,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,217.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,217.88",EAPG Case Rate,,,"1,217.88",EAPG Case Rate,,,"1,217.88",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"214 - LEVEL I NERVOUS SYSTEM INJECTIONS, STIMULATIONS OR CRANIAL TAP",214,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,294.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,294.74",EAPG Case Rate,,,"2,294.74",EAPG Case Rate,,,"2,294.74",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
215 - LEVEL I REVISION OR REMOVAL OF NEUROLOGICAL DEVICE,215,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,537.26",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,537.26",EAPG Case Rate,,,"4,537.26",EAPG Case Rate,,,"4,537.26",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
216 - LEVEL II REVISION OR REMOVAL OF NEUROLOGICAL DEVICE,216,EAPG,,,,outpatient ,,, -   ,,"1,107.09","10,679.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,679.00",EAPG Case Rate,,,"10,679.00",EAPG Case Rate,,,"10,679.00",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
217 - LEVEL I NERVE PROCEDURES,217,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,440.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,440.27",EAPG Case Rate,,,"2,440.27",EAPG Case Rate,,,"2,440.27",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
218 - LEVEL II NERVE PROCEDURES,218,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,354.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,354.35",EAPG Case Rate,,,"6,354.35",EAPG Case Rate,,,"6,354.35",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
219 - SPINAL TAP,219,EAPG,,,,outpatient ,,, -   ,,"1,107.09","7,661.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,661.93",EAPG Case Rate,,,"7,661.93",EAPG Case Rate,,,"7,661.93",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"220 - LEVEL II NERVOUS SYSTEM INJECTIONS, STIMULATIONS OR CRANIAL TAP",220,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,668.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,668.06",EAPG Case Rate,,,"2,668.06",EAPG Case Rate,,,"2,668.06",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
221 - LAMINOTOMY AND LAMINECTOMY,221,EAPG,,,,outpatient ,,, -   ,,44.12,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.12,EAPG Case Rate,,,44.12,EAPG Case Rate,,,44.12,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
222 - SLEEP STUDIES,222,EAPG,,,,outpatient ,,, -   ,,904.21,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,904.21,EAPG Case Rate,,,904.21,EAPG Case Rate,,,904.21,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
223 - LEVEL III NERVE PROCEDURES,223,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,651.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,651.49",EAPG Case Rate,,,"5,651.49",EAPG Case Rate,,,"5,651.49",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
224 - LEVEL IV NERVE PROCEDURES,224,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,708.46",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,708.46",EAPG Case Rate,,,"3,708.46",EAPG Case Rate,,,"3,708.46",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
230 - MINOR OPHTHALMOLOGICAL TESTS AND PROCEDURES,230,EAPG,,,,outpatient ,,, -   ,,"1,107.09","20,726.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,726.05",EAPG Case Rate,,,"20,726.05",EAPG Case Rate,,,"20,726.05",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231 - FITTING OF CONTACT LENSES,231,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,088.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,088.77",EAPG Case Rate,,,"3,088.77",EAPG Case Rate,,,"3,088.77",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232 - LASER EYE PROCEDURES,232,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,896.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,896.94",EAPG Case Rate,,,"6,896.94",EAPG Case Rate,,,"6,896.94",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233 - CATARACT PROCEDURES,233,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,783.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,783.63",EAPG Case Rate,,,"4,783.63",EAPG Case Rate,,,"4,783.63",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234 - LEVEL I ANTERIOR SEGMENT EYE PROCEDURES,234,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,817.85",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,817.85",EAPG Case Rate,,,"3,817.85",EAPG Case Rate,,,"3,817.85",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
235 - LEVEL II ANTERIOR SEGMENT EYE PROCEDURES,235,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,683.19",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,683.19",EAPG Case Rate,,,"8,683.19",EAPG Case Rate,,,"8,683.19",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
236 - LEVEL III ANTERIOR SEGMENT EYE PROCEDURES,236,EAPG,,,,outpatient ,,, -   ,,640.17,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,640.17,EAPG Case Rate,,,640.17,EAPG Case Rate,,,640.17,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
237 - LEVEL I POSTERIOR SEGMENT EYE PROCEDURES,237,EAPG,,,,outpatient ,,, -   ,,303.32,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,303.32,EAPG Case Rate,,,303.32,EAPG Case Rate,,,303.32,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
238 - LEVEL II POSTERIOR SEGMENT EYE PROCEDURES,238,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,562.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,562.39",EAPG Case Rate,,,"1,562.39",EAPG Case Rate,,,"1,562.39",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
239 - STRABISMUS AND MUSCLE EYE PROCEDURES,239,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,710.04",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,710.04",EAPG Case Rate,,,"2,710.04",EAPG Case Rate,,,"2,710.04",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240 - LEVEL I REPAIR AND PLASTIC PROCEDURES OF EYE,240,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,375.43",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,375.43",EAPG Case Rate,,,"3,375.43",EAPG Case Rate,,,"3,375.43",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241 - LEVEL II REPAIR AND PLASTIC PROCEDURES OF EYE,241,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,054.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,054.09",EAPG Case Rate,,,"4,054.09",EAPG Case Rate,,,"4,054.09",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
250 - COCHLEAR DEVICE IMPLANTATION,250,EAPG,,,,outpatient ,,, -   ,,383.23,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,383.23,EAPG Case Rate,,,383.23,EAPG Case Rate,,,383.23,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251 - OTORHINOLARYNGOLOGIC FUNCTION TESTS,251,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,450.69",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,450.69",EAPG Case Rate,,,"6,450.69",EAPG Case Rate,,,"6,450.69",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
252 - LEVEL I FACIAL AND ENT PROCEDURES,252,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,654.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,654.44",EAPG Case Rate,,,"2,654.44",EAPG Case Rate,,,"2,654.44",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253 - LEVEL II FACIAL AND ENT PROCEDURES,253,EAPG,,,,outpatient ,,, -   ,,"1,107.09","9,120.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,120.44",EAPG Case Rate,,,"9,120.44",EAPG Case Rate,,,"9,120.44",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254 - LEVEL III FACIAL AND ENT PROCEDURES,254,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,642.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,642.50",EAPG Case Rate,,,"3,642.50",EAPG Case Rate,,,"3,642.50",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
255 - LEVEL IV FACIAL AND ENT PROCEDURES,255,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,639.32",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,639.32",EAPG Case Rate,,,"6,639.32",EAPG Case Rate,,,"6,639.32",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
256 - TONSIL AND ADENOID PROCEDURES,256,EAPG,,,,outpatient ,,, -   ,,833.42,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,833.42,EAPG Case Rate,,,833.42,EAPG Case Rate,,,833.42,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
257 - AUDIOMETRY,257,EAPG,,,,outpatient ,,, -   ,,702.41,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,702.41,EAPG Case Rate,,,702.41,EAPG Case Rate,,,702.41,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
260 - CASE MANAGEMENT AND CARE PLANNING SERVICES,260,EAPG,,,,outpatient ,,, -   ,,519.3,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,519.3,EAPG Case Rate,,,519.3,EAPG Case Rate,,,519.3,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
270 - OCCUPATIONAL THERAPY,270,EAPG,,,,outpatient ,,, -   ,,768.37,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,768.37,EAPG Case Rate,,,768.37,EAPG Case Rate,,,768.37,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
271 - PHYSICAL THERAPY,271,EAPG,,,,outpatient ,,, -   ,,207.76,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.76,EAPG Case Rate,,,207.76,EAPG Case Rate,,,207.76,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
272 - SPEECH THERAPY AND EVALUATION,272,EAPG,,,,outpatient ,,, -   ,,625.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.2,EAPG Case Rate,,,625.2,EAPG Case Rate,,,625.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
273 - MANIPULATION THERAPY,273,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,110.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,110.16",EAPG Case Rate,,,"2,110.16",EAPG Case Rate,,,"2,110.16",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"274 - OCCUPATIONAL/PHYSICAL THERAPY, GROUP",274,EAPG,,,,outpatient ,,, -   ,,"1,107.09","7,486.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,486.13",EAPG Case Rate,,,"7,486.13",EAPG Case Rate,,,"7,486.13",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"275 - SPEECH THERAPY & EVALUATION, GROUP",275,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,005.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,005.38",EAPG Case Rate,,,"2,005.38",EAPG Case Rate,,,"2,005.38",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
280 - VASCULAR RADIOLOGY EXCEPT VENOGRAPHY OF EXTREMITY,280,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,238.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,238.82",EAPG Case Rate,,,"1,238.82",EAPG Case Rate,,,"1,238.82",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
281 - MAGNETIC RESONANCE ANGIOGRAPHY - HEAD AND/OR NECK,281,EAPG,,,,outpatient ,,, -   ,,"1,107.09","9,583.12",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,583.12",EAPG Case Rate,,,"9,583.12",EAPG Case Rate,,,"9,583.12",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
282 - MAGNETIC RESONANCE ANGIOGRAPHY - CHEST,282,EAPG,,,,outpatient ,,, -   ,,"1,107.09","29,573.11",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,573.11",EAPG Case Rate,,,"29,573.11",EAPG Case Rate,,,"29,573.11",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
283 - MAGNETIC RESONANCE ANGIOGRAPHY - OTHER SITES,283,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,935.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,935.89",EAPG Case Rate,,,"5,935.89",EAPG Case Rate,,,"5,935.89",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
284 - MYELOGRAPHY,284,EAPG,,,,outpatient ,,, -   ,,237.93,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,237.93,EAPG Case Rate,,,237.93,EAPG Case Rate,,,237.93,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
285 - MISCELLANEOUS RADIOLOGICAL PROCEDURES WITH CONTRAST,285,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,097.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,097.42",EAPG Case Rate,,,"4,097.42",EAPG Case Rate,,,"4,097.42",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
286 - MAMMOGRAPHY & OTHER RELATED PROCEDURES,286,EAPG,,,,outpatient ,,, -   ,,"1,107.09","7,814.77",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"7,814.77",EAPG Case Rate,,,"7,814.77",EAPG Case Rate,,,"7,814.77",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
287 - DIGESTIVE RADIOLOGY,287,EAPG,,,,outpatient ,,, -   ,,47.83,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.83,EAPG Case Rate,,,47.83,EAPG Case Rate,,,47.83,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
288 - DIAGNOSTIC ULTRASOUND EXCEPT OBSTETRICAL AND VASCULAR OF LOWER EXTREMITIES,288,EAPG,,,,outpatient ,,, -   ,,452.78,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,452.78,EAPG Case Rate,,,452.78,EAPG Case Rate,,,452.78,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
289 - VASCULAR DIAGNOSTIC ULTRASOUND OF LOWER EXTREMITIES,289,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,674.93",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,674.93",EAPG Case Rate,,,"2,674.93",EAPG Case Rate,,,"2,674.93",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
290 - PET SCANS,290,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,579.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,579.39",EAPG Case Rate,,,"1,579.39",EAPG Case Rate,,,"1,579.39",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
291 - BONE DENSITOMETRY,291,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,211.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,211.54",EAPG Case Rate,,,"5,211.54",EAPG Case Rate,,,"5,211.54",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
292 - MRI- ABDOMEN,292,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,607.64",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,607.64",EAPG Case Rate,,,"1,607.64",EAPG Case Rate,,,"1,607.64",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
293 - MRI- JOINTS,293,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,896.06",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,896.06",EAPG Case Rate,,,"4,896.06",EAPG Case Rate,,,"4,896.06",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
294 - MRI- BACK,294,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,318.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,318.82",EAPG Case Rate,,,"3,318.82",EAPG Case Rate,,,"3,318.82",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
295 - MRI- CHEST,295,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,412.89",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,412.89",EAPG Case Rate,,,"4,412.89",EAPG Case Rate,,,"4,412.89",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
296 - MRI- OTHER,296,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
297 - MRI BRAIN AND MAGNETOENCEPHALOGRAPHY,297,EAPG,,,,outpatient ,,, -   ,,625.99,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,625.99,EAPG Case Rate,,,625.99,EAPG Case Rate,,,625.99,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
298 - CAT SCAN BACK,298,EAPG,,,,outpatient ,,, -   ,,"1,107.09","19,330.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,330.91",EAPG Case Rate,,,"19,330.91",EAPG Case Rate,,,"19,330.91",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
299 - CAT SCAN - BRAIN,299,EAPG,,,,outpatient ,,, -   ,,"1,107.09","56,386.66",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,386.66",EAPG Case Rate,,,"56,386.66",EAPG Case Rate,,,"56,386.66",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
300 - CAT SCAN - ABDOMEN,300,EAPG,,,,outpatient ,,, -   ,,891.83,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,891.83,EAPG Case Rate,,,891.83,EAPG Case Rate,,,891.83,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301 - CAT SCAN - OTHER,301,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,977.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,977.44",EAPG Case Rate,,,"4,977.44",EAPG Case Rate,,,"4,977.44",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"302 - ANGIOGRAPHY, OTHER",302,EAPG,,,,outpatient ,,, -   ,,265.5,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,265.5,EAPG Case Rate,,,265.5,EAPG Case Rate,,,265.5,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"303 - ANGIOGRAPHY, CEREBRAL",303,EAPG,,,,outpatient ,,, -   ,,"1,107.09","37,283.55",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,283.55",EAPG Case Rate,,,"37,283.55",EAPG Case Rate,,,"37,283.55",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310 - DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING,310,EAPG,,,,outpatient ,,, -   ,,215.75,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,215.75,EAPG Case Rate,,,215.75,EAPG Case Rate,,,215.75,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
311 - FULL DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE,311,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,192.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,192.21",EAPG Case Rate,,,"2,192.21",EAPG Case Rate,,,"2,192.21",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
312 - FULL DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS,312,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,970.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,970.92",EAPG Case Rate,,,"3,970.92",EAPG Case Rate,,,"3,970.92",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313 - HALF DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE,313,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,190.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,190.71",EAPG Case Rate,,,"5,190.71",EAPG Case Rate,,,"5,190.71",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314 - HALF DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS,314,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,882.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,882.54",EAPG Case Rate,,,"6,882.54",EAPG Case Rate,,,"6,882.54",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
315 - COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY,315,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,110.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,110.60",EAPG Case Rate,,,"3,110.60",EAPG Case Rate,,,"3,110.60",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316 - INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY,316,EAPG,,,,outpatient ,,, -   ,,125.15,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,125.15,EAPG Case Rate,,,125.15,EAPG Case Rate,,,125.15,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
317 - FAMILY PSYCHOTHERAPY,317,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,072.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,072.80",EAPG Case Rate,,,"2,072.80",EAPG Case Rate,,,"2,072.80",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
318 - GROUP PSYCHOTHERAPY,318,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,686.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,686.07",EAPG Case Rate,,,"2,686.07",EAPG Case Rate,,,"2,686.07",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
319 - ACTIVITY THERAPY,319,EAPG,,,,outpatient ,,, -   ,,170.4,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,170.4,EAPG Case Rate,,,170.4,EAPG Case Rate,,,170.4,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320 - MENTAL HEALTH & SUBSTANCE ABUSE - CASE MANAGEMENT AND TREATMENT PLAN DEVELOPMENT,320,EAPG,,,,outpatient ,,, -   ,,933.92,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,933.92,EAPG Case Rate,,,933.92,EAPG Case Rate,,,933.92,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
321 - CRISIS INTERVENTION,321,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,182.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,182.17",EAPG Case Rate,,,"4,182.17",EAPG Case Rate,,,"4,182.17",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
322 - MEDICATION ADMINISTRATION & OBSERVATION,322,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,768.52",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,768.52",EAPG Case Rate,,,"6,768.52",EAPG Case Rate,,,"6,768.52",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
323 - MENTAL HEALTH ASSESSMENT,323,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,863.41",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,863.41",EAPG Case Rate,,,"5,863.41",EAPG Case Rate,,,"5,863.41",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
324 - MENTAL HEALTH SCREENING & BRIEF ASSESSMENT,324,EAPG,,,,outpatient ,,, -   ,,"1,107.09","22,034.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,034.31",EAPG Case Rate,,,"22,034.31",EAPG Case Rate,,,"22,034.31",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
327 - INTENSIVE OUTPATIENT PSYCHIATRIC TREATMENT,327,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,512.25",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,512.25",EAPG Case Rate,,,"6,512.25",EAPG Case Rate,,,"6,512.25",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"328 - DAY REHABILITATION, HALF DAY",328,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,358.71",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,358.71",EAPG Case Rate,,,"8,358.71",EAPG Case Rate,,,"8,358.71",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"329 - DAY REHABILITATION, FULL DAY",329,EAPG,,,,outpatient ,,, -   ,,"1,107.09","9,019.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,019.37",EAPG Case Rate,,,"9,019.37",EAPG Case Rate,,,"9,019.37",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
330 - LEVEL I DIAGNOSTIC NUCLEAR MEDICINE,330,EAPG,,,,outpatient ,,, -   ,,56.5,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.5,EAPG Case Rate,,,56.5,EAPG Case Rate,,,56.5,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
331 - LEVEL II DIAGNOSTIC NUCLEAR MEDICINE,331,EAPG,,,,outpatient ,,, -   ,,325.38,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,325.38,EAPG Case Rate,,,325.38,EAPG Case Rate,,,325.38,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
332 - LEVEL III DIAGNOSTIC NUCLEAR MEDICINE,332,EAPG,,,,outpatient ,,, -   ,,297.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,297.01,EAPG Case Rate,,,297.01,EAPG Case Rate,,,297.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340 - THERAPEUTIC NUCLEAR MEDICINE,340,EAPG,,,,outpatient ,,, -   ,,357,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357,EAPG Case Rate,,,357,EAPG Case Rate,,,357,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341 - RADIATION THERAPY AND HYPERTHERMIA,341,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,229.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,229.99",EAPG Case Rate,,,"5,229.99",EAPG Case Rate,,,"5,229.99",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
342 - LEVEL I AFTERLOADING BRACHYTHERAPY,342,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,683.38",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,683.38",EAPG Case Rate,,,"1,683.38",EAPG Case Rate,,,"1,683.38",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343 - RADIATION TREATMENT DELIVERY,343,EAPG,,,,outpatient ,,, -   ,,513.33,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,513.33,EAPG Case Rate,,,513.33,EAPG Case Rate,,,513.33,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
344 - INSTILLATION OF RADIOELEMENT SOLUTIONS,344,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,652.98",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,652.98",EAPG Case Rate,,,"2,652.98",EAPG Case Rate,,,"2,652.98",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
345 - HYPERTHERMIC THERAPIES,345,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,927.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,927.22",EAPG Case Rate,,,"6,927.22",EAPG Case Rate,,,"6,927.22",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346 - RADIOSURGERY,346,EAPG,,,,outpatient ,,, -   ,,770.62,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,770.62,EAPG Case Rate,,,770.62,EAPG Case Rate,,,770.62,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
347 - HIGH ENERGY NEUTRON RADIATION TREATMENT DELIVERY,347,EAPG,,,,outpatient ,,, -   ,,876.3,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,876.3,EAPG Case Rate,,,876.3,EAPG Case Rate,,,876.3,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
348 - PROTON TREATMENT DELIVERY,348,EAPG,,,,outpatient ,,, -   ,,74.84,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,74.84,EAPG Case Rate,,,74.84,EAPG Case Rate,,,74.84,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
349 - LEVEL II AFTERLOADING BRACHYTHERAPY,349,EAPG,,,,outpatient ,,, -   ,,171.3,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,171.3,EAPG Case Rate,,,171.3,EAPG Case Rate,,,171.3,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
350 - LEVEL I  ADJUNCTIVE GENERAL DENTAL SERVICES,350,EAPG,,,,outpatient ,,, -   ,,263.93,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.93,EAPG Case Rate,,,263.93,EAPG Case Rate,,,263.93,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351 - LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES,351,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,091.03",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,091.03",EAPG Case Rate,,,"2,091.03",EAPG Case Rate,,,"2,091.03",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
352 - LEVEL I PERIODONTICS,352,EAPG,,,,outpatient ,,, -   ,,123.58,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,123.58,EAPG Case Rate,,,123.58,EAPG Case Rate,,,123.58,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"353 - LEVEL I PROSTHODONTICS, FIXED",353,EAPG,,,,outpatient ,,, -   ,,378.16,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,378.16,EAPG Case Rate,,,378.16,EAPG Case Rate,,,378.16,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"354 - LEVEL II PROSTHODONTICS, FIXED",354,EAPG,,,,outpatient ,,, -   ,,638.03,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,638.03,EAPG Case Rate,,,638.03,EAPG Case Rate,,,638.03,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"355 - LEVEL III PROSTHODONTICS, FIXED",355,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,646.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,646.22",EAPG Case Rate,,,"3,646.22",EAPG Case Rate,,,"3,646.22",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"356 - LEVEL I PROSTHODONTICS, REMOVABLE",356,EAPG,,,,outpatient ,,, -   ,,167.25,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,167.25,EAPG Case Rate,,,167.25,EAPG Case Rate,,,167.25,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"357 - LEVEL II PROSTHODONTICS, REMOVABLE",357,EAPG,,,,outpatient ,,, -   ,,476.42,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,476.42,EAPG Case Rate,,,476.42,EAPG Case Rate,,,476.42,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"358 - LEVEL III PROSTHODONTICS, REMOVABLE",358,EAPG,,,,outpatient ,,, -   ,,404.61,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,404.61,EAPG Case Rate,,,404.61,EAPG Case Rate,,,404.61,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
359 - LEVEL I MAXILLOFACIAL PROSTHETICS,359,EAPG,,,,outpatient ,,, -   ,,582.1,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,582.1,EAPG Case Rate,,,582.1,EAPG Case Rate,,,582.1,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
360 - LEVEL II MAXILLOFACIAL PROSTHETICS,360,EAPG,,,,outpatient ,,, -   ,,4.28,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,4.28,EAPG Case Rate,,,4.28,EAPG Case Rate,,,4.28,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
361 - LEVEL I DENTAL RESTORATIONS,361,EAPG,,,,outpatient ,,, -   ,,50.53,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,50.53,EAPG Case Rate,,,50.53,EAPG Case Rate,,,50.53,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
362 - LEVEL II DENTAL RESTORATIONS,362,EAPG,,,,outpatient ,,, -   ,,206.19,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,206.19,EAPG Case Rate,,,206.19,EAPG Case Rate,,,206.19,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
363 - LEVEL III DENTAL RESTORATION,363,EAPG,,,,outpatient ,,, -   ,,501.74,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,501.74,EAPG Case Rate,,,501.74,EAPG Case Rate,,,501.74,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
364 - LEVEL I ENDODONTICS,364,EAPG,,,,outpatient ,,, -   ,,231.62,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,231.62,EAPG Case Rate,,,231.62,EAPG Case Rate,,,231.62,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
365 - LEVEL II ENDODONTICS,365,EAPG,,,,outpatient ,,, -   ,,68.09,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,68.09,EAPG Case Rate,,,68.09,EAPG Case Rate,,,68.09,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
366 - LEVEL III ENDODONTICS,366,EAPG,,,,outpatient ,,, -   ,,915.13,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,915.13,EAPG Case Rate,,,915.13,EAPG Case Rate,,,915.13,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
367 - LEVEL I ORAL AND MAXILLOFACIAL SURGERY,367,EAPG,,,,outpatient ,,, -   ,,557.23,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,557.23,EAPG Case Rate,,,557.23,EAPG Case Rate,,,557.23,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
368 - LEVEL II ORAL AND MAXILLOFACIAL SURGERY,368,EAPG,,,,outpatient ,,, -   ,,202.7,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.7,EAPG Case Rate,,,202.7,EAPG Case Rate,,,202.7,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
369 - LEVEL III ORAL AND MAXILLOFACIAL SURGERY,369,EAPG,,,,outpatient ,,, -   ,,242.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.2,EAPG Case Rate,,,242.2,EAPG Case Rate,,,242.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
370 - LEVEL IV ORAL AND MAXILLOFACIAL SURGERY,370,EAPG,,,,outpatient ,,, -   ,,264.15,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,264.15,EAPG Case Rate,,,264.15,EAPG Case Rate,,,264.15,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
371 - LEVEL I ORTHODONTICS,371,EAPG,,,,outpatient ,,, -   ,,369.16,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,369.16,EAPG Case Rate,,,369.16,EAPG Case Rate,,,369.16,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
372 - SEALANT,372,EAPG,,,,outpatient ,,, -   ,,241.53,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,241.53,EAPG Case Rate,,,241.53,EAPG Case Rate,,,241.53,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
373 - LEVEL I DENTAL FILM,373,EAPG,,,,outpatient ,,, -   ,,155.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,155.2,EAPG Case Rate,,,155.2,EAPG Case Rate,,,155.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
374 - LEVEL II DENTAL FILM,374,EAPG,,,,outpatient ,,, -   ,,288.8,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,288.8,EAPG Case Rate,,,288.8,EAPG Case Rate,,,288.8,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
375 - DENTAL ANESTHESIA,375,EAPG,,,,outpatient ,,, -   ,,67.98,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,67.98,EAPG Case Rate,,,67.98,EAPG Case Rate,,,67.98,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
376 - DIAGNOSTIC DENTAL PROCEDURES,376,EAPG,,,,outpatient ,,, -   ,,389.19,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,389.19,EAPG Case Rate,,,389.19,EAPG Case Rate,,,389.19,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
377 - PREVENTIVE DENTAL PROCEDURES,377,EAPG,,,,outpatient ,,, -   ,,36.13,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,36.13,EAPG Case Rate,,,36.13,EAPG Case Rate,,,36.13,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
378 - LEVEL II PERIODONTICS,378,EAPG,,,,outpatient ,,, -   ,,113.22,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,113.22,EAPG Case Rate,,,113.22,EAPG Case Rate,,,113.22,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
379 - LEVEL II ORTHODONTICS,379,EAPG,,,,outpatient ,,, -   ,,543.49,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,543.49,EAPG Case Rate,,,543.49,EAPG Case Rate,,,543.49,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380 - ANESTHESIA,380,EAPG,,,,outpatient ,,, -   ,,491.83,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,491.83,EAPG Case Rate,,,491.83,EAPG Case Rate,,,491.83,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381 - LEVEL I DENTAL IMPLANTS,381,EAPG,,,,outpatient ,,, -   ,,732.8,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,732.8,EAPG Case Rate,,,732.8,EAPG Case Rate,,,732.8,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382 - LEVEL II DENTAL IMPLANTS,382,EAPG,,,,outpatient ,,, -   ,,575.91,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,575.91,EAPG Case Rate,,,575.91,EAPG Case Rate,,,575.91,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
385 - LEVEL I MOLECULAR PATHOLOGY AND GENETIC TESTS,385,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,379.39",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,379.39",EAPG Case Rate,,,"1,379.39",EAPG Case Rate,,,"1,379.39",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
386 - LEVEL II MOLECULAR PATHOLOGY AND GENETIC TESTS,386,EAPG,,,,outpatient ,,, -   ,,814.17,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,814.17,EAPG Case Rate,,,814.17,EAPG Case Rate,,,814.17,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
387 - LEVEL III MOLECULAR PATHOLOGY AND GENETIC TESTS,387,EAPG,,,,outpatient ,,, -   ,,400.9,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,400.9,EAPG Case Rate,,,400.9,EAPG Case Rate,,,400.9,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
390 - LEVEL I PATHOLOGY,390,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,289.31",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,289.31",EAPG Case Rate,,,"5,289.31",EAPG Case Rate,,,"5,289.31",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
391 - LEVEL II PATHOLOGY,391,EAPG,,,,outpatient ,,, -   ,,"1,107.09","17,558.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,558.61",EAPG Case Rate,,,"17,558.61",EAPG Case Rate,,,"17,558.61",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
392 - PAP SMEARS,392,EAPG,,,,outpatient ,,, -   ,,425.99,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,425.99,EAPG Case Rate,,,425.99,EAPG Case Rate,,,425.99,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
393 - BLOOD AND TISSUE TYPING,393,EAPG,,,,outpatient ,,, -   ,,281.82,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,281.82,EAPG Case Rate,,,281.82,EAPG Case Rate,,,281.82,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
394 - LEVEL I IMMUNOLOGY TESTS,394,EAPG,,,,outpatient ,,, -   ,,"1,107.09","8,518.65",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"8,518.65",EAPG Case Rate,,,"8,518.65",EAPG Case Rate,,,"8,518.65",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
395 - LEVEL II IMMUNOLOGY TESTS,395,EAPG,,,,outpatient ,,, -   ,,740.9,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,740.9,EAPG Case Rate,,,740.9,EAPG Case Rate,,,740.9,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
396 - LEVEL I MICROBIOLOGY TESTS,396,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,229.91",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,229.91",EAPG Case Rate,,,"2,229.91",EAPG Case Rate,,,"2,229.91",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
397 - LEVEL II MICROBIOLOGY TESTS,397,EAPG,,,,outpatient ,,, -   ,,363.08,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,363.08,EAPG Case Rate,,,363.08,EAPG Case Rate,,,363.08,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
398 - LEVEL I ENDOCRINOLOGY TESTS,398,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,655.58",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,655.58",EAPG Case Rate,,,"1,655.58",EAPG Case Rate,,,"1,655.58",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
399 - LEVEL II ENDOCRINOLOGY TESTS,399,EAPG,,,,outpatient ,,, -   ,,160.16,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,160.16,EAPG Case Rate,,,160.16,EAPG Case Rate,,,160.16,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
400 - LEVEL I CHEMISTRY TESTS,400,EAPG,,,,outpatient ,,, -   ,,599.21,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,599.21,EAPG Case Rate,,,599.21,EAPG Case Rate,,,599.21,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
401 - LEVEL II CHEMISTRY TESTS,401,EAPG,,,,outpatient ,,, -   ,,741.35,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,741.35,EAPG Case Rate,,,741.35,EAPG Case Rate,,,741.35,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
402 - BASIC CHEMISTRY TESTS,402,EAPG,,,,outpatient ,,, -   ,,324.7,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,324.7,EAPG Case Rate,,,324.7,EAPG Case Rate,,,324.7,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
403 - ORGAN OR DISEASE ORIENTED PANELS,403,EAPG,,,,outpatient ,,, -   ,,401.46,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,401.46,EAPG Case Rate,,,401.46,EAPG Case Rate,,,401.46,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
404 - TOXICOLOGY TESTS,404,EAPG,,,,outpatient ,,, -   ,,478.1,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,478.1,EAPG Case Rate,,,478.1,EAPG Case Rate,,,478.1,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
405 - THERAPEUTIC DRUG MONITORING,405,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,390.29",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,390.29",EAPG Case Rate,,,"2,390.29",EAPG Case Rate,,,"2,390.29",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
406 - LEVEL I CLOTTING TESTS,406,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,379.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,379.23",EAPG Case Rate,,,"5,379.23",EAPG Case Rate,,,"5,379.23",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
407 - LEVEL II CLOTTING TESTS,407,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,142.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,142.23",EAPG Case Rate,,,"3,142.23",EAPG Case Rate,,,"3,142.23",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
408 - LEVEL I HEMATOLOGY TESTS,408,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,889.21",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,889.21",EAPG Case Rate,,,"3,889.21",EAPG Case Rate,,,"3,889.21",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
409 - LEVEL II HEMATOLOGY TESTS,409,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,278.17",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,278.17",EAPG Case Rate,,,"4,278.17",EAPG Case Rate,,,"4,278.17",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
410 - URINALYSIS,410,EAPG,,,,outpatient ,,, -   ,,220.03,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,220.03,EAPG Case Rate,,,220.03,EAPG Case Rate,,,220.03,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
411 - BLOOD AND URINE DIPSTICK TESTS,411,EAPG,,,,outpatient ,,, -   ,,395.72,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,395.72,EAPG Case Rate,,,395.72,EAPG Case Rate,,,395.72,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
412 - SIMPLE PULMONARY FUNCTION TESTS,412,EAPG,,,,outpatient ,,, -   ,,471.46,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,471.46,EAPG Case Rate,,,471.46,EAPG Case Rate,,,471.46,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
413 - CARDIOGRAM,413,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,875.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,875.16",EAPG Case Rate,,,"1,875.16",EAPG Case Rate,,,"1,875.16",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
414 - LEVEL I IMMUNIZATION,414,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,848.59",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,848.59",EAPG Case Rate,,,"2,848.59",EAPG Case Rate,,,"2,848.59",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
415 - LEVEL II IMMUNIZATION,415,EAPG,,,,outpatient ,,, -   ,,"1,107.09","4,426.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,426.63",EAPG Case Rate,,,"4,426.63",EAPG Case Rate,,,"4,426.63",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
416 - LEVEL III IMMUNIZATION,416,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,114.44",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,114.44",EAPG Case Rate,,,"2,114.44",EAPG Case Rate,,,"2,114.44",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
417 - MINOR REPRODUCTIVE PROCEDURES,417,EAPG,,,,outpatient ,,, -   ,,64.94,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,64.94,EAPG Case Rate,,,64.94,EAPG Case Rate,,,64.94,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
418 - MINOR CARDIAC AND VASCULAR TESTS,418,EAPG,,,,outpatient ,,, -   ,,48.17,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,48.17,EAPG Case Rate,,,48.17,EAPG Case Rate,,,48.17,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"419 - MINOR OPHTHALMOLOGICAL INJECTION, SCRAPING AND TESTS",419,EAPG,,,,outpatient ,,, -   ,,184.02,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,184.02,EAPG Case Rate,,,184.02,EAPG Case Rate,,,184.02,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420 - PACEMAKER AND OTHER ELECTRONIC ANALYSIS,420,EAPG,,,,outpatient ,,, -   ,,54.92,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.92,EAPG Case Rate,,,54.92,EAPG Case Rate,,,54.92,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
421 - TUBE CHANGE,421,EAPG,,,,outpatient ,,, -   ,,164.88,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,164.88,EAPG Case Rate,,,164.88,EAPG Case Rate,,,164.88,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422 - PROVISION OF VISION AIDS,422,EAPG,,,,outpatient ,,, -   ,,173.21,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,173.21,EAPG Case Rate,,,173.21,EAPG Case Rate,,,173.21,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423 - INTRODUCTION OF NEEDLE AND CATHETER,423,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,756.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,756.76",EAPG Case Rate,,,"1,756.76",EAPG Case Rate,,,"1,756.76",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424 - DRESSINGS AND OTHER MINOR PROCEDURES,424,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,325.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,325.92",EAPG Case Rate,,,"2,325.92",EAPG Case Rate,,,"2,325.92",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425 - LEVEL I OTHER MISCELLANEOUS ANCILLARY PROCEDURES,425,EAPG,,,,outpatient ,,, -   ,,35.68,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.68,EAPG Case Rate,,,35.68,EAPG Case Rate,,,35.68,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
426 - PSYCHOTROPIC MEDICATION MANAGEMENT,426,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,029.24",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,029.24",EAPG Case Rate,,,"2,029.24",EAPG Case Rate,,,"2,029.24",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
427 - BIOFEEDBACK AND OTHER TRAINING,427,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,232.16",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,232.16",EAPG Case Rate,,,"2,232.16",EAPG Case Rate,,,"2,232.16",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"428 - PATIENT EDUCATION, INDIVIDUAL",428,EAPG,,,,outpatient ,,, -   ,,86.55,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,86.55,EAPG Case Rate,,,86.55,EAPG Case Rate,,,86.55,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"429 - PATIENT EDUCATION, GROUP",429,EAPG,,,,outpatient ,,, -   ,,59.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.2,EAPG Case Rate,,,59.2,EAPG Case Rate,,,59.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
430 - CLASS I CHEMOTHERAPY DRUGS,430,EAPG,,,,outpatient ,,, -   ,,209.34,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,209.34,EAPG Case Rate,,,209.34,EAPG Case Rate,,,209.34,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
431 - CLASS II CHEMOTHERAPY DRUGS,431,EAPG,,,,outpatient ,,, -   ,,456.72,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,456.72,EAPG Case Rate,,,456.72,EAPG Case Rate,,,456.72,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
432 - CLASS III CHEMOTHERAPY DRUGS,432,EAPG,,,,outpatient ,,, -   ,,259.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,259.2,EAPG Case Rate,,,259.2,EAPG Case Rate,,,259.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
433 - CLASS IV CHEMOTHERAPY DRUGS,433,EAPG,,,,outpatient ,,, -   ,,185.48,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,185.48,EAPG Case Rate,,,185.48,EAPG Case Rate,,,185.48,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
434 - CLASS V CHEMOTHERAPY DRUGS,434,EAPG,,,,outpatient ,,, -   ,,6.3,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.3,EAPG Case Rate,,,6.3,EAPG Case Rate,,,6.3,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
435 - CLASS I PHARMACOTHERAPY,435,EAPG,,,,outpatient ,,, -   ,,41.76,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,41.76,EAPG Case Rate,,,41.76,EAPG Case Rate,,,41.76,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
436 - CLASS II PHARMACOTHERAPY,436,EAPG,,,,outpatient ,,, -   ,,26,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,26,EAPG Case Rate,,,26,EAPG Case Rate,,,26,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
437 - CLASS III PHARMACOTHERAPY,437,EAPG,,,,outpatient ,,, -   ,,79.35,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,79.35,EAPG Case Rate,,,79.35,EAPG Case Rate,,,79.35,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
438 - CLASS IV PHARMACOTHERAPY,438,EAPG,,,,outpatient ,,, -   ,,14.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,14.63,EAPG Case Rate,,,14.63,EAPG Case Rate,,,14.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
439 - CLASS V PHARMACOTHERAPY,439,EAPG,,,,outpatient ,,, -   ,,51.88,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,51.88,EAPG Case Rate,,,51.88,EAPG Case Rate,,,51.88,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440 - CLASS VI PHARMACOTHERAPY,440,EAPG,,,,outpatient ,,, -   ,,13.39,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,13.39,EAPG Case Rate,,,13.39,EAPG Case Rate,,,13.39,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
441 - CLASS VI CHEMOTHERAPY DRUGS,441,EAPG,,,,outpatient ,,, -   ,,54.47,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,54.47,EAPG Case Rate,,,54.47,EAPG Case Rate,,,54.47,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
443 - CLASS VII CHEMOTHERAPY DRUGS,443,EAPG,,,,outpatient ,,, -   ,,16.77,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,16.77,EAPG Case Rate,,,16.77,EAPG Case Rate,,,16.77,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444 - CLASS VII PHARMACOTHERAPY,444,EAPG,,,,outpatient ,,, -   ,,44.46,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.46,EAPG Case Rate,,,44.46,EAPG Case Rate,,,44.46,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
448 - EXPANDED HOURS ACCESS,448,EAPG,,,,outpatient ,,, -   ,,15.19,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.19,EAPG Case Rate,,,15.19,EAPG Case Rate,,,15.19,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
449 - ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES,449,EAPG,,,,outpatient ,,, -   ,,35.79,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,35.79,EAPG Case Rate,,,35.79,EAPG Case Rate,,,35.79,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
450 - OBSERVATION,450,EAPG,,,,outpatient ,,, -   ,,6.87,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,6.87,EAPG Case Rate,,,6.87,EAPG Case Rate,,,6.87,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
451 - SMOKING CESSATION TREATMENT,451,EAPG,,,,outpatient ,,, -   ,,11.48,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,11.48,EAPG Case Rate,,,11.48,EAPG Case Rate,,,11.48,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
452 - DIABETES SUPPLIES,452,EAPG,,,,outpatient ,,, -   ,,15.64,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.64,EAPG Case Rate,,,15.64,EAPG Case Rate,,,15.64,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
453 - MOTORIZED WHEELCHAIR,453,EAPG,,,,outpatient ,,, -   ,,15.42,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,15.42,EAPG Case Rate,,,15.42,EAPG Case Rate,,,15.42,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
454 - TPN FORMULAE,454,EAPG,,,,outpatient ,,, -   ,,5.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.63,EAPG Case Rate,,,5.63,EAPG Case Rate,,,5.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
455 - IMPLANTED TISSUE OF ANY TYPE,455,EAPG,,,,outpatient ,,, -   ,,32.19,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,32.19,EAPG Case Rate,,,32.19,EAPG Case Rate,,,32.19,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
456 - MOTORIZED WHEELCHAIR ACCESSORIES,456,EAPG,,,,outpatient ,,, -   ,,7.54,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,7.54,EAPG Case Rate,,,7.54,EAPG Case Rate,,,7.54,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
457 - VENIPUNCTURE,457,EAPG,,,,outpatient ,,, -   ,,18.91,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,18.91,EAPG Case Rate,,,18.91,EAPG Case Rate,,,18.91,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
458 - ALLERGY THERAPY,458,EAPG,,,,outpatient ,,, -   ,,3.83,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,3.83,EAPG Case Rate,,,3.83,EAPG Case Rate,,,3.83,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
459 - VACCINE ADMINISTRATION,459,EAPG,,,,outpatient ,,, -   ,,90.26,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,90.26,EAPG Case Rate,,,90.26,EAPG Case Rate,,,90.26,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
460 - CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,460,EAPG,,,,outpatient ,,, -   ,,40.29,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,40.29,EAPG Case Rate,,,40.29,EAPG Case Rate,,,40.29,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461 - CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,461,EAPG,,,,outpatient ,,, -   ,,33.31,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,33.31,EAPG Case Rate,,,33.31,EAPG Case Rate,,,33.31,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462 - CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,462,EAPG,,,,outpatient ,,, -   ,,176.36,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.36,EAPG Case Rate,,,176.36,EAPG Case Rate,,,176.36,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463 - CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,463,EAPG,,,,outpatient ,,, -   ,,331.12,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,331.12,EAPG Case Rate,,,331.12,EAPG Case Rate,,,331.12,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
464 - CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,464,EAPG,,,,outpatient ,,, -   ,,96.79,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,96.79,EAPG Case Rate,,,96.79,EAPG Case Rate,,,96.79,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465 - CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY,465,EAPG,,,,outpatient ,,, -   ,,118.06,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,118.06,EAPG Case Rate,,,118.06,EAPG Case Rate,,,118.06,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470 - OBSTETRICAL ULTRASOUND,470,EAPG,,,,outpatient ,,, -   ,,223.18,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.18,EAPG Case Rate,,,223.18,EAPG Case Rate,,,223.18,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
471 - PLAIN FILM,471,EAPG,,,,outpatient ,,, -   ,,"1,071.68","1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,071.68",EAPG Case Rate,,,"1,071.68",EAPG Case Rate,,,"1,071.68",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
472 - ULTRASOUND GUIDANCE,472,EAPG,,,,outpatient ,,, -   ,,138.1,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,138.1,EAPG Case Rate,,,138.1,EAPG Case Rate,,,138.1,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
473 - CT GUIDANCE,473,EAPG,,,,outpatient ,,, -   ,,112.66,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,112.66,EAPG Case Rate,,,112.66,EAPG Case Rate,,,112.66,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
474 - RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES,474,EAPG,,,,outpatient ,,, -   ,,59.09,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,59.09,EAPG Case Rate,,,59.09,EAPG Case Rate,,,59.09,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
475 - MRI GUIDANCE,475,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
476 - LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION,476,EAPG,,,,outpatient ,,, -   ,,56.16,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.16,EAPG Case Rate,,,56.16,EAPG Case Rate,,,56.16,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
477 - LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION,477,EAPG,,,,outpatient ,,, -   ,,194.71,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194.71,EAPG Case Rate,,,194.71,EAPG Case Rate,,,194.71,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
478 - MEDICAL RADIATION PHYSICS,478,EAPG,,,,outpatient ,,, -   ,,459.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,459.2,EAPG Case Rate,,,459.2,EAPG Case Rate,,,459.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
479 - TREATMENT DEVICE DESIGN AND CONSTRUCTION,479,EAPG,,,,outpatient ,,, -   ,,499.49,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,499.49,EAPG Case Rate,,,499.49,EAPG Case Rate,,,499.49,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480 - TELETHERAPY/BRACHYTHERAPY CALCULATION,480,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
481 - THERAPEUTIC RADIOLOGY SIMULATION FIELD SETTING,481,EAPG,,,,outpatient ,,, -   ,,151.94,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,151.94,EAPG Case Rate,,,151.94,EAPG Case Rate,,,151.94,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482 - RADIOELEMENT APPLICATION,482,EAPG,,,,outpatient ,,, -   ,,181.54,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,181.54,EAPG Case Rate,,,181.54,EAPG Case Rate,,,181.54,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
483 - RADIATION THERAPY MANAGEMENT,483,EAPG,,,,outpatient ,,, -   ,,294.99,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,294.99,EAPG Case Rate,,,294.99,EAPG Case Rate,,,294.99,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
484 - THERAPEUTIC RADIOLOGY TREATMENT PLANNING,484,EAPG,,,,outpatient ,,, -   ,,712.09,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,712.09,EAPG Case Rate,,,712.09,EAPG Case Rate,,,712.09,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
485 - CORNEAL TISSUE PROCESSING,485,EAPG,,,,outpatient ,,, -   ,,867.52,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,867.52,EAPG Case Rate,,,867.52,EAPG Case Rate,,,867.52,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
486 - BASIC BLOOD TYPING,486,EAPG,,,,outpatient ,,, -   ,,910.85,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,910.85,EAPG Case Rate,,,910.85,EAPG Case Rate,,,910.85,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
487 - MINOR CARDIAC MONITORING,487,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,447.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,447.37",EAPG Case Rate,,,"1,447.37",EAPG Case Rate,,,"1,447.37",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
488 - MINOR DEVICE EVALUATION & ELECTRONIC ANALYSIS,488,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,515.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,515.68",EAPG Case Rate,,,"1,515.68",EAPG Case Rate,,,"1,515.68",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
489 - LEVEL II OTHER MISCELLANEOUS ANCILLARY PROCEDURES,489,EAPG,,,,outpatient ,,, -   ,,44.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,44.01,EAPG Case Rate,,,44.01,EAPG Case Rate,,,44.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
490 - INCIDENTAL TO MEDICAL VISIT OR SIGNIFICANT PROCEDURE,490,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
491 - MEDICAL VISIT INDICATOR,491,EAPG,,,,outpatient ,,, -   ,,"1,096.78","1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,096.78",EAPG Case Rate,,,"1,096.78",EAPG Case Rate,,,"1,096.78",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
493 - ANCILLARY THERAPEUTIC SERVICES,493,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
495 - MINOR CHEMOTHERAPY DRUGS,495,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
496 - MINOR PHARMACOTHERAPY,496,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
497 - TELEHEALTH FACILITATION,497,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
498 - PEN FORMULAE,498,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510 - MAJOR SIGNS, SYMPTOMS AND FINDINGS",510,EAPG,,,,outpatient ,,, -   ,,39.28,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,39.28,EAPG Case Rate,,,39.28,EAPG Case Rate,,,39.28,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
520 - SPINAL DIAGNOSES & INJURIES,520,EAPG,,,,outpatient ,,, -   ,,60.89,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,60.89,EAPG Case Rate,,,60.89,EAPG Case Rate,,,60.89,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
521 - NERVOUS SYSTEM MALIGNANCY,521,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,976.23",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,976.23",EAPG Case Rate,,,"1,976.23",EAPG Case Rate,,,"1,976.23",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
522 - DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS,522,EAPG,,,,outpatient ,,, -   ,,"1,107.09","2,806.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2,806.27",EAPG Case Rate,,,"2,806.27",EAPG Case Rate,,,"2,806.27",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
523 - MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,523,EAPG,,,,outpatient ,,, -   ,,"1,107.09","5,580.35",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"5,580.35",EAPG Case Rate,,,"5,580.35",EAPG Case Rate,,,"5,580.35",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
524 - LEVEL I CNS DIAGNOSES,524,EAPG,,,,outpatient ,,, -   ,,"1,107.09","6,947.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"6,947.70",EAPG Case Rate,,,"6,947.70",EAPG Case Rate,,,"6,947.70",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
525 - LEVEL II CNS DIAGNOSES,525,EAPG,,,,outpatient ,,, -   ,,"1,107.09","11,075.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,075.51",EAPG Case Rate,,,"11,075.51",EAPG Case Rate,,,"11,075.51",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
526 - TRANSIENT ISCHEMIA,526,EAPG,,,,outpatient ,,, -   ,,"1,107.09","24,713.51",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,713.51",EAPG Case Rate,,,"24,713.51",EAPG Case Rate,,,"24,713.51",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
527 - PERIPHERAL AND CRANIAL NERVE DIAGNOSES,527,EAPG,,,,outpatient ,,, -   ,,"1,107.09","33,654.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,654.22",EAPG Case Rate,,,"33,654.22",EAPG Case Rate,,,"33,654.22",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
528 - NONTRAUMATIC STUPOR & COMA,528,EAPG,,,,outpatient ,,, -   ,,157.79,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,157.79,EAPG Case Rate,,,157.79,EAPG Case Rate,,,157.79,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
529 - SEIZURE,529,EAPG,,,,outpatient ,,, -   ,,88.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,88.01,EAPG Case Rate,,,88.01,EAPG Case Rate,,,88.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
530 - HEADACHES OTHER THAN MIGRAINE,530,EAPG,,,,outpatient ,,, -   ,,176.14,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.14,EAPG Case Rate,,,176.14,EAPG Case Rate,,,176.14,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
531 - MIGRAINE,531,EAPG,,,,outpatient ,,, -   ,,129.09,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,129.09,EAPG Case Rate,,,129.09,EAPG Case Rate,,,129.09,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
532 - HEAD TRAUMA,532,EAPG,,,,outpatient ,,, -   ,,316.82,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,316.82,EAPG Case Rate,,,316.82,EAPG Case Rate,,,316.82,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
533 - AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT,533,EAPG,,,,outpatient ,,, -   ,,341.81,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.81,EAPG Case Rate,,,341.81,EAPG Case Rate,,,341.81,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
534 - NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARC,534,EAPG,,,,outpatient ,,, -   ,,188.29,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.29,EAPG Case Rate,,,188.29,EAPG Case Rate,,,188.29,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
535 - CVA & PRECEREBRAL OCCLUSION W INFARCT,535,EAPG,,,,outpatient ,,, -   ,,292.29,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,292.29,EAPG Case Rate,,,292.29,EAPG Case Rate,,,292.29,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
536 - CEREBRAL PALSY,536,EAPG,,,,outpatient ,,, -   ,,"1,107.09","1,668.07",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"1,668.07",EAPG Case Rate,,,"1,668.07",EAPG Case Rate,,,"1,668.07",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
550 - ACUTE MAJOR EYE INFECTIONS,550,EAPG,,,,outpatient ,,, -   ,,630.38,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,630.38,EAPG Case Rate,,,630.38,EAPG Case Rate,,,630.38,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
551 - CATARACTS,551,EAPG,,,,outpatient ,,, -   ,,"1,107.09","3,871.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"3,871.09",EAPG Case Rate,,,"3,871.09",EAPG Case Rate,,,"3,871.09",EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
552 - GLAUCOMA,552,EAPG,,,,outpatient ,,, -   ,,5.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5.63,EAPG Case Rate,,,5.63,EAPG Case Rate,,,5.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
553 - LEVEL I OTHER OPHTHALMIC DIAGNOSES,553,EAPG,,,,outpatient ,,, -   ,,56.72,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,56.72,EAPG Case Rate,,,56.72,EAPG Case Rate,,,56.72,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
554 - LEVEL II OTHER OPHTHALMIC DIAGNOSES,554,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
555 - CONJUNCTIVITIS,555,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"560 - EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",560,EAPG,,,,outpatient ,,, -   ,,47.5,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,47.5,EAPG Case Rate,,,47.5,EAPG Case Rate,,,47.5,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
561 - VERTIGINOUS DIAGNOSES EXCEPT FOR BENIGN VERTIGO,561,EAPG,,,,outpatient ,,, -   ,,117.73,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,117.73,EAPG Case Rate,,,117.73,EAPG Case Rate,,,117.73,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
562 - INFECTIONS OF UPPER RESPIRATORY TRACT & OTITIS MEDIA,562,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
563 - DENTAL & ORAL DIAGNOSES & INJURIES,563,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"564 - LEVEL I OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",564,EAPG,,,,outpatient ,,, -   ,,22.06,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,22.06,EAPG Case Rate,,,22.06,EAPG Case Rate,,,22.06,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"565 - LEVEL II OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",565,EAPG,,,,outpatient ,,, -   ,,0,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,0,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
570 - CYSTIC FIBROSIS - PULMONARY DISEASE,570,EAPG,,,,outpatient ,,, -   ,,132.81,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,132.81,EAPG Case Rate,,,132.81,EAPG Case Rate,,,132.81,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
571 - RESPIRATORY MALIGNANCY,571,EAPG,,,,outpatient ,,, -   ,,288.91,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,288.91,EAPG Case Rate,,,288.91,EAPG Case Rate,,,288.91,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
572 - BRONCHIOLITIS & RSV PNEUMONIA,572,EAPG,,,,outpatient ,,, -   ,,205.29,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.29,EAPG Case Rate,,,205.29,EAPG Case Rate,,,205.29,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
573 - COMMUNITY ACQUIRED PNUEMONIA,573,EAPG,,,,outpatient ,,, -   ,,250.98,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250.98,EAPG Case Rate,,,250.98,EAPG Case Rate,,,250.98,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
574 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE,574,EAPG,,,,outpatient ,,, -   ,,224.42,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,224.42,EAPG Case Rate,,,224.42,EAPG Case Rate,,,224.42,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
575 - ASTHMA,575,EAPG,,,,outpatient ,,, -   ,,207.65,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.65,EAPG Case Rate,,,207.65,EAPG Case Rate,,,207.65,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
576 - LEVEL I OTHER RESPIRATORY DIAGNOSES,576,EAPG,,,,outpatient ,,, -   ,,186.04,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.04,EAPG Case Rate,,,186.04,EAPG Case Rate,,,186.04,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
577 - LEVEL II OTHER RESPIRATORY DIAGNOSES,577,EAPG,,,,outpatient ,,, -   ,,249.29,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,249.29,EAPG Case Rate,,,249.29,EAPG Case Rate,,,249.29,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
578 - PNEUMONIA EXCEPT FOR COMMUNITY ACQUIRED PNEUMONIA,578,EAPG,,,,outpatient ,,, -   ,,388.18,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,388.18,EAPG Case Rate,,,388.18,EAPG Case Rate,,,388.18,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
579 - STATUS ASTHMATICUS,579,EAPG,,,,outpatient ,,, -   ,,211.82,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,211.82,EAPG Case Rate,,,211.82,EAPG Case Rate,,,211.82,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
591 - ACUTE MYOCARDIAL INFARCTION,591,EAPG,,,,outpatient ,,, -   ,,326.05,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,326.05,EAPG Case Rate,,,326.05,EAPG Case Rate,,,326.05,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
592 - LEVEL I CARDIOVASCULAR DIAGNOSES,592,EAPG,,,,outpatient ,,, -   ,,304.22,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,304.22,EAPG Case Rate,,,304.22,EAPG Case Rate,,,304.22,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593 - LEVEL II CARDIOVASCULAR DIAGNOSES,593,EAPG,,,,outpatient ,,, -   ,,275.18,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,275.18,EAPG Case Rate,,,275.18,EAPG Case Rate,,,275.18,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
594 - HEART FAILURE,594,EAPG,,,,outpatient ,,, -   ,,202.7,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,202.7,EAPG Case Rate,,,202.7,EAPG Case Rate,,,202.7,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
595 - CARDIAC ARREST OR OTHER CAUSES OF MORTALITY,595,EAPG,,,,outpatient ,,, -   ,,366.23,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,366.23,EAPG Case Rate,,,366.23,EAPG Case Rate,,,366.23,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
596 - PERIPHERAL & OTHER VASCULAR DIAGNOSES,596,EAPG,,,,outpatient ,,, -   ,,250.19,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,250.19,EAPG Case Rate,,,250.19,EAPG Case Rate,,,250.19,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
597 - PHLEBITIS,597,EAPG,,,,outpatient ,,, -   ,,194.82,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,194.82,EAPG Case Rate,,,194.82,EAPG Case Rate,,,194.82,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
598 - ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,598,EAPG,,,,outpatient ,,, -   ,,365.89,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,365.89,EAPG Case Rate,,,365.89,EAPG Case Rate,,,365.89,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
599 - HYPERTENSION,599,EAPG,,,,outpatient ,,, -   ,,252.67,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.67,EAPG Case Rate,,,252.67,EAPG Case Rate,,,252.67,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
600 - CARDIAC STRUCTURAL & VALVULAR DIAGNOSES,600,EAPG,,,,outpatient ,,, -   ,,316.71,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,316.71,EAPG Case Rate,,,316.71,EAPG Case Rate,,,316.71,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
601 - LEVEL I CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES,601,EAPG,,,,outpatient ,,, -   ,,855.59,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,855.59,EAPG Case Rate,,,855.59,EAPG Case Rate,,,855.59,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602 - ATRIAL FIBRILLATION,602,EAPG,,,,outpatient ,,, -   ,,472.36,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,472.36,EAPG Case Rate,,,472.36,EAPG Case Rate,,,472.36,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603 - LEVEL II CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES,603,EAPG,,,,outpatient ,,, -   ,,283.17,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.17,EAPG Case Rate,,,283.17,EAPG Case Rate,,,283.17,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
604 - CHEST PAIN,604,EAPG,,,,outpatient ,,, -   ,,337.98,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,337.98,EAPG Case Rate,,,337.98,EAPG Case Rate,,,337.98,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
605 - SYNCOPE & COLLAPSE,605,EAPG,,,,outpatient ,,, -   ,,218.46,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,218.46,EAPG Case Rate,,,218.46,EAPG Case Rate,,,218.46,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
620 - DIGESTIVE MALIGNANCY,620,EAPG,,,,outpatient ,,, -   ,,176.14,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,176.14,EAPG Case Rate,,,176.14,EAPG Case Rate,,,176.14,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621 - PEPTIC ULCER & GASTRITIS,621,EAPG,,,,outpatient ,,, -   ,,210.69,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,210.69,EAPG Case Rate,,,210.69,EAPG Case Rate,,,210.69,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
623 - ESOPHAGITIS,623,EAPG,,,,outpatient ,,, -   ,,238.71,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238.71,EAPG Case Rate,,,238.71,EAPG Case Rate,,,238.71,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
624 - LEVEL I GASTROINTESTINAL DIAGNOSES,624,EAPG,,,,outpatient ,,, -   ,,186.27,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.27,EAPG Case Rate,,,186.27,EAPG Case Rate,,,186.27,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
625 - LEVEL II GASTROINTESTINAL DIAGNOSES,625,EAPG,,,,outpatient ,,, -   ,,255.6,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,255.6,EAPG Case Rate,,,255.6,EAPG Case Rate,,,255.6,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
626 - INFLAMMATORY BOWEL DISEASE,626,EAPG,,,,outpatient ,,, -   ,,162.18,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,162.18,EAPG Case Rate,,,162.18,EAPG Case Rate,,,162.18,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"627 - NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING",627,EAPG,,,,outpatient ,,, -   ,,210.69,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,210.69,EAPG Case Rate,,,210.69,EAPG Case Rate,,,210.69,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
628 - ABDOMINAL PAIN,628,EAPG,,,,outpatient ,,, -   ,,263.47,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.47,EAPG Case Rate,,,263.47,EAPG Case Rate,,,263.47,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"629 - MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",629,EAPG,,,,outpatient ,,, -   ,,357.79,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,357.79,EAPG Case Rate,,,357.79,EAPG Case Rate,,,357.79,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
630 - CONSTIPATION,630,EAPG,,,,outpatient ,,, -   ,,247.83,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,247.83,EAPG Case Rate,,,247.83,EAPG Case Rate,,,247.83,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
631 - HERNIA,631,EAPG,,,,outpatient ,,, -   ,,201.57,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,201.57,EAPG Case Rate,,,201.57,EAPG Case Rate,,,201.57,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
632 - IRRITABLE BOWEL SYNDROME,632,EAPG,,,,outpatient ,,, -   ,,244.12,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,244.12,EAPG Case Rate,,,244.12,EAPG Case Rate,,,244.12,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
633 - ALCOHOLIC LIVER DISEASE,633,EAPG,,,,outpatient ,,, -   ,,226.67,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.67,EAPG Case Rate,,,226.67,EAPG Case Rate,,,226.67,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
634 - MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,634,EAPG,,,,outpatient ,,, -   ,,461.33,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,461.33,EAPG Case Rate,,,461.33,EAPG Case Rate,,,461.33,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
635 - PANCREAS DIAGNOSES EXCEPT MALIGNANCY,635,EAPG,,,,outpatient ,,, -   ,,238.83,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238.83,EAPG Case Rate,,,238.83,EAPG Case Rate,,,238.83,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
636 - HEPATITIS WITHOUT COMA,636,EAPG,,,,outpatient ,,, -   ,,516.6,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,516.6,EAPG Case Rate,,,516.6,EAPG Case Rate,,,516.6,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
637 - GALLBLADDER & BILIARY TRACT DIAGNOSES,637,EAPG,,,,outpatient ,,, -   ,,385.48,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.48,EAPG Case Rate,,,385.48,EAPG Case Rate,,,385.48,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
638 - CHOLECYSTITIS,638,EAPG,,,,outpatient ,,, -   ,,325.26,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,325.26,EAPG Case Rate,,,325.26,EAPG Case Rate,,,325.26,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639 - LEVEL I HEPATOBILIARY DIAGNOSES,639,EAPG,,,,outpatient ,,, -   ,,315.58,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,315.58,EAPG Case Rate,,,315.58,EAPG Case Rate,,,315.58,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
640 - LEVEL II HEPATOBILIARY DIAGNOSES,640,EAPG,,,,outpatient ,,, -   ,,489.58,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,489.58,EAPG Case Rate,,,489.58,EAPG Case Rate,,,489.58,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650 - FRACTURE OF FEMUR,650,EAPG,,,,outpatient ,,, -   ,,605.96,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,605.96,EAPG Case Rate,,,605.96,EAPG Case Rate,,,605.96,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651 - FRACTURE OF PELVIS OR DISLOCATION OF HIP,651,EAPG,,,,outpatient ,,, -   ,,478.22,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,478.22,EAPG Case Rate,,,478.22,EAPG Case Rate,,,478.22,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"652 - FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",652,EAPG,,,,outpatient ,,, -   ,,310.86,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,310.86,EAPG Case Rate,,,310.86,EAPG Case Rate,,,310.86,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
653 - MUSCULOSKELETAL MALIGNANCY & PATHOLOGICAL FRACTURES,653,EAPG,,,,outpatient ,,, -   ,,466.85,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,466.85,EAPG Case Rate,,,466.85,EAPG Case Rate,,,466.85,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"654 - OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",654,EAPG,,,,outpatient ,,, -   ,,414.74,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,414.74,EAPG Case Rate,,,414.74,EAPG Case Rate,,,414.74,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
655 - CONNECTIVE TISSUE DIAGNOSES,655,EAPG,,,,outpatient ,,, -   ,,188.52,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,188.52,EAPG Case Rate,,,188.52,EAPG Case Rate,,,188.52,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
656 - BACK & NECK DIAGNOSES EXCEPT LUMBAR DISC DIAGNOSES,656,EAPG,,,,outpatient ,,, -   ,,287.11,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,287.11,EAPG Case Rate,,,287.11,EAPG Case Rate,,,287.11,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
657 - LUMBAR DISC DIAGNOSES,657,EAPG,,,,outpatient ,,, -   ,,635.45,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,635.45,EAPG Case Rate,,,635.45,EAPG Case Rate,,,635.45,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
658 - LUMBAR DISC DIAGNOSES WITH SCIATICA,658,EAPG,,,,outpatient ,,, -   ,,388.18,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,388.18,EAPG Case Rate,,,388.18,EAPG Case Rate,,,388.18,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"659 - MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",659,EAPG,,,,outpatient ,,, -   ,,678.66,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,678.66,EAPG Case Rate,,,678.66,EAPG Case Rate,,,678.66,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660 - LEVEL I OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,660,EAPG,,,,outpatient ,,, -   ,,298.25,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,298.25,EAPG Case Rate,,,298.25,EAPG Case Rate,,,298.25,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661 - LEVEL II OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,661,EAPG,,,,outpatient ,,, -   ,,324.25,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,324.25,EAPG Case Rate,,,324.25,EAPG Case Rate,,,324.25,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662 - OSTEOPOROSIS,662,EAPG,,,,outpatient ,,, -   ,,328.42,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,328.42,EAPG Case Rate,,,328.42,EAPG Case Rate,,,328.42,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663 - PAIN,663,EAPG,,,,outpatient ,,, -   ,,237.81,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,237.81,EAPG Case Rate,,,237.81,EAPG Case Rate,,,237.81,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
670 - SKIN ULCERS,670,EAPG,,,,outpatient ,,, -   ,,335.96,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,335.96,EAPG Case Rate,,,335.96,EAPG Case Rate,,,335.96,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
671 - MAJOR SKIN DIAGNOSES,671,EAPG,,,,outpatient ,,, -   ,,207.43,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.43,EAPG Case Rate,,,207.43,EAPG Case Rate,,,207.43,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
672 - MALIGNANT BREAST DIAGNOSES,672,EAPG,,,,outpatient ,,, -   ,,216.65,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.65,EAPG Case Rate,,,216.65,EAPG Case Rate,,,216.65,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
673 - CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS,673,EAPG,,,,outpatient ,,, -   ,,210.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,210.01,EAPG Case Rate,,,210.01,EAPG Case Rate,,,210.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"674 - CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",674,EAPG,,,,outpatient ,,, -   ,,301.07,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,301.07,EAPG Case Rate,,,301.07,EAPG Case Rate,,,301.07,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"675 - OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DIAGNOSES",675,EAPG,,,,outpatient ,,, -   ,,227.23,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,227.23,EAPG Case Rate,,,227.23,EAPG Case Rate,,,227.23,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
676 - DECUBITUS ULCER,676,EAPG,,,,outpatient ,,, -   ,,595.38,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,595.38,EAPG Case Rate,,,595.38,EAPG Case Rate,,,595.38,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"690 - MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DIAGNOSES",690,EAPG,,,,outpatient ,,, -   ,,449.4,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,449.4,EAPG Case Rate,,,449.4,EAPG Case Rate,,,449.4,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
691 - INBORN ERRORS OF METABOLISM,691,EAPG,,,,outpatient ,,, -   ,,205.96,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.96,EAPG Case Rate,,,205.96,EAPG Case Rate,,,205.96,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
692 - LEVEL I ENDOCRINE DIAGNOSES,692,EAPG,,,,outpatient ,,, -   ,,197.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,197.63,EAPG Case Rate,,,197.63,EAPG Case Rate,,,197.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
693 - LEVEL II ENDOCRINE DIAGNOSES,693,EAPG,,,,outpatient ,,, -   ,,405.4,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,405.4,EAPG Case Rate,,,405.4,EAPG Case Rate,,,405.4,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694 - ELECTROLYTE DISORDERS,694,EAPG,,,,outpatient ,,, -   ,,338.99,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,338.99,EAPG Case Rate,,,338.99,EAPG Case Rate,,,338.99,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695 - OBESITY,695,EAPG,,,,outpatient ,,, -   ,,443.44,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,443.44,EAPG Case Rate,,,443.44,EAPG Case Rate,,,443.44,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710 - DIABETES WITH OPHTHALMIC MANIFESTATIONS,710,EAPG,,,,outpatient ,,, -   ,,442.43,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,442.43,EAPG Case Rate,,,442.43,EAPG Case Rate,,,442.43,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
711 - DIABETES WITH OTHER MANIFESTATIONS & COMPLICATIONS,711,EAPG,,,,outpatient ,,, -   ,,333.25,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,333.25,EAPG Case Rate,,,333.25,EAPG Case Rate,,,333.25,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
712 - DIABETES WITH NEUROLOGIC MANIFESTATIONS,712,EAPG,,,,outpatient ,,, -   ,,282.27,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,282.27,EAPG Case Rate,,,282.27,EAPG Case Rate,,,282.27,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
713 - DIABETES WITHOUT COMPLICATIONS,713,EAPG,,,,outpatient ,,, -   ,,436.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,436.01,EAPG Case Rate,,,436.01,EAPG Case Rate,,,436.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
714 - DIABETES WITH RENAL MANIFESTATIONS,714,EAPG,,,,outpatient ,,, -   ,,248.06,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248.06,EAPG Case Rate,,,248.06,EAPG Case Rate,,,248.06,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
720 - RENAL FAILURE,720,EAPG,,,,outpatient ,,, -   ,,283.4,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,283.4,EAPG Case Rate,,,283.4,EAPG Case Rate,,,283.4,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
721 - KIDNEY & URINARY TRACT MALIGNANCY,721,EAPG,,,,outpatient ,,, -   ,,207.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,207.2,EAPG Case Rate,,,207.2,EAPG Case Rate,,,207.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
722 - NEPHRITIS & NEPHROSIS,722,EAPG,,,,outpatient ,,, -   ,,337.31,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,337.31,EAPG Case Rate,,,337.31,EAPG Case Rate,,,337.31,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
723 - KIDNEY AND CHRONIC URINARY TRACT INFECTIONS,723,EAPG,,,,outpatient ,,, -   ,,392.68,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,392.68,EAPG Case Rate,,,392.68,EAPG Case Rate,,,392.68,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
724 - URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,724,EAPG,,,,outpatient ,,, -   ,,465.5,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,465.5,EAPG Case Rate,,,465.5,EAPG Case Rate,,,465.5,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"725 - MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",725,EAPG,,,,outpatient ,,, -   ,,320.65,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,320.65,EAPG Case Rate,,,320.65,EAPG Case Rate,,,320.65,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"726 - OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",726,EAPG,,,,outpatient ,,, -   ,,247.38,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,247.38,EAPG Case Rate,,,247.38,EAPG Case Rate,,,247.38,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
727 - ACUTE LOWER URINARY TRACT INFECTIONS,727,EAPG,,,,outpatient ,,, -   ,,180.3,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,180.3,EAPG Case Rate,,,180.3,EAPG Case Rate,,,180.3,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"740 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM",740,EAPG,,,,outpatient ,,, -   ,,284.75,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,284.75,EAPG Case Rate,,,284.75,EAPG Case Rate,,,284.75,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
741 - MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,741,EAPG,,,,outpatient ,,, -   ,,340.23,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,340.23,EAPG Case Rate,,,340.23,EAPG Case Rate,,,340.23,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
742 - NEOPLASMS OF THE MALE REPRODUCTIVE SYSTEM,742,EAPG,,,,outpatient ,,, -   ,,324.81,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,324.81,EAPG Case Rate,,,324.81,EAPG Case Rate,,,324.81,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
743 - PROSTATITIS,743,EAPG,,,,outpatient ,,, -   ,,271.24,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,271.24,EAPG Case Rate,,,271.24,EAPG Case Rate,,,271.24,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
744 - MALE REPRODUCTIVE INFECTIONS,744,EAPG,,,,outpatient ,,, -   ,,332.24,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,332.24,EAPG Case Rate,,,332.24,EAPG Case Rate,,,332.24,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750 - FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,750,EAPG,,,,outpatient ,,, -   ,,475.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,475.63,EAPG Case Rate,,,475.63,EAPG Case Rate,,,475.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
751 - FEMALE REPRODUCTIVE SYSTEM INFECTIONS,751,EAPG,,,,outpatient ,,, -   ,,277.43,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,277.43,EAPG Case Rate,,,277.43,EAPG Case Rate,,,277.43,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
752 - LEVEL I MENSTRUAL AND OTHER FEMALE DIAGNOSES,752,EAPG,,,,outpatient ,,, -   ,,260.32,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260.32,EAPG Case Rate,,,260.32,EAPG Case Rate,,,260.32,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
753 - LEVEL II MENSTRUAL AND OTHER FEMALE DIAGNOSES,753,EAPG,,,,outpatient ,,, -   ,,348.45,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,348.45,EAPG Case Rate,,,348.45,EAPG Case Rate,,,348.45,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760 - VAGINAL DELIVERY,760,EAPG,,,,outpatient ,,, -   ,,438.71,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,438.71,EAPG Case Rate,,,438.71,EAPG Case Rate,,,438.71,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
761 - POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,761,EAPG,,,,outpatient ,,, -   ,,502.53,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,502.53,EAPG Case Rate,,,502.53,EAPG Case Rate,,,502.53,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
762 - THREATENED ABORTION,762,EAPG,,,,outpatient ,,, -   ,,420.93,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,420.93,EAPG Case Rate,,,420.93,EAPG Case Rate,,,420.93,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"763 - ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",763,EAPG,,,,outpatient ,,, -   ,,432.97,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,432.97,EAPG Case Rate,,,432.97,EAPG Case Rate,,,432.97,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
764 - FALSE LABOR,764,EAPG,,,,outpatient ,,, -   ,,548.67,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,548.67,EAPG Case Rate,,,548.67,EAPG Case Rate,,,548.67,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
765 - OTHER ANTEPARTUM DIAGNOSES,765,EAPG,,,,outpatient ,,, -   ,,226.67,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.67,EAPG Case Rate,,,226.67,EAPG Case Rate,,,226.67,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
766 - ROUTINE PRENATAL CARE,766,EAPG,,,,outpatient ,,, -   ,,306.58,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,306.58,EAPG Case Rate,,,306.58,EAPG Case Rate,,,306.58,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
770 - NORMAL NEONATE,770,EAPG,,,,outpatient ,,, -   ,,238.94,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,238.94,EAPG Case Rate,,,238.94,EAPG Case Rate,,,238.94,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
771 - LEVEL I NEONATAL DIAGNOSES,771,EAPG,,,,outpatient ,,, -   ,,198.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,198.2,EAPG Case Rate,,,198.2,EAPG Case Rate,,,198.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
772 - LEVEL II NEONATAL DIAGNOSES,772,EAPG,,,,outpatient ,,, -   ,,480.92,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,480.92,EAPG Case Rate,,,480.92,EAPG Case Rate,,,480.92,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
780 - OTHER HEMATOLOGICAL DIAGNOSES,780,EAPG,,,,outpatient ,,, -   ,,267.41,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.41,EAPG Case Rate,,,267.41,EAPG Case Rate,,,267.41,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
781 - COAGULATION & PLATELET DIAGNOSES,781,EAPG,,,,outpatient ,,, -   ,,260.32,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,260.32,EAPG Case Rate,,,260.32,EAPG Case Rate,,,260.32,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
782 - CONGENITAL FACTOR DEFICIENCIES,782,EAPG,,,,outpatient ,,, -   ,,300.73,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,300.73,EAPG Case Rate,,,300.73,EAPG Case Rate,,,300.73,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
783 - SICKLE CELL ANEMIA CRISIS,783,EAPG,,,,outpatient ,,, -   ,,267.53,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.53,EAPG Case Rate,,,267.53,EAPG Case Rate,,,267.53,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
784 - SICKLE CELL ANEMIA,784,EAPG,,,,outpatient ,,, -   ,,213.39,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,213.39,EAPG Case Rate,,,213.39,EAPG Case Rate,,,213.39,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
785 - ANEMIA EXCEPT FOR IRON DEFICIENCY ANEMIA AND SICKLE CELL ANEMIA,785,EAPG,,,,outpatient ,,, -   ,,222.85,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,222.85,EAPG Case Rate,,,222.85,EAPG Case Rate,,,222.85,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
786 - IRON DEFICIENCY ANEMIA,786,EAPG,,,,outpatient ,,, -   ,,225.88,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,225.88,EAPG Case Rate,,,225.88,EAPG Case Rate,,,225.88,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
800 - ACUTE LEUKEMIA,800,EAPG,,,,outpatient ,,, -   ,,198.2,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,198.2,EAPG Case Rate,,,198.2,EAPG Case Rate,,,198.2,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"801 - LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",801,EAPG,,,,outpatient ,,, -   ,,212.6,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,212.6,EAPG Case Rate,,,212.6,EAPG Case Rate,,,212.6,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
802 - RADIOTHERAPY,802,EAPG,,,,outpatient ,,, -   ,,291.84,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,291.84,EAPG Case Rate,,,291.84,EAPG Case Rate,,,291.84,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
803 - CHEMOTHERAPY,803,EAPG,,,,outpatient ,,, -   ,,266.74,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,266.74,EAPG Case Rate,,,266.74,EAPG Case Rate,,,266.74,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
804 - LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,804,EAPG,,,,outpatient ,,, -   ,,168.6,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,168.6,EAPG Case Rate,,,168.6,EAPG Case Rate,,,168.6,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
805 - SEPTICEMIA & DISSEMINATED INFECTIONS,805,EAPG,,,,outpatient ,,, -   ,,231.62,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,231.62,EAPG Case Rate,,,231.62,EAPG Case Rate,,,231.62,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"806 - POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS AND COMPLICATIONS",806,EAPG,,,,outpatient ,,, -   ,,254.36,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,254.36,EAPG Case Rate,,,254.36,EAPG Case Rate,,,254.36,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
807 - FEVER,807,EAPG,,,,outpatient ,,, -   ,,183.57,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,183.57,EAPG Case Rate,,,183.57,EAPG Case Rate,,,183.57,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
808 - VIRAL ILLNESS,808,EAPG,,,,outpatient ,,, -   ,,223.75,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.75,EAPG Case Rate,,,223.75,EAPG Case Rate,,,223.75,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
809 - OTHER INFECTIOUS & PARASITIC DISEASES,809,EAPG,,,,outpatient ,,, -   ,,378.05,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,378.05,EAPG Case Rate,,,378.05,EAPG Case Rate,,,378.05,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810 - H. PYLORI INFECTION,810,EAPG,,,,outpatient ,,, -   ,,178.28,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,178.28,EAPG Case Rate,,,178.28,EAPG Case Rate,,,178.28,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
820 - SCHIZOPHRENIA,820,EAPG,,,,outpatient ,,, -   ,,205.85,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,205.85,EAPG Case Rate,,,205.85,EAPG Case Rate,,,205.85,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
821 - MAJOR DEPRESSIVE DIAGNOSES & OTHER/UNSPECIFIED PSYCHOSES,821,EAPG,,,,outpatient ,,, -   ,,290.6,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,290.6,EAPG Case Rate,,,290.6,EAPG Case Rate,,,290.6,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
822 - PERSONALITY & IMPULSE CONTROL DIAGNOSES,822,EAPG,,,,outpatient ,,, -   ,,251.99,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,251.99,EAPG Case Rate,,,251.99,EAPG Case Rate,,,251.99,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
823 - BIPOLAR DISORDERS,823,EAPG,,,,outpatient ,,, -   ,,200.11,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.11,EAPG Case Rate,,,200.11,EAPG Case Rate,,,200.11,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
824 - DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES,824,EAPG,,,,outpatient ,,, -   ,,186.15,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,186.15,EAPG Case Rate,,,186.15,EAPG Case Rate,,,186.15,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
825 - ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,825,EAPG,,,,outpatient ,,, -   ,,210.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,210.01,EAPG Case Rate,,,210.01,EAPG Case Rate,,,210.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
826 - ACUTE ANXIETY & DELIRIUM STATES,826,EAPG,,,,outpatient ,,, -   ,,212.83,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,212.83,EAPG Case Rate,,,212.83,EAPG Case Rate,,,212.83,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
827 - ORGANIC MENTAL HEALTH DISTURBANCES,827,EAPG,,,,outpatient ,,, -   ,,230.72,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,230.72,EAPG Case Rate,,,230.72,EAPG Case Rate,,,230.72,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
828 - MENTAL RETARDATION,828,EAPG,,,,outpatient ,,, -   ,,216.09,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.09,EAPG Case Rate,,,216.09,EAPG Case Rate,,,216.09,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
829 - CHILDHOOD BEHAVIORAL DIAGNOSES,829,EAPG,,,,outpatient ,,, -   ,,261.22,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,261.22,EAPG Case Rate,,,261.22,EAPG Case Rate,,,261.22,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
830 - EATING DISORDERS,830,EAPG,,,,outpatient ,,, -   ,,392.79,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,392.79,EAPG Case Rate,,,392.79,EAPG Case Rate,,,392.79,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
831 - OTHER MENTAL HEALTH DIAGNOSES,831,EAPG,,,,outpatient ,,, -   ,,265.05,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,265.05,EAPG Case Rate,,,265.05,EAPG Case Rate,,,265.05,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
840 - OPIOID ABUSE & DEPENDENCE,840,EAPG,,,,outpatient ,,, -   ,,379.74,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,379.74,EAPG Case Rate,,,379.74,EAPG Case Rate,,,379.74,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841 - COCAINE ABUSE & DEPENDENCE,841,EAPG,,,,outpatient ,,, -   ,,258.19,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,258.19,EAPG Case Rate,,,258.19,EAPG Case Rate,,,258.19,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842 - ALCOHOL ABUSE & DEPENDENCE,842,EAPG,,,,outpatient ,,, -   ,,365.78,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,365.78,EAPG Case Rate,,,365.78,EAPG Case Rate,,,365.78,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843 - OTHER DRUG ABUSE & DEPENDENCE,843,EAPG,,,,outpatient ,,, -   ,,426.56,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,426.56,EAPG Case Rate,,,426.56,EAPG Case Rate,,,426.56,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
850 - ALLERGIC REACTIONS,850,EAPG,,,,outpatient ,,, -   ,,221.27,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,221.27,EAPG Case Rate,,,221.27,EAPG Case Rate,,,221.27,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
851 - POISONING OF MEDICINAL AGENTS,851,EAPG,,,,outpatient ,,, -   ,,243.44,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,243.44,EAPG Case Rate,,,243.44,EAPG Case Rate,,,243.44,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
852 - OTHER COMPLICATIONS OF TREATMENT,852,EAPG,,,,outpatient ,,, -   ,,200.11,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,200.11,EAPG Case Rate,,,200.11,EAPG Case Rate,,,200.11,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"853 - OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",853,EAPG,,,,outpatient ,,, -   ,,240.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.63,EAPG Case Rate,,,240.63,EAPG Case Rate,,,240.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
854 - TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,854,EAPG,,,,outpatient ,,, -   ,,252.33,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,252.33,EAPG Case Rate,,,252.33,EAPG Case Rate,,,252.33,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
860 - EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,860,EAPG,,,,outpatient ,,, -   ,,275.97,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,275.97,EAPG Case Rate,,,275.97,EAPG Case Rate,,,275.97,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
861 - PARTIAL THICKNESS BURNS W OR W/O SKIN GRAFT,861,EAPG,,,,outpatient ,,, -   ,,223.97,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,223.97,EAPG Case Rate,,,223.97,EAPG Case Rate,,,223.97,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
870 - REHABILITATION,870,EAPG,,,,outpatient ,,, -   ,,385.59,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,385.59,EAPG Case Rate,,,385.59,EAPG Case Rate,,,385.59,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"871 - SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",871,EAPG,,,,outpatient ,,, -   ,,334.16,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,334.16,EAPG Case Rate,,,334.16,EAPG Case Rate,,,334.16,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
872 - OTHER AFTERCARE & CONVALESCENCE,872,EAPG,,,,outpatient ,,, -   ,,570.28,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,570.28,EAPG Case Rate,,,570.28,EAPG Case Rate,,,570.28,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
873 - NEONATAL AFTERCARE,873,EAPG,,,,outpatient ,,, -   ,,533.03,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,533.03,EAPG Case Rate,,,533.03,EAPG Case Rate,,,533.03,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
874 - JOINT REPLACEMENT,874,EAPG,,,,outpatient ,,, -   ,,336.86,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.86,EAPG Case Rate,,,336.86,EAPG Case Rate,,,336.86,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
875 - CONTRACEPTIVE MANAGEMENT,875,EAPG,,,,outpatient ,,, -   ,,404.61,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,404.61,EAPG Case Rate,,,404.61,EAPG Case Rate,,,404.61,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
876 - ADULT PREVENTIVE MEDICINE,876,EAPG,,,,outpatient ,,, -   ,,295.44,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,295.44,EAPG Case Rate,,,295.44,EAPG Case Rate,,,295.44,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
877 - CHILD PREVENTIVE MEDICINE,877,EAPG,,,,outpatient ,,, -   ,,601.79,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,601.79,EAPG Case Rate,,,601.79,EAPG Case Rate,,,601.79,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
878 - GYNECOLOGIC PREVENTIVE MEDICINE,878,EAPG,,,,outpatient ,,, -   ,,376.25,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,376.25,EAPG Case Rate,,,376.25,EAPG Case Rate,,,376.25,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
879 - PREVENTIVE OR SCREENING ENCOUNTER,879,EAPG,,,,outpatient ,,, -   ,,216.32,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,216.32,EAPG Case Rate,,,216.32,EAPG Case Rate,,,216.32,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
880 - HIV INFECTION,880,EAPG,,,,outpatient ,,, -   ,,368.03,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,368.03,EAPG Case Rate,,,368.03,EAPG Case Rate,,,368.03,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
881 - AIDS,881,EAPG,,,,outpatient ,,, -   ,,306.47,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,306.47,EAPG Case Rate,,,306.47,EAPG Case Rate,,,306.47,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
882 - GENETIC COUNSELING,882,EAPG,,,,outpatient ,,, -   ,,366.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,366.01,EAPG Case Rate,,,366.01,EAPG Case Rate,,,366.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
993 - INPATIENT ONLY PROCEDURES,993,EAPG,,,,outpatient ,,, -   ,,226.56,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.56,EAPG Case Rate,,,226.56,EAPG Case Rate,,,226.56,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
994 - USER CUSTOMIZABLE INPATIENT PROCEDURES,994,EAPG,,,,outpatient ,,, -   ,,442.31,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,442.31,EAPG Case Rate,,,442.31,EAPG Case Rate,,,442.31,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
999 - UNASSIGNED,999,EAPG,,,,outpatient ,,, -   ,,273.6,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,273.6,EAPG Case Rate,,,273.6,EAPG Case Rate,,,273.6,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1001 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 1,1001,EAPG,,,,outpatient ,,, -   ,,201.24,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,201.24,EAPG Case Rate,,,201.24,EAPG Case Rate,,,201.24,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1002 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 2,1002,EAPG,,,,outpatient ,,, -   ,,410.01,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,410.01,EAPG Case Rate,,,410.01,EAPG Case Rate,,,410.01,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1003 - DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 3,1003,EAPG,,,,outpatient ,,, -   ,,300.28,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,300.28,EAPG Case Rate,,,300.28,EAPG Case Rate,,,300.28,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1004 - DURABLE MEDICAL EQUIPMENT - LEVEL 4,1004,EAPG,,,,outpatient ,,, -   ,,208.66,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,208.66,EAPG Case Rate,,,208.66,EAPG Case Rate,,,208.66,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1005 - DURABLE MEDICAL EQUIPMENT - LEVEL 5,1005,EAPG,,,,outpatient ,,, -   ,,336.41,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,336.41,EAPG Case Rate,,,336.41,EAPG Case Rate,,,336.41,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1006 - DURABLE MEDICAL EQUIPMENT - LEVEL 6,1006,EAPG,,,,outpatient ,,, -   ,,267.3,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,267.3,EAPG Case Rate,,,267.3,EAPG Case Rate,,,267.3,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1007 - DURABLE MEDICAL EQUIPMENT - LEVEL 7,1007,EAPG,,,,outpatient ,,, -   ,,911.41,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,911.41,EAPG Case Rate,,,911.41,EAPG Case Rate,,,911.41,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1008 - DURABLE MEDICAL EQUIPMENT - LEVEL 8,1008,EAPG,,,,outpatient ,,, -   ,,317.27,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.27,EAPG Case Rate,,,317.27,EAPG Case Rate,,,317.27,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1009 - DURABLE MEDICAL EQUIPMENT - LEVEL 9,1009,EAPG,,,,outpatient ,,, -   ,,536.29,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,536.29,EAPG Case Rate,,,536.29,EAPG Case Rate,,,536.29,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1010 - DURABLE MEDICAL EQUIPMENT - LEVEL 10,1010,EAPG,,,,outpatient ,,, -   ,,474.61,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,474.61,EAPG Case Rate,,,474.61,EAPG Case Rate,,,474.61,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1011 - DURABLE MEDICAL EQUIPMENT - LEVEL 11,1011,EAPG,,,,outpatient ,,, -   ,,240.63,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,240.63,EAPG Case Rate,,,240.63,EAPG Case Rate,,,240.63,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1012 - DURABLE MEDICAL EQUIPMENT - LEVEL 12,1012,EAPG,,,,outpatient ,,, -   ,,190.99,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,190.99,EAPG Case Rate,,,190.99,EAPG Case Rate,,,190.99,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1013 - DURABLE MEDICAL EQUIPMENT - LEVEL 13,1013,EAPG,,,,outpatient ,,, -   ,,317.27,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,317.27,EAPG Case Rate,,,317.27,EAPG Case Rate,,,317.27,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1014 - DURABLE MEDICAL EQUIPMENT - LEVEL 14,1014,EAPG,,,,outpatient ,,, -   ,,340.68,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,340.68,EAPG Case Rate,,,340.68,EAPG Case Rate,,,340.68,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1015 - DURABLE MEDICAL EQUIPMENT - LEVEL 15,1015,EAPG,,,,outpatient ,,, -   ,,253.12,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,253.12,EAPG Case Rate,,,253.12,EAPG Case Rate,,,253.12,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1016 - DURABLE MEDICAL EQUIPMENT - LEVEL 16,1016,EAPG,,,,outpatient ,,, -   ,,341.81,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,341.81,EAPG Case Rate,,,341.81,EAPG Case Rate,,,341.81,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1017 - DURABLE MEDICAL EQUIPMENT - LEVEL 17,1017,EAPG,,,,outpatient ,,, -   ,,263.59,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,263.59,EAPG Case Rate,,,263.59,EAPG Case Rate,,,263.59,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1018 - DURABLE MEDICAL EQUIPMENT - LEVEL 18,1018,EAPG,,,,outpatient ,,, -   ,,248.06,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248.06,EAPG Case Rate,,,248.06,EAPG Case Rate,,,248.06,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1019 - DURABLE MEDICAL EQUIPMENT - LEVEL 19,1019,EAPG,,,,outpatient ,,, -   ,,248.17,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,248.17,EAPG Case Rate,,,248.17,EAPG Case Rate,,,248.17,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1020 - DURABLE MEDICAL EQUIPMENT - LEVEL 20,1020,EAPG,,,,outpatient ,,, -   ,,327.96,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,327.96,EAPG Case Rate,,,327.96,EAPG Case Rate,,,327.96,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1030 - AMBULANCE SERVICES,1030,EAPG,,,,outpatient ,,, -   ,,226.22,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,226.22,EAPG Case Rate,,,226.22,EAPG Case Rate,,,226.22,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
1090 - USER DEFINED 340B DRUGS,1090,EAPG,,,,outpatient ,,, -   ,,229.94,"1,107.09",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,229.94,EAPG Case Rate,,,229.94,EAPG Case Rate,,,229.94,EAPG Case Rate,,,"1,107.09",EAPG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
001 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,1,MS-DRG,,,,inpatient ,,,0,,"469,080.10","569,070.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"569,070.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"493,768.53",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"469,080.10",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
002 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,2,MS-DRG,,,,inpatient ,,,0,,"242,112.33","257,126.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"257,126.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"254,855.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"242,112.33",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"003 - ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",3,MS-DRG,,,,inpatient ,,,0,,"275,645.57","447,726.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"447,726.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"292,352.54",MSDRG Case Rate,"290,153.23",MSDRG Case Rate,,,"277,734.91",MSDRG Case Rate,"275,645.57",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"004 - TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",4,MS-DRG,,,,inpatient ,,,0,,"157,837.93","308,700.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"308,700.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"213,523.20",MSDRG Case Rate,"166,145.19",MSDRG Case Rate,,,"202,847.04",MSDRG Case Rate,"157,837.93",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
005 - LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,5,MS-DRG,,,,inpatient ,,,0,,"217,350.00","295,512.61",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"217,350.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"295,512.61",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"280,736.98",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
006 - LIVER TRANSPLANT WITHOUT MCC,6,MS-DRG,,,,inpatient ,,,0,,"101,574.90","223,199.94",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"101,574.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"223,199.94",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"212,039.94",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
007 - LUNG TRANSPLANT,7,MS-DRG,,,,inpatient ,,,0,,"137,325.37","257,594.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"257,594.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"144,553.02",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"137,325.37",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
008 - SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,8,MS-DRG,,,,inpatient ,,,0,,"110,495.70","180,713.42",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"110,495.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"180,713.42",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"171,677.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
010 - PANCREAS TRANSPLANT,10,MS-DRG,,,,inpatient ,,,0,,"101,085.60","144,699.76",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"101,085.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"144,699.76",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"137,464.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"011 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",11,MS-DRG,,,,inpatient ,,,0,,"73,392.47","108,282.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"108,282.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"77,255.23",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"73,392.47",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"012 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",12,MS-DRG,,,,inpatient ,,,0,,"58,581.47","84,102.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"84,102.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"61,664.71",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"58,581.47",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"013 - TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",13,MS-DRG,,,,inpatient ,,,0,,"31,034.24","56,399.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,399.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,667.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"31,034.24",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
014 - ALLOGENEIC BONE MARROW TRANSPLANT,14,MS-DRG,,,,inpatient ,,,0,,"240,678.90","240,678.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"240,678.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
016 - AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,16,MS-DRG,,,,inpatient ,,,0,,"129,717.00","129,717.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"129,717.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
017 - AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,17,MS-DRG,,,,inpatient ,,,0,,"129,717.00","129,717.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"129,717.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
018 - CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,18,MS-DRG,,,,inpatient ,,,0,,"773,696.70","773,696.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"773,696.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
019 - SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,19,MS-DRG,,,,inpatient ,,,0,,"167,863.50","167,863.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"167,863.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
020 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,20,MS-DRG,,,,inpatient ,,,0,,"155,763.75","177,500.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"177,500.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
021 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,21,MS-DRG,,,,inpatient ,,,0,,"126,172.56","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"128,969.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
022 - INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,22,MS-DRG,,,,inpatient ,,,0,,"69,376.16","82,376.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"82,376.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
023 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,23,MS-DRG,,,,inpatient ,,,0,,"94,980.64","119,044.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"119,044.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
024 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,24,MS-DRG,,,,inpatient ,,,0,,"56,680.45","79,564.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"79,564.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"78,344.68",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"74,427.45",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
025 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,25,MS-DRG,,,,inpatient ,,,0,,"76,470.72","92,736.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"92,736.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,"80,495.49",MSDRG Case Rate,,,"86,244.72",MSDRG Case Rate,"76,470.72",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
026 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,26,MS-DRG,,,,inpatient ,,,0,,"45,716.97","80,786.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"62,015.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"80,786.80",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"76,747.46",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
027 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,27,MS-DRG,,,,inpatient ,,,0,,"30,031.93","51,090.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,090.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,"48,445.00",MSDRG Case Rate,,,"30,031.93",MSDRG Case Rate,"46,022.75",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
028 - SPINAL PROCEDURES WITH MCC,28,MS-DRG,,,,inpatient ,,,0,,"82,280.20","126,548.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"126,548.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
029 - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,29,MS-DRG,,,,inpatient ,,,0,,"42,569.77","71,992.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"71,992.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
030 - SPINAL PROCEDURES WITHOUT CC/MCC,30,MS-DRG,,,,inpatient ,,,0,,"20,315.76","48,699.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,699.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
031 - VENTRICULAR SHUNT PROCEDURES WITH MCC,31,MS-DRG,,,,inpatient ,,,0,,"86,448.60","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,448.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
032 - VENTRICULAR SHUNT PROCEDURES WITH CC,32,MS-DRG,,,,inpatient ,,,0,,"34,228.85","45,229.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,229.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
033 - VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,33,MS-DRG,,,,inpatient ,,,0,,"22,008.70","34,080.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,080.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
034 - CAROTID ARTERY STENT PROCEDURES WITH MCC,34,MS-DRG,,,,inpatient ,,,0,,"81,929.40","81,929.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"81,929.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
035 - CAROTID ARTERY STENT PROCEDURES WITH CC,35,MS-DRG,,,,inpatient ,,,0,,"48,289.50","48,289.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,289.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
036 - CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,36,MS-DRG,,,,inpatient ,,,0,,"37,972.20","37,972.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,972.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
037 - EXTRACRANIAL PROCEDURES WITH MCC,37,MS-DRG,,,,inpatient ,,,0,,"70,887.60","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"70,887.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
038 - EXTRACRANIAL PROCEDURES WITH CC,38,MS-DRG,,,,inpatient ,,,0,,"33,597.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,597.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
039 - EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,39,MS-DRG,,,,inpatient ,,,0,,"23,961.00","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,961.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"040 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",40,MS-DRG,,,,inpatient ,,,0,,"80,860.50","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"80,860.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"041 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",41,MS-DRG,,,,inpatient ,,,0,,"46,450.54","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,844.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"48,895.30",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"46,450.54",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"042 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",42,MS-DRG,,,,inpatient ,,,0,,"36,535.80","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,535.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
052 - SPINAL DISORDERS AND INJURIES WITH CC/MCC,52,MS-DRG,,,,inpatient ,,,0,,"40,834.50","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,834.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
053 - SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,53,MS-DRG,,,,inpatient ,,,0,,"18,952.26","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,659.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,"19,949.75",MSDRG Case Rate,,,"30,031.93",MSDRG Case Rate,"18,952.26",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
054 - NERVOUS SYSTEM NEOPLASMS WITH MCC,54,MS-DRG,,,,inpatient ,,,0,,"30,943.50","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,943.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
055 - NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,55,MS-DRG,,,,inpatient ,,,0,,"22,537.20","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,537.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
056 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,56,MS-DRG,,,,inpatient ,,,0,,"20,315.76","50,274.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,274.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,57,MS-DRG,,,,inpatient ,,,0,,"28,627.20","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,627.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
058 - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,58,MS-DRG,,,,inpatient ,,,0,,"34,228.85","36,285.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,285.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
059 - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,59,MS-DRG,,,,inpatient ,,,0,,"22,008.70","24,931.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,931.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
060 - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,60,MS-DRG,,,,inpatient ,,,0,,"18,845.40","18,845.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,845.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"061 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",61,MS-DRG,,,,inpatient ,,,0,,"58,858.80","58,858.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"58,858.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"062 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",62,MS-DRG,,,,inpatient ,,,0,,"39,305.70","39,305.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,305.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"063 - ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",63,MS-DRG,,,,inpatient ,,,0,,"31,222.80","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,222.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,64,MS-DRG,,,,inpatient ,,,0,,"42,063.00","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,063.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,65,MS-DRG,,,,inpatient ,,,0,,"21,344.40","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,344.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,66,MS-DRG,,,,inpatient ,,,0,,"14,437.50","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,437.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
067 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,67,MS-DRG,,,,inpatient ,,,0,,"29,754.90","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,754.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
068 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,68,MS-DRG,,,,inpatient ,,,0,,"18,291.00","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,291.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
069 - TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,69,MS-DRG,,,,inpatient ,,,0,,"16,772.70","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,772.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
070 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,70,MS-DRG,,,,inpatient ,,,0,,"30,031.93","37,579.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,579.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
071 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,71,MS-DRG,,,,inpatient ,,,0,,"22,297.80","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,297.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
072 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,72,MS-DRG,,,,inpatient ,,,0,,"16,443.00","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,443.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
073 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,73,MS-DRG,,,,inpatient ,,,0,,"20,315.76","31,773.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,773.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
074 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,74,MS-DRG,,,,inpatient ,,,0,,"16,541.74","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,550.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,"17,412.36",MSDRG Case Rate,,,"139,215.93",MSDRG Case Rate,"16,541.74",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
075 - VIRAL MENINGITIS WITH CC/MCC,75,MS-DRG,,,,inpatient ,,,0,,"34,228.85","40,189.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,189.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
076 - VIRAL MENINGITIS WITHOUT CC/MCC,76,MS-DRG,,,,inpatient ,,,0,,"19,372.50","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,372.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
077 - HYPERTENSIVE ENCEPHALOPATHY WITH MCC,77,MS-DRG,,,,inpatient ,,,0,,"31,728.90","31,728.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,728.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
078 - HYPERTENSIVE ENCEPHALOPATHY WITH CC,78,MS-DRG,,,,inpatient ,,,0,,"21,354.90","21,354.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,354.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
079 - HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,79,MS-DRG,,,,inpatient ,,,0,,"15,556.80","15,556.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,556.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
080 - NONTRAUMATIC STUPOR AND COMA WITH MCC,80,MS-DRG,,,,inpatient ,,,0,,"46,382.70","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,382.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
081 - NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,81,MS-DRG,,,,inpatient ,,,0,,"19,099.50","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,099.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
082 - TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,82,MS-DRG,,,,inpatient ,,,0,,"40,975.63","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,844.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,"43,132.24",MSDRG Case Rate,,,"69,376.16",MSDRG Case Rate,"40,975.63",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
083 - TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,83,MS-DRG,,,,inpatient ,,,0,,"27,285.98","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,484.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,"28,722.08",MSDRG Case Rate,,,"94,980.64",MSDRG Case Rate,"27,285.98",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
084 - TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,84,MS-DRG,,,,inpatient ,,,0,,"19,235.10","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,313.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"20,247.47",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"19,235.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
085 - TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,85,MS-DRG,,,,inpatient ,,,0,,"44,396.00","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,728.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,"46,732.63",MSDRG Case Rate,,,"86,244.72",MSDRG Case Rate,"44,396.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
086 - TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,86,MS-DRG,,,,inpatient ,,,0,,"20,674.41","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,659.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"21,762.54",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"20,674.41",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
087 - TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,87,MS-DRG,,,,inpatient ,,,0,,"14,737.86","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,610.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,"15,513.54",MSDRG Case Rate,,,"30,031.93",MSDRG Case Rate,"14,737.86",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
088 - CONCUSSION WITH MCC,88,MS-DRG,,,,inpatient ,,,0,,"28,690.77","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,209.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,"30,200.81",MSDRG Case Rate,,,"82,280.20",MSDRG Case Rate,"28,690.77",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
089 - CONCUSSION WITH CC,89,MS-DRG,,,,inpatient ,,,0,,"18,728.66","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,147.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,"19,714.38",MSDRG Case Rate,,,"42,569.77",MSDRG Case Rate,"18,728.66",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
090 - CONCUSSION WITHOUT CC/MCC,90,MS-DRG,,,,inpatient ,,,0,,"10,984.07","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,630.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,"11,562.18",MSDRG Case Rate,,,"20,315.76",MSDRG Case Rate,"10,984.07",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
091 - OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,91,MS-DRG,,,,inpatient ,,,0,,"37,573.20","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,573.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
092 - OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,92,MS-DRG,,,,inpatient ,,,0,,"21,548.10","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,548.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
093 - OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,93,MS-DRG,,,,inpatient ,,,0,,"16,262.40","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,262.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
094 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,94,MS-DRG,,,,inpatient ,,,0,,"76,076.70","76,076.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,076.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
095 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,95,MS-DRG,,,,inpatient ,,,0,,"50,068.20","50,068.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,068.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
096 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,96,MS-DRG,,,,inpatient ,,,0,,"45,773.70","45,773.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,773.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
097 - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,97,MS-DRG,,,,inpatient ,,,0,,"76,374.90","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,374.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
098 - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,98,MS-DRG,,,,inpatient ,,,0,,"45,244.50","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,244.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
099 - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,99,MS-DRG,,,,inpatient ,,,0,,"27,724.20","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,724.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
100 - SEIZURES WITH MCC,100,MS-DRG,,,,inpatient ,,,0,,"41,632.50","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,632.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
101 - SEIZURES WITHOUT MCC,101,MS-DRG,,,,inpatient ,,,0,,"17,218.35","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,101.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"18,124.58",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"17,218.35",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
102 - HEADACHES WITH MCC,102,MS-DRG,,,,inpatient ,,,0,,"25,338.60","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,338.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
103 - HEADACHES WITHOUT MCC,103,MS-DRG,,,,inpatient ,,,0,,"13,105.69","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,690.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"13,795.46",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"13,105.69",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
113 - ORBITAL PROCEDURES WITH CC/MCC,113,MS-DRG,,,,inpatient ,,,0,,"30,031.93","52,653.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,653.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
114 - ORBITAL PROCEDURES WITHOUT CC/MCC,114,MS-DRG,,,,inpatient ,,,0,,"25,867.80","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,867.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
115 - EXTRAOCULAR PROCEDURES EXCEPT ORBIT,115,MS-DRG,,,,inpatient ,,,0,,"32,852.40","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,852.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
116 - INTRAOCULAR PROCEDURES WITH CC/MCC,116,MS-DRG,,,,inpatient ,,,0,,"20,315.76","38,446.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,446.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
117 - INTRAOCULAR PROCEDURES WITHOUT CC/MCC,117,MS-DRG,,,,inpatient ,,,0,,"25,166.40","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,166.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
121 - ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,121,MS-DRG,,,,inpatient ,,,0,,"26,905.20","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,905.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
122 - ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,122,MS-DRG,,,,inpatient ,,,0,,"15,634.50","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,634.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
123 - NEUROLOGICAL EYE DISORDERS,123,MS-DRG,,,,inpatient ,,,0,,"16,884.00","16,884.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,884.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
124 - OTHER DISORDERS OF THE EYE WITH MCC,124,MS-DRG,,,,inpatient ,,,0,,"27,759.90","27,759.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,759.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
125 - OTHER DISORDERS OF THE EYE WITHOUT MCC,125,MS-DRG,,,,inpatient ,,,0,,"14,194.75","16,747.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,747.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"14,941.84",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"14,194.75",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
135 - SINUS AND MASTOID PROCEDURES WITH CC/MCC,135,MS-DRG,,,,inpatient ,,,0,,"55,694.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"55,694.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
136 - SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,136,MS-DRG,,,,inpatient ,,,0,,"21,930.30","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,930.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
137 - MOUTH PROCEDURES WITH CC/MCC,137,MS-DRG,,,,inpatient ,,,0,,"31,598.70","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,598.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
138 - MOUTH PROCEDURES WITHOUT CC/MCC,138,MS-DRG,,,,inpatient ,,,0,,"18,179.70","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,179.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
139 - SALIVARY GLAND PROCEDURES,139,MS-DRG,,,,inpatient ,,,0,,"24,941.70","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,941.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
140 - MAJOR HEAD AND NECK PROCEDURES WITH MCC,140,MS-DRG,,,,inpatient ,,,0,,"79,340.10","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"79,340.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
141 - MAJOR HEAD AND NECK PROCEDURES WITH CC,141,MS-DRG,,,,inpatient ,,,0,,"43,505.70","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,505.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
142 - MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,142,MS-DRG,,,,inpatient ,,,0,,"30,031.93","32,445.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,445.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"143 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",143,MS-DRG,,,,inpatient ,,,0,,"69,837.60","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"69,837.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"144 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",144,MS-DRG,,,,inpatient ,,,0,,"36,340.50","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,340.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"145 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",145,MS-DRG,,,,inpatient ,,,0,,"20,315.76","25,643.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,643.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"146 - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",146,MS-DRG,,,,inpatient ,,,0,,"44,331.00","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,331.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"147 - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",147,MS-DRG,,,,inpatient ,,,0,,"25,951.80","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,951.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"148 - EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",148,MS-DRG,,,,inpatient ,,,0,,"18,683.70","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,683.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
149 - DYSEQUILIBRIUM,149,MS-DRG,,,,inpatient ,,,0,,"15,638.70","15,638.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,638.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
150 - EPISTAXIS WITH MCC,150,MS-DRG,,,,inpatient ,,,0,,"27,604.50","27,604.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,604.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
151 - EPISTAXIS WITHOUT MCC,151,MS-DRG,,,,inpatient ,,,0,,"16,184.70","16,184.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,184.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
152 - OTITIS MEDIA AND URI WITH MCC,152,MS-DRG,,,,inpatient ,,,0,,"24,952.20","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,952.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
153 - OTITIS MEDIA AND URI WITHOUT MCC,153,MS-DRG,,,,inpatient ,,,0,,"15,430.80","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,430.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"154 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",154,MS-DRG,,,,inpatient ,,,0,,"32,302.20","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,302.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"155 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",155,MS-DRG,,,,inpatient ,,,0,,"19,878.60","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,878.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,"21,320.59",MSDRG Case Rate,,,"94,980.64",MSDRG Case Rate,"20,254.56",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"156 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",156,MS-DRG,,,,inpatient ,,,0,,"12,562.58","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,765.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"13,223.77",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"12,562.58",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
157 - DENTAL AND ORAL DISEASES WITH MCC,157,MS-DRG,,,,inpatient ,,,0,,"35,847.00","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,847.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
158 - DENTAL AND ORAL DISEASES WITH CC,158,MS-DRG,,,,inpatient ,,,0,,"14,186.88","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,708.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"14,933.56",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"14,186.88",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
159 - DENTAL AND ORAL DISEASES WITHOUT CC/MCC,159,MS-DRG,,,,inpatient ,,,0,,"14,179.20","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,179.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,"20,944.47",MSDRG Case Rate,,,"30,031.93",MSDRG Case Rate,"19,897.25",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
163 - MAJOR CHEST PROCEDURES WITH MCC,163,MS-DRG,,,,inpatient ,,,0,,"82,280.20","98,985.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"98,985.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
164 - MAJOR CHEST PROCEDURES WITH CC,164,MS-DRG,,,,inpatient ,,,0,,"42,569.77","53,558.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"53,558.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
165 - MAJOR CHEST PROCEDURES WITHOUT CC/MCC,165,MS-DRG,,,,inpatient ,,,0,,"20,315.76","39,404.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,404.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,166,MS-DRG,,,,inpatient ,,,0,,"85,213.80","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"85,213.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
167 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,167,MS-DRG,,,,inpatient ,,,0,,"34,228.85","38,215.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,215.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
168 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,168,MS-DRG,,,,inpatient ,,,0,,"22,008.70","28,469.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,469.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
175 - PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,175,MS-DRG,,,,inpatient ,,,0,,"64,575.00","64,575.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"64,575.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
176 - PULMONARY EMBOLISM WITHOUT MCC,176,MS-DRG,,,,inpatient ,,,0,,"29,463.00","29,463.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,463.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
177 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,177,MS-DRG,,,,inpatient ,,,0,,"17,127.60","17,127.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,127.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,178,MS-DRG,,,,inpatient ,,,0,,"35,624.40","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,624.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
179 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,179,MS-DRG,,,,inpatient ,,,0,,"20,720.70","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,720.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
180 - RESPIRATORY NEOPLASMS WITH MCC,180,MS-DRG,,,,inpatient ,,,0,,"16,029.30","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,029.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
181 - RESPIRATORY NEOPLASMS WITH CC,181,MS-DRG,,,,inpatient ,,,0,,"36,502.20","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,502.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
182 - RESPIRATORY NEOPLASMS WITHOUT CC/MCC,182,MS-DRG,,,,inpatient ,,,0,,"23,123.10","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,123.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
183 - MAJOR CHEST TRAUMA WITH MCC,183,MS-DRG,,,,inpatient ,,,0,,"16,774.80","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,774.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
184 - MAJOR CHEST TRAUMA WITH CC,184,MS-DRG,,,,inpatient ,,,0,,"24,508.33","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,064.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"25,798.24",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"24,508.33",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
185 - MAJOR CHEST TRAUMA WITHOUT CC/MCC,185,MS-DRG,,,,inpatient ,,,0,,"19,286.86","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,089.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,"20,301.96",MSDRG Case Rate,,,"30,031.93",MSDRG Case Rate,"19,286.86",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
186 - PLEURAL EFFUSION WITH MCC,186,MS-DRG,,,,inpatient ,,,0,,"15,869.70","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,869.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
187 - PLEURAL EFFUSION WITH CC,187,MS-DRG,,,,inpatient ,,,0,,"32,594.10","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,594.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
188 - PLEURAL EFFUSION WITHOUT CC/MCC,188,MS-DRG,,,,inpatient ,,,0,,"20,315.76","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,922.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
189 - PULMONARY EDEMA AND RESPIRATORY FAILURE,189,MS-DRG,,,,inpatient ,,,0,,"15,676.50","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,676.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,190,MS-DRG,,,,inpatient ,,,0,,"25,872.00","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,872.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,191,MS-DRG,,,,inpatient ,,,0,,"22,008.70","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,142.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,192,MS-DRG,,,,inpatient ,,,0,,"17,829.00","17,829.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,829.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
193 - SIMPLE PNEUMONIA AND PLEURISY WITH MCC,193,MS-DRG,,,,inpatient ,,,0,,"13,477.80","13,477.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,477.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
194 - SIMPLE PNEUMONIA AND PLEURISY WITH CC,194,MS-DRG,,,,inpatient ,,,0,,"27,858.60","27,858.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,858.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
195 - SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,195,MS-DRG,,,,inpatient ,,,0,,"17,266.20","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,266.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
196 - INTERSTITIAL LUNG DISEASE WITH MCC,196,MS-DRG,,,,inpatient ,,,0,,"13,137.60","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,137.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
197 - INTERSTITIAL LUNG DISEASE WITH CC,197,MS-DRG,,,,inpatient ,,,0,,"39,803.40","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,803.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
198 - INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,198,MS-DRG,,,,inpatient ,,,0,,"20,947.50","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,947.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
199 - PNEUMOTHORAX WITH MCC,199,MS-DRG,,,,inpatient ,,,0,,"16,342.20","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,342.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"26,958.78",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"25,610.84",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
200 - PNEUMOTHORAX WITH CC,200,MS-DRG,,,,inpatient ,,,0,,"21,207.30","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,256.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,"22,323.47",MSDRG Case Rate,,,"86,244.72",MSDRG Case Rate,"21,207.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
201 - PNEUMOTHORAX WITHOUT CC/MCC,201,MS-DRG,,,,inpatient ,,,0,,"16,055.10","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,617.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"16,900.10",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"16,055.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
202 - BRONCHITIS AND ASTHMA WITH CC/MCC,202,MS-DRG,,,,inpatient ,,,0,,"14,828.10","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,828.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
203 - BRONCHITIS AND ASTHMA WITHOUT CC/MCC,203,MS-DRG,,,,inpatient ,,,0,,"20,107.50","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,107.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
204 - RESPIRATORY SIGNS AND SYMPTOMS,204,MS-DRG,,,,inpatient ,,,0,,"14,592.90","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,592.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,205,MS-DRG,,,,inpatient ,,,0,,"17,280.90","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,280.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
206 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,206,MS-DRG,,,,inpatient ,,,0,,"19,000.45","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,016.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,"20,000.47",MSDRG Case Rate,,,"139,215.93",MSDRG Case Rate,"19,000.45",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
207 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,207,MS-DRG,,,,inpatient ,,,0,,"19,183.50","90,533.88",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,183.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,"90,533.88",MSDRG Case Rate,,,"34,228.85",MSDRG Case Rate,"86,007.19",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
208 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,208,MS-DRG,,,,inpatient ,,,0,,"22,008.70","145,068.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"145,068.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,"46,666.97",MSDRG Case Rate,,,"22,008.70",MSDRG Case Rate,"44,333.62",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
215 - OTHER HEART ASSIST SYSTEM IMPLANT,215,MS-DRG,,,,inpatient ,,,0,,"56,779.80","56,779.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,779.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
216 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,216,MS-DRG,,,,inpatient ,,,0,,"226,184.70","226,184.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"226,184.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
217 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,217,MS-DRG,,,,inpatient ,,,0,,"214,510.80","214,510.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"214,510.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
218 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,218,MS-DRG,,,,inpatient ,,,0,,"155,763.75","203,811.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"203,811.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
219 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,219,MS-DRG,,,,inpatient ,,,0,,"126,172.56","133,671.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"133,671.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
220 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,220,MS-DRG,,,,inpatient ,,,0,,"69,376.16","119,630.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"119,630.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
221 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,221,MS-DRG,,,,inpatient ,,,0,,"94,980.64","161,935.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"161,935.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"222 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC",222,MS-DRG,,,,inpatient ,,,0,,"56,680.45","110,136.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"110,136.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"223 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC",223,MS-DRG,,,,inpatient ,,,0,,"86,244.72","97,620.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"97,620.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"224 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC",224,MS-DRG,,,,inpatient ,,,0,,"45,716.97","105,812.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"105,812.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"225 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC",225,MS-DRG,,,,inpatient ,,,0,,"30,031.93","66,771.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"66,771.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
226 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC,226,MS-DRG,,,,inpatient ,,,0,,"82,280.20","170,419.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"170,419.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
227 - CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,227,MS-DRG,,,,inpatient ,,,0,,"42,569.77","124,920.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"124,920.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
228 - OTHER CARDIOTHORACIC PROCEDURES WITH MCC,228,MS-DRG,,,,inpatient ,,,0,,"20,315.76","163,791.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,791.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
229 - OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,229,MS-DRG,,,,inpatient ,,,0,,"109,155.90","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"109,155.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
231 - CORONARY BYPASS WITH PTCA WITH MCC,231,MS-DRG,,,,inpatient ,,,0,,"34,228.85","123,492.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"123,492.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
232 - CORONARY BYPASS WITH PTCA WITHOUT MCC,232,MS-DRG,,,,inpatient ,,,0,,"22,008.70","84,865.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"84,865.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
233 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,233,MS-DRG,,,,inpatient ,,,0,,"100,942.80","100,942.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"100,942.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
234 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,234,MS-DRG,,,,inpatient ,,,0,,"58,993.20","58,993.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"58,993.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
235 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,235,MS-DRG,,,,inpatient ,,,0,,"29,274.00","29,274.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,274.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
236 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,236,MS-DRG,,,,inpatient ,,,0,,"72,557.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"72,557.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
239 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,239,MS-DRG,,,,inpatient ,,,0,,"47,829.60","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,829.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
240 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,240,MS-DRG,,,,inpatient ,,,0,,"38,419.50","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,419.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
241 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,241,MS-DRG,,,,inpatient ,,,0,,"94,980.64","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"95,159.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
242 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,242,MS-DRG,,,,inpatient ,,,0,,"49,366.80","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"49,366.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
243 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,243,MS-DRG,,,,inpatient ,,,0,,"33,324.90","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,324.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
244 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,244,MS-DRG,,,,inpatient ,,,0,,"45,716.97","70,429.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"70,429.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
245 - AICD GENERATOR PROCEDURES,245,MS-DRG,,,,inpatient ,,,0,,"30,031.93","53,573.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"53,573.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
246 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,246,MS-DRG,,,,inpatient ,,,0,,"36,437.10","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,437.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
247 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC,247,MS-DRG,,,,inpatient ,,,0,,"42,569.77","57,695.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"57,695.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
248 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,248,MS-DRG,,,,inpatient ,,,0,,"20,315.76","34,433.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,433.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
249 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC,249,MS-DRG,,,,inpatient ,,,0,,"20,811.00","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,811.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
250 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC,250,MS-DRG,,,,inpatient ,,,0,,"34,228.85","56,880.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,880.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
251 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC,251,MS-DRG,,,,inpatient ,,,0,,"22,008.70","39,198.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,198.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
252 - OTHER VASCULAR PROCEDURES WITH MCC,252,MS-DRG,,,,inpatient ,,,0,,"69,619.20","69,619.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"69,619.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
253 - OTHER VASCULAR PROCEDURES WITH CC,253,MS-DRG,,,,inpatient ,,,0,,"39,517.80","39,517.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,517.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,254,MS-DRG,,,,inpatient ,,,0,,"34,551.30","34,551.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,551.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
255 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,255,MS-DRG,,,,inpatient ,,,0,,"59,329.20","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,329.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
256 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,256,MS-DRG,,,,inpatient ,,,0,,"68,586.00","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"68,586.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
257 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,257,MS-DRG,,,,inpatient ,,,0,,"69,376.16","74,216.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"74,216.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
258 - CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,258,MS-DRG,,,,inpatient ,,,0,,"94,980.64","131,168.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"131,168.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
259 - CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,259,MS-DRG,,,,inpatient ,,,0,,"56,680.45","102,484.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"102,484.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,260,MS-DRG,,,,inpatient ,,,0,,"86,244.72","143,948.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"143,948.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,261,MS-DRG,,,,inpatient ,,,0,,"45,716.97","87,330.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"87,330.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
262 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,262,MS-DRG,,,,inpatient ,,,0,,"30,031.93","106,194.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"106,194.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
263 - VEIN LIGATION AND STRIPPING,263,MS-DRG,,,,inpatient ,,,0,,"72,580.20","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"72,580.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,264,MS-DRG,,,,inpatient ,,,0,,"42,569.77","51,229.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,229.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
265 - AICD LEAD PROCEDURES,265,MS-DRG,,,,inpatient ,,,0,,"20,315.76","81,837.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"81,837.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,266,MS-DRG,,,,inpatient ,,,0,,"68,056.80","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"68,056.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,267,MS-DRG,,,,inpatient ,,,0,,"34,228.85","147,751.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"147,751.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
268 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,268,MS-DRG,,,,inpatient ,,,0,,"22,008.70","130,414.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"130,414.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,269,MS-DRG,,,,inpatient ,,,0,,"100,430.40","100,430.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"100,430.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,270,MS-DRG,,,,inpatient ,,,0,,"93,668.40","93,668.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"93,668.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,271,MS-DRG,,,,inpatient ,,,0,,"67,212.60","67,212.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"67,212.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,272,MS-DRG,,,,inpatient ,,,0,,"33,316.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,316.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
273 - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,273,MS-DRG,,,,inpatient ,,,0,,"19,173.00","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,173.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
274 - PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,274,MS-DRG,,,,inpatient ,,,0,,"15,080.10","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,080.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",280,MS-DRG,,,,inpatient ,,,0,,"41,399.40","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,399.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",281,MS-DRG,,,,inpatient ,,,0,,"15,533.70","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,533.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",282,MS-DRG,,,,inpatient ,,,0,,"10,262.70","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,262.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",283,MS-DRG,,,,inpatient ,,,0,,"45,267.60","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,267.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"284 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",284,MS-DRG,,,,inpatient ,,,0,,"22,713.60","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,713.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"285 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",285,MS-DRG,,,,inpatient ,,,0,,"54,453.00","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"54,453.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"286 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",286,MS-DRG,,,,inpatient ,,,0,,"31,031.70","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,031.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"287 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",287,MS-DRG,,,,inpatient ,,,0,,"20,315.76","22,787.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,787.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
288 - ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,288,MS-DRG,,,,inpatient ,,,0,,"26,961.90","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,961.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
289 - ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,289,MS-DRG,,,,inpatient ,,,0,,"17,986.50","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,986.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
290 - ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,290,MS-DRG,,,,inpatient ,,,0,,"11,791.50","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,791.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
291 - HEART FAILURE AND SHOCK WITH MCC,291,MS-DRG,,,,inpatient ,,,0,,"22,967.70","22,967.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,967.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
292 - HEART FAILURE AND SHOCK WITH CC,292,MS-DRG,,,,inpatient ,,,0,,"16,739.10","16,739.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,739.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
293 - HEART FAILURE AND SHOCK WITHOUT CC/MCC,293,MS-DRG,,,,inpatient ,,,0,,"33,667.20","33,667.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,667.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
294 - DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,294,MS-DRG,,,,inpatient ,,,0,,"15,300.60","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,300.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
295 - DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,295,MS-DRG,,,,inpatient ,,,0,,"9,233.70","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"9,233.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"296 - CARDIAC ARREST, UNEXPLAINED WITH MCC",296,MS-DRG,,,,inpatient ,,,0,,"33,100.20","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,100.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"297 - CARDIAC ARREST, UNEXPLAINED WITH CC",297,MS-DRG,,,,inpatient ,,,0,,"22,407.00","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,407.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"298 - CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",298,MS-DRG,,,,inpatient ,,,0,,"14,905.80","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,905.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
299 - PERIPHERAL VASCULAR DISORDERS WITH MCC,299,MS-DRG,,,,inpatient ,,,0,,"23,543.10","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,543.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
300 - PERIPHERAL VASCULAR DISORDERS WITH CC,300,MS-DRG,,,,inpatient ,,,0,,"13,820.10","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,820.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
301 - PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,301,MS-DRG,,,,inpatient ,,,0,,"24,129.00","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,129.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
302 - ATHEROSCLEROSIS WITH MCC,302,MS-DRG,,,,inpatient ,,,0,,"15,823.50","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,823.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
303 - ATHEROSCLEROSIS WITHOUT MCC,303,MS-DRG,,,,inpatient ,,,0,,"32,272.80","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,272.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
304 - HYPERTENSION WITH MCC,304,MS-DRG,,,,inpatient ,,,0,,"19,794.60","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,794.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
305 - HYPERTENSION WITHOUT MCC,305,MS-DRG,,,,inpatient ,,,0,,"25,246.20","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,246.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,306,MS-DRG,,,,inpatient ,,,0,,"15,638.70","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,638.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
307 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,307,MS-DRG,,,,inpatient ,,,0,,"11,613.00","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,613.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
308 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,308,MS-DRG,,,,inpatient ,,,0,,"14,660.10","14,660.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,660.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
309 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,309,MS-DRG,,,,inpatient ,,,0,,"18,133.50","18,133.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,133.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
310 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,310,MS-DRG,,,,inpatient ,,,0,,"15,195.60","15,195.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,195.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
311 - ANGINA PECTORIS,311,MS-DRG,,,,inpatient ,,,0,,"43,963.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,963.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
312 - SYNCOPE AND COLLAPSE,312,MS-DRG,,,,inpatient ,,,0,,"17,906.56","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,313.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,"18,849.01",MSDRG Case Rate,,,"126,172.56",MSDRG Case Rate,"17,906.56",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
313 - CHEST PAIN,313,MS-DRG,,,,inpatient ,,,0,,"14,546.70","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,546.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,"17,784.10",MSDRG Case Rate,,,"69,376.16",MSDRG Case Rate,"16,894.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,314,MS-DRG,,,,inpatient ,,,0,,"91,599.90","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"91,599.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,315,MS-DRG,,,,inpatient ,,,0,,"46,746.00","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,746.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,316,MS-DRG,,,,inpatient ,,,0,,"60,368.70","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"60,368.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
319 - OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,319,MS-DRG,,,,inpatient ,,,0,,"38,291.40","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,291.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
320 - OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,320,MS-DRG,,,,inpatient ,,,0,,"30,031.93","86,940.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,940.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"326 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",326,MS-DRG,,,,inpatient ,,,0,,"34,119.21","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"62,340.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,"35,914.96",MSDRG Case Rate,,,"82,280.20",MSDRG Case Rate,"34,119.21",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",327,MS-DRG,,,,inpatient ,,,0,,"42,569.77","55,530.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"55,530.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",328,MS-DRG,,,,inpatient ,,,0,,"20,315.76","106,659.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"106,659.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,329,MS-DRG,,,,inpatient ,,,0,,"34,338.71","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,445.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,"36,146.01",MSDRG Case Rate,,,"139,215.93",MSDRG Case Rate,"34,338.71",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,330,MS-DRG,,,,inpatient ,,,0,,"33,543.30","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,543.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
331 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,331,MS-DRG,,,,inpatient ,,,0,,"22,008.70","94,852.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"94,852.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
332 - RECTAL RESECTION WITH MCC,332,MS-DRG,,,,inpatient ,,,0,,"49,814.10","49,814.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"49,814.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
333 - RECTAL RESECTION WITH CC,333,MS-DRG,,,,inpatient ,,,0,,"35,112.00","35,112.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,112.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
334 - RECTAL RESECTION WITHOUT CC/MCC,334,MS-DRG,,,,inpatient ,,,0,,"76,740.30","76,740.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,740.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
335 - PERITONEAL ADHESIOLYSIS WITH MCC,335,MS-DRG,,,,inpatient ,,,0,,"43,669.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,669.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
336 - PERITONEAL ADHESIOLYSIS WITH CC,336,MS-DRG,,,,inpatient ,,,0,,"33,707.10","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,707.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
337 - PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,337,MS-DRG,,,,inpatient ,,,0,,"69,376.16","75,075.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"75,075.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
338 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC,338,MS-DRG,,,,inpatient ,,,0,,"44,211.30","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,211.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
339 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC,339,MS-DRG,,,,inpatient ,,,0,,"31,424.40","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,424.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
340 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,340,MS-DRG,,,,inpatient ,,,0,,"57,548.40","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"57,548.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
341 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC,341,MS-DRG,,,,inpatient ,,,0,,"32,352.60","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,352.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
342 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC,342,MS-DRG,,,,inpatient ,,,0,,"27,043.80","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,043.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
343 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,343,MS-DRG,,,,inpatient ,,,0,,"53,531.10","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"53,531.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
344 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,344,MS-DRG,,,,inpatient ,,,0,,"27,329.40","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,329.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
345 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,345,MS-DRG,,,,inpatient ,,,0,,"20,315.76","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,491.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
346 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,346,MS-DRG,,,,inpatient ,,,0,,"50,400.00","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,400.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
347 - ANAL AND STOMAL PROCEDURES WITH MCC,347,MS-DRG,,,,inpatient ,,,0,,"30,567.60","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,567.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
348 - ANAL AND STOMAL PROCEDURES WITH CC,348,MS-DRG,,,,inpatient ,,,0,,"22,008.70","23,289.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,289.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
349 - ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,349,MS-DRG,,,,inpatient ,,,0,,"61,410.30","61,410.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"61,410.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
350 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,350,MS-DRG,,,,inpatient ,,,0,,"36,073.80","36,073.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,073.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
351 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,351,MS-DRG,,,,inpatient ,,,0,,"28,614.60","28,614.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,614.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
352 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,352,MS-DRG,,,,inpatient ,,,0,,"89,852.70","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"89,852.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
353 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,353,MS-DRG,,,,inpatient ,,,0,,"46,132.80","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,132.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
354 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,354,MS-DRG,,,,inpatient ,,,0,,"26,903.10","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,903.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
355 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,355,MS-DRG,,,,inpatient ,,,0,,"34,692.00","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,692.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
356 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,356,MS-DRG,,,,inpatient ,,,0,,"20,754.30","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,754.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
357 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,357,MS-DRG,,,,inpatient ,,,0,,"15,617.70","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,617.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
358 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,358,MS-DRG,,,,inpatient ,,,0,,"36,701.70","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,701.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
368 - MAJOR ESOPHAGEAL DISORDERS WITH MCC,368,MS-DRG,,,,inpatient ,,,0,,"21,888.30","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,888.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
369 - MAJOR ESOPHAGEAL DISORDERS WITH CC,369,MS-DRG,,,,inpatient ,,,0,,"15,046.50","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,046.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
370 - MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,370,MS-DRG,,,,inpatient ,,,0,,"42,569.77","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,079.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
371 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,371,MS-DRG,,,,inpatient ,,,0,,"20,315.76","25,164.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,164.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,372,MS-DRG,,,,inpatient ,,,0,,"18,719.40","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,719.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
373 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,373,MS-DRG,,,,inpatient ,,,0,,"34,228.85","37,596.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,596.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
374 - DIGESTIVE MALIGNANCY WITH MCC,374,MS-DRG,,,,inpatient ,,,0,,"20,659.80","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,659.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
375 - DIGESTIVE MALIGNANCY WITH CC,375,MS-DRG,,,,inpatient ,,,0,,"13,297.20","13,297.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,297.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
376 - DIGESTIVE MALIGNANCY WITHOUT CC/MCC,376,MS-DRG,,,,inpatient ,,,0,,"40,918.50","40,918.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,918.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
377 - GASTROINTESTINAL HEMORRHAGE WITH MCC,377,MS-DRG,,,,inpatient ,,,0,,"22,533.00","22,533.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,533.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
378 - GASTROINTESTINAL HEMORRHAGE WITH CC,378,MS-DRG,,,,inpatient ,,,0,,"15,899.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,899.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
379 - GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,379,MS-DRG,,,,inpatient ,,,0,,"29,362.20","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,362.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
380 - COMPLICATED PEPTIC ULCER WITH MCC,380,MS-DRG,,,,inpatient ,,,0,,"18,389.70","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,389.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
381 - COMPLICATED PEPTIC ULCER WITH CC,381,MS-DRG,,,,inpatient ,,,0,,"32,904.90","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,904.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
382 - COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,382,MS-DRG,,,,inpatient ,,,0,,"20,403.60","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,403.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
383 - UNCOMPLICATED PEPTIC ULCER WITH MCC,383,MS-DRG,,,,inpatient ,,,0,,"14,366.10","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,366.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
384 - UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,384,MS-DRG,,,,inpatient ,,,0,,"30,523.50","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,523.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
385 - INFLAMMATORY BOWEL DISEASE WITH MCC,385,MS-DRG,,,,inpatient ,,,0,,"16,724.40","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,724.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
386 - INFLAMMATORY BOWEL DISEASE WITH CC,386,MS-DRG,,,,inpatient ,,,0,,"11,739.00","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"11,739.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
387 - INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,387,MS-DRG,,,,inpatient ,,,0,,"26,789.70","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,789.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
388 - GASTROINTESTINAL OBSTRUCTION WITH MCC,388,MS-DRG,,,,inpatient ,,,0,,"16,497.60","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,497.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
389 - GASTROINTESTINAL OBSTRUCTION WITH CC,389,MS-DRG,,,,inpatient ,,,0,,"34,011.60","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,011.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
390 - GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,390,MS-DRG,,,,inpatient ,,,0,,"19,674.90","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,674.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",391,MS-DRG,,,,inpatient ,,,0,,"13,597.50","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,597.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",392,MS-DRG,,,,inpatient ,,,0,,"20,892.09","47,178.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,178.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"21,991.67",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"20,892.09",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,393,MS-DRG,,,,inpatient ,,,0,,"31,779.30","31,779.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,779.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,394,MS-DRG,,,,inpatient ,,,0,,"23,375.10","23,375.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,375.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,395,MS-DRG,,,,inpatient ,,,0,,"115,609.20","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"115,609.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"405 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",405,MS-DRG,,,,inpatient ,,,0,,"60,635.40","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"60,635.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"406 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",406,MS-DRG,,,,inpatient ,,,0,,"45,171.00","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,171.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"407 - PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",407,MS-DRG,,,,inpatient ,,,0,,"78,166.20","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"78,166.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
408 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,408,MS-DRG,,,,inpatient ,,,0,,"41,103.30","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,103.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
409 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,409,MS-DRG,,,,inpatient ,,,0,,"32,869.20","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,869.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
410 - BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,410,MS-DRG,,,,inpatient ,,,0,,"45,716.97","63,848.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"63,848.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
411 - CHOLECYSTECTOMY WITH C.D.E. WITH MCC,411,MS-DRG,,,,inpatient ,,,0,,"30,031.93","43,388.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,388.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
412 - CHOLECYSTECTOMY WITH C.D.E. WITH CC,412,MS-DRG,,,,inpatient ,,,0,,"31,701.60","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,701.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
413 - CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,413,MS-DRG,,,,inpatient ,,,0,,"42,569.77","74,029.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"74,029.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
414 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,414,MS-DRG,,,,inpatient ,,,0,,"20,315.76","41,491.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,491.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
415 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,415,MS-DRG,,,,inpatient ,,,0,,"28,123.20","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,123.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
416 - CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,416,MS-DRG,,,,inpatient ,,,0,,"34,228.85","48,673.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,673.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
417 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,417,MS-DRG,,,,inpatient ,,,0,,"22,008.70","34,328.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,328.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
418 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,418,MS-DRG,,,,inpatient ,,,0,,"27,577.20","27,577.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,577.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
419 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,419,MS-DRG,,,,inpatient ,,,0,,"67,216.80","67,216.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"67,216.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
420 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,420,MS-DRG,,,,inpatient ,,,0,,"35,901.60","35,901.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,901.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
421 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,421,MS-DRG,,,,inpatient ,,,0,,"29,631.00","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,631.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
422 - HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,422,MS-DRG,,,,inpatient ,,,0,,"82,128.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"82,128.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
423 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,423,MS-DRG,,,,inpatient ,,,0,,"44,765.70","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,765.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
424 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,424,MS-DRG,,,,inpatient ,,,0,,"33,639.90","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,639.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
425 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,425,MS-DRG,,,,inpatient ,,,0,,"40,236.00","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,236.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
432 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,432,MS-DRG,,,,inpatient ,,,0,,"21,651.00","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,651.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
433 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,433,MS-DRG,,,,inpatient ,,,0,,"14,059.50","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,059.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
434 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,434,MS-DRG,,,,inpatient ,,,0,,"30,031.93","36,957.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,957.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,435,MS-DRG,,,,inpatient ,,,0,,"23,114.70","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,114.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
436 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,436,MS-DRG,,,,inpatient ,,,0,,"17,453.10","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,453.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
437 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,437,MS-DRG,,,,inpatient ,,,0,,"20,315.76","35,044.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,044.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,438,MS-DRG,,,,inpatient ,,,0,,"17,959.20","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,959.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,439,MS-DRG,,,,inpatient ,,,0,,"12,927.60","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,927.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,440,MS-DRG,,,,inpatient ,,,0,,"22,008.70","38,392.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,392.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"441 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",441,MS-DRG,,,,inpatient ,,,0,,"19,981.50","19,981.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,981.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"442 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",442,MS-DRG,,,,inpatient ,,,0,,"15,008.70","30,554.79",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,008.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"30,554.79",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"29,027.05",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"443 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",443,MS-DRG,,,,inpatient ,,,0,,"14,088.76","34,297.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,297.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"14,830.27",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"14,088.76",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
444 - DISORDERS OF THE BILIARY TRACT WITH MCC,444,MS-DRG,,,,inpatient ,,,0,,"22,822.80","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,822.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
445 - DISORDERS OF THE BILIARY TRACT WITH CC,445,MS-DRG,,,,inpatient ,,,0,,"16,831.50","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,831.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
446 - DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,446,MS-DRG,,,,inpatient ,,,0,,"69,376.16","186,089.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"186,089.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
453 - COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC,453,MS-DRG,,,,inpatient ,,,0,,"94,980.64","128,442.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"128,442.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
454 - COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC,454,MS-DRG,,,,inpatient ,,,0,,"56,680.45","96,717.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"96,717.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
455 - COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC,455,MS-DRG,,,,inpatient ,,,0,,"86,244.72","177,017.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"177,017.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",456,MS-DRG,,,,inpatient ,,,0,,"45,716.97","127,581.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"127,581.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"457 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",457,MS-DRG,,,,inpatient ,,,0,,"30,031.93","95,151.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"95,151.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"458 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",458,MS-DRG,,,,inpatient ,,,0,,"82,280.20","139,278.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"139,278.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
459 - SPINAL FUSION EXCEPT CERVICAL WITH MCC,459,MS-DRG,,,,inpatient ,,,0,,"42,569.77","76,815.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,815.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
460 - SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,460,MS-DRG,,,,inpatient ,,,0,,"20,315.76","143,188.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"143,188.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,"75,084.30",MSDRG Case Rate,,,"20,315.76",MSDRG Case Rate,"71,330.09",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
461 - BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,461,MS-DRG,,,,inpatient ,,,0,,"59,772.30","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,772.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
462 - BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,462,MS-DRG,,,,inpatient ,,,0,,"34,228.85","118,937.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"118,937.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
463 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,463,MS-DRG,,,,inpatient ,,,0,,"22,008.70","116,723.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"63,029.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,"116,723.50",MSDRG Case Rate,,,"22,008.70",MSDRG Case Rate,"110,887.33",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
464 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,464,MS-DRG,,,,inpatient ,,,0,,"39,286.80","72,265.83",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,286.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"72,265.83",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"68,652.54",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
465 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,465,MS-DRG,,,,inpatient ,,,0,,"36,908.99","108,918.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"108,918.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"38,851.57",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"36,908.99",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
466 - REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,466,MS-DRG,,,,inpatient ,,,0,,"73,212.30","73,212.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,212.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
467 - REVISION OF HIP OR KNEE REPLACEMENT WITH CC,467,MS-DRG,,,,inpatient ,,,0,,"56,061.60","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,061.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
468 - REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,468,MS-DRG,,,,inpatient ,,,0,,"69,925.80","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"69,925.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,469,MS-DRG,,,,inpatient ,,,0,,"39,515.70","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,515.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
470 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,470,MS-DRG,,,,inpatient ,,,0,,"94,980.64","103,299.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"103,299.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
471 - CERVICAL SPINAL FUSION WITH MCC,471,MS-DRG,,,,inpatient ,,,0,,"56,680.45","62,063.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"62,063.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
472 - CERVICAL SPINAL FUSION WITH CC,472,MS-DRG,,,,inpatient ,,,0,,"51,672.60","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,672.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
473 - CERVICAL SPINAL FUSION WITHOUT CC/MCC,473,MS-DRG,,,,inpatient ,,,0,,"45,716.97","90,358.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,358.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"55,910.47",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"53,114.95",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
474 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,474,MS-DRG,,,,inpatient ,,,0,,"30,031.93","45,038.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,038.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
475 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,475,MS-DRG,,,,inpatient ,,,0,,"24,714.90","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,714.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
476 - AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,476,MS-DRG,,,,inpatient ,,,0,,"42,569.77","70,749.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"70,749.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
477 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,477,MS-DRG,,,,inpatient ,,,0,,"20,315.76","50,057.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,057.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
478 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,478,MS-DRG,,,,inpatient ,,,0,,"39,144.00","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,144.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
479 - BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,479,MS-DRG,,,,inpatient ,,,0,,"34,228.85","61,926.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"61,926.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,480,MS-DRG,,,,inpatient ,,,0,,"22,008.70","52,487.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,572.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,"52,487.62",MSDRG Case Rate,,,"22,008.70",MSDRG Case Rate,"49,863.24",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,481,MS-DRG,,,,inpatient ,,,0,,"33,356.40","46,059.99",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,356.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"46,059.99",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"43,756.99",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,482,MS-DRG,,,,inpatient ,,,0,,"23,078.82","52,168.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,168.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"24,293.49",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"23,078.82",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
483 - MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,483,MS-DRG,,,,inpatient ,,,0,,"69,174.00","69,174.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"69,174.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
485 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,485,MS-DRG,,,,inpatient ,,,0,,"42,174.30","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,174.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
486 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,486,MS-DRG,,,,inpatient ,,,0,,"32,442.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,442.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
487 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,487,MS-DRG,,,,inpatient ,,,0,,"44,238.60","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,238.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
488 - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,488,MS-DRG,,,,inpatient ,,,0,,"25,991.70","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,991.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
489 - KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,489,MS-DRG,,,,inpatient ,,,0,,"56,680.45","72,704.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"72,704.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"492 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",492,MS-DRG,,,,inpatient ,,,0,,"50,435.70","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,435.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,"54,626.47",MSDRG Case Rate,,,"86,244.72",MSDRG Case Rate,"51,895.15",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"493 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",493,MS-DRG,,,,inpatient ,,,0,,"39,253.20","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,253.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,"42,611.01",MSDRG Case Rate,,,"45,716.97",MSDRG Case Rate,"40,480.46",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",494,MS-DRG,,,,inpatient ,,,0,,"22,983.24","75,205.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"75,205.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,"24,192.88",MSDRG Case Rate,,,"30,031.93",MSDRG Case Rate,"22,983.24",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
495 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,495,MS-DRG,,,,inpatient ,,,0,,"41,737.50","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,737.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
496 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,496,MS-DRG,,,,inpatient ,,,0,,"29,975.40","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,975.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
497 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,497,MS-DRG,,,,inpatient ,,,0,,"20,315.76","54,831.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"54,831.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
498 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,498,MS-DRG,,,,inpatient ,,,0,,"27,085.80","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,085.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
499 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,499,MS-DRG,,,,inpatient ,,,0,,"34,228.85","68,098.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"68,098.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
500 - SOFT TISSUE PROCEDURES WITH MCC,500,MS-DRG,,,,inpatient ,,,0,,"22,008.70","36,449.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,449.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
501 - SOFT TISSUE PROCEDURES WITH CC,501,MS-DRG,,,,inpatient ,,,0,,"29,036.70","29,036.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,036.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
502 - SOFT TISSUE PROCEDURES WITHOUT CC/MCC,502,MS-DRG,,,,inpatient ,,,0,,"56,319.90","56,319.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,319.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
503 - FOOT PROCEDURES WITH MCC,503,MS-DRG,,,,inpatient ,,,0,,"36,269.10","36,269.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,269.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
504 - FOOT PROCEDURES WITH CC,504,MS-DRG,,,,inpatient ,,,0,,"35,819.70","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,819.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,"40,825.44",MSDRG Case Rate,,,"155,763.75",MSDRG Case Rate,"38,784.17",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
505 - FOOT PROCEDURES WITHOUT CC/MCC,505,MS-DRG,,,,inpatient ,,,0,,"30,714.60","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,714.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
506 - MAJOR THUMB OR JOINT PROCEDURES,506,MS-DRG,,,,inpatient ,,,0,,"44,765.70","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,765.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
507 - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,507,MS-DRG,,,,inpatient ,,,0,,"30,114.00","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,114.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
508 - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,508,MS-DRG,,,,inpatient ,,,0,,"28,688.10","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,688.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
509 - ARTHROSCOPY,509,MS-DRG,,,,inpatient ,,,0,,"57,132.60","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"57,132.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"510 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",510,MS-DRG,,,,inpatient ,,,0,,"41,869.80","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,869.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"511 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",511,MS-DRG,,,,inpatient ,,,0,,"30,031.93","40,703.73",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,889.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,"40,703.73",MSDRG Case Rate,,,"30,031.93",MSDRG Case Rate,"38,668.54",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"512 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",512,MS-DRG,,,,inpatient ,,,0,,"21,385.33","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,041.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,"22,510.87",MSDRG Case Rate,,,"82,280.20",MSDRG Case Rate,"21,385.33",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"513 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",513,MS-DRG,,,,inpatient ,,,0,,"21,871.50","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,871.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,"41,074.13",MSDRG Case Rate,,,"42,569.77",MSDRG Case Rate,"39,020.42",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"514 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",514,MS-DRG,,,,inpatient ,,,0,,"16,145.39","66,391.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"66,391.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,"16,995.15",MSDRG Case Rate,,,"20,315.76",MSDRG Case Rate,"16,145.39",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
515 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,515,MS-DRG,,,,inpatient ,,,0,,"42,856.80","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,856.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
516 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,516,MS-DRG,,,,inpatient ,,,0,,"31,382.40","51,915.78",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,382.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,"51,915.78",MSDRG Case Rate,,,"34,228.85",MSDRG Case Rate,"49,319.99",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
517 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,517,MS-DRG,,,,inpatient ,,,0,,"22,008.70","76,687.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"76,687.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,"27,819.60",MSDRG Case Rate,,,"22,008.70",MSDRG Case Rate,"26,428.62",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
518 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,518,MS-DRG,,,,inpatient ,,,0,,"41,340.60","41,340.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,340.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,519,MS-DRG,,,,inpatient ,,,0,,"30,061.50","30,061.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,061.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,520,MS-DRG,,,,inpatient ,,,0,,"62,878.20","62,878.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"62,878.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
521 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,521,MS-DRG,,,,inpatient ,,,0,,"44,356.20","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,356.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
522 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,522,MS-DRG,,,,inpatient ,,,0,,"34,259.40","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,259.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
533 - FRACTURES OF FEMUR WITH MCC,533,MS-DRG,,,,inpatient ,,,0,,"17,010.00","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,010.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
534 - FRACTURES OF FEMUR WITHOUT MCC,534,MS-DRG,,,,inpatient ,,,0,,"17,940.02","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,230.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,"18,884.23",MSDRG Case Rate,,,"94,980.64",MSDRG Case Rate,"17,940.02",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
535 - FRACTURES OF HIP AND PELVIS WITH MCC,535,MS-DRG,,,,inpatient ,,,0,,"16,529.10","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,529.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
536 - FRACTURES OF HIP AND PELVIS WITHOUT MCC,536,MS-DRG,,,,inpatient ,,,0,,"13,923.77","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,307.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,"14,656.60",MSDRG Case Rate,,,"86,244.72",MSDRG Case Rate,"13,923.77",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"537 - SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",537,MS-DRG,,,,inpatient ,,,0,,"14,891.10","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,891.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"538 - SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",538,MS-DRG,,,,inpatient ,,,0,,"30,031.93","41,672.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,672.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
539 - OSTEOMYELITIS WITH MCC,539,MS-DRG,,,,inpatient ,,,0,,"27,262.20","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,262.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
540 - OSTEOMYELITIS WITH CC,540,MS-DRG,,,,inpatient ,,,0,,"18,015.90","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,015.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
541 - OSTEOMYELITIS WITHOUT CC/MCC,541,MS-DRG,,,,inpatient ,,,0,,"20,315.76","38,297.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,297.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
542 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,542,MS-DRG,,,,inpatient ,,,0,,"22,904.70","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,904.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
543 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,543,MS-DRG,,,,inpatient ,,,0,,"16,117.50","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,117.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
544 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,544,MS-DRG,,,,inpatient ,,,0,,"22,008.70","52,357.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,357.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
545 - CONNECTIVE TISSUE DISORDERS WITH MCC,545,MS-DRG,,,,inpatient ,,,0,,"25,185.30","25,185.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,185.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
546 - CONNECTIVE TISSUE DISORDERS WITH CC,546,MS-DRG,,,,inpatient ,,,0,,"17,289.30","17,289.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,289.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
547 - CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,547,MS-DRG,,,,inpatient ,,,0,,"40,945.80","40,945.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"40,945.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
548 - SEPTIC ARTHRITIS WITH MCC,548,MS-DRG,,,,inpatient ,,,0,,"25,330.20","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,330.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
549 - SEPTIC ARTHRITIS WITH CC,549,MS-DRG,,,,inpatient ,,,0,,"19,813.50","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,813.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
550 - SEPTIC ARTHRITIS WITHOUT CC/MCC,550,MS-DRG,,,,inpatient ,,,0,,"35,739.90","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,739.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
551 - MEDICAL BACK PROBLEMS WITH MCC,551,MS-DRG,,,,inpatient ,,,0,,"20,292.30","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,292.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,"28,319.51",MSDRG Case Rate,,,"94,980.64",MSDRG Case Rate,"26,903.53",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
552 - MEDICAL BACK PROBLEMS WITHOUT MCC,552,MS-DRG,,,,inpatient ,,,0,,"13,975.00","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,381.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"14,710.53",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"13,975.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
553 - BONE DISEASES AND ARTHROPATHIES WITH MCC,553,MS-DRG,,,,inpatient ,,,0,,"17,257.80","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,257.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
554 - BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,554,MS-DRG,,,,inpatient ,,,0,,"29,379.00","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,379.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
555 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,555,MS-DRG,,,,inpatient ,,,0,,"17,312.40","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,312.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
556 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,556,MS-DRG,,,,inpatient ,,,0,,"32,692.80","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,692.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"557 - TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",557,MS-DRG,,,,inpatient ,,,0,,"18,446.40","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,446.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"558 - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",558,MS-DRG,,,,inpatient ,,,0,,"20,315.76","38,860.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,860.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",559,MS-DRG,,,,inpatient ,,,0,,"23,774.10","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,774.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",560,MS-DRG,,,,inpatient ,,,0,,"16,384.20","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,384.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"561 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",561,MS-DRG,,,,inpatient ,,,0,,"22,008.70","31,934.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,934.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"562 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",562,MS-DRG,,,,inpatient ,,,0,,"18,807.60","18,807.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,807.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"563 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",563,MS-DRG,,,,inpatient ,,,0,,"13,911.59","32,799.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,799.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"14,643.78",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"13,911.59",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,564,MS-DRG,,,,inpatient ,,,0,,"20,987.40","20,987.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,987.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,565,MS-DRG,,,,inpatient ,,,0,,"15,760.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,760.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,566,MS-DRG,,,,inpatient ,,,0,,"61,366.20","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"61,366.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
570 - SKIN DEBRIDEMENT WITH MCC,570,MS-DRG,,,,inpatient ,,,0,,"35,529.90","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,529.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
571 - SKIN DEBRIDEMENT WITH CC,571,MS-DRG,,,,inpatient ,,,0,,"23,931.60","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,931.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
572 - SKIN DEBRIDEMENT WITHOUT CC/MCC,572,MS-DRG,,,,inpatient ,,,0,,"56,680.45","130,580.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"130,580.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
573 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,573,MS-DRG,,,,inpatient ,,,0,,"71,521.80","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"71,521.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
574 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,574,MS-DRG,,,,inpatient ,,,0,,"42,966.00","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,966.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
575 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,575,MS-DRG,,,,inpatient ,,,0,,"30,031.93","119,345.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"119,345.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
576 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,576,MS-DRG,,,,inpatient ,,,0,,"55,631.10","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"55,631.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
577 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,577,MS-DRG,,,,inpatient ,,,0,,"21,578.78","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,820.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,"22,714.51",MSDRG Case Rate,,,"42,569.77",MSDRG Case Rate,"21,578.78",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
578 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,578,MS-DRG,,,,inpatient ,,,0,,"18,241.66","70,186.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"70,186.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,"19,201.75",MSDRG Case Rate,,,"20,315.76",MSDRG Case Rate,"18,241.66",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"579 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",579,MS-DRG,,,,inpatient ,,,0,,"36,678.60","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,678.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"580 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",580,MS-DRG,,,,inpatient ,,,0,,"18,419.71","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,280.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,"19,389.17",MSDRG Case Rate,,,"34,228.85",MSDRG Case Rate,"18,419.71",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"581 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",581,MS-DRG,,,,inpatient ,,,0,,"19,826.36","36,567.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,567.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,"20,869.85",MSDRG Case Rate,,,"22,008.70",MSDRG Case Rate,"19,826.36",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
582 - MASTECTOMY FOR MALIGNANCY WITH CC/MCC,582,MS-DRG,,,,inpatient ,,,0,,"31,959.90","31,959.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,959.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
583 - MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,583,MS-DRG,,,,inpatient ,,,0,,"41,130.60","41,130.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,130.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"584 - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",584,MS-DRG,,,,inpatient ,,,0,,"35,364.00","35,364.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,364.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"585 - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",585,MS-DRG,,,,inpatient ,,,0,,"43,892.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,892.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
592 - SKIN ULCERS WITH MCC,592,MS-DRG,,,,inpatient ,,,0,,"25,407.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,407.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
593 - SKIN ULCERS WITH CC,593,MS-DRG,,,,inpatient ,,,0,,"16,535.40","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,535.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
594 - SKIN ULCERS WITHOUT CC/MCC,594,MS-DRG,,,,inpatient ,,,0,,"45,675.00","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,675.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
595 - MAJOR SKIN DISORDERS WITH MCC,595,MS-DRG,,,,inpatient ,,,0,,"21,189.00","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,189.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
596 - MAJOR SKIN DISORDERS WITHOUT MCC,596,MS-DRG,,,,inpatient ,,,0,,"33,610.50","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,610.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
597 - MALIGNANT BREAST DISORDERS WITH MCC,597,MS-DRG,,,,inpatient ,,,0,,"25,174.80","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,174.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
598 - MALIGNANT BREAST DISORDERS WITH CC,598,MS-DRG,,,,inpatient ,,,0,,"14,128.80","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,128.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
599 - MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,599,MS-DRG,,,,inpatient ,,,0,,"21,535.50","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,535.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
600 - NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,600,MS-DRG,,,,inpatient ,,,0,,"13,303.50","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,303.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
601 - NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,601,MS-DRG,,,,inpatient ,,,0,,"20,315.76","31,237.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,237.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
602 - CELLULITIS WITH MCC,602,MS-DRG,,,,inpatient ,,,0,,"18,578.70","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,578.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
603 - CELLULITIS WITHOUT MCC,603,MS-DRG,,,,inpatient ,,,0,,"31,630.20","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,630.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"604 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",604,MS-DRG,,,,inpatient ,,,0,,"19,084.80","30,943.27",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,084.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,"30,943.27",MSDRG Case Rate,,,"22,008.70",MSDRG Case Rate,"29,396.11",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"605 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",605,MS-DRG,,,,inpatient ,,,0,,"12,994.57","33,301.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,301.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"13,678.49",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"12,994.57",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
606 - MINOR SKIN DISORDERS WITH MCC,606,MS-DRG,,,,inpatient ,,,0,,"18,763.50","18,763.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,763.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
607 - MINOR SKIN DISORDERS WITHOUT MCC,607,MS-DRG,,,,inpatient ,,,0,,"47,300.40","47,300.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,300.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
614 - ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,614,MS-DRG,,,,inpatient ,,,0,,"30,893.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,893.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
615 - ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,615,MS-DRG,,,,inpatient ,,,0,,"83,111.70","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"83,111.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"616 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",616,MS-DRG,,,,inpatient ,,,0,,"41,674.50","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,674.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"617 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",617,MS-DRG,,,,inpatient ,,,0,,"24,391.50","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,391.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"618 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",618,MS-DRG,,,,inpatient ,,,0,,"54,652.50","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"54,652.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
619 - O.R. PROCEDURES FOR OBESITY WITH MCC,619,MS-DRG,,,,inpatient ,,,0,,"34,066.20","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,066.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
620 - O.R. PROCEDURES FOR OBESITY WITH CC,620,MS-DRG,,,,inpatient ,,,0,,"31,863.30","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,863.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
621 - O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,621,MS-DRG,,,,inpatient ,,,0,,"30,031.93","80,337.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"80,337.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"622 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",622,MS-DRG,,,,inpatient ,,,0,,"39,089.40","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,089.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"623 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",623,MS-DRG,,,,inpatient ,,,0,,"23,404.50","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,404.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"624 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",624,MS-DRG,,,,inpatient ,,,0,,"20,315.76","61,345.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"61,345.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"625 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",625,MS-DRG,,,,inpatient ,,,0,,"31,329.90","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,329.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"626 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",626,MS-DRG,,,,inpatient ,,,0,,"25,956.00","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,956.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"627 - THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",627,MS-DRG,,,,inpatient ,,,0,,"22,008.70","84,304.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"84,304.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",628,MS-DRG,,,,inpatient ,,,0,,"47,518.80","47,518.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"47,518.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",629,MS-DRG,,,,inpatient ,,,0,,"29,322.30","29,322.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,322.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"630 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",630,MS-DRG,,,,inpatient ,,,0,,"30,435.30","30,435.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,435.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
637 - DIABETES WITH MCC,637,MS-DRG,,,,inpatient ,,,0,,"18,887.40","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,887.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
638 - DIABETES WITH CC,638,MS-DRG,,,,inpatient ,,,0,,"13,072.50","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,072.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
639 - DIABETES WITHOUT CC/MCC,639,MS-DRG,,,,inpatient ,,,0,,"27,619.20","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,619.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",640,MS-DRG,,,,inpatient ,,,0,,"16,409.40","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,409.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",641,MS-DRG,,,,inpatient ,,,0,,"27,369.30","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,369.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
642 - INBORN AND OTHER DISORDERS OF METABOLISM,642,MS-DRG,,,,inpatient ,,,0,,"34,547.10","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,547.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
643 - ENDOCRINE DISORDERS WITH MCC,643,MS-DRG,,,,inpatient ,,,0,,"22,295.70","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,295.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
644 - ENDOCRINE DISORDERS WITH CC,644,MS-DRG,,,,inpatient ,,,0,,"15,978.90","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,978.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
645 - ENDOCRINE DISORDERS WITHOUT CC/MCC,645,MS-DRG,,,,inpatient ,,,0,,"82,280.20","94,447.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"94,447.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
650 - KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,650,MS-DRG,,,,inpatient ,,,0,,"42,569.77","72,626.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"72,626.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
651 - KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,651,MS-DRG,,,,inpatient ,,,0,,"20,315.76","63,092.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"63,092.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
652 - KIDNEY TRANSPLANT,652,MS-DRG,,,,inpatient ,,,0,,"113,685.60","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"113,685.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
653 - MAJOR BLADDER PROCEDURES WITH MCC,653,MS-DRG,,,,inpatient ,,,0,,"34,228.85","57,487.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"57,487.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
654 - MAJOR BLADDER PROCEDURES WITH CC,654,MS-DRG,,,,inpatient ,,,0,,"22,008.70","44,263.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,263.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
655 - MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,655,MS-DRG,,,,inpatient ,,,0,,"65,889.60","65,889.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"65,889.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,656,MS-DRG,,,,inpatient ,,,0,,"38,728.20","38,728.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,728.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,657,MS-DRG,,,,inpatient ,,,0,,"31,088.40","31,088.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,088.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,658,MS-DRG,,,,inpatient ,,,0,,"54,366.90","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"54,366.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,659,MS-DRG,,,,inpatient ,,,0,,"28,263.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,263.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,660,MS-DRG,,,,inpatient ,,,0,,"22,016.40","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,016.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,661,MS-DRG,,,,inpatient ,,,0,,"62,930.70","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"62,930.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
662 - MINOR BLADDER PROCEDURES WITH MCC,662,MS-DRG,,,,inpatient ,,,0,,"30,639.00","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,639.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
663 - MINOR BLADDER PROCEDURES WITH CC,663,MS-DRG,,,,inpatient ,,,0,,"22,293.60","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,293.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
664 - MINOR BLADDER PROCEDURES WITHOUT CC/MCC,664,MS-DRG,,,,inpatient ,,,0,,"45,716.97","64,871.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"64,871.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
665 - PROSTATECTOMY WITH MCC,665,MS-DRG,,,,inpatient ,,,0,,"30,031.93","36,065.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,065.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
666 - PROSTATECTOMY WITH CC,666,MS-DRG,,,,inpatient ,,,0,,"22,041.60","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,041.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
667 - PROSTATECTOMY WITHOUT CC/MCC,667,MS-DRG,,,,inpatient ,,,0,,"42,569.77","59,178.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,178.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
668 - TRANSURETHRAL PROCEDURES WITH MCC,668,MS-DRG,,,,inpatient ,,,0,,"20,315.76","32,226.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,226.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
669 - TRANSURETHRAL PROCEDURES WITH CC,669,MS-DRG,,,,inpatient ,,,0,,"20,214.60","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,214.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
670 - TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,670,MS-DRG,,,,inpatient ,,,0,,"34,228.85","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,949.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
671 - URETHRAL PROCEDURES WITH CC/MCC,671,MS-DRG,,,,inpatient ,,,0,,"19,687.50","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,687.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
672 - URETHRAL PROCEDURES WITHOUT CC/MCC,672,MS-DRG,,,,inpatient ,,,0,,"77,658.00","77,658.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"77,658.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,673,MS-DRG,,,,inpatient ,,,0,,"50,026.20","50,026.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"50,026.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
674 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,674,MS-DRG,,,,inpatient ,,,0,,"33,316.50","33,316.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,316.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
675 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,675,MS-DRG,,,,inpatient ,,,0,,"31,516.80","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,516.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
682 - RENAL FAILURE WITH MCC,682,MS-DRG,,,,inpatient ,,,0,,"18,916.80","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,916.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
683 - RENAL FAILURE WITH CC,683,MS-DRG,,,,inpatient ,,,0,,"12,778.50","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,778.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
684 - RENAL FAILURE WITHOUT CC/MCC,684,MS-DRG,,,,inpatient ,,,0,,"38,627.40","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,627.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
686 - KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,686,MS-DRG,,,,inpatient ,,,0,,"21,951.30","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,951.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
687 - KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,687,MS-DRG,,,,inpatient ,,,0,,"16,398.90","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,398.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
688 - KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,688,MS-DRG,,,,inpatient ,,,0,,"24,662.40","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,662.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
689 - KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,689,MS-DRG,,,,inpatient ,,,0,,"16,944.90","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,944.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
690 - KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,690,MS-DRG,,,,inpatient ,,,0,,"29,742.30","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,742.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
693 - URINARY STONES WITH MCC,693,MS-DRG,,,,inpatient ,,,0,,"16,436.70","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,436.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
694 - URINARY STONES WITHOUT MCC,694,MS-DRG,,,,inpatient ,,,0,,"20,315.76","25,116.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,116.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
695 - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,695,MS-DRG,,,,inpatient ,,,0,,"14,534.10","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,534.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
696 - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,696,MS-DRG,,,,inpatient ,,,0,,"23,375.10","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,375.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
697 - URETHRAL STRICTURE,697,MS-DRG,,,,inpatient ,,,0,,"22,008.70","34,742.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,742.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,698,MS-DRG,,,,inpatient ,,,0,,"21,436.80","21,436.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,436.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,699,MS-DRG,,,,inpatient ,,,0,,"14,874.30","14,874.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,874.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
700 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,700,MS-DRG,,,,inpatient ,,,0,,"11,816.69","41,199.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,199.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"12,438.62",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"11,816.69",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
707 - MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,707,MS-DRG,,,,inpatient ,,,0,,"30,628.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,628.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
708 - MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,708,MS-DRG,,,,inpatient ,,,0,,"45,586.80","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,586.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
709 - PENIS PROCEDURES WITH CC/MCC,709,MS-DRG,,,,inpatient ,,,0,,"27,243.30","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,243.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
710 - PENIS PROCEDURES WITHOUT CC/MCC,710,MS-DRG,,,,inpatient ,,,0,,"44,580.90","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,580.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
711 - TESTES PROCEDURES WITH CC/MCC,711,MS-DRG,,,,inpatient ,,,0,,"24,956.40","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,956.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
712 - TESTES PROCEDURES WITHOUT CC/MCC,712,MS-DRG,,,,inpatient ,,,0,,"30,464.70","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,464.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
713 - TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,713,MS-DRG,,,,inpatient ,,,0,,"20,128.50","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,128.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
714 - TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,714,MS-DRG,,,,inpatient ,,,0,,"30,031.93","46,357.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,357.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
715 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,715,MS-DRG,,,,inpatient ,,,0,,"29,866.20","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,866.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
716 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,716,MS-DRG,,,,inpatient ,,,0,,"38,087.70","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,087.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
717 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,717,MS-DRG,,,,inpatient ,,,0,,"20,315.76","24,691.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,691.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
718 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,718,MS-DRG,,,,inpatient ,,,0,,"39,370.80","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,370.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"722 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",722,MS-DRG,,,,inpatient ,,,0,,"23,400.30","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,400.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"723 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",723,MS-DRG,,,,inpatient ,,,0,,"16,999.50","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,999.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"724 - MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",724,MS-DRG,,,,inpatient ,,,0,,"26,058.90","26,058.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,058.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
725 - BENIGN PROSTATIC HYPERTROPHY WITH MCC,725,MS-DRG,,,,inpatient ,,,0,,"15,348.90","15,348.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,348.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
726 - BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,726,MS-DRG,,,,inpatient ,,,0,,"34,041.00","34,041.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,041.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
727 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,727,MS-DRG,,,,inpatient ,,,0,,"16,802.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,802.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
728 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,728,MS-DRG,,,,inpatient ,,,0,,"21,081.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,081.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,729,MS-DRG,,,,inpatient ,,,0,,"13,053.60","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,053.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,730,MS-DRG,,,,inpatient ,,,0,,"45,645.60","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,645.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"734 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",734,MS-DRG,,,,inpatient ,,,0,,"26,464.20","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,464.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"735 - PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",735,MS-DRG,,,,inpatient ,,,0,,"81,631.20","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"81,631.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
736 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,736,MS-DRG,,,,inpatient ,,,0,,"41,449.80","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,449.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
737 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,737,MS-DRG,,,,inpatient ,,,0,,"28,656.60","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,656.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
738 - UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,738,MS-DRG,,,,inpatient ,,,0,,"75,942.30","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"75,942.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
739 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,739,MS-DRG,,,,inpatient ,,,0,,"37,527.00","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,527.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
740 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,740,MS-DRG,,,,inpatient ,,,0,,"20,315.76","27,285.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,285.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
741 - UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,741,MS-DRG,,,,inpatient ,,,0,,"37,419.90","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,419.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,742,MS-DRG,,,,inpatient ,,,0,,"24,402.00","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,402.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,743,MS-DRG,,,,inpatient ,,,0,,"22,008.70","39,530.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,530.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"744 - D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",744,MS-DRG,,,,inpatient ,,,0,,"21,753.90","21,753.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,753.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"745 - D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",745,MS-DRG,,,,inpatient ,,,0,,"35,198.10","35,198.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,198.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"746 - VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",746,MS-DRG,,,,inpatient ,,,0,,"18,631.20","18,631.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,631.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"747 - VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",747,MS-DRG,,,,inpatient ,,,0,,"29,502.90","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,502.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
748 - FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,748,MS-DRG,,,,inpatient ,,,0,,"52,861.20","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,861.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
749 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,749,MS-DRG,,,,inpatient ,,,0,,"28,560.00","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,560.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
750 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,750,MS-DRG,,,,inpatient ,,,0,,"38,902.50","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,902.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"754 - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",754,MS-DRG,,,,inpatient ,,,0,,"22,778.70","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,778.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"755 - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",755,MS-DRG,,,,inpatient ,,,0,,"20,783.70","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,783.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"756 - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",756,MS-DRG,,,,inpatient ,,,0,,"31,323.60","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,323.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"757 - INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",757,MS-DRG,,,,inpatient ,,,0,,"20,844.60","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,844.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"758 - INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",758,MS-DRG,,,,inpatient ,,,0,,"13,570.20","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,570.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"759 - INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",759,MS-DRG,,,,inpatient ,,,0,,"20,903.40","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,903.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
760 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,760,MS-DRG,,,,inpatient ,,,0,,"12,717.60","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,717.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
761 - MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,761,MS-DRG,,,,inpatient ,,,0,,"25,580.10","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,580.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
768 - VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,768,MS-DRG,,,,inpatient ,,,0,,"32,421.90","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,421.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
769 - POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,769,MS-DRG,,,,inpatient ,,,0,,"16,772.70","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,772.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"770 - ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",770,MS-DRG,,,,inpatient ,,,0,,"15,050.70","15,050.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,050.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
776 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,776,MS-DRG,,,,inpatient ,,,0,,"20,773.20","20,773.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,773.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
779 - ABORTION WITHOUT D&C,779,MS-DRG,,,,inpatient ,,,0,,"37,207.80","37,207.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,207.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
783 - CESAREAN SECTION WITH STERILIZATION WITH MCC,783,MS-DRG,,,,inpatient ,,,0,,"21,506.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,506.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
784 - CESAREAN SECTION WITH STERILIZATION WITH CC,784,MS-DRG,,,,inpatient ,,,0,,"18,192.30","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,192.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
785 - CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,785,MS-DRG,,,,inpatient ,,,0,,"36,739.50","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,739.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
786 - CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,786,MS-DRG,,,,inpatient ,,,0,,"22,073.10","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,073.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
787 - CESAREAN SECTION WITHOUT STERILIZATION WITH CC,787,MS-DRG,,,,inpatient ,,,0,,"17,955.00","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,955.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
788 - CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,788,MS-DRG,,,,inpatient ,,,0,,"38,207.40","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,207.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"789 - NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",789,MS-DRG,,,,inpatient ,,,0,,"45,716.97","126,002.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"126,002.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"790 - EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",790,MS-DRG,,,,inpatient ,,,0,,"30,031.93","86,051.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,051.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
791 - PREMATURITY WITH MAJOR PROBLEMS,791,MS-DRG,,,,inpatient ,,,0,,"51,922.50","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,922.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
792 - PREMATURITY WITHOUT MAJOR PROBLEMS,792,MS-DRG,,,,inpatient ,,,0,,"42,569.77","88,395.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"88,395.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
793 - FULL TERM NEONATE WITH MAJOR PROBLEMS,793,MS-DRG,,,,inpatient ,,,0,,"20,315.76","31,287.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,287.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
794 - NEONATE WITH OTHER SIGNIFICANT PROBLEMS,794,MS-DRG,,,,inpatient ,,,0,,"4,235.70","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"4,235.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
795 - NORMAL NEWBORN,795,MS-DRG,,,,inpatient ,,,0,,"29,786.40","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,786.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
796 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,796,MS-DRG,,,,inpatient ,,,0,,"20,913.90","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,913.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
797 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,797,MS-DRG,,,,inpatient ,,,0,,"17,537.10","17,537.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,537.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
798 - VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,798,MS-DRG,,,,inpatient ,,,0,,"104,046.60","104,046.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"104,046.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
799 - SPLENECTOMY WITH MCC,799,MS-DRG,,,,inpatient ,,,0,,"59,171.70","59,171.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,171.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
800 - SPLENECTOMY WITH CC,800,MS-DRG,,,,inpatient ,,,0,,"37,583.70","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,583.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
801 - SPLENECTOMY WITHOUT CC/MCC,801,MS-DRG,,,,inpatient ,,,0,,"72,046.80","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"72,046.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
802 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,802,MS-DRG,,,,inpatient ,,,0,,"39,022.20","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,022.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
803 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,803,MS-DRG,,,,inpatient ,,,0,,"25,418.40","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,418.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
804 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,804,MS-DRG,,,,inpatient ,,,0,,"21,172.20","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,172.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
805 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,805,MS-DRG,,,,inpatient ,,,0,,"15,680.70","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,680.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
806 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,806,MS-DRG,,,,inpatient ,,,0,,"13,740.30","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,740.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
807 - VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,807,MS-DRG,,,,inpatient ,,,0,,"30,031.93","45,992.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,992.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
808 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,808,MS-DRG,,,,inpatient ,,,0,,"25,292.40","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,292.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
809 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,809,MS-DRG,,,,inpatient ,,,0,,"21,094.50","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,094.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
810 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,810,MS-DRG,,,,inpatient ,,,0,,"20,315.76","29,475.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,475.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
811 - RED BLOOD CELL DISORDERS WITH MCC,811,MS-DRG,,,,inpatient ,,,0,,"18,914.70","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,914.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
812 - RED BLOOD CELL DISORDERS WITHOUT MCC,812,MS-DRG,,,,inpatient ,,,0,,"32,760.00","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"32,760.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
813 - COAGULATION DISORDERS,813,MS-DRG,,,,inpatient ,,,0,,"22,008.70","44,690.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,690.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
814 - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,814,MS-DRG,,,,inpatient ,,,0,,"20,878.20","20,878.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,878.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
815 - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,815,MS-DRG,,,,inpatient ,,,0,,"14,914.20","25,011.49",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,914.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"25,011.49",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"23,760.92",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
816 - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,816,MS-DRG,,,,inpatient ,,,0,,"14,272.69","59,152.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,152.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"15,023.88",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"14,272.69",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,817,MS-DRG,,,,inpatient ,,,0,,"30,053.10","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"30,053.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,818,MS-DRG,,,,inpatient ,,,0,,"19,051.20","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,051.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,819,MS-DRG,,,,inpatient ,,,0,,"69,376.16","126,980.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"126,980.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,820,MS-DRG,,,,inpatient ,,,0,,"46,874.10","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,874.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,821,MS-DRG,,,,inpatient ,,,0,,"26,014.80","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,014.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,822,MS-DRG,,,,inpatient ,,,0,,"86,244.72","94,539.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"94,539.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
823 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,823,MS-DRG,,,,inpatient ,,,0,,"45,716.97","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,890.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
824 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,824,MS-DRG,,,,inpatient ,,,0,,"27,119.40","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,119.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
825 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,825,MS-DRG,,,,inpatient ,,,0,,"82,280.20","97,181.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"97,181.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,826,MS-DRG,,,,inpatient ,,,0,,"42,569.77","48,661.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,661.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,827,MS-DRG,,,,inpatient ,,,0,,"20,315.76","34,448.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,448.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,828,MS-DRG,,,,inpatient ,,,0,,"66,229.80","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"66,229.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
829 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,829,MS-DRG,,,,inpatient ,,,0,,"33,205.20","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,205.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
830 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,830,MS-DRG,,,,inpatient ,,,0,,"22,008.70","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,581.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
831 - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,831,MS-DRG,,,,inpatient ,,,0,,"15,491.70","15,491.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"15,491.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
832 - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,832,MS-DRG,,,,inpatient ,,,0,,"10,747.80","10,747.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"10,747.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
833 - OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,833,MS-DRG,,,,inpatient ,,,0,,"117,579.00","117,579.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"117,579.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
834 - ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC,834,MS-DRG,,,,inpatient ,,,0,,"46,945.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"46,945.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
835 - ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC,835,MS-DRG,,,,inpatient ,,,0,,"29,649.90","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,649.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
836 - ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC,836,MS-DRG,,,,inpatient ,,,0,,"69,376.16","101,724.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"101,724.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
837 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,837,MS-DRG,,,,inpatient ,,,0,,"42,035.70","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,035.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
838 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,838,MS-DRG,,,,inpatient ,,,0,,"27,365.10","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,365.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
839 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,839,MS-DRG,,,,inpatient ,,,0,,"65,629.20","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"65,629.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
840 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,840,MS-DRG,,,,inpatient ,,,0,,"33,043.50","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,043.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
841 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,841,MS-DRG,,,,inpatient ,,,0,,"22,394.40","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,394.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
842 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,842,MS-DRG,,,,inpatient ,,,0,,"39,072.60","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,072.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
843 - OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,843,MS-DRG,,,,inpatient ,,,0,,"24,301.20","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"24,301.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
844 - OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,844,MS-DRG,,,,inpatient ,,,0,,"18,162.90","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,162.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
845 - OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,845,MS-DRG,,,,inpatient ,,,0,,"51,324.00","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"51,324.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
846 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,846,MS-DRG,,,,inpatient ,,,0,,"25,464.60","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"25,464.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
847 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,847,MS-DRG,,,,inpatient ,,,0,,"17,560.20","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,560.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
848 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,848,MS-DRG,,,,inpatient ,,,0,,"56,519.40","56,519.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"56,519.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
849 - RADIOTHERAPY,849,MS-DRG,,,,inpatient ,,,0,,"104,985.30","104,985.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"104,985.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
853 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,853,MS-DRG,,,,inpatient ,,,0,,"42,802.20","42,802.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,802.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
854 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,854,MS-DRG,,,,inpatient ,,,0,,"35,737.80","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,737.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
855 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,855,MS-DRG,,,,inpatient ,,,0,,"92,996.40","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"92,996.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
856 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,856,MS-DRG,,,,inpatient ,,,0,,"44,849.70","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,849.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
857 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,857,MS-DRG,,,,inpatient ,,,0,,"26,951.40","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,951.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
858 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,858,MS-DRG,,,,inpatient ,,,0,,"38,682.00","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,682.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,862,MS-DRG,,,,inpatient ,,,0,,"21,115.50","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,115.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,863,MS-DRG,,,,inpatient ,,,0,,"18,538.80","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,538.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
864 - FEVER AND INFLAMMATORY CONDITIONS,864,MS-DRG,,,,inpatient ,,,0,,"30,031.93","34,437.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,437.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
865 - VIRAL ILLNESS WITH MCC,865,MS-DRG,,,,inpatient ,,,0,,"19,271.70","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,271.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
866 - VIRAL ILLNESS WITHOUT MCC,866,MS-DRG,,,,inpatient ,,,0,,"42,569.77","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,938.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
867 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,867,MS-DRG,,,,inpatient ,,,0,,"20,315.76","22,795.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,795.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,868,MS-DRG,,,,inpatient ,,,0,,"14,504.70","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,504.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
869 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,869,MS-DRG,,,,inpatient ,,,0,,"34,228.85","146,262.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,262.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,870,MS-DRG,,,,inpatient ,,,0,,"22,008.70","41,634.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"41,634.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
871 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,871,MS-DRG,,,,inpatient ,,,0,,"21,627.90","21,627.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,627.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
872 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,872,MS-DRG,,,,inpatient ,,,0,,"78,361.50","78,361.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"78,361.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
876 - O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,876,MS-DRG,,,,inpatient ,,,0,,"20,046.60","20,046.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,046.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
880 - ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,880,MS-DRG,,,,inpatient ,,,0,,"19,036.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,036.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
881 - DEPRESSIVE NEUROSES,881,MS-DRG,,,,inpatient ,,,0,,"19,725.30","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,725.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
882 - NEUROSES EXCEPT DEPRESSIVE,882,MS-DRG,,,,inpatient ,,,0,,"39,383.40","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,383.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
883 - DISORDERS OF PERSONALITY AND IMPULSE CONTROL,883,MS-DRG,,,,inpatient ,,,0,,"36,894.90","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,894.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"94,980.64",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
884 - ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,884,MS-DRG,,,,inpatient ,,,0,,"28,694.40","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,694.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
885 - PSYCHOSES,885,MS-DRG,,,,inpatient ,,,0,,"22,952.25","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,315.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,"24,160.26",MSDRG Case Rate,,,"86,244.72",MSDRG Case Rate,"22,952.25",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
886 - BEHAVIORAL AND DEVELOPMENTAL DISORDERS,886,MS-DRG,,,,inpatient ,,,0,,"27,207.60","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"27,207.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
887 - OTHER MENTAL DISORDER DIAGNOSES,887,MS-DRG,,,,inpatient ,,,0,,"12,064.50","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,064.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"894 - ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",894,MS-DRG,,,,inpatient ,,,0,,"33,784.80","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,784.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"895 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",895,MS-DRG,,,,inpatient ,,,0,,"37,340.10","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,340.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"896 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",896,MS-DRG,,,,inpatient ,,,0,,"17,967.60","21,385.01",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,967.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"897 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",897,MS-DRG,,,,inpatient ,,,0,,"12,035.10","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,883.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,"12,668.53",MSDRG Case Rate,,,"139,215.93",MSDRG Case Rate,"12,035.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
901 - WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,901,MS-DRG,,,,inpatient ,,,0,,"34,228.85","39,578.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,578.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
902 - WOUND DEBRIDEMENTS FOR INJURIES WITH CC,902,MS-DRG,,,,inpatient ,,,0,,"22,008.70","26,071.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,071.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
903 - WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,903,MS-DRG,,,,inpatient ,,,0,,"68,380.20","68,380.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"68,380.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
904 - SKIN GRAFTS FOR INJURIES WITH CC/MCC,904,MS-DRG,,,,inpatient ,,,0,,"33,257.70","33,257.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,257.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
905 - SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,905,MS-DRG,,,,inpatient ,,,0,,"39,513.60","39,513.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"39,513.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
906 - HAND PROCEDURES FOR INJURIES,906,MS-DRG,,,,inpatient ,,,0,,"78,109.50","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"78,109.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,907,MS-DRG,,,,inpatient ,,,0,,"42,086.10","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,086.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,"79,056.44",MSDRG Case Rate,,,"126,172.56",MSDRG Case Rate,"75,103.62",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC,908,MS-DRG,,,,inpatient ,,,0,,"28,482.30","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,482.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,"31,575.20",MSDRG Case Rate,,,"69,376.16",MSDRG Case Rate,"29,996.44",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,909,MS-DRG,,,,inpatient ,,,0,,"28,411.04","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,384.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,"29,906.36",MSDRG Case Rate,,,"94,980.64",MSDRG Case Rate,"28,411.04",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
913 - TRAUMATIC INJURY WITH MCC,913,MS-DRG,,,,inpatient ,,,0,,"19,061.70","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"19,061.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
914 - TRAUMATIC INJURY WITHOUT MCC,914,MS-DRG,,,,inpatient ,,,0,,"16,869.67","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"37,254.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,"17,757.55",MSDRG Case Rate,,,"86,244.72",MSDRG Case Rate,"16,869.67",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
915 - ALLERGIC REACTIONS WITH MCC,915,MS-DRG,,,,inpatient ,,,0,,"13,834.80","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,834.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
916 - ALLERGIC REACTIONS WITHOUT MCC,916,MS-DRG,,,,inpatient ,,,0,,"30,031.93","33,513.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"33,513.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,917,MS-DRG,,,,inpatient ,,,0,,"18,078.90","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"18,078.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,918,MS-DRG,,,,inpatient ,,,0,,"5,234.18","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,318.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,"5,509.66",MSDRG Case Rate,,,"42,569.77",MSDRG Case Rate,"5,234.18",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
919 - COMPLICATIONS OF TREATMENT WITH MCC,919,MS-DRG,,,,inpatient ,,,0,,"20,315.76","21,709.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,709.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
920 - COMPLICATIONS OF TREATMENT WITH CC,920,MS-DRG,,,,inpatient ,,,0,,"14,653.80","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"14,653.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
921 - COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,921,MS-DRG,,,,inpatient ,,,0,,"34,228.85","36,642.90",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,642.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",922,MS-DRG,,,,inpatient ,,,0,,"21,239.40","23,167.05",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,239.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",923,MS-DRG,,,,inpatient ,,,0,,"16,465.50","553,532.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"553,532.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"17,332.11",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"16,465.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
927 - EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,927,MS-DRG,,,,inpatient ,,,0,,"145,313.70","145,313.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"145,313.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
928 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,928,MS-DRG,,,,inpatient ,,,0,,"67,525.50","67,525.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"67,525.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
929 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,929,MS-DRG,,,,inpatient ,,,0,,"63,672.00","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"63,672.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"155,763.75",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
933 - EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,933,MS-DRG,,,,inpatient ,,,0,,"43,942.50","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"43,942.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"126,172.56",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
934 - FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,934,MS-DRG,,,,inpatient ,,,0,,"42,863.10","73,027.54",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"42,863.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"69,376.16",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
935 - NON-EXTENSIVE BURNS,935,MS-DRG,,,,inpatient ,,,0,,"21,430.04","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"67,521.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,"22,557.94",MSDRG Case Rate,,,"94,980.64",MSDRG Case Rate,"21,430.04",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
939 - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,939,MS-DRG,,,,inpatient ,,,0,,"45,498.60","59,663.63",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"45,498.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"56,680.45",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
940 - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,940,MS-DRG,,,,inpatient ,,,0,,"38,976.00","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"38,976.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
941 - O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,941,MS-DRG,,,,inpatient ,,,0,,"31,699.50","48,123.13",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,699.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
945 - REHABILITATION WITH CC/MCC,945,MS-DRG,,,,inpatient ,,,0,,"21,266.70","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,266.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
946 - REHABILITATION WITHOUT CC/MCC,946,MS-DRG,,,,inpatient ,,,0,,"26,283.60","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"26,283.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
947 - SIGNS AND SYMPTOMS WITH MCC,947,MS-DRG,,,,inpatient ,,,0,,"16,821.00","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"16,821.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
948 - SIGNS AND SYMPTOMS WITHOUT MCC,948,MS-DRG,,,,inpatient ,,,0,,"20,315.76","22,528.80",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,528.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
949 - AFTERCARE WITH CC/MCC,949,MS-DRG,,,,inpatient ,,,0,,"13,410.60","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"13,410.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
950 - AFTERCARE WITHOUT CC/MCC,950,MS-DRG,,,,inpatient ,,,0,,"12,390.00","36,030.37",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"12,390.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"34,228.85",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
951 - OTHER FACTORS INFLUENCING HEALTH STATUS,951,MS-DRG,,,,inpatient ,,,0,,"22,008.70","127,894.20",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"127,894.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"22,008.70",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
955 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,955,MS-DRG,,,,inpatient ,,,0,,"81,442.20","153,539.72",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"81,442.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"153,539.72",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"145,862.73",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"956 - LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",956,MS-DRG,,,,inpatient ,,,0,,"89,970.00","151,882.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"151,882.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"94,705.26",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"89,970.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,957,MS-DRG,,,,inpatient ,,,0,,"84,940.80","136,593.10",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"84,940.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,"136,593.10",MSDRG Case Rate,,,POC50.5,percent of total billed charges ,"129,763.45",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,958,MS-DRG,,,,inpatient ,,,0,,"53,180.40","163,961.84",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"53,180.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"163,961.84",MSDRG Case Rate,"78,651.13",MSDRG Case Rate,,,"155,763.75",MSDRG Case Rate,"74,718.57",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,959,MS-DRG,,,,inpatient ,,,0,,"47,337.33","132,813.22",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"57,420.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"132,813.22",MSDRG Case Rate,"49,828.77",MSDRG Case Rate,,,"126,172.56",MSDRG Case Rate,"47,337.33",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
963 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,963,MS-DRG,,,,inpatient ,,,0,,"31,521.00","83,652.68",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,521.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"73,027.54",MSDRG Case Rate,"83,652.68",MSDRG Case Rate,,,"69,376.16",MSDRG Case Rate,"79,470.05",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
964 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,964,MS-DRG,,,,inpatient ,,,0,,"20,073.90","99,979.62",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"20,073.90",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,979.62",MSDRG Case Rate,"33,087.53",MSDRG Case Rate,,,"94,980.64",MSDRG Case Rate,"31,433.15",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
965 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,965,MS-DRG,,,,inpatient ,,,0,,"20,378.80","144,324.60",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"144,324.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"59,663.63",MSDRG Case Rate,"21,451.37",MSDRG Case Rate,,,"56,680.45",MSDRG Case Rate,"20,378.80",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
969 - HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,969,MS-DRG,,,,inpatient ,,,0,,"58,371.60","90,783.92",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"58,371.60",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"90,783.92",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"86,244.72",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
970 - HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,970,MS-DRG,,,,inpatient ,,,0,,"45,716.97","61,246.50",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"61,246.50",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"48,123.13",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"45,716.97",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
974 - HIV WITH MAJOR RELATED CONDITION WITH MCC,974,MS-DRG,,,,inpatient ,,,0,,"28,629.30","31,612.56",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"28,629.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"31,612.56",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"30,031.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
975 - HIV WITH MAJOR RELATED CONDITION WITH CC,975,MS-DRG,,,,inpatient ,,,0,,"17,751.30","86,610.74",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"17,751.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"86,610.74",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"82,280.20",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
976 - HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,976,MS-DRG,,,,inpatient ,,,0,,"29,738.10","44,810.28",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"29,738.10",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"44,810.28",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"42,569.77",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
977 - HIV WITH OR WITHOUT OTHER RELATED CONDITION,977,MS-DRG,,,,inpatient ,,,0,,"20,315.76","99,548.40",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"99,548.40",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"21,385.01",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"20,315.76",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
981 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,981,MS-DRG,,,,inpatient ,,,0,,"52,206.00","146,543.08",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"52,206.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"146,543.08",MSDRG Case Rate,POC53.2,percent of total billed charges ,,,"139,215.93",MSDRG Case Rate,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
982 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,982,MS-DRG,,,,inpatient ,,,0,,"34,228.85","58,985.82",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"34,339.20",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"36,030.37",MSDRG Case Rate,"58,985.82",MSDRG Case Rate,,,"34,228.85",MSDRG Case Rate,"56,036.53",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
983 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,983,MS-DRG,,,,inpatient ,,,0,,"22,008.70","70,910.70",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"70,910.70",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"23,167.05",MSDRG Case Rate,"48,061.33",MSDRG Case Rate,,,"22,008.70",MSDRG Case Rate,"45,658.26",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
987 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,987,MS-DRG,,,,inpatient ,,,0,,"35,637.00","35,637.00",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"35,637.00",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
988 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,988,MS-DRG,,,,inpatient ,,,0,,"22,686.30","22,686.30",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"22,686.30",MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
989 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,989,MS-DRG,,,,inpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,POC53.2,percent of total billed charges ,POC53.2,percent of total billed charges ,,,POC50.5,percent of total billed charges ,POC50.5,percent of total billed charges ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
998 - PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,998,MS-DRG,,,,inpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,MSDRG Case Rate,0,MSDRG Case Rate,,,0,MSDRG Case Rate,0,MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
999 - UNGROUPABLE,999,MS-DRG,,,,inpatient ,,,0,,0,0,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0,MSDRG Case Rate,0,MSDRG Case Rate,,,0,MSDRG Case Rate,0,MSDRG Case Rate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,